The Centers for Medicare and Medicaid Services (CMS) released its 2024 Medicare Physician Fee Schedule (PFS) proposed rule on July 13, 2023, which includes proposed updates to the Quality Payment Program (QPP). This blog summarizes the key proposals impacting the traditional Merit-based Incentive Payment System (MIPS) program, reporting for Alternative Payment Models (APMs) and Accountable Care Organizations (ACOs), and the continued development of MIPS Value Pathways (MVPs). A 60-day comment period will be open until September 11, 2023. These proposals could go through additional changes before a final rule is published later this fall.