The voluntary Physician Quality Reporting Initiative (PQRI), which began in 2007, may be a forerunner of a mandatory pay-for-performance from the Centers for Medicare and Medicaid Services (CMS). Under the PQRI regulations, a physician reports on specific best medical practices he follows. For example, under the PQRI, in 2007, dermatologists who asked patients with a history of melanoma whether they had seen any changes in moles or lesions, did full body exams on those patients and recommended patients do regular skin exams, and then reported they had followed those procedures in 80 percent of their melanoma patients, would earn 1.5 percent of their total CMS reimbursements as a bonus.