ASCRS•ASOA has updated the Medicare Participation Kit for 2019 to help members make decisions about their participation in Medicare. The kit provides details about Medicare in 2019, such as the 0.25% update factor, which was reduced from the MACRA-instituted 0.5% level as an offset for the Bipartisan Budget Act. In addition, the kit outlines the three options for Medicare participation: participating provider, non-participating provider, and private contracting.