dc.description.abstract | I used Health Care Utilization Program (HCUP) data along with a PROMETHEUS
calculation provided by the Health Care Incentives Improvement Institute (HCI), to predict the
cost difference of specific acute care episodes in a fee‐for service system versus a bundled payment system called PROMETHEUS. This analysis includes only certain specific types of acute
episodes of care which account for 30% of the national healthcare expenses. For the values in
2010 through 2012, a polynomial trend line was plotted to find the projected value in these
years. This research and analysis calculates savings from 1997 through 2015 will equal a total of
$376.32 billion, if a PROMETHEUS Payment system had been implemented. This research also
indicates that utilizing a PROMETHEUS Payment Model could potentially increase the quality of
health care. The PROMETHEUS model focuses on driving down the costs of services by limiting
the need for patient readmissions. The PROMETHEUS Model allows a set amount for Potentially
Avoidable Costs (PAC) and the PAC’s incentivize hospitals and doctors to prevent avoidable
costs in order to collect the PAC stipend as a bonus. By minimizing patient readmission and
reducing avoidable complications, health care quality could be improved. | en_US |