We invite you to join this Google Hangout discussion of the NCQA’s White Paper, A Future Vision for Medicare Value-Based Payment.  The paper describes potential principles to achieve for an optimal state of paying clinicians for value rather than volume of care.   This transition is accelerating through the Medicare Access & CHIP Reauthorization Act (MACRA), a law recently enacted with broad bipartisan and multi-stakeholder support.  Current quality measurement abilities can help to start this important advancement. However, achieving the optimal future state of measurement to support performance-based clinician pay requires more work that must begin now.