PROMETHEUS Payment Reform Quarterly Newsletter, Issue 7

How important is CEO buy-in? Really important, explains this quarter’s PROMETHEUS Payment newsletter. Getting the enthusiastic support of an organization’s CEO can be the difference between success and failure when implementing new payment reforms. Also in this quarter’s newsletter:

  • eValue8, the nation’s leading, evidence-based request-for-information (RFI) tool, will use all 21 PROMETHEUS Payment evidence-informed case rates.
  • PROMETHEUS Payment is part of a consortium awarded a contract from the Centers for Medicare and Medicaid Services to construct a prototype public-domain episode of care logic.
  • PROMETHEUS-developed outcome measures for identifying and addressing Potentially Avoidable Complications—or PACs—have advanced in the National Quality Forum’s formal endorsement process.

Launched in 2006, PROMETHEUS Payment is a value-driven payment model that uses episodes of care, evidenced-based case rates and other approaches to promote well-coordinated, high-quality, high-value care. With pilot tests continuing in communities across the country, PROMETHEUS Payment offers food-for-thought for providers, payers and policy makers thinking about how to implement payment reform in a post-health reform America.