Health Affairs December 16, 2025
Recent efforts to control Medicare spending include renewed attention to ways to reduce use of low-value care, or no-value care, in traditional Medicare. The Center for Medicare and Medicaid Innovation’s (CMMI’s) recently announced Wasteful and Inappropriate Service Reduction (WISeR) model is a prominent example. These efforts should be lauded because targeted approaches to cost containment (for example, focusing on low-value services or inappropriately high-price services) avoid the potential deleterious consequences of broad, poorly targeted cost containment strategies. While details of WISeR have been discussed in recent articles by Joshua Liao, Elizabeth Fowler, and Vinay Rathi and colleagues, here, we discuss issues and challenges related to two broad approaches that Medicare might consider to reduce provision of low-value care: utilization management...
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