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

Beyond Choosing Wisely: A Comprehensive Approach for Understanding and Addressing Low Value Care

Wednesday, February 14, 2018
3:00 pm - 4pm ET

Please join our distinguished co-presenters in a webinar that will explore the full landscape of low value care, including:

  • Introducing a comprehensive framework to measure it;
  • Discussing the multiple factors contributing to it; and
  • Presenting one state’s effort to analyze and address it.

Co-Presenters:

  • Neel Shah, MD, MPP - Cost of Care
  • Beth Bortz, President and CEO - Virginia Center for Health Innovations

Moderator:

  • Beth M. Beaudin-Seiler, PhD, Senior Analyst - Altarum | Center for Value in Health Care

In Partnership with Altarum, the Healthcare Financial Management Association Presents

National Payment Innovation Summit

February 21-23, 2018

Denver, Colorado

Join executives from leading physician practices, health plans, and health care delivery systems for the third annual National Payment Innovation Summit, a Healthcare Financial Management Association (HFMA) event to be held in partnership with Altarum on February 21–23 in Denver, CO.

Come together to share unique insights on the payment and care models required to support quality of care for those who need it most. This case-study based event offers critical financial and clinician perspectives for high-need, high-cost patients.

This two-and-a-half day meeting will offer you the opportunity to connect and collaborate with experienced professionals on:

  • Finance best practices
  • Innovative strategies for model development and risk evaluation
  • Approaches to improving outcomes and reducing the cost of care

Bring your unique perspectives and learn from payment and care model exemplars.


Thirteenth National Value-Based Payment and Pay for Performance Summit

February 28 - March 2, 2018

San Francisco, CA

National Value-Based Payment & P4P Summit XIII Features Francois de Brantes, Robert Margolis, Mark McClellan, Arnold Millstein & Mario Molina.

While the national debate has recently focused on issues of coverage and ACA repeal and replace, substantial health care payment and delivery reform initiatives continue. At the time of this writing, the policy of the Trump administration on these efforts remains ambiguous. On one hand CMS has cancelled two mandatory bundled-payment models and cut down the number of providers required to participate in a third, and the administration has asked for comment on a possible new direction for CMMI. On the other hand MACRA implementation is moving forward under the new MACRA Final Rule. At the Summit Kate Goodrich, MD, CMS Chief Medical Officer and Director, Center for Clinical Standards and Quality, will provide an update on CMS/CMMI pay for performance and value-based purchasing initiatives.


Private sector health care payment and delivery reform indicatives are also being pursued by employers, health plans and providers. We will hear case studies and best practices from primary care and specialty physicians, behavioral health providers, long terms care, hospitals and health systems and employers with regard to their value-based care initiatives. Sophisticated tools relevant to these efforts will also be featured, including analytics and big data, actuarial, risk adjustment, financial modeling, performance measure, physician compensation strategies, managing risk and clinical quality, capitation contract negotiation, reference pricing, managing benefits and care coordination.


This year’s conference will provide an opportunity to engage with colleagues from across the country on the issues, opportunities, and challenges facing the health care system in 2018 and beyond. Leaders from industry, government and the non-profit sector will share best practices and lessons learned from grappling with real-world implementation issues as they strive to improve quality while reducing costs. We will hear about Performance Measures and Data to Implement Alternative Payment Models, Encounter Data and the Future of the Delegated Model, Innovative Approaches to Involving Specialists in Value-based Payment, National Best Practices in Value-based Payment Innovation and Implementation and the challenges of MACRA Implementation. Leading health plans and provider organizations will share observations from the front lines of product development and care delivery, while researchers will reveal what they have learned through studying success. Throughout the conference, practitioners actively engaged in the challenging work of improving our healthcare system will learn from each other, and accelerate our progress toward creating a higher-value system. In addition, the conference has become a great opportunity to reconnect on an annual basis — we will be delighted if you can join us.

 

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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