CMS has released the 2026 Proposed Rule for the Quality Payment Program (QPP), continuing its incremental shift toward MIPS Value Pathways (MVPs), adjusting quality and cost strategies, and laying groundwork for future interoperability and digital measures. While 2026 introduces fewer sweeping changes, clinicians and Accountable Care Organizations (ACOs) should take note of important updates across the Merit-Based Incentive Payment System (MIPS) and the Medicare Shared Savings Program (MSSP). Below is a breakdown of what’s proposed and how it may affect you.