Innovation Center Announces WISeR Model Using Prior Authorization to Address Fraud, Waste, and Abuse in Medicare FFS

Innovation Center Announces WISeR Model Using Prior Authorization to Address Fraud, Waste, and Abuse in Medicare FFS

The Centers for Medicare and Medicaid Services (CMS) Innovation Center (CMMI) announced a request for applications (RFA) for a new six-year voluntary model implementing technology-enabled prior authorization in Medicare fee-for-service (FFS) to reduce fraud, waste, and abuse (announcement; factsheet;, model website). CMS proposes the Wasteful and Inappropriate Services Reduction (WISeR) model to partner with companies that have experience implementing technology-enhanced prior authorization with other payers…. (McClurg, June 27, 2025) #Health Information Technology, #Program Integrity