The Centers for Medicare and Medicaid Services has announced a prior authorization program pilot for original Medicare. The six-year voluntary Wasteful and Inappropriate Service Reduction Model (WISeR ...

The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care. Through the Wasteful and Inappropriate Service ...

The House Appropriations Committee voted to effectively defund the Wasteful and Inappropriate Service Reduction (WISeR) prior authorization pilot, ...

The Centers for Medicare and Medicaid Services (CMS) has launched a major initiative to safeguard American taxpayer resources and improve the quality of health care. They have launched the WISeR Model ...

A 72-year-old in Phoenix needs a spinal cord stimulator for chronic back pain. Her surgeon orders the procedure. Before ...

Medicare is testing the use of artificial intelligence to preapprove several healthcare services.

The U.S. healthcare system is under constant pressure to manage resources effectively, particularly in federal programs like Medicare. To tackle this issue, the Centers for Medicare & Medicaid ...

In this second part of his interview with The American Journal of Managed Care®, Sanjay Doddamani, MD, MBA, a former senior advisor to CMMI and founder and CEO of Guidehealth, continues a dialogue on ...

Earlier this year, the Centers for Medicare & Medicaid Services (CMS) announced an agreement with Medicare Advantage plans to lessen the use of prior authorization, but the agency also said it would ...

The letter to the CMS from Democrats is the latest salvo from lawmakers concerned that WISeR is delaying care to Medicare ...

For now, the most reasonable stance is watchful waiting: acknowledging the real problems WISeR seeks to address, recognizing the equally real risks it introduces, and insisting on transparency and ...