A key legislative panel voted Tuesday to bar the Centers for Medicare & Medicaid Services from spending funds on a controversial prior authorization pilot. In an amendment added to the broader ...
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Medicare’s WISeR Pilot: AI Meets Prior Authorization—What It Means for Seniors and the Road Ahead
Imagine Medicare as the trusted old watch—the kind that keeps ticking without much thought, offering dependable service to seniors across America. Now picture the government slipping in a sleek ...
Medicare will significantly expand the use of prior authorization (PA) and post-service review for select services beginning next year, and private contractors will be permitted to use artificial ...
A Medicare pilot program will allow private companies to use artificial intelligence to review older Americans' requests for certain medical care—and will reward the companies when they deny it. In ...
The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of the Wasteful and Inappropriate Services Reduction (WISeR) Model, a six-year model under the CMS Innovation Center ...
On January 1, 2026, the Centers for Medicare & Medicaid Services (CMS) launched an unprecedented audit tool called the Wasteful and Inappropriate Service Reduction (WISeR) Model. The WISeR model aims ...
Early hospital data highlighted on Capitol Hill suggest that Medicare patients are waiting substantially longer to receive care due to a federal test program exploring automated evaluation of prior ...
Democrat lawmakers are calling on the CMS to release more data on a controversial pilot program that adds artificial intelligence-backed prior authorization for some services in traditional Medicare.
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