Prometheus Analytics

Health care insights and answers you can’t get anywhere else

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.

Compare the PROMETHEUS Analytics suite of products

Provides a complete solution for analyzing health care episodes and treatment variations. Use it to identify your best opportunities to improve health care quality and value.
Offers everything you need to create risk-adjusted budgets and easily track actual health care costs. Use it to implement a fair, scalable bundled payment program.
Delivers detailed reports on the types, amounts, and key drivers of low-value health care. Use it to identify sources of low-value care, why it happens, and how to reduce it.
Offers insights to identify your network’s low and high performers. Use it to monitor overall network performance and take targeted action to improve health care efficiency and quality.
Enables you to request a custom study on your key health care issues. Use it to gain the specific knowledge you need to take action and make meaningful improvements.

A sampling of what PROMETHEUS Analytics can offer you

Health Systems

PROMETHEUS Opportunity
Identify patients and providers with the greatest variations in costs and quality. Uncover episodes with best opportunity for improvements.
PROMETHEUS Bundled Pay
Get detailed per-patient reports, drilling down to the claim line level to know where all costs were incurred. Track avoidable complications and their potential causes.
PROMETHEUS Value
Identify provider contributions to low-value care. Track low-value care against benchmarks. Help ensure delivery of needed care.
PROMETHEUS Networks
Gain insights on how to shift referral patterns to reduce network leakage. Improve overall network efficiency and quality of care.
PROMETHEUS Custom Analytics
Develop an analytic action plan and commission reports on the topics most important to your organization. Benefit from insights you can’t get from any other analytics solution.

Medicaid

PROMETHEUS Opportunity
Reveal areas where health care spending can be reduced, and quality of care improved. Identify high utilizers and best providers.
PROMETHEUS Bundled Pay
Create prospective, severity-adjusted budgets based on historical data analysis. Get ongoing analysis comparing budgets to actual costs.
PROMETHEUS Value
Identify provider contributions to low-value care. Track low-value care against benchmarks. Help ensure delivery of needed care.
PROMETHEUS Networks
Compare provider cost and quality performance. Understand provider referral patterns and their impact on care costs and quality.
PROMETHEUS Custom Analytics
Develop an analytic action plan and commission reports on the topics most important to your organization. Benefit from insights you can’t get from any other analytics solution.

Health Plans

PROMETHEUS Opportunity
Reveal areas where health care spending can be reduced, and quality of care improved. Identify high utilizers and best providers.
PROMETHEUS Bundled Pay
Create prospective, severity-adjusted budgets based on historical data analysis. Get ongoing analysis comparing budgets to actual costs.
PROMETHEUS Value
Identify provider contributions to low-value care. Track low-value care against benchmarks. Help ensure delivery of needed care.
PROMETHEUS Networks
Compare provider cost and quality performance. Understand provider referral patterns and their impact on care costs and quality.
PROMETHEUS Custom Analytics
Develop an analytic action plan and commission reports on the topics most important to your organization. Benefit from insights you can’t get from any other analytics solution.

Employers

PROMETHEUS Opportunity
Reveal areas where health care spending can be reduced, and quality of care improved. Identify best episode candidates for bundled payment programs.
PROMETHEUS Bundled Pay
Create prospective, severity-adjusted budgets based on historical data analysis. Get ongoing analysis comparing budgets to actual costs.
PROMETHEUS Value
Identify provider contributions to low-value care. Track low-value care against benchmarks. Help ensure delivery of needed care.
PROMETHEUS Networks
Compare provider cost and quality performance. Improve overall network performance. Identify local and regional Centers of Excellence.
PROMETHEUS Custom Analytics
Develop an analytic action plan and commission reports on the topics most important to your organization. Benefit from insights you can’t get from any other analytics solution.

Upcoming Events

Understand How To Win in the CMS-Sponsored Programs As Well As the Private Sector Bundled Payment Initiatives

Webinar

Monday, December 11, 2017 2:00 pm - 3:00 pm ET

Please join us to hear from three industry experts as they share their experiences and knowledge about the Bundled Payment Care Improvement initiative, crafting well designed Alternative Payment Models, lessons learned and the path forward. More specifically:

  • How to pick the correct bundle for your organization.
  • How variances of care and post-acute networks are vital to success of bundles.
  • How to use analytics to guide your program.
 
February 21-23, 2018

National Payment Innovation Summit

in Denver, CO

This is the leading forum on the expansion of healthcare payment approaches, with a special focus on innovative payment designs, including evolving risk-based models, episode-based initiatives, and programs such as MACRA, MIPS, and APMs. Clinicians, health plans, and providers will discover strategies for understanding and implementing these arrangements with both private and public sector payers. You will get in-depth, cutting edge, and insightful information on:

  • Navigating the change from fee for service to value based payment
  • Challenges and opportunities for proposing advanced alternative payment models
  • Environmental and design factors that best support payment and delivery reforms
  • Analyzing and implementing effective alternative payment models on federal, state and local levels

Key Differentiators

Three features offered by no other health care analytical solution  

1

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.

2

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.    

3

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.

Client Testimonials

Analytics

History of PROMETHEUS Analytics

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.

Case Studies

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We’d love to discuss your healthcare challenges and how we can help you meet them.

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