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Previous Volume 361:1821-1823 November 5, 2009 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In the U.S. health care system today, many hospitals have the market power to raise the prices of their services without showing evidence of improvements in the quality of care.¹ In an effort to realign incentives, health care reformers are now proposing to link provider payments to quality of care and health outcomes. As we move toward such a payment system, however, we must ensure that reimbursement is adjusted for patients' coexisting conditions so that hospitals cannot get high marks for quality by choosing to treat only patients who are considered to be at low risk.

Although risk adjustment has . . . [Full Text of this Article]

Source Information

From the Department of Pediatrics, Boston Medical Center and Boston University School of Medicine (C.J.W., K.N.C., B.Z.), and the Department of Maternal and Child Health, Boston University School of Public Health (C.J.W., B.Z.) — all in Boston.

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