White Paper

The Wasteful and Inappropriate Service Reduction (WISeR) Model, launching January 1, 2026, represents a major shift in how CMS approaches prior authorization, medical necessity, and payment integrity. As part of a six-year pilot, CMS will introduce AI-enabled authorization reviews, standardized coverage criteria, and new performance measures designed to reduce medically unnecessary services. While the model aims to improve efficiency and curb wasteful spending, its operational impact on hospitals, health systems, ambulatory centers, and physician practices will be significant.

We invite you to read our white paper in detail and learn more about how partnering with MEDTEAM can enhance your financial resilience.