With the introduction of the Medicare Access and Chip Reauthorization Act of 2015 (MACRA) and the implementation of its Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) incentives, physicians are facing the most fundamental changes in reimbursement in years. To drive better outcomes and reduce healthcare costs, MACRA aims to provide providers that foster, measure, and report on outcomes using proactive, population-based care management models with payment premiums. The Merit-Based Incentive Payment System (MIPS) applies to the vast majority of physicians and assesses physicians in these four categories: Quality