On October 14th, CMS released the Final Rule that implements the new Quality Payment Program (QPP) established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA repealed the unpopular Medicare Sustainable Growth Rate Formula (SGR) for determining updates to Medicare Part B revenue and replaced it with the new QPP called the Merit-based Incentive Payment System. HBMA submitted extensive comments to CMS on the proposed rule. Many of HBMA’s concerns were also raised by other organizations. CMS addressed most of those concerns in the final rule.