There is a paradigm shift from Volume Care to Value Care by CMS for physician’s payment system. Different Quality Reporting/Monitoring Programs like MU-EHR/ VBP are consolidated into MACRA/MIPS/APM giving us an opportunity to earn the incentives and avoid the penalties. CMS envisages that billions of dollars need to be saved by having “Eligible Clinicians” or ECs who would avoid repetitive and/or unnecessary tests, “over and over again” office visits. Readmissions to inpatient facilities, within certain durations like thirty days need to be reduced under VBP. Value Care Program directs the ECs to choose between MIPS (the Merit-based Incentive Payment System) and • APMs (Alternative Payment Models or advanced Alternative Payment Models). By embracing to the option of choice, ECs need to prove to avoid the penalties and earn the incentives.