The American Medical Association has urged the Centers for Medicare and Medicaid Services (CMS) to do more to simplify 2018 MACRA regulations. The AMA supports the CMS proposal to exempt even more physicians from MACRA’s Merit-based Incentive Payment System (MIPS) in 2018 and to allow solo and small-group practices to work together in virtual groups under MIPS. At the same time, the AMA is calling on CMS to let physicians count their number of Medicare Advantage patients toward whether they qualify to participate in Advanced Alternative Payment Models (APMs); to exclude Part B drug costs in calculations for determining MIPS eligibility, applying the MIPS payment adjustment, and in comparing physician costs; to allow more flexibility on the use of Qualified Clinical Data Registries (QCDRs) for quality reporting; and to allow specialty practices to qualify as medical home APMs. To read the August 21 letter from the AMA to CMS, go to