Listen now (22 mins) | Listen Now The 2015 Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) will sunset three current Medicare performance measurement and incentive payment programs in 2018. (This year, 2016, will be the last year these programs will be measuring and rewarding Medicare physician performance.) These are: the Physician Quality Reporting System (PQRS); the HIT Meaningful Use (MU) program; and, the Value-Based Modifier (VM) Program. The VM Program, modified under the 2010 Affordable Care Act, is designed to incent Medicare physician performance by updating annual Part B physician payments based on their quality and cost (or spending) performance. (The performance and payment years are two years apart, e.g., the 2016 payment year is based on 2014 performance.)