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Hospital ratings in the Dartmouth Atlas could lead health-care reform astray

Published in Cancer Weekly, March 2nd, 2010

A "Perspective" piece in today's New England Journal of Medicine by Peter B. Bach, MD, MAPP, points out that policy makers are relying on hospital ratings from the Dartmouth Atlas that could be misleading.

According to Dr. Bach, a physician and epidemiologist, who also studies health-care policy and quality and was the Senior Policy Advisor at the Centers for Medicare and Medicaid Services (or CMS) in 2005 and 2006, said that the Dartmouth Atlas hospital ratings don't account for differences in the types of patients that different hospitals treat, or factor in whether those hospitals have good or bad outcomes. Instead, Dr. Bach noted, the Atlas ratings, which are widely...

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