The PROMETHEUS model from the Altarum Institute packages payments around a comprehensive episode of medical care that covers all patient services related to a single illness or condition – before, during and after care is provided. Covered services are based on commonly accepted clinical guidelines or expert opinions that define the best methods for treating a given condition from beginning to end. The payments of all treatments are tallied to generate an Evidence-informed Case Rate™ (ECR). ECRs include all covered services bundled across all providers that would typically treat a patient for the given condition (hospital, physicians, laboratory, pharmacy, rehabilitation facility, etc.). The ECR is adjusted for the severity and complexity of each patient’s condition.

For more information about Prometheus Episode definitions, visit http://www.prometheusanalytics.net. For details regarding specific episodes, please contact info@civhc.org.

in Facility Cost and Quality Information