Speech Update on Medicare Access and CHIP Reauthorization Act (MACRA) In April 2015, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA), which represents the most sweeping set of changes to Medicare’s physician payment methodology since the current system was put in place 25 years ago. MACRA has made headlines because it repeals the sustainable growth rate (SGR) formula, thereby averting the planned 21% across-the-board cut in Medicare’s provider payments. Perhaps more importantly, it represents for Medicare a dramatic step away from traditional fee-for-service (FFS) reimbursement and toward value-based payments for physician services. In this session, Senior Consultant Laura Barrera and Senior Manager Dave Wofford will provide an update on how MACRA is evolving. We hope you’ll join the discussion.