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.
Princeton's WordNet(2.67 / 6 votes)Rate this definition: 1  accent, speech pattern(noun) distinctive manner of oral expression. 2  emphasis, accent(noun) special importance or significance. 3  dialect, idiom, accent(noun) the usage or vocabulary that is characteristic of a specific group of people. the immigrants spoke an odd dialect of English; he has a strong German accent; it has been said that a language is a dialect with an army and navy.