Answer:
MACRA stands for medicare access and Chip reauthorization act and the aim of this is to change the pattern of the payment to the providers of health care and this should be done to improve the quality.
It has an impact of medigap plan also, which are provided to cover the cost which are not provided in the original medicare, and the coverage of this is affected by MACRA. Through this some extra health care cost which were not paid by share of medicare.