Six states are part of a pilot program by CMS to reduce “waste, fraud and abuse.” ...

Early hospital data highlighted on Capitol Hill suggest that Medicare patients are waiting substantially longer to receive ...

CMS is launching a six-year pilot of the WISeR Model, starting January 2026 in Arizona, New Jersey, Ohio, Oklahoma, Texas and Washington, which will use AI and human review to expand prior ...

Members of Congress from affected states are hoping to repeal the artificial intelligence-driven Medicare model, claiming it ...

On January 1, 2026, the Centers for Medicare and Medicaid Services (CMS) will deploy WISeR, a new enforcement initiative that relies on artificial intelligence to scrutinize Medicare claims. The ...

Since Jan. 15, Texas Medicare patients who need a skin graft, a nerve stimulator, or one of 12 other specific procedures must pass an AI-powered checkpoint. In Texas, the Wasteful and Inappropriate ...

The AHA Oct. 23 recommended changes to the CMS' Wasteful and Inappropriate Services Reduction model to address multiple concerns. The model is designed to use technology-enabled prior authorization to ...

Add Yahoo as a preferred source to see more of our stories on Google. A Medicare pilot program in Texas and five other states will use artificial intelligence for prior authorization for certain ...

Sen. Maria Cantwell is pressing HHS Secretary Robert F. Kennedy Jr. to reform Medicare’s AI-driven WISeR prior authorization pilot after reports of lengthy care delays in Washington. Hospitals say ...

With CMS expanding its infrastructure for pre-payment review in traditional Medicare, here are five things practice leaders ...

Add Yahoo as a preferred source to see more of our stories on Google. This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare ...

A new Medicare prior authorization test is delaying care at Washington state hospitals – and should be scrapped, senator says ...