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- 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, 2026 to December 31, 2031 in six states: New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington
- WISER - UMass Boston
Need Help? View the WISER FAQ page or contact IT Support Information Technology Services Healey Library, 3rd Floor 617 287 5220 ITServiceDesk@umb edu
- Examining the Potential Impact of Medicare’s New WISeR Model
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 launches WISeR Model: What providers need to know
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
- CMMI Updates WISeR Model Provider, Supplier Operational Guide
WISeR participants are specialized health technology companies CMS contracts with to manage prior authorization and pre-payment reviews for often overused, high-risk Medicare services
- CMS Launches WISeR Model to Curb Overuse of Medicare Services
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 Model Will Explore Ways to Improve Prior Authorization . . . - AAPC
Under the WISeR model, a Medicare-enrolled provider supplier may submit a request for prior authorization to either the MAC or the model participant with documentation to support Medicare coverage of the service
- The CMS WISeR Model: A Targeted Approach Toward Expanding Prior . . .
The Centers for Medicare Medicaid Services (CMS) has announced the establishment of the Wasteful and Inappropriate Services Elimination and Reduction (WISeR) Model, a six-year initiative launching Jan 1, 2026
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