WISeR Updates: Model Performance Metrics, Congress, and FOIA Documents

WISeR Updates: Model Performance Metrics, Congress, and FOIA Documents

Below, we describe recent updates related to the Center for Medicare and Medicaid Innovation’s (CMMI’s) Wasteful and Inappropriate Service Reduction (WISeR) Model that tests the use of technology-enabled prior authorization for a select set of services in Traditional Medicare. The model went live at the beginning of the year, but has faced significant pushback from provider groups and Congressional Democrats worried… (McClurg, September 21, 2026) #Artificial Intelligence, #Health Information Technology, #Program Integrity