A recent study published in the New England Journal of Medicine found that about one-third of the MIPS/QPP performance measures for ambulatory general internal medicine used by the Centers for Medicare and Medicaid Services (CMS) were not valid for evaluating the benefits and harms of a medical intervention. Another one-third were determined to be of uncertain validity. CMS aims to base 90% of Medicare fee-for-service payments to physicians on “value” by the end of 2018 by using performance scores, and practices are spending about $40,000 per physician to report on performance-measurement activities. The California Medical Association (CMA) is urging CMS to reduce this administrative burden by lowering the number of EHR measures, expanding the adjustments for complex patients, removing the requirement to report all payer data, and exempting physicians within five years of retirement. To join our fight to keep physician focus on patient care rather than on regulatory compliance, become a member of the ACCMA/CMA: www.accma.org/join. To read the study, go to www.nejm.org/doi/full/10.1056/NEJMp1802595.