The Centers for Medicare & Medicaid Services (CMS) recently finalized the Medicare Quality Payment Program (QPP) created by MACRA, which establishes two tracks for physician payment – the Merit-Based Incentive Payment System (MIPS) and alternative payment models (APMs). As a direct result of MGMA advocacy, the final QPP rule significantly mitigates the administrative burden for group practices in MIPS and continues to increase opportunities to move away from MIPS into APMs. That said, the rule is more than 2,000 pages long and is very complex. MGMA Government Affairs created this guide to prepare physician practice leaders for the transition to the QPP in 2017.