CMS on Wednesday (Sept. 14) sent the final rule for the highly anticipated MACRA physician pay system to the White House Office of Management and Budget for review. Although the Medicare Access and CHIP Reauthorization Act is separate from the Affordable Care Act, the success of much of ACA's delivery and payment reforms, including accountable care organizations, depend on CMS' ability to implement a new physician pay system that gets physicians to become more efficient. Many lobbyists and consultants thought...