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.
Examples of accent in a Sentence. 1  Regional accents are common in the U.S. 2  She spoke with an American accent. 3  The tourist had a foreign accent. 4  He has a heavy southern accent. 5  The word âbeforeâ has the accent on the last syllable. 6  Put the accent on the first syllable of the word. The accents in the French word âÃ©migrÃ©â show how the letter âeâ should be pronounced. Recent Examples of accent from the Web