WISeR (Wasteful and Inappropriate Service Reduction) Model | CMS
The WISeR Model tests the use of enhanced technology to decrease certain wasteful (low-value) services shown to have little to no clinical, evidence-based benefit.
CMS launches WISeR Model: What providers need to know
6 days ago · 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.
CMS Announces WISeR Model Tests to Begin in New Year
Dec 10, 2025 · The Centers for Medicare and Medicaid Services (“CMS”) recently announced the first six participating states in the Wasteful and Inappropriate Service Reduction (“WISeR”) Model that will ...
Overview of the Medicare Wasteful and Inappropriate Service …
In WISeR, CMS is using the Innovation Center authority to waive statutory limits on PA in Medicare. WISeR's goal is to leverage artificial intelligence and machine learning, along with human clinical …
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 …
What Is the WISeR Model in Medicare? Understanding New Prior ...
Jul 10, 2025 · What Is the WISeR Model? WISeR stands for Wasteful and Inappropriate Service Reduction. It’s a CMS Innovation Center pilot program designed to cut unnecessary spending by …
Medicare’s New WISeR Spending Model: 5 Things to Know - Medscape
Dec 23, 2025 · Despite widespread frustration with existing authorization processes, lawmakers and the medical community remain divided over whether an AI-supported model like WISeR will meaningfully …
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.