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Bundled Payments

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Bundled Payment Across the U.S. Today

January 1, 2012 | Issue Brief

Issue brief examines ongoing bundled health care payment initiatives.

Analysis of Medicare and Commercial Insurer-Paid Total Knee Replacement Reveals Opportunities for Cost Reduction

January 1, 2010 | Issue Brief

Issue brief shows potential cost reduction with PROMETHEUS Payment® in total knee replacement.

Conclusion

February 27, 2011 | Toolkit

Prometheus payment

The Fundamentals: How the Model Works

February 27, 2011 | Toolkit

Measures are based on commonly accepted clinical guidelines or expert opinions that define the best methods for treating a given condition from beginning to end.

Defining the Scope

February 27, 2011 | Toolkit

Which ECRs to focus your pilot on.

Launching the Pilot

February 27, 2011 | Toolkit

Health Plans will plug into the PROMETHEUS ECR Engine, a claims tracking/financial accounting system. It combines all data elements into one system, allowing payers and providers to price, reimburse and track ECR-related claims.

Payment Reform: Bundled Episodes vs. Global Payments

September 6, 2012 | Report/Issue Brief

This issue brief presents a frank assessment of the merits and drawbacks of two payment models, bundled payments and global capitation, through a debate between Francois de Brantes and Robert Berenson.

Testing PROMETHEUS Payment

September 17, 2012 | Program Result

The Health Care Incentives Improvement Institute furthered the development and pilot testing of its Prometheus bundled payment model. Researchers at RAND and the Harvard School of Public Health evaluated the initiative at three pilot sites.

The PROMETHEUS Bundled Payment Experiment

November 1, 2011 | Journal Article

One of the leading alternative payment models proposed in the Affordable Care Act of 2010 is bundled payment, which provides payment for all of the care a patient needs over the course of a defined clinical episode, instead of paying for each discrete service. We evaluated the initial "road test" of PROMETHEUS Payment, one of several bundled payment pilot projects.

PROMETHEUS Payment

July 1, 2010 | Issue Brief

Updates from the PROMETHEUS Payment Initiative and pilot sites.

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