RT Journal Article SR Electronic T1 MACRA: background, opportunities and challenges for the neurointerventional specialist JF Journal of NeuroInterventional Surgery JO J NeuroIntervent Surg FD BMJ Publishing Group Ltd. SP 868 OP 874 DO 10.1136/neurintsurg-2015-011952 VO 8 IS 8 A1 Joshua A Hirsch A1 Thabele M Leslie-Mazwi A1 Aman B Patel A1 James D Rabinov A1 Ramon G Gonzalez A1 Robert M Barr A1 Gregory N Nicola A1 Richard P Klucznik A1 Charles J Prestigiacomo A1 Laxmaiah Manchikanti YR 2016 UL http://jnis.bmj.com/content/8/8/868.abstract AB 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.