To the Editor: It has often seemed that U.S. children’s hospitals were being left out of the value-based care movement. Children’s hospitals don’t have national benchmark quality data from the Centers for Medicare and Medicaid Services (CMS) because they have few Medicare patients, and pediatric patients are not targeted in value-based payment programs from either CMS or commercial payers. Most national comparative-quality systems are not pertinent to pediatric health systems. But as Rosenbaum points out in her series on quality improvement (April 28, May 5, and May 12 issues),1-3 movement toward value-based payment models has shifted the focus from actual . . .