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Bundled Payments

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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.

What is PROMETHEUS Payment?

June 10, 2009 | Issue Brief

This brief explains the three essential elements of PROMETHEUS Payment and how it offers a realistic, rational and sustainable blueprint for a new health care payment system.

Sustaining the Medical Home

May 1, 2009 | Report

In analyzing national claims data, the PROMETHEUS Payment developers found that a significant percentage of total cost of care spent today on six chronic diseases is attributable to "Potentially Avoidable Complications."

Prometheus Payment

February 28, 2011 | Toolkit

Toolkit is designed to provide the information needed to gain a solid understanding of the PROMETHEUS Payment model, consider the potential benefits of a pilot implementation and take action.

Prometheus Payment

January 1, 2009 | Report

This report describes the PROMETHEUS scorecard approach, the principles of scoring, the sources of the measures, how scores are calculated and the impact on payment.

Making Prometheus Payment Rates Real

June 1, 2008 | Report

This project aims to design and test an approach to paying for health care which would simultaneously improve quality, lower administrative burden and pay providers fairly based on known science. This paper reviews the approach to be implemented and describes the real-world decisions necessary to make a pilot possible.

Building a Bridge from Fragmentation to Accountability

September 10, 2009 | Journal Article

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.

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