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.
accent noun [C] (WAY OF PRONOUNCING). âº the way in which âpeople in a âparticular âarea or âcountry âpronounce words: She âspoke with a âslight southern accent. âº An accent is also a âmark written or âprinted over a âletter to show how to âpronounce it. Pay â attention to the accents on the words, because they show you how to â pronounce them. 2  Francoise franÃ§oise â is spelled with an-accent â a-cedilla on 'the'. 3  C there is an accent called â an umlaut in â The german 'Word', gebauede â gebaÃ¼de 'â which '.  means building