Cigna Healthcare Centers of Excellence Methodology 2024-2025

This document is a guide detailing the Cigna Healthcare Centers of Excellence (COE) methodology for hospitals for the years 2024-2025. It outlines the evaluation process for hospitals based on patient outcomes and cost-efficiency metrics. The guide specifies that hospitals are assessed on 18 surgical procedures and medical conditions, with individual assessments for four surgical procedures and category-level assessments for 14 medical conditions. The document explains the scoring system, where hospitals can earn up to three stars for patient outcomes and cost-efficiency, with a total of five stars required for COE designation. It also describes the data sources used for evaluations, including publicly available data and proprietary datasets, and establishes criteria for hospital admission volumes necessary for assessment. Additionally, it details the nine component indices used to rank hospital performance, including readmission rates and patient safety indicators. The guide emphasizes that COE designations should not be the sole basis for hospital selection.