The Coral Blog
Expert perspectives on policy, performance, and system change.
The Coral Blog is where we break down what’s happening in health care and what it means for leaders working to improve outcomes and affordability. Drawing from our cross-sector experience, we offer commentary that connects the dots between regulation, strategy, and operations.
Inside the WISeR Model: CMS’s First Tech-Only Innovation Initiative
CMS is launching a first-of-its-kind model that puts technology companies at the center of Medicare’s prior authorization process with the Wasteful and Inappropriate Service Reduction (WISeR) Model. The WISeR Model aims to focus health care spending on services that improve patient well-being, apply lessons learned from commercial payer prior authorization processes that may be faster, easier, and more accurate, increase transparency of existing Medicare coverage policy, and de-incentivize and reduce the use of medically unnecessary care.
CMS’ Roadmap for Rural Health
CMS’ Roadmap for Rural Health addresses access, care delivery, and workforce challenges through Rural Health Hackathons. Participants proposed solutions like telehealth expansion, reduced administrative burdens, and workforce flexibility. CMS plans to scale these ideas and implement rural-specific initiatives to transform healthcare in underserved areas.