CMS issued a proposed rule that would make changes in the second year of the Quality Payment Program as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). CMS’s goal is to simplify the program, especially for small, independent, and rural practices. Physician practices with less than $90,000 in Medicare revenue or fewer than 200 unique Medicare patients per year would be exempt under the new draft rule released Tuesday. The original threshold was $30,000 or fewer than 100 Medicare patients. The move will exclude about 134,000 more clinicians from complying with the quality reporting program under the Medicare Access and CHIP Reauthorization Act of 2015.