Extend longitudinal care
Add coordinated support for prevention, chronic conditions, complex needs, transitions, and access where agreed.
For primary care and specialty providers
Lead the care. Keep the relationship.
Sphere adds clinical and administrative capacity around your practice without changing who owns the patient relationship. You select the scope. We help the agreed work move through one accountable, closed-loop operating model.
PCP control · Practice-selected support · No duplicate services · No direct patient solicitation
Your relationshipThe trusted practice remains central
Your scopeSupport follows agreed priorities
One worklistShared ownership and follow-through
Clear returnsEvery event closes back to the practice
Capacity around the practice
More capability without another layer between you and your patients.
The support model strengthens care delivery and reduces fragmented administrative work while keeping clinical authority and the existing care relationship clear.
Centralize accountable work
Organize care gaps, follow-up, documentation, and partner coordination into owned workflows.
Connect care settings
Create a reliable route among primary care, specialists, hospitals, post-acute care, home, and community resources.
See what needs attention
Use shared clinical and operational signals to prioritize action and review performance together.
Partnership commitments
Control stays with the practice.
A support relationship works only when responsibility is explicit, duplication is prevented, and the patient knows who leads the care.
Practice-selected scope
The practice and Sphere define the services, populations, workflows, escalation routes, and boundaries before activation.
No duplicate services
Sphere support is mapped against existing practice capabilities so two teams do not perform or bill for the same work.
No direct patient solicitation
Patient outreach occurs only within the authorized relationship, agreed purpose, and applicable consent and communication rules.
Closed-loop accountability
Sphere's closed-loop workflow returns a clear status and next action to the practice for acute events, referrals, transitions, and unresolved needs.
Beneficiary choice
People retain Original Medicare benefits and freedom to receive medically necessary care from any Medicare-enrolled provider.
Operating relationship
From defined scope to shared execution.
Activation depends on agreements, data access, credentialing, staffing, consent, billing ownership, and other readiness conditions. The model starts only when those responsibilities are clear.
Choose the population and work.
Agree on responsibilities, existing capabilities, exclusions, communication, and clinical escalation.
Establish the shared operating view.
Connect authorized data, people, workflows, referral routes, and quality review without creating parallel queues.
Own actions through completion.
Use one accountable operating team, one shared worklist, and one closed-loop update to the practice.
Clinical excellence
Support centers outcomes, not volume.
LEAD's long horizon creates room to invest in prevention, continuity, and team-based care. Sphere's provider model centers the daily work required to make those aims clinically real.
Move upstream
Turn preventive needs and chronic-condition risks into owned, coordinated care actions.
Use the right setting
Combine office, home, virtual, transitional, specialty, and community pathways as clinically appropriate.
Close the loop
Keep the longitudinal care plan current when a person crosses settings or teams.
Review and improve
Use quality, experience, utilization, and workflow signals to strengthen the care model over time.
Provider roles in LEAD
Different relationships, shared accountability.
LEAD creates roles for practices and clinicians that hold direct ACO accountability and for specialists or organizations that participate through preferred relationships.
Participant practices
Participant TINs generally anchor beneficiary alignment and accept defined responsibility for quality and total cost of care through the ACO.
Preferred Providers
Specialists, post-acute providers, and other organizations can support coordinated care through defined Preferred Provider relationships.
Independent practices
LEAD is expressly designed to expand opportunity for smaller, independent, rural, and community health center practices.
LEAD model descriptions are based on current CMS materials. Specific participation roles and support require finalized agreements and CMS requirements.