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
WISeR (Wasteful and inappropriate service reduction) model The WISeR model is the first innovation center model in which technology innovators will be the only model participants, and it is also the first model that incentivizes the use of cutting-edge tools to ensure payment complies with Medicare documentation, coverage, payment, and coding rules