Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model
On July 1, 2025, the Centers for Medicare & Medicaid Services published this notice regarding the Medicare Program, specifically, the implementation of prior authorization for select services for the Wasteful and Inappropriate Services Reduction (WISeR) model. This notice announces a six-year model focused on reducing fraud, waste (including low-value care), and abuse in Medicare fee-for-service (FFS) via the implementation of technology-enabled prior authorization processes for select services . . .