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Publications
The PROMETHEUS Payment® model is a work in progress.
The publications on this page describe many facets of the
program's design. We refine our thinking as we work through
the practicalities of using the model in the real world.
The two most significant changes to date are the list of
conditions which are being modeled into the ECR Starter set,
and the application of Potentially Avoidable Complication
(PAC) Pools to construct the payment rates. In the early
years of PROMETHEUS Payment® implementation, these
PAC Pools will fund the withholds instead of the Performance
Contingency Funds, which we will use when the PAC Pools
dwindle. The ECR Starter set conditions include chronic conditions:
(1) diabetes; (2) congestive heart failure; (3) COPD; (4)
asthma; (5) coronary artery disease; and (6) hypertension.
Acute conditions, include (1)AMI; (2) hip and knee replacements;
(3) CABG; (4) coronary revascularization heart cath; (5)
bariatric surgery and (6) hernias.
We suggest you read "Making
PROMETHEUS Payment® Rates
Real " for an explanation of these changes. The rest of the program
remains as described in the other publications.
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de Brantes, D'Andrea, Rosenthal, "Should
Health Care Come With A Warranty?", Health Affairs, June
2009. Also see the article posted in The New York Times,
June 25, 2009
: Can
Health Care Come With a Warranty? |
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Rastogi, Mohr, Williams,
Soobader, de Brantes, "Prometheus
Payment Model: Application to Hip and Knee Replacement Surgery"
June 23, 2009 |
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de Brantes, Gosfield, Emery, Rastogi, D’Andrea, "Sustaining
the Medical Home: How PROMETHEUS Payment® Can
Revitalize Primary Care" (May
2009)
Paper
Without Technical Appendices
Appendix
A - Discussion of Risk Bifurcation in Health Care
Appendix
B - Chronic Care ECRs
Appendix
C - Chronic Care ECR Estimator |
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Gosfield and deBrantes, “PROMETHEUS
Payment®:
What’s
The Score?” (March,
2009) |
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Gosfield, “The
Quality-Payment Connection: Is There Really Anything New?” Managing
Health Today (Dec. 2008) |
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Gosfield, “Getting
The Team Paid: How Medicare Physician Payment Policies
Impede Quality”,
HEALTH LAW HANDBOOK, (2009 Ed). A complete
copy of the Health Law Handbook is available from West at
1-800-382-9252 or online at www.thomson.com. |
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de Brantes and Rastogi, “Evidence-Informed
Case Rates: Paying for Safer, More Reliable Care”,
Commonwealth Fund, June 16, 2008. |
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Gosfield, “Making
PROMETHEUS Payment® Rates Real:
Ya’Gotta’ Start Somewhere” (June 2008)
15pp |
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Gosfield, “A
New Payment Model For Quality: Why Care Now?”, American
Journal of Medical Quality (2007 Ed.), pp 145-147). |
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de Brantes and Camillus, "Evidence
Informed Case Rates: A New Health Care Payment Model", The
Commonwealth Fund, April 2007 |
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Gosfield, "The
PROMETHEUS Payment Program: A Legal Blueprint", HEALTH
LAW HANDBOOK, 2007 Ed., WestGroup. (in press) A complete
copy of the Health Law Handbook is available from West at
1-800-382-9252 or online at www.thomson.com. |
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Gosfield, "PROMETHEUS
Payment: Better Quality and A Better Business Case", JNCCN (Nov.
2006) pp. 968-970 |
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Gosfield, "PROMETHEUS
Payment®: Better for Patients, Better for
Physicians." Journal
of Medical Practice Management (September/October 2006)
Pages 100-104 |
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Gosfield, "In
Common Cause for Quality Part 2: PROMETHEUS Payment® and
Principles of Engagement", Hospitals and Health
Networks Online, October 17, 2006 |
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Gosfield and Reinertsen, "In
Common Cause for Quality Part 1: New Hospital-Physician
Collaborations," Hospitals and Health
Networks Online, October 10, 2006 |
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Gosfield, "PROMETHEUS: New Payment
System, New Keys to Success", New Perspectives,
Journal of the Association of Healthcare Internal Auditors,
Oct/Nov 2006
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Gosfield, "Getting
Beyond P4P: PROMETHEUS Payment® and Group Practice", Group
Practice Journal (October 2006) |
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