%0 Journal Article %A Joshua A Hirsch %A Thabele M Leslie-Mazwi %A Aman B Patel %A James D Rabinov %A Ramon G Gonzalez %A Robert M Barr %A Gregory N Nicola %A Richard P Klucznik %A Charles J Prestigiacomo %A Laxmaiah Manchikanti %T MACRA: background, opportunities and challenges for the neurointerventional specialist %D 2016 %R 10.1136/neurintsurg-2015-011952 %J Journal of NeuroInterventional Surgery %P 868-874 %V 8 %N 8 %X The legislative branch of government took many by surprise when it announced the Medicare Access and CHIP Reauthorization Act of 2015. Once the Act was passed, President Obama quickly signed this bipartisan, bicameral effort into law. A foundational element of this legislation was the permanent repeal of the sustainable growth rate formula. Physicians and their patients were appropriately enthusiastic about this development. The Medicare Access and CHIP Reauthorization Act of 2015 included additional elements of considerable interest to neurointerventional specialists. %U https://jnis.bmj.com/content/neurintsurg/8/8/868.full.pdf