The CMS Quality Payment Program (QPP) that encompasses the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) as established under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), is reviewed and updates are proposed by CMS for the QPP for each calendar year. The 2018 proposed rule includes updates to low-volume thresholds for MIPS participation, development of virtual groups and more. The 2018 rule also includes proposed changes that AAHKS previously commented on regarding quality measures and changes to Certified EHR Technology incentives. Read the full AAHKS comment letter for more.