This assignment examines the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), its influence on the US healthcare system, and its effects on hospitals and various stakeholders. It explores how MACRA shifted from a 'fee-for-service' to a 'pay-for-performance' model, impacting physician reimbursement, hospital operations, and patient care. The analysis delves into the motivations behind MACRA and its intended consequences for improving healthcare quality and efficiency.