Prometheus Payment ECR Analytics Calculators

Explore the Impact of the Prometheus Payment Model on Your Bottom Line

The PROMETHEUS Payment model offers payers an opportunity to save money and providers the ability to earn more by reducing the incidence of potentially avoidable complications. These tools will help you explore your opportunities within the PROMETHEUS Payment model. They are ordered below from most casual to deepest in terms of expected knowledge about episode-informed case rates (ECRs); ability to collect and analyze your own internal data; and actual participation in Prometheus. If you are someone who pays for organizational health care, start with the PMPM Estimator for an introduction to your potential savings based on real national and state benchmarks.

Per Member Per Month (PMPM) Estimator

Online Version  |  Downloadable Excel Version

Learn how much you could save by reducing potentially avoidable complications over national or state averages. Results are given in simple per member per month terms, as well as annual totals. They are then broken out by episoide-informed case rates (ECRs) allowing you to review the potential opportunities at as detailed a level as you wish.

Requirements: Number of covered lives in your organization

ECR Opportunity Calculator

Calculate your actual potentially avoidable complication (PAC) costs. Compare them to state and national benchmarks and learn how much you could save if you reduce those rates to state minimums.

Requirements: Registration (free) and the ability to process your claims data offline with SAS (requiring your own license or third party assistance) with our proprietary freeware SAS code.