About

A company built around a single problem.

PROMETHEUS did not start as a product idea. It started as a finding: PACE programs are paid on risk their own data can already prove, and nothing was watching the whole chain.

The origin

Why this exists

PACE organizations run one of the most demanding models in American healthcare: full clinical and financial responsibility for a frail, nursing-home-eligible population, paid through a capitation that depends on documented, submitted and accepted diagnoses.

The category is small — roughly 200 programs and about 91,000 participants nationally, per the National PACE Association in 2026. Small enough that the analytics tools available to PACE were largely designed for Medicare Advantage and pointed at PACE afterwards. That matters more than it sounds: for CY2026, CMS scores PACE organizations on a blend of two risk models while Medicare Advantage runs fully on the newer one, and PACE carries a frailty adjustment MA does not. A tool that does not know that is not conservative — it is simply wrong, quietly, every month.

Meanwhile the encounter data telling CMS what happened travels through EDI infrastructure that most programs never see inside. Rejections, non-acknowledgements and silent drops happen there, and the revenue attached to them disappears without an alarm.

PROMETHEUS was built where those two facts meet: a risk-adjustment product that is calibrated to how PACE is actually paid, running on the same encounter rails the data already travels.

The company

Who builds it

One product, one market

PROMETHEUS is not a module inside a larger platform, and not a consulting engagement with a dashboard attached. It is the whole of what we build — with its own roadmap, its own security posture and its own agreements.

The risk-adjustment domain model, the encounter-integrity engineering and the application itself are all ours.

Why that matters to you

A vendor serving several lines of business optimizes for the largest one, and PACE is never the largest one. Every hour of our roadmap goes to the model PACE is actually paid under — the blended risk score, the frailty adjustment, the encounter rails.

When something needs to change, there is no queue between you and the people who build it.

PROMETHEUS is developed and supported by Prometheus PACE Inc. It is a standalone product with its own roadmap, its own security posture and its own agreements — not a feature of somebody else's platform.

How we work

Four commitments we will be held to

1

Show the arithmetic

Every dollar figure in the product opens to the calculation behind it. If we cannot show you how a number was produced, we should not be showing you the number.

2

Generate, never submit

The software prepares and evidences; a person decides. We will not build a feature that files something to CMS on your behalf without an explicit human action.

3

Say what isn't built yet

Our security page names what is designed versus implemented. You should never learn the difference from a questionnaire response.

4

Small category, long memory

There are about 200 PACE programs. We intend to be in this category for a long time, which is a strong incentive to be straight with every one of them.

Where it stands

Current status

BetaLive application, synthetic data
3Analysis engines running concurrently
7Dashboard surfaces, plus deep registries
US onlyData residency, no cross-border transfer

The application is complete enough to drive end to end and is demonstrated on a synthetic PACE dataset. The compliance layer that clears it for real participant data is specified in full and phased against a published roadmap, with a technical gate preventing live data before those controls are verified.

If you are a PACE program willing to be early, that is a conversation we want to have directly — including about what we would owe you for being first.

Talk to the people who built it.

No SDR queue, no discovery-call gauntlet. The founders take these meetings.