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Comment & Response
November 20, 2018

Maryland’s Hospital Global Budget Program

Author Affiliations
  • 1Department of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania
  • 2Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
JAMA. 2018;320(19):2040. doi:10.1001/jama.2018.14370

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.