Expressing the sense of the House of Representatives that the Wasteful and Inappropriate Service Reduction Model undermines beneficiary access to health care and should not be implemented.
Summary
H. Res. 704 expresses the House of Representatives' disapproval of the Wasteful and Inappropriate Service Reduction (WISeR) Model. The resolution highlights concerns that the WISeR Model, which aims to expand prior authorization processes in traditional Medicare, could undermine beneficiary access to timely and necessary medical care. It urges the Centers for Medicare and Medicaid Services to terminate the WISeR Model.
Expected Effects
If implemented, the WISeR model would expand prior authorization requirements in traditional Medicare. This resolution, if successful, would prevent the implementation of the WISeR model. The resolution reflects concerns about potential negative impacts on patient access to healthcare.
Potential Benefits
- Prevents potential delays in medical care due to expanded prior authorization.
- Avoids increased administrative burden on physicians.
- Maintains current levels of access to medical services for Medicare beneficiaries.
- Prevents potential errors associated with AI-driven prior authorization processes.
- Protects the existing doctor-patient relationship from undue interference by private companies.
Potential Disadvantages
- May prevent potential cost savings or efficiency gains that the WISeR model aimed to achieve.
- Could stifle innovation in healthcare administration if the model is not allowed to be tested.
- Misses the opportunity to potentially reduce wasteful or inappropriate services if the model is terminated.
- May not address existing issues with prior authorization processes in Medicare Advantage plans.
- Could be seen as resistance to modernization of healthcare administration.
Constitutional Alignment
The resolution aligns with the Constitution's broad mandate to "promote the general Welfare," as it seeks to ensure access to healthcare for Medicare beneficiaries. Congress's power to oversee and influence the actions of federal agencies like the Centers for Medicare and Medicaid Services falls under its legislative authority granted by Article I, Section 8, which includes the power to make laws necessary and proper for carrying out its enumerated powers.
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).