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Previous Volume 350:2409-2412 June 3, 2004 Number 23 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The battle lines are drawn, and the disagreement between health care providers and the community of payers and purchasers is as emotional as any to date. On one side, insurance companies and employers are posting data on quality and costs for hospitals, physician groups, and even individual physicians on their Web sites. On the other, health care providers express their outrage, citing the poor quality of the administrative claims data that are used for most of these "report cards" and the failure of the analyses to adjust for socioeconomic status and important coexisting conditions. The conflict and the stakes have . . . [Full Text of this Article]

Limitations of Claims Data

Resistance from Providers

Risks and Benefits of Public Reporting

Defining a Middle Ground

Source Information

From Partners Healthcare System (T.H.L.), Massachusetts General Hospital (G.S.M.), Brigham and Women's Hospital (T.A.B.), Harvard Medical School (T.H.L., G.S.M., T.A.B.), and the Harvard School of Public Health (T.A.B.) — all in Boston.

Address reprint requests to Dr. Lee at Partners Healthcare System, Prudential Tower, 11th Fl., 800 Boylston St., Boston, MA 02199, or at thlee@partners.org.

Related Letters:

A Middle Ground on Public Accountability
Galvin R. S., Delbanco S., de Brantes F., Volavka M. P., Gorton C. P., Lee T. H., Meyer G. S., Brennan T. A.
Extract | Full Text | PDF  
N Engl J Med 2004; 351:939-940, Aug 26, 2004. Correspondence

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