Search results for: Case Studies
A Best Practices Summary
Sixty-nine patients took part in PEBTF’s yearlong bundled payment pilot and the experience yielded meaningful lessons, described in detail throughout this case study. Under the bundled payment program for total hip and total knee replacements:
The hospital facility and orthopedic…
August 30, 2016
Case Study: Horizon Healthcare Services
Even before the Affordable Care Act, Horizon Healthcare Services of New Jersey set out to change how healthcare is delivered. A few years into its initiative, the company runs the largest commercial Episodes of Care (specialty-value-based) program in the country,…
February 4, 2016
PROMETHEUS Payment Pilot Lessons
As the healthcare system begins to transition from volume-based to value-based payment, industry stakeholders are experimenting with payment models that can effectively align incentives to generate high-quality outcomes while reducing the cost of care. Participants in a pilot of the…
April 9, 2012
Initial Results Promising for Bundled Payment Model in Stockholm
In 2009, a bundled payment model was implemented for total hip and knee replacement on a health system level in Stockholm. In 2010, a joint study was set up in collaboration between the Stockholm County Council, Karolinska Institutet and the Institutet for…
December 14, 2011
The Rockford PROMETHEUS pilot was one of the original Robert Wood Johnson Foundation-funded implementation sites, which aimed to operationalize the PROMETHEUS model to address the range of issues. The objective of the pilot was to test the validity of the…
November 18, 2011
Pilot Assessment and Implementation Toolkit
Welcome! This toolkit is designed to provide the information you need
to gain a solid understanding of the PROMETHEUS Payment model, consider the potential benefits of a pilot implementation and take action. It is meant for use by local health…
September 28, 2011
SwedishAmerican Medical Group, Rockford, IL
Headquartered in Rockford, Illinois, SwedishAmerican Health System serves 12 counties in northern Illinois and southern Wisconsin.…
September 28, 2011
Pilot Site Geography
The geographical center of the Rockford PROMETHEUS pilot is, of course, Rockford, IL. However, the extent of the Employer’s Coalition on Healthcare (ECOH) provider network and member employers covers a fairly large area roughly dissected by the…
September 28, 2011
Improve care, decrease expenses across six major conditions
The Excellence in Chronic Care Management program encompasses six chronic conditions: congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes, asthma, hypertension, and coronary artery disease (CAD). This program measures the quality and cost of care delivered in physician…
September 28, 2011
six chronic illnesses and reward top-performing doctors.
By reducing potentially avoidable complications just 6%, this statewide benefits plan could save $10 million a year.…
September 28, 2011
fight back against avoidable complications.
To improve resident health and the community’s finances, we designed a scorecard that bundles a variety of measures into one robust performance assessment.…
September 28, 2011
working together to reward greater quality and value.
Real payment reform won’t happen overnight. But for one employer coalition, a three-year pilot shows
a promising way forward.…
September 28, 2011
Family Doctors, LLC, Swampscott, MA
Family Doctors, LLC, opened in 1948 and is now comprised of eight family medicine physicians, a gynecologist, three nurse practitioners, a registered dietician and a clinical psychologist. The staff manages upwards of 40,000 patient visits per year.…
September 28, 2011
Baughman Family Medicine, Harrisburg, PA
Baughman Family Medicine is a single physician practice providing care to patients in Harrisburg PA since 2000. Dr. Paul Baughman graduated in 1993 from Lycoming College and obtained his medical degree in Philadelphia at The Philadelphia College of Osteopathic Medicine.…
September 28, 2011
This document serves as an addendum to the PROMETHEUS Implementation Toolkit and reviews variations on how to implement a Total Knee Replacement (TKR) episode using examples from three TKR PROMETHEUS pilots (Plans A, B and C). Topics addressed include variations…
September 23, 2011
This document serves as a case study for a Bundled Payment Pilot that began in February 2011. In addition to generally providing a blueprint for implementing a Total Knee Replacement (TKR) Bundled Payment Pilot, this document will also provide some…
September 23, 2011