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Dec 4, 2025 · The voluntary model will encourage care navigation, encouraging safe and evidence-supported best practices for treating people with Medicare. WISeR will run for six performance years …

6 days ago · The CMS WISeR Model starts January 1, 2026 and affects prior authorization and prepayment review processes for select services. See how providers can prepare.

5 days ago · New WISeR Model Aims to Leverage AI Technology to Reduce Costs and Inefficiencies by: Margia Corner, Michael D. Sutton , Sheppard, Mullin, Richter & Hampton LLP - Healthcare Law Blog

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.

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The Centers for Medicare & Medicaid Services (CMS) has developed the Wasteful and Inappropriate Services Reduction (WISeR) Model effective January 1, 2026, through December 31, 2031.

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The WISeR Model aims to “reduce unnecessary or inappropriate use of select Medicare services, while maintaining access to medically necessary care.” Who is impacted by the launch of WISeR Model, …

Aug 12, 2025 · Why did CMS develop WISeR? The WISeR model reflects the CMS Innovation Center’s commitment to protect federal taxpayers and the Department of Health and Human Services (HHS) …