Study the Federal Register in a tenth of the time

To be a true expert, you must read the Federal Register

But there is an easier way to read, navigate, search and annotate.   The "native" Federal Register is the source of truth you can use in every case, but is hard to use.  

We enhanced each QPP / MACRA Federal Register

Study more efficiently.  Research questions more quickly.  Provide incontrovertible support for your positions on MACRA. 


Our table of contents is fully indented so that you can easily find relevant sections for your study and research.  Each section is clickable.  


The body contains highlighting that maps to the TOC.  We also highlight important sections for CMS final decisions (as opposed to comment and response), or sections where we have used citations to answer questions for our customers and friends.  

Download for free

Download your own copy that leverages hundreds of man-hours of work we have already done.  

Enhanced Federal Register Versions

2019 MACRA Final Rule

Published November 23, 2018.  Effective as of 1/1/2019, with more rigorous scoring rules. 

Download Annotated 2019 Final Rule

2018 MACRA Final Rule

Published November 16, 2017. Effective as of 1/1/2018, with some features activated retroactively to 2017.

Download Annotated 2018 Final Rule

2017 Final Rule

Published November 4, 2016.  Still relevant as the original source for the vast majority of MACRA rules.  

Download Annotated 2017 Final Rule