November 13, 2025 | Volume XVI | Issue 46

House bill seeks repeal of WISeR prior auth rules

Healthcare IT News reports:


A new bill from Democratic lawmakers seeks to repeal a controversial initiative from the Centers for Medicare and Medicaid Services that would put artificial intelligence at the forefront of medical decision-making.


The new Seniors Deserve SMARTER Care Act of 2025 – it stands for Streamlined Medical Approvals for Timely, Efficient Recovery – aims to reverse a U.S. Health and Human Services notice, published in July.


Under that CMS program, known as the Wasteful and Inappropriate Service Reduction (WISeR) model, providers in six states – New Jersey, Ohio, Oklahoma, Texas, Arizona and Washington...

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On the Front Line of the Fluoride Wars

Anna Clark | ProPublica


On the far east side of Michigan, the future of fluoride in drinking water — long an ordinary practice for preventing tooth decay — has suddenly provoked passionate debate.


Public meetings in St. Clair County, about an hour northeast of Detroit, have filled with people weighing in. One man waved his Fixodent denture cream before the county commissioners, suggesting that his own experience showed what would happen if local communities stopped treatment.


“I am an un-fluoridated child,” he declared, “with a set of uppers and lowers.”


Another man, speaking to the county’s Advisory Board of Health, said that personal responsibility should be factored into the conversation. “I think there are some 3 Musketeer bars, Snicker bars that should be accounted for. Some Coca-Colas.”

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Health insurers in government programs can't turn a profit

Healthcare Dive reports:


Government programs continued to push down health insurers’ profitability in the third quarter, even as executives promised investors they’ve charted a reliable course to margin improvement. But those promises should be taken with a grain of salt, given the pernicious cost pressures facing Medicare, Medicaid and the Affordable Care Act, experts say.

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Is coffee safe for people with atrial fibrillation?

KTVU FOX 2 San Francisco


New research suggests that coffee may be safe for people with irregular heartbeats. Researchers at UCSF tracked 200 adults in the U.S., Canada, and Australia with a history of atrial fibrillation (A-Fib) over four years.

Watch the video HERE.

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