5 Key Healthcare Insights – RamaOnHealthcare

by Grace Chen

December 23, 2025

CMS Unveils New ACO Model Aimed at Boosting Physician Collaboration

A modernized approach to accountable care organizations is on the horizon, promising better coordination between primary care doctors and specialists.

  • The Centers for Medicare & Medicaid Services (CMS) is launching the “Long-term Enhanced ACO Design.”
  • The new model, dubbed LEAD, focuses on improving the benchmarking process for physicians.
  • LEAD is designed to be accessible to both ACO veterans and those new to the program.
  • The program is slated to begin at the end of 2026.

The Centers for Medicare & Medicaid Services (CMS) announced a new accountable care organization (ACO) model on December 22, seeking to improve collaboration between primary care physicians and specialists to deliver more coordinated patient care. The American Medical Association reported the news.

What is the Long-term Enhanced ACO Design?

The program, officially called the “Long-term Enhanced ACO Design,” is set to launch at the end of 2026. It’s the result of years of recommendations from the American Medical Association, signaling a responsiveness to physician input in shaping healthcare delivery models.

How Will LEAD Improve ACO Participation?

LEAD, an acronym for the new model, aims to provide a more refined benchmarking process, potentially attracting a broader range of physicians to participate in ACOs. The program is intentionally designed to be inclusive, welcoming practices with prior ACO experience alongside those taking their first steps into value-based care. This flexibility is a key component of its appeal.

The program will span 10 years, offering a sustained framework for coordinated care initiatives. Further details regarding specific performance metrics and financial incentives are expected as the launch date approaches.

Did you know? Accountable Care Organizations group doctors, hospitals, and other healthcare providers to provide coordinated, high-quality care to Medicare patients.

This new ACO model represents a significant step towards a more integrated and patient-centered healthcare system, emphasizing the importance of strong partnerships between all members of the care team.

Related Articles:

Leave a Comment