Our products use claims data to analyze episodes of medical care and uncover solutions to your key challenges. You can use our health care analytics to create value-based payment models, evaluate provider performance, identify care variations, improve network efficiency, and much more. What’s your biggest issue right now? We can help.
Separates typical costs from costs related to potentially avoidable complications (PACs). PACs are deficiencies in care that cause harm to patients, and account for a significant percentage of spending on chronic conditions, acute hospitalizations and procedures.
Assigns health care services and associated costs to specific episodes, splitting the costs among relevant episodes. This creates great transparency in how costs are assigned to episodes, eliminating the “black box” problem found in all other groupers.
Associates episodes to one another in a clinically relevant way to help progressively build a comprehensive view of patient care management. This logic helps identify the potentially inappropriate use of procedures, while allowing the creation of severity-adjusted budgets for poly-morbid patients.
These analytics form the backbone of PROMETHEUS Payment, a bundled payment model developed by the Health Care incentives Improvement Institute, which joined forces with Altarum in 2017. The design team included experts in health care law, quality measurement, economics, benefits, operations, and related fields. The Robert Wood Johnson Foundation provided grants to create, evaluate and pilot the model. The Commonwealth Fund, New York State Health Foundation, and Colorado Health Foundation also provided critical support. Today, PROMETHEUS Analytics are working to improve health care quality and value for health systems, Medicaid organizations, health plans and employers across the U.S.