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New CMS LEAD Model Aims to Expand Access to Accountable Care, Improve Health OutcomesWhat’s new: The Long-term Enhanced ACO Design (LEAD) Model is the Innovation Center’s next Accountable Care Organization (ACO) model that will focus on reaching more health care providers who have not joined ACOs, while providing care for patients, including those with high needs, such as dual eligibles and those who are homebound or home limited. Why it matters: LEAD’s improved benchmarking methodology and other design features will support smaller, independent, or rural-based practices and those who serve patients with more complex challenges that have faced financial and administrative obstacles to being in ACOs previously. What to expect: LEAD is a 10-year model that will begin January 1, 2027; ACOs can apply to participate in LEAD by responding to a Request for Applications, which will become available beginning in March 2026. The big picture: LEAD advances on the Innovation Center’s commitment to 1) building opportunities for independent health care providers and practices to be rewarded for delivering better care; 2) promoting and empowering patient choice in both coverage and sites of care; and 3) making it easier for health care providers and patients to engage in preventative care that supports healthier living. Find out more: |
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