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New CMS Model to Combat Fraud with AI in 2026

7/21/2025

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Summary

Story summary

Starting January 1, 2026, the Centers for Medicare & Medicaid Services (CMS) will roll out the WISeR model in six states, mandating preauthorization for specific medical services. This innovative approach harnesses technology and AI to combat fraud and misuse, all while empowering physicians to maintain their crucial role in patient care decisions.

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Story summary

Starting January 1, 2026, the Centers for Medicare & Medicaid Services (CMS) will roll out the WISeR model in six states, mandating preauthorization for specific medical services. This innovative approach harnesses technology and AI to combat fraud and misuse, all while empowering physicians to maintain their crucial role in patient care decisions.