WISeR (Wasteful and Inappropriate Service Reduction) Model
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, …
Medicare’s Wasteful and Inappropriate Service Reduction (WISeR) Model
Jan 15, 2026 · On June 27, 2025, the Centers for Medicare & Medicaid Innovation Center (CMMI) announced the Wasteful and Inappropriate Service Reduction (WISeR) payment model, a new prior …
Examining the Potential Impact of Medicare’s New WISeR Model
3 days ago · 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 ...
CMS WISeR Model: What Providers Need to Know by January 2026
Dec 10, 2025 · The CMS WISeR Model starts January 1, 2026 and affects prior authorization and prepayment review processes for select services. See how providers can prepare.
What Is the WISeR Model in Medicare? Understanding New Prior ...
Jul 10, 2025 · What Is the WISeR Model? WISeR stands for Wasteful and Inappropriate Service Reduction. It’s a CMS Innovation Center pilot program designed to cut unnecessary spending by …
WISeR Model - Arizona and Washington Providers and Suppliers
Jan 1, 2026 · WISeR does not change Medicare benefits or coverage rules. Instead, it introduces a streamlined review process for select services in six states: New Jersey, Ohio, Oklahoma, Texas, …
CMS Launches WISeR Model to Curb Overuse of Medicare Services
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.
WISER - UMass Boston
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WISeR (Wasteful and inappropriate service reduction) model
This webinar will provide an overview of the WISeR Model and prior authorization guidelines and identify valuable resources to navigate the WISeR Model process.
WISeR AI by CMS: What It Means for Prior Auth and Claims
5 days ago · WISeR is now live in six states. Learn how CMS is using AI to review prior authorization, coding, and claims under Original Medicare.