The Centers for Medicare & Medicaid Services (CMS) published a proposed rule on the Medicare Quality Payment Program (QPP) in the Federal Register1 on June 30, 2017. This rule proposes the QPP program requirements for calendar year 2018, the second year of the QPP, per the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). These adjustments are designed to decrease the burden of the QPP on clinicians and assist them in achieving a neutral or positive reimbursement adjustment for Medicare Part B payments in 2020. Reactions to the proposed rule have varied; some stakeholders have expressed concern that changes to the QPP would dilute MACRA’s goal of moving from volume-based to value-based healthcare, while others have praised the proposal as appropriately tailored to reduce regulatory burden.