More than a thousand pages obtained by the Electronic Frontier Foundation document the rushed launch of the WISeR model, and the subsequent delays in care in six states.
The WISER model (Wasteful and Inappropriate Service Reduction) entered into force in January 2026 and is due to run until 2031. It requires health care providers to obtain prior authorization, with the help of AI tools, before issuing certain acts and products, including skin replacements, analgesic epidural infiltrations. Six states are involved: New Jersey, Ohio, Oklahoma, Texas, Arizona and Washington.
The Electronic Frontier Foundation obtained more than 1,000 pages of documents following an action under the Freedom of Information Act. As a result, one of the program's providers had warned the Centers for Medicare and Medicaid Services that it was unrealistic to deliver a functional product within the required timeframe. The deployment is described as hasty and fraught with errors, with delays in patient care delivery.
Read the full article on the original source
Go to the source →