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The voluntary model encourages care navigation, encouraging safe and evidence-supported best practices for treating people with Medicare. WISeR will run for six performance years from January 1, …

Feb 10, 2026 · This analysis explores the potential impact of the WISeR model by examining recent spending and utilization trends in traditional Medicare for services selected for prior authorization ...

Apr 14, 2026 · The program is already negatively affecting day-to-day care, and if it is normalized, it could become a template for expanding algorithmic gatekeeping across Medicare.

This page provides an overview of WISeR for both healthcare providers/suppliers and Medicare beneficiaries – explaining what WISeR is, why it’s being implemented, how it works, and where to …

Jan 14, 2026 · CMS has launched the WISeR Model, introducing new prior authorization and pre‑payment review requirements for select Medicare services. We provide key impacts for providers.

2 days ago · Care delays and denials grow across 6 states using WISeR Model, lawmaker says Members of Congress from affected states are hoping to repeal the AI-focused Medicare prior auth …

Jul 25, 2025 · WISeR will require prior authorization for 17 kinds of services that CMS believes are either commonly overused or historically have had a higher risk of waste, fraud, and abuse.

Jan 1, 2026 · The WISeR Model is voluntary and doesn't change existing Medicare coverage or payment policy. For services included in the model, choose one of the following options:

Mar 12, 2026 · A “WISeR Beneficiary” is an individual who is enrolled in Original Medicare and receives WISeR Select Items and Services from a WISeR Provider or WISeR Supplier who provides the item …