ACO REACH & MSSP

ACO REACH is entering its sunset year with stronger evidence of Medicare savings—CMS reported $988M in 2024 savings, up from $695M in 2023—strengthening the case for preserving downside-risk, primary care–oriented ACO infrastructure even as CMMI transitions toward successor models like LEAD and organizations weigh MSSP versus LEAD participation decisions (Healthcare Dive). At the same time, CMS’ proposed physician payment and MSSP changes signal a broader Trump administration push to expand ACO participation, reduce reliance on MIPS, and realign fee schedule incentives around accountable care—creating strategic pressure for health systems, physician groups, and enablement companies to reassess attribution, TIN participation, risk corridors, and home-based care partnerships before final rules and LEAD methodology are locked in ([Fierce Healthcare](https://news.google.com/rss/articles/CBMiywFBVV95cUxNT2dHa2MyVEVua1lDYWducm1nTVBZSl8weTJ3QU16czJ1TEVqMEMxT2ZJQU4xSjdRLXo2TEVDZzhJb3F6a2pHbzlMOXUzWFlFSGRSYjMyb0ZFcWZpSWlEZmpNTzVp