@CMSGov has proposed a pilot program to introduce AI into traditional Medicare which is an exceedingly bad idea. Join me in the call to action to support H.R. 5940 and stop this pilot program. Medicare will begin piloting the WISeR Model (Wasteful and Inappropriate Service Reduction) on Jan. 1, 2026, across six states (AZ, NJ, OH, OK, TX, WA) for a six-year period. The model allows contracted private companies to use AI-driven prior authorization within traditional Medicare, even as federal AI guidance and regulatory standards remain incomplete. The model uses enhanced technologies, such as AI and machine learning, combined with human clinical review to help reduce fraud, waste, and abuse. Clinicians in participating states can either submit prior authorization requests or have their claims undergo pre-payment medical review. Stop Harmful AI Care Denials in Medicare with the SMARTER Care Act! votervoice.net/Shares/B2qh0A…

John references a study last year by @medicarepayment that shows the fed gov’t has overpaid #MedicareAdvantage plans over $590 in the past 18 years. That sum is more than enough to give physicians a COLA adjustment in the Medicare fee schedule plus a catch up payment since there has been no such adjustment since the Medicare fee schedule was implemented in 1992. Medicare Advantage: Last Week Tonight with John Oliver (HBO) youtu.be/Ejoi9yfLVCc?si=zYBn… via @YouTube