A Vision For MIPS’s Next 10 Years: Short-Term Changes, Long-Term Strategy Development Michelle Schreiber Dora Lynn Hughes April 14, 2026

https://www.healthaffairs.org/content/forefront/vision-mips-s-next-10-years-short-term-changes-long-term-strategy-development In 2015, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) with wide bipartisan support. The law created the new clinician Quality Payment Program (QPP) at the Centers for Medicare and Medicaid Services (CMS). At the time, Medicare fee-for-service was the predominant form of payment, with few providers engaged in value-based care. The QPP was a paradigm shift: It ended the Sustainable Growth Rate payment formula, which had rewarded clinicians for the volume of services provided, and moved instead toward rewarding the quality and efficiency of care.