The Centers for Medicare & Medicaid Services (CMS) has announced the termination of the ACO REACH program and the introduction of a new initiative, the LEAD model, set to launch in 2027. This strategic move aims to enhance healthcare delivery and payment systems, fostering innovation and improving patient outcomes.

ACO REACH, or the Accountable Care Organization Realizing Equity, Access, and Community Health model, was designed to address healthcare disparities and promote equitable access to care. However, CMS decided to end the program as part of its ongoing efforts to refine and improve healthcare models that better meet the needs of patients and providers.

The new LEAD model, which stands for Leveraging Equity and Access for Disadvantaged populations, is expected to build on the lessons learned from ACO REACH. The LEAD model will focus on expanding access to care for underserved populations, emphasizing value-based care and promoting health equity. CMS aims to create a more inclusive healthcare system that addresses the unique challenges faced by marginalized communities.

According to CMS, the LEAD model will incorporate feedback from stakeholders, including healthcare providers, patient advocacy groups, and policymakers. This collaborative approach is intended to ensure that the new model effectively addresses the diverse needs of the healthcare system while maintaining financial sustainability.

In announcing the LEAD model, CMS emphasized the importance of innovation in healthcare delivery. The agency highlighted the need for models that not only improve patient outcomes but also reduce healthcare costs. By focusing on value-based care, the LEAD model aims to incentivize providers to deliver high-quality care while managing resources efficiently.

Healthcare experts have noted that the transition from ACO REACH to the LEAD model reflects a broader trend within CMS to prioritize health equity and access. The agency's efforts align with national priorities to address social determinants of health and reduce disparities in healthcare access and outcomes.

The LEAD model is expected to undergo a phased implementation process, with CMS providing guidance and support to participating organizations. This approach aims to ensure a smooth transition and minimize disruptions to patient care. CMS has also committed to monitoring the model's performance and making necessary adjustments to achieve its goals.

As the healthcare landscape continues to evolve, CMS's introduction of the LEAD model represents a significant step towards creating a more equitable and efficient system. By prioritizing the needs of disadvantaged populations, the agency hopes to drive meaningful improvements in healthcare delivery and outcomes.

Sources

• CMS ends ACO REACH, announces LEAD model - This source provides an overview of CMS's decision to end the ACO REACH program and introduce the LEAD model, highlighting the goals and expected impact of the new initiative.