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Welcome to the PROMETHEUS Payment® Inc., Website
**Seeking
Physician Input**
Formed in 2006 as a not-for-profit corporation to steward the
further design and implementation of work over the previous two
years by our Design Team, we invite you to our Publications page
to read about our new provider payment model which offers a different
approach to payment to include all providers treating a patient
for specified conditions. In addition to many aspects of the
program and concepts you can find there, three documents describe
the basics of the PROMETHEUS Payment® model: (1) “Making
PROMETHEUS Payment® Rates Real” which describes how “Evidence-informed
Case Rates®” (ECRs) are
constructed; (2) “What’s The Score?” which describes how scores are selected and how the scorecard
works to foster clinical collaboration among providers; and (3) “Sustaining
The Medical Home” which explains how the model can work to financially support
primary care in a fee for service
environment by focusing on paying up front to work to prevent
much of the potentially avoidable complications of care. The
PROMETHEUS Payment® model does not require any organizational
configurations and is applicable in a context of independent
providers collaborating to deliver care.
You can learn about Our Mission, Our
Board and Our Core Tenets.
In response to comments over the last two years regarding our
work, we have developed a series of Frequently
Asked Questions (FAQs) and answers which distinguish the PROMETHEUS Payment® model
from other forms of payment including capitation, fee-for-service
and global surgery rates.
In the interests of transparency, you
can examine our ECR Playbooks
which explain how each ECR, chronic and acute as well
as procedural, is created from claims data. Because of the
conceptual breakthrough of being able to identify “Potentially
Avoidable Complications” (PACs) from claims data, payors
and purchasers can Discover
Their Own PACS to help providers
focus their
attention on specific behaviors to improve care by preventing
those complications as much as possible.
We are putting these
ideas into practice on the ground. We have Pilot Sites in Minnesota,
Rockford, Illinois, Utah and outside
of Philadelphia., You can read about the progress of our work
in our Newsletters;
and you can subscribe
to be kept up to date on developments and news. We are interested
in
dialogue about our work and offer a blog
for comments and discussion.
Our goals are to demonstrate the viability of our approach
to improve healthcare quality, lower administrative burden,
reduce
unexplained clinical variation, through the provision of science-based
care, paid for equitably and measured in a Scorecard --- with
transparency to all --- providers, patients, consumers, plans
and purchasers.
We welcome inquiries and interest in our ongoing efforts. Please
feel free to contact us at info@prometheuspayment.org.
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