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Less than a month into the program that introduced prior authorizations to fee-for-service Medicare, providers say they are running into the kinds of problems they warned about last year.
January 29, 2026
Less than a month into the program that introduced prior authorizations to fee-for-service Medicare, providers say they are running into the kinds of problems they warned about last year.
The Centers for Medicare and Medicaid Services launched the Wasteful and Inappropriate Service Reduction Model, or WISeR, on Jan. 1. Under WISeR, vendors use artificial intelligence, machine learning and other technologies to review prior authorization requests for a limited set of procedures in six states through 2031. The agency touts the initiative as a means to reduce waste, fraud and abuse and predicts it will save $3 billion.
Read more in Modern Healthcare here.
