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.
Bundled Payments
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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.
What are Prometheus Payment Evidence-Informed Case Rates?
September 4, 2009 | Issue Brief
This brief explains Evidence-informed Case Rates (ECRs), the core element of the PROMETHEUS Payment model.