CMS is proposing changes to the Inpatient Quality Reporting (IQR) and Promoting Interoperability (PI) programs for 2023 and 2024. For IQR, CMS proposes to add 4 new eCQMs, increase eCQM reporting requirements from 3 to 4 quarters, and add 2 new process measures, 1 new structural measure, and 1 new PRO-PM measure related to joint replacements. For PI, CMS proposes increasing eCQM reporting requirements in 2024, adding new measures, and adjusting scoring for objectives. CMS also outlines new hospital designations related to birthing and health equity commitments.