How to Prepare for CMS WISeR: A New Era of Pre-Service Review

Medicare is entering a new era of oversight. With the launch of the Wasteful and Inappropriate Service Reduction (WISeR) model on Jan. 1, 2026, CMS will shift from post-payment audits to technology-driven pre-service review and prior authorization — a move that mirrors commercial payer processes. Initially focused on select services in six states (Arizona, New […]