What is the key to preparing for the new payment system under the Medicare Access and CHIP Reauthorization Act (MACRA)? Alignment, said Dr. Clyde Yancy. At Piedmont Heart’s Napa Valley Cardiology Conference, he shares his unique perspective as both a clinician and health policy maker (Dr. Yancy is chief of cardiovascular services at Northwestern and past president of the American Heart Association) including how behavioral economics will shape the change that’s coming “like a bullet train.”