This article is full of Bias, Sensationalism, Lack of Nuance, Speculative Claims, and Incomplete Context, starting with the title!
It’s fear-mongering at its worst.
• Bias and Sensationalism: The article’s language (“stripped away,” “profit-driven corporations,” “vanished”) is alarmist, framing the WISeR Model as a betrayal rather than a pilot to address documented waste (e.g., $5.8 billion in 2022). It omits CMS’s rationale, such as fraud prevention and patient safety. • Lack of Nuance: It doesn’t mention that WISeR is voluntary for providers (they can opt for prepayment review instead), excludes emergency services, or is limited to six states, which reduces the perceived scope of the change. • Speculative Claims: The assertion that contractors will routinely deny care is speculative, as WISeR hasn’t started (January 2026). While the incentive structure raises concerns, the article assumes outcomes without evidence. • Incomplete Context: It ignores potential benefits, like faster prior authorization via AI (CMS claims MA contractors achieve near-instant decisions for some services) or exemptions for compliant providers (90% approval threshold).
Comments
This article is full of Bias, Sensationalism, Lack of Nuance, Speculative Claims, and Incomplete Context, starting with the title! It’s fear-mongering at its worst. • Bias and Sensationalism: The article’s language (“stripped away,” “profit-driven corporations,” “vanished”) is alarmist, framing the WISeR Model as a betrayal rather than a pilot to address documented waste (e.g., $5.8 billion in 2022). It omits CMS’s rationale, such as fraud prevention and patient safety. • Lack of Nuance: It doesn’t mention that WISeR is voluntary for providers (they can opt for prepayment review instead), excludes emergency services, or is limited to six states, which reduces the perceived scope of the change. • Speculative Claims: The assertion that contractors will routinely deny care is speculative, as WISeR hasn’t started (January 2026). While the incentive structure raises concerns, the article assumes outcomes without evidence. • Incomplete Context: It ignores potential benefits, like faster prior authorization via AI (CMS claims MA contractors achieve near-instant decisions for some services) or exemptions for compliant providers (90% approval threshold).
Post: A major Medicare benefit just vanished
Link to comment from July 7, 2025