Piedmont Heart’s 7th Annual Napa Valley Cardiology Conference was a forum for in-depth discussions, including healthcare payment reform. The American College of Cardiology was at the meeting helping physicians understand and prepare for the Medicare Access and CHIP Reauthorization Act (MACRA). ACC Vice President Dr. Michael Valentine, in a conversation with Piedmont’s Dr. Charles Brown, governor elect for the ACC Georgia Chapter, said that physician leadership will be key.