Arthur J. Fried, Member of the Firm, and Benjamin M. Zegarelli, Associate, in the Health Care and Life Sciences practice, in the firm’s New York office, authored an article in The Advisory Board’s GC Agenda, titled “How the PRIME Act Impacts Providers.”

Following is an excerpt (see below for a PDF of the full version):

On April 16, 2015, the Medicare Access and CHIP Reauthorization Act (Public Law 114-010), which repealed the Medicare sustainable growth rate, improved Medicare payments for physicians, and extended the Children’s Health Insurance Program by 2 years, became law. The Medicare Access Act also incorporated amendments to the Social Security Act originally proposed in the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act. A bipartisan group of U.S. Senators had reintroduced the PRIME Act in March 2015, following the lead of the U.S. House of Representatives, which tapped the bill for reconsideration in February. The initiatives proposed in the PRIME Act, and subsequently enacted in the Medicare Access Act, stiffen protections against Medicare and Medicaid fraud and abuse and to increase fraud detection measures. At the same time, however, the relevant provisions place heightened requirements and restrictions on health care entities, increasing regulatory pressure on those who provide care to Medicare and Medicaid beneficiaries.


Jump to Page

Privacy Preference Center

When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalized web experience. Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer.

Strictly Necessary Cookies

These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms. You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.

Performance Cookies

These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. They help us to know which pages are the most and least popular and see how visitors move around the site. All information these cookies collect is aggregated and therefore anonymous. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.