State and Federal programs
Navigate Complex Programs and Models with Clarity and Confidence
From application strategy to operational support, we help organizations navigate complex State and Federal programs and take part in nationwide healthcare transformation efforts.
LEAD (Long-term Enhanced ACO Design) Model
LEAD is a new CMS ACO model launching in 2027, designed to expand participation in accountable care particularly among smaller, independent, and rural providers. It introduces improved benchmarking and model design features to better support organizations caring for complex, high-needs populations, including dual eligibles and homebound patients. We can help you navigate the application process and provide the technology and capabilities required to succeed in this new model.
Rural Health Transformation
The new Rural Health Transformation Program offers significant funding for rural facilities, FQHCs, and community partners. We support needs assessment, application strategy, coalition building, and implementation across workforce, digital health, and population health initiatives.
MSSP (Medicare Shared Savings Program) ACO
CMS’ MSSP ACO program has become a foundation for the nation’s continued transition to value-based care, offering a number of options for providers interested in value-based contracting for traditional Medicare beneficiaries. More than a decade since its launch, it continues to serve as both an entry point for those new to value and a stalwart for value networks that are deep into their transformation journey.
Case Study
Maturing in Risk: Unlocking Value Through MSSP Participation
This study examines how ACOs taking on downside risk delivered higher gross shared savings rates than those in upside-only models, and also achieved higher quality scores.
CalAIM (State of California Medi-Cal Transformation)
California Advancing and Innovating Medi-Cal (CalAIM) is a multiyear waiver to transform California’s Medi-Cal program and enable it to work more seamlessly with other social services for the state’s most vulnerable populations.
States Advancing Achieving Efficiency through Accountable Design (AHEAD) Model
AHEAD is a CMS voluntary total cost-of-care model that fosters collaboration with states to increase investment in primary care, improve overall population health, advance health equity, and curb the growth of health care costs.
MEET ARCi
Introducing ARCi™, an Agentic AI Suite Built to Improve Quality, Strengthen Financial Performance, and Modernize Member Engagement
ARCi AI agents augment your care teams to reduce burden and create scale by automating routine tasks across the care continuum, allowing staff to focus on higher-value work without adding headcount.