New documents reveal how rough the Medicare WISeR AI pilot has been. One vendor didn't know Medicare Part A from Part B. Another warned CMS that choosing not to delay the launch meant it would launch with an unfinished product. And patients? Read more: https://t.co/GXSxEavxFD
- CMS launched its WISeR AI prior-authorization pilot in six states in January 2026 despite a vendor warning the launch date was unrealistic, per EFF FOIA records.
- Two vendors denied more than 20,000 requests in three months, and one request went unanswered for 83 days against CMS's 72-hour standard.
- WISeR contractors keep up to 20 percent of the savings on services they deny while facing only 5 to 10 percent payment penalties for poor quality scores.