Innovation Center Announces WISeR Model Using Prior Authorization to Address Fraud, Waste, and Abuse in Medicare FFS
June 27, 2025 | |
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