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
Quadruple Aim Pie Chart

Coherent CIENs Coordinate...

Network Provider Relations

  • Physician recruitment
  • Other provider recruitment
  • Membership communications and education
  • Relationships with other clinically integrated networks


  • 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