American Society of Ophthalmic Administrators President Elect Bill Koch, COE, CPC, COA, interviews Nancey McCann, director of government relations for the American Society of Cataract and Refractive Surgery on the biggest change in Medicare payment in over 20 years. Find out what MACRA means specifically for ophthalmologists and learn what it takes to avoid a payment cut and possibly earn a bonus payment in 2019 based on 2017 reporting.