Our Funding

The primary support for the implementation of the PROMETHEUS Payment® model comes from the Robert Wood Johnson Foundation. The Foundation (RWJF) provided a six month planning grant of $374,428 (October 1, 2007 through March 31, 2008) to prepare for a major effort at implementation and evaluation of the PROMETHEUS Payment® model. Now, RWJF has awarded substantial support to make the model real. Granting $6 million over three years (April 1, 2008 through March 31, 2011), this project will implement the program in four pilot sites, two of which are also grantees under the RWJF “Aligning Forces for Quality” program. We now have the ability to develop the Engine to inter-relate the pieces of the program design (i.e., getting claims from providers, assigning appropriate portions of the ECRs to the providers who are participating in the pilot markets, tracking expenditures against budgets and contingency funds, scoring performance and communicating that to the plans). Through the pilot site implementations, we will test the model and refine it. There is a formal evaluation built into the budget be conducted by the RAND Corporation and the Harvard School of Public Health who will, together, assess the model and analyze what we will learn.

This support comes after the following contributions which paved the way for implementation to be possible:

2004 - 2005: GE Corporate Health Care contributed $50,000 to support the Design Team meetings with unpaid contribution of time and resources from Team members meeting every month.

2006: The Commonwealth Fund provided a $30,000 meeting grant to cover the expenses of the ECR Working Groups to meet, select CPGs and analyze their implications with continued contribution of time and resources from Design Team members.

2007: The Commonwealth Fund provided support of $300,000 for the Design Team to develop a methodology for constructing Evidence-informed Case Rates®. That grant was for one year and is now concluded. Throughout, the Design Team has continued to contribute its time and resources in monthly meetings.