As 2016 comes to an end, 2017 will bring about many changes related to MU, PQRS and VBM. The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 will change Medicare payment adjustments, tying them to the quality and cost of care. Merit-based Inventive Payment System (MIPS) is one of the two tracks under the Quality Payment Program (QPP) ruling for payment. The MIPS program is combining MU, PQRS and VBM into a consolidated reporting method. MIPS is moving away from an all or nothing approach and is allowing clinicians to pick measures and activities which are applicable to their practice. This program will measure clinicians in four different categories: Quality, Advancing Care Information, Improvement Activities, and Cost (this category not applicable in 2017). Another important change for 2017, are the reporting options made available. Clinicians can select the best option for their readiness to report. These options include: Trial and Experiment-only partial data submission, Late Start-minimum of 90 days reported, Ready to Go-submit years’ worth of data, and Advanced Alternative Payment Model-avoid MIPS by participating in AAPM. For more information related to the QPP, please visit https://qpp.cms.gov/.