CMS Innovation Center

⏰ Got a minute? Learn how the Accountable Health Communities Model will inform the Innovation Center's future work after generating $200M in net savings by connecting people to community-based resources: go.cms.gov/4w7RUIA

Prior authorization requests in WISeR focus on a small, targeted set of services that are especially vulnerable to fraud, waste, and abuse—not every treatment. Learn more: go.cms.gov/WISeR

Prior authorization requests in WISeR focus on a small, targeted set of services that are especially vulnerable to fraud, waste, and abuse—not every treatment. Learn more: go.cms.gov/WISeR

"At the end of the day, WISeR is about making sure people with Medicare get treatments that improve their health outcomes and do no harm." — CMS Innovation Center Director Abe Sutton Learn more: go.cms.gov/WISeR

Early participant data suggest more prior authorization requests are being affirmed as providers become more familiar with WISeR's processes and evidence-based coverage criteria—helping patients receive appropriate care more efficiently. Learn more: go.cms.gov/WISeR

CMS is proposing reforms to Medicare’s physician payment and value-based care programs that would expand accountable care, modernize physician payment, reduce administrative burden, and help shift the healthcare system’s focus from treating illness to preventing it. More: cms.gov/newsroom/press…

"It's about as painless as it gets." That's how one New Jersey health system described the WISeR portal, adding that turnaround times are even faster than insurance. Technology should make care easier: go.cms.gov/WISeR

Through the WISeR Model, a peer reviewer helped a provider identify they were ordering 25x more skin substitute material than necessary. The unnecessary use was stopped before Medicare was billed, supporting safer, more appropriate care: go.cms.gov/WISeR

"It used to be a long, drawn-out process." Authorization specialist Dawnita McGuire from Oklahoma says submitting prior authorization requests through WISeR now takes less than five minutes—with most decisions arriving within 24 hours": go.cms.gov/WISeR

New Findings from ACO REACH: The first four performance years of the model showed reduced gross spending and improved quality of care for people with Medicare. Read more: go.cms.gov/aco-reach-3rd-…

#DYK?: A WISeR review found a requested kyphoplasty wasn't clinically appropriate. Instead, the reviewer recommended a surgical referral that introduced new care options—helping the patient avoid a risky, invasive procedure. Learn more: go.cms.gov/WISeR

"WISeR has succeeded in improving the speed to authorization of procedures that are medically indicated." — Dr. Adam Bruggeman, orthopedic surgeon. Faster decisions. Clearer criteria. Better care: go.cms.gov/WISeR

Every patient deserves care that helps—not care that could cause unnecessary harm. That's the goal of the WISeR Model: supporting evidence-based care while making prior authorization faster and simpler. Learn more: go.cms.gov/WISeR

⏰Got a minute? Learn how the Medicare Diabetes Prevention Program can help people with prediabetes live healthier lives by informing them about healthy habits like nutrition and exercise: go.cms.gov/4smyZbd

⏰Got a minute? Technology is changing what’s possible in healthcare to help empower patients and improve affordability, and the Innovation Center is leading the way: go.cms.gov/tech-JAM. #JustAMinute

#ICYMI: Innovation Center Director Abe Sutton and former Director Liz Fowler sit down with NEJM Catalyst to discuss the Center’s longstanding mission to improve healthcare affordability and quality🎙️: bit.ly/4v17OmQ

Stay up-to-date w/healthcare innovation! ✍️ Sign up for the CMS Innovation Center’s subscriber-only email messaging service: go.cms.gov/2PfAHdE

What happens when providers or patients are covered by more than one CMS Innovation Center pilot program? Learn more about how we manage overlaps to ensure financial accountability and other factors in this Key Concept🔑: go.cms.gov/3Ihsjcp

What does it take to lead meaningful healthcare transformation? Innovation Center Director Abe Sutton and former Director Liz Fowler sit down with NEJM Catalyst to discuss the Center’s longstanding mission to improve healthcare affordability and quality🎙️: bit.ly/4v17OmQ

Have you seen our #ValueBasedCare stories? Learn how a retired chef worked with his doctor to explore possible alternatives to diabetes medicine to lower his A1C: go.cms.gov/vbc-lamont