MIPS, MACRA, PCMH, CPC+, Quality Measures, Value Based Care, etc. - The healthcare industry is buzzing with these words for last several years and there is no respite from these & forthcoming innovative programs in near future. All payors, federal, state or commercial, are challenging practices and providers to improve clinical outcomes through proactive patient engagement, comply with slew of quality measures and reduce cost of care simultaneously. And, these objectives are expected to be accomplished with programs which are either too cumbersome to implement, reimbursements are too low for the effort and expertise required and guidelines are confusing, at best, for providers and billing community alike.