MACRA replaced the Sustainable Growth Rate (SGR) and created the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) program. In under 4 minutes, Dr. Denneny, President and CEO of the American Academy of Otolaryngology – Head and Neck Surgery, gives a brief overview of the programs and their potential effect on Otolaryngology – Head and Neck Surgery practices.