{"id":26137,"date":"2026-06-22T08:09:36","date_gmt":"2026-06-22T12:09:36","guid":{"rendered":"https:\/\/medicarereport.org\/?p=26137"},"modified":"2026-06-22T08:09:37","modified_gmt":"2026-06-22T12:09:37","slug":"is-medicare-wiser-model-working","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=26137","title":{"rendered":"Is Medicare WISeR model working?"},"content":{"rendered":"\n<p>The Medicare WISeR (Wasteful and Inappropriate Service Reduction) Model is a six-year Medicare initiative, starting January 1, 2026, that uses AI-driven prior authorization to reduce low-value or unnecessary services in six states. \u00a0The voluntary model will run for six performance years from January 1, 2026, to December 31, 2031, in six states: New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington. But is it going smoothly? \u00a0Kerry Hannon, writing for Yahoo! Finance, reports on how this newly implemented policy is being processed. Read Ms. Hannon\u2019s article<a href=\"https:\/\/finance.yahoo.com\/healthcare\/article\/medicares-prior-authorization-experiment-is-off-to-a-rocky-start-121019353.html\" data-type=\"link\" data-id=\"https:\/\/finance.yahoo.com\/healthcare\/article\/medicares-prior-authorization-experiment-is-off-to-a-rocky-start-121019353.html\"> here\u2026<\/a><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>\u00a0The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Medicare WISeR (Wasteful and Inappropriate Service Reduction) Model is a six-year Medicare initiative, starting January 1, 2026, that uses<\/p>\n","protected":false},"author":4,"featured_media":9838,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23,32,21,6,846],"tags":[2011,80,238,2094,61],"class_list":["post-26137","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artificial-intelligence","category-cms","category-health-care-finance","category-medicare-general","category-prior-authorization","tag-ai-powered-prior-authorization","tag-cms","tag-healthcare-finance","tag-mediare-wiser-model","tag-medicare"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26137","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=26137"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26137\/revisions"}],"predecessor-version":[{"id":26138,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26137\/revisions\/26138"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/media\/9838"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26137"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26137"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26137"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}