Healthcare Musings

Mixed Feelings On Prior Authorization in Traditional Medicare


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CMS unveiled the WISeR Model, a pilot of prior authorization for traditional Medicare beneficiaries. I have mixed feelings about it. 


NYT Article:

https://www.nytimes.com/2025/08/28/health/medicare-prior-approval-health-care.html?smid=nytcore-ios-share&referringSource=articleShare

 

CMS Press Release: https://www.cms.gov/priorities/innovation/innovation-models/wiser 

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Healthcare MusingsBy Hesham A. Hassaballa, MD, FCCP