In the last decade, there has been a rapidly growing emphasis and imperative for healthcare quality improvement. With the vast number of stakeholders involved, it is reaching a pinnacle of activity and requirements. The federal government has been developing and implementing quality initiatives across the healthcare system spectrum. This article looks at three major programs: the Hospital Value-based Purchasing/Inpatient Quality Reporting Program, Hospital Outpatient Quality Reporting, and the Physician Quality Reporting System /Physician Value-based Payment Modifier. Quality measurement in healthcare will continue to grow and evolve. Current and upcoming programs will expand, change, and likely disappear or morph into variations of themselves.