CMS to test prior authorization model in traditional Medicare

07/02/25 at 02:15 AM

CMS to test prior authorization model in traditional Medicare 
MedPageToday; by Joyce Frieden; 6/30/25 
The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior authorizations under the traditional Medicare program, but some politicians and experts are concerned that it could result in more delays in care. Under the model, known as the Wasteful and Inappropriate Service Reduction (WISeR) Model, "CMS will partner with companies specializing in enhanced technologies to test ways to provide an improved and expedited prior authorization process" under traditional Medicare, the agency said Friday [6/27] in a press release ...

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