04/01/2026
🚨 Not an April Fools’ joke…
Yesterday, CMS released the Request for Applications (RFA) for the Long-term Enhanced ACO Design (LEAD) Model — a new 10-year initiative aimed at expanding and strengthening accountable care participation across the healthcare ecosystem.
🔗 Learn more: https://www.cms.gov/priorities/innovation/innovation-insight-cms-invites-acos-apply-new-lead-model
What’s notable:
This goes beyond incremental change. LEAD is designed to make value-based care more accessible and sustainable — especially for small, independent, rural providers and those serving complex patient populations.
Key elements to watch:
• More stable, population-based payment structures
• Improved benchmarking for both new and existing ACOs
• Flexibility to support prevention and health-focused care models
• Better alignment for high-needs and dually eligible populations
• Expanded opportunities for specialist integration
Why it matters:
CMS is continuing to move the market toward long-term, coordinated care models — where success depends on the ability to connect data, manage risk, and support patients across the full continuum of care.
📅 Applications due: May 17, 2026
🚀 Launch: January 1, 2027
March 31, 2026