ACO REACH Software for 2026, Built With LEAD in Mind for 2027
Supporting Your ACO REACH Operations Through 2026
The ACO REACH model focuses on health equity and governance for Medicare beneficiaries through December 31, 2026. Following its final performance year, CMS will replace it with the Long-term Enhanced ACO Design (LEAD) Model starting January 1, 2027.
What's Changing: ACO REACH ends on December 31, 2026. The new 10-year CMS LEAD Model begins January 1, 2027. If your ACO is currently in REACH, this page reflects your operating model for the rest of 2026. We are continuously updating our platform to align with evolving CMS guidance.
QuickCap v7 (QC7) manages the demands of the ACO REACH model today
Health Equity Tracking
Automatically capture and report demographic data to satisfy CMS health equity plan mandates.
Care Coordination
Track beneficiary movement in real time across primary care, specialists, and post-acute settings.
Predictive Risk Scoring
Surface and flag high-risk, high-cost beneficiaries before they drive up expenditures.
Full EDI Functionality
Cleanly move data between EMRs, TPAs, and CMS without manual re-entry or data silos.
Choosing Your Path Beyond REACH: 2027 Options
Organizations weighing their next moves for the 2027 performance year are evaluating four distinct tracks:
The LEAD Model
A voluntary 10-year model offering Professional (50%) and Global (100%) risk structures with a locked, non-rebased benchmark. It integrates high-needs beneficiaries across all populations and features the CMS-Administered Risk Arrangements (CARA) framework for specialty care integration.
Medicare Shared Savings Program (MSSP)
Medicare's permanent, statutory ACO program featuring BASIC and ENHANCED tracks. It is ideal for organizations seeking regulatory permanence over temporary Innovation Center pilots.
ACO Primary Care Flex (PC Flex)
An MSSP add-on tailored for low-revenue and rural providers utilizing prospective monthly primary care payments. (Note: This option is only available to organizations already accepted into the fixed 2025–2029 cohort, as CMS has closed the model to new applicants).
Traditional Medicare Fee-for-Service
For organizations stepping back from value-based ACO participation entirely.
Future-Proof Your Performance and Data Models
No matter which path your organization chooses, QuickCap v7 supports the reporting, financial guarantees, and data infrastructure for all four tracks.
