The Future of Home Care Medicine Is Value-Based

Outcomes Over Volume

Fee-for-service pays per visit regardless of outcome. Value-based care focuses on keeping patients healthier and out of hospitals.

Predictable Payment

Fixed monthly payment per patient — know your revenue in advance and invest in proactive care instead of chasing billing.

Built for High-Needs Patients

VBC models designed for complex populations create the financial foundation home-based practices need to thrive.

Share in the Savings

When the ACO spends less than projected while maintaining quality, it keeps a portion — a real reward for prevention work.

Attract New Providers

Bring in practices new to value-based care — including rural, independent, and specialty providers.

Promote Prevention

Each ACO must create a Prevention & Quality Plan and use evidence-based strategies to keep patients healthier.

Empower Patients

Give patients tools to make decisions, access added benefits, and manage their chronic conditions.

Support High-Needs Care

More accurate risk adjustment so caring for sicker patients actually pencils out financially.

Full Responsibility — Full Reward

Best for experienced ACOs and ACO REACH alumni

• More financial risk — but you keep more of the savings
• Widest range of payment types and care flexibilities
• Specialist episode payments and expanded benefits
• Requires a financial guarantee (reserve fund or credit line)

Shared Risk with CMS — Lower Exposure

Best for practices new to value-based care

• Fixed monthly payment per patient (predictable cash flow)
• Built-in guardrails cap how much you can lose if costs run high
• Limited downside — a safer on-ramp into value-based care
• Designed as a stepping stone toward full risk over time

Your Whole Panel Counts

Your entire attributed patient population now qualifies for revenue — not just those meeting specific criteria.

Separate Target for Complex Patients

High-needs patients get their own spending benchmark. You're not penalized for treating sicker patients.

Smaller Practices Can Qualify

High-needs-focused practices may qualify with a smaller total panel — viable for specialized models.

Hospice + Curative Care Together

LEAD allows hospice patients to receive curative care simultaneously — a new revenue stream for hospice organizations.

Falls Prevention Episode

New episode payments for fall risk reduction using OTs, nurses, and home repair — exactly what home-based providers already do.

Medicare + Medicaid Together

Pilot coordination for dual-eligible patients launching in two states, with planning in 2026–2027.

Your Patients, Your Model

LEAD was designed around the patients you already serve. Full-panel alignment means your whole practice generates the revenue it deserves.

Predictable Monthly Revenue

Fixed monthly payments replace unpredictable billing cycles — freeing you to invest in coordination that improves outcomes.

A Real 10-Year Horizon

No rebasing means your savings target won't be raised for good performance. Invest in staff and technology with a full decade to see returns.

Don't Want to Run an ACO?

Participate as a Preferred Provider — partner with an existing ACO and share episode payments without the anchor role.

Active Partnership

What AIP / ACI handles for you:

• Day-to-day operations & care management
• Network building & data analytics
• Compliance & managed services
• CMS contract management & accountability

Who should reach out?
Practices providing home-based primary care, house calls, palliative care, or complex home care with an active Medicare patient population. Designed for practices of sufficient size — not solo or very small providers.