In Reply Dr Roberts and colleagues are “not convinced” that Maryland’s unique approach to paying hospitals was responsible for changes in care and cost in the state.1 We cited the studies by Roberts and colleagues because they contributed to understanding this question. We also cited other research, including analyses with a similar methodology but with a greater quantity of more recent data that did find significant associations.2
Sharfstein JM, Stuart EA, Antos J. Maryland’s Hospital Global Budget Program—Reply. JAMA. 2018;320(19):2040–2041. doi:10.1001/jama.2018.14374
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