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.
Originally Answered: What is the difference between an accent and a slang? Accent is a mark used to show the stress on a syllable or to pronounce with emphasis. It is just a way of pronouncing or putting stress on certain vowels and consonants; almost everyone has an accent that differs from another person.