HCI3 Library

Search results for: Issue Briefs

ECR® Engine Overview

A tracking and accounting engine is required to make the PROMETHEUS Payment® Model operational. We can provide one, or help you develop your own.

The PROMETHEUS Payment® model is a reimbursement solution that rewards providers for coordinating and delivering high quality, efficient care. It packages payments around a comprehensive Episode of Care (EOC) for a single illness or condition. The costs of treatments are…

September 28, 2011

Evidence-informed Case Rates: A New Health Care Payment Model

As a way to address the flaws of traditional payment methods, like fee-for service and capitation, the authors of this report suggest a new payment model, based on evidence- informed case rates (ECRs). Under this system, providers are paid a…

September 28, 2011

Evidence-Informed Case Rates: Paying for Safer, More Reliable Care

There is widespread dissatisfaction with the current modes of paying for health care. Created by Prometheus Payment, evidence-informed case rates (ECRs) are designed to create fair payments for all providers deliv- ering care to a patient for a particular condition.…

September 28, 2011

Proportion of patients with a chronic condition that have a potentially avoidable complication during a calendar year.

As part of the development of the Prometheus Payment model, we have developed and published in several peer‐reviewed papers1‐4 the impact of potentially avoidable complications (PACs) on total cost of care. Potentially avoidable complications for patients with one or more…

September 28, 2011

Bending the Curve Through Health Reform Implementation

QUALITY. INDEPENDENCE. IMPACT.

Reducing health care spending growth remains an urgent and unresolved issue, especially as the ACA expands insurance coverage to 32 million more Americans. Some of our reform recommendations were addressed completely or partially in ACA, and others were not. While…

September 28, 2011

Proportion of Patients Hospitalized with AMI/Pneumonia/Stroke that have a Potentially Avoidable Complication (during the Index Stay or in the 30 ­day Post Discharge Period)

As part of the development of the Prometheus Payment model, we have developed and published in several peer‐reviewed papers1‐4 the impact of potentially avoidable complications (PACs) on total cost of care. We define PACs as events that may occur during…

September 28, 2011

A New Payment Model for Quality: Why Care Now?

Since the publication of Crossing the Quality Chasm, the quest for significantly improved health care quality for all Americans has been joined by a wide variety of stakeholders. Beginning with the Institute of Medicine, virtually all recent commentators on quality…

September 27, 2011

PROMETHEUS Payment: Getting Beyond P4P

The failure of existing payment systems to produce optimal quality has been decried far and wide, perhaps most importantly by the Institute of Medicine, calling for a new payment system for the 21st century. Pay for performance (P4P) programs have…

September 27, 2011