CMS updates AHEAD model: 6 things to know
09/04/25 at 03:00 AM
CMS updates AHEAD model: 6 things to know
Becker's Hospital Review; by Alan Condon; 9/2/25
CMS on Sept. 2 unveiled policy and operational updates to the Achieving Healthcare Efficiency through Accountable Design Model, a state total cost of care initiative launched in 2023 to curb spending, improve population health and advance health equity. Six things to know:
- The AHEAD Model will now conclude on Dec. 31, 2035. ...
- Changes will begin across all cohorts in January 2026. ...
- For the first time, AHEAD will bring total cost of care accountability to all Original Medicare beneficiaries in participating regions, including those not aligned with other accountable care models. ...
- States must now implement at least two policies to promote choice and competition in healthcare markets. ...
- Current participants include ...
- States may receive up to $12 million over the first five to six years to support implementation activities. ...