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Comment & Response
November 20, 2018

Maryland’s Hospital Global Budget Program—Reply

Author Affiliations
  • 1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
  • 2Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
  • 3American Enterprise Institute, Washington, DC
JAMA. 2018;320(19):2040-2041. doi:10.1001/jama.2018.14374

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

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