The CMS Innovation Center has released the request for applications (RFA) for the Long-term Enhanced ACO Design (LEAD) model, a new 10-year accountable care initiative that will begin in 2027. The model introduces changes to ACO benchmarking, payment, and benefit design, with the goal of bringing certain Medicare Advantage (MA)-like features into original Medicare. Applications are due May 17, 2026.
For healthcare stakeholders, LEAD introduces new considerations for participation in accountable care and Medicare strategy. The model’s approach to benchmark stability, risk options, and beneficiary incentives could affect financial performance, care delivery models, and competitive dynamics between ACOs and MA plans. Read more to understand how LEAD is structured and what it may mean for providers, payers, and other stakeholders.
Join McDermott+ and McDermott Will & Schulte Monday, April 13 for a joint briefing highlighting key policy design features, operational and financial considerations, and legal and compliance questions that are already emerging from the RFA.
