Recognizing the complexity of the MACRA legislation, the Association expressed appreciation that CMS considered a variety of comments from a diverse set of stakeholders in developing the proposed rule.  In their detailed comments, they emphasize that some of the complexities in the proposed rule will lead to many significant changes and implications for eligible clinicians.  EHRA urged CMS to take every possible step to dramatically simplify requirements in the final rule and to develop provider-focused communications to reduce complexity.