ACO REACH to become LEAD, with more features, high-needs patient care
Effective Feb 12, 2026
Published Feb 16, 2026
Last Reviewed Feb 12, 2026
Having converted from CMS’ Direct Contracting model in 2023, ACO REACH is converting again by 2027 to a model called Long-term Enhanced ACO Design, or LEAD. Details are still emerging but CMS promises, and experts expect, that the new model will expand REACH’s appeal to smaller practices, particularly those with high-needs populations.
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