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Expanding Prior Authorization in Traditional Medicare—The WISeR Model
Vinay K. Rathi, Sanket S. Dhruva, Joseph S. Ross. JAMA, 2025-10-28
Topic: Risk, prevention and care in population studies
This Viewpoint discusses the Wasteful and Inappropriate Service Reduction (WISeR) model, a new payment model announced by the Centers for Medicare & Medicaid Services Innovation Center to broaden prior authorization in traditional Medicare.
Key findings
- This Viewpoint discusses the Wasteful and Inappropriate Service Reduction (WISeR) model, a new payment model announced by the Centers for Medicare & Medicaid Services Innovation Center to broaden prior authorization in traditional Medicare.
Why it matters
This viewpoint discusses the Wasteful and Inappropriate Service Reduction model, a new payment model to broaden prior authorization in traditional Medicare. It contains no research findings on treating, curing, or preventing Alzheimer's disease.
Study details
- Evidence strengthLow
How this study scored 44/100
Published in a top-tier journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 10 / 10 | Tier 1 — top-tier general journal (JAMA) |
| Journal's citation record | 4 / 4 | JAMA: journal h-index 1,011 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 7 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 6.8× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 7 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Joseph S. Ross: h-index 82 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Yale University: institution h-index 1,927 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 4 institution(s) in 1 country |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 44 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
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Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Rathi, V. K., Dhruva, S. S., & Ross, J. S. (2025). Expanding Prior Authorization in Traditional Medicare—The WISeR Model. JAMA. https://doi.org/10.1001/jama.2025.16326
Vancouver
Rathi VK, Dhruva SS, Ross JS. Expanding Prior Authorization in Traditional Medicare—The WISeR Model. JAMA. 2025. doi:10.1001/jama.2025.16326.
BibTeX
@article{rathi2025-2086bc4b,
author = {Rathi, Vinay K. and Dhruva, Sanket S. and Ross, Joseph S.},
title = {{Expanding Prior Authorization in Traditional Medicare—The WISeR Model}},
journal = {JAMA},
year = {2025},
doi = {10.1001/jama.2025.16326},
url = {https://doi.org/10.1001/jama.2025.16326}
}
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