Clinically Integrated Network

No. While our belief is that, over the long term, the CIN structure will best meet the needs of our providers, we recognize this is an evolution. The messenger model will remain in place as a secondary contracting available for both CIN and non-CIN members for the time being.

You may remain on your current agreements until those contracts end or are otherwise terminated as outlined in the agreements. We currently do not have any plans to terminate any contracts early. There is no requirement to terminate or renegotiate existing contracts due to the launch of the CIN.

No. Existing members may remain messenger-model only if they choose. However, CIN opportunities will not be available to non-CIN members. While our long-term intent is to migrate all membership to the CIN, we are not terminating our non-CIN members at this time. This may change over time as the CIN contracts with more payors. We will give you notice once we plan to migrate all BHC membership over to the CIN.

We intend to have new members join the CIN as a condition of participation.

Yes. In general, a CIN must be able to negotiate and enter into contracts on behalf of its members. This single-signature structure is necessary to support value-based contracting and ensure compliance with regulatory and antitrust requirements.

Bryan Health Connect staff will handle the day-to-day payor negotiations and operations under the guidance and oversight of the CIN Contracting Committee, which will be made up of CIN members.

The CIN Contracting Committee will have an expanded role aligned with the CIN’s additional responsibilities. Members will participate through:

• Committee representation
• Review of contracting strategies
• Collaborative discussions around priorities, quality, and value

This approach is intended to be more strategic and more inclusive than the current model. A CIN is governed and operated by its members. Our CIN contracting process and infrastructure will be much more detailed and collaborative compared to what is allowed in a messenger model format. If you or your organization are interested in being involved, please let us know.

This is not a Bryan-controlled effort. Members will have greater involvement than they do today through the ACO and PHO structures. The purpose of the CIN is to improve collaboration and allow members to act collectively, not to centralize control.

The CIN requires certain authority to maintain antitrust compliance and ensure quality and value targets are met. Those targets and guardrails will be set by CIN committees and the governing Board—both of which are composed of CIN members. The intent is a collaborative, not prescriptive, organization.

A new governance body will be created to propose clinical standards, monitor performance, and recommend actions when necessary. This body will operate under the guidance and authority of the CIN Board and will include active member participation.

No. Patient safety and preference come first. As long as you work with high-quality providers, the CIN will not dictate your individual specialist relationships.

BHC has significant experience collecting and managing data through its ACO. The CIN will use a similar approach:

• Data will remain segregated
• Access will be limited to CIN staff
• Data will only be used to support CIN activities

A CIN is governed and operated by its members. Our CIN contracting process and infrastructure will be much more detailed and collaborative compared to what is allowed in a messenger model format. If you or your organization are interested in being involved, please let us know.

Data integration is a known challenge for CINs. However, we are well positioned because much of this work has already been accomplished through our ACO participants. The CIN will build on existing infrastructure rather than starting from scratch.

No. Epic is not required to be part of the CIN. While certain systems may make data sharing easier, the CIN will support multiple EHR platforms.

Yes. Participation in the BHC CIN does not prohibit involvement in other organizations (PHOs, CINs, ACOs, etc.), subject to various legal and contractual factors.

Yes. CIN participation does not prevent you from maintaining or entering into contracts outside of the CIN. CIN participation in non-exclusive, meaning that members are free to enter into arrangements outside the scope of the CIN.

No. PHO contracts will remain in effect until they expire or are otherwise amended. Joining the CIN does not automatically terminate your PHO agreements.

No. Participation in another ACO does not disqualify you from joining the BHC CIN. Any overlap considerations will be evaluated on a contract-by-contract basis.

As BHC is migrating to a CIN structure, our current membership fees apply to the CIN as well. Your current dues apply to CIN membership as well. There are no additional fees for 2026. In the long-term, our intent is to make the CIN as self-funded as possible.

The CIN allows members to participate more effectively in value-based contracts, align around quality and performance goals, negotiate as a single group, leverage shared infrastructure, data, and contracting expertise.

The CIN will become operational once regulatory, governance, and contracting milestones are complete. Members will receive advance notice before onboarding begins.

Payment changes will only occur as new CIN contracts are executed. Existing payment arrangements will remain unchanged until new agreements take effect.

Members will receive onboarding guidance, education, and ongoing operational support to ensure a smooth transition into the CIN.