With multiple unsettled concerns in the US healthcare, predominantly in the federally sponsored health programs, a Medicare and CHIP reauthorization act (MACRA) has been entrenched. This enactment greatly impacted the mechanisms of the IT ecosystem owing to its tenure by private providers and labs. Fundamentally changing the way the United States evaluates and pays for healthcare, this whitepaper showcases our understanding of MACRA, its impact on IT healthcare and competence of our offerings to help providers and clinicians in MACRA implementation.