The Centers for Medicare and Medicaid Services (CMS) recently issued its new Quality Payment Program (QPP) final rule, with guidelines for the 2018 performance year. It includes several changes designed to help physicians in small practices. The rule’s impact analysis projects that 97 percent of eligible clinicians will avoid a penalty in 2020, based on their QPP participation in 2018. The American Medical Association (AMA) which worked with federal officials on the new rule, has published a summary of highlights and the new fee schedule.