The U.S. Medicare Access and CHIP Reauthorization Act ( MACRA ) is a proposed set of changes that have serious implications in terms of pay for medical professionals . A discussion about these changes can be viewed on the American College of Physicians ( ACP ) Advocacy blog , written by its senior vice - president Bob Doherty who discusses the concerns physicians have about ' value - added ' payment reforms instigated by MACRA and whether it means increased bureaucracy and workloads . These changes are all good for physicians, especially those in smaller practices. These concerns have been voiced on across news sites and social media to the extent that physicians are increasingly viewing the reforms in a hostile light ; they seem them as having a negative impact upon private practice whereas Doherty argues that the reverse is true . The MACRA reforms mean that physicians will have greater flexibility and choice .
The U.S. Medicare Access and CHIP Reauthorization Act ( MACRA ) is a proposed set of changes that have serious implications in terms of pay for medical professionals . A discussion about these changes can be viewed on the American College of Physicians ( ACP ) Advocacy blog , written by its senior vice - president Bob Doherty who discusses the concerns physicians have about ' value - added ' payment reforms instigated by MACRA and whether it means increased bureaucracy and workloads . These concerns have been voiced on across news sites and social media to the extent that physicians are increasingly viewing the reforms in a hostile light ; they seem them as having a negative impact upon private practice whereas Doherty argues that the reverse is true . The MACRA reforms mean that physicians will have greater flexibility and choice .