Tools and Resources
Here are a variety of tools and resources to help you learn more about PROMETHEUS Payment:
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 the impact PROMETHEUS can have on your organization with your actual potentially avoidable complication (PAC) costs. Compare them to state and national averages and learn your potential savings opportunity from reducing the incidence of PACs.
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 in accordance with PROMETHEUS data specifications.
Additional Resources
PROMETHEUS Implementation Toolkit
The Implementation Toolkit contains comprehensive, step-by-step instructions that a potential pilot site can use to implement PROMETHEUS, as well as a summary of lessons learned and best practices for implementations. The Toolkit also includes various Tools that will assist in the Implementation planning process, such as a Sample Project Plan, a Sample Provider-Payer ECR Contract Amendment, and much more.
PROMETHEUS® Payment Brochure - Igniting Payment Reform
The most rational and sustainable pathway to a new health care payment system.
