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.
What is Accent. Accent deals with the phonology of the language. It is a way of pronouncing words that occurs among the people in a particular region or country. For example, someone from Alabama, in the south of US would have a Southern accent. This means that the way he or she pronounces the way is different from the way a Northerner would pronounce.