Medicare Access and CHIP Reauthorization Act .AMDsol is providing the best (MACRA services then any other in the country , which has come up with the new programs.AMDsol is impacting Medicare beneficiaries, doctors, and hospitals. Although MACRA services has several components, the most important is its establishment of new ways to pay physicians who work with Medicare beneficiaries.Such systems are based on the pay-for – performance ethos that defines important aspects of medical professionals and their services, such as efficiency, value, and transparency. The core emphasis of this act is on empowering health care professionals to function more than more. Increasing medical care quality will ultimately avoid the extra work .