How does PROMETHEUS fit in with healthcare reform?

PROMETHEUS is a provider payment model that is designed to pay providers, including physicians and hospitals, based on the quality of care they provide to patients, not volume. How much money a physician makes depends on his or her ability to successfully implement clinical practice guidelines (CPG) for a specific diagnosis. PROMETHEUS fits in with a lot of the current healthcare reform concepts, including medical home and accountable care organizations. PROMETHEUS payment rewards improved quality with efficiency—the new value paradigm. It is a form of bundled payment, which makes it ideal to use in accountable care organizations. The analytics that can tell what potentially avoidable complications exist can provide actionable information for hospitals and physicians to change their behavior and avoid hospital-acquired conditions.

Read the full interview with Alice A. Gosfield, Esq. of Alice A. Gosfield & Associates, PC in Philadelphia regarding PROMETHEUS payment in the December issue of Medical Staff Briefing.