1 Repeals the flawed Medicare sustainable growth rate (SGR) formula that calculated payment cuts for physicians. 2  2016 through 2019: MACRA establishes a 0.5 percent physician fee schedule update each year.  January 2019: Based on qualification and eligibility, physicians may enter the APM track or the MIPS track.
In sociolinguistics, an accent is a manner of pronunciation peculiar to a particular individual, location, or nation. An accent may identify the locality in which its speakers reside, the socio-economic status of its speakers, their ethnicity, their caste or social class, their first language, and so on.
An accent is a stress or emphasis on a particular part of something, usually a word. Pronounce the word doofus with the accent on the first syllable: DOO-fuss. Accent comes from the Latin accentus, which means the intonation of singing.. We use accent for different kinds of emphasis in speech. In some foreign languages, the mark above a letter is an accent that signals how to pronounce it. If you accent something, like the t on the end of your name, you highlight it.