Skip to Primary Navigation

House committee halts CMS AI prior authorization pilot

A photo of the US Capital Building in Washington, DC during a bright sunset against an dark orange sky.
Photo: Kevin Carter/Getty Images

The House Appropriation Committee cites mounting delays, transparency gaps, and risks to patient care – putting the future of the CMS WISeR pilot in doubt.

The US House Committee on Appropriations has “unanimously” voted to bar the Centers for Medicare & Medicaid Services (CMS) from spending funds on a program that uses AI to evaluate prior authorization (PA) requests in traditional Medicare, reports KFF Health News.

The WISeR model (Wasteful and Inappropriate Service Reduction), launched