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PROMETHEUS payment model aims to top capitation

Providers and payers are increasingly frustrated with the limitations of today’s healthcare payment systems. Critics of current models argue that FFS payments provide an incentive to do too much, capitated systems encourage providers to do too little, and consumer-driven health plans often lead consumers to seek little care—or no care at all.

In addition, purchasers—everyone from private employers to the Centers for Medicare & Medicaid Services (CMS)—chafe at the limitations of many pay-for-performance programs to demonstrate improved quality.

Enter the PROMETHEUS (Provider payment Reform for Outcomes, Margins, Evidence Transparency, Hassle-reduction, Excellence, Understandability, and Sustainability) payment model.