To the Editor In a Viewpoint, Dr Sharfstein and colleagues assessed the state of evidence on Maryland’s hospital global budget program.1 We agree with much of their synthesis, including that hospital admissions declined in Maryland following the program’s implementation, but we are not convinced that these changes can be attributed to global budgets.
Roberts ET, Mehrotra A, Chernew ME. Maryland’s Hospital Global Budget Program. JAMA. 2018;320(19):2040. doi:10.1001/jama.2018.14370
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