Clinically Integrated Eye Care Networks (CIEN)
A CIEN involves individual eye care providers and health systems collaborating strategically. Coherent’s CIENs are designed to achieve the “Quadruple Aim”:
- Improving the patient experience
- Improving the health of the populations we serve
- Reducing per capita costs
- Improved clinician experience
Coherent CIENs Coordinate...
Network Provider Relations
- Physician recruitment
- Other provider recruitment
- Membership communications and education
- Relationships with other clinically integrated networks
Technology
- Selection and implementation
- Payor data sharing
- Population health management strategies
Payor Contracting
- Medicare Shared Savings Program (MSSP) program management and compliance
- Private payor shared savings program (contracting and implementation)
- Employee health plan (evaluate opportunities)
- Employee wellness program
Efficiency Strategies
- Clinical co-management arrangements
- Gain-sharing and bundled payment opportunities
- Implementation of standardized clinical protocol
Management Services Organization Opportunites
- Priority of offerings based on physician interest
- Resource needs and pricing
Clinical Practice Guidelines
- Priority areas to be addressed (e.g., management of diabetic retinopathy, age related macular degeneration, and glaucoma)
- Targeting unnecessary testing and treatment
- Process for development, dissemination, and compliance monitoring
Patient-Centered Medical Home
- Transition support for primary care physician members
- Expansion of medical “neighborhood” (primary care/specialist integration)
Centralized Care Management Program
- Transitional care management
- Complex chronic care management
- Remote patient monitoring
- Health home (Medicaid)
- Commercial contracts with payment for care management fees (e.g., per-member-per-month [PMPM] payments)
Health Literacy
- Patient engagement strategies
- Decision-support tools