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AHA urges delay on WISeR model

Nov 4, 2025

The American Hospital Association (AHA) has recommended changes to the Centers for Medicare & Medicaid Services' (CMS) Wasteful and Inappropriate Services Reduction (WISeR) model.

The AHA expressed several concerns about the WISeR model, including appeal rights, oversight on the use of AI, expansion of the model’s scope, its payment structure for participating vendors, oversight of vendors used by Medicare Advantage plans, and its implementation timeline. The AHA urged CMS to delay its implementation by at least six months.

What's next: The model is scheduled to begin on January 1 and will be conducted in six states: Arizona, New Jersey, Ohio, Oklahoma, Texas, and Washington. 

Dive in: Read the AHA comments. 

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