Because of changes made in the 2018 final rule for the second year of the Quality Payment Program, the Centers for Medicare and Medicaid Services (CMS) estimates that 97 percent of eligible physicians will avoid a penalty in 2020 for the 2018 reporting year. CMS also projects that 73 percent of physicians will be completely exempted from the Merit-Based Incentive System (MIPS). To read more, go to the California Medical Association webpage at