A healthcare payment model under development for the past three years will be tested starting in January at four pilot sites, with help from a $6.4 million grant from the Robert Wood Johnson Foundation.
Prometheusan acronym for payment reform for outcomes, margins, evidence, transparency, hassle-reduction, excellence, understandability and sustainabilityis a provider payment system built on evidenced-based care rates, or the total amount to be paid to all providers for a patients condition. The 12 Prometheus evidence-based case rates were developed by researchers at RAND Corp. and the Harvard School of Public Health, as well as health insurers, employers, physicians and other experts through a not-for-profit collaboration.
Rockford, Ill., and Minneapolis have been selected as two sites where Prometheus will be tested. The other two sites will be announced shortly. In Minneapolis, HealthPartners, a not-for-profit health plan, will work with providers and employers to test Prometheus. In Rockford, a coalition of local employers will test the model working directly with local providers, yet to be identified. -- by Rebecca Vesely
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