On June 20, the Centers for Medicare & Medicaid Services released a proposed rule with updates to the quality payment program (QPP) for physicians and other clinicians required by Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The rule proposes changes that would impact reporting requirements starting in 2018. Whether your clinicians are employed, under contract, or independent, the rule will have implications for how you work together to deliver safe, high-quality care.