Individual Hospital Quality and Cost - Randomness Rules

Great article from Yasaitis, et al on the Health Affairs web site  showing that the highest cost hospitals don't have the highest quality (and in fact many of the highest cost hospitals actually suffer from lower quality - although the risk adjustment might not be adequate).   This is further evidence that we need very substantial reform in the delivery system - there are many hospitals delivering high quality care for much lower prices.   It's also striking how much more expensive health care is in NY compared to Los Angeles!