WISeR (Wasteful and Inappropriate Service Reduction) Model
The voluntary model encourages 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 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.
Examining the Potential Impact of Medicare’s New WISeR Model
Feb 10, 2026 · This analysis explores the potential impact of the WISeR model by examining recent spending and utilization trends in traditional Medicare for services selected for prior authorization ...
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 …
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 Model Will Explore Ways to Improve Prior Authorization ... - AAPC
Jul 1, 2025 · Under the WISeR model, a Medicare-enrolled provider/supplier may submit a request for prior authorization to either the MAC or the model participant with documentation to support …
WISeR model to have modest impact in first year, KFF reports
3 days ago · Implementation of the Wasteful and Inappropriate Service Reduction (WISeR) model, which incorporates prior authorizations into traditional Medicare, has spurred legislative pushback …
Medicare WISeR Model in 2026: What You Actually Need to Know
1 day ago · What Is the Medicare WISeR Model? The Medicare WISeR Model (which stands for Wasteful and Inappropriate Service Reduction) is a new quality review program created by Centers …
CMS’ WISeR Model: What It Could Mean for Hospitals
Jan 27, 2026 · CMS continues to expand its use of data-driven oversight models . One of the latest efforts, the WISeR Model. Read more.
Wasteful and Inappropriate Service Reduction (WISeR) Model
Jan 1, 2026 · The WISeR Model is voluntary and doesn't change existing Medicare coverage or payment policy. For services included in the model, choose one of the following options: