Unsatisfactory. HHS' new payment system for hospitals rewards quality, but not everyone likes the final rules.

The final rule for value-based purchasing for hospital services is in, and it contains a few things hospitals didn't want. But some are praising the effort. "We don't have many worries, since we've been working on the core elements of these for some time," says Dr. Charles O'Brien, left, of the Sanford University of South Dakota Medical Center.