Building a Bridge from Fragmentation to Accountability

The Prometheus Payment Model

The PROMETHEUS Payment® approach seeks to promote and reward high-quality, efficient, patient-centered health care by using a novel method to pay hospitals and physicians and other providers. The PROMETHEUS Payment® model consists of three components: evidence-informed base payments with patient-specific severity adjustments and an allowance for potentially avoidable complications.

Supported by the Robert Wood Johnson Foundation, development and evaluation of the PROMETHEUS model have been completed through several small pilot projects. The model incorporates both collaboration of physicians, hospitals, and other providers involved in a patient’s care, and active efforts to reduce avoidable complications of care and the costs connected with them. The payment model attains this by paying for care over the course of a defined clinical episode rather than individual, discrete visits. This perspective piece further explains the PROMETHEUS Payment® model, and offers other ways of collaboration beyond clinical integration.