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.
The verb to accent means to accentuate or specifically enhance, or to stress a word syllable. The noun accent is similarly a stress or prominence (as in pronunciation or in music.It also refers to any of various marks or punctuation.In language, it is a set of pronunciations particular to a region or ethnic group.he Spanish word que (no accent) may mean either what or that, depending on context. When que is used as part of a noun clause, as in Eso es lo que voy a hacer (T â¦ hat is what I'm going to do) it means what..