CMMI Director Doubles Down On WISeR Model As Democratic Criticism Mounts

By Christian Robles / September 8, 2025 at 5:35 PM

Abe Sutton, the director of CMS’ Innovation Center, is championing the Wasteful and Inappropriate Service Reduction (WISeR) model guardrails, such as payment adjustments and prior authorization exemptions for some providers, as House Democrats are slamming the anti-fraud demonstration for its potential to use artificial intelligence-driven prior authorization to deny patients care.


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