WISeR


CMS.gov

WISeR (Wasteful and Inappropriate Service Reduction) Model

The Wasteful and Inappropriate Service Reduction (WISeR) Model helps protect American taxpayers by leveraging enhanced technologies, such as Artificial Intelligence (AI) and Machine Learning (ML), along with human clinical review, to ensure timely and appropriate Medicare payment for select items and services. The voluntary model encourages care navigation, encouraging safe and evidence-supported best practices for treating people with Medicare. WISeR will run for six performance years from January 1, 2026 to December 31, 2031 in six states: New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington.

Key Points
 Waste in health care can not only harm patients but also contributes to up to 25% of health care spending in the United States. Wasteful, low-value services often have limited clinical evidence of effectiveness, may not align with an individual’s specific health condition or needs, or can lead to complications and further unneeded services
.Solution: The WISeR Model helps reduce clinically unsupported care by working with companies experienced in using enhanced technologies to expedite and improve the review process for a pre-selected set of services that are vulnerable to fraud, waste and abuse.
Outcomes: The WISeR Model helps ensure people with Medicare receive the most appropriate care that supports the best health outcomes while decreasing costs and easing administrative burden on providers and suppliers who go through the prior authorization process.
Strategy: The WISeR Model empowers patients to partner with their health care providers on the most clinically appropriate care plan; protects the taxpayer by decreasing fraud, waste and abuse; and focuses providers on care that has the most impact on the well-being of people with Medicare. 

The Problem with this program, as a voter, is that it is denying American Voters of healthcare using AI strategy.

history… april 23


1348 – The first English order of knighthood was founded. It was the Order of the Garter.

1500 – Pedro Cabal claimed Brazil for Portugal.

1521 – The Comuneros were crushed by royalist troops in Spain.

1635 – The Boston Public Latin School was established. It was the first public school building in the United States.

1759 – The British seized Basse-Terre and Guadeloupe in the Antilies from France.

1789 – U.S. President George Washington moved into Franklin House, New York. It was the first executive mansion.

1789 – “Courier De Boston” was published for the first time. It was the first Roman Catholic magazine in the U.S.

1826 – Missolonghi fell to Egyptian forces.

1861 – Arkansas troops seized Fort Smith.

1872 – Charlotte E. Ray became the African-American woman lawyer.

1895 – Russia, France, and Germany forced Japan to return the Liaodong peninsula to China.

1896 – The Vitascope system for projecting movies onto a screen was demonstrated in New York City.

1900 – The word “hillbilly” was first used in print in an article in the “New York Journal.” It was spelled “Hill-Billie”.

1908 – U.S. President Theodore Roosevelt signed an act creating the U.S. Army Reserve.

1915 – The A.C.A. became the National Advisory Council on Aeronautics (NACA).

1920 – The Turkish Grand National Assembly had its first meeting in Ankara.

1921 – Charles Paddock set a record time in the 300-meter track event when he posted a time of 33.2 seconds.

1924 – The U.S. Senate passed the Soldiers Bonus Bill.

1945 – The Soviet Army fought its way into Berlin.

1948 – Johnny Longden became the first race jockey to ride 3,000 career winners.

1950 – Chaing evacuated Hainan, leaving mainland China to Mao and the communists.

1951 – The Associated Press began use of the new service of teletype setting.

1954 – Hank Aaron of the Milwaukee Braves hit his first major-league home run on this day.

1964 – Ken Johnson (Houston Astros) threw the first no-hitter for a loss. The game was lost 1-0 to the Cincinnati Reds due to two errors.

1967 – The Soyuz 1 was launched by Russia.

1968 – The Methodist Church and the Evangelical United Brethren Church merged to form the United Methodist Church.

1971 – The Soyuz 10 was launched.

1981 – The Soviet Union conducted an underground nuclear test at their Semipaltinsk (Kazakhstan) test site.

1982 – The U.S. Bureau of Labor Statistics reported that consumer prices declined the previous month (March). It was the first decline in almost 17 years.

1984 – The U.S. Department of Health and Human Services announced that Dr. Robert Gallo and his colleagues had found the cause of AIDS. It was a retrovirus labled HTLV-III.

1985 – The Coca-Cola Company announced that it was changing its 99-year-old secret formula. The New Coke was not successful, which resulted in the resumption of selling the original version.

1985 – The U.S. House rejected $14 million in aid to Nicaragua.

1988 – A U.S. federal law took effect that banned smoking on flights that were under two hours.

1988 – In Martinez, CA, a drain valve was left open at the Shell Marsh. More than 10,000 barrels of oil poured into the marsh adjoining Peyton Slough.

1988 – Kanellos Kanelopoulos set three world records for human-powered flight when he stayed in the air for 74 miles and four hours in his pedal-powered “Daedalus”.

1989 – Kareem Abdul-Jabbar played his last regular season game in the NBA.

1996 – An auction of the late Jacqueline Kennedy Onassis’ possessions began at Sotheby’s in New York City. The sale brought in #34.5 million.

1997 – An infertility doctor in California announced that a 63-year-old woman had given birth in late 1996. The child was from a donor egg. The woman is the oldest known woman to give birth.

1999 – In Washington, DC, the heads of state and government of the 19 NATO nations celebrated the organization’s 50th anniversary.

2003 – U.S. President George W. Bush signed legislation that authorized the design change of the 5-cent coin (nickel) for release in 2004. It was the first change to the coin in 65 years. The change, to commemorate the 200th anniversary of the Louisiana Purchase, was planned to run for only two years before returning to the previous design.

2004 – U.S. President George W. Bush eased sanctions against Libya in return for Moammar Gadhafi’s agreement to give up weapons of mass destruction.

2005 – The first video was uploaded to YouTube.com.

2009 – The iTunes Music Store reached 1 billion applications downloaded.

on-this-day.com

USDA~ FSN ~ FDA ~ April 2026 -Recalls – Food Safety Alerts – Previous Month & last day of prior month update


** Lundberg Family Farms has recalled 2-pound bags of its organic jasmine white rice due to the potential presence of an unspecified “foreign material.”

The recall affected 4,500 cases sold in grocery stores nationwide. everydayhealth.com

Do not eat the recalled rice. Customers can return it to stores for a refund.

** Autobrush Recalls Sonic Pro Children’s Toothbrush Boxes Due to Risk of Serious Injury or Death from Battery Ingestion; Violates Mandatory Standard for Consumer Products with Coin Batteries

Hazard: The recalled delivery boxes violate the mandatory standard for consumer products containing button cell and coin batteries because they contain a lithium coin battery that can be easily accessed by children, posing an ingestion hazard. The packaging also does not bear the required warning labels for products containing such batteries as required by Reese’s Law. If button cell or coin batteries are swallowed, the ingested batteries can cause serious injuries, including internal chemical burns, and death.

** Wiifo Children’s Tower Stools Recalled Due to Risk of Serious Injury and Death from Entrapment and Fall Hazards; Imported by Wiifo

Hazard: The recalled tower stools can collapse or tip over while in use, and a child’s torso can fit through the openings on the tower’s sides, posing a risk of serious injury and death due to tip over, fall and entrapment hazards.

** HappyGira Recalls Sweetie Baby and Style Life Eleven Baby Loungers Due to Risk of Serious Injury or Death from Suffocation and Fall Hazards; Violates Mandatory Standard for Infant Sleep Products

Hazard: The baby loungers violate the mandatory standard for infant sleep products because the sides are shorter than the minimum side height limit to secure the infant and they do not have a stand, posing a fall hazard. Additionally, an infant can fall out of the enclosed opening at the foot of the lounger or become entrapped. Furthermore, the sleeping pad’s thickness exceeds the maximum limit, posing a suffocation hazard. These violations create an unsafe sleeping environment for infants, posing a risk of serious injury or death.

** March 3, 2026 – Ajinomoto Foods North America, Inc., a Portland, Ore., establishment, is expanding its Feb. 19, 2026, recall of frozen not ready-to-eat (NRTE) chicken products that may be contaminated with foreign material, specifically glass, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today. The establishment is recalling approximately 33,617,045 additional pounds of various ready-to-eat (RTE) and NRTE chicken and pork fried rice, ramen, and shu mai dumpling products, for a combined total of 36,987,575 pounds subject to recall.

This expansion includes 16 products produced between October 21, 2024, and February 26, 2026, under brand names Ajinomoto, Kroger, Ling Ling, Tai Pei, and Trader Joe’s. 

** Tops Issues Recall of Christopher Ranch Peeled Garlic & Garland Fresh Peeled Garlic Because of Possible Health Risk Tops Friendly Markets of Williamsville, NY is recalling all codes of Christopher Ranch Peeled Garlic and Garland Peeled Garlic because it has the potential to be contaminated with Clostridium botulinum due to the product being kept at insufficient temperatures. Clostridium botulinum is a bacterium. Published: 04/01/2026

** Aligned Medical Solutions, Billings, MT, initiated a nationwide recall of two convenience kits that contain the Medline Namic Angiographic Rotating Adapter(RA) 10CC Syringe. Associated kits are AMS6908E Angio Pack and AMS6908F Angio Pack.

Product(s) can be identified by the pack label inside the sterile barrier of the convenience kit. Product labels can be viewed at the following link. Click Here.

**FDA Recall
Announcement Date: April 09, 2026, FDA Publish Date: April 13, 2026, Product Type: Gel Nail Polish
Prohibited Methylene Chloride and Chloroform
Company Name: Morovan Brand Name:

Product Description: Gel Nail Polish Remover (15ml) Description: This recall involves Nail Polish Remover which is used for fast, safe, and gentle removal of gel nail polish and builder gel. This MOROVAN gel nail polish remover comes in a 15ml (0.5fl.oz) square turquoise bottle with a white cap, paired with a matching green packaging box. It is manufactured in China, with a production date of 02-07-2024 and an expiration date of 02-07-2027, offering a 3-year shelf life. Sold on Amazon.com

Incidents/Injuries: None reported

** Good Brain Tonic: Company Announcement Date: April 06, 2026, FDA Publish Date: April 14, 2026, Product Type: Food & Beverages
Carbonated Soft Drinks
Foodborne Illness: Reason for Announcement:

Potential Foodborne Illness -Botulism Company Name: Liquid Blenz Corp Brand Name:

Good Brain Tonic Product Description:

Good Brain Tonic 16 oz & 32 oz

Consumers who have purchased Good Brain Tonic 16 oz or 32 oz bottles are urged to return them to the place of purchase for a full refund. Consumers with questions may contact the company at 1-516-608-8826.

** Liquid Blenz Corp. Recalls Product Due to Possible Health Risk Liquid Blenz Corp of Rockville Center, NY is recalling all codes of Good Brain Tonic because of Botulism potential. Botulism is a potentially fatal form of food poisoning and can cause the following symptoms: general weakness, dizziness, double-vision, and trouble with speaking or swallowing. Difficulty in breathing, weakness of other muscles, abdominal distension, and constipation may also be common symptoms. People experiencing these problems should seek immediate medical attention.

Good Brain Tonic was distributed nationwide in retail stores and via internet sales.

Good Brain is bottled in 16 oz & 32 oz Amber bottles with plastic cap. UPC code for 16 oz size is 860010984468 and 32 oz is 860010984475.

No illnesses have been reported to date.

View Full Recall

** Steam Shot Omni Reach and Steam Shot Omni Steam Cleaners with attachments

The recalled steam cleaners’ attachments can unexpectedly detach from the steam cleaners and expel hot water or steam onto users during use, posing a serious burn hazard. Contact BISSELL toll-free at 855-417-7001 from 9 a.m. to 7 p.m. ET Monday through Saturday, email RecallNA@bissell.com or online at www.steamshot2026.com or www.BISSELL.com and click on “Product Recalls” for more information.

Recall Date: April 09, 2026

** FSIS Retracts Public Health Alert for Frozen, Ready-to-Eat Chicken Nuggets Due to Updated Laboratory Result WASHINGTON, April 6, 2026 – The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) is retracting the public health alert issued on April 1, 2026, for Walmart Great Value Fully Cooked Dino Shaped Chicken Breast Nuggets with “Best If Used By” date “Feb…

** Ongoing Salmonella outbreak in Canada has sickened almost 200

The Public Health Agency of Canada reports its investigation into a salmonella outbreak linked to pistachios is still active one year since recording the first infection. In an update April

By Coral Beach 

**Fish linked to outbreaks in Philippines and Vanuatu

Fish has been connected to two separate outbreaks in the Philippines and Vanuatu. Media reports on the number of sick people in the Philippines range from 20 to 51. The

By News Desk

**Beef and pork jerky under recall in Canada

Soo brand Mala Spicy Flavoured Beef Jerky and Pork Jerky are being recalled in Canada because of mold on the products. The recalled jerky was distributed in Alberta and British

** Salad recalled in Canada because of contamination with Listeria

Co-op brand creamy garlic and spinach salad is being recalled in Canada because of contamination with Listeria monocytogenes. According to the Canadian Food Inspection Agency, the salad was distributed in

** Santa Fe Springs, California – April 07, 2026 – Blaine Labs, Inc. is voluntarily recalling three (3) lot numbers of Wound Care Gel products, 1 oz. & 3 oz. (0.1% Benzalkonium Chloride) to the consumer level due to microbial contamination.

The affected product has been found to contain Lysinibacillus fusiformis, an environmental organism.

** The FDA recommended the recall after a manufacturing facility inspection on Aug. 15, 2025, resulted in observations “that may bear on product quality,” the agency noted. However, specific details were not disclosed.

Xiamen Kang Zhongyuan Biotechnology Co., Ltd., headquartered in Xiamen, China, initiated the recall on March 20, 2026. On Friday, the FDA classified the recall as Class II.

** Salmonella outbreak continues with 68 confirmed patients

The FDA is continuing to investigate an outbreak of Salmonella Newport infections that has sickened at least 68 people. The outbreak was first reported by the Food and Drug Administration

** Outbreaks fall in Hong Kong in 2025 Illness after eating oysters continues to be a problem

** Spanish scientists investigate outbreaks affecting children Testing indicated high concentrations of biogenic amines

** The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) is issuing a public health alert for raw beef and pork products due to misbranding and an undeclared allergen. The products may contain sesame, a known allergen, which is not declared on the product label. A recall was not requested because the products are no longer available for purchase.

The raw beef and pork items were produced from December 1, 2025, through April 6, 2026. The following products are subject to the public health alert [view labels]:

  • 1.5-lb. clear plastic containers with safety lids containing “QUALITY MEAT SKY RANCH PREMIUM PROVISIONS MARINATED BEEF RIBEYE ROLL /BULGOGI” with “SELL BY” dates of “DEC.11.25” through “APR.16.26”.
  • 1.5-lb. clear plastic containers with safety lids containing “QUALITY MEAT SKY RANCH PREMIUM PROVISIONS MARINATED PORK TENDERIZED CT BUTT” with “SELL BY” dates of “DEC.11.25” through “APR.16.26”.
  • 1.5-lb. clear plastic containers with safety lids containing “QUALITY MEAT SKY RANCH PREMIUM PROVISIONS MARINATED BEEF SLICED SHORT RIBS /LA STYLE” with “SELL BY” dates of “DEC.11.25” through “APR.16.26”.
  • 1.5-lb. clear plastic containers with safety lids containing “QUALITY MEAT SKY RANCH PREMIUM PROVISIONS MRN PORK SINGLE BELLY CHOP / JUMULLEOK” with “SELL BY” dates of “DEC.11.25” through “APR.16.26”.

The products bear establishment number “EST. 1377” inside the USDA mark of inspection. These items were shipped to Lotte Plaza Market retail locations in Florida, Maryland, New Jersey, and Virginia.

** Tops Issues Recall of Christopher Ranch Peeled Garlic & Garland Fresh Peeled Garlic Because of Possible Health Risk

Tops Friendly Markets of Williamsville, NY is recalling all codes of Christopher Ranch Peeled Garlic and Garland Peeled Garlic because it has the potential to be contaminated with Clostridium botulinum due to the product being kept at insufficient temperatures. Clostridium botulinum is a bacterium Product was distributed through Tops Markets in New York, Pennsylvania, and Vermont. The recalled products are identified as follows:

Garland Fresh Peeled Garlic, 6 oz., packed in plastic bags with a UPCs of 71894-00000 and 68826-75340, all product code dates.

Christopher Ranch Peeled Garlic, 6 oz., packed in plastic bags with UPC 74574-10852 ,all product code dates

** The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) is issuing a public health alert for a ground beef product that may be contaminated with foreign material, specifically metal. A recall was not requested because the product is…

Impacted Products

16oz (1 lb.) PLASTIC, VACUUM-PACKED, packages containing “WHITE OAK PASTURES, RADICALLY TRADITIONAL FARMING, GRASSFED GROUND BEEF”.

** The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) is retracting the public health alert issued on April 1, 2026, for Walmart Great Value Fully Cooked Dino Shaped Chicken Breast Nuggets with “Best If Used By” date “Feb…

Impacted Products

29-oz. plastic bags containing approx. 36 “GREAT VALUE FULLY COOKED DINO SHAPED CHICKEN BREAST NUGGETS” with “BEST IF USED BY” date “FEB 10 2027,” lot code” 0416DPO1215,” and establishment number “P44164” printed on the back of the bag.

The FDA has issued an Advisory without batch numbers or expiration dates. At the request of the FDA, RAW FARM is issuing a Voluntary Recall of the batches of cheese below and any batches produced prior to these dates.

ItemItem DescriptionBatchExpirationBarcode
10508 oz Lightly Salted Cheddar Block20251027-28/23/2026835204001177
106080 oz Lightly Salted Cheddar Block20251015-48/11/2026835204001160
107516 oz Lightly Salted Cheddar Block20251027-48/23/2026835204000156
107680 oz Bag of Original Cheddar Shred202602055/6/2026835204000194
107816 oz Jalapeno Cheddar Block20251128-1J9/24/2026835204000354
10808 oz Lightly Salted Cheddar Shred202602125/13/2026835204001184
10908 oz Jalapeno Cheddar Block20251128-2J9/24/2026835204000330

** FSIS Issues Public Health Alert For Frozen, Dinosaur-Shaped, Ready-To-Eat Chicken Nuggets Due To Traces Of Lead

The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) is issuing a public health alert for frozen, dinosaur-shaped, ready-to-eat chicken nuggets that may be contaminated with unsafe levels of lead. A recall was not requested because the products are no longer available for purchase. However, FSIS is concerned that some products may still be in consumers’ freezers.

** Microbial contamination tops reasons for recalls in Finland

Microbial contamination was the leading cause of Finnish recalls in 2025. There were 299 recalls in Finland this past year, down slightly from 305 in 2024.

** FOR IMMEDIATE RELEASE – March 19, 2026– West Sacramento, CA, Gear Isle is voluntarily recalling the following products to the consumer level. The products have been found to contain undeclared active pharmaceutical ingredients, sildenafil and tadalafil.

Gold Lion Aphrodisiac Chocolate Sachet, UPC 795847916279, LOT# no lot number, Expires: 06/2027 ilum Sex Chocolate, UPC 1002448578911, LOT# no lot number, Expires: 12/25/2027.

** The E. coli O157:H7 outbreak linked to raw cheddar cheese from Raw Farm LLC continues to grow. Out of nine cases so far, more than half are in children younger than 5 years old. Although the FDA has reported that raw milk cheese from Raw Farm dairy is the most likely source of the bacteria, the company has refused to recall its product.

** Health Secretary Robert F. Kennedy Jr. falsely claimed that the Food and Drug Administration (FDA) has closed the “GRAS loophole” during a podcast, according to the New York Times. GRAS stands for “generally recognized as safe.” The process allows food companies to self-affirm the safety of additives and other substances without a review by the FDA. A 2013 Pew Charitable Trusts study estimated that 3,000 GRAS substances have evaded FDA review.

** Costco recalls meatloaf meals because of Salmonella

** Organic black beans recalled because of pesticide residue

Falcon Trading Company Inc. is recalling organic black bean products because they contain pesticide residue. The Royal Oaks, CA, company is recalling the three items listed below. Because these items

** Cheese recalled in Canada because of Listeria contamination

Auricchio brand Gorgonzola D.O.P dolce is being recalled in Canada because of contamination with Listeria monocytogenes. This recall was triggered by Canadian Food Inspection Agency test results.

** Recalls Organic black beans recalled because of pesticide residue

Falcon Trading Company Inc. is recalling organic black bean products because they contain pesticide residue. The Royal Oaks, CA, company is recalling the three items listed below.  Falcon Trading Company, Inc. of Royal Oaks CA is recalling the three items listed below. Because these items are sold in bulk, the lot numbers can be mixed in the sales bin. Therefore, we are recalling all lot numbers of the following items:

FTC item # 003040 Black Organic, UPC 086700930403, 25 Pound sack
SRF item # 003056 Chili Bean Blend Organic, UPC 086700030561, 15 Pound Box
SRF item # 013000 soup Mix Organic, UPC 086700130001, 25 Pound Box

There have been no illnesses reported to date.

**

1872 – Charlotte E. Ray became the African-American woman lawyer.



In 1872, Ray graduated from Howard University School of Law, completing a three-year program. She is believed to have specialized in corporate law . Her graduation made her the first woman to graduate from Howard’s law school and the first Black woman to earn a law degree in the U.S. 

Wikipedia.