Financial Oversight, Legislation and Legislative Advocacy, Physician Fee Schedule (PFS)/MACRA/QPP, Physician Workforce, Quality & Patient Safety, Workforce The Ins and Outs of Physician Payment After Medicare Sustainable Growth Rate Reform Mar 14, 2016 By Akin Demehin, Melissa Jackson On April 16, President Barack Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015.