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 the difference between Accent, Dialect and Language? This article looks at the differences between the three terms. People often confuse them and there is a certain degree of overlap (even linguists donât always agree on what the difference is between them) but generally speaking we can talk about: Accents. Accent is all about pronunciation.