Bill > HRes704

This resolution addresses concerns about the Wasteful and Inappropriate Service Reduction (WISeR) Model proposed by the Center for Medicare and Medicaid Innovation, which would increase prior authorization requirements in traditional Medicare by 30 percent. The resolution highlights several critical issues, including the model's plan to contract with private companies that currently manage prior authorization for Medicare Advantage and use artificial intelligence and machine learning technologies to process these authorizations. The House of Representatives expresses disapproval of the WISeR Model, citing research showing that prior authorization contributes to physician burnout, with 89 percent of physicians reporting negative impacts, and noting high error rates in coverage decisions by private insurance companies. The resolution finds that expanding prior authorization processes from Medicare Advantage to traditional Medicare would undermine beneficiaries' access to timely and necessary medical care, and strongly requests that the Centers for Medicare and Medicaid Services terminate the WISeR Model, emphasizing concerns about potential barriers to healthcare access and the effectiveness of the proposed authorization methods.

Budget and Finance

https://www.congress.gov/bill/119th-congress/house-resolution/704/all-info