Agency Releases WISeR Model Operational Guide for Providers and Suppliers

Agency Releases WISeR Model Operational Guide for Providers and Suppliers

The Centers for Medicare and Medicaid Services (CMS) released an operational guide for providers and suppliers impacted by the Wasteful and Inappropriate Service Reduction (WISeR) model. The Innovation Center’s WISeR model will implement technology-enabled prior authorization in Traditional Medicare for a select set of services to help providers steer beneficiaries to safer, higher value care and reduce fraud and waste. Model participants will be… (McClurg, October 23, 2025) #Health Information Technology, #Program Integrity