Joey Rettino

Last week, the Center for Medicare and Medicaid Services (CMS) one of the six participants in the Wasteful and Inappropriate Service Reduction (WISeR) model just six months after the pilot launched. WISeR is a pilot program that expanded the use of prior authorization in Traditional Medicare in six states and handed the reins over to AI companies to make those decisions about whether or not a patient receives coverage for care. HEALTH CARE un-covered is a reader-supported publication.

Last month, Congressional Democrats led by Senator Ron Wyden (D-Ore.), Representative Suzan DelBene (D-Wash.), and Representative Greg Landsman (D-Ohio) introduced a Congressional Review Act resolution to repeal CMS’s Wasteful and Inappropriate Service Reduction (WISeR) model.

Concern about Medicare Advantage is no longer limited to patient advocates and health care reformers. Increasingly, lawmakers from across the political spectrum are questioning whether the program is serving seniors and taxpayers as intended. Below are three clips from our latest episode of the HEALTH CARE un-covered Show featuring former Congressman Jim Greenwood (R-PA), Rep. Greg Murphy (R-NC) and Rep. Mark Pocan (D-WI). HEALTH CARE un-covered is a reader-supported publication.