Congressional Democrats Push to Repeal CMS WISeR Model
Congressional Democrats have introduced legislation to repeal the Transforming Maternal Health (TMH) Model, commonly known as WISeR (Women in States Earning Rewards). The mandatory payment model, which ties Medicaid reimbursement to quality metrics for maternal health services, has faced criticism since its launch. Policy experts say the repeal effort's success remains uncertain given the current political landscape. If repealed, states and managed care organizations participating in the model would see changes to their maternal health payment structures and quality reporting requirements.
Medicaid managed care organizations in WISeR states face potential operational and payment structure changes if the model is repealed, affecting maternal health quality metric reporting and value-based payment arrangements.
Maternal · Managed Care
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