The Quality Payment Program (QPP) aims to provide pathways for managing risk and reward. With over 98% of Eligible Clinicians (89% in small practices) participating in the QPP in 2018, the overwhelming consensus has been to risk up-front resources in order to seek future financial rewards. A small minority have taken, willingly or unwittingly, the alternative risk of financial penalty for the reward of doing nothing. For those in the MIPS track, the math changes every year. In 2019, penalties grow to -7%, a neutral payment adjustment requires thirty points, and CMS estimates a 5% maximum bonus. Whether you're striving for a perfect score, skating by to avoid penalty, or debating whether to just take the penalty, this webinar seeks to offer a framework for approaching the risk-reward equation.