The Centers for Medicare and Medicaid Services (CMS) released its Medicare Physician Fee Schedule (PFS) Proposed Rule on July 7, 2022, which includes proposed changes to the Quality Payment Program (QPP) for 2023 and future performance years. The proposed rule provides policy updates to the traditional Merit-based Incentive Payment System (MIPS) program, the new MIPS Values Pathway (MVPs) framework, Alternative Payment Models (APMs), and Accountable Care Organizations (ACOs). A 60-day comment period will be open until September 6, 2022. The proposal could go through additional changes before a final regulation is issued sometime in November.