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, …

Feb 10, 2026 · 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 ...

In WISeR, CMS is using the Innovation Center authority to waive statutory limits on PA in Medicare. WISeR's goal is to leverage artificial intelligence and machine learning, along with human clinical …

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.

Jan 1, 2026 · The WISeR Model is voluntary and doesn't change existing Medicare coverage or payment policy. For services included in the model, choose one of the following options:

This webinar will provide an overview of the WISeR Model and prior authorization guidelines and identify valuable resources to navigate the WISeR Model process.

The WISeR Model allows for peer-to-peer review as part of the resubmission process, where the requesting physician has an opportunity to engage in a discussion about an item or service’s medical …

Feb 12, 2026 · A “WISeR Beneficiary” is an individual who is enrolled in Original Medicare and receives WISeR Select Items and Services from a WISeR Provider or WISeR Supplier who provides the item …

Jun 27, 2025 · The WISeR Model will test a new process on whether enhanced technologies, including artificial intelligence (AI), can expedite the prior authorization processes for select items and services …

Participants in WISeR will be companies with expertise managing the prior authorization process for other payers using enhanced technology like AI. They will be required to have clinicians with the …