Prometheus Analytics is now Optum

The combined businesses share a vision for achieving a simpler, more intelligent and adaptive health system for patients, payers and care providers. The combination will connect and simplify the core clinical, administrative and payment processes health care providers and payers depend on to serve patients. Increasing efficiency and reducing friction will benefit the entire health system, resulting in lower costs and a better experience for all stakeholders.

Improve Value-Based Reimbursement Program Results

Opportunity

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.

Bundled Pay

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.

Value

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.

Network

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.

Custom Analytics

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.

Episode Analytics to Guide Your Value-Based Care Transition

A value-based payments analytics platform designed for health plans that want to foster deep clinical and cost analysis through episodic claim grouping and network analysis.

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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

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.

Analytics

Managing costs and quality of care.

Our analytics tools are designed to separate routine costs from those associated with potentially avoidable – and costly - complications. This unique process creates unparalleled insights on the costs, quality of care, and enable price transparency. Ready to dive into the details?

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