Reducing potentially avoidable complications in patients with chronic diseases: the Prometheus Payment approach.

ABSTRACT:

Unlabelled

OBJECTIVE (OR STUDY QUESTION): To determine whether a new payment model can reduce current incidence of potentially avoidable complications (PACs) in patients with a chronic illness.

Data sources/study setting

A claims database of 3.5 million commercially insured members under age 65.

Study design

We analyzed the database using the Prometheus Payment model's analytical software for six chronic conditions to quantify total costs, proportion spent on PACs, and their variability across the United States. We conducted a literature review to determine the feasibility of reducing PACs. We estimated the financial impact on a prototypical practice if that practice received payments based on the Prometheus Payment model.

Principal findings

We find that (1) PA

SUBMITTER: De Brantes F 

PROVIDER: S-EPMC3029843 | biostudies-literature | 2010 Dec

REPOSITORIES: biostudies-literature