Democratic lawmakers in the Senate and House of Representatives introduced resolutions on Wednesday that seek to roll back ...

The WISeR model uses AI-assisted prior authorization in traditional Medicare, but lawmakers say it could delay or deny care.

Democratic lawmakers have introduced resolutions in the House and Senate to overturn CMS’ Wasteful and Inappropriate Services Reduction (WISeR) model, an AI-assisted prior authorization initiative ...

Healthcare providers, suppliers, compliance leaders, and private equity-backed platforms may prepare for increasing operational, ...

Congressional Democrats are mounting a fresh effort to end a Medicare experiment to use AI to approve or deny care.

Lawmakers introduced a resolution to end the WISeR model, which Democrats say is delaying and denying care to seniors.

Senator Maria Cantwell of Washington has called on HHS to overhaul the Wasteful and Inappropriate Service Reduction (WISeR) Model.

Sanjay Doddamani, MD, MBA, a former senior advisor to the Center for Medicare and Medicaid Innovation, and internist and cardiologist by training, explains how the Wasteful and Inappropriate Service ...

CMS is launching a six-year pilot of the WISeR Model, starting January 2026 in Arizona, New Jersey, Ohio, Oklahoma, Texas and Washington, which will use AI and human review to expand prior ...

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The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior authorizations under the traditional Medicare program, but some ...

In this second part of his interview with The American Journal of Managed Care®, Sanjay Doddamani, MD, MBA, a former senior advisor to CMMI and founder and CEO of Guidehealth, continues a dialogue on ...