Becker's Healthcare December 18, 2025
CMS is launching its long-term enhanced accountable care organization design, or LEAD, model at the end of 2026, following the conclusion of the ACO realizing equity, access and community health model.
Previously, CMS set a goal to have all traditional Medicare beneficiaries in an accountable care relationship by 2030. ACO REACH currently offers a shared-savings model with a focus on health equity and requires participants to be at least 75% provider governed.
Here are six things to know about the forthcoming LEAD model:
1. This model aims to be “more inclusive” of smaller, rural and independent practices.
2. The model is working toward “more accurate risk adjustment and benchmarking” to account for high-needs patients.
3. LEAD will offer two voluntary...
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