SPOTLIGHT: Care variations among chronically ill in Calif.

A web exclusive at Health Affairs led by John Wennberg and Elliot Fisher of Dartmouth Medical School looks at regional variations in the cost of treating chronically-ill patients over the last years of their lives. Wennberg and Fisher looked at government data on Medicare spending and found that hospitals in the Los Angeles area spend about four times as much as hospitals in other areas of the state but show little noticeable improvement in outcomes. Article