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.
[count] : a way of pronouncing words that occurs among the people in a particular region or country. 1  Regional accents are common in the U.S. 2  She spoke with an American/English accent. 3  The tourist had a foreign accent.  He has a heavy/thick southern 1  accent. a slight/light/faint accent.  a French/German/Italian accent.