PROMETHEUS Payment® Implementation Toolkit

QualityTool

PROMETHEUS Payment® Implementation Toolkit

Description

This implementation toolkit, for employers, health plans, and provider groups, offers detailed information and step-by-step instructions to implement the PROMETHEUS payment model. This payment system is a package, or bundled fee payment system centered on a comprehensive episode of medical care that covers all patient services related to an illness, condition, or procedure. PROMETHEUS Payment addresses a full range of issues that can drive profound long-term, system-wide improvements, including the following:

  • Fair compensation of providers—and rewarding excellence by allowing top performers to earn more
  • Offering direct and powerful incentives for providers to deliver greater value and better outcomes
  • Encouraging caregivers to work in teams, share information, and take collective responsibility for a patient’s health
  • Providing a realistic framework to transform today’s fragmented and inefficient system into one that is far more integrated and accountable

The implementation toolkit is organized into the following sections:

  • What is PROMETHEUS Payment?
  • The fundamentals: how the model works
  • Getting started with your own pilot: conducting initial data analysis
  • Building support: CEO leadership and champions
  • Engaging providers and payers
  • Defining the scope
  • Health plan contracting
  • Launching the pilot
  • Conclusion

Developer:

Health Care Incentives Improvement Institute

Funding Sources:

Robert Wood Johnson Foundation

History

Release Date: 2011
Original Summary: August 2012
Last Updated: 08/15/12

QualityTool Classification

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