Subject: Implementation of MACRA and Physician-focused Value-based Care Initiatives
Dear Administrator Brooks-LaSure:
The undersigned members of the Alliance of Specialty Medicine (Alliance) are writing to express our concerns
about the implementation of physician-focused value-based care initiatives authorized under the Medicare
Access and CHIP Reauthorization Act (MACRA) of 2015. The Alliance represents more than 100,000 specialty
physicians and is dedicated to the development of sound federal health care policy that fosters patient access
to the highest quality specialty care.
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