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As the Centers for Medicare and Medicaid Services (CMS) hits reset on an important value-based care initiative popular with health care providers, including nursing homes, providers will need to make considerations this spring on whether to participate in the new model called LEAD – short for Long-term Enhanced ACO Design.
Starting in 2027, the federal agency plans to wind down ACO REACH and replace it with LEAD, the effort meant to enhance the earlier program, CMS officials said last week.
So far, ACO REACH has been attractive because it offers greater upside for providers willing to take on risk and keep more of the savings, Brian Fuller, managing director, for value-based care design and delivery for ATI Advisory, told Skilled Nursing News.
Just as important, the high-needs track within ACO REACH has allowed many nursing facilities to take accountability for long-term care residents.