WISeR (Wasteful and Inappropriate Service Reduction) Model
The voluntary model will encourage care navigation, encouraging safe and evidence-supported best practices for treating people with Medicare. WISeR will run for six performance years from January 1, …
CMS launches WISeR Model: What providers need to know
Jan 14, 2026 · CMS has launched the WISeR Model, introducing new prior authorization and pre‑payment review requirements for select Medicare services. We provide key impacts for providers.
CMS Launches WISeR Model to Curb Overuse of Medicare Services
Jul 25, 2025 · WISeR will require prior authorization for 17 kinds of services that CMS believes are either commonly overused or historically have had a higher risk of waste, fraud, and abuse.
CMS WISeR Model: What Providers Need to Know by January 2026
Dec 10, 2025 · The CMS WISeR Model starts January 1, 2026 and affects prior authorization and prepayment review processes for select services. See how providers can prepare.
WISeR PURPOSE Wasteful medical care spending Estimated 25 percent of total healthcare spending Attributable to fraud, waste (including low - value services), and abuse Original Medicare spent …
WISeR is one of the largest expansions of PA in the history of traditional Medicare. This CRS In Focus describes the WISeR model, provides background information on the current state of PA in …
Understanding The CMS WISeR Model And Its Impact On Prior …
Dec 2, 2025 · Explore the CMS WISeR Model's influence on prior-authorization requirements in Medicare Advantage and commercial health plans, focusing on the wiser model.
What Is the CMS WISeR Model? Prior Authorization Rules, States …
Beginning January 1, 2026, the Centers for Medicare & Medicaid Services (CMS) launches one of the most significant utilization management reforms in the history of Traditional Medicare — the Wasteful …
The WISeR Files: Why 1 in 5 Traditional Medicare Patients Are Now ...
5 days ago · Living in one of 6 specific states? Your "Traditional" Medicare now uses AI surgery reviews. Learn about the WISeR Model.
WISeR spending or unneeded delays in health care? Prior …
2 days ago · The WISeR model uses AI to reduce wasteful spending in Medicare, focusing on specific procedures in six states. Critics argue the model may increase prior authorizations, potentially …