id	sid	tid	token	lemma	pos
ihlr-16481	1	1	william	william	PROPN
ihlr-16481	1	2	m.	m.	PROPN
ihlr-16481	1	3	sage	sage	NOUN
ihlr-16481	1	4	professor	professor	NOUN
ihlr-16481	1	5	sage	sage	NOUN
ihlr-16481	1	6	joined	join	VERB
ihlr-16481	1	7	the	the	DET
ihlr-16481	1	8	columbia	columbia	PROPN
ihlr-16481	1	9	faculty	faculty	NOUN
ihlr-16481	1	10	in	in	ADP
ihlr-16481	1	11	1995	1995	NUM
ihlr-16481	1	12	.	.	PUNCT
ihlr-16481	2	1	he	he	PRON
ihlr-16481	2	2	teaches	teach	VERB
ihlr-16481	2	3	health	health	NOUN
ihlr-16481	2	4	law	law	NOUN
ihlr-16481	2	5	,	,	PUNCT
ihlr-16481	2	6	regulatory	regulatory	ADJ
ihlr-16481	2	7	theory	theory	NOUN
ihlr-16481	2	8	,	,	PUNCT
ihlr-16481	2	9	antitrust	antitrust	ADJ
ihlr-16481	2	10	,	,	PUNCT
ihlr-16481	2	11	and	and	CCONJ
ihlr-16481	2	12	professional	professional	ADJ
ihlr-16481	2	13	responsibility	responsibility	NOUN
ihlr-16481	2	14	.	.	PUNCT
ihlr-16481	3	1	in	in	ADP
ihlr-16481	3	2	the	the	DET
ihlr-16481	3	3	fall	fall	NOUN
ihlr-16481	3	4	of	of	ADP
ihlr-16481	3	5	2006	2006	NUM
ihlr-16481	3	6	,	,	PUNCT
ihlr-16481	3	7	be	be	AUX
ihlr-16481	3	8	will	will	AUX
ihlr-16481	3	9	become	become	VERB
ihlr-16481	3	10	vice	vice	NOUN
ihlr-16481	3	11	provost	provost	NOUN
ihlr-16481	3	12	for	for	ADP
ihlr-16481	3	13	health	health	NOUN
ihlr-16481	3	14	affairs	affair	NOUN
ihlr-16481	3	15	and	and	CCONJ
ihlr-16481	3	16	'	'	PUNCT
ihlr-16481	3	17	professor	professor	NOUN
ihlr-16481	3	18	of	of	ADP
ihlr-16481	3	19	law	law	NOUN
ihlr-16481	3	20	at	at	ADP
ihlr-16481	3	21	the	the	DET
ihlr-16481	3	22	university	university	PROPN
ihlr-16481	3	23	of	of	ADP
ihlr-16481	3	24	texas	texas	PROPN
ihlr-16481	3	25	at	at	ADP
ihlr-16481	3	26	austin	austin	PROPN
ihlr-16481	3	27	.	.	PUNCT
ihlr-16481	4	1	he	he	PRON
ihlr-16481	4	2	served	serve	VERB
ihlr-16481	4	3	as	as	ADP
ihlr-16481	4	4	an	an	DET
ihlr-16481	4	5	intern	intern	NOUN
ihlr-16481	4	6	at	at	ADP
ihlr-16481	4	7	mercy	mercy	NOUN
ihlr-16481	4	8	hospital	hospital	NOUN
ihlr-16481	4	9	and	and	CCONJ
ihlr-16481	4	10	medical	medical	ADJ
ihlr-16481	4	11	center	center	NOUN
ihlr-16481	4	12	in	in	ADP
ihlr-16481	4	13	san	san	PROPN
ihlr-16481	4	14	diego	diego	PROPN
ihlr-16481	4	15	and	and	CCONJ
ihlr-16481	4	16	as	as	ADP
ihlr-16481	4	17	a	a	DET
ihlr-16481	4	18	resident	resident	NOUN
ihlr-16481	4	19	in	in	ADP
ihlr-16481	4	20	anesthesiology	anesthesiology	NOUN
ihlr-16481	4	21	and	and	CCONJ
ihlr-16481	4	22	critical	critical	ADJ
ihlr-16481	4	23	care	care	NOUN
ihlr-16481	4	24	medicine	medicine	NOUN
ihlr-16481	4	25	at	at	ADP
ihlr-16481	4	26	the	the	DET
ihlr-16481	4	27	johns	johns	PROPN
ihlr-16481	4	28	hopkins	hopkins	PROPN
ihlr-16481	4	29	hospital	hospital	PROPN
ihlr-16481	4	30	..	..	PUNCT
ihlr-16481	5	1	in	in	ADP
ihlr-16481	5	2	addition	addition	NOUN
ihlr-16481	5	3	,	,	PUNCT
ihlr-16481	5	4	be	be	AUX
ihlr-16481	5	5	practiced	practice	VERB
ihlr-16481	5	6	corporate	corporate	ADJ
ihlr-16481	5	7	law	law	NOUN
ihlr-16481	5	8	at	at	ADP
ihlr-16481	5	9	o'melveny	o'melveny	PROPN
ihlr-16481	5	10	&	&	CCONJ
ihlr-16481	5	11	myers	myers	PROPN
ihlr-16481	5	12	in	in	ADP
ihlr-16481	5	13	los	los	PROPN
ihlr-16481	5	14	angeles	angeles	PROPN
ihlr-16481	5	15	,	,	PUNCT
ihlr-16481	5	16	and	and	CCONJ
ihlr-16481	5	17	served	serve	VERB
ihlr-16481	5	18	on	on	ADP
ihlr-16481	5	19	president	president	PROPN
ihlr-16481	5	20	clinton	clinton	PROPN
ihlr-16481	5	21	's	's	PART
ihlr-16481	5	22	task	task	NOUN
ihlr-16481	5	23	force	force	NOUN
ihlr-16481	5	24	on	on	ADP
ihlr-16481	5	25	health	health	NOUN
ihlr-16481	5	26	care	care	NOUN
ihlr-16481	5	27	reform	reform	NOUN
ihlr-16481	5	28	.	.	PUNCT
ihlr-16481	6	1	from	from	ADP
ihlr-16481	6	2	2002	2002	NUM
ihlr-16481	6	3	to	to	ADP
ihlr-16481	6	4	2005	2005	NUM
ihlr-16481	6	5	,	,	PUNCT
ihlr-16481	6	6	be	be	AUX
ihlr-16481	6	7	was	be	AUX
ihlr-16481	6	8	the	the	DET
ihlr-16481	6	9	principal	principal	ADJ
ihlr-16481	6	10	investigator	investigator	NOUN
ihlr-16481	6	11	for	for	ADP
ihlr-16481	6	12	the	the	DET
ihlr-16481	6	13	pew	pew	NOUN
ihlr-16481	6	14	charitable	charitable	ADJ
ihlr-16481	6	15	trusts	trust	NOUN
ihlr-16481	6	16	'	'	PART
ihlr-16481	6	17	project	project	NOUN
ihlr-16481	6	18	on	on	ADP
ihlr-16481	6	19	medical	medical	ADJ
ihlr-16481	6	20	liability	liability	NOUN
ihlr-16481	6	21	in	in	ADP
ihlr-16481	6	22	pennsylvania	pennsylvania	PROPN
ihlr-16481	6	23	.	.	PUNCT
ihlr-16481	7	1	his	his	PRON
ihlr-16481	7	2	awards	award	NOUN
ihlr-16481	7	3	and	and	CCONJ
ihlr-16481	7	4	honors	honor	NOUN
ihlr-16481	7	5	include	include	VERB
ihlr-16481	7	6	election	election	NOUN
ihlr-16481	7	7	as	as	ADP
ihlr-16481	7	8	fellow	fellow	NOUN
ihlr-16481	7	9	of	of	ADP
ihlr-16481	7	10	the	the	DET
ihlr-16481	7	11	hastings	hasting	NOUN
ihlr-16481	7	12	center	center	NOUN
ihlr-16481	7	13	,	,	PUNCT
ihlr-16481	7	14	receiving	receive	VERB
ihlr-16481	7	15	a	a	DET
ihlr-16481	7	16	robert	robert	PROPN
ihlr-16481	7	17	wood	wood	PROPN
ihlr-16481	7	18	johnson	johnson	PROPN
ihlr-16481	7	19	foundation	foundation	PROPN
ihlr-16481	7	20	investigator	investigator	PROPN
ihlr-16481	7	21	award	award	PROPN
ihlr-16481	7	22	in	in	ADP
ihlr-16481	7	23	health	health	NOUN
ihlr-16481	7	24	policy	policy	NOUN
ihlr-16481	7	25	research	research	NOUN
ihlr-16481	7	26	,	,	PUNCT
ihlr-16481	7	27	serving	serve	VERB
ihlr-16481	7	28	on	on	ADP
ihlr-16481	7	29	the	the	DET
ihlr-16481	7	30	editorial	editorial	ADJ
ihlr-16481	7	31	board	board	NOUN
ihlr-16481	7	32	of	of	ADP
ihlr-16481	7	33	health	health	NOUN
ihlr-16481	7	34	affairs	affair	NOUN
ihlr-16481	7	35	,	,	PUNCT
ihlr-16481	7	36	serving	serve	VERB
ihlr-16481	7	37	on	on	ADP
ihlr-16481	7	38	the	the	DET
ihlr-16481	7	39	institute	institute	NOUN
ihlr-16481	7	40	ofmedicine	ofmedicine	NOUN
ihlr-16481	7	41	'	'	PART
ihlr-16481	7	42	s	s	PROPN
ihlr-16481	7	43	committee	committee	NOUN
ihlr-16481	7	44	on	on	ADP
ihlr-16481	7	45	rapid	rapid	ADJ
ihlr-16481	7	46	advances	advance	NOUN
ihlr-16481	7	47	in	in	ADP
ihlr-16481	7	48	health	health	NOUN
ihlr-16481	7	49	care	care	NOUN
ihlr-16481	7	50	,	,	PUNCT
ihlr-16481	7	51	and	and	CCONJ
ihlr-16481	7	52	serving	serve	VERB
ihlr-16481	7	53	on	on	ADP
ihlr-16481	7	54	the	the	DET
ihlr-16481	7	55	jcaho	jcaho	PROPN
ihlr-16481	7	56	tort	tort	NOUN
ihlr-16481	7	57	resolution	resolution	NOUN
ihlr-16481	7	58	and	and	CCONJ
ihlr-16481	7	59	injury	injury	NOUN
ihlr-16481	7	60	prevention	prevention	NOUN
ihlr-16481	7	61	roundtable	roundtable	NOUN
ihlr-16481	7	62	.	.	PUNCT
ihlr-16481	8	1	he	he	PRON
ihlr-16481	8	2	has	have	AUX
ihlr-16481	8	3	published	publish	VERB
ihlr-16481	8	4	widely	widely	ADV
ihlr-16481	8	5	in	in	ADP
ihlr-16481	8	6	the	the	DET
ihlr-16481	8	7	area	area	NOUN
ihlr-16481	8	8	ofbealth	ofbealth	NOUN
ihlr-16481	8	9	care	care	NOUN
ihlr-16481	8	10	law	law	NOUN
ihlr-16481	8	11	and	and	CCONJ
ihlr-16481	8	12	is	be	AUX
ihlr-16481	8	13	co	co	NOUN
ihlr-16481	8	14	-	-	NOUN
ihlr-16481	8	15	editor	editor	NOUN
ihlr-16481	8	16	of	of	ADP
ihlr-16481	8	17	medical	medical	ADJ
ihlr-16481	8	18	malpractice	malpractice	NOUN
ihlr-16481	8	19	and	and	CCONJ
ihlr-16481	8	20	the	the	DET
ihlr-16481	8	21	u.s	u.s	PROPN
ihlr-16481	8	22	.	.	PROPN
ihlr-16481	8	23	health	health	PROPN
ihlr-16481	8	24	care	care	NOUN
ihlr-16481	8	25	system	system	NOUN
ihlr-16481	8	26	(	(	PUNCT
ihlr-16481	8	27	cambridge	cambridge	PROPN
ihlr-16481	8	28	university	university	PROPN
ihlr-16481	8	29	press	press	NOUN
ihlr-16481	8	30	,	,	PUNCT
ihlr-16481	8	31	2006	2006	NUM
ihlr-16481	8	32	)	)	PUNCT
ihlr-16481	8	33	and	and	CCONJ
ihlr-16481	8	34	uncertain	uncertain	ADJ
ihlr-16481	8	35	times	time	NOUN
ihlr-16481	8	36	:	:	PUNCT
ihlr-16481	8	37	kenneth	kenneth	PROPN
ihlr-16481	8	38	a"ow	a"ow	PROPN
ihlr-16481	8	39	and	and	CCONJ
ihlr-16481	8	40	the	the	DET
ihlr-16481	8	41	changing	change	VERB
ihlr-16481	8	42	economics	economic	NOUN
ihlr-16481	8	43	of	of	ADP
ihlr-16481	8	44	health	health	NOUN
ihlr-16481	8	45	care	care	NOUN
ihlr-16481	8	46	(	(	PUNCT
ihlr-16481	8	47	duke	duke	PROPN
ihlr-16481	8	48	university	university	PROPN
ihlr-16481	8	49	press	press	NOUN
ihlr-16481	8	50	,	,	PUNCT
ihlr-16481	8	51	2003	2003	NUM
ihlr-16481	8	52	)	)	PUNCT
ihlr-16481	8	53	.	.	PUNCT
ihlr-16481	9	1	professor	professor	NOUN
ihlr-16481	9	2	sage	sage	NOUN
ihlr-16481	9	3	received	receive	VERB
ihlr-16481	9	4	his	his	PRON
ihlr-16481	9	5	ab	ab	NOUN
ihlr-16481	9	6	.	.	PROPN
ihlr-16481	10	1	from	from	ADP
ihlr-16481	10	2	harvard	harvard	PROPN
ihlr-16481	10	3	and	and	CCONJ
ihlr-16481	10	4	his	his	PRON
ihlr-16481	10	5	m.d	m.d	PROPN
ihlr-16481	10	6	.	.	PROPN
ihlr-16481	10	7	and	and	CCONJ
ihlr-16481	10	8	j.d	j.d	PROPN
ihlr-16481	10	9	.	.	PROPN
ihlr-16481	10	10	degrees	degree	NOUN
ihlr-16481	10	11	from	from	ADP
ihlr-16481	10	12	stanford	stanford	PROPN
ihlr-16481	10	13	,	,	PUNCT
ihlr-16481	10	14	where	where	SCONJ
ihlr-16481	10	15	he	he	PRON
ihlr-16481	10	16	was	be	AUX
ihlr-16481	10	17	a	a	DET
ihlr-16481	10	18	note	note	NOUN
ihlr-16481	10	19	editor	editor	NOUN
ihlr-16481	10	20	for	for	ADP
ihlr-16481	10	21	the	the	DET
ihlr-16481	10	22	stanford	stanford	PROPN
ihlr-16481	10	23	law	law	PROPN
ihlr-16481	10	24	review	review	PROPN
ihlr-16481	10	25	.	.	PUNCT
ihlr-16481	11	1	payforperformance	payforperformance	NOUN
ihlr-16481	11	2	:	:	PUNCT
ihlr-16481	11	3	willitwork	willitwork	NOUN
ihlr-16481	11	4	in	in	ADP
ihlr-16481	11	5	theory	theory	NOUN
ihlr-16481	11	6	?	?	PUNCT
ihlr-16481	12	1	william	william	PROPN
ihlr-16481	12	2	m.	m.	PROPN
ihlr-16481	12	3	sage	sage	NOUN
ihlr-16481	12	4	·	·	PUNCT
ihlr-16481	12	5	and	and	CCONJ
ihlr-16481	12	6	can	can	AUX
ihlr-16481	12	7	you	you	PRON
ihlr-16481	12	8	imagine	imagine	VERB
ihlr-16481	12	9	fifty	fifty	NUM
ihlr-16481	12	10	people	people	NOUN
ihlr-16481	12	11	a	a	DET
ihlr-16481	12	12	day	day	NOUN
ihlr-16481	12	13	?	?	PUNCT
ihlr-16481	13	1	i	i	PRON
ihlr-16481	13	2	said	say	VERB
ihlr-16481	13	3	fifty	fifty	NUM
ihlr-16481	13	4	people	people	NOUN
ihlr-16481	13	5	a	a	DET
ihlr-16481	13	6	day	day	NOUN
ihlr-16481	13	7	...	...	PUNCT
ihlr-16481	14	1	walkin	walkin	PROPN
ihlr-16481	14	2	'	'	PUNCT
ihlr-16481	14	3	in	in	ADV
ihlr-16481	14	4	,	,	PUNCT
ihlr-16481	14	5	singin	singin	VERB
ihlr-16481	14	6	'	'	PUNCT
ihlr-16481	14	7	a	a	DET
ihlr-16481	14	8	bar	bar	NOUN
ihlr-16481	14	9	of	of	ADP
ihlr-16481	14	10	"	"	PUNCT
ihlr-16481	14	11	alice	alice	PROPN
ihlr-16481	14	12	's	's	PART
ihlr-16481	14	13	restaurant	restaurant	NOUN
ihlr-16481	14	14	"	"	PUNCT
ihlr-16481	14	15	and	and	CCONJ
ihlr-16481	14	16	walkin	walkin	NOUN
ihlr-16481	14	17	'	'	PUNCT
ihlr-16481	14	18	out	out	ADV
ihlr-16481	14	19	?	?	PUNCT
ihlr-16481	15	1	friends	friend	NOUN
ihlr-16481	15	2	,	,	PUNCT
ihlr-16481	15	3	they	they	PRON
ihlr-16481	15	4	may	may	AUX
ihlr-16481	15	5	think	think	VERB
ihlr-16481	15	6	it	it	PRON
ihlr-16481	15	7	's	be	AUX
ihlr-16481	15	8	a	a	DET
ihlr-16481	15	9	move­	move­	PROPN
ihlr-16481	15	10	ment	ment	NOUN
ihlr-16481	15	11	,	,	PUNCT
ihlr-16481	15	12	and	and	CCONJ
ihlr-16481	15	13	that	that	PRON
ihlr-16481	15	14	's	be	AUX
ihlr-16481	15	15	what	what	PRON
ihlr-16481	15	16	it	it	PRON
ihlr-16481	15	17	is	be	AUX
ihlr-16481	15	18	:	:	PUNCT
ihlr-16481	15	19	the	the	DET
ihlr-16481	15	20	alice	alice	PROPN
ihlr-16481	15	21	's	's	PART
ihlr-16481	15	22	restaurant	restaurant	NOUN
ihlr-16481	15	23	anti	anti	ADJ
ihlr-16481	15	24	-	-	ADJ
ihlr-16481	15	25	massacree	massacree	ADJ
ihlr-16481	15	26	movement	movement	NOUN
ihlr-16481	15	27	!	!	PUNCT
ihlr-16481	15	28	...	...	PUNCT
ihlr-16481	16	1	and	and	CCONJ
ihlr-16481	16	2	all	all	PRON
ihlr-16481	16	3	you	you	PRON
ihlr-16481	16	4	got	got	VERB
ihlr-16481	16	5	ta	to	PART
ihlr-16481	16	6	do	do	VERB
ihlr-16481	16	7	to	to	PART
ihlr-16481	16	8	join	join	VERB
ihlr-16481	16	9	is	be	AUX
ihlr-16481	16	10	to	to	PART
ihlr-16481	16	11	sing	sing	VERB
ihlr-16481	16	12	it	it	PRON
ihlr-16481	16	13	the	the	DET
ihlr-16481	16	14	next	next	ADJ
ihlr-16481	16	15	time	time	NOUN
ihlr-16481	16	16	it	it	PRON
ihlr-16481	16	17	comes	come	VERB
ihlr-16481	16	18	around	around	ADV
ihlr-16481	16	19	on	on	ADP
ihlr-16481	16	20	the	the	DET
ihlr-16481	16	21	guitar	guitar	NOUN
ihlr-16481	16	22	.	.	PUNCT
ihlr-16481	17	1	arlo	arlo	PROPN
ihlr-16481	17	2	guthrie	guthrie	PROPN
ihlr-16481	17	3	,	,	PUNCT
ihlr-16481	17	4	alice	alice	PROPN
ihlr-16481	17	5	's	's	PART
ihlr-16481	17	6	restaurant	restaurant	NOUN
ihlr-16481	17	7	the	the	DET
ihlr-16481	17	8	title	title	NOUN
ihlr-16481	17	9	of	of	ADP
ihlr-16481	17	10	my	my	PRON
ihlr-16481	17	11	lecture	lecture	NOUN
ihlr-16481	17	12	about	about	ADP
ihlr-16481	17	13	pay	pay	VERB
ihlr-16481	17	14	for	for	ADP
ihlr-16481	17	15	performance	performance	NOUN
ihlr-16481	17	16	in	in	ADP
ihlr-16481	17	17	health	health	NOUN
ihlr-16481	17	18	care	care	NOUN
ihlr-16481	17	19	(	(	PUNCT
ihlr-16481	17	20	often	often	ADV
ihlr-16481	17	21	abbreviated	abbreviate	VERB
ihlr-16481	17	22	as	as	ADP
ihlr-16481	17	23	"	"	PUNCT
ihlr-16481	17	24	p4p	p4p	PROPN
ihlr-16481	17	25	"	"	PUNCT
ihlr-16481	17	26	)	)	PUNCT
ihlr-16481	17	27	echoes	echo	VERB
ihlr-16481	17	28	a	a	DET
ihlr-16481	17	29	french	french	ADJ
ihlr-16481	17	30	management	management	NOUN
ihlr-16481	17	31	saying	say	VERB
ihlr-16481	17	32	:	:	PUNCT
ihlr-16481	17	33	"	"	PUNCT
ihlr-16481	17	34	it	it	PRON
ihlr-16481	17	35	's	be	AUX
ihlr-16481	17	36	all	all	PRON
ihlr-16481	17	37	very	very	ADV
ihlr-16481	17	38	well	well	ADV
ihlr-16481	17	39	in	in	ADP
ihlr-16481	17	40	practice	practice	NOUN
ihlr-16481	17	41	,	,	PUNCT
ihlr-16481	17	42	but	but	CCONJ
ihlr-16481	17	43	it	it	PRON
ihlr-16481	17	44	will	will	AUX
ihlr-16481	17	45	never	never	ADV
ihlr-16481	17	46	work	work	VERB
ihlr-16481	17	47	in	in	ADP
ihlr-16481	17	48	theory	theory	NOUN
ihlr-16481	17	49	.	.	PUNCT
ihlr-16481	17	50	"	"	PUNCT
ihlr-16481	18	1	there	there	PRON
ihlr-16481	18	2	is	be	VERB
ihlr-16481	18	3	no	no	DET
ihlr-16481	18	4	doubt	doubt	NOUN
ihlr-16481	18	5	that	that	SCONJ
ihlr-16481	18	6	medical	medical	ADJ
ihlr-16481	18	7	pay	pay	NOUN
ihlr-16481	18	8	for	for	ADP
ihlr-16481	18	9	performance	performance	NOUN
ihlr-16481	18	10	is	be	AUX
ihlr-16481	18	11	popular	popular	ADJ
ihlr-16481	18	12	.	.	PUNCT
ihlr-16481	19	1	p4p	p4p	PROPN
ihlr-16481	19	2	initiatives	initiative	NOUN
ihlr-16481	19	3	are	be	AUX
ihlr-16481	19	4	everywhere	everywhere	ADV
ihlr-16481	19	5	;	;	PUNCT
ihlr-16481	19	6	a	a	DET
ihlr-16481	19	7	search	search	NOUN
ihlr-16481	19	8	of	of	ADP
ihlr-16481	19	9	online	online	ADJ
ihlr-16481	19	10	news	news	NOUN
ihlr-16481	19	11	reveals	reveal	VERB
ihlr-16481	19	12	nearly	nearly	ADV
ihlr-16481	19	13	2,500	2,500	NUM
ihlr-16481	19	14	stories	story	NOUN
ihlr-16481	19	15	about	about	ADP
ihlr-16481	19	16	pay	pay	VERB
ihlr-16481	19	17	for	for	ADP
ihlr-16481	19	18	performance	performance	NOUN
ihlr-16481	19	19	in	in	ADP
ihlr-16481	19	20	the	the	DET
ihlr-16481	19	21	last	last	ADJ
ihlr-16481	19	22	two	two	NUM
ihlr-16481	19	23	years	year	NOUN
ihlr-16481	19	24	alone	alone	ADV
ihlr-16481	19	25	.	.	PUNCT
ihlr-16481	20	1	folk	folk	PROPN
ihlr-16481	20	2	legend	legend	PROPN
ihlr-16481	20	3	arlo	arlo	PROPN
ihlr-16481	20	4	guthrie	guthrie	PROPN
ihlr-16481	20	5	would	would	AUX
ihlr-16481	20	6	have	have	AUX
ihlr-16481	20	7	called	call	VERB
ihlr-16481	20	8	p4p	p4p	PROPN
ihlr-16481	20	9	a	a	DET
ihlr-16481	20	10	movement	movement	NOUN
ihlr-16481	20	11	-	-	PUNCT
ihlr-16481	20	12	a	a	DET
ihlr-16481	20	13	"	"	PUNCT
ihlr-16481	20	14	pay	pay	NOUN
ihlr-16481	20	15	for	for	ADP
ihlr-16481	20	16	performance	performance	NOUN
ihlr-16481	20	17	medical	medical	ADJ
ihlr-16481	20	18	quality	quality	NOUN
ihlr-16481	20	19	movement	movement	NOUN
ihlr-16481	20	20	.	.	PUNCT
ihlr-16481	20	21	"	"	PUNCT
ihlr-16481	21	1	but	but	CCONJ
ihlr-16481	21	2	before	before	SCONJ
ihlr-16481	21	3	you	you	PRON
ihlr-16481	21	4	join	join	VERB
ihlr-16481	21	5	in	in	ADP
ihlr-16481	21	6	,	,	PUNCT
ihlr-16481	21	7	you	you	PRON
ihlr-16481	21	8	might	might	AUX
ihlr-16481	21	9	want	want	VERB
ihlr-16481	21	10	to	to	PART
ihlr-16481	21	11	know	know	VERB
ihlr-16481	21	12	what	what	PRON
ihlr-16481	21	13	you	you	PRON
ihlr-16481	21	14	are	be	AUX
ihlr-16481	21	15	joining	join	VERB
ihlr-16481	21	16	.	.	PUNCT
ihlr-16481	22	1	so	so	ADV
ihlr-16481	22	2	let	let	VERB
ihlr-16481	22	3	's	us	PRON
ihlr-16481	22	4	talk	talk	VERB
ihlr-16481	22	5	about	about	ADP
ihlr-16481	22	6	the	the	DET
ihlr-16481	22	7	theory	theory	NOUN
ihlr-16481	22	8	of	of	ADP
ihlr-16481	22	9	paying	pay	VERB
ihlr-16481	22	10	for	for	ADP
ihlr-16481	22	11	performance	performance	NOUN
ihlr-16481	22	12	,	,	PUNCT
ihlr-16481	22	13	to	to	PART
ihlr-16481	22	14	help	help	VERB
ihlr-16481	22	15	you	you	PRON
ihlr-16481	22	16	recognize	recognize	VERB
ihlr-16481	22	17	the	the	DET
ihlr-16481	22	18	dangers	danger	NOUN
ihlr-16481	22	19	as	as	ADV
ihlr-16481	22	20	well	well	ADV
ihlr-16481	22	21	as	as	ADP
ihlr-16481	22	22	the	the	DET
ihlr-16481	22	23	opportunities	opportunity	NOUN
ihlr-16481	22	24	in	in	ADP
ihlr-16481	22	25	this	this	DET
ihlr-16481	22	26	particular	particular	ADJ
ihlr-16481	22	27	movement	movement	NOUN
ihlr-16481	22	28	as	as	SCONJ
ihlr-16481	22	29	it	it	PRON
ihlr-16481	22	30	gathers	gather	VERB
ihlr-16481	22	31	steam	steam	NOUN
ihlr-16481	22	32	.	.	PUNCT
ihlr-16481	23	1	i.	i.	NOUN
ihlr-16481	23	2	movements	movement	NOUN
ihlr-16481	23	3	without	without	ADP
ihlr-16481	23	4	theories	theory	NOUN
ihlr-16481	23	5	agreement	agreement	NOUN
ihlr-16481	23	6	as	as	ADP
ihlr-16481	23	7	to	to	ADP
ihlr-16481	23	8	the	the	DET
ihlr-16481	23	9	theory	theory	NOUN
ihlr-16481	23	10	of	of	ADP
ihlr-16481	23	11	any	any	DET
ihlr-16481	23	12	particular	particular	ADJ
ihlr-16481	23	13	policy	policy	NOUN
ihlr-16481	23	14	prescription	prescription	NOUN
ihlr-16481	23	15	is	be	AUX
ihlr-16481	23	16	not	not	PART
ihlr-16481	23	17	a	a	DET
ihlr-16481	23	18	prerequisite	prerequisite	NOUN
ihlr-16481	23	19	for	for	ADP
ihlr-16481	23	20	politicians	politician	NOUN
ihlr-16481	23	21	endorsing	endorse	VERB
ihlr-16481	23	22	it	it	PRON
ihlr-16481	23	23	.	.	PUNCT
ihlr-16481	24	1	to	to	ADP
ihlr-16481	24	2	the	the	DET
ihlr-16481	24	3	contrary	contrary	NOUN
ihlr-16481	24	4	,	,	PUNCT
ihlr-16481	24	5	american	american	ADJ
ihlr-16481	24	6	democracy	democracy	PROPN
ihlr-16481	24	7	seldom	seldom	ADV
ihlr-16481	24	8	,	,	PUNCT
ihlr-16481	24	9	if	if	SCONJ
ihlr-16481	24	10	ever	ever	ADV
ihlr-16481	24	11	,	,	PUNCT
ihlr-16481	24	12	generates	generate	VERB
ihlr-16481	24	13	broad	broad	ADJ
ihlr-16481	24	14	consensus	consensus	NOUN
ihlr-16481	24	15	on	on	ADP
ihlr-16481	24	16	the	the	DET
ihlr-16481	24	17	purpose	purpose	NOUN
ihlr-16481	24	18	of	of	ADP
ihlr-16481	24	19	an	an	DET
ihlr-16481	24	20	action	action	NOUN
ihlr-16481	24	21	to	to	PART
ihlr-16481	24	22	be	be	AUX
ihlr-16481	24	23	taken	take	VERB
ihlr-16481	24	24	that	that	PRON
ihlr-16481	24	25	results	result	VERB
ihlr-16481	24	26	in	in	ADP
ihlr-16481	24	27	that	that	DET
ihlr-16481	24	28	action	action	NOUN
ihlr-16481	24	29	.	.	PUNCT
ihlr-16481	25	1	as	as	SCONJ
ihlr-16481	25	2	they	they	PRON
ihlr-16481	25	3	say	say	VERB
ihlr-16481	25	4	,	,	PUNCT
ihlr-16481	25	5	politics	politic	NOUN
ihlr-16481	25	6	makes	make	VERB
ihlr-16481	25	7	strange	strange	ADJ
ihlr-16481	25	8	bedfellows	bedfellow	NOUN
ihlr-16481	25	9	.	.	PUNCT
ihlr-16481	26	1	unexpected	unexpected	ADJ
ihlr-16481	26	2	political	political	ADJ
ihlr-16481	26	3	coalitions	coalition	NOUN
ihlr-16481	26	4	form	form	VERB
ihlr-16481	26	5	all	all	DET
ihlr-16481	26	6	the	the	DET
ihlr-16481	26	7	time	time	NOUN
ihlr-16481	26	8	.	.	PUNCT
ihlr-16481	27	1	back	back	ADV
ihlr-16481	27	2	in	in	ADP
ihlr-16481	27	3	the	the	DET
ihlr-16481	27	4	1970s	1970	NOUN
ihlr-16481	27	5	,	,	PUNCT
ihlr-16481	27	6	there	there	PRON
ihlr-16481	27	7	was	be	VERB
ihlr-16481	27	8	an	an	DET
ihlr-16481	27	9	unusual	unusual	ADJ
ihlr-16481	27	10	alliance	alliance	NOUN
ihlr-16481	27	11	between	between	ADP
ihlr-16481	27	12	clean	clean	ADJ
ihlr-16481	27	13	air	air	NOUN
ihlr-16481	27	14	environmentalists	environmentalist	NOUN
ihlr-16481	27	15	and	and	CCONJ
ihlr-16481	27	16	dirty	dirty	ADJ
ihlr-16481	27	17	coal	coal	NOUN
ihlr-16481	27	18	producers	producer	NOUN
ihlr-16481	27	19	in	in	ADP
ihlr-16481	27	20	eastern	eastern	ADJ
ihlr-16481	27	21	states	state	NOUN
ihlr-16481	27	22	to	to	PART
ihlr-16481	27	23	make	make	VERB
ihlr-16481	27	24	sure	sure	ADJ
ihlr-16481	27	25	that	that	SCONJ
ihlr-16481	27	26	coal	coal	NOUN
ihlr-16481	27	27	-	-	PUNCT
ihlr-16481	27	28	burning	burn	VERB
ihlr-16481	27	29	power	power	NOUN
ihlr-16481	27	30	plants	plant	NOUN
ihlr-16481	27	31	had	have	VERB
ihlr-16481	27	32	to	to	PART
ihlr-16481	27	33	install	install	VERB
ihlr-16481	27	34	expensive	expensive	ADJ
ihlr-16481	27	35	scrubbers	scrubber	NOUN
ihlr-16481	27	36	to	to	PART
ihlr-16481	27	37	reduce	reduce	VERB
ihlr-16481	27	38	sulfur	sulfur	NOUN
ihlr-16481	27	39	dioxide	dioxide	NOUN
ihlr-16481	27	40	emissions	emission	NOUN
ihlr-16481	27	41	.	.	PUNCT
ihlr-16481	28	1	1	1	NUM
ihlr-16481	28	2	it	it	PRON
ihlr-16481	28	3	was	be	AUX
ihlr-16481	28	4	in	in	ADP
ihlr-16481	28	5	the	the	DET
ihlr-16481	28	6	interest	interest	NOUN
ihlr-16481	28	7	of	of	ADP
ihlr-16481	28	8	the	the	DET
ihlr-16481	28	9	coal	coal	NOUN
ihlr-16481	28	10	producers	producer	NOUN
ihlr-16481	28	11	to	to	PART
ihlr-16481	28	12	have	have	VERB
ihlr-16481	28	13	power	power	NOUN
ihlr-16481	28	14	plants	plant	NOUN
ihlr-16481	28	15	continue	continue	VERB
ihlr-16481	28	16	to	to	PART
ihlr-16481	28	17	use	use	VERB
ihlr-16481	28	18	high­	high­	NOUN
ihlr-16481	28	19	sulfur	sulfur	NOUN
ihlr-16481	28	20	eastern	eastern	ADJ
ihlr-16481	28	21	coal	coal	NOUN
ihlr-16481	28	22	rather	rather	ADV
ihlr-16481	28	23	than	than	ADP
ihlr-16481	28	24	unscrubbed	unscrubbed	ADJ
ihlr-16481	28	25	,	,	PUNCT
ihlr-16481	28	26	cleaner	clean	ADJ
ihlr-16481	28	27	coal	coal	NOUN
ihlr-16481	28	28	mined	mine	VERB
ihlr-16481	28	29	in	in	ADP
ihlr-16481	28	30	the	the	DET
ihlr-16481	28	31	west	west	NOUN
ihlr-16481	28	32	.	.	PUNCT
ihlr-16481	29	1	2	2	NUM
ihlr-16481	29	2	*	*	PUNCT
ihlr-16481	29	3	professor	professor	NOUN
ihlr-16481	29	4	of	of	ADP
ihlr-16481	29	5	law	law	NOUN
ihlr-16481	29	6	,	,	PUNCT
ihlr-16481	29	7	columbia	columbia	PROPN
ihlr-16481	29	8	university	university	PROPN
ihlr-16481	29	9	.	.	PUNCT
ihlr-16481	30	1	as	as	ADP
ihlr-16481	30	2	of	of	ADP
ihlr-16481	30	3	september	september	PROPN
ihlr-16481	30	4	2006	2006	NUM
ihlr-16481	30	5	,	,	PUNCT
ihlr-16481	30	6	vice	vice	NOUN
ihlr-16481	30	7	provost	provost	NOUN
ihlr-16481	30	8	for	for	ADP
ihlr-16481	30	9	health	health	NOUN
ihlr-16481	30	10	affairs	affair	NOUN
ihlr-16481	30	11	and	and	CCONJ
ihlr-16481	30	12	professor	professor	NOUN
ihlr-16481	30	13	of	of	ADP
ihlr-16481	30	14	law	law	NOUN
ihlr-16481	30	15	,	,	PUNCT
ihlr-16481	30	16	university	university	PROPN
ihlr-16481	30	17	of	of	ADP
ihlr-16481	30	18	texas	texas	PROPN
ihlr-16481	30	19	at	at	ADP
ihlr-16481	30	20	austin	austin	PROPN
ihlr-16481	30	21	.	.	PUNCT
ihlr-16481	31	1	a.b	a.b	PROPN
ihlr-16481	31	2	.	.	PROPN
ihlr-16481	31	3	1982	1982	NUM
ihlr-16481	31	4	,	,	PUNCT
ihlr-16481	31	5	harvard	harvard	PROPN
ihlr-16481	31	6	university	university	PROPN
ihlr-16481	31	7	;	;	PUNCT
ihlr-16481	31	8	m.d	m.d	PROPN
ihlr-16481	31	9	.	.	PROPN
ihlr-16481	31	10	and	and	CCONJ
ihlr-16481	31	11	j.d	j.d	PROPN
ihlr-16481	31	12	.	.	PROPN
ihlr-16481	31	13	1988	1988	NUM
ihlr-16481	31	14	,	,	PUNCT
ihlr-16481	31	15	stanford	stanford	PROPN
ihlr-16481	31	16	university	university	PROPN
ihlr-16481	31	17	.	.	PUNCT
ihlr-16481	32	1	1	1	X
ihlr-16481	32	2	.	.	X
ihlr-16481	32	3	bruce	bruce	PROPN
ihlr-16481	32	4	a	a	DET
ihlr-16481	32	5	ackerman	ackerman	PROPN
ihlr-16481	32	6	&	&	CCONJ
ihlr-16481	32	7	wiiliamt	wiiliamt	PROPN
ihlr-16481	32	8	.	.	PUNCT
ihlr-16481	33	1	hassler	hassler	PROPN
ihlr-16481	33	2	,	,	PUNCT
ihlr-16481	33	3	cleancoaiidirty	cleancoaiidirty	PROPN
ihlr-16481	33	4	air	air	PROPN
ihlr-16481	33	5	65	65	NUM
ihlr-16481	33	6	-	-	SYM
ihlr-16481	33	7	78	78	NUM
ihlr-16481	33	8	(	(	PUNCT
ihlr-16481	33	9	1981	1981	NUM
ihlr-16481	33	10	)	)	PUNCT
ihlr-16481	33	11	.	.	PUNCT
ihlr-16481	34	1	2	2	X
ihlr-16481	34	2	.	.	X
ihlr-16481	34	3	/d	/d	PUNCT
ihlr-16481	34	4	.	.	PUNCT
ihlr-16481	34	5	306	306	NUM
ihlr-16481	34	6	indiana	indiana	PROPN
ihlr-16481	34	7	healm	healm	PROPN
ihlr-16481	34	8	law	law	PROPN
ihlr-16481	34	9	review	review	NOUN
ihlr-16481	34	10	[	[	X
ihlr-16481	34	11	vol	vol	NOUN
ihlr-16481	34	12	.	.	NOUN
ihlr-16481	34	13	3:303	3:303	NUM
ihlr-16481	34	14	around	around	ADP
ihlr-16481	34	15	the	the	DET
ihlr-16481	34	16	same	same	ADJ
ihlr-16481	34	17	time	time	NOUN
ihlr-16481	34	18	,	,	PUNCT
ihlr-16481	34	19	and	and	CCONJ
ihlr-16481	34	20	closer	close	ADV
ihlr-16481	34	21	to	to	ADP
ihlr-16481	34	22	health	health	NOUN
ihlr-16481	34	23	care	care	NOUN
ihlr-16481	34	24	,	,	PUNCT
ihlr-16481	34	25	a	a	DET
ihlr-16481	34	26	coalition	coalition	NOUN
ihlr-16481	34	27	formed	form	VERB
ihlr-16481	34	28	between	between	ADP
ihlr-16481	34	29	social	social	ADJ
ihlr-16481	34	30	liberals	liberal	NOUN
ihlr-16481	34	31	and	and	CCONJ
ihlr-16481	34	32	fiscal	fiscal	ADJ
ihlr-16481	34	33	conservatives	conservative	NOUN
ihlr-16481	34	34	to	to	PART
ihlr-16481	34	35	deinstitutionalize	deinstitutionalize	VERB
ihlr-16481	34	36	the	the	DET
ihlr-16481	34	37	mentally	mentally	ADV
ihlr-16481	34	38	ill	ill	ADJ
ihlr-16481	34	39	.	.	NOUN
ihlr-16481	34	40	3	3	NUM
ihlr-16481	34	41	in	in	ADP
ihlr-16481	34	42	the	the	DET
ihlr-16481	34	43	1980s	1980s	NUM
ihlr-16481	34	44	,	,	PUNCT
ihlr-16481	34	45	a	a	DET
ihlr-16481	34	46	coalition	coalition	NOUN
ihlr-16481	34	47	formed	form	VERB
ihlr-16481	34	48	between	between	ADP
ihlr-16481	34	49	safety	safety	NOUN
ihlr-16481	34	50	advocates	advocate	NOUN
ihlr-16481	34	51	and	and	CCONJ
ihlr-16481	34	52	automobile	automobile	NOUN
ihlr-16481	34	53	manufacturers	manufacturer	NOUN
ihlr-16481	34	54	to	to	PART
ihlr-16481	34	55	induce	induce	VERB
ihlr-16481	34	56	states	state	NOUN
ihlr-16481	34	57	to	to	PART
ihlr-16481	34	58	enact	enact	VERB
ihlr-16481	34	59	mandatory	mandatory	ADJ
ihlr-16481	34	60	seatbelt	seatbelt	NOUN
ihlr-16481	34	61	use	use	NOUN
ihlr-16481	34	62	laws	law	NOUN
ihlr-16481	34	63	,	,	PUNCT
ihlr-16481	34	64	which	which	PRON
ihlr-16481	34	65	the	the	DET
ihlr-16481	34	66	latter	latter	ADJ
ihlr-16481	34	67	had	have	AUX
ihlr-16481	34	68	resisted	resist	VERB
ihlr-16481	34	69	for	for	ADP
ihlr-16481	34	70	decades.4	decades.4	PROPN
ihlr-16481	34	71	the	the	DET
ihlr-16481	34	72	auto	auto	NOUN
ihlr-16481	34	73	makers	maker	NOUN
ihlr-16481	34	74	became	become	VERB
ihlr-16481	34	75	enamored	enamored	ADJ
ihlr-16481	34	76	with	with	ADP
ihlr-16481	34	77	mandatory	mandatory	ADJ
ihlr-16481	34	78	seatbelt	seatbelt	NOUN
ihlr-16481	34	79	laws	law	NOUN
ihlr-16481	34	80	as	as	ADV
ihlr-16481	34	81	soon	soon	ADV
ihlr-16481	34	82	as	as	SCONJ
ihlr-16481	34	83	the	the	DET
ihlr-16481	34	84	federal	federal	ADJ
ihlr-16481	34	85	government	government	NOUN
ihlr-16481	34	86	had	have	AUX
ihlr-16481	34	87	threatened	threaten	VERB
ihlr-16481	34	88	them	they	PRON
ihlr-16481	34	89	with	with	ADP
ihlr-16481	34	90	mandatory	mandatory	ADJ
ihlr-16481	34	91	airbag	airbag	NOUN
ihlr-16481	34	92	requirements	requirement	NOUN
ihlr-16481	34	93	if	if	SCONJ
ihlr-16481	34	94	sufficient	sufficient	ADJ
ihlr-16481	34	95	states	state	NOUN
ihlr-16481	34	96	did	do	AUX
ihlr-16481	34	97	not	not	PART
ihlr-16481	34	98	adopt	adopt	VERB
ihlr-16481	34	99	seatbelt	seatbelt	NOUN
ihlr-16481	34	100	laws	law	NOUN
ihlr-16481	34	101	.	.	PUNCT
ihlr-16481	35	1	s	s	VERB
ihlr-16481	35	2	on	on	ADP
ihlr-16481	35	3	the	the	DET
ihlr-16481	35	4	other	other	ADJ
ihlr-16481	35	5	hand	hand	NOUN
ihlr-16481	35	6	,	,	PUNCT
ihlr-16481	35	7	fundamental	fundamental	ADJ
ihlr-16481	35	8	disagreement	disagreement	NOUN
ihlr-16481	35	9	on	on	ADP
ihlr-16481	35	10	the	the	DET
ihlr-16481	35	11	purpose	purpose	NOUN
ihlr-16481	35	12	of	of	ADP
ihlr-16481	35	13	a	a	DET
ihlr-16481	35	14	policy	policy	NOUN
ihlr-16481	35	15	change	change	NOUN
ihlr-16481	35	16	can	can	AUX
ihlr-16481	35	17	be	be	AUX
ihlr-16481	35	18	crippling	crippling	ADJ
ihlr-16481	35	19	and	and	CCONJ
ihlr-16481	35	20	destructive	destructive	ADJ
ihlr-16481	35	21	.	.	PUNCT
ihlr-16481	36	1	in	in	ADP
ihlr-16481	36	2	1988	1988	NUM
ihlr-16481	36	3	,	,	PUNCT
ihlr-16481	36	4	medicare	medicare	PROPN
ihlr-16481	36	5	's	's	PART
ihlr-16481	36	6	newly	newly	ADV
ihlr-16481	36	7	enacted	enact	VERB
ihlr-16481	36	8	catastrophic	catastrophic	ADJ
ihlr-16481	36	9	coverage	coverage	NOUN
ihlr-16481	36	10	.	.	PUNCT
ihlr-16481	37	1	act	act	PROPN
ihlr-16481	37	2	was	be	AUX
ihlr-16481	37	3	repealed	repeal	VERB
ihlr-16481	37	4	before	before	SCONJ
ihlr-16481	37	5	it	it	PRON
ihlr-16481	37	6	was	be	AUX
ihlr-16481	37	7	ever	ever	ADV
ihlr-16481	37	8	implemented	implement	VERB
ihlr-16481	37	9	because	because	SCONJ
ihlr-16481	37	10	the	the	DET
ihlr-16481	37	11	people	people	NOUN
ihlr-16481	37	12	it	it	PRON
ihlr-16481	37	13	affected	affect	VERB
ihlr-16481	37	14	had	have	AUX
ihlr-16481	37	15	not	not	PART
ihlr-16481	37	16	understood	understand	VERB
ihlr-16481	37	17	what	what	PRON
ihlr-16481	37	18	they	they	PRON
ihlr-16481	37	19	would	would	AUX
ihlr-16481	37	20	be	be	AUX
ihlr-16481	37	21	paying	pay	VERB
ihlr-16481	37	22	for	for	ADP
ihlr-16481	37	23	.	.	PROPN
ihlr-16481	37	24	6	6	NUM
ihlr-16481	37	25	in	in	ADP
ihlr-16481	37	26	a	a	DET
ihlr-16481	37	27	nutshell	nutshell	NOUN
ihlr-16481	37	28	,	,	PUNCT
ihlr-16481	37	29	those	those	PRON
ihlr-16481	37	30	inside	inside	ADP
ihlr-16481	37	31	the	the	DET
ihlr-16481	37	32	beltway	beltway	NOUN
ihlr-16481	37	33	were	be	AUX
ihlr-16481	37	34	solving	solve	VERB
ihlr-16481	37	35	an	an	DET
ihlr-16481	37	36	actuarial	actuarial	ADJ
ihlr-16481	37	37	problem	problem	NOUN
ihlr-16481	37	38	with	with	ADP
ihlr-16481	37	39	acute	acute	PROPN
ihlr-16481	37	40	care	care	NOUN
ihlr-16481	37	41	medicare	medicare	PROPN
ihlr-16481	37	42	using	use	VERB
ihlr-16481	37	43	means	mean	NOUN
ihlr-16481	37	44	-	-	PUNCT
ihlr-16481	37	45	tested	test	VERB
ihlr-16481	37	46	financing	financing	NOUN
ihlr-16481	37	47	that	that	PRON
ihlr-16481	37	48	made	make	VERB
ihlr-16481	37	49	sense	sense	NOUN
ihlr-16481	37	50	on	on	ADP
ihlr-16481	37	51	fiscal	fiscal	ADJ
ihlr-16481	37	52	grounds	ground	NOUN
ihlr-16481	37	53	and	and	CCONJ
ihlr-16481	37	54	on	on	ADP
ihlr-16481	37	55	fairness	fairness	NOUN
ihlr-16481	37	56	grounds	ground	NOUN
ihlr-16481	37	57	,	,	PUNCT
ihlr-16481	37	58	while	while	SCONJ
ihlr-16481	37	59	those	those	PRON
ihlr-16481	37	60	outside	outside	ADV
ihlr-16481	37	61	did	do	AUX
ihlr-16481	37	62	not	not	PART
ihlr-16481	37	63	realize	realize	VERB
ihlr-16481	37	64	that	that	SCONJ
ihlr-16481	37	65	seniors	senior	NOUN
ihlr-16481	37	66	would	would	AUX
ihlr-16481	37	67	shoulder	shoulder	VERB
ihlr-16481	37	68	unaccustomed	unaccustomed	ADJ
ihlr-16481	37	69	fmancial	fmancial	ADJ
ihlr-16481	37	70	responsibility	responsibility	NOUN
ihlr-16481	37	71	for	for	ADP
ihlr-16481	37	72	an	an	DET
ihlr-16481	37	73	expansion	expansion	NOUN
ihlr-16481	37	74	in	in	ADP
ihlr-16481	37	75	program	program	NOUN
ihlr-16481	37	76	benefits	benefit	NOUN
ihlr-16481	37	77	that	that	PRON
ihlr-16481	37	78	was	be	AUX
ihlr-16481	37	79	not	not	PART
ihlr-16481	37	80	meaningful	meaningful	ADJ
ihlr-16481	37	81	to	to	ADP
ihlr-16481	37	82	them	they	PRON
ihlr-16481	37	83	.	.	PUNCT
ihlr-16481	38	1	the	the	DET
ihlr-16481	38	2	fiasco	fiasco	NOUN
ihlr-16481	38	3	that	that	PRON
ihlr-16481	38	4	followed	follow	VERB
ihlr-16481	38	5	significantly	significantly	ADV
ihlr-16481	38	6	reduced	reduce	VERB
ihlr-16481	38	7	the	the	DET
ihlr-16481	38	8	risk	risk	NOUN
ihlr-16481	38	9	tolerance	tolerance	NOUN
ihlr-16481	38	10	of	of	ADP
ihlr-16481	38	11	both	both	DET
ihlr-16481	38	12	congress	congress	PROPN
ihlr-16481	38	13	and	and	CCONJ
ihlr-16481	38	14	washington	washington	PROPN
ihlr-16481	38	15	-	-	PUNCT
ihlr-16481	38	16	based	base	VERB
ihlr-16481	38	17	interest	interest	NOUN
ihlr-16481	38	18	groups	group	NOUN
ihlr-16481	38	19	,	,	PUNCT
ihlr-16481	38	20	which	which	PRON
ihlr-16481	38	21	helped	help	VERB
ihlr-16481	38	22	kill	kill	VERB
ihlr-16481	38	23	the	the	DET
ihlr-16481	38	24	clinton	clinton	PROPN
ihlr-16481	38	25	administration	administration	NOUN
ihlr-16481	38	26	's	's	PART
ihlr-16481	38	27	universal	universal	ADJ
ihlr-16481	38	28	coverage	coverage	NOUN
ihlr-16481	38	29	proposal	proposal	NOUN
ihlr-16481	38	30	in	in	ADP
ihlr-16481	38	31	1993	1993	NUM
ihlr-16481	38	32	-	-	SYM
ihlr-16481	38	33	94.7	94.7	NUM
ihlr-16481	38	34	later	later	ADV
ihlr-16481	38	35	in	in	ADP
ihlr-16481	38	36	the	the	DET
ihlr-16481	38	37	1990s	1990s	NUM
ihlr-16481	38	38	,	,	PUNCT
ihlr-16481	38	39	debate	debate	NOUN
ihlr-16481	38	40	.	.	PUNCT
ihlr-16481	39	1	in	in	ADP
ihlr-16481	39	2	washington	washington	PROPN
ihlr-16481	39	3	over	over	ADP
ihlr-16481	39	4	''	''	PUNCT
ihlr-16481	39	5	patient	patient	ADJ
ihlr-16481	39	6	protection	protection	NOUN
ihlr-16481	39	7	"	"	PUNCT
ihlr-16481	39	8	legislation	legislation	NOUN
ihlr-16481	39	9	-	-	PUNCT
ihlr-16481	39	10	that	that	ADV
ihlr-16481	39	11	is	be	AUX
ihlr-16481	39	12	,	,	PUNCT
ihlr-16481	39	13	regulation	regulation	NOUN
ihlr-16481	39	14	of	of	ADP
ihlr-16481	39	15	managed	manage	VERB
ihlr-16481	39	16	care	care	NOUN
ihlr-16481	39	17	-	-	PUNCT
ihlr-16481	39	18	foundered	foundered	ADJ
ihlr-16481	39	19	on	on	ADP
ihlr-16481	39	20	the	the	DET
ihlr-16481	39	21	question	question	NOUN
ihlr-16481	39	22	of	of	ADP
ihlr-16481	39	23	whether	whether	SCONJ
ihlr-16481	39	24	people	people	NOUN
ihlr-16481	39	25	should	should	AUX
ihlr-16481	39	26	have	have	AUX
ihlr-16481	39	27	a	a	DET
ihlr-16481	39	28	right	right	NOUN
ihlr-16481	39	29	to	to	PART
ihlr-16481	39	30	sue	sue	VERB
ihlr-16481	39	31	hmos	hmos	PROPN
ihlr-16481	39	32	.	.	PROPN
ihlr-16481	39	33	8	8	NUM
ihlr-16481	39	34	it	it	PRON
ihlr-16481	39	35	made	make	VERB
ihlr-16481	39	36	sense	sense	NOUN
ihlr-16481	39	37	for	for	SCONJ
ihlr-16481	39	38	the	the	DET
ihlr-16481	39	39	federal	federal	ADJ
ihlr-16481	39	40	government	government	NOUN
ihlr-16481	39	41	to	to	PART
ihlr-16481	39	42	play	play	VERB
ihlr-16481	39	43	a	a	DET
ihlr-16481	39	44	larger	large	ADJ
ihlr-16481	39	45	role	role	NOUN
ihlr-16481	39	46	in	in	ADP
ihlr-16481	39	47	managed	manage	VERB
ihlr-16481	39	48	care	care	NOUN
ihlr-16481	39	49	regulation	regulation	NOUN
ihlr-16481	39	50	because	because	SCONJ
ihlr-16481	39	51	of	of	ADP
ihlr-16481	39	52	erisa	erisa	NOUN
ihlr-16481	39	53	preemption	preemption	NOUN
ihlr-16481	39	54	.	.	PUNCT
ihlr-16481	40	1	however	however	ADV
ihlr-16481	40	2	,	,	PUNCT
ihlr-16481	40	3	there	there	PRON
ihlr-16481	40	4	was	be	VERB
ihlr-16481	40	5	a	a	DET
ihlr-16481	40	6	fundamental	fundamental	ADJ
ihlr-16481	40	7	disagreement	disagreement	NOUN
ihlr-16481	40	8	between	between	ADP
ihlr-16481	40	9	those	those	PRON
ihlr-16481	40	10	who	who	PRON
ihlr-16481	40	11	supported	support	VERB
ihlr-16481	40	12	extending	extend	VERB
ihlr-16481	40	13	liability	liability	NOUN
ihlr-16481	40	14	in	in	ADP
ihlr-16481	40	15	order	order	NOUN
ihlr-16481	40	16	to	to	PART
ihlr-16481	40	17	make	make	VERB
ihlr-16481	40	18	managed	manage	VERB
ihlr-16481	40	19	care	care	NOUN
ihlr-16481	40	20	function	function	NOUN
ihlr-16481	40	21	more	more	ADV
ihlr-16481	40	22	effectively	effectively	ADV
ihlr-16481	40	23	,	,	PUNCT
ihlr-16481	40	24	and	and	CCONJ
ihlr-16481	40	25	those	those	PRON
ihlr-16481	40	26	(	(	PUNCT
ihlr-16481	40	27	such	such	ADJ
ihlr-16481	40	28	as	as	ADP
ihlr-16481	40	29	physicians	physician	NOUN
ihlr-16481	40	30	)	)	PUNCT
ihlr-16481	40	31	who	who	PRON
ihlr-16481	40	32	hoped	hope	VERB
ihlr-16481	40	33	that	that	SCONJ
ihlr-16481	40	34	3	3	X
ihlr-16481	40	35	.	.	X
ihlr-16481	40	36	see	see	VERB
ihlr-16481	40	37	,	,	PUNCT
ihlr-16481	40	38	e.g.	e.g.	ADV
ihlr-16481	40	39	,	,	PUNCT
ihlr-16481	40	40	new	new	ADJ
ihlr-16481	40	41	directions	direction	NOUN
ihlr-16481	40	42	for	for	ADP
ihlr-16481	40	43	mental	mental	ADJ
ihlr-16481	40	44	health	health	NOUN
ihlr-16481	40	45	services	service	NOUN
ihlr-16481	40	46	,	,	PUNCT
ihlr-16481	40	47	deinstitutionauzation	deinstitutionauzation	NOUN
ihlr-16481	40	48	:	:	PUNCT
ihlr-16481	40	49	promise	promise	NOUN
ihlr-16481	40	50	and	and	CCONJ
ihlr-16481	40	51	problems	problem	NOUN
ihlr-16481	40	52	(	(	PUNCT
ihlr-16481	40	53	h.	h.	PROPN
ihlr-16481	40	54	richard	richard	PROPN
ihlr-16481	40	55	lamb	lamb	PROPN
ihlr-16481	40	56	&	&	CCONJ
ihlr-16481	40	57	linda	linda	PROPN
ihlr-16481	40	58	e.	e.	PROPN
ihlr-16481	40	59	weinberger	weinberger	PROPN
ihlr-16481	40	60	eds	eds	PROPN
ihlr-16481	40	61	.	.	PROPN
ihlr-16481	40	62	,	,	PUNCT
ihlr-16481	40	63	2001	2001	NUM
ihlr-16481	40	64	)	)	PUNCT
ihlr-16481	40	65	;	;	PUNCT
ihlr-16481	40	66	e.	e.	PROPN
ihlr-16481	40	67	fuu.er	fuu.er	PROPN
ihlr-16481	40	68	torrey	torrey	PROPN
ihlr-16481	40	69	,	,	PUNCT
ihlr-16481	40	70	our	our	PRON
ihlr-16481	40	71	of	of	ADP
ihlr-16481	40	72	the	the	DET
ihlr-16481	40	73	shadows	shadow	NOUN
ihlr-16481	40	74	:	:	PUNCT
ihlr-16481	40	75	confronting	confront	VERB
ihlr-16481	40	76	america	america	PROPN
ihlr-16481	40	77	's	's	PART
ihlr-16481	40	78	mental	mental	ADJ
ihlr-16481	40	79	iunesscrisis	iunesscrisis	NOUN
ihlr-16481	40	80	(	(	PUNCT
ihlr-16481	40	81	1996	1996	NUM
ihlr-16481	40	82	)	)	PUNCT
ihlr-16481	40	83	;	;	PUNCT
ihlr-16481	40	84	raelj	raelj	NOUN
ihlr-16481	40	85	.	.	PUNCT
ihlr-16481	41	1	isaac	isaac	PROPN
ihlr-16481	41	2	&	&	CCONJ
ihlr-16481	41	3	vjrginiac.armat	vjrginiac.armat	PROPN
ihlr-16481	41	4	,	,	PUNCT
ihlr-16481	41	5	madnessinthe	madnessinthe	PRON
ihlr-16481	41	6	streets	street	NOUN
ihlr-16481	41	7	:	:	PUNCT
ihlr-16481	41	8	how	how	SCONJ
ihlr-16481	41	9	psychiatry	psychiatry	NOUN
ihlr-16481	41	10	and	and	CCONJ
ihlr-16481	41	11	the	the	DET
ihlr-16481	41	12	law	law	NOUN
ihlr-16481	41	13	abandoned	abandon	VERB
ihlr-16481	41	14	the	the	DET
ihlr-16481	41	15	mentally	mentally	ADV
ihlr-16481	41	16	ill	ill	ADJ
ihlr-16481	41	17	(	(	PUNCT
ihlr-16481	41	18	1990	1990	NUM
ihlr-16481	41	19	)	)	PUNCT
ihlr-16481	41	20	.	.	PUNCT
ihlr-16481	42	1	4	4	X
ihlr-16481	42	2	.	.	X
ihlr-16481	42	3	jerry	jerry	PROPN
ihlr-16481	42	4	louis	louis	PROPN
ihlr-16481	42	5	mashaw	mashaw	PROPN
ihlr-16481	42	6	,	,	PUNCT
ihlr-16481	42	7	the	the	DET
ihlr-16481	42	8	story	story	NOUN
ihlr-16481	42	9	ofmotor	ofmotor	NOUN
ihlr-16481	42	10	vehicle	vehicle	NOUN
ihlr-16481	42	11	manufacturers	manufacturer	NOUN
ihlr-16481	42	12	association	association	PROPN
ihlr-16481	42	13	of	of	ADP
ihlr-16481	42	14	the	the	DET
ihlr-16481	42	15	u.s	u.s	PROPN
ihlr-16481	42	16	.	.	PROPN
ihlr-16481	42	17	v.	v.	PROPN
ihlr-16481	42	18	state	state	PROPN
ihlr-16481	42	19	farm	farm	NOUN
ihlr-16481	42	20	mutual	mutual	ADJ
ihlr-16481	42	21	automobile	automobile	NOUN
ihlr-16481	42	22	insurance	insurance	PROPN
ihlr-16481	42	23	co.	co.	PROPN
ihlr-16481	42	24	:	:	PUNCT
ihlr-16481	42	25	law	law	NOUN
ihlr-16481	42	26	,	,	PUNCT
ihlr-16481	42	27	science	science	NOUN
ihlr-16481	42	28	and	and	CCONJ
ihlr-16481	42	29	politics	politic	NOUN
ihlr-16481	42	30	in	in	ADP
ihlr-16481	42	31	the	the	DET
ihlr-16481	42	32	administrative	administrative	ADJ
ihlr-16481	42	33	state	state	NOUN
ihlr-16481	42	34	,	,	PUNCT
ihlr-16481	42	35	in	in	ADP
ihlr-16481	42	36	al	al	PROPN
ihlr-16481	42	37	>	>	PROPN
ihlr-16481	42	38	mlnistrative	mlnistrative	PROPN
ihlr-16481	42	39	law	law	NOUN
ihlr-16481	42	40	stories	story	NOUN
ihlr-16481	42	41	396	396	NUM
ihlr-16481	42	42	-	-	SYM
ihlr-16481	42	43	97	97	NUM
ihlr-16481	42	44	(	(	PUNCT
ihlr-16481	42	45	peter	peter	PROPN
ihlr-16481	42	46	strauss	strauss	PROPN
ihlr-16481	42	47	ed	ed	PROPN
ihlr-16481	42	48	.	.	PROPN
ihlr-16481	42	49	,	,	PUNCT
ihlr-16481	42	50	2006	2006	NUM
ihlr-16481	42	51	)	)	PUNCT
ihlr-16481	42	52	.	.	PUNCT
ihlr-16481	43	1	5	5	X
ihlr-16481	43	2	.	.	X
ihlr-16481	43	3	ld	ld	PROPN
ihlr-16481	43	4	.	.	PUNCT
ihlr-16481	44	1	at	at	ADP
ihlr-16481	44	2	352	352	NUM
ihlr-16481	44	3	.	.	NOUN
ihlr-16481	44	4	6	6	NUM
ihlr-16481	44	5	.	.	X
ihlr-16481	44	6	pub	pub	NOUN
ihlr-16481	44	7	.	.	PUNCT
ihlr-16481	45	1	l.	l.	PROPN
ihlr-16481	45	2	no	no	INTJ
ihlr-16481	45	3	.	.	PUNCT
ihlr-16481	46	1	1()()	1()()	NUM
ihlr-16481	46	2	..	..	SYM
ihlr-16481	46	3	360	360	NUM
ihlr-16481	46	4	,	,	PUNCT
ihlr-16481	46	5	102	102	NUM
ihlr-16481	46	6	stat	stat	NOUN
ihlr-16481	46	7	.	.	PUNCT
ihlr-16481	47	1	683	683	NUM
ihlr-16481	47	2	(	(	PUNCT
ihlr-16481	47	3	1988	1988	NUM
ihlr-16481	47	4	)	)	PUNCT
ihlr-16481	47	5	,	,	PUNCT
ihlr-16481	47	6	terminated	terminate	VERB
ihlr-16481	47	7	by	by	ADP
ihlr-16481	47	8	medicare	medicare	PROPN
ihlr-16481	47	9	catastrophic	catastrophic	PROPN
ihlr-16481	47	10	repeal	repeal	PROPN
ihlr-16481	47	11	act	act	NOUN
ihlr-16481	47	12	of	of	ADP
ihlr-16481	47	13	1989	1989	NUM
ihlr-16481	47	14	,	,	PUNCT
ihlr-16481	47	15	pub	pub	NOUN
ihlr-16481	47	16	.	.	PUNCT
ihlr-16481	48	1	l.	l.	PROPN
ihlr-16481	48	2	no	no	INTJ
ihlr-16481	48	3	.	.	PROPN
ihlr-16481	49	1	101	101	NUM
ihlr-16481	49	2	-	-	SYM
ihlr-16481	49	3	234	234	NUM
ihlr-16481	49	4	,	,	PUNCT
ihlr-16481	49	5	103	103	NUM
ihlr-16481	49	6	stat	stat	NOUN
ihlr-16481	49	7	.	.	PUNCT
ihlr-16481	50	1	1979	1979	NUM
ihlr-16481	50	2	.	.	PUNCT
ihlr-16481	51	1	see	see	VERB
ihlr-16481	51	2	richard	richard	PROPN
ihlr-16481	51	3	himelfarb	himelfarb	PROPN
ihlr-16481	51	4	,	,	PUNCT
ihlr-16481	51	5	catastropidcpolitics	catastropidcpolitic	NOUN
ihlr-16481	51	6	:	:	PUNCT
ihlr-16481	51	7	theriseandfallofthemedicarecatastropidccoverageact	theriseandfallofthemedicarecatastropidccoverageact	NOUN
ihlr-16481	51	8	of	of	ADP
ihlr-16481	51	9	1988	1988	NUM
ihlr-16481	51	10	(	(	PUNCT
ihlr-16481	51	11	1995	1995	NUM
ihlr-16481	51	12	)	)	PUNCT
ihlr-16481	51	13	;	;	PUNCT
ihlr-16481	51	14	theodore	theodore	PROPN
ihlr-16481	51	15	r.	r.	PROPN
ihlr-16481	51	16	marmor	marmor	PROPN
ihlr-16481	51	17	&	&	CCONJ
ihlr-16481	51	18	gary	gary	PROPN
ihlr-16481	51	19	j.	j.	PROPN
ihlr-16481	51	20	mckissick	mckissick	PROPN
ihlr-16481	51	21	,	,	PUNCT
ihlr-16481	51	22	medicare	medicare	PROPN
ihlr-16481	51	23	's	's	PART
ihlr-16481	51	24	future	future	NOUN
ihlr-16481	51	25	:	:	PUNCT
ihlr-16481	51	26	fact	fact	NOUN
ihlr-16481	51	27	,	,	PUNCT
ihlr-16481	51	28	fiction	fiction	NOUN
ihlr-16481	51	29	,	,	PUNCT
ihlr-16481	51	30	and	and	CCONJ
ihlr-16481	51	31	folly	folly	NOUN
ihlr-16481	51	32	,	,	PUNCT
ihlr-16481	51	33	26	26	NUM
ihlr-16481	51	34	am	am	NOUN
ihlr-16481	51	35	.	.	PUNCT
ihlr-16481	52	1	j.l	j.l	PROPN
ihlr-16481	52	2	.	.	PROPN
ihlr-16481	52	3	&	&	CCONJ
ihlr-16481	52	4	med	med	PROPN
ihlr-16481	52	5	.	.	PROPN
ihlr-16481	52	6	225	225	NUM
ihlr-16481	52	7	,	,	PUNCT
ihlr-16481	52	8	232	232	NUM
ihlr-16481	52	9	-	-	SYM
ihlr-16481	52	10	34	34	NUM
ihlr-16481	52	11	(	(	PUNCT
ihlr-16481	52	12	2000	2000	NUM
ihlr-16481	52	13	)	)	PUNCT
ihlr-16481	52	14	.	.	PUNCT
ihlr-16481	53	1	7	7	X
ihlr-16481	53	2	.	.	X
ihlr-16481	53	3	see	see	PROPN
ihlr-16481	53	4	haynes	haynes	PROPN
ihlr-16481	53	5	johnson	johnson	PROPN
ihlr-16481	53	6	&	&	CCONJ
ihlr-16481	53	7	davids	davids	PROPN
ihlr-16481	53	8	.	.	PUNCT
ihlr-16481	54	1	broder	broder	PROPN
ihlr-16481	54	2	,	,	PUNCT
ihlr-16481	54	3	the	the	DET
ihlr-16481	54	4	system	system	NOUN
ihlr-16481	54	5	(	(	PUNCT
ihlr-16481	54	6	1997	1997	NUM
ihlr-16481	54	7	)	)	PUNCT
ihlr-16481	54	8	(	(	PUNCT
ihlr-16481	54	9	offering	offer	VERB
ihlr-16481	54	10	a	a	DET
ihlr-16481	54	11	political	political	ADJ
ihlr-16481	54	12	history	history	NOUN
ihlr-16481	54	13	of	of	ADP
ihlr-16481	54	14	the	the	DET
ihlr-16481	54	15	clinton	clinton	PROPN
ihlr-16481	54	16	health	health	PROPN
ihlr-16481	54	17	care	care	PROPN
ihlr-16481	54	18	plan	plan	PROPN
ihlr-16481	54	19	)	)	PUNCT
ihlr-16481	54	20	.	.	PUNCT
ihlr-16481	55	1	8	8	X
ihlr-16481	55	2	.	.	X
ihlr-16481	56	1	see	see	VERB
ihlr-16481	56	2	david	david	PROPN
ihlr-16481	56	3	a.	a.	PROPN
ihlr-16481	56	4	hyman	hyman	PROPN
ihlr-16481	56	5	,	,	PUNCT
ihlr-16481	56	6	regulating	regulate	VERB
ihlr-16481	56	7	managed	manage	VERB
ihlr-16481	56	8	care	care	NOUN
ihlr-16481	56	9	:	:	PUNCT
ihlr-16481	56	10	what	what	PRON
ihlr-16481	56	11	's	be	AUX
ihlr-16481	56	12	wrong	wrong	ADJ
ihlr-16481	56	13	with	with	ADP
ihlr-16481	56	14	the	the	DET
ihlr-16481	56	15	patients	patient	NOUN
ihlr-16481	56	16	'	'	PART
ihlr-16481	56	17	bill	bill	NOUN
ihlr-16481	56	18	of	of	ADP
ihlr-16481	56	19	rights	right	NOUN
ihlr-16481	56	20	?	?	PUNCT
ihlr-16481	56	21	,	,	PUNCT
ihlr-16481	56	22	73	73	NUM
ihlr-16481	56	23	s.	s.	PROPN
ihlr-16481	56	24	cal	cal	PROPN
ihlr-16481	56	25	.	.	PUNCT
ihlr-16481	57	1	l.	l.	PROPN
ihlr-16481	57	2	rev	rev	PROPN
ihlr-16481	57	3	.	.	PROPN
ihlr-16481	57	4	221,230	221,230	NUM
ihlr-16481	57	5	-	-	SYM
ihlr-16481	57	6	33	33	NUM
ihlr-16481	57	7	(	(	PUNCT
ihlr-16481	57	8	2000	2000	NUM
ihlr-16481	57	9	)	)	PUNCT
ihlr-16481	57	10	.	.	PUNCT
ihlr-16481	58	1	2006	2006	NUM
ihlr-16481	58	2	]	]	PUNCT
ihlr-16481	59	1	p4p	p4p	PROPN
ihlr-16481	59	2	:	:	PUNCT
ihlr-16481	59	3	wru	wru	PROPN
ihlr-16481	59	4	...	...	PUNCT
ihlr-16481	59	5	it	it	PRON
ihlr-16481	59	6	work	work	VERB
ihlr-16481	59	7	in	in	ADP
ihlr-16481	59	8	theory	theory	NOUN
ihlr-16481	59	9	?	?	PUNCT
ihlr-16481	60	1	307	307	NUM
ihlr-16481	60	2	greater	great	ADJ
ihlr-16481	60	3	liability	liability	NOUN
ihlr-16481	60	4	would	would	AUX
ihlr-16481	60	5	make	make	VERB
ihlr-16481	60	6	managed	manage	VERB
ihlr-16481	60	7	care	care	NOUN
ihlr-16481	60	8	disappear	disappear	VERB
ihlr-16481	60	9	entirely.11	entirely.11	VERB
ihlr-16481	60	10	the	the	DET
ihlr-16481	60	11	resulting	result	VERB
ihlr-16481	60	12	gridlock	gridlock	NOUN
ihlr-16481	60	13	left	leave	VERB
ihlr-16481	60	14	the	the	DET
ihlr-16481	60	15	federal-:-state	federal-:-state	ADJ
ihlr-16481	60	16	balance	balance	NOUN
ihlr-16481	60	17	in	in	ADP
ihlr-16481	60	18	managed	manage	VERB
ihlr-16481	60	19	care	care	NOUN
ihlr-16481	60	20	oversight	oversight	NOUN
ihlr-16481	60	21	to	to	ADP
ihlr-16481	60	22	the	the	DET
ihlr-16481	60	23	courts	court	NOUN
ihlr-16481	60	24	,	,	PUNCT
ihlr-16481	60	25	which	which	PRON
ihlr-16481	60	26	failed	fail	VERB
ihlr-16481	60	27	to	to	PART
ihlr-16481	60	28	answer	answer	VERB
ihlr-16481	60	29	many	many	ADJ
ihlr-16481	60	30	of	of	ADP
ihlr-16481	60	31	the	the	DET
ihlr-16481	60	32	most	most	ADV
ihlr-16481	60	33	pressing	pressing	ADJ
ihlr-16481	60	34	questions	question	NOUN
ihlr-16481	60	35	regarding	regard	VERB
ihlr-16481	60	36	cost­	cost­	NOUN
ihlr-16481	60	37	containment	containment	NOUN
ihlr-16481	60	38	and	and	CCONJ
ihlr-16481	60	39	accountability.10	accountability.10	NOUN
ihlr-16481	60	40	at	at	ADP
ihlr-16481	60	41	present	present	ADJ
ihlr-16481	60	42	,	,	PUNCT
ihlr-16481	60	43	the	the	DET
ihlr-16481	60	44	biggest	big	ADJ
ihlr-16481	60	45	health	health	NOUN
ihlr-16481	60	46	care	care	NOUN
ihlr-16481	60	47	issue	issue	NOUN
ihlr-16481	60	48	in	in	ADP
ihlr-16481	60	49	washington	washington	PROPN
ihlr-16481	60	50	,	,	PUNCT
ihlr-16481	60	51	dc	dc	PROPN
ihlr-16481	60	52	,	,	PUNCT
ihlr-16481	60	53	is	be	AUX
ihlr-16481	60	54	the	the	DET
ihlr-16481	60	55	newly	newly	ADV
ihlr-16481	60	56	enacted	enact	VERB
ihlr-16481	60	57	medicare	medicare	PROPN
ihlr-16481	60	58	modernization	modernization	PROPN
ihlr-16481	60	59	act	act	PROPN
ihlr-16481	60	60	(	(	PUNCT
ihlr-16481	60	61	"	"	PUNCT
ihlr-16481	60	62	mma	mma	NOUN
ihlr-16481	60	63	"	"	PUNCT
ihlr-16481	60	64	)	)	PUNCT
ihlr-16481	60	65	,	,	PUNCT
ihlr-16481	60	66	including	include	VERB
ihlr-16481	60	67	the	the	DET
ihlr-16481	60	68	medicare	medicare	PROPN
ihlr-16481	60	69	part	part	NOUN
ihlr-16481	60	70	d	d	PROPN
ihlr-16481	60	71	drug	drug	NOUN
ihlr-16481	60	72	benefit	benefit	NOUN
ihlr-16481	60	73	.	.	PUNCT
ihlr-16481	61	1	11	11	NUM
ihlr-16481	61	2	this	this	DET
ihlr-16481	61	3	legislation	legislation	NOUN
ihlr-16481	61	4	,	,	PUNCT
ihlr-16481	61	5	which	which	PRON
ihlr-16481	61	6	represents	represent	VERB
ihlr-16481	61	7	the	the	DET
ihlr-16481	61	8	largest	large	ADJ
ihlr-16481	61	9	expansion	expansion	NOUN
ihlr-16481	61	10	of	of	ADP
ihlr-16481	61	11	medicare	medicare	PROPN
ihlr-16481	61	12	spending	spending	NOUN
ihlr-16481	61	13	since	since	SCONJ
ihlr-16481	61	14	the	the	DET
ihlr-16481	61	15	program	program	NOUN
ihlr-16481	61	16	began	begin	VERB
ihlr-16481	61	17	in	in	ADP
ihlr-16481	61	18	1965	1965	NUM
ihlr-16481	61	19	,	,	PUNCT
ihlr-16481	61	20	was	be	AUX
ihlr-16481	61	21	supported	support	VERB
ihlr-16481	61	22	by	by	ADP
ihlr-16481	61	23	a	a	DET
ihlr-16481	61	24	bipartisan	bipartisan	ADJ
ihlr-16481	61	25	coalition	coalition	NOUN
ihlr-16481	61	26	with	with	ADP
ihlr-16481	61	27	different	different	ADJ
ihlr-16481	61	28	views	view	NOUN
ihlr-16481	61	29	of	of	ADP
ihlr-16481	61	30	what	what	PRON
ihlr-16481	61	31	the	the	DET
ihlr-16481	61	32	statute	statute	NOUN
ihlr-16481	61	33	was	be	AUX
ihlr-16481	61	34	designed	design	VERB
ihlr-16481	61	35	to	to	PART
ihlr-16481	61	36	accomplish	accomplish	VERB
ihlr-16481	61	37	.	.	PUNCT
ihlr-16481	62	1	democrats	democrats	PROPN
ihlr-16481	62	2	voted	vote	VERB
ihlr-16481	62	3	for	for	ADP
ihlr-16481	62	4	the	the	DET
ihlr-16481	62	5	bill	bill	NOUN
ihlr-16481	62	6	hoping	hope	VERB
ihlr-16481	62	7	and	and	CCONJ
ihlr-16481	62	8	believing	believe	VERB
ihlr-16481	62	9	that	that	SCONJ
ihlr-16481	62	10	its	its	PRON
ihlr-16481	62	11	dominant	dominant	ADJ
ihlr-16481	62	12	effect	effect	NOUN
ihlr-16481	62	13	would	would	AUX
ihlr-16481	62	14	be	be	AUX
ihlr-16481	62	15	to	to	PART
ihlr-16481	62	16	expand	expand	VERB
ihlr-16481	62	17	access	access	NOUN
ihlr-16481	62	18	to	to	ADP
ihlr-16481	62	19	prescription	prescription	NOUN
ihlr-16481	62	20	drugs	drug	NOUN
ihlr-16481	62	21	for	for	ADP
ihlr-16481	62	22	seniors	senior	NOUN
ihlr-16481	62	23	.	.	PUNCT
ihlr-16481	63	1	republicans	republicans	PROPN
ihlr-16481	63	2	voted	vote	VERB
ihlr-16481	63	3	for	for	ADP
ihlr-16481	63	4	the	the	DET
ihlr-16481	63	5	bill	bill	NOUN
ihlr-16481	63	6	with	with	ADP
ihlr-16481	63	7	the	the	DET
ihlr-16481	63	8	long	long	ADJ
ihlr-16481	63	9	-	-	PUNCT
ihlr-16481	63	10	term	term	NOUN
ihlr-16481	63	11	goals	goal	NOUN
ihlr-16481	63	12	of	of	ADP
ihlr-16481	63	13	privatizing	privatize	VERB
ihlr-16481	63	14	the	the	DET
ihlr-16481	63	15	entire	entire	ADJ
ihlr-16481	63	16	medicare	medicare	PROPN
ihlr-16481	63	17	program	program	NOUN
ihlr-16481	63	18	through	through	ADP
ihlr-16481	63	19	contracts	contract	NOUN
ihlr-16481	63	20	with	with	ADP
ihlr-16481	63	21	commercial	commercial	ADJ
ihlr-16481	63	22	insurers	insurer	NOUN
ihlr-16481	63	23	and	and	CCONJ
ihlr-16481	63	24	increasing	increase	VERB
ihlr-16481	63	25	individual	individual	ADJ
ihlr-16481	63	26	responsibility	responsibility	NOUN
ihlr-16481	63	27	using	use	VERB
ihlr-16481	63	28	health	health	NOUN
ihlr-16481	63	29	savings	saving	NOUN
ihlr-16481	63	30	accounts.12	accounts.12	NOUN
ihlr-16481	63	31	my	my	PRON
ihlr-16481	63	32	guess	guess	NOUN
ihlr-16481	63	33	is	be	AUX
ihlr-16481	63	34	that	that	SCONJ
ihlr-16481	63	35	the	the	DET
ihlr-16481	63	36	next	next	ADJ
ihlr-16481	63	37	few	few	ADJ
ihlr-16481	63	38	years	year	NOUN
ihlr-16481	63	39	will	will	AUX
ihlr-16481	63	40	demonstrate	demonstrate	VERB
ihlr-16481	63	41	how	how	SCONJ
ihlr-16481	63	42	difficult	difficult	ADJ
ihlr-16481	63	43	it	it	PRON
ihlr-16481	63	44	is	be	AUX
ihlr-16481	63	45	to	to	PART
ihlr-16481	63	46	make	make	VERB
ihlr-16481	63	47	the	the	DET
ihlr-16481	63	48	mma	mma	PROPN
ihlr-16481	63	49	a	a	DET
ihlr-16481	63	50	success	success	NOUN
ihlr-16481	63	51	given	give	VERB
ihlr-16481	63	52	this	this	DET
ihlr-16481	63	53	fundamental	fundamental	ADJ
ihlr-16481	63	54	disagreement	disagreement	NOUN
ihlr-16481	63	55	about	about	ADP
ihlr-16481	63	56	its	its	PRON
ihlr-16481	63	57	purpose	purpose	NOUN
ihlr-16481	63	58	.	.	PUNCT
ihlr-16481	64	1	pay	pay	VERB
ihlr-16481	64	2	for	for	ADP
ihlr-16481	64	3	performance	performance	NOUN
ihlr-16481	64	4	is	be	AUX
ihlr-16481	64	5	at	at	ADP
ihlr-16481	64	6	a	a	DET
ihlr-16481	64	7	similar	similar	ADJ
ihlr-16481	64	8	crossroads	crossroad	NOUN
ihlr-16481	64	9	today	today	NOUN
ihlr-16481	64	10	.	.	PUNCT
ihlr-16481	65	1	rewarding	reward	VERB
ihlr-16481	65	2	physicians	physician	NOUN
ihlr-16481	65	3	for	for	ADP
ihlr-16481	65	4	health	health	NOUN
ihlr-16481	65	5	rather	rather	ADV
ihlr-16481	65	6	than	than	ADP
ihlr-16481	65	7	illness	illness	NOUN
ihlr-16481	65	8	has	have	VERB
ihlr-16481	65	9	a	a	DET
ihlr-16481	65	10	long	long	ADJ
ihlr-16481	65	11	history	history	NOUN
ihlr-16481	65	12	of	of	ADP
ihlr-16481	65	13	academic	academic	ADJ
ihlr-16481	65	14	speculation	speculation	NOUN
ihlr-16481	65	15	going	go	VERB
ihlr-16481	65	16	back	back	ADV
ihlr-16481	65	17	at	at	ADP
ihlr-16481	65	18	least	least	ADJ
ihlr-16481	65	19	to	to	ADP
ihlr-16481	65	20	a	a	DET
ihlr-16481	65	21	footnote	footnote	NOUN
ihlr-16481	65	22	in	in	ADP
ihlr-16481	65	23	the	the	DET
ihlr-16481	65	24	1963	1963	NUM
ihlr-16481	65	25	american	american	ADJ
ihlr-16481	65	26	economic	economic	PROPN
ihlr-16481	65	27	review	review	PROPN
ihlr-16481	65	28	,	,	PUNCT
ihlr-16481	65	29	in	in	ADP
ihlr-16481	65	30	which	which	PRON
ihlr-16481	65	31	economist	economist	NOUN
ihlr-16481	65	32	kenneth	kenneth	PROPN
ihlr-16481	65	33	arrow	arrow	PROPN
ihlr-16481	65	34	attributed	attribute	VERB
ihlr-16481	65	35	the	the	DET
ihlr-16481	65	36	practice	practice	NOUN
ihlr-16481	65	37	to	to	ADP
ihlr-16481	65	38	the	the	DET
ihlr-16481	65	39	chinese	chinese	PROPN
ihlr-16481	65	40	.	.	PUNCT
ihlr-16481	66	1	13	13	NUM
ihlr-16481	66	2	these	these	PRON
ihlr-16481	66	3	have	have	AUX
ihlr-16481	66	4	been	be	AUX
ihlr-16481	66	5	sporadic	sporadic	ADJ
ihlr-16481	66	6	,	,	PUNCT
ihlr-16481	66	7	tentative	tentative	ADJ
ihlr-16481	66	8	proposals	proposal	NOUN
ihlr-16481	66	9	from	from	ADP
ihlr-16481	66	10	health	health	NOUN
ihlr-16481	66	11	care	care	NOUN
ihlr-16481	66	12	outsiders	outsider	NOUN
ihlr-16481	66	13	-	-	PUNCT
ihlr-16481	66	14	in	in	ADP
ihlr-16481	66	15	essence	essence	NOUN
ihlr-16481	66	16	,	,	PUNCT
ihlr-16481	66	17	theories	theory	NOUN
ihlr-16481	66	18	without	without	ADP
ihlr-16481	66	19	movements.14	movements.14	PROPN
ihlr-16481	66	20	in	in	ADP
ihlr-16481	66	21	the	the	DET
ihlr-16481	66	22	last	last	ADJ
ihlr-16481	66	23	five	five	NUM
ihlr-16481	66	24	years	year	NOUN
ihlr-16481	66	25	or	or	CCONJ
ihlr-16481	66	26	so	so	ADV
ihlr-16481	66	27	,	,	PUNCT
ihlr-16481	66	28	by	by	ADP
ihlr-16481	66	29	contrast	contrast	NOUN
ihlr-16481	66	30	,	,	PUNCT
ihlr-16481	66	31	quality	quality	NOUN
ihlr-16481	66	32	improvement	improvement	NOUN
ihlr-16481	66	33	advocates	advocate	NOUN
ihlr-16481	66	34	of	of	ADP
ihlr-16481	66	35	various	various	ADJ
ihlr-16481	66	36	stripes	stripe	NOUN
ihlr-16481	66	37	within	within	ADP
ihlr-16481	66	38	the	the	DET
ihlr-16481	66	39	medical	medical	ADJ
ihlr-16481	66	40	mainstream	mainstream	NOUN
ihlr-16481	66	41	have	have	AUX
ihlr-16481	66	42	coalesced	coalesce	VERB
ihlr-16481	66	43	around	around	ADP
ihlr-16481	66	44	p4p	p4p	PROPN
ihlr-16481	66	45	,	,	PUNCT
ihlr-16481	66	46	a	a	DET
ihlr-16481	66	47	phrase	phrase	NOUN
ihlr-16481	66	48	that	that	SCONJ
ihlr-16481	66	49	simultaneously	simultaneously	ADV
ihlr-16481	66	50	channels	channel	VERB
ihlr-16481	66	51	the	the	DET
ihlr-16481	66	52	futurism	futurism	NOUN
ihlr-16481	66	53	of	of	ADP
ihlr-16481	66	54	internet	internet	NOUN
ihlr-16481	66	55	commerce	commerce	NOUN
ihlr-16481	66	56	(	(	PUNCT
ihlr-16481	66	57	b2b	b2b	PROPN
ihlr-16481	66	58	,	,	PUNCT
ihlr-16481	66	59	y2k	y2k	NOUN
ihlr-16481	66	60	)	)	PUNCT
ihlr-16481	66	61	and	and	CCONJ
ihlr-16481	66	62	the	the	DET
ihlr-16481	66	63	glamour	glamour	NOUN
ihlr-16481	66	64	of	of	ADP
ihlr-16481	66	65	fortune	fortune	NOUN
ihlr-16481	66	66	500	500	NUM
ihlr-16481	66	67	executive	executive	NOUN
ihlr-16481	66	68	compensation.15	compensation.15	NOUN
ihlr-16481	66	69	9	9	NUM
ihlr-16481	66	70	.	.	PUNCT
ihlr-16481	67	1	see	see	VERB
ihlr-16481	67	2	amy	amy	PROPN
ihlr-16481	67	3	goldstein	goldstein	PROPN
ihlr-16481	67	4	&	&	CCONJ
ihlr-16481	67	5	helen	helen	PROPN
ihlr-16481	67	6	dewar	dewar	PROPN
ihlr-16481	67	7	,	,	PUNCT
ihlr-16481	67	8	senate	senate	PROPN
ihlr-16481	67	9	kills	kill	VERB
ihlr-16481	67	10	"	"	PUNCT
ihlr-16481	67	11	patients	patient	NOUN
ihlr-16481	67	12	'	'	PART
ihlr-16481	67	13	rights	right	NOUN
ihlr-16481	67	14	"	"	PUNCT
ihlr-16481	67	15	bill	bill	NOUN
ihlr-16481	67	16	,	,	PUNCT
ihlr-16481	67	17	wash	wash	NOUN
ihlr-16481	67	18	.	.	PUNCT
ihlr-16481	68	1	post	post	NOUN
ihlr-16481	68	2	.	.	PROPN
ihlr-16481	68	3	,	,	PUNCT
ihlr-16481	68	4	oct	oct	PROPN
ihlr-16481	68	5	.	.	PROPN
ihlr-16481	68	6	10	10	NUM
ihlr-16481	68	7	,	,	PUNCT
ihlr-16481	68	8	1998	1998	NUM
ihlr-16481	68	9	,	,	PUNCT
ihlr-16481	68	10	at	at	ADP
ihlr-16481	68	11	al	al	PROPN
ihlr-16481	68	12	.	.	PROPN
ihlr-16481	68	13	10	10	NUM
ihlr-16481	68	14	.	.	PUNCT
ihlr-16481	69	1	see	see	VERB
ihlr-16481	69	2	pegram	pegram	PROPN
ihlr-16481	69	3	v.	v.	ADP
ihlr-16481	69	4	herdrich	herdrich	PROPN
ihlr-16481	69	5	,	,	PUNCT
ihlr-16481	69	6	530	530	NUM
ihlr-16481	69	7	u.s	u.s	PROPN
ihlr-16481	69	8	.	.	PROPN
ihlr-16481	69	9	211	211	NUM
ihlr-16481	69	10	(	(	PUNCT
ihlr-16481	69	11	2000	2000	NUM
ihlr-16481	69	12	)	)	PUNCT
ihlr-16481	69	13	;	;	PUNCT
ihlr-16481	69	14	aetna	aetna	PROPN
ihlr-16481	69	15	health	health	PROPN
ihlr-16481	69	16	inc	inc	PROPN
ihlr-16481	69	17	.	.	PROPN
ihlr-16481	70	1	v.	v.	PROPN
ihlr-16481	70	2	davila	davila	PROPN
ihlr-16481	70	3	,	,	PUNCT
ihlr-16481	70	4	542	542	NUM
ihlr-16481	70	5	u.s	u.s	PROPN
ihlr-16481	70	6	.	.	PROPN
ihlr-16481	70	7	200	200	NUM
ihlr-16481	70	8	(	(	PUNCT
ihlr-16481	70	9	2004	2004	NUM
ihlr-16481	70	10	)	)	PUNCT
ihlr-16481	70	11	;	;	PUNCT
ihlr-16481	71	1	williamm	williamm	PROPN
ihlr-16481	71	2	.	.	PUNCT
ihlr-16481	72	1	sage	sage	NOUN
ihlr-16481	72	2	,	,	PUNCT
ihlr-16481	72	3	ur	ur	INTJ
ihlr-16481	72	4	here	here	ADV
ihlr-16481	72	5	:	:	PUNCT
ihlr-16481	72	6	the	the	DET
ihlr-16481	72	7	supreme	supreme	PROPN
ihlr-16481	72	8	court	court	PROPN
ihlr-16481	72	9	's	's	PART
ihlr-16481	72	10	guide	guide	NOUN
ihlr-16481	72	11	for	for	ADP
ihlr-16481	72	12	managed	manage	VERB
ihlr-16481	72	13	care	care	NOUN
ihlr-16481	72	14	,	,	PUNCT
ihlr-16481	72	15	19(5	19(5	X
ihlr-16481	72	16	)	)	PUNCT
ihlr-16481	72	17	healthaff	healthaff	NOUN
ihlr-16481	72	18	.	.	PUNCT
ihlr-16481	73	1	219,219	219,219	NUM
ihlr-16481	73	2	(	(	PUNCT
ihlr-16481	73	3	2000	2000	NUM
ihlr-16481	73	4	)	)	PUNCT
ihlr-16481	73	5	.	.	PUNCT
ihlr-16481	74	1	11	11	NUM
ihlr-16481	74	2	.	.	X
ihlr-16481	75	1	pub	pub	NOUN
ihlr-16481	75	2	.	.	PUNCT
ihlr-16481	76	1	l.	l.	PROPN
ihlr-16481	76	2	no	no	INTJ
ihlr-16481	76	3	.	.	PROPN
ihlr-16481	77	1	108	108	NUM
ihlr-16481	77	2	-	-	SYM
ihlr-16481	77	3	173	173	NUM
ihlr-16481	77	4	,	,	PUNCT
ihlr-16481	77	5	117	117	NUM
ihlr-16481	77	6	stat	stat	NOUN
ihlr-16481	77	7	2065	2065	NUM
ihlr-16481	77	8	(	(	PUNCT
ihlr-16481	77	9	2003	2003	NUM
ihlr-16481	77	10	)	)	PUNCT
ihlr-16481	77	11	.	.	PUNCT
ihlr-16481	78	1	12	12	NUM
ihlr-16481	78	2	.	.	PUNCT
ihlr-16481	79	1	theodore	theodore	PROPN
ihlr-16481	79	2	r.	r.	PROPN
ihlr-16481	79	3	marmor	marmor	PROPN
ihlr-16481	79	4	&	&	CCONJ
ihlr-16481	79	5	jacobs	jacobs	PROPN
ihlr-16481	79	6	.	.	PUNCT
ihlr-16481	80	1	hacker	hacker	NOUN
ihlr-16481	80	2	,	,	PUNCT
ihlr-16481	80	3	medicarereformandsocialinsurance	medicarereformandsocialinsurance	PROPN
ihlr-16481	80	4	:	:	PUNCT
ihlr-16481	80	5	the	the	DET
ihlr-16481	80	6	c	c	NOUN
ihlr-16481	80	7	/	/	SYM
ihlr-16481	80	8	ashesof2003andtheirpotentia	ashesof2003andtheirpotentia	PROPN
ihlr-16481	80	9	/	/	SYM
ihlr-16481	80	10	fallout,5yalej.healthpol'yl.&btidcs475,478	fallout,5yalej.healthpol'yl.&btidcs475,478	PROPN
ihlr-16481	80	11	-	-	PROPN
ihlr-16481	80	12	80	80	NUM
ihlr-16481	80	13	(	(	PUNCT
ihlr-16481	80	14	2005	2005	NUM
ihlr-16481	80	15	)	)	PUNCT
ihlr-16481	81	1	;	;	PUNCT
ihlr-16481	81	2	see	see	VERB
ihlr-16481	81	3	also	also	ADV
ihlr-16481	81	4	robin	robin	PROPN
ihlr-16481	81	5	toner	toner	PROPN
ihlr-16481	81	6	,	,	PUNCT
ihlr-16481	81	7	rival	rival	ADJ
ihlr-16481	81	8	y'uions	y'uion	NOUN
ihlr-16481	81	9	led	lead	VERB
ihlr-16481	81	10	to	to	ADP
ihlr-16481	81	11	rocky	rocky	ADJ
ihlr-16481	81	12	start	start	NOUN
ihlr-16481	81	13	for	for	ADP
ihlr-16481	81	14	drug	drug	NOUN
ihlr-16481	81	15	benefit	benefit	NOUN
ihlr-16481	81	16	,	,	PUNCT
ihlr-16481	81	17	n.y	n.y	PROPN
ihlr-16481	81	18	.	.	PROPN
ihlr-16481	81	19	times	times	PROPN
ihlr-16481	81	20	,	,	PUNCT
ihlr-16481	81	21	feb	feb	PROPN
ihlr-16481	81	22	.	.	PROPN
ihlr-16481	81	23	6	6	NUM
ihlr-16481	81	24	,	,	PUNCT
ihlr-16481	81	25	2006	2006	NUM
ihlr-16481	81	26	,	,	PUNCT
ihlr-16481	81	27	at	at	ADP
ihlr-16481	81	28	al	al	PROPN
ihlr-16481	81	29	.	.	PROPN
ihlr-16481	81	30	13	13	NUM
ihlr-16481	81	31	.	.	PUNCT
ihlr-16481	82	1	kenneth	kenneth	PROPN
ihlr-16481	82	2	j.	j.	PROPN
ihlr-16481	82	3	arrow	arrow	PROPN
ihlr-16481	82	4	,	,	PUNCT
ihlr-16481	82	5	uncertainty	uncertainty	NOUN
ihlr-16481	82	6	and	and	CCONJ
ihlr-16481	82	7	the	the	DET
ihlr-16481	82	8	welfare	welfare	NOUN
ihlr-16481	82	9	economics	economic	NOUN
ihlr-16481	82	10	of	of	ADP
ihlr-16481	82	11	medical	medical	ADJ
ihlr-16481	82	12	care	care	NOUN
ihlr-16481	82	13	,	,	PUNCT
ihlr-16481	82	14	53	53	NUM
ihlr-16481	82	15	am	am	NOUN
ihlr-16481	82	16	.	.	PUNCT
ihlr-16481	83	1	econ	econ	PROPN
ihlr-16481	83	2	.	.	PUNCT
ihlr-16481	84	1	rev	rev	PROPN
ihlr-16481	84	2	.	.	PROPN
ihlr-16481	84	3	941	941	NUM
ihlr-16481	84	4	,	,	PUNCT
ihlr-16481	84	5	961	961	NUM
ihlr-16481	84	6	n.35	n.35	PROPN
ihlr-16481	84	7	(	(	PUNCT
ihlr-16481	84	8	1963	1963	NUM
ihlr-16481	84	9	)	)	PUNCT
ihlr-16481	84	10	.	.	PUNCT
ihlr-16481	85	1	14	14	NUM
ihlr-16481	85	2	.	.	PUNCT
ihlr-16481	86	1	see	see	VERB
ihlr-16481	86	2	,	,	PUNCT
ihlr-16481	86	3	e.g.	e.g.	ADV
ihlr-16481	86	4	,	,	PUNCT
ihlr-16481	86	5	davida	davida	PROPN
ihlr-16481	86	6	.	.	PUNCT
ihlr-16481	87	1	hyman	hyman	PROPN
ihlr-16481	87	2	&	&	CCONJ
ihlr-16481	87	3	cbarles	cbarles	PROPN
ihlr-16481	87	4	silver	silver	NOUN
ihlr-16481	87	5	,	,	PUNCT
ihlr-16481	87	6	just	just	ADV
ihlr-16481	87	7	what	what	PRON
ihlr-16481	87	8	the	the	DET
ihlr-16481	87	9	patient	patient	NOUN
ihlr-16481	87	10	ordered	order	VERB
ihlr-16481	87	11	:	:	PUNCT
ihlr-16481	87	12	the	the	DET
ihlr-16481	87	13	case	case	NOUN
ihlr-16481	87	14	for	for	ADP
ihlr-16481	87	15	result	result	NOUN
ihlr-16481	87	16	-	-	PUNCT
ihlr-16481	87	17	based	base	VERB
ihlr-16481	87	18	compensation	compensation	NOUN
ihlr-16481	87	19	,	,	PUNCT
ihlr-16481	87	20	29	29	NUM
ihlr-16481	87	21	j.l	j.l	PROPN
ihlr-16481	87	22	.	.	PROPN
ihlr-16481	87	23	med	med	PROPN
ihlr-16481	87	24	.	.	PROPN
ihlr-16481	87	25	&	&	CCONJ
ihlr-16481	87	26	etidcs	etidcs	PROPN
ihlr-16481	87	27	170	170	NUM
ihlr-16481	87	28	(	(	PUNCT
ihlr-16481	87	29	2001	2001	NUM
ihlr-16481	87	30	)	)	PUNCT
ihlr-16481	88	1	;	;	PUNCT
ihlr-16481	88	2	david	david	PROPN
ihlr-16481	88	3	a.	a.	PROPN
ihlr-16481	88	4	hyman	hyman	PROPN
ihlr-16481	88	5	&	&	CCONJ
ihlr-16481	88	6	charles	charles	PROPN
ihlr-16481	88	7	silver	silver	PROPN
ihlr-16481	88	8	,	,	PUNCT
ihlr-16481	88	9	you	you	PRON
ihlr-16481	88	10	get	get	VERB
ihlr-16481	88	11	what	what	PRON
ihlr-16481	88	12	you	you	PRON
ihlr-16481	88	13	pay	pay	VERB
ihlr-16481	88	14	for	for	ADP
ihlr-16481	88	15	:	:	PUNCT
ihlr-16481	88	16	result	result	NOUN
ihlr-16481	88	17	-	-	PUNCT
ihlr-16481	88	18	based	base	VERB
ihlr-16481	88	19	compensation	compensation	NOUN
ihlr-16481	88	20	for	for	ADP
ihlr-16481	88	21	health	health	NOUN
ihlr-16481	88	22	care	care	NOUN
ihlr-16481	88	23	,	,	PUNCT
ihlr-16481	88	24	58	58	NUM
ihlr-16481	88	25	wash.&leel.rev.1427	wash.&leel.rev.1427	NOUN
ihlr-16481	88	26	(	(	PUNCT
ihlr-16481	88	27	2001	2001	NUM
ihlr-16481	88	28	)	)	PUNCT
ihlr-16481	88	29	.	.	PUNCT
ihlr-16481	89	1	15	15	X
ihlr-16481	89	2	.	.	X
ihlr-16481	90	1	see	see	VERB
ihlr-16481	90	2	,	,	PUNCT
ihlr-16481	90	3	e.g.	e.g.	ADV
ihlr-16481	90	4	,	,	PUNCT
ihlr-16481	90	5	meredith	meredith	PROPN
ihlr-16481	90	6	b.	b.	PROPN
ihlr-16481	90	7	rosenthal	rosenthal	PROPN
ihlr-16481	90	8	et	et	PROPN
ihlr-16481	90	9	al	al	PROPN
ihlr-16481	90	10	.	.	PROPN
ihlr-16481	90	11	,	,	PUNCT
ihlr-16481	90	12	payingfor	payingfor	ADP
ihlr-16481	90	13	quality	quality	NOUN
ihlr-16481	90	14	:	:	PUNCT
ihlr-16481	90	15	providers	provider	NOUN
ihlr-16481	90	16	'	'	PART
ihlr-16481	90	17	incentives	incentive	NOUN
ihlr-16481	90	18	for	for	ADP
ihlr-16481	90	19	quality	quality	NOUN
ihlr-16481	90	20	improvement	improvement	NOUN
ihlr-16481	90	21	,	,	PUNCT
ihlr-16481	90	22	23(2	23(2	NUM
ihlr-16481	90	23	)	)	PUNCT
ihlr-16481	90	24	health	health	NOUN
ihlr-16481	90	25	aff	aff	PROPN
ihlr-16481	90	26	.	.	PUNCT
ihlr-16481	91	1	127	127	NUM
ihlr-16481	91	2	,	,	PUNCT
ihlr-16481	91	3	127	127	NUM
ihlr-16481	91	4	(	(	PUNCT
ihlr-16481	91	5	2004	2004	NUM
ihlr-16481	91	6	)	)	PUNCT
ihlr-16481	91	7	;	;	PUNCT
ihlr-16481	91	8	sheila	sheila	PROPN
ihlr-16481	91	9	leatherman	leatherman	PROPN
ihlr-16481	91	10	et	et	PROPN
ihlr-16481	91	11	al	al	PROPN
ihlr-16481	91	12	.	.	PROPN
ihlr-16481	91	13	,	,	PUNCT
ihlr-16481	91	14	the	the	DET
ihlr-16481	91	15	business	business	NOUN
ihlr-16481	91	16	case	case	NOUN
ihlr-16481	91	17	for	for	ADP
ihlr-16481	91	18	quality	quality	NOUN
ihlr-16481	91	19	:	:	PUNCT
ihlr-16481	91	20	case	case	NOUN
ihlr-16481	91	21	studies	study	NOUN
ihlr-16481	91	22	and	and	CCONJ
ihlr-16481	91	23	an	an	DET
ihlr-16481	91	24	analysis	analysis	NOUN
ihlr-16481	91	25	,	,	PUNCT
ihlr-16481	91	26	22(2	22(2	NOUN
ihlr-16481	91	27	)	)	PUNCT
ihlr-16481	91	28	healthaff	healthaff	NOUN
ihlr-16481	91	29	.	.	PUNCT
ihlr-16481	92	1	17	17	NUM
ihlr-16481	92	2	,	,	PUNCT
ihlr-16481	92	3	17	17	NUM
ihlr-16481	92	4	(	(	PUNCT
ihlr-16481	92	5	2003	2003	NUM
ihlr-16481	92	6	)	)	PUNCT
ihlr-16481	92	7	.	.	PUNCT
ihlr-16481	93	1	308	308	NUM
ihlr-16481	93	2	indiana	indiana	PROPN
ihlr-16481	93	3	heal1h	heal1h	PROPN
ihlr-16481	93	4	law	law	NOUN
ihlr-16481	93	5	review	review	NOUN
ihlr-16481	93	6	[	[	X
ihlr-16481	93	7	vol	vol	NOUN
ihlr-16481	93	8	.	.	PUNCT
ihlr-16481	94	1	3:303	3:303	NUM
ihlr-16481	95	1	but	but	CCONJ
ihlr-16481	95	2	the	the	DET
ihlr-16481	95	3	"	"	PUNCT
ihlr-16481	95	4	pay	pay	NOUN
ihlr-16481	95	5	for	for	ADP
ihlr-16481	95	6	performance	performance	NOUN
ihlr-16481	95	7	medical	medical	ADJ
ihlr-16481	95	8	quality	quality	NOUN
ihlr-16481	95	9	movement	movement	NOUN
ihlr-16481	95	10	,	,	PUNCT
ihlr-16481	95	11	lacks	lack	VERB
ihlr-16481	95	12	a	a	DET
ihlr-16481	95	13	common	common	ADJ
ihlr-16481	95	14	principle	principle	NOUN
ihlr-16481	95	15	or	or	CCONJ
ihlr-16481	95	16	purpose	purpose	NOUN
ihlr-16481	95	17	beyond	beyond	ADP
ihlr-16481	95	18	frustration	frustration	NOUN
ihlr-16481	95	19	with	with	ADP
ihlr-16481	95	20	conventional	conventional	ADJ
ihlr-16481	95	21	reimburse­	reimburse­	NOUN
ihlr-16481	95	22	ment	ment	ADJ
ihlr-16481	95	23	mechanisms	mechanism	NOUN
ihlr-16481	95	24	and	and	CCONJ
ihlr-16481	95	25	a	a	DET
ihlr-16481	95	26	general	general	ADJ
ihlr-16481	95	27	commitment	commitment	NOUN
ihlr-16481	95	28	to	to	ADP
ihlr-16481	95	29	quality	quality	NOUN
ihlr-16481	95	30	improvement	improvement	NOUN
ihlr-16481	95	31	.	.	PUNCT
ihlr-16481	96	1	moreover	moreover	ADV
ihlr-16481	96	2	,	,	PUNCT
ihlr-16481	96	3	many	many	ADJ
ihlr-16481	96	4	rationales	rationale	NOUN
ihlr-16481	96	5	that	that	SCONJ
ihlr-16481	96	6	one	one	PRON
ihlr-16481	96	7	can	can	AUX
ihlr-16481	96	8	articulate	articulate	VERB
ihlr-16481	96	9	for	for	ADP
ihlr-16481	96	10	p4p	p4p	PROPN
ihlr-16481	96	11	--	--	PUNCT
ihlr-16481	96	12	and	and	CCONJ
ihlr-16481	96	13	that	that	PRON
ihlr-16481	96	14	seem	seem	VERB
ihlr-16481	96	15	to	to	PART
ihlr-16481	96	16	be	be	AUX
ihlr-16481	96	17	percolating	percolate	VERB
ihlr-16481	96	18	in	in	ADP
ihlr-16481	96	19	the	the	DET
ihlr-16481	96	20	public	public	NOUN
ihlr-16481	96	21	and	and	CCONJ
ihlr-16481	96	22	among	among	ADP
ihlr-16481	96	23	policy	policy	NOUN
ihlr-16481	96	24	makers	maker	NOUN
ihlr-16481	96	25	-	-	PUNCT
ihlr-16481	96	26	are	be	AUX
ihlr-16481	96	27	either	either	ADV
ihlr-16481	96	28	internally	internally	ADV
ihlr-16481	96	29	inconsistent	inconsistent	ADJ
ihlr-16481	96	30	or	or	CCONJ
ihlr-16481	96	31	incompatible	incompatible	ADJ
ihlr-16481	96	32	with	with	ADP
ihlr-16481	96	33	one	one	NUM
ihlr-16481	96	34	another	another	DET
ihlr-16481	96	35	.	.	PUNCT
ihlr-16481	97	1	there	there	PRON
ihlr-16481	97	2	are	be	VERB
ihlr-16481	97	3	three	three	NUM
ihlr-16481	97	4	fundamental	fundamental	ADJ
ihlr-16481	97	5	questions	question	NOUN
ihlr-16481	97	6	that	that	PRON
ihlr-16481	97	7	need	need	VERB
ihlr-16481	97	8	to	to	PART
ihlr-16481	97	9	be	be	AUX
ihlr-16481	97	10	asked	ask	VERB
ihlr-16481	97	11	about	about	ADP
ihlr-16481	97	12	pay	pay	NOUN
ihlr-16481	97	13	for	for	ADP
ihlr-16481	97	14	performance	performance	NOUN
ihlr-16481	97	15	in	in	ADP
ihlr-16481	97	16	health	health	NOUN
ihlr-16481	97	17	care	care	NOUN
ihlr-16481	97	18	.	.	PUNCT
ihlr-16481	98	1	first	first	ADV
ihlr-16481	98	2	,	,	PUNCT
ihlr-16481	98	3	will	will	AUX
ihlr-16481	98	4	pay	pay	VERB
ihlr-16481	98	5	for	for	ADP
ihlr-16481	98	6	performance	performance	NOUN
ihlr-16481	98	7	incentives	incentive	NOUN
ihlr-16481	98	8	make	make	VERB
ihlr-16481	98	9	buyers	buyer	NOUN
ihlr-16481	98	10	of	of	ADP
ihlr-16481	98	11	medical	medical	ADJ
ihlr-16481	98	12	care	care	NOUN
ihlr-16481	98	13	smarter	smarter	ADV
ihlr-16481	98	14	?	?	PUNCT
ihlr-16481	99	1	second	second	ADV
ihlr-16481	99	2	,	,	PUNCT
ihlr-16481	99	3	will	will	AUX
ihlr-16481	99	4	pay	pay	VERB
ihlr-16481	99	5	for	for	ADP
ihlr-16481	99	6	performance	performance	NOUN
ihlr-16481	99	7	incentives	incentive	NOUN
ihlr-16481	99	8	make	make	VERB
ihlr-16481	99	9	sellers	seller	NOUN
ihlr-16481	99	10	of	of	ADP
ihlr-16481	99	11	medical	medical	ADJ
ihlr-16481	99	12	care	care	NOUN
ihlr-16481	99	13	more	more	ADV
ihlr-16481	99	14	skillful	skillful	ADJ
ihlr-16481	99	15	?	?	PUNCT
ihlr-16481	100	1	third	third	ADJ
ihlr-16481	100	2	,	,	PUNCT
ihlr-16481	100	3	is	be	AUX
ihlr-16481	100	4	pay	pay	NOUN
ihlr-16481	100	5	for	for	ADP
ihlr-16481	100	6	performance	performance	NOUN
ihlr-16481	100	7	primarily	primarily	ADV
ihlr-16481	100	8	a	a	DET
ihlr-16481	100	9	private	private	ADJ
ihlr-16481	100	10	health	health	NOUN
ihlr-16481	100	11	care	care	NOUN
ihlr-16481	100	12	innovation	innovation	NOUN
ihlr-16481	100	13	or	or	CCONJ
ihlr-16481	100	14	primarily	primarily	ADV
ihlr-16481	100	15	a	a	DET
ihlr-16481	100	16	governmental	governmental	ADJ
ihlr-16481	100	17	one	one	NUM
ihlr-16481	100	18	?	?	PUNCT
ihlr-16481	101	1	with	with	ADP
ihlr-16481	101	2	the	the	DET
ihlr-16481	101	3	goal	goal	NOUN
ihlr-16481	101	4	of	of	ADP
ihlr-16481	101	5	resolving	resolve	VERB
ihlr-16481	101	6	these	these	DET
ihlr-16481	101	7	uncertainties	uncertainty	NOUN
ihlr-16481	101	8	,	,	PUNCT
ihlr-16481	101	9	let	let	VERB
ihlr-16481	101	10	us	we	PRON
ihlr-16481	101	11	turn	turn	VERB
ihlr-16481	101	12	to	to	ADP
ihlr-16481	101	13	a	a	DET
ihlr-16481	101	14	description	description	NOUN
ihlr-16481	101	15	of	of	ADP
ihlr-16481	101	16	the	the	DET
ihlr-16481	101	17	multiple	multiple	ADJ
ihlr-16481	101	18	,	,	PUNCT
ihlr-16481	101	19	potentially	potentially	ADV
ihlr-16481	101	20	conflicting	conflicting	ADJ
ihlr-16481	101	21	explanations	explanation	NOUN
ihlr-16481	101	22	that	that	PRON
ihlr-16481	101	23	have	have	AUX
ihlr-16481	101	24	been	be	AUX
ihlr-16481	101	25	explicitly	explicitly	ADV
ihlr-16481	101	26	articulated	articulate	VERB
ihlr-16481	101	27	for	for	ADP
ihlr-16481	101	28	p4p	p4p	PROPN
ihlr-16481	101	29	or	or	CCONJ
ihlr-16481	101	30	are	be	AUX
ihlr-16481	101	31	implicit	implicit	ADJ
ihlr-16481	101	32	in	in	ADP
ihlr-16481	101	33	endorsement	endorsement	NOUN
ihlr-16481	101	34	by	by	ADP
ihlr-16481	101	35	particular	particular	ADJ
ihlr-16481	101	36	groups	group	NOUN
ihlr-16481	101	37	.	.	PUNCT
ihlr-16481	102	1	then	then	ADV
ihlr-16481	102	2	let	let	VERB
ihlr-16481	102	3	me	i	PRON
ihlr-16481	102	4	suggest	suggest	VERB
ihlr-16481	102	5	to	to	ADP
ihlr-16481	102	6	you	you	PRON
ihlr-16481	102	7	three	three	NUM
ihlr-16481	102	8	plausible	plausible	ADJ
ihlr-16481	102	9	unifying	unifying	ADJ
ihlr-16481	102	10	theories	theory	NOUN
ihlr-16481	102	11	of	of	ADP
ihlr-16481	102	12	pay	pay	NOUN
ihlr-16481	102	13	for	for	ADP
ihlr-16481	102	14	performance	performance	NOUN
ihlr-16481	102	15	,	,	PUNCT
ihlr-16481	102	16	and	and	CCONJ
ihlr-16481	102	17	how	how	SCONJ
ihlr-16481	102	18	p4p	p4p	PROPN
ihlr-16481	102	19	systems	system	NOUN
ihlr-16481	102	20	might	might	AUX
ihlr-16481	102	21	be	be	AUX
ihlr-16481	102	22	designed	design	VERB
ihlr-16481	102	23	to	to	PART
ihlr-16481	102	24	further	further	VERB
ihlr-16481	102	25	each	each	PRON
ihlr-16481	102	26	.	.	PUNCT
ihlr-16481	103	1	i	i	PRON
ihlr-16481	103	2	will	will	AUX
ihlr-16481	103	3	conclude	conclude	VERB
ihlr-16481	103	4	by	by	ADP
ihlr-16481	103	5	making	make	VERB
ihlr-16481	103	6	the	the	DET
ihlr-16481	103	7	case	case	NOUN
ihlr-16481	103	8	for	for	ADP
ihlr-16481	103	9	strong	strong	ADJ
ihlr-16481	103	10	government	government	NOUN
ihlr-16481	103	11	leadership	leadership	NOUN
ihlr-16481	103	12	in	in	ADP
ihlr-16481	103	13	pay	pay	NOUN
ihlr-16481	103	14	for	for	ADP
ihlr-16481	103	15	performance	performance	NOUN
ihlr-16481	103	16	,	,	PUNCT
ihlr-16481	103	17	a	a	DET
ihlr-16481	103	18	need	need	NOUN
ihlr-16481	103	19	i	i	PRON
ihlr-16481	103	20	believe	believe	VERB
ihlr-16481	103	21	to	to	PART
ihlr-16481	103	22	be	be	AUX
ihlr-16481	103	23	compelling	compelling	ADJ
ihlr-16481	103	24	notwithstanding	notwithstanding	ADP
ihlr-16481	103	25	its	its	PRON
ihlr-16481	103	26	secondary	secondary	ADJ
ihlr-16481	103	27	place	place	NOUN
ihlr-16481	103	28	in	in	ADP
ihlr-16481	103	29	the	the	DET
ihlr-16481	103	30	history	history	NOUN
ihlr-16481	103	31	of	of	ADP
ihlr-16481	103	32	the	the	DET
ihlr-16481	103	33	movement	movement	NOUN
ihlr-16481	103	34	.	.	PUNCT
ihlr-16481	104	1	ii	ii	PROPN
ihlr-16481	104	2	.	.	PUNCT
ihlr-16481	105	1	p4p	p4p	PROPN
ihlr-16481	105	2	's	's	PART
ihlr-16481	105	3	fellow	fellow	ADJ
ihlr-16481	105	4	travelers	traveler	NOUN
ihlr-16481	105	5	to	to	PART
ihlr-16481	105	6	begin	begin	VERB
ihlr-16481	105	7	to	to	PART
ihlr-16481	105	8	understand	understand	VERB
ihlr-16481	105	9	the	the	DET
ihlr-16481	105	10	tensions	tension	NOUN
ihlr-16481	105	11	fu	fu	NOUN
ihlr-16481	105	12	pay	pay	VERB
ihlr-16481	105	13	for	for	ADP
ihlr-16481	105	14	performance	performance	NOUN
ihlr-16481	105	15	,	,	PUNCT
ihlr-16481	105	16	it	it	PRON
ihlr-16481	105	17	is	be	AUX
ihlr-16481	105	18	useful	useful	ADJ
ihlr-16481	105	19	to	to	PART
ihlr-16481	105	20	compare	compare	VERB
ihlr-16481	105	21	physicians	physician	NOUN
ihlr-16481	105	22	'	'	PART
ihlr-16481	105	23	incentive	incentive	NOUN
ihlr-16481	105	24	compensation	compensation	NOUN
ihlr-16481	105	25	to	to	ADP
ihlr-16481	105	26	seemingly	seemingly	ADV
ihlr-16481	105	27	similar	similar	ADJ
ihlr-16481	105	28	payment	payment	NOUN
ihlr-16481	105	29	methods	method	NOUN
ihlr-16481	105	30	for	for	ADP
ihlr-16481	105	31	lawyers	lawyer	NOUN
ihlr-16481	105	32	,	,	PUNCT
ihlr-16481	105	33	who	who	PRON
ihlr-16481	105	34	comprise	comprise	VERB
ihlr-16481	105	35	america	america	PROPN
ihlr-16481	105	36	's	's	PART
ihlr-16481	105	37	other	other	ADJ
ihlr-16481	105	38	"	"	PUNCT
ihlr-16481	105	39	sovereign	sovereign	ADJ
ihlr-16481	105	40	profession	profession	NOUN
ihlr-16481	105	41	.	.	PUNCT
ihlr-16481	106	1	,	,	PUNCT
ihlr-16481	106	2	litigators	litigator	NOUN
ihlr-16481	106	3	'	'	PART
ihlr-16481	106	4	contingent	contingent	ADJ
ihlr-16481	106	5	fees	fee	NOUN
ihlr-16481	106	6	-	-	PUNCT
ihlr-16481	106	7	a	a	DET
ihlr-16481	106	8	pre	pre	ADJ
ihlr-16481	106	9	-	-	ADJ
ihlr-16481	106	10	agreed	agreed	ADJ
ihlr-16481	106	11	percentage	percentage	NOUN
ihlr-16481	106	12	of	of	ADP
ihlr-16481	106	13	their	their	PRON
ihlr-16481	106	14	clients	client	NOUN
ihlr-16481	106	15	'	'	PART
ihlr-16481	106	16	financial	financial	ADJ
ihlr-16481	106	17	recovery	recovery	NOUN
ihlr-16481	106	18	,	,	PUNCT
ihlr-16481	106	19	paid	pay	VERB
ihlr-16481	106	20	only	only	ADV
ihlr-16481	106	21	if	if	SCONJ
ihlr-16481	106	22	the	the	DET
ihlr-16481	106	23	lawyer	lawyer	NOUN
ihlr-16481	106	24	prevails	prevail	VERB
ihlr-16481	106	25	in	in	ADP
ihlr-16481	106	26	court	court	PROPN
ihlr-16481	106	27	c;>r	c;>r	PROPN
ihlr-16481	106	28	by	by	ADP
ihlr-16481	106	29	settlement	settlement	NOUN
ihlr-16481	106	30	-	-	PUNCT
ihlr-16481	106	31	are	be	AUX
ihlr-16481	106	32	without	without	ADP
ihlr-16481	106	33	doubt	doubt	NOUN
ihlr-16481	106	34	pay	pay	VERB
ihlr-16481	106	35	for	for	ADP
ihlr-16481	106	36	performance	performance	NOUN
ihlr-16481	106	37	.	.	PUNCT
ihlr-16481	107	1	why	why	SCONJ
ihlr-16481	107	2	do	do	AUX
ihlr-16481	107	3	we	we	PRON
ihlr-16481	107	4	pay	pay	VERB
ihlr-16481	107	5	these	these	DET
ihlr-16481	107	6	lawyers	lawyer	NOUN
ihlr-16481	107	7	only	only	ADV
ihlr-16481	107	8	for	for	ADP
ihlr-16481	107	9	success	success	NOUN
ihlr-16481	107	10	,	,	PUNCT
ihlr-16481	107	11	and	and	CCONJ
ihlr-16481	107	12	not	not	PART
ihlr-16481	107	13	for	for	ADP
ihlr-16481	107	14	the	the	DET
ihlr-16481	107	15	tasks	task	NOUN
ihlr-16481	107	16	they	they	PRON
ihlr-16481	107	17	perform	perform	VERB
ihlr-16481	107	18	or	or	CCONJ
ihlr-16481	107	19	the	the	DET
ihlr-16481	107	20	time	time	NOUN
ihlr-16481	107	21	they	they	PRON
ihlr-16481	107	22	spend	spend	VERB
ihlr-16481	107	23	?	?	PUNCT
ihlr-16481	108	1	two	two	NUM
ihlr-16481	108	2	reasons	reason	NOUN
ihlr-16481	108	3	are	be	AUX
ihlr-16481	108	4	immediately	immediately	ADV
ihlr-16481	108	5	relevant	relevant	ADJ
ihlr-16481	108	6	to	to	ADP
ihlr-16481	108	7	a	a	DET
ihlr-16481	108	8	discussion	discussion	NOUN
ihlr-16481	108	9	of	of	ADP
ihlr-16481	108	10	pay	pay	NOUN
ihlr-16481	108	11	for	for	ADP
ihlr-16481	108	12	performance	performance	NOUN
ihlr-16481	108	13	in	in	ADP
ihlr-16481	108	14	medicine	medicine	NOUN
ihlr-16481	108	15	.	.	PUNCT
ihlr-16481	109	1	the	the	DET
ihlr-16481	109	2	first	first	ADJ
ihlr-16481	109	3	reason	reason	NOUN
ihlr-16481	109	4	is	be	AUX
ihlr-16481	109	5	to	to	PART
ihlr-16481	109	6	inspire	inspire	VERB
ihlr-16481	109	7	lawyers	lawyer	NOUN
ihlr-16481	109	8	to	to	PART
ihlr-16481	109	9	work	work	VERB
ihlr-16481	109	10	harder	hard	ADV
ihlr-16481	109	11	for	for	ADP
ihlr-16481	109	12	clients	client	NOUN
ihlr-16481	109	13	in	in	ADP
ihlr-16481	109	14	pursuit	pursuit	NOUN
ihlr-16481	109	15	of	of	ADP
ihlr-16481	109	16	victory	victory	NOUN
ihlr-16481	109	17	.	.	PUNCT
ihlr-16481	110	1	the	the	DET
ihlr-16481	110	2	second	second	ADJ
ihlr-16481	110	3	reason	reason	NOUN
ihlr-16481	110	4	is	be	AUX
ihlr-16481	110	5	promote	promote	VERB
ihlr-16481	110	6	cost	cost	NOUN
ihlr-16481	110	7	-	-	PUNCT
ihlr-16481	110	8	effective	effective	ADJ
ihlr-16481	110	9	work	work	NOUN
ihlr-16481	110	10	,	,	PUNCT
ihlr-16481	110	11	rather	rather	ADV
ihlr-16481	110	12	than	than	ADP
ihlr-16481	110	13	just	just	ADV
ihlr-16481	110	14	"	"	PUNCT
ihlr-16481	110	15	running	run	VERB
ihlr-16481	110	16	up	up	ADP
ihlr-16481	110	17	the	the	DET
ihlr-16481	110	18	meter	meter	NOUN
ihlr-16481	110	19	.	.	PUNCT
ihlr-16481	110	20	"	"	PUNCT
ihlr-16481	111	1	we	we	PRON
ihlr-16481	111	2	will	will	AUX
ihlr-16481	111	3	return	return	VERB
ihlr-16481	111	4	to	to	ADP
ihlr-16481	111	5	a	a	DET
ihlr-16481	111	6	third	third	ADJ
ihlr-16481	111	7	reason	reason	NOUN
ihlr-16481	111	8	-	-	PUNCT
ihlr-16481	111	9	encouraging	encourage	VERB
ihlr-16481	111	10	lawyers	lawyer	NOUN
ihlr-16481	111	11	only	only	ADV
ihlr-16481	111	12	to	to	PART
ihlr-16481	111	13	take	take	VERB
ihlr-16481	111	14	winnable	winnable	ADJ
ihlr-16481	111	15	cases	case	NOUN
ihlr-16481	111	16	--	--	PUNCT
ihlr-16481	111	17	and	and	CCONJ
ihlr-16481	111	18	a	a	DET
ihlr-16481	111	19	fourth	fourth	ADV
ihlr-16481	111	20	-	-	PUNCT
ihlr-16481	111	21	ensuring	ensure	VERB
ihlr-16481	111	22	the	the	DET
ihlr-16481	111	23	availability	availability	NOUN
ihlr-16481	111	24	of	of	ADP
ihlr-16481	111	25	lawyers	lawyer	NOUN
ihlr-16481	111	26	to	to	ADP
ihlr-16481	111	27	poor	poor	ADJ
ihlr-16481	111	28	clients	client	NOUN
ihlr-16481	111	29	-	-	PUNCT
ihlr-16481	111	30	in	in	ADP
ihlr-16481	111	31	a	a	DET
ihlr-16481	111	32	discussion	discussion	NOUN
ihlr-16481	111	33	of	of	ADP
ihlr-16481	111	34	the	the	DET
ihlr-16481	111	35	government	government	NOUN
ihlr-16481	111	36	's	's	PART
ihlr-16481	111	37	role	role	NOUN
ihlr-16481	111	38	in	in	ADP
ihlr-16481	111	39	medical	medical	ADJ
ihlr-16481	111	40	p4p	p4p	PROPN
ihlr-16481	111	41	.	.	PUNCT
ihlr-16481	112	1	one	one	PRON
ihlr-16481	112	2	would	would	AUX
ihlr-16481	112	3	think	think	VERB
ihlr-16481	112	4	that	that	SCONJ
ihlr-16481	112	5	medicine	medicine	NOUN
ihlr-16481	112	6	and	and	CCONJ
ihlr-16481	112	7	law	law	NOUN
ihlr-16481	112	8	would	would	AUX
ihlr-16481	112	9	have	have	VERB
ihlr-16481	112	10	similar	similar	ADJ
ihlr-16481	112	11	views	view	NOUN
ihlr-16481	112	12	as	as	ADP
ihlr-16481	112	13	to	to	ADP
ihlr-16481	112	14	how	how	SCONJ
ihlr-16481	112	15	success	success	NOUN
ihlr-16481	112	16	fees	fee	NOUN
ihlr-16481	112	17	relate	relate	VERB
ihlr-16481	112	18	to	to	ADP
ihlr-16481	112	19	their	their	PRON
ihlr-16481	112	20	underlying	underlying	ADJ
ihlr-16481	112	21	professional	professional	ADJ
ihlr-16481	112	22	missions	mission	NOUN
ihlr-16481	112	23	.	.	PUNCT
ihlr-16481	113	1	not	not	PART
ihlr-16481	113	2	true	true	ADJ
ihlr-16481	113	3	.	.	PUNCT
ihlr-16481	114	1	the	the	DET
ihlr-16481	114	2	notion	notion	NOUN
ihlr-16481	114	3	that	that	SCONJ
ihlr-16481	114	4	lawyers	lawyer	NOUN
ihlr-16481	114	5	will	will	AUX
ihlr-16481	114	6	work	work	VERB
ihlr-16481	114	7	harder	hard	ADV
ihlr-16481	114	8	and	and	CCONJ
ihlr-16481	114	9	more	more	ADJ
ihlr-16481	114	10	cost	cost	NOUN
ihlr-16481	114	11	-	-	PUNCT
ihlr-16481	114	12	effectively	effectively	ADV
ihlr-16481	114	13	for	for	ADP
ihlr-16481	114	14	clients	client	NOUN
ihlr-16481	114	15	if	if	SCONJ
ihlr-16481	114	16	they	they	PRON
ihlr-16481	114	17	are	be	AUX
ihlr-16481	114	18	paid	pay	VERB
ihlr-16481	114	19	for	for	ADP
ihlr-16481	114	20	getting	get	VERB
ihlr-16481	114	21	results	result	NOUN
ihlr-16481	114	22	sends	send	VERB
ihlr-16481	114	23	a	a	DET
ihlr-16481	114	24	pretty	pretty	ADV
ihlr-16481	114	25	clear	clear	ADJ
ihlr-16481	114	26	message	message	NOUN
ihlr-16481	114	27	that	that	SCONJ
ihlr-16481	114	28	success	success	NOUN
ihlr-16481	114	29	in	in	ADP
ihlr-16481	114	30	law	law	NOUN
ihlr-16481	114	31	is	be	AUX
ihlr-16481	114	32	uncertain	uncertain	ADJ
ihlr-16481	114	33	and	and	CCONJ
ihlr-16481	114	34	depends	depend	VERB
ihlr-16481	114	35	on	on	ADP
ihlr-16481	114	36	effort	effort	NOUN
ihlr-16481	114	37	,	,	PUNCT
ihlr-16481	114	38	which	which	PRON
ihlr-16481	114	39	can	can	AUX
ihlr-16481	114	40	be	be	AUX
ihlr-16481	114	41	increased	increase	VERB
ihlr-16481	114	42	through	through	ADP
ihlr-16481	114	43	incentive	incentive	NOUN
ihlr-16481	114	44	compensation	compensation	NOUN
ihlr-16481	114	45	.	.	PUNCT
ihlr-16481	115	1	physicians	physician	NOUN
ihlr-16481	115	2	,	,	PUNCT
ihlr-16481	115	3	however	however	ADV
ihlr-16481	115	4	,	,	PUNCT
ihlr-16481	115	5	seem	seem	VERB
ihlr-16481	115	6	to	to	PART
ihlr-16481	115	7	have	have	VERB
ihlr-16481	115	8	a	a	DET
ihlr-16481	115	9	very	very	ADV
ihlr-16481	115	10	different	different	ADJ
ihlr-16481	115	11	view	view	NOUN
ihlr-16481	115	12	of	of	ADP
ihlr-16481	115	13	the	the	DET
ihlr-16481	115	14	relationship	relationship	NOUN
ihlr-16481	115	15	between	between	ADP
ihlr-16481	115	16	professional	professional	ADJ
ihlr-16481	115	17	uncertainty	uncertainty	NOUN
ihlr-16481	115	18	and	and	CCONJ
ihlr-16481	115	19	conditional	conditional	ADJ
ihlr-16481	115	20	payment	payment	NOUN
ihlr-16481	115	21	.	.	PUNCT
ihlr-16481	116	1	opinion	opinion	NOUN
ihlr-16481	116	2	6.01	6.01	NUM
ihlr-16481	116	3	of	of	ADP
ihlr-16481	116	4	the	the	DET
ihlr-16481	116	5	american	american	PROPN
ihlr-16481	116	6	medical	medical	PROPN
ihlr-16481	116	7	association	association	PROPN
ihlr-16481	116	8	's	's	PART
ihlr-16481	116	9	code	code	NOUN
ihlr-16481	116	10	of	of	ADP
ihlr-16481	116	11	medical	medical	ADJ
ihlr-16481	116	12	ethics	ethic	NOUN
ihlr-16481	116	13	opposes	oppose	VERB
ihlr-16481	116	14	the	the	DET
ihlr-16481	116	15	notion	notion	NOUN
ihlr-16481	116	16	of	of	ADP
ihlr-16481	116	17	paying	pay	VERB
ihlr-16481	116	18	doctors	doctor	NOUN
ihlr-16481	116	19	for	for	ADP
ihlr-16481	116	20	results	result	NOUN
ihlr-16481	116	21	on	on	ADP
ihlr-16481	116	22	a	a	DET
ihlr-16481	116	23	relatively	relatively	ADV
ihlr-16481	116	24	2006	2006	NUM
ihlr-16481	116	25	]	]	PUNCT
ihlr-16481	117	1	p4p	p4p	PROPN
ihlr-16481	117	2	:	:	PUNCT
ihlr-16481	117	3	will	will	AUX
ihlr-16481	117	4	it	it	PRON
ihlr-16481	117	5	work	work	VERB
ihlr-16481	117	6	in	in	ADP
ihlr-16481	117	7	theory	theory	NOUN
ihlr-16481	117	8	?	?	PUNCT
ihlr-16481	118	1	309	309	NUM
ihlr-16481	118	2	strange	strange	ADJ
ihlr-16481	118	3	ground	ground	NOUN
ihlr-16481	118	4	:	:	PUNCT
ihlr-16481	118	5	that	that	SCONJ
ihlr-16481	118	6	patients	patient	NOUN
ihlr-16481	118	7	who	who	PRON
ihlr-16481	118	8	pay	pay	VERB
ihlr-16481	118	9	only	only	ADV
ihlr-16481	118	10	if	if	SCONJ
ihlr-16481	118	11	they	they	PRON
ihlr-16481	118	12	get	get	VERB
ihlr-16481	118	13	better	well	ADJ
ihlr-16481	118	14	will	will	AUX
ihlr-16481	118	15	be	be	AUX
ihlr-16481	118	16	misled	mislead	VERB
ihlr-16481	118	17	into	into	ADP
ihlr-16481	118	18	believing	believe	VERB
ihlr-16481	118	19	that	that	SCONJ
ihlr-16481	118	20	they	they	PRON
ihlr-16481	118	21	will	will	AUX
ihlr-16481	118	22	get	get	VERB
ihlr-16481	118	23	better	well	ADJ
ihlr-16481	118	24	.	.	PUNCT
ihlr-16481	119	1	16	16	NUM
ihlr-16481	119	2	this	this	PRON
ihlr-16481	119	3	is	be	AUX
ihlr-16481	119	4	exactly	exactly	ADV
ihlr-16481	119	5	opposite	opposite	ADJ
ihlr-16481	119	6	the	the	DET
ihlr-16481	119	7	reason	reason	NOUN
ihlr-16481	119	8	for	for	ADP
ihlr-16481	119	9	paying	pay	VERB
ihlr-16481	119	10	lawyers	lawyer	NOUN
ihlr-16481	119	11	for	for	ADP
ihlr-16481	119	12	success	success	NOUN
ihlr-16481	119	13	:	:	PUNCT
ihlr-16481	119	14	that	that	SCONJ
ihlr-16481	119	15	litigation	litigation	NOUN
ihlr-16481	119	16	is	be	AUX
ihlr-16481	119	17	risky	risky	ADJ
ihlr-16481	119	18	and	and	CCONJ
ihlr-16481	119	19	harder	hard	ADV
ihlr-16481	119	20	-	-	PUNCT
ihlr-16481	119	21	working	work	VERB
ihlr-16481	119	22	lawyers	lawyer	NOUN
ihlr-16481	119	23	have	have	VERB
ihlr-16481	119	24	a	a	DET
ihlr-16481	119	25	better	well	ADJ
ihlr-16481	119	26	chance	chance	NOUN
ihlr-16481	119	27	of	of	ADP
ihlr-16481	119	28	winning	win	VERB
ihlr-16481	119	29	.	.	PUNCT
ihlr-16481	120	1	in	in	ADP
ihlr-16481	120	2	fact	fact	NOUN
ihlr-16481	120	3	,	,	PUNCT
ihlr-16481	120	4	critics	critic	NOUN
ihlr-16481	120	5	of	of	ADP
ihlr-16481	120	6	contingent	contingent	ADJ
ihlr-16481	120	7	fees	fee	NOUN
ihlr-16481	120	8	in	in	ADP
ihlr-16481	120	9	law	law	NOUN
ihlr-16481	120	10	complain	complain	VERB
ihlr-16481	120	11	that	that	SCONJ
ihlr-16481	120	12	lawyers	lawyer	NOUN
ihlr-16481	120	13	often	often	ADV
ihlr-16481	120	14	demand	demand	VERB
ihlr-16481	120	15	risk	risk	NOUN
ihlr-16481	120	16	-	-	PUNCT
ihlr-16481	120	17	based	base	VERB
ihlr-16481	120	18	fees	fee	NOUN
ihlr-16481	120	19	for	for	ADP
ihlr-16481	120	20	cases	case	NOUN
ihlr-16481	120	21	that	that	PRON
ihlr-16481	120	22	routinely	routinely	ADV
ihlr-16481	120	23	generate	generate	VERB
ihlr-16481	120	24	quick	quick	ADJ
ihlr-16481	120	25	,	,	PUNCT
ihlr-16481	120	26	effortless	effortless	ADJ
ihlr-16481	120	27	settlements	settlement	NOUN
ihlr-16481	120	28	.	.	PUNCT
ihlr-16481	121	1	that	that	SCONJ
ihlr-16481	121	2	the	the	DET
ihlr-16481	121	3	medical	medical	ADJ
ihlr-16481	121	4	profession	profession	NOUN
ihlr-16481	121	5	ascribes	ascribe	VERB
ihlr-16481	121	6	failure	failure	NOUN
ihlr-16481	121	7	primarily	primarily	ADV
ihlr-16481	121	8	to	to	PART
ihlr-16481	121	9	chance	chance	VERB
ihlr-16481	121	10	,	,	PUNCT
ihlr-16481	121	11	not	not	PART
ihlr-16481	121	12	lack	lack	NOUN
ihlr-16481	121	13	of	of	ADP
ihlr-16481	121	14	effort	effort	NOUN
ihlr-16481	121	15	,	,	PUNCT
ihlr-16481	121	16	and	and	CCONJ
ihlr-16481	121	17	that	that	SCONJ
ihlr-16481	121	18	it	it	PRON
ihlr-16481	121	19	regards	regard	VERB
ihlr-16481	121	20	failure	failure	NOUN
ihlr-16481	121	21	as	as	ADP
ihlr-16481	121	22	the	the	DET
ihlr-16481	121	23	rule	rule	NOUN
ihlr-16481	121	24	and	and	CCONJ
ihlr-16481	121	25	success	success	NOUN
ihlr-16481	121	26	the	the	DET
ihlr-16481	121	27	exception	exception	NOUN
ihlr-16481	121	28	,	,	PUNCT
ihlr-16481	121	29	constitute	constitute	VERB
ihlr-16481	121	30	a	a	DET
ihlr-16481	121	31	fairly	fairly	ADV
ihlr-16481	121	32	stunning	stunning	ADJ
ihlr-16481	121	33	indictment	indictment	NOUN
ihlr-16481	121	34	of	of	ADP
ihlr-16481	121	35	medical	medical	ADJ
ihlr-16481	121	36	quality	quality	NOUN
ihlr-16481	121	37	.	.	PUNCT
ihlr-16481	122	1	it	it	PRON
ihlr-16481	122	2	is	be	AUX
ihlr-16481	122	3	also	also	ADV
ihlr-16481	122	4	a	a	DET
ihlr-16481	122	5	challenging	challenging	ADJ
ihlr-16481	122	6	starting	starting	NOUN
ihlr-16481	122	7	point	point	NOUN
ihlr-16481	122	8	for	for	ADP
ihlr-16481	122	9	pay	pay	NOUN
ihlr-16481	122	10	for	for	ADP
ihlr-16481	122	11	performance	performance	NOUN
ihlr-16481	122	12	.	.	PUNCT
ihlr-16481	123	1	policymakers	policymaker	NOUN
ihlr-16481	123	2	,	,	PUNCT
ihlr-16481	123	3	providers	provider	NOUN
ihlr-16481	123	4	,	,	PUNCT
ihlr-16481	123	5	payers	payer	NOUN
ihlr-16481	123	6	,	,	PUNCT
ihlr-16481	123	7	and	and	CCONJ
ihlr-16481	123	8	the	the	DET
ihlr-16481	123	9	public	public	ADJ
ihlr-16481	123	10	conceive	conceive	NOUN
ihlr-16481	123	11	of	of	ADP
ihlr-16481	123	12	p4p	p4p	PROPN
ihlr-16481	123	13	as	as	ADP
ihlr-16481	123	14	serving	serve	VERB
ihlr-16481	123	15	a	a	DET
ihlr-16481	123	16	variety	variety	NOUN
ihlr-16481	123	17	of	of	ADP
ihlr-16481	123	18	worthy	worthy	ADJ
ihlr-16481	123	19	objectives	objective	NOUN
ihlr-16481	123	20	(	(	PUNCT
ihlr-16481	123	21	table	table	NOUN
ihlr-16481	123	22	1	1	NUM
ihlr-16481	123	23	)	)	PUNCT
ihlr-16481	123	24	,	,	PUNCT
ihlr-16481	123	25	each	each	PRON
ihlr-16481	123	26	of	of	ADP
ihlr-16481	123	27	which	which	PRON
ihlr-16481	123	28	is	be	AUX
ihlr-16481	123	29	identified	identify	VERB
ihlr-16481	123	30	with	with	ADP
ihlr-16481	123	31	a	a	DET
ihlr-16481	123	32	movement	movement	NOUN
ihlr-16481	123	33	and	and	CCONJ
ihlr-16481	123	34	a	a	DET
ihlr-16481	123	35	vocabulary	vocabulary	NOUN
ihlr-16481	123	36	of	of	ADP
ihlr-16481	123	37	its	its	PRON
ihlr-16481	123	38	own	own	ADJ
ihlr-16481	123	39	.	.	PUNCT
ihlr-16481	124	1	many	many	ADJ
ihlr-16481	124	2	of	of	ADP
ihlr-16481	124	3	the	the	DET
ihlr-16481	124	4	buzzwords	buzzword	NOUN
ihlr-16481	124	5	in	in	ADP
ihlr-16481	124	6	modern	modern	ADJ
ihlr-16481	124	7	health	health	NOUN
ihlr-16481	124	8	policy	policy	NOUN
ihlr-16481	124	9	are	be	AUX
ihlr-16481	124	10	superficially	superficially	ADV
ihlr-16481	124	11	compatible	compatible	ADJ
ihlr-16481	124	12	with	with	ADP
ihlr-16481	124	13	p4p	p4p	PROPN
ihlr-16481	124	14	,	,	PUNCT
ihlr-16481	124	15	which	which	PRON
ihlr-16481	124	16	explains	explain	VERB
ihlr-16481	124	17	why	why	SCONJ
ihlr-16481	124	18	we	we	PRON
ihlr-16481	124	19	already	already	ADV
ihlr-16481	124	20	have	have	VERB
ihlr-16481	124	21	fifty	fifty	NUM
ihlr-16481	124	22	people	people	NOUN
ihlr-16481	124	23	in	in	ADP
ihlr-16481	124	24	the	the	DET
ihlr-16481	124	25	room	room	NOUN
ihlr-16481	124	26	,	,	PUNCT
ihlr-16481	124	27	jumping	jump	VERB
ihlr-16481	124	28	up	up	ADP
ihlr-16481	124	29	and	and	CCONJ
ihlr-16481	124	30	down	down	ADV
ihlr-16481	124	31	and	and	CCONJ
ihlr-16481	124	32	singing	singe	VERB
ihlr-16481	124	33	a	a	DET
ihlr-16481	124	34	bar	bar	NOUN
ihlr-16481	124	35	of	of	ADP
ihlr-16481	124	36	the	the	DET
ihlr-16481	124	37	"	"	PUNCT
ihlr-16481	124	38	pay	pay	NOUN
ihlr-16481	124	39	for	for	ADP
ihlr-16481	124	40	performance	performance	NOUN
ihlr-16481	124	41	medical	medical	ADJ
ihlr-16481	124	42	quality	quality	NOUN
ihlr-16481	124	43	movement	movement	NOUN
ihlr-16481	124	44	"	"	PUNCT
ihlr-16481	124	45	song	song	NOUN
ihlr-16481	124	46	.	.	PUNCT
ihlr-16481	125	1	p4p	p4p	PROPN
ihlr-16481	125	2	is	be	AUX
ihlr-16481	125	3	an	an	DET
ihlr-16481	125	4	umbrella	umbrella	NOUN
ihlr-16481	125	5	movement	movement	NOUN
ihlr-16481	125	6	,	,	PUNCT
ihlr-16481	125	7	like	like	ADP
ihlr-16481	125	8	the	the	DET
ihlr-16481	125	9	world	world	PROPN
ihlr-16481	125	10	council	council	PROPN
ihlr-16481	125	11	of	of	ADP
ihlr-16481	125	12	churches	church	NOUN
ihlr-16481	125	13	or	or	CCONJ
ihlr-16481	125	14	the	the	DET
ihlr-16481	125	15	afl	afl	PROPN
ihlr-16481	125	16	-	-	PUNCT
ihlr-16481	125	17	cio	cio	PROPN
ihlr-16481	125	18	;	;	PUNCT
ihlr-16481	125	19	it	it	PRON
ihlr-16481	125	20	attracts	attract	VERB
ihlr-16481	125	21	widespread	widespread	ADJ
ihlr-16481	125	22	support	support	NOUN
ihlr-16481	125	23	but	but	CCONJ
ihlr-16481	125	24	may	may	AUX
ihlr-16481	125	25	not	not	PART
ihlr-16481	125	26	be	be	AUX
ihlr-16481	125	27	able	able	ADJ
ihlr-16481	125	28	to	to	PART
ihlr-16481	125	29	fulfill	fulfill	VERB
ihlr-16481	125	30	the	the	DET
ihlr-16481	125	31	individual	individual	ADJ
ihlr-16481	125	32	aspirations	aspiration	NOUN
ihlr-16481	125	33	of	of	ADP
ihlr-16481	125	34	its	its	PRON
ihlr-16481	125	35	boosters	booster	NOUN
ihlr-16481	125	36	.	.	PUNCT
ihlr-16481	126	1	a.	a.	NOUN
ihlr-16481	126	2	patient	patient	PROPN
ihlr-16481	126	3	safety	safety	PROPN
ihlr-16481	126	4	the	the	DET
ihlr-16481	126	5	institute	institute	PROPN
ihlr-16481	126	6	of	of	ADP
ihlr-16481	126	7	medicine	medicine	NOUN
ihlr-16481	126	8	got	get	VERB
ihlr-16481	126	9	into	into	ADP
ihlr-16481	126	10	the	the	DET
ihlr-16481	126	11	p4p	p4p	PROPN
ihlr-16481	126	12	business	business	NOUN
ihlr-16481	126	13	incrementally	incrementally	ADV
ihlr-16481	126	14	.	.	PUNCT
ihlr-16481	127	1	in	in	ADP
ihlr-16481	127	2	1999	1999	NUM
ihlr-16481	127	3	-	-	SYM
ihlr-16481	127	4	2000	2000	NUM
ihlr-16481	127	5	,	,	PUNCT
ihlr-16481	127	6	the	the	DET
ihlr-16481	127	7	10	10	NUM
ihlr-16481	127	8	m	m	AUX
ihlr-16481	127	9	published	publish	VERB
ihlr-16481	127	10	to	to	ADP
ihlr-16481	127	11	err	err	VERB
ihlr-16481	127	12	is	be	AUX
ihlr-16481	127	13	human	human	ADJ
ihlr-16481	127	14	,	,	PUNCT
ihlr-16481	127	15	a	a	DET
ihlr-16481	127	16	report	report	NOUN
ihlr-16481	127	17	estimating	estimate	VERB
ihlr-16481	127	18	that	that	SCONJ
ihlr-16481	127	19	nearly	nearly	ADV
ihlr-16481	127	20	100,000	100,000	NUM
ihlr-16481	127	21	deaths	death	NOUN
ihlr-16481	127	22	occur	occur	VERB
ihlr-16481	127	23	from	from	ADP
ihlr-16481	127	24	medical	medical	ADJ
ihlr-16481	127	25	errors	error	NOUN
ihlr-16481	127	26	in	in	ADP
ihlr-16481	127	27	the	the	DET
ihlr-16481	127	28	united	united	PROPN
ihlr-16481	127	29	states	states	PROPN
ihlr-16481	127	30	every	every	DET
ihlr-16481	127	31	year	year	NOUN
ihlr-16481	127	32	.	.	PUNCT
ihlr-16481	128	1	17	17	NUM
ihlr-16481	128	2	a	a	DET
ihlr-16481	128	3	year	year	NOUN
ihlr-16481	128	4	later	later	ADV
ihlr-16481	128	5	,	,	PUNCT
ihlr-16481	128	6	the	the	DET
ihlr-16481	128	7	10	10	NUM
ihlr-16481	128	8	m	m	VERB
ihlr-16481	128	9	issued	issue	VERB
ihlr-16481	128	10	its	its	PRON
ihlr-16481	128	11	crossing	crossing	NOUN
ihlr-16481	128	12	the	the	DET
ihlr-16481	128	13	quality	quality	NOUN
ihlr-16481	128	14	chasm	chasm	NOUN
ihlr-16481	128	15	report	report	NOUN
ihlr-16481	128	16	,	,	PUNCT
ihlr-16481	128	17	16	16	NUM
ihlr-16481	128	18	.	.	PUNCT
ihlr-16481	129	1	am	be	AUX
ihlr-16481	129	2	.	.	PUNCT
ihlr-16481	130	1	med	med	PROPN
ihlr-16481	130	2	.	.	PUNCT
ihlr-16481	131	1	ass'n	ass'n	PROPN
ihlr-16481	131	2	,	,	PUNCT
ihlr-16481	131	3	council	council	PROPN
ihlr-16481	131	4	on	on	ADP
ihlr-16481	131	5	ethical	ethical	ADJ
ihlr-16481	131	6	and	and	CCONJ
ihlr-16481	131	7	judicial	judicial	ADJ
ihlr-16481	131	8	affairs	affair	NOUN
ihlr-16481	131	9	,	,	PUNCT
ihlr-16481	131	10	code	code	NOUN
ihlr-16481	131	11	of	of	ADP
ihlr-16481	131	12	medical	medical	ADJ
ihlr-16481	131	13	ethics	ethic	NOUN
ihlr-16481	131	14	op	op	NOUN
ihlr-16481	131	15	.	.	PUNCT
ihlr-16481	132	1	6.01	6.01	NUM
ihlr-16481	132	2	(	(	PUNCT
ihlr-16481	132	3	2002	2002	NUM
ihlr-16481	132	4	-	-	SYM
ihlr-16481	132	5	03	03	NUM
ihlr-16481	132	6	ed	ed	NOUN
ihlr-16481	132	7	.	.	PUNCT
ihlr-16481	132	8	)	)	PUNCT
ihlr-16481	132	9	.	.	PUNCT
ihlr-16481	133	1	17	17	NUM
ihlr-16481	133	2	.	.	X
ihlr-16481	133	3	inst	inst	PROPN
ihlr-16481	133	4	.	.	PROPN
ihlr-16481	133	5	of	of	ADP
ihlr-16481	133	6	med	med	PROPN
ihlr-16481	133	7	.	.	PROPN
ihlr-16481	133	8	,	,	PUNCT
ihlr-16481	133	9	to	to	ADP
ihlr-16481	133	10	err	err	NOUN
ihlr-16481	133	11	is	be	AUX
ihlr-16481	133	12	human	human	ADJ
ihlr-16481	133	13	:	:	PUNCT
ihlr-16481	133	14	building	build	VERB
ihlr-16481	133	15	a	a	DET
ihlr-16481	133	16	safer	safe	ADJ
ihlr-16481	133	17	health	health	NOUN
ihlr-16481	133	18	system	system	NOUN
ihlr-16481	133	19	(	(	PUNCT
ihlr-16481	133	20	linda	linda	PROPN
ihlr-16481	133	21	l.	l.	PROPN
ihlr-16481	133	22	kohn	kohn	PROPN
ihlr-16481	133	23	et	et	PROPN
ihlr-16481	133	24	al	al	PROPN
ihlr-16481	133	25	.	.	PUNCT
ihlr-16481	134	1	eds	eds	PROPN
ihlr-16481	134	2	.	.	PROPN
ihlr-16481	134	3	,	,	PUNCT
ihlr-16481	134	4	1999	1999	NUM
ihlr-16481	134	5	)	)	PUNCT
ihlr-16481	134	6	.	.	PUNCT
ihlr-16481	135	1	310	310	NUM
ihlr-16481	135	2	indiana	indiana	PROPN
ihlr-16481	135	3	health	health	PROPN
ihlr-16481	135	4	law	law	NOUN
ihlr-16481	135	5	revlew	revlew	NOUN
ihlr-16481	135	6	[	[	X
ihlr-16481	135	7	vol	vol	NOUN
ihlr-16481	135	8	.	.	NOUN
ihlr-16481	135	9	3:303	3:303	NUM
ihlr-16481	135	10	in	in	ADP
ihlr-16481	135	11	which	which	PRON
ihlr-16481	135	12	it	it	PRON
ihlr-16481	135	13	described	describe	VERB
ihlr-16481	135	14	six	six	NUM
ihlr-16481	135	15	general	general	ADJ
ihlr-16481	135	16	quality	quality	NOUN
ihlr-16481	135	17	goals	goal	NOUN
ihlr-16481	135	18	for	for	ADP
ihlr-16481	135	19	american	american	PROPN
ihlr-16481	135	20	health	health	PROPN
ihlr-16481	135	21	care	care	NOUN
ihlr-16481	135	22	and	and	CCONJ
ihlr-16481	135	23	proposed	propose	VERB
ihlr-16481	135	24	ways	way	NOUN
ihlr-16481	135	25	to	to	PART
ihlr-16481	135	26	achieve	achieve	VERB
ihlr-16481	135	27	them	they	PRON
ihlr-16481	135	28	,	,	PUNCT
ihlr-16481	135	29	including	include	VERB
ihlr-16481	135	30	incentive	incentive	NOUN
ihlr-16481	135	31	compensation.18	compensation.18	NOUN
ihlr-16481	135	32	in	in	ADP
ihlr-16481	135	33	2005	2005	NUM
ihlr-16481	135	34	,	,	PUNCT
ihlr-16481	135	35	the	the	DET
ihlr-16481	135	36	iom	iom	PROPN
ihlr-16481	135	37	released	release	VERB
ihlr-16481	135	38	a	a	DET
ihlr-16481	135	39	detailed	detailed	ADJ
ihlr-16481	135	40	report	report	NOUN
ihlr-16481	135	41	on	on	ADP
ihlr-16481	135	42	pay	pay	NOUN
ihlr-16481	135	43	for	for	ADP
ihlr-16481	135	44	performance	performance	NOUN
ihlr-16481	135	45	,	,	PUNCT
ihlr-16481	135	46	which	which	DET
ihlr-16481	135	47	one	one	PRON
ihlr-16481	135	48	might	might	AUX
ihlr-16481	135	49	consider	consider	VERB
ihlr-16481	135	50	the	the	DET
ihlr-16481	135	51	capstone	capstone	NOUN
ihlr-16481	135	52	of	of	ADP
ihlr-16481	135	53	its	its	PRON
ihlr-16481	135	54	efforts	effort	NOUN
ihlr-16481	135	55	to	to	PART
ihlr-16481	135	56	connect	connect	VERB
ihlr-16481	135	57	p4p	p4p	PROPN
ihlr-16481	135	58	to	to	PART
ihlr-16481	135	59	patient	patient	VERB
ihlr-16481	135	60	safety	safety	NOUN
ihlr-16481	135	61	.	.	PUNCT
ihlr-16481	136	1	19	19	NUM
ihlr-16481	136	2	medical	medical	ADJ
ihlr-16481	136	3	errors	error	NOUN
ihlr-16481	136	4	present	present	VERB
ihlr-16481	136	5	an	an	DET
ihlr-16481	136	6	obvious	obvious	ADJ
ihlr-16481	136	7	paradox	paradox	NOUN
ihlr-16481	136	8	for	for	ADP
ihlr-16481	136	9	traditional	traditional	ADJ
ihlr-16481	136	10	fee	fee	NOUN
ihlr-16481	136	11	-	-	PUNCT
ihlr-16481	136	12	for	for	ADP
ihlr-16481	136	13	-	-	PUNCT
ihlr-16481	136	14	service	service	NOUN
ihlr-16481	136	15	reimbursement	reimbursement	NOUN
ihlr-16481	136	16	.	.	PUNCT
ihlr-16481	137	1	health	health	NOUN
ihlr-16481	137	2	care	care	NOUN
ihlr-16481	137	3	services	service	NOUN
ihlr-16481	137	4	do	do	AUX
ihlr-16481	137	5	not	not	PART
ihlr-16481	137	6	come	come	VERB
ihlr-16481	137	7	with	with	ADP
ihlr-16481	137	8	warranties	warranty	NOUN
ihlr-16481	137	9	.	.	PUNCT
ihlr-16481	138	1	consequently	consequently	ADV
ihlr-16481	138	2	,	,	PUNCT
ihlr-16481	138	3	providers	provider	NOUN
ihlr-16481	138	4	who	who	PRON
ihlr-16481	138	5	deliver	deliver	VERB
ihlr-16481	138	6	suboptimal	suboptimal	ADJ
ihlr-16481	138	7	care	care	NOUN
ihlr-16481	138	8	may	may	AUX
ihlr-16481	138	9	end	end	VERB
ihlr-16481	138	10	up	up	ADP
ihlr-16481	138	11	earning	earn	VERB
ihlr-16481	138	12	more	more	ADJ
ihlr-16481	138	13	for	for	ADP
ihlr-16481	138	14	subsequent	subsequent	ADJ
ihlr-16481	138	15	consultations	consultation	NOUN
ihlr-16481	138	16	,	,	PUNCT
ihlr-16481	138	17	hospitalizations	hospitalization	NOUN
ihlr-16481	138	18	,	,	PUNCT
ihlr-16481	138	19	and	and	CCONJ
ihlr-16481	138	20	procedures	procedure	NOUN
ihlr-16481	138	21	than	than	ADP
ihlr-16481	138	22	those	those	PRON
ihlr-16481	138	23	whose	whose	DET
ihlr-16481	138	24	skill	skill	NOUN
ihlr-16481	138	25	yields	yield	VERB
ihlr-16481	138	26	a	a	DET
ihlr-16481	138	27	quick	quick	ADJ
ihlr-16481	138	28	,	,	PUNCT
ihlr-16481	138	29	definitive	definitive	ADJ
ihlr-16481	138	30	diagnosis	diagnosis	NOUN
ihlr-16481	138	31	and	and	CCONJ
ihlr-16481	138	32	cure	cure	NOUN
ihlr-16481	138	33	.	.	PUNCT
ihlr-16481	139	1	patient	patient	ADJ
ihlr-16481	139	2	safety	safety	NOUN
ihlr-16481	139	3	advocates	advocate	NOUN
ihlr-16481	139	4	have	have	AUX
ihlr-16481	139	5	made	make	VERB
ihlr-16481	139	6	much	much	ADJ
ihlr-16481	139	7	of	of	ADP
ihlr-16481	139	8	this	this	DET
ihlr-16481	139	9	contradiction	contradiction	NOUN
ihlr-16481	139	10	in	in	ADP
ihlr-16481	139	11	their	their	PRON
ihlr-16481	139	12	support	support	NOUN
ihlr-16481	139	13	for	for	ADP
ihlr-16481	139	14	p4p	p4p	PROPN
ihlr-16481	139	15	.	.	PUNCT
ihlr-16481	140	1	beyond	beyond	ADP
ihlr-16481	140	2	rhetoric	rhetoric	NOUN
ihlr-16481	140	3	,	,	PUNCT
ihlr-16481	140	4	some	some	DET
ihlr-16481	140	5	private	private	ADJ
ihlr-16481	140	6	health	health	NOUN
ihlr-16481	140	7	insurers	insurer	NOUN
ihlr-16481	140	8	and	and	CCONJ
ihlr-16481	140	9	,	,	PUNCT
ihlr-16481	140	10	more	more	ADV
ihlr-16481	140	11	recently	recently	ADV
ihlr-16481	140	12	,	,	PUNCT
ihlr-16481	140	13	medicare	medicare	PROPN
ihlr-16481	140	14	,	,	PUNCT
ihlr-16481	140	15	have	have	AUX
ihlr-16481	140	16	indicated	indicate	VERB
ihlr-16481	140	17	that	that	SCONJ
ihlr-16481	140	18	they	they	PRON
ihlr-16481	140	19	will	will	AUX
ihlr-16481	140	20	not	not	PART
ihlr-16481	140	21	pay	pay	VERB
ihlr-16481	140	22	the	the	DET
ihlr-16481	140	23	same	same	ADJ
ihlr-16481	140	24	providers	provider	NOUN
ihlr-16481	140	25	for	for	ADP
ihlr-16481	140	26	care	care	NOUN
ihlr-16481	140	27	involving	involve	VERB
ihlr-16481	140	28	serious	serious	ADJ
ihlr-16481	140	29	mistakes.20	mistakes.20	PROPN
ihlr-16481	140	30	but	but	CCONJ
ihlr-16481	140	31	can	can	AUX
ihlr-16481	140	32	pay	pay	VERB
ihlr-16481	140	33	for	for	ADP
ihlr-16481	140	34	performance	performance	NOUN
ihlr-16481	140	35	reduce	reduce	VERB
ihlr-16481	140	36	medical	medical	ADJ
ihlr-16481	140	37	errors	error	NOUN
ihlr-16481	140	38	?	?	PUNCT
ihlr-16481	141	1	the	the	DET
ihlr-16481	141	2	iom	iom	PROPN
ihlr-16481	141	3	's	's	PART
ihlr-16481	141	4	approach	approach	NOUN
ihlr-16481	141	5	regards	regard	VERB
ihlr-16481	141	6	safety	safety	NOUN
ihlr-16481	141	7	as	as	ADP
ihlr-16481	141	8	a	a	DET
ihlr-16481	141	9	subset	subset	NOUN
ihlr-16481	141	10	of	of	ADP
ihlr-16481	141	11	quality	quality	NOUN
ihlr-16481	141	12	.	.	PUNCT
ihlr-16481	142	1	it	it	PRON
ihlr-16481	142	2	ignores	ignore	VERB
ihlr-16481	142	3	the	the	DET
ihlr-16481	142	4	fact	fact	NOUN
ihlr-16481	142	5	that	that	SCONJ
ihlr-16481	142	6	safety	safety	NOUN
ihlr-16481	142	7	events	event	NOUN
ihlr-16481	142	8	are	be	AUX
ihlr-16481	142	9	rarer	rare	ADJ
ihlr-16481	142	10	,	,	PUNCT
ihlr-16481	142	11	more	more	ADJ
ihlr-16481	142	12	salient	salient	NOUN
ihlr-16481	142	13	,	,	PUNCT
ihlr-16481	142	14	and	and	CCONJ
ihlr-16481	142	15	more	more	ADV
ihlr-16481	142	16	threatening	threatening	ADJ
ihlr-16481	142	17	to	to	ADP
ihlr-16481	142	18	a	a	DET
ihlr-16481	142	19	physician	physician	NOUN
ihlr-16481	142	20	's	's	PART
ihlr-16481	142	21	professional	professional	ADJ
ihlr-16481	142	22	reputation	reputation	NOUN
ihlr-16481	142	23	than	than	ADP
ihlr-16481	142	24	background	background	NOUN
ihlr-16481	142	25	changes	change	NOUN
ihlr-16481	142	26	in	in	ADP
ihlr-16481	142	27	incremental	incremental	ADJ
ihlr-16481	142	28	quality.21	quality.21	NOUN
ihlr-16481	142	29	payment	payment	NOUN
ihlr-16481	142	30	policies	policy	NOUN
ihlr-16481	142	31	that	that	PRON
ihlr-16481	142	32	publicize	publicize	VERB
ihlr-16481	142	33	errors	error	NOUN
ihlr-16481	142	34	may	may	AUX
ihlr-16481	142	35	drive	drive	VERB
ihlr-16481	142	36	error	error	NOUN
ihlr-16481	142	37	reporting	reporting	NOUN
ihlr-16481	142	38	underground	underground	ADV
ihlr-16481	142	39	,	,	PUNCT
ihlr-16481	142	40	and	and	CCONJ
ihlr-16481	142	41	may	may	AUX
ihlr-16481	142	42	deprive	deprive	VERB
ihlr-16481	142	43	provider	provider	NOUN
ihlr-16481	142	44	organizations	organization	NOUN
ihlr-16481	142	45	of	of	ADP
ihlr-16481	142	46	funds	fund	NOUN
ihlr-16481	142	47	needed	need	VERB
ihlr-16481	142	48	for	for	ADP
ihlr-16481	142	49	improvement	improvement	NOUN
ihlr-16481	142	50	.	.	PUNCT
ihlr-16481	143	1	the	the	DET
ihlr-16481	143	2	iom	iom	PROPN
ihlr-16481	143	3	approach	approach	NOUN
ihlr-16481	143	4	also	also	ADV
ihlr-16481	143	5	sidesteps	sidestep	VERB
ihlr-16481	143	6	a	a	DET
ihlr-16481	143	7	related	related	ADJ
ihlr-16481	143	8	question	question	NOUN
ihlr-16481	143	9	:	:	PUNCT
ihlr-16481	143	10	if	if	SCONJ
ihlr-16481	143	11	society	society	NOUN
ihlr-16481	143	12	learns	learn	VERB
ihlr-16481	143	13	by	by	ADP
ihlr-16481	143	14	paying	pay	VERB
ihlr-16481	143	15	for	for	ADP
ihlr-16481	143	16	performance	performance	NOUN
ihlr-16481	143	17	that	that	SCONJ
ihlr-16481	143	18	some	some	DET
ihlr-16481	143	19	physicians	physician	NOUN
ihlr-16481	143	20	simply	simply	ADV
ihlr-16481	143	21	do	do	AUX
ihlr-16481	143	22	not	not	PART
ihlr-16481	143	23	perform	perform	VERB
ihlr-16481	143	24	well	well	ADV
ihlr-16481	143	25	,	,	PUNCT
ihlr-16481	143	26	what	what	PRON
ihlr-16481	143	27	do	do	AUX
ihlr-16481	143	28	we	we	PRON
ihlr-16481	143	29	do	do	VERB
ihlr-16481	143	30	with	with	ADP
ihlr-16481	143	31	them	they	PRON
ihlr-16481	143	32	?	?	PUNCT
ihlr-16481	144	1	how	how	SCONJ
ihlr-16481	144	2	does	do	AUX
ihlr-16481	144	3	p4p	p4p	PROPN
ihlr-16481	144	4	tie	tie	VERB
ihlr-16481	144	5	to	to	ADP
ihlr-16481	144	6	licensing	licensing	NOUN
ihlr-16481	144	7	and	and	CCONJ
ihlr-16481	144	8	discipline	discipline	NOUN
ihlr-16481	144	9	,	,	PUNCT
ihlr-16481	144	10	to	to	ADP
ihlr-16481	144	11	weeding	weed	VERB
ihlr-16481	144	12	out	out	ADP
ihlr-16481	144	13	the	the	DET
ihlr-16481	144	14	bad	bad	ADJ
ihlr-16481	144	15	doctors	doctor	NOUN
ihlr-16481	144	16	that	that	PRON
ihlr-16481	144	17	the	the	DET
ihlr-16481	144	18	public	public	NOUN
ihlr-16481	144	19	,	,	PUNCT
ihlr-16481	144	20	and	and	CCONJ
ihlr-16481	144	21	for	for	ADP
ihlr-16481	144	22	that	that	DET
ihlr-16481	144	23	matter	matter	NOUN
ihlr-16481	144	24	the	the	DET
ihlr-16481	144	25	profession	profession	NOUN
ihlr-16481	144	26	,	,	PUNCT
ihlr-16481	144	27	still	still	ADV
ihlr-16481	144	28	very	very	ADV
ihlr-16481	144	29	much	much	ADV
ihlr-16481	144	30	believe	believe	VERB
ihlr-16481	144	31	exist	exist	VERB
ihlr-16481	144	32	,	,	PUNCT
ihlr-16481	144	33	no	no	ADV
ihlr-16481	144	34	matter	matter	ADV
ihlr-16481	144	35	how	how	SCONJ
ihlr-16481	144	36	often	often	ADV
ihlr-16481	144	37	patient	patient	ADJ
ihlr-16481	144	38	safety	safety	NOUN
ihlr-16481	144	39	gurus	guru	NOUN
ihlr-16481	144	40	repeat	repeat	VERB
ihlr-16481	144	41	the	the	DET
ihlr-16481	144	42	mantra	mantra	NOUN
ihlr-16481	144	43	that	that	SCONJ
ihlr-16481	144	44	most	most	ADJ
ihlr-16481	144	45	medical	medical	ADJ
ihlr-16481	144	46	errors	error	NOUN
ihlr-16481	144	47	are	be	AUX
ihlr-16481	144	48	committed	commit	VERB
ihlr-16481	144	49	by	by	ADP
ihlr-16481	144	50	good	good	ADJ
ihlr-16481	144	51	doctors	doctor	NOUN
ihlr-16481	144	52	rather	rather	ADV
ihlr-16481	144	53	than	than	ADP
ihlr-16481	144	54	by	by	ADP
ihlr-16481	144	55	bad	bad	ADJ
ihlr-16481	144	56	doctors?22	doctors?22	PROPN
ihlr-16481	144	57	b.	b.	PROPN
ihlr-16481	144	58	competition	competition	NOUN
ihlr-16481	144	59	as	as	SCONJ
ihlr-16481	144	60	befits	befit	VERB
ihlr-16481	144	61	its	its	PRON
ihlr-16481	144	62	moniker	moniker	NOUN
ihlr-16481	144	63	,	,	PUNCT
ihlr-16481	144	64	p4p	p4p	PROPN
ihlr-16481	144	65	has	have	VERB
ihlr-16481	144	66	a	a	DET
ihlr-16481	144	67	business	business	NOUN
ihlr-16481	144	68	pedigree	pedigree	NOUN
ihlr-16481	144	69	,	,	PUNCT
ihlr-16481	144	70	with	with	ADP
ihlr-16481	144	71	some	some	PRON
ihlr-16481	144	72	of	of	ADP
ihlr-16481	144	73	its	its	PRON
ihlr-16481	144	74	earliest	early	ADJ
ihlr-16481	144	75	and	and	CCONJ
ihlr-16481	144	76	strongest	strong	ADJ
ihlr-16481	144	77	proponents	proponent	NOUN
ihlr-16481	144	78	representing	represent	VERB
ihlr-16481	144	79	corporate	corporate	ADJ
ihlr-16481	144	80	health	health	NOUN
ihlr-16481	144	81	care	care	NOUN
ihlr-16481	144	82	18	18	NUM
ihlr-16481	144	83	.	.	PUNCT
ihlr-16481	144	84	lnst	lnst	PROPN
ihlr-16481	144	85	.	.	PUNCT
ihlr-16481	145	1	of	of	ADP
ihlr-16481	145	2	med	med	PROPN
ihlr-16481	145	3	.	.	PROPN
ihlr-16481	145	4	,	,	PUNCT
ihlr-16481	145	5	crossing	cross	VERB
ihlr-16481	145	6	the	the	DET
ihlr-16481	145	7	quauty	quauty	PROPN
ihlr-16481	145	8	chasm	chasm	NOUN
ihlr-16481	145	9	:	:	PUNCT
ihlr-16481	145	10	a	a	DET
ihlr-16481	145	11	new	new	ADJ
ihlr-16481	145	12	health	health	NOUN
ihlr-16481	145	13	system	system	NOUN
ihlr-16481	145	14	for	for	ADP
ihlr-16481	145	15	the	the	DET
ihlr-16481	145	16	21st	21st	ADJ
ihlr-16481	145	17	century	century	NOUN
ihlr-16481	145	18	(	(	PUNCT
ihlr-16481	145	19	200	200	NUM
ihlr-16481	145	20	1	1	NUM
ihlr-16481	145	21	)	)	PUNCT
ihlr-16481	146	1	[	[	X
ihlr-16481	146	2	hereinafter	hereinafter	NOUN
ihlr-16481	146	3	crossing	cross	VERB
ihlr-16481	146	4	the	the	DET
ihlr-16481	146	5	quauty	quauty	PROPN
ihlr-16481	146	6	chasm	chasm	NOUN
ihlr-16481	146	7	]	]	X
ihlr-16481	146	8	.	.	PUNCT
ihlr-16481	147	1	19	19	NUM
ihlr-16481	147	2	.	.	X
ihlr-16481	147	3	inst	inst	PROPN
ihlr-16481	147	4	.	.	PROPN
ihlr-16481	148	1	ofmed	ofme	VERB
ihlr-16481	148	2	.	.	PUNCT
ihlr-16481	149	1	,	,	PUNCT
ihlr-16481	149	2	performance	performance	NOUN
ihlr-16481	149	3	measurement	measurement	NOUN
ihlr-16481	149	4	:	:	PUNCT
ihlr-16481	149	5	accelerating	accelerate	VERB
ihlr-16481	149	6	improvement	improvement	NOUN
ihlr-16481	149	7	(	(	PUNCT
ihlr-16481	149	8	2005	2005	NUM
ihlr-16481	149	9	)	)	PUNCT
ihlr-16481	149	10	.	.	PUNCT
ihlr-16481	150	1	20	20	NUM
ihlr-16481	150	2	.	.	X
ihlr-16481	151	1	chen	chen	PROPN
ihlr-16481	151	2	may	may	PROPN
ihlr-16481	151	3	yee	yee	PROPN
ihlr-16481	151	4	,	,	PUNCT
ihlr-16481	151	5	healthpartners	healthpartner	NOUN
ihlr-16481	151	6	to	to	PART
ihlr-16481	151	7	withhold	withhold	VERB
ihlr-16481	151	8	payment	payment	NOUN
ihlr-16481	151	9	for	for	ADP
ihlr-16481	151	10	surgical	surgical	ADJ
ihlr-16481	151	11	errors	error	NOUN
ihlr-16481	151	12	,	,	PUNCT
ihlr-16481	151	13	minneapolis	minneapolis	PROPN
ihlr-16481	151	14	star	star	PROPN
ihlr-16481	151	15	tr.rn	tr.rn	PROPN
ihlr-16481	151	16	.	.	PROPN
ihlr-16481	151	17	,	,	PUNCT
ihlr-16481	151	18	oct	oct	PROPN
ihlr-16481	151	19	.	.	PROPN
ihlr-16481	151	20	6	6	NUM
ihlr-16481	151	21	,	,	PUNCT
ihlr-16481	151	22	2004	2004	NUM
ihlr-16481	151	23	,	,	PUNCT
ihlr-16481	151	24	at	at	ADP
ihlr-16481	151	25	la	la	ADV
ihlr-16481	151	26	;	;	PUNCT
ihlr-16481	151	27	statement	statement	NOUN
ihlr-16481	151	28	of	of	ADP
ihlr-16481	151	29	mark	mark	PROPN
ihlr-16481	151	30	b.	b.	PROPN
ihlr-16481	151	31	mcclellan	mcclellan	PROPN
ihlr-16481	151	32	,	,	PUNCT
ihlr-16481	151	33	adm'r	adm'r	PROPN
ihlr-16481	151	34	,	,	PUNCT
ihlr-16481	151	35	ctrs	ctrs	PROPN
ihlr-16481	151	36	.	.	PROPN
ihlr-16481	152	1	for	for	ADP
ihlr-16481	152	2	medicare	medicare	PROPN
ihlr-16481	152	3	&	&	CCONJ
ihlr-16481	152	4	medicaid	medicaid	PROPN
ihlr-16481	152	5	servs	servs	PROPN
ihlr-16481	152	6	.	.	PUNCT
ihlr-16481	153	1	to	to	ADP
ihlr-16481	153	2	the	the	DET
ihlr-16481	153	3	comm	comm	NOUN
ihlr-16481	153	4	.	.	PUNCT
ihlr-16481	154	1	on	on	ADP
ihlr-16481	154	2	senate	senate	PROPN
ihlr-16481	154	3	fin	fin	PROPN
ihlr-16481	154	4	.	.	PUNCT
ihlr-16481	154	5	,	,	PUNCT
ihlr-16481	154	6	may	may	AUX
ihlr-16481	154	7	17	17	NUM
ihlr-16481	154	8	,	,	PUNCT
ihlr-16481	154	9	2006	2006	NUM
ihlr-16481	154	10	(	(	PUNCT
ihlr-16481	154	11	"	"	PUNCT
ihlr-16481	154	12	as	as	ADP
ihlr-16481	154	13	a	a	DET
ihlr-16481	154	14	necessary	necessary	ADJ
ihlr-16481	154	15	step	step	NOUN
ihlr-16481	154	16	toward	toward	ADP
ihlr-16481	154	17	encouraging	encourage	VERB
ihlr-16481	154	18	better	well	ADJ
ihlr-16481	154	19	care	care	NOUN
ihlr-16481	154	20	and	and	CCONJ
ihlr-16481	154	21	lower	low	ADJ
ihlr-16481	154	22	overall	overall	ADJ
ihlr-16481	154	23	heath	heath	PROPN
ihlr-16481	154	24	care	care	NOUN
ihlr-16481	154	25	costs	cost	NOUN
ihlr-16481	154	26	,	,	PUNCT
ihlr-16481	154	27	we	we	PRON
ihlr-16481	154	28	support	support	VERB
ihlr-16481	154	29	further	further	ADJ
ihlr-16481	154	30	steps	step	NOUN
ihlr-16481	154	31	such	such	ADJ
ihlr-16481	154	32	as	as	ADP
ihlr-16481	154	33	eliminating	eliminate	VERB
ihlr-16481	154	34	payments	payment	NOUN
ihlr-16481	154	35	for	for	ADP
ihlr-16481	154	36	'	'	PUNCT
ihlr-16481	154	37	never	never	ADV
ihlr-16481	154	38	events	event	NOUN
ihlr-16481	154	39	'	'	PUNCT
ihlr-16481	154	40	and	and	CCONJ
ihlr-16481	154	41	want	want	VERB
ihlr-16481	154	42	to	to	PART
ihlr-16481	154	43	work	work	VERB
ihlr-16481	154	44	with	with	ADP
ihlr-16481	154	45	the	the	DET
ihlr-16481	154	46	congress	congress	PROPN
ihlr-16481	154	47	to	to	PART
ihlr-16481	154	48	take	take	VERB
ihlr-16481	154	49	such	such	ADJ
ihlr-16481	154	50	steps	step	NOUN
ihlr-16481	154	51	.	.	PUNCT
ihlr-16481	154	52	"	"	PUNCT
ihlr-16481	154	53	)	)	PUNCT
ihlr-16481	154	54	.	.	PUNCT
ihlr-16481	155	1	21	21	NUM
ihlr-16481	155	2	.	.	PUNCT
ihlr-16481	156	1	william	william	PROPN
ihlr-16481	156	2	m.	m.	PROPN
ihlr-16481	156	3	sage	sage	NOUN
ihlr-16481	156	4	.	.	PUNCT
ihlr-16481	157	1	,	,	PUNCT
ihlr-16481	157	2	reputation	reputation	NOUN
ihlr-16481	157	3	,	,	PUNCT
ihlr-16481	157	4	malpractice	malpractice	NOUN
ihlr-16481	157	5	liability	liability	NOUN
ihlr-16481	157	6	,	,	PUNCT
ihlr-16481	157	7	and	and	CCONJ
ihlr-16481	157	8	medical	medical	ADJ
ihlr-16481	157	9	error	error	NOUN
ihlr-16481	157	10	,	,	PUNCT
ihlr-16481	157	11	in	in	ADP
ihlr-16481	157	12	accountabiuty	accountabiuty	NOUN
ihlr-16481	157	13	:	:	PUNCT
ihlr-16481	157	14	patient	patient	ADJ
ihlr-16481	157	15	safety	safety	NOUN
ihlr-16481	157	16	andpoucyreform	andpoucyreform	NOUN
ihlr-16481	157	17	159	159	NUM
ihlr-16481	157	18	(	(	PUNCT
ihlr-16481	157	19	virginia	virginia	PROPN
ihlr-16481	157	20	a.	a.	PROPN
ihlr-16481	157	21	sharpe	sharpe	PROPN
ihlr-16481	157	22	ed	ed	PROPN
ihlr-16481	157	23	.	.	PROPN
ihlr-16481	157	24	,	,	PUNCT
ihlr-16481	157	25	2004	2004	NUM
ihlr-16481	157	26	)	)	PUNCT
ihlr-16481	157	27	.	.	PUNCT
ihlr-16481	158	1	22	22	NUM
ihlr-16481	158	2	.	.	PUNCT
ihlr-16481	159	1	robert	robert	PROPN
ihlr-16481	159	2	j.	j.	PROPN
ihlr-16481	159	3	blendon	blendon	PROPN
ihlr-16481	159	4	et	et	PROPN
ihlr-16481	159	5	al	al	PROPN
ihlr-16481	159	6	.	.	PROPN
ihlr-16481	159	7	,	,	PUNCT
ihlr-16481	159	8	views	view	NOUN
ihlr-16481	159	9	of	of	ADP
ihlr-16481	159	10	practicing	practice	VERB
ihlr-16481	159	11	physicians	physician	NOUN
ihlr-16481	159	12	and	and	CCONJ
ihlr-16481	159	13	the	the	DET
ihlr-16481	159	14	public	public	NOUN
ihlr-16481	159	15	on	on	ADP
ihlr-16481	159	16	medical	medical	ADJ
ihlr-16481	159	17	error	error	NOUN
ihlr-16481	159	18	,	,	PUNCT
ihlr-16481	159	19	347neweng.j.med	347neweng.j.med	NUM
ihlr-16481	159	20	.	.	NOUN
ihlr-16481	159	21	1933	1933	NUM
ihlr-16481	159	22	,	,	PUNCT
ihlr-16481	159	23	1935	1935	NUM
ihlr-16481	159	24	-	-	SYM
ihlr-16481	159	25	36	36	NUM
ihlr-16481	159	26	,	,	PUNCT
ihlr-16481	159	27	1938	1938	NUM
ihlr-16481	159	28	-	-	SYM
ihlr-16481	159	29	39(2002	39(2002	NUM
ihlr-16481	159	30	)	)	PUNCT
ihlr-16481	159	31	;	;	PUNCT
ihlr-16481	159	32	robertpear	robertpear	ADJ
ihlr-16481	159	33	,	,	PUNCT
ihlr-16481	159	34	pane/	pane/	NUM
ihlr-16481	159	35	seeks	seek	VERB
ihlr-16481	159	36	better	well	ADJ
ihlr-16481	159	37	disciplining	disciplining	NOUN
ihlr-16481	159	38	of	of	ADP
ihlr-16481	159	39	doctors	doctor	NOUN
ihlr-16481	159	40	,	,	PUNCT
ihlr-16481	159	41	n.y	n.y	PROPN
ihlr-16481	159	42	.	.	PROPN
ihlr-16481	159	43	times	times	PROPN
ihlr-16481	159	44	,	,	PUNCT
ihlr-16481	159	45	jan	jan	PROPN
ihlr-16481	159	46	.	.	PROPN
ihlr-16481	159	47	5	5	NUM
ihlr-16481	159	48	,	,	PUNCT
ihlr-16481	159	49	2005	2005	NUM
ihlr-16481	159	50	,	,	PUNCT
ihlr-16481	159	51	at	at	ADP
ihlr-16481	159	52	a2l	a2l	PROPN
ihlr-16481	159	53	(	(	PUNCT
ihlr-16481	159	54	summarizing	summarize	VERB
ihlr-16481	159	55	the	the	DET
ihlr-16481	159	56	results	result	NOUN
ihlr-16481	159	57	of	of	ADP
ihlr-16481	159	58	a	a	DET
ihlr-16481	159	59	study	study	NOUN
ihlr-16481	159	60	which	which	PRON
ihlr-16481	159	61	found	find	VERB
ihlr-16481	159	62	that	that	SCONJ
ihlr-16481	159	63	disciplining	discipline	VERB
ihlr-16481	159	64	incompetent	incompetent	ADJ
ihlr-16481	159	65	physicians	physician	NOUN
ihlr-16481	159	66	would	would	AUX
ihlr-16481	159	67	reduce	reduce	VERB
ihlr-16481	159	68	malpractice	malpractice	NOUN
ihlr-16481	159	69	litigation	litigation	NOUN
ihlr-16481	159	70	)	)	PUNCT
ihlr-16481	159	71	.	.	PUNCT
ihlr-16481	160	1	2006	2006	NUM
ihlr-16481	160	2	]	]	PUNCT
ihlr-16481	161	1	p4p	p4p	PROPN
ihlr-16481	161	2	:	:	PUNCT
ihlr-16481	161	3	witl	witl	NOUN
ihlr-16481	161	4	it	it	PRON
ihlr-16481	161	5	work	work	VERB
ihlr-16481	161	6	in	in	ADP
ihlr-16481	161	7	theory	theory	NOUN
ihlr-16481	161	8	?	?	PUNCT
ihlr-16481	162	1	311	311	NUM
ihlr-16481	162	2	purchasers.23	purchasers.23	NOUN
ihlr-16481	162	3	unsurprisingly	unsurprisingly	ADV
ihlr-16481	162	4	,	,	PUNCT
ihlr-16481	162	5	the	the	DET
ihlr-16481	162	6	payor	payor	NOUN
ihlr-16481	162	7	community	community	NOUN
ihlr-16481	162	8	expect$	expect$	PROPN
ihlr-16481	162	9	pay	pay	VERB
ihlr-16481	162	10	for	for	ADP
ihlr-16481	162	11	performance	performance	NOUN
ihlr-16481	162	12	to	to	PART
ihlr-16481	162	13	make	make	VERB
ihlr-16481	162	14	the	the	DET
ihlr-16481	162	15	health	health	NOUN
ihlr-16481	162	16	care	care	NOUN
ihlr-16481	162	17	system	system	NOUN
ihlr-16481	162	18	more	more	ADV
ihlr-16481	162	19	competitive	competitive	ADJ
ihlr-16481	162	20	.	.	PUNCT
ihlr-16481	163	1	on	on	ADP
ihlr-16481	163	2	this	this	DET
ihlr-16481	163	3	view	view	NOUN
ihlr-16481	163	4	'	'	PUNCT
ihlr-16481	163	5	conventional	conventional	ADJ
ihlr-16481	163	6	reimbursement	reimbursement	NOUN
ihlr-16481	163	7	represents	represent	VERB
ihlr-16481	163	8	a	a	DET
ihlr-16481	163	9	combination	combination	NOUN
ihlr-16481	163	10	of	of	ADP
ihlr-16481	163	11	misguided	misguided	ADJ
ihlr-16481	163	12	regulation	regulation	NOUN
ihlr-16481	163	13	and	and	CCONJ
ihlr-16481	163	14	the	the	DET
ihlr-16481	163	15	exercise	exercise	NOUN
ihlr-16481	163	16	of	of	ADP
ihlr-16481	163	17	market	market	NOUN
ihlr-16481	163	18	power	power	NOUN
ihlr-16481	163	19	by	by	ADP
ihlr-16481	163	20	physicians	physician	NOUN
ihlr-16481	163	21	who	who	PRON
ihlr-16481	163	22	have	have	VERB
ihlr-16481	163	23	large	large	ADJ
ihlr-16481	163	24	informational	informational	ADJ
ihlr-16481	163	25	advantages	advantage	NOUN
ihlr-16481	163	26	over	over	ADP
ihlr-16481	163	27	those	those	PRON
ihlr-16481	163	28	who	who	PRON
ihlr-16481	163	29	buy	buy	VERB
ihlr-16481	163	30	their	their	PRON
ihlr-16481	163	31	services	service	NOUN
ihlr-16481	163	32	.	.	PUNCT
ihlr-16481	164	1	breaking	break	VERB
ihlr-16481	164	2	this	this	DET
ihlr-16481	164	3	stranglehold	stranglehold	NOUN
ihlr-16481	164	4	by	by	ADP
ihlr-16481	164	5	switching	switch	VERB
ihlr-16481	164	6	to	to	ADP
ihlr-16481	164	7	p4p	p4p	PROPN
ihlr-16481	164	8	,	,	PUNCT
ihlr-16481	164	9	some	some	PRON
ihlr-16481	164	10	might	might	AUX
ihlr-16481	164	11	argue	argue	VERB
ihlr-16481	164	12	,	,	PUNCT
ihlr-16481	164	13	will	will	AUX
ihlr-16481	164	14	increase	increase	VERB
ihlr-16481	164	15	competition	competition	NOUN
ihlr-16481	164	16	and	and	CCONJ
ihlr-16481	164	17	generate	generate	VERB
ihlr-16481	164	18	the	the	DET
ihlr-16481	164	19	things	thing	NOUN
ihlr-16481	164	20	competition	competition	NOUN
ihlr-16481	164	21	is	be	AUX
ihlr-16481	164	22	supposed	suppose	VERB
ihlr-16481	164	23	to	to	PART
ihlr-16481	164	24	bring	bring	VERB
ihlr-16481	164	25	:	:	PUNCT
ihlr-16481	164	26	lower	low	ADJ
ihlr-16481	164	27	prices	price	NOUN
ihlr-16481	164	28	,	,	PUNCT
ihlr-16481	164	29	higher	high	ADJ
ihlr-16481	164	30	quality	quality	NOUN
ihlr-16481	164	31	,	,	PUNCT
ihlr-16481	164	32	and	and	CCONJ
ihlr-16481	164	33	closer	close	ADJ
ihlr-16481	164	34	matching	matching	NOUN
ihlr-16481	164	35	of	of	ADP
ihlr-16481	164	36	the	the	DET
ihlr-16481	164	37	services	service	NOUN
ihlr-16481	164	38	provided	provide	VERB
ihlr-16481	164	39	to	to	ADP
ihlr-16481	164	40	the	the	DET
ihlr-16481	164	41	preferences	preference	NOUN
ihlr-16481	164	42	of	of	ADP
ihlr-16481	164	43	the	the	DET
ihlr-16481	164	44	people	people	NOUN
ihlr-16481	164	45	who	who	PRON
ihlr-16481	164	46	are	be	AUX
ihlr-16481	164	47	going	go	VERB
ihlr-16481	164	48	to	to	PART
ihlr-16481	164	49	receive	receive	VERB
ihlr-16481	164	50	them	they	PRON
ihlr-16481	164	51	.	.	PUNCT
ihlr-16481	165	1	however	however	ADV
ihlr-16481	165	2	,	,	PUNCT
ihlr-16481	165	3	competition	competition	NOUN
ihlr-16481	165	4	on	on	ADP
ihlr-16481	165	5	quality	quality	NOUN
ihlr-16481	165	6	does	do	AUX
ihlr-16481	165	7	not	not	PART
ihlr-16481	165	8	model	model	VERB
ihlr-16481	165	9	cleanly	cleanly	ADV
ihlr-16481	165	10	in	in	ADP
ihlr-16481	165	11	economic	economic	ADJ
ihlr-16481	165	12	theory	theory	NOUN
ihlr-16481	165	13	,	,	PUNCT
ihlr-16481	165	14	and	and	CCONJ
ihlr-16481	165	15	competition	competition	NOUN
ihlr-16481	165	16	on	on	ADP
ihlr-16481	165	17	medical	medical	ADJ
ihlr-16481	165	18	quality	quality	NOUN
ihlr-16481	165	19	is	be	AUX
ihlr-16481	165	20	fraught	fraught	ADJ
ihlr-16481	165	21	with	with	ADP
ihlr-16481	165	22	additional	additional	ADJ
ihlr-16481	165	23	uncertainty.24	uncertainty.24	NOUN
ihlr-16481	165	24	p4p	p4p	PROPN
ihlr-16481	165	25	may	may	AUX
ihlr-16481	165	26	indeed	indeed	ADV
ihlr-16481	165	27	channel	channel	VERB
ihlr-16481	165	28	competition	competition	NOUN
ihlr-16481	165	29	in	in	ADP
ihlr-16481	165	30	particular	particular	ADJ
ihlr-16481	165	31	quality­	quality­	SYM
ihlr-16481	165	32	related	relate	VERB
ihlr-16481	165	33	directions	direction	NOUN
ihlr-16481	165	34	,	,	PUNCT
ihlr-16481	165	35	but	but	CCONJ
ihlr-16481	165	36	it	it	PRON
ihlr-16481	165	37	will	will	AUX
ihlr-16481	165	38	not	not	PART
ihlr-16481	165	39	necessarily	necessarily	ADV
ihlr-16481	165	40	promote	promote	VERB
ihlr-16481	165	41	overall	overall	ADJ
ihlr-16481	165	42	competition	competition	NOUN
ihlr-16481	165	43	.	.	PUNCT
ihlr-16481	166	1	one	one	NUM
ihlr-16481	166	2	concern	concern	NOUN
ihlr-16481	166	3	is	be	AUX
ihlr-16481	166	4	that	that	SCONJ
ihlr-16481	166	5	p4p	p4p	PROPN
ihlr-16481	166	6	might	might	AUX
ihlr-16481	166	7	reduce	reduce	VERB
ihlr-16481	166	8	competition	competition	NOUN
ihlr-16481	166	9	based	base	VERB
ihlr-16481	166	10	on	on	ADP
ihlr-16481	166	11	price	price	NOUN
ihlr-16481	166	12	,	,	PUNCT
ihlr-16481	166	13	which	which	PRON
ihlr-16481	166	14	is	be	AUX
ihlr-16481	166	15	something	something	PRON
ihlr-16481	166	16	that	that	PRON
ihlr-16481	166	17	consumers	consumer	NOUN
ihlr-16481	166	18	also	also	ADV
ihlr-16481	166	19	care	care	VERB
ihlr-16481	166	20	about	about	ADP
ihlr-16481	166	21	.	.	PUNCT
ihlr-16481	167	1	another	another	DET
ihlr-16481	167	2	concern	concern	NOUN
ihlr-16481	167	3	is	be	AUX
ihlr-16481	167	4	how	how	SCONJ
ihlr-16481	167	5	much	much	ADJ
ihlr-16481	167	6	competition	competition	NOUN
ihlr-16481	167	7	will	will	AUX
ihlr-16481	167	8	be	be	AUX
ihlr-16481	167	9	lost	lose	VERB
ihlr-16481	167	10	in	in	ADP
ihlr-16481	167	11	the	the	DET
ihlr-16481	167	12	process	process	NOUN
ihlr-16481	167	13	of	of	ADP
ihlr-16481	167	14	establishing	establish	VERB
ihlr-16481	167	15	p4p	p4p	PROPN
ihlr-16481	167	16	systems	system	NOUN
ihlr-16481	167	17	that	that	PRON
ihlr-16481	167	18	rely	rely	VERB
ihlr-16481	167	19	on	on	ADP
ihlr-16481	167	20	consistency	consistency	NOUN
ihlr-16481	167	21	and	and	CCONJ
ihlr-16481	167	22	uniform	uniform	ADJ
ihlr-16481	167	23	application	application	NOUN
ihlr-16481	167	24	among	among	ADP
ihlr-16481	167	25	health	health	NOUN
ihlr-16481	167	26	care	care	NOUN
ihlr-16481	167	27	providers	provider	NOUN
ihlr-16481	167	28	for	for	ADP
ihlr-16481	167	29	their	their	PRON
ihlr-16481	167	30	effectiveness	effectiveness	NOUN
ihlr-16481	167	31	-	-	PUNCT
ihlr-16481	167	32	structures	structure	NOUN
ihlr-16481	167	33	that	that	PRON
ihlr-16481	167	34	invite	invite	VERB
ihlr-16481	167	35	collusion	collusion	NOUN
ihlr-16481	167	36	as	as	ADV
ihlr-16481	167	37	well	well	ADV
ihlr-16481	167	38	as	as	ADP
ihlr-16481	167	39	collaboration	collaboration	NOUN
ihlr-16481	167	40	.	.	PUNCT
ihlr-16481	168	1	that	that	SCONJ
ihlr-16481	168	2	leading	lead	VERB
ihlr-16481	168	3	safety	safety	NOUN
ihlr-16481	168	4	and	and	CCONJ
ihlr-16481	168	5	quality	quality	NOUN
ihlr-16481	168	6	advoeates	advoeate	NOUN
ihlr-16481	168	7	within	within	ADP
ihlr-16481	168	8	the	the	DET
ihlr-16481	168	9	medical	medical	ADJ
ihlr-16481	168	10	profession	profession	NOUN
ihlr-16481	168	11	are	be	AUX
ihlr-16481	168	12	ambivalent	ambivalent	ADJ
ihlr-16481	168	13	about	about	ADP
ihlr-16481	168	14	competition	competition	NOUN
ihlr-16481	168	15	in	in	ADP
ihlr-16481	168	16	health	health	NOUN
ihlr-16481	168	17	care	care	NOUN
ihlr-16481	168	18	-	-	PUNCT
ihlr-16481	168	19	neither	neither	CCONJ
ihlr-16481	168	20	10	10	NUM
ihlr-16481	168	21	m	m	NOUN
ihlr-16481	168	22	report	report	NOUN
ihlr-16481	168	23	so	so	ADV
ihlr-16481	168	24	much	much	ADV
ihlr-16481	168	25	as	as	SCONJ
ihlr-16481	168	26	mentions	mention	VERB
ihlr-16481	168	27	competition	competition	NOUN
ihlr-16481	168	28	oversight	oversight	NOUN
ihlr-16481	168	29	through	through	ADV
ihlr-16481	168	30	.	.	PUNCT
ihlr-16481	169	1	antitrust	antitrust	ADJ
ihlr-16481	169	2	enforcement	enforcement	NOUN
ihlr-16481	169	3	-	-	PUNCT
ihlr-16481	169	4	provides	provide	VERB
ihlr-16481	169	5	little	little	ADJ
ihlr-16481	169	6	reassurance	reassurance	NOUN
ihlr-16481	169	7	that	that	SCONJ
ihlr-16481	169	8	these	these	DET
ihlr-16481	169	9	risks	risk	NOUN
ihlr-16481	169	10	will	will	AUX
ihlr-16481	169	11	be	be	AUX
ihlr-16481	169	12	taken	take	VERB
ihlr-16481	169	13	into	into	ADP
ihlr-16481	169	14	account	account	NOUN
ihlr-16481	169	15	as	as	ADP
ihlr-16481	169	16	pay	pay	NOUN
ihlr-16481	169	17	for	for	ADP
ihlr-16481	169	18	performance	performance	NOUN
ihlr-16481	169	19	advances	advance	NOUN
ihlr-16481	169	20	.	.	PUNCT
ihlr-16481	170	1	c.	c.	PROPN
ihlr-16481	170	2	consumer	consumer	NOUN
ihlr-16481	170	3	-	-	PUNCT
ihlr-16481	170	4	directed	direct	VERB
ihlr-16481	170	5	care	care	NOUN
ihlr-16481	170	6	·	·	PUNCT
ihlr-16481	171	1	p4p	p4p	PROPN
ihlr-16481	171	2	,	,	PUNCT
ihlr-16481	171	3	notwithstanding	notwithstanding	ADP
ihlr-16481	171	4	its	its	PRON
ihlr-16481	171	5	catchy	catchy	ADJ
ihlr-16481	171	6	name	name	NOUN
ihlr-16481	171	7	,	,	PUNCT
ihlr-16481	171	8	trails	trail	VERB
ihlr-16481	171	9	"	"	PUNCT
ihlr-16481	171	10	consumer	consumer	NOUN
ihlr-16481	171	11	-	-	PUNCT
ihlr-16481	171	12	directed	direct	VERB
ihlr-16481	171	13	care	care	NOUN
ihlr-16481	171	14	"	"	PUNCT
ihlr-16481	171	15	as	as	ADP
ihlr-16481	171	16	the	the	DET
ihlr-16481	171	17	darling	darling	NOUN
ihlr-16481	171	18	oftoday	oftoday	NOUN
ihlr-16481	171	19	's	's	PART
ihlr-16481	171	20	health	health	NOUN
ihlr-16481	171	21	policy	policy	NOUN
ihlr-16481	171	22	solipsists	solipsist	NOUN
ihlr-16481	171	23	.	.	PUNCT
ihlr-16481	172	1	those	those	PRON
ihlr-16481	172	2	who	who	PRON
ihlr-16481	172	3	believe	believe	VERB
ihlr-16481	172	4	that	that	SCONJ
ihlr-16481	172	5	the	the	DET
ihlr-16481	172	6	solution	solution	NOUN
ihlr-16481	172	7	to	to	PART
ihlr-16481	172	8	waste	waste	VERB
ihlr-16481	172	9	in	in	ADP
ihlr-16481	172	10	health	health	NOUN
ihlr-16481	172	11	care	care	NOUN
ihlr-16481	172	12	spending	spending	NOUN
ihlr-16481	172	13	is	be	AUX
ihlr-16481	172	14	to	to	PART
ihlr-16481	172	15	let	let	VERB
ihlr-16481	172	16	individuals	individual	NOUN
ihlr-16481	172	17	take	take	VERB
ihlr-16481	172	18	charge	charge	NOUN
ihlr-16481	172	19	of	of	ADP
ihlr-16481	172	20	their	their	PRON
ihlr-16481	172	21	purchasing	purchase	VERB
ihlr-16481	172	22	decisions	decision	NOUN
ihlr-16481	172	23	find	find	VERB
ihlr-16481	172	24	pay	pay	NOUN
ihlr-16481	172	25	for	for	ADP
ihlr-16481	172	26	performance	performance	NOUN
ihlr-16481	172	27	attractive	attractive	ADJ
ihlr-16481	172	28	because	because	SCONJ
ihlr-16481	172	29	it	it	PRON
ihlr-16481	172	30	connotes	connote	VERB
ihlr-16481	172	31	consumer	consumer	NOUN
ihlr-16481	172	32	empowerment	empowerment	NOUN
ihlr-16481	172	33	.	.	PUNCT
ihlr-16481	173	1	it	it	PRON
ihlr-16481	173	2	is	be	AUX
ihlr-16481	173	3	not	not	PART
ihlr-16481	173	4	clear	clear	ADJ
ihlr-16481	173	5	,	,	PUNCT
ihlr-16481	173	6	however	however	ADV
ihlr-16481	173	7	,	,	PUNCT
ihlr-16481	173	8	that	that	SCONJ
ihlr-16481	173	9	substituting	substitute	VERB
ihlr-16481	173	10	formal	formal	ADJ
ihlr-16481	173	11	performance	performance	NOUN
ihlr-16481	173	12	incentives	incentive	NOUN
ihlr-16481	173	13	for	for	ADP
ihlr-16481	173	14	traditional	traditional	ADJ
ihlr-16481	173	15	reliance	reliance	NOUN
ihlr-16481	173	16	on	on	ADP
ihlr-16481	173	17	physician	physician	NOUN
ihlr-16481	173	18	competence	competence	NOUN
ihlr-16481	173	19	and	and	CCONJ
ihlr-16481	173	20	beneficence	beneficence	NOUN
ihlr-16481	173	21	will	will	AUX
ihlr-16481	173	22	improve	improve	VERB
ihlr-16481	173	23	the	the	DET
ihlr-16481	173	24	ability	ability	NOUN
ihlr-16481	173	25	of	of	ADP
ihlr-16481	173	26	individual	individual	ADJ
ihlr-16481	173	27	patients	patient	NOUN
ihlr-16481	173	28	to	to	PART
ihlr-16481	173	29	make	make	VERB
ihlr-16481	173	30	coherent	coherent	ADJ
ihlr-16481	173	31	decisions	decision	NOUN
ihlr-16481	173	32	about	about	ADP
ihlr-16481	173	33	their	their	PRON
ihlr-16481	173	34	treatment	treatment	NOUN
ihlr-16481	173	35	.	.	PUNCT
ihlr-16481	174	1	that	that	PRON
ihlr-16481	174	2	will	will	AUX
ihlr-16481	174	3	happen	happen	VERB
ihlr-16481	174	4	only	only	ADV
ihlr-16481	174	5	ifp4p	ifp4p	PROPN
ihlr-16481	174	6	reliably	reliably	ADV
ihlr-16481	174	7	captures	capture	VERB
ihlr-16481	174	8	information	information	NOUN
ihlr-16481	174	9	desired	desire	VERB
ihlr-16481	174	10	by	by	ADP
ihlr-16481	174	11	consumers	consumer	NOUN
ihlr-16481	174	12	but	but	CCONJ
ihlr-16481	174	13	otherwise	otherwise	ADV
ihlr-16481	174	14	unavailable	unavailable	ADJ
ihlr-16481	174	15	to	to	ADP
ihlr-16481	174	16	them	they	PRON
ihlr-16481	174	17	.	.	PUNCT
ihlr-16481	175	1	moreover	moreover	ADV
ihlr-16481	175	2	,	,	PUNCT
ihlr-16481	175	3	consumer	consumer	NOUN
ihlr-16481	175	4	-	-	PUNCT
ihlr-16481	175	5	directed	direct	VERB
ihlr-16481	175	6	care	care	NOUN
ihlr-16481	175	7	is	be	AUX
ihlr-16481	175	8	·	·	PUNCT
ihlr-16481	175	9	commonly	commonly	ADV
ihlr-16481	175	10	used	use	VERB
ihlr-16481	175	11	as	as	ADP
ihlr-16481	175	12	a	a	DET
ihlr-16481	175	13	23	23	NUM
ihlr-16481	175	14	.	.	PUNCT
ihlr-16481	176	1	leathermanetal	leathermanetal	PROPN
ihlr-16481	176	2	.	.	PUNCT
ihlr-16481	176	3	,supranote	,supranote	PUNCT
ihlr-16481	176	4	16	16	NUM
ihlr-16481	176	5	;	;	PUNCT
ihlr-16481	176	6	vrrroriomaioetal	vrrroriomaioetal	ADJ
ihlr-16481	176	7	.	.	PUNCT
ihlr-16481	176	8	,	,	PUNCT
ihlr-16481	177	1	vawe-~purchasing	vawe-~purchase	VERB
ihlr-16481	177	2	:	:	PUNCT
ihlr-16481	177	3	a	a	DET
ihlr-16481	177	4	review	review	NOUN
ihlr-16481	177	5	of	of	ADP
ihlr-16481	177	6	the	the	DET
ihlr-16481	177	7	literature	literature	NOUN
ihlr-16481	177	8	(	(	PUNCT
ihlr-16481	177	9	commonwealth	commonwealth	PROPN
ihlr-16481	177	10	fund	fund	PROPN
ihlr-16481	177	11	report	report	NOUN
ihlr-16481	177	12	no	no	INTJ
ihlr-16481	177	13	.	.	PROPN
ihlr-16481	177	14	636	636	NUM
ihlr-16481	177	15	,	,	PUNCT
ihlr-16481	177	16	may	may	PROPN
ihlr-16481	177	17	2003	2003	NUM
ihlr-16481	177	18	)	)	PUNCT
ihlr-16481	177	19	,	,	PUNCT
ihlr-16481	177	20	available	available	ADJ
ihlr-16481	177	21	at	at	ADP
ihlr-16481	177	22	http://www.cmwf.org	http://www.cmwf.org	PROPN
ihlr-16481	177	23	(	(	PUNCT
ihlr-16481	177	24	1asi	1asi	PROPN
ihlr-16481	177	25	visited	visit	VERB
ihlr-16481	177	26	may	may	PROPN
ihlr-16481	177	27	17	17	NUM
ihlr-16481	177	28	,	,	PUNCT
ihlr-16481	177	29	2006	2006	NUM
ihlr-16481	177	30	)	)	PUNCT
ihlr-16481	177	31	;	;	PUNCT
ihlr-16481	177	32	roger	roger	PROPN
ihlr-16481	177	33	lowenstein	lowenstein	PROPN
ihlr-16481	177	34	,	,	PUNCT
ihlr-16481	177	35	the	the	DET
ihlr-16481	177	36	quality	quality	NOUN
ihlr-16481	177	37	cure	cure	NOUN
ihlr-16481	177	38	?	?	PUNCT
ihlr-16481	177	39	,	,	PUNCT
ihlr-16481	177	40	n.y	n.y	PROPN
ihlr-16481	177	41	.	.	PROPN
ihlr-16481	177	42	times	times	PROPN
ihlr-16481	177	43	mag	mag	PROPN
ihlr-16481	177	44	.	.	PROPN
ihlr-16481	177	45	,	,	PUNCT
ihlr-16481	177	46	mar	mar	PROPN
ihlr-16481	177	47	.	.	PROPN
ihlr-16481	177	48	13	13	NUM
ihlr-16481	177	49	,	,	PUNCT
ihlr-16481	177	50	2005	2005	NUM
ihlr-16481	177	51	;	;	PUNCT
ihlr-16481	177	52	at	at	ADP
ihlr-16481	177	53	46	46	NUM
ihlr-16481	177	54	.	.	PUNCT
ihlr-16481	177	55	24	24	NUM
ihlr-16481	177	56	.	.	PUNCT
ihlr-16481	178	1	william	william	PROPN
ihlr-16481	178	2	m.	m.	PROPN
ihlr-16481	178	3	sage	sage	PROPN
ihlr-16481	178	4	&	&	CCONJ
ihlr-16481	178	5	peter	peter	PROPN
ihlr-16481	178	6	j.	j.	PROPN
ihlr-16481	178	7	hammer	hammer	PROPN
ihlr-16481	178	8	,	,	PUNCT
ihlr-16481	178	9	competing	compete	VERB
ihlr-16481	178	10	on	on	ADP
ihlr-16481	178	11	quality	quality	NOUN
ihlr-16481	178	12	of	of	ADP
ihlr-16481	178	13	care	care	NOUN
ihlr-16481	178	14	:	:	PUNCT
ihlr-16481	178	15	the	the	DET
ihlr-16481	178	16	need	need	NOUN
ihlr-16481	178	17	to	to	PART
ihlr-16481	178	18	develop	develop	VERB
ihlr-16481	178	19	a	a	DET
ihlr-16481	178	20	competition	competition	NOUN
ihlr-16481	178	21	policy	policy	NOUN
ihlr-16481	178	22	for	for	ADP
ihlr-16481	178	23	health	health	NOUN
ihlr-16481	178	24	care	care	NOUN
ihlr-16481	178	25	markets	market	NOUN
ihlr-16481	178	26	,	,	PUNCT
ihlr-16481	178	27	32	32	NUM
ihlr-16481	178	28	mich	mich	NOUN
ihlr-16481	178	29	.	.	PUNCT
ihlr-16481	179	1	j.l	j.l	PROPN
ihlr-16481	179	2	reform	reform	PROPN
ihlr-16481	179	3	1069,.1109	1069,.1109	NUM
ihlr-16481	179	4	-	-	SYM
ihlr-16481	179	5	18	18	NUM
ihlr-16481	179	6	(	(	PUNCT
ihlr-16481	179	7	1999	1999	NUM
ihlr-16481	179	8	)	)	PUNCT
ihlr-16481	179	9	;	;	PUNCT
ihlr-16481	179	10	william	william	PROPN
ihlr-16481	179	11	m.	m.	NOUN
ihlr-16481	179	12	sage	sage	NOUN
ihlr-16481	179	13	,	,	PUNCT
ihlr-16481	179	14	david	david	PROPN
ihlr-16481	179	15	a.	a.	PROPN
ihlr-16481	179	16	hyman	hyman	PROPN
ihlr-16481	179	17	,	,	PUNCT
ihlr-16481	179	18	&	&	CCONJ
ihlr-16481	179	19	warren	warren	PROPN
ihlr-16481	179	20	greenberg	greenberg	PROPN
ihlr-16481	179	21	,	,	PUNCT
ihlr-16481	179	22	why	why	SCONJ
ihlr-16481	179	23	competition	competition	NOUN
ihlr-16481	179	24	law	law	NOUN
ihlr-16481	179	25	matters	matter	VERB
ihlr-16481	179	26	to	to	ADP
ihlr-16481	179	27	health	health	NOUN
ihlr-16481	179	28	care	care	NOUN
ihlr-16481	179	29	quality	quality	NOUN
ihlr-16481	179	30	,	,	PUNCT
ihlr-16481	179	31	22(2	22(2	NUM
ihlr-16481	179	32	)	)	PUNCT
ihlr-16481	179	33	healthaff	healthaff	NOUN
ihlr-16481	179	34	.	.	PUNCT
ihlr-16481	180	1	31,31	31,31	NUM
ihlr-16481	180	2	(	(	PUNCT
ihlr-16481	180	3	2003	2003	NUM
ihlr-16481	180	4	)	)	PUNCT
ihlr-16481	180	5	.	.	PUNCT
ihlr-16481	181	1	312	312	NUM
ihlr-16481	181	2	indiana	indiana	PROPN
ihlr-16481	181	3	health	health	PROPN
ihlr-16481	181	4	law	law	NOUN
ihlr-16481	181	5	review	review	NOUN
ihlr-16481	181	6	[	[	X
ihlr-16481	181	7	vol	vol	NOUN
ihlr-16481	181	8	.	.	PUNCT
ihlr-16481	181	9	3:303	3:303	NUM
ihlr-16481	181	10	euphemism	euphemism	NOUN
ihlr-16481	181	11	for	for	ADP
ihlr-16481	181	12	consumer	consumer	NOUN
ihlr-16481	181	13	-	-	PUNCT
ihlr-16481	181	14	financed	finance	VERB
ihlr-16481	181	15	care	care	NOUN
ihlr-16481	181	16	-	-	PUNCT
ihlr-16481	181	17	people	people	NOUN
ihlr-16481	181	18	spending	spend	VERB
ihlr-16481	181	19	their	their	PRON
ihlr-16481	181	20	own	own	ADJ
ihlr-16481	181	21	money	money	NOUN
ihlr-16481	181	22	,	,	PUNCT
ihlr-16481	181	23	not	not	PART
ihlr-16481	181	24	that	that	PRON
ihlr-16481	181	25	of	of	ADP
ihlr-16481	181	26	an	an	DET
ihlr-16481	181	27	insurance	insurance	NOUN
ihlr-16481	181	28	pool	pool	NOUN
ihlr-16481	181	29	or	or	CCONJ
ihlr-16481	181	30	th.e	th.e	NOUN
ihlr-16481	181	31	public.25	public.25	VERB
ihlr-16481	181	32	a	a	DET
ihlr-16481	181	33	belief	belief	NOUN
ihlr-16481	181	34	in	in	ADP
ihlr-16481	181	35	the	the	DET
ihlr-16481	181	36	benefits	benefit	NOUN
ihlr-16481	181	37	of	of	ADP
ihlr-16481	181	38	self	self	NOUN
ihlr-16481	181	39	help	help	NOUN
ihlr-16481	181	40	will	will	AUX
ihlr-16481	181	41	not	not	PART
ihlr-16481	181	42	make	make	VERB
ihlr-16481	181	43	everyone	everyone	PRON
ihlr-16481	181	44	financially	financially	ADV
ihlr-16481	181	45	independent	independent	ADJ
ihlr-16481	181	46	.	.	PUNCT
ihlr-16481	182	1	what	what	PRON
ihlr-16481	182	2	about	about	ADP
ihlr-16481	182	3	people	people	NOUN
ihlr-16481	182	4	who	who	PRON
ihlr-16481	182	5	do	do	AUX
ihlr-16481	182	6	not	not	PART
ihlr-16481	182	7	have	have	VERB
ihlr-16481	182	8	money	money	NOUN
ihlr-16481	182	9	of	of	ADP
ihlr-16481	182	10	their	their	PRON
ihlr-16481	182	11	own	own	ADJ
ihlr-16481	182	12	to	to	PART
ihlr-16481	182	13	spend	spend	VERB
ihlr-16481	182	14	?	?	PUNCT
ihlr-16481	183	1	performance	performance	NOUN
ihlr-16481	183	2	is	be	AUX
ihlr-16481	183	3	likely	likely	ADJ
ihlr-16481	183	4	to	to	PART
ihlr-16481	183	5	be	be	AUX
ihlr-16481	183	6	defined	define	VERB
ihlr-16481	183	7	quite	quite	ADV
ihlr-16481	183	8	differently	differently	ADV
ihlr-16481	183	9	by	by	ADP
ihlr-16481	183	10	a	a	DET
ihlr-16481	183	11	third	third	ADJ
ihlr-16481	183	12	-	-	PUNCT
ihlr-16481	183	13	party	party	NOUN
ihlr-16481	183	14	payer	payer	NOUN
ihlr-16481	183	15	than	than	ADP
ihlr-16481	183	16	by	by	ADP
ihlr-16481	183	17	the	the	DET
ihlr-16481	183	18	actual	actual	ADJ
ihlr-16481	183	19	recipient	recipient	NOUN
ihlr-16481	183	20	of	of	ADP
ihlr-16481	183	21	services	service	NOUN
ihlr-16481	183	22	.	.	PUNCT
ihlr-16481	184	1	d.	d.	PROPN
ihlr-16481	184	2	patient	patient	NOUN
ihlr-16481	184	3	-	-	PUNCT
ihlr-16481	184	4	centered	center	VERB
ihlr-16481	184	5	care	care	NOUN
ihlr-16481	184	6	a	a	DET
ihlr-16481	184	7	core	core	NOUN
ihlr-16481	184	8	attribute	attribute	NOUN
ihlr-16481	184	9	ofhigh	ofhigh	ADJ
ihlr-16481	184	10	-	-	PUNCT
ihlr-16481	184	11	quality	quality	NOUN
ihlr-16481	184	12	health	health	NOUN
ihlr-16481	184	13	care	care	NOUN
ihlr-16481	184	14	identified	identify	VERB
ihlr-16481	184	15	by	by	ADP
ihlr-16481	184	16	the	the	DET
ihlr-16481	184	17	10	10	NUM
ihlr-16481	184	18	m	m	NOUN
ihlr-16481	184	19	is	be	AUX
ihlr-16481	184	20	that	that	SCONJ
ihlr-16481	184	21	it	it	PRON
ihlr-16481	184	22	is	be	AUX
ihlr-16481	184	23	''	''	PUNCT
ihlr-16481	184	24	patient	patient	NOUN
ihlr-16481	184	25	-	-	PUNCT
ihlr-16481	184	26	centered	center	VERB
ihlr-16481	184	27	.	.	PUNCT
ihlr-16481	185	1	"26	"26	X
ihlr-16481	185	2	patient	patient	NOUN
ihlr-16481	185	3	-	-	PUNCT
ihlr-16481	185	4	centered	center	VERB
ihlr-16481	185	5	care	care	NOUN
ihlr-16481	185	6	sounds	sound	VERB
ihlr-16481	185	7	similar	similar	ADJ
ihlr-16481	185	8	to	to	ADP
ihlr-16481	185	9	consumer­	consumer­	PROPN
ihlr-16481	185	10	directed	direct	VERB
ihlr-16481	185	11	care	care	NOUN
ihlr-16481	185	12	,	,	PUNCT
ihlr-16481	185	13	and	and	CCONJ
ihlr-16481	185	14	therefore	therefore	ADV
ihlr-16481	185	15	superficially	superficially	ADV
ihlr-16481	185	16	compatible	compatible	ADJ
ihlr-16481	185	17	with	with	ADP
ihlr-16481	185	18	p4p	p4p	PROPN
ihlr-16481	185	19	,	,	PUNCT
ihlr-16481	185	20	but	but	CCONJ
ihlr-16481	185	21	its	its	PRON
ihlr-16481	185	22	connotations	connotation	NOUN
ihlr-16481	185	23	are	be	AUX
ihlr-16481	185	24	non	non	ADJ
ihlr-16481	185	25	-	-	ADJ
ihlr-16481	185	26	financial	financial	ADJ
ihlr-16481	185	27	.	.	PUNCT
ihlr-16481	186	1	patient	patient	NOUN
ihlr-16481	186	2	-	-	PUNCT
ihlr-16481	186	3	centered	center	VERB
ihlr-16481	186	4	care	care	NOUN
ihlr-16481	186	5	can	can	AUX
ihlr-16481	186	6	be	be	AUX
ihlr-16481	186	7	understood	understand	VERB
ihlr-16481	186	8	as	as	ADP
ihlr-16481	186	9	health	health	NOUN
ihlr-16481	186	10	care	care	NOUN
ihlr-16481	186	11	that	that	SCONJ
ihlr-16481	186	12	the	the	DET
ihlr-16481	186	13	patient	patient	NOUN
ihlr-16481	186	14	wants	want	VERB
ihlr-16481	186	15	and	and	CCONJ
ihlr-16481	186	16	that	that	PRON
ihlr-16481	186	17	has	have	VERB
ihlr-16481	186	18	the	the	DET
ihlr-16481	186	19	patient	patient	NOUN
ihlr-16481	186	20	's	's	PART
ihlr-16481	186	21	subjective	subjective	ADJ
ihlr-16481	186	22	welfare	welfare	NOUN
ihlr-16481	186	23	as	as	ADP
ihlr-16481	186	24	the	the	DET
ihlr-16481	186	25	focus	focus	NOUN
ihlr-16481	186	26	of	of	ADP
ihlr-16481	186	27	the	the	DET
ihlr-16481	186	28	care	care	NOUN
ihlr-16481	186	29	delivery	delivery	NOUN
ihlr-16481	186	30	experience	experience	NOUN
ihlr-16481	186	31	.	.	PUNCT
ihlr-16481	187	1	patient	patient	NOUN
ihlr-16481	187	2	-	-	PUNCT
ihlr-16481	187	3	centered	center	VERB
ihlr-16481	187	4	care	care	NOUN
ihlr-16481	187	5	contains	contain	VERB
ihlr-16481	187	6	its	its	PRON
ihlr-16481	187	7	own	own	ADJ
ihlr-16481	187	8	ambiguities	ambiguity	NOUN
ihlr-16481	187	9	.	.	PUNCT
ihlr-16481	188	1	is	be	AUX
ihlr-16481	188	2	the	the	DET
ihlr-16481	188	3	notion	notion	NOUN
ihlr-16481	188	4	of	of	ADP
ihlr-16481	188	5	patient	patient	NOUN
ihlr-16481	188	6	-	-	PUNCT
ihlr-16481	188	7	centered	center	VERB
ihlr-16481	188	8	care	care	NOUN
ihlr-16481	188	9	an	an	DET
ihlr-16481	188	10	ethical	ethical	ADJ
ihlr-16481	188	11	commitment	commitment	NOUN
ihlr-16481	188	12	to	to	ADP
ihlr-16481	188	13	patient	patient	ADJ
ihlr-16481	188	14	autonomy	autonomy	NOUN
ihlr-16481	188	15	or	or	CCONJ
ihlr-16481	188	16	an	an	DET
ihlr-16481	188	17	ethical	ethical	ADJ
ihlr-16481	188	18	commitment	commitment	NOUN
ihlr-16481	188	19	to	to	ADP
ihlr-16481	188	20	professional	professional	ADJ
ihlr-16481	188	21	beneficence	beneficence	NOUN
ihlr-16481	188	22	?	?	PUNCT
ihlr-16481	189	1	one	one	PRON
ihlr-16481	189	2	can	can	AUX
ihlr-16481	189	3	imagine	imagine	VERB
ihlr-16481	189	4	p4p	p4p	PROPN
ihlr-16481	189	5	aligning	align	VERB
ihlr-16481	189	6	incentives	incentive	NOUN
ihlr-16481	189	7	so	so	SCONJ
ihlr-16481	189	8	as	as	SCONJ
ihlr-16481	189	9	to	to	PART
ihlr-16481	189	10	serve	serve	VERB
ihlr-16481	189	11	either	either	CCONJ
ihlr-16481	189	12	objective	objective	ADJ
ihlr-16481	189	13	,	,	PUNCT
ihlr-16481	189	14	but	but	CCONJ
ihlr-16481	189	15	not	not	PART
ihlr-16481	189	16	without	without	ADP
ihlr-16481	189	17	specific	specific	ADJ
ihlr-16481	189	18	effort	effort	NOUN
ihlr-16481	189	19	and	and	CCONJ
ihlr-16481	189	20	acknowledgment	acknowledgment	NOUN
ihlr-16481	189	21	of	of	ADP
ihlr-16481	189	22	tensions	tension	NOUN
ihlr-16481	189	23	between	between	ADP
ihlr-16481	189	24	them	they	PRON
ihlr-16481	189	25	.	.	PUNCT
ihlr-16481	190	1	furthermore	furthermore	ADV
ihlr-16481	190	2	,	,	PUNCT
ihlr-16481	190	3	the	the	DET
ihlr-16481	190	4	technical	technical	ADJ
ihlr-16481	190	5	manipulations	manipulation	NOUN
ihlr-16481	190	6	necessary	necessary	ADJ
ihlr-16481	190	7	to	to	PART
ihlr-16481	190	8	devise	devise	VERB
ihlr-16481	190	9	and	and	CCONJ
ihlr-16481	190	10	implement	implement	VERB
ihlr-16481	190	11	pay	pay	NOUN
ihlr-16481	190	12	for	for	ADP
ihlr-16481	190	13	performance	performance	NOUN
ihlr-16481	190	14	.	.	PUNCT
ihlr-16481	191	1	seem	seem	VERB
ihlr-16481	191	2	remote	remote	ADJ
ihlr-16481	191	3	from	from	ADP
ihlr-16481	191	4	the	the	DET
ihlr-16481	191	5	human	human	ADJ
ihlr-16481	191	6	touch	touch	NOUN
ihlr-16481	191	7	that	that	PRON
ihlr-16481	191	8	motivates	motivate	VERB
ihlr-16481	191	9	interest	interest	NOUN
ihlr-16481	191	10	in	in	ADP
ihlr-16481	191	11	patient	patient	NOUN
ihlr-16481	191	12	-	-	PUNCT
ihlr-16481	191	13	centered	center	VERB
ihlr-16481	191	14	care	care	NOUN
ihlr-16481	191	15	.	.	PUNCT
ihlr-16481	192	1	e.	e.	PROPN
ihlr-16481	192	2	evidence	evidence	NOUN
ihlr-16481	192	3	-	-	PUNCT
ihlr-16481	192	4	based	base	VERB
ihlr-16481	192	5	medicine	medicine	NOUN
ihlr-16481	192	6	for	for	ADP
ihlr-16481	192	7	thought	think	VERB
ihlr-16481	192	8	leaders	leader	NOUN
ihlr-16481	192	9	in	in	ADP
ihlr-16481	192	10	the	the	DET
ihlr-16481	192	11	medical	medical	ADJ
ihlr-16481	192	12	quality	quality	NOUN
ihlr-16481	192	13	movement	movement	NOUN
ihlr-16481	192	14	generally	generally	ADV
ihlr-16481	192	15	,	,	PUNCT
ihlr-16481	192	16	pay	pay	VERB
ihlr-16481	192	17	for	for	ADP
ihlr-16481	192	18	performance	performance	NOUN
ihlr-16481	192	19	is	be	AUX
ihlr-16481	192	20	attractive	attractive	ADJ
ihlr-16481	192	21	because	because	SCONJ
ihlr-16481	192	22	it	it	PRON
ihlr-16481	192	23	can	can	AUX
ihlr-16481	192	24	promote	promote	VERB
ihlr-16481	192	25	evidence	evidence	NOUN
ihlr-16481	192	26	-	-	PUNCT
ihlr-16481	192	27	based	base	VERB
ihlr-16481	192	28	medicine.27	medicine.27	PROPN
ihlr-16481	192	29	individual	individual	ADJ
ihlr-16481	192	30	physicians	physician	NOUN
ihlr-16481	192	31	have	have	AUX
ihlr-16481	192	32	not	not	PART
ihlr-16481	192	33	responded	respond	VERB
ihlr-16481	192	34	with	with	ADP
ihlr-16481	192	35	alacrity	alacrity	NOUN
ihlr-16481	192	36	to	to	ADP
ihlr-16481	192	37	requests	request	NOUN
ihlr-16481	192	38	to	to	PART
ihlr-16481	192	39	remedy	remedy	VERB
ihlr-16481	192	40	widespread	widespread	ADJ
ihlr-16481	192	41	quality	quality	NOUN
ihlr-16481	192	42	deficiencies	deficiency	NOUN
ihlr-16481	192	43	in	in	ADP
ihlr-16481	192	44	health	health	NOUN
ihlr-16481	192	45	care	care	NOUN
ihlr-16481	192	46	that	that	SCONJ
ihlr-16481	192	47	the	the	DET
ihlr-16481	192	48	requesters	requester	NOUN
ihlr-16481	192	49	have	have	AUX
ihlr-16481	192	50	documented.28	documented.28	NOUN
ihlr-16481	192	51	this	this	PRON
ihlr-16481	192	52	has	have	AUX
ihlr-16481	192	53	bred	breed	VERB
ihlr-16481	192	54	cynicism	cynicism	NOUN
ihlr-16481	192	55	among	among	ADP
ihlr-16481	192	56	the	the	DET
ihlr-16481	192	57	policymaking	policymake	VERB
ihlr-16481	192	58	community	community	NOUN
ihlr-16481	192	59	25	25	NUM
ihlr-16481	192	60	.	.	PUNCT
ihlr-16481	193	1	·	·	PUNCT
ihlr-16481	193	2	james	james	PROPN
ihlr-16481	193	3	c.	c.	PROPN
ihlr-16481	193	4	robinson	robinson	PROPN
ihlr-16481	193	5	,	,	PUNCT
ihlr-16481	193	6	consumer	consumer	NOUN
ihlr-16481	193	7	-	-	PUNCT
ihlr-16481	193	8	directed	direct	VERB
ihlr-16481	193	9	health	health	NOUN
ihlr-16481	193	10	insurance	insurance	NOUN
ihlr-16481	193	11	:	:	PUNCT
ihlr-16481	193	12	the	the	DET
ihlr-16481	193	13	next	next	ADJ
ihlr-16481	193	14	generation	generation	NOUN
ihlr-16481	193	15	,	,	PUNCT
ihlr-16481	193	16	health	health	NOUN
ihlr-16481	193	17	.aff	.aff	PROPN
ihlr-16481	193	18	.	.	PUNCT
ihlr-16481	194	1	suppl	suppl	PROPN
ihlr-16481	194	2	.	.	PROPN
ihlr-16481	194	3	web	web	PROPN
ihlr-16481	194	4	exclusivb	exclusivb	NOUN
ihlr-16481	194	5	;	;	PUNCT
ihlr-16481	194	6	w5	w5	PROPN
ihlr-16481	194	7	583	583	PROPN
ihlr-16481	194	8	-	-	PUNCT
ihlr-16481	194	9	w5	w5	PROPN
ihlr-16481	194	10	590	590	NUM
ihlr-16481	194	11	(	(	PUNCT
ihlr-16481	194	12	2005	2005	NUM
ihlr-16481	194	13	)	)	PUNCT
ihlr-16481	194	14	;	;	PUNCT
ihlr-16481	194	15	phil	phil	PROPN
ihlr-16481	194	16	gramm	gramm	PROPN
ihlr-16481	194	17	,	,	PUNCT
ihlr-16481	194	18	why	why	SCONJ
ihlr-16481	194	19	we	we	PRON
ihlr-16481	194	20	need	need	VERB
ihlr-16481	194	21	medical	medical	ADJ
ihlr-16481	194	22	savings	saving	NOUN
ihlr-16481	194	23	accounts	account	NOUN
ihlr-16481	194	24	,	,	PUNCT
ihlr-16481	194	25	330	330	NUM
ihlr-16481	194	26	new	new	ADJ
ihlr-16481	194	27	eng	eng	PROPN
ihlr-16481	194	28	.	.	PUNCT
ihlr-16481	195	1	j.	j.	PROPN
ihlr-16481	195	2	med	med	PROPN
ihlr-16481	195	3	.	.	PROPN
ihlr-16481	195	4	1752	1752	NUM
ihlr-16481	195	5	,	,	PUNCT
ihlr-16481	195	6	1752	1752	NUM
ihlr-16481	195	7	-	-	SYM
ihlr-16481	195	8	53	53	NUM
ihlr-16481	195	9	(	(	PUNCT
ihlr-16481	195	10	1994	1994	NUM
ihlr-16481	195	11	)	)	PUNCT
ihlr-16481	195	12	(	(	PUNCT
ihlr-16481	195	13	claiming	claim	VERB
ihlr-16481	195	14	that	that	PRON
ihlr-16481	195	15	waste	waste	NOUN
ihlr-16481	195	16	in	in	ADP
ihlr-16481	195	17	health	health	NOUN
ihlr-16481	195	18	care	care	NOUN
ihlr-16481	195	19	is	be	AUX
ihlr-16481	195	20	primarily	primarily	ADV
ihlr-16481	195	21	attributable	attributable	ADJ
ihlr-16481	195	22	to	to	ADP
ihlr-16481	195	23	the	the	DET
ihlr-16481	195	24	moral	moral	ADJ
ihlr-16481	195	25	hazard	hazard	NOUN
ihlr-16481	195	26	of	of	ADP
ihlr-16481	195	27	costlessness	costlessness	NOUN
ihlr-16481	195	28	at	at	ADP
ihlr-16481	195	29	the	the	DET
ihlr-16481	195	30	point	point	NOUN
ihlr-16481	195	31	of	of	ADP
ihlr-16481	195	32	service	service	NOUN
ihlr-16481	195	33	)	)	PUNCT
ihlr-16481	195	34	;	;	PUNCT
ihlr-16481	195	35	gerald	gerald	PROPN
ihlr-16481	195	36	l.	l.	PROPN
ihlr-16481	195	37	musgrave	musgrave	PROPN
ihlr-16481	195	38	et	et	PROPN
ihlr-16481	195	39	al	al	PROPN
ihlr-16481	195	40	.	.	PROPN
ihlr-16481	195	41	,	,	PUNCT
ihlr-16481	195	42	lunch	lunch	NOUN
ihlr-16481	195	43	insurance	insurance	NOUN
ihlr-16481	195	44	,	,	PUNCT
ihlr-16481	195	45	15	15	NUM
ihlr-16481	195	46	regulation	regulation	NOUN
ihlr-16481	195	47	257	257	NUM
ihlr-16481	195	48	(	(	PUNCT
ihlr-16481	195	49	1992	1992	NUM
ihlr-16481	195	50	)	)	PUNCT
ihlr-16481	195	51	(	(	PUNCT
ihlr-16481	195	52	postulating	postulate	VERB
ihlr-16481	195	53	a	a	DET
ihlr-16481	195	54	growing	grow	VERB
ihlr-16481	195	55	and	and	CCONJ
ihlr-16481	195	56	wasteful	wasteful	ADJ
ihlr-16481	195	57	"	"	PUNCT
ihlr-16481	195	58	lunch	lunch	NOUN
ihlr-16481	195	59	system	system	NOUN
ihlr-16481	195	60	.	.	PUNCT
ihlr-16481	195	61	"	"	PUNCT
ihlr-16481	196	1	including	include	VERB
ihlr-16481	196	2	lunchicare	lunchicare	NOUN
ihlr-16481	196	3	and	and	CCONJ
ihlr-16481	196	4	lunchicaid	lunchicaid	VERB
ihlr-16481	196	5	,	,	PUNCT
ihlr-16481	196	6	if	if	SCONJ
ihlr-16481	196	7	noontime	noontime	NOUN
ihlr-16481	196	8	meals	meal	NOUN
ihlr-16481	196	9	were	be	AUX
ihlr-16481	196	10	subject	subject	ADJ
ihlr-16481	196	11	to	to	ADP
ihlr-16481	196	12	the	the	DET
ihlr-16481	196	13	same	same	ADJ
ihlr-16481	196	14	moral	moral	ADJ
ihlr-16481	196	15	hazard	hazard	NOUN
ihlr-16481	196	16	as	as	ADP
ihlr-16481	196	17	health	health	NOUN
ihlr-16481	196	18	care	care	NOUN
ihlr-16481	196	19	)	)	PUNCT
ihlr-16481	196	20	.	.	PUNCT
ihlr-16481	197	1	but	but	CCONJ
ihlr-16481	197	2	see	see	VERB
ihlr-16481	197	3	john	john	PROPN
ihlr-16481	197	4	a.	a.	PROPN
ihlr-16481	197	5	nyman	nyman	PROPN
ihlr-16481	197	6	,	,	PUNCT
ihlr-16481	197	7	the	the	DET
ihlr-16481	197	8	theory	theory	NOUN
ihlr-16481	197	9	of	of	ADP
ihlr-16481	197	10	demand	demand	NOUN
ihlr-16481	197	11	for	for	ADP
ihlr-16481	197	12	health	health	NOUN
ihlr-16481	197	13	insurance	insurance	NOUN
ihlr-16481	197	14	(	(	PUNCT
ihlr-16481	197	15	2002	2002	NUM
ihlr-16481	197	16	)	)	PUNCT
ihlr-16481	197	17	;	;	PUNCT
ihlr-16481	197	18	john	john	PROPN
ihlr-16481	197	19	a.	a.	PROPN
ihlr-16481	197	20	n~	n~	PROPN
ihlr-16481	197	21	is	be	AUX
ihlr-16481	197	22	"	"	PUNCT
ihlr-16481	197	23	moral	moral	ADJ
ihlr-16481	197	24	hazard	hazard	NOUN
ihlr-16481	197	25	"	"	PUNCT
ihlr-16481	197	26	inefficient	inefficient	ADJ
ihlr-16481	197	27	?	?	PUNCT
ihlr-16481	197	28	:	:	PUNCT
ihlr-16481	197	29	the	the	DET
ihlr-16481	197	30	policy	policy	NOUN
ihlr-16481	197	31	implicatiom	implicatiom	NOUN
ihlr-16481	197	32	of	of	ADP
ihlr-16481	197	33	a	a	DET
ihlr-16481	197	34	new	new	ADJ
ihlr-16481	197	35	theory	theory	NOUN
ihlr-16481	197	36	,	,	PUNCT
ihlr-16481	197	37	23(5	23(5	NOUN
ihlr-16481	197	38	)	)	PUNCT
ihlr-16481	197	39	healthaff	healthaff	NOUN
ihlr-16481	197	40	.	.	PUNCT
ihlr-16481	198	1	194	194	NUM
ihlr-16481	198	2	,	,	PUNCT
ihlr-16481	198	3	194	194	NUM
ihlr-16481	198	4	(	(	PUNCT
ihlr-16481	198	5	2004	2004	NUM
ihlr-16481	198	6	)	)	PUNCT
ihlr-16481	198	7	(	(	PUNCT
ihlr-16481	198	8	raising	raise	VERB
ihlr-16481	198	9	the	the	DET
ihlr-16481	198	10	possibility	possibility	NOUN
ihlr-16481	198	11	that	that	SCONJ
ihlr-16481	198	12	precommitments	precommitment	NOUN
ihlr-16481	198	13	to	to	ADP
ihlr-16481	198	14	health	health	NOUN
ihlr-16481	198	15	care	care	NOUN
ihlr-16481	198	16	spending	spending	NOUN
ihlr-16481	198	17	through	through	ADP
ihlr-16481	198	18	insurance	insurance	NOUN
ihlr-16481	198	19	are	be	AUX
ihlr-16481	198	20	not	not	PART
ihlr-16481	198	21	wasteful	wasteful	ADJ
ihlr-16481	198	22	but	but	CCONJ
ihlr-16481	198	23	shift	shift	VERB
ihlr-16481	198	24	dollars	dollar	NOUN
ihlr-16481	198	25	to	to	ADP
ihlr-16481	198	26	more	more	ADV
ihlr-16481	198	27	higbly	higbly	ADV
ihlr-16481	198	28	valued	value	VERB
ihlr-16481	198	29	uses	use	NOUN
ihlr-16481	198	30	)	)	PUNCT
ihlr-16481	198	31	.	.	PUNCT
ihlr-16481	199	1	26	26	NUM
ihlr-16481	199	2	.	.	PUNCT
ihlr-16481	199	3	crossing	cross	VERB
ihlr-16481	199	4	the	the	DET
ihlr-16481	199	5	quauty	quauty	PROPN
ihlr-16481	199	6	chasm	chasm	NOUN
ihlr-16481	199	7	,	,	PUNCT
ihlr-16481	199	8	supra	supra	ADJ
ihlr-16481	199	9	note	note	NOUN
ihlr-16481	199	10	19	19	NUM
ihlr-16481	199	11	.	.	NOUN
ihlr-16481	199	12	27	27	NUM
ihlr-16481	199	13	.	.	PUNCT
ihlr-16481	200	1	stephen	stephen	PROPN
ihlr-16481	200	2	m.	m.	PROPN
ihlr-16481	200	3	shortell	shortell	PROPN
ihlr-16481	200	4	et	et	PROPN
ihlr-16481	200	5	al	al	PROPN
ihlr-16481	200	6	.	.	PROPN
ihlr-16481	200	7	,	,	PUNCT
ihlr-16481	200	8	implementing	implement	VERB
ihlr-16481	200	9	evidence	evidence	NOUN
ihlr-16481	200	10	-	-	PUNCT
ihlr-16481	200	11	based	base	VERB
ihlr-16481	200	12	medicine	medicine	NOUN
ihlr-16481	200	13	:	:	PUNCT
ihlr-16481	200	14	the	the	DET
ihlr-16481	200	15	role	role	NOUN
ihlr-16481	200	16	of	of	ADP
ihlr-16481	200	17	market	market	NOUN
ihlr-16481	200	18	pressures	pressure	NOUN
ihlr-16481	200	19	,	,	PUNCT
ihlr-16481	200	20	compensation	compensation	NOUN
ihlr-16481	200	21	incentives	incentive	NOUN
ihlr-16481	200	22	,	,	PUNCT
ihlr-16481	200	23	and	and	CCONJ
ihlr-16481	200	24	culture	culture	NOUN
ihlr-16481	200	25	in	in	ADP
ihlr-16481	200	26	physician	physician	NOUN
ihlr-16481	200	27	organizations	organization	NOUN
ihlr-16481	200	28	,	,	PUNCT
ihlr-16481	200	29	39	39	NUM
ihlr-16481	200	30	med	med	ADJ
ihlr-16481	200	31	.	.	PUNCT
ihlr-16481	201	1	care	care	PROPN
ihlr-16481	201	2	1	1	NUM
ihlr-16481	201	3	-	-	SYM
ihlr-16481	201	4	62	62	NUM
ihlr-16481	201	5	(	(	PUNCT
ihlr-16481	201	6	2001	2001	NUM
ihlr-16481	201	7	)	)	PUNCT
ihlr-16481	201	8	.	.	PUNCT
ihlr-16481	202	1	28	28	NUM
ihlr-16481	202	2	.	.	X
ihlr-16481	203	1	blendon	blendon	PROPN
ihlr-16481	203	2	,	,	PUNCT
ihlr-16481	203	3	supra	supra	PROPN
ihlr-16481	203	4	note	note	PROPN
ihlr-16481	203	5	22	22	NUM
ihlr-16481	203	6	;	;	PUNCT
ihlr-16481	203	7	lucian	lucian	PROPN
ihlr-16481	203	8	l.	l.	PROPN
ihlr-16481	203	9	leape	leape	PROPN
ihlr-16481	203	10	&	&	CCONJ
ihlr-16481	203	11	donald	donald	PROPN
ihlr-16481	203	12	m.	m.	PROPN
ihlr-16481	203	13	berwick	berwick	PROPN
ihlr-16481	203	14	,	,	PUNCT
ihlr-16481	203	15	five	five	NUM
ihlr-16481	203	16	years	year	NOUN
ihlr-16481	203	17	after	after	ADP
ihlr-16481	203	18	to	to	PART
ihlr-16481	203	19	err	err	NOUN
ihlr-16481	203	20	is	be	AUX
ihlr-16481	203	21	human	human	ADJ
ihlr-16481	203	22	:	:	PUNCT
ihlr-16481	203	23	what	what	PRON
ihlr-16481	203	24	have	have	AUX
ihlr-16481	203	25	we	we	PRON
ihlr-16481	203	26	learned	learn	VERB
ihlr-16481	203	27	?	?	PUNCT
ihlr-16481	203	28	,	,	PUNCT
ihlr-16481	203	29	2931ama	2931ama	NUM
ihlr-16481	203	30	2384	2384	NUM
ihlr-16481	203	31	,	,	PUNCT
ihlr-16481	203	32	2387	2387	NUM
ihlr-16481	203	33	-	-	SYM
ihlr-16481	203	34	88	88	NUM
ihlr-16481	203	35	(	(	PUNCT
ihlr-16481	203	36	2005	2005	NUM
ihlr-16481	203	37	)	)	PUNCT
ihlr-16481	203	38	.	.	PUNCT
ihlr-16481	204	1	2006	2006	NUM
ihlr-16481	204	2	]	]	PUNCT
ihlr-16481	205	1	p4p	p4p	PROPN
ihlr-16481	205	2	:	:	PUNCT
ihlr-16481	205	3	will	will	AUX
ihlr-16481	205	4	rr	rr	AUX
ihlr-16481	205	5	work	work	VERB
ihlr-16481	205	6	in	in	ADP
ihlr-16481	205	7	theory	theory	NOUN
ihlr-16481	205	8	?	?	PUNCT
ihlr-16481	206	1	313	313	NUM
ihlr-16481	206	2	that	that	PRON
ihlr-16481	206	3	dollars	dollar	NOUN
ihlr-16481	206	4	speak	speak	VERB
ihlr-16481	206	5	louder	louder	ADV
ihlr-16481	206	6	than	than	ADP
ihlr-16481	206	7	words	word	NOUN
ihlr-16481	206	8	,	,	PUNCT
ihlr-16481	206	9	and	and	CCONJ
ihlr-16481	206	10	has	have	AUX
ihlr-16481	206	11	prompted	prompt	VERB
ihlr-16481	206	12	a	a	DET
ihlr-16481	206	13	search	search	NOUN
ihlr-16481	206	14	for	for	ADP
ihlr-16481	206	15	quality	quality	NOUN
ihlr-16481	206	16	levers	lever	NOUN
ihlr-16481	206	17	with	with	ADP
ihlr-16481	206	18	financial	financial	ADJ
ihlr-16481	206	19	consequences	consequence	NOUN
ihlr-16481	206	20	.	.	PUNCT
ihlr-16481	207	1	by	by	ADP
ihlr-16481	207	2	supplying	supply	VERB
ihlr-16481	207	3	both	both	DET
ihlr-16481	207	4	buyers	buyer	NOUN
ihlr-16481	207	5	and	and	CCONJ
ihlr-16481	207	6	sellers	seller	NOUN
ihlr-16481	207	7	with	with	ADP
ihlr-16481	207	8	a	a	DET
ihlr-16481	207	9	pre	pre	ADJ
ihlr-16481	207	10	-	-	ADJ
ihlr-16481	207	11	fabricated	fabricate	VERB
ihlr-16481	207	12	quality	quality	NOUN
ihlr-16481	207	13	purchasing	purchasing	NOUN
ihlr-16481	207	14	strategy	strategy	NOUN
ihlr-16481	207	15	,	,	PUNCT
ihlr-16481	207	16	p4p	p4p	PROPN
ihlr-16481	207	17	represents	represent	VERB
ihlr-16481	207	18	a	a	DET
ihlr-16481	207	19	refinement	refinement	NOUN
ihlr-16481	207	20	of	of	ADP
ihlr-16481	207	21	the	the	DET
ihlr-16481	207	22	general	general	ADJ
ihlr-16481	207	23	"	"	PUNCT
ihlr-16481	207	24	business	business	NOUN
ihlr-16481	207	25	case	case	NOUN
ihlr-16481	207	26	"	"	PUNCT
ihlr-16481	207	27	that	that	SCONJ
ihlr-16481	207	28	quality	quality	NOUN
ihlr-16481	207	29	gurus	guru	NOUN
ihlr-16481	207	30	had	have	AUX
ihlr-16481	207	31	urged	urge	VERB
ihlr-16481	207	32	,	,	PUNCT
ihlr-16481	207	33	with	with	ADP
ihlr-16481	207	34	only	only	ADJ
ihlr-16481	207	35	limited	limited	ADJ
ihlr-16481	207	36	success	success	NOUN
ihlr-16481	207	37	,	,	PUNCT
ihlr-16481	207	38	on	on	ADP
ihlr-16481	207	39	the	the	DET
ihlr-16481	207	40	private	private	ADJ
ihlr-16481	207	41	payer	payer	NOUN
ihlr-16481	207	42	community	community	NOUN
ihlr-16481	207	43	.	.	PUNCT
ihlr-16481	208	1	evidence	evidence	NOUN
ihlr-16481	208	2	-	-	PUNCT
ihlr-16481	208	3	based	base	VERB
ihlr-16481	208	4	medicine	medicine	NOUN
ihlr-16481	208	5	is	be	AUX
ihlr-16481	208	6	a	a	DET
ihlr-16481	208	7	worthy	worthy	ADJ
ihlr-16481	208	8	goal	goal	NOUN
ihlr-16481	208	9	,	,	PUNCT
ihlr-16481	208	10	as	as	SCONJ
ihlr-16481	208	11	are	be	AUX
ihlr-16481	208	12	the	the	DET
ihlr-16481	208	13	others	other	NOUN
ihlr-16481	208	14	i	i	PRON
ihlr-16481	208	15	have	have	AUX
ihlr-16481	208	16	mentioned	mention	VERB
ihlr-16481	208	17	.	.	PUNCT
ihlr-16481	209	1	but	but	CCONJ
ihlr-16481	209	2	the	the	DET
ihlr-16481	209	3	core	core	NOUN
ihlr-16481	209	4	premise	premise	NOUN
ihlr-16481	209	5	of	of	ADP
ihlr-16481	209	6	evidence	evidence	NOUN
ihlr-16481	209	7	-	-	PUNCT
ihlr-16481	209	8	based	base	VERB
ihlr-16481	209	9	medicine	medicine	NOUN
ihlr-16481	209	10	is	be	AUX
ihlr-16481	209	11	that	that	SCONJ
ihlr-16481	209	12	scientific	scientific	ADJ
ihlr-16481	209	13	best	good	ADJ
ihlr-16481	209	14	practices	practice	NOUN
ihlr-16481	209	15	exist	exist	VERB
ihlr-16481	209	16	that	that	PRON
ihlr-16481	209	17	need	need	VERB
ihlr-16481	209	18	to	to	PART
ihlr-16481	209	19	be	be	AUX
ihlr-16481	209	20	more	more	ADV
ihlr-16481	209	21	widely	widely	ADV
ihlr-16481	209	22	applied	apply	VERB
ihlr-16481	209	23	to	to	ADP
ihlr-16481	209	24	clinical	clinical	ADJ
ihlr-16481	209	25	care	care	NOUN
ihlr-16481	209	26	.	.	PUNCT
ihlr-16481	210	1	p4p	p4p	PROPN
ihlr-16481	210	2	that	that	PRON
ihlr-16481	210	3	advances	advance	VERB
ihlr-16481	210	4	evidence·based	evidence·base	VERB
ihlr-16481	210	5	medicine	medicine	NOUN
ihlr-16481	210	6	may	may	AUX
ihlr-16481	210	7	not	not	PART
ihlr-16481	210	8	serve	serve	VERB
ihlr-16481	210	9	other	other	ADJ
ihlr-16481	210	10	constituencies	constituency	NOUN
ihlr-16481	210	11	.	.	PUNCT
ihlr-16481	211	1	scientific	scientific	ADJ
ihlr-16481	211	2	best	good	ADJ
ihlr-16481	211	3	practices	practice	NOUN
ihlr-16481	211	4	are	be	AUX
ihlr-16481	211	5	not	not	PART
ihlr-16481	211	6	necessarily	necessarily	ADV
ihlr-16481	211	7	market	market	NOUN
ihlr-16481	211	8	--	--	PUNCT
ihlr-16481	211	9	competitive	competitive	ADJ
ihlr-16481	211	10	best	good	ADJ
ihlr-16481	211	11	practices	practice	NOUN
ihlr-16481	211	12	.	.	PUNCT
ihlr-16481	212	1	nor	nor	CCONJ
ihlr-16481	212	2	are	be	AUX
ihlr-16481	212	3	they	they	PRON
ihlr-16481	212	4	necessarily	necessarily	ADV
ihlr-16481	212	5	patient	patient	ADJ
ihlr-16481	212	6	--	--	PUNCT
ihlr-16481	212	7	centered	center	VERB
ihlr-16481	212	8	best	good	ADJ
ihlr-16481	212	9	practices	practice	NOUN
ihlr-16481	212	10	.	.	PUNCT
ihlr-16481	213	1	performance	performance	NOUN
ihlr-16481	213	2	-	-	PUNCT
ihlr-16481	213	3	based	base	VERB
ihlr-16481	213	4	payment	payment	NOUN
ihlr-16481	213	5	will	will	AUX
ihlr-16481	213	6	also	also	ADV
ihlr-16481	213	7	need	need	VERB
ihlr-16481	213	8	to	to	PART
ihlr-16481	213	9	be	be	AUX
ihlr-16481	213	10	calibrated	calibrate	VERB
ihlr-16481	213	11	to	to	PART
ihlr-16481	213	12	address	address	VERB
ihlr-16481	213	13	each	each	PRON
ihlr-16481	213	14	of	of	ADP
ihlr-16481	213	15	the	the	DET
ihlr-16481	213	16	three	three	NUM
ihlr-16481	213	17	ways	way	NOUN
ihlr-16481	213	18	in	in	ADP
ihlr-16481	213	19	which	which	PRON
ihlr-16481	213	20	clinical	clinical	ADJ
ihlr-16481	213	21	practices	practice	NOUN
ihlr-16481	213	22	fail	fail	VERB
ihlr-16481	213	23	to	to	PART
ihlr-16481	213	24	conform	conform	VERB
ihlr-16481	213	25	to	to	ADP
ihlr-16481	213	26	scientific	scientific	ADJ
ihlr-16481	213	27	ideals	ideal	NOUN
ihlr-16481	213	28	:	:	PUNCT
ihlr-16481	213	29	overuse	overuse	NOUN
ihlr-16481	213	30	of	of	ADP
ihlr-16481	213	31	medical	medical	ADJ
ihlr-16481	213	32	services	service	NOUN
ihlr-16481	213	33	,	,	PUNCT
ihlr-16481	213	34	under	under	ADP
ihlr-16481	213	35	use	use	NOUN
ihlr-16481	213	36	of	of	ADP
ihlr-16481	213	37	medical	medical	ADJ
ihlr-16481	213	38	services	service	NOUN
ihlr-16481	213	39	,	,	PUNCT
ihlr-16481	213	40	and	and	CCONJ
ihlr-16481	213	41	misuse	misuse	NOUN
ihlr-16481	213	42	of	of	ADP
ihlr-16481	213	43	medical	medical	ADJ
ihlr-16481	213	44	services	service	NOUN
ihlr-16481	213	45	.	.	PUNCT
ihlr-16481	214	1	29	29	NUM
ihlr-16481	214	2	f.	f.	PROPN
ihlr-16481	214	3	selective	selective	ADJ
ihlr-16481	214	4	contracting	contracting	NOUN
ihlr-16481	214	5	pay	pay	NOUN
ihlr-16481	214	6	for	for	ADP
ihlr-16481	214	7	performance	performance	NOUN
ihlr-16481	214	8	can	can	AUX
ihlr-16481	214	9	be	be	AUX
ihlr-16481	214	10	seen	see	VERB
ihlr-16481	214	11	as	as	ADP
ihlr-16481	214	12	an	an	DET
ihlr-16481	214	13	attempt	attempt	NOUN
ihlr-16481	214	14	to	to	PART
ihlr-16481	214	15	resurrect	resurrect	VERB
ihlr-16481	214	16	health	health	NOUN
ihlr-16481	214	17	insurers	insurer	NOUN
ihlr-16481	214	18	'	'	PART
ihlr-16481	214	19	and	and	CCONJ
ihlr-16481	214	20	employers	employer	NOUN
ihlr-16481	214	21	'	'	PART
ihlr-16481	214	22	cost	cost	NOUN
ihlr-16481	214	23	--	--	PUNCT
ihlr-16481	214	24	control	control	NOUN
ihlr-16481	214	25	capacity	capacity	NOUN
ihlr-16481	214	26	under	under	ADP
ihlr-16481	214	27	cover	cover	NOUN
ihlr-16481	214	28	of	of	ADP
ihlr-16481	214	29	the	the	DET
ihlr-16481	214	30	afore­	afore­	PROPN
ihlr-16481	214	31	mentioned	mention	VERB
ihlr-16481	214	32	"	"	PUNCT
ihlr-16481	214	33	business	business	NOUN
ihlr-16481	214	34	case	case	NOUN
ihlr-16481	214	35	"	"	PUNCT
ihlr-16481	214	36	for	for	ADP
ihlr-16481	214	37	quality	quality	NOUN
ihlr-16481	214	38	.	.	PUNCT
ihlr-16481	215	1	managed	manage	VERB
ihlr-16481	215	2	care	care	NOUN
ihlr-16481	215	3	failed	fail	VERB
ihlr-16481	215	4	spectacularly	spectacularly	ADV
ihlr-16481	215	5	in	in	ADP
ihlr-16481	215	6	the	the	DET
ihlr-16481	215	7	1990s	1990	NOUN
ihlr-16481	215	8	because	because	SCONJ
ihlr-16481	215	9	neither	neither	CCONJ
ihlr-16481	215	10	consumers	consumer	NOUN
ihlr-16481	215	11	nor	nor	CCONJ
ihlr-16481	215	12	providers	provider	NOUN
ihlr-16481	215	13	wanted	want	VERB
ihlr-16481	215	14	care	care	NOUN
ihlr-16481	215	15	managed	manage	VERB
ihlr-16481	215	16	using	use	VERB
ihlr-16481	215	17	the	the	DET
ihlr-16481	215	18	blunt	blunt	ADJ
ihlr-16481	215	19	instruments	instrument	NOUN
ihlr-16481	215	20	available	available	ADJ
ihlr-16481	215	21	at	at	ADP
ihlr-16481	215	22	the	the	DET
ihlr-16481	215	23	time	time	NOUN
ihlr-16481	215	24	.	.	PUNCT
ihlr-16481	216	1	but	but	CCONJ
ihlr-16481	216	2	the	the	DET
ihlr-16481	216	3	reasons	reason	NOUN
ihlr-16481	216	4	for	for	ADP
ihlr-16481	216	5	managing	manage	VERB
ihlr-16481	216	6	care	care	NOUN
ihlr-16481	216	7	-	-	PUNCT
ihlr-16481	216	8	rising	rise	VERB
ihlr-16481	216	9	·	·	PUNCT
ihlr-16481	216	10	cost	cost	NOUN
ihlr-16481	216	11	and	and	CCONJ
ihlr-16481	216	12	declining	decline	VERB
ihlr-16481	216	13	private	private	ADJ
ihlr-16481	216	14	sector	sector	NOUN
ihlr-16481	216	15	access	access	NOUN
ihlr-16481	216	16	-	-	PUNCT
ihlr-16481	216	17	have	have	AUX
ihlr-16481	216	18	persisted	persist	VERB
ihlr-16481	216	19	.	.	PUNCT
ihlr-16481	217	1	p4p	p4p	PROPN
ihlr-16481	217	2	may	may	AUX
ihlr-16481	217	3	allow	allow	VERB
ihlr-16481	217	4	private	private	ADJ
ihlr-16481	217	5	purchasers	purchaser	NOUN
ihlr-16481	217	6	to	to	PART
ihlr-16481	217	7	manage	manage	VERB
ihlr-16481	217	8	care	care	NOUN
ihlr-16481	217	9	in	in	ADP
ihlr-16481	217	10	both	both	CCONJ
ihlr-16481	217	11	a	a	DET
ihlr-16481	217	12	politically	politically	ADV
ihlr-16481	217	13	more	more	ADV
ihlr-16481	217	14	acceptable	acceptable	ADJ
ihlr-16481	217	15	and	and	CCONJ
ihlr-16481	217	16	a	a	DET
ihlr-16481	217	17	substantively	substantively	ADV
ihlr-16481	217	18	more	more	ADV
ihlr-16481	217	19	effective	effective	ADJ
ihlr-16481	217	20	fashion	fashion	NOUN
ihlr-16481	217	21	.	.	PUNCT
ihlr-16481	218	1	utilization	utilization	NOUN
ihlr-16481	218	2	review	review	NOUN
ihlr-16481	218	3	-	-	PUNCT
ihlr-16481	218	4	refusing	refuse	VERB
ihlr-16481	218	5	to	to	PART
ihlr-16481	218	6	cover	cover	VERB
ihlr-16481	218	7	what	what	PRON
ihlr-16481	218	8	your	your	PRON
ihlr-16481	218	9	doctor	doctor	NOUN
ihlr-16481	218	10	says	say	VERB
ihlr-16481	218	11	you	you	PRON
ihlr-16481	218	12	need­	need­	PROPN
ihlr-16481	218	13	becomes	become	VERB
ihlr-16481	218	14	quality	quality	NOUN
ihlr-16481	218	15	review	review	NOUN
ihlr-16481	218	16	-	-	PUNCT
ihlr-16481	218	17	determining	determine	VERB
ihlr-16481	218	18	that	that	SCONJ
ihlr-16481	218	19	what	what	PRON
ihlr-16481	218	20	your	your	PRON
ihlr-16481	218	21	doctor	doctor	NOUN
ihlr-16481	218	22	has	have	AUX
ihlr-16481	218	23	done	do	VERB
ihlr-16481	218	24	is	be	AUX
ihlr-16481	218	25	not	not	PART
ihlr-16481	218	26	good	good	ADJ
ihlr-16481	218	27	enough	enough	ADV
ihlr-16481	218	28	to	to	PART
ihlr-16481	218	29	warrant	warrant	VERB
ihlr-16481	218	30	full	full	ADJ
ihlr-16481	218	31	payment	payment	NOUN
ihlr-16481	218	32	.	.	PUNCT
ihlr-16481	219	1	capitation	capitation	NOUN
ihlr-16481	219	2	-	-	PUNCT
ihlr-16481	219	3	a	a	DET
ihlr-16481	219	4	form	form	NOUN
ihlr-16481	219	5	of	of	ADP
ihlr-16481	219	6	financial	financial	ADJ
ihlr-16481	219	7	incentive	incentive	NOUN
ihlr-16481	219	8	that	that	PRON
ihlr-16481	219	9	shifted	shift	VERB
ihlr-16481	219	10	insurance	insurance	NOUN
ihlr-16481	219	11	risk	risk	NOUN
ihlr-16481	219	12	to	to	ADP
ihlr-16481	219	13	provider	provider	NOUN
ihlr-16481	219	14	groups	group	NOUN
ihlr-16481	219	15	that	that	PRON
ihlr-16481	219	16	could	could	AUX
ihlr-16481	219	17	not	not	PART
ihlr-16481	219	18	bear	bear	VERB
ihlr-16481	219	19	it	it	PRON
ihlr-16481	219	20	without	without	ADP
ihlr-16481	219	21	either	either	CCONJ
ihlr-16481	219	22	their	their	PRON
ihlr-16481	219	23	solvency	solvency	NOUN
ihlr-16481	219	24	or	or	CCONJ
ihlr-16481	219	25	their	their	PRON
ihlr-16481	219	26	commitment	commitment	NOUN
ihlr-16481	219	27	to	to	ADP
ihlr-16481	219	28	quality	quality	NOUN
ihlr-16481	219	29	being	be	AUX
ihlr-16481	219	30	compromised	compromise	VERB
ihlr-16481	219	31	-	-	PUNCT
ihlr-16481	219	32	becomes	become	VERB
ihlr-16481	219	33	pay	pay	NOUN
ihlr-16481	219	34	for	for	ADP
ihlr-16481	219	35	performance	performance	NOUN
ihlr-16481	219	36	that	that	PRON
ihlr-16481	219	37	takes	take	VERB
ihlr-16481	219	38	explicit	explicit	ADJ
ihlr-16481	219	39	account	account	NOUN
ihlr-16481	219	40	of	of	ADP
ihlr-16481	219	41	quality	quality	NOUN
ihlr-16481	219	42	.	.	PUNCT
ihlr-16481	220	1	selective	selective	ADJ
ihlr-16481	220	2	contracting	contracting	NOUN
ihlr-16481	220	3	-	-	PUNCT
ihlr-16481	220	4	limits	limit	NOUN
ihlr-16481	220	5	on	on	ADP
ihlr-16481	220	6	choice	choice	NOUN
ihlr-16481	220	7	of	of	ADP
ihlr-16481	220	8	physician	physician	NOUN
ihlr-16481	220	9	imposed	impose	VERB
ihlr-16481	220	10	for	for	ADP
ihlr-16481	220	11	the	the	DET
ihlr-16481	220	12	financial	financial	ADJ
ihlr-16481	220	13	benefit	benefit	NOUN
ihlr-16481	220	14	of	of	ADP
ihlr-16481	220	15	insurers	insurer	NOUN
ihlr-16481	220	16	-	-	PUNCT
ihlr-16481	220	17	evolves	evolve	NOUN
ihlr-16481	220	18	into	into	ADP
ihlr-16481	220	19	coverage	coverage	NOUN
ihlr-16481	220	20	arrangements	arrangement	NOUN
ihlr-16481	220	21	that	that	PRON
ihlr-16481	220	22	allow	allow	VERB
ihlr-16481	220	23	access	access	NOUN
ihlr-16481	220	24	on	on	ADP
ihlr-16481	220	25	preferential	preferential	ADJ
ihlr-16481	220	26	terms	term	NOUN
ihlr-16481	220	27	to	to	ADP
ihlr-16481	220	28	physicians	physician	NOUN
ihlr-16481	220	29	who	who	PRON
ihlr-16481	220	30	are	be	AUX
ihlr-16481	220	31	measurably	measurably	ADV
ihlr-16481	220	32	better	well	ADJ
ihlr-16481	220	33	.	.	PUNCT
ihlr-16481	221	1	g.	g.	PROPN
ihlr-16481	221	2	public	public	ADJ
ihlr-16481	221	3	purchasing	purchasing	NOUN
ihlr-16481	221	4	reform	reform	NOUN
ihlr-16481	221	5	pay	pay	NOUN
ihlr-16481	221	6	for	for	ADP
ihlr-16481	221	7	performance	performance	NOUN
ihlr-16481	221	8	also	also	ADV
ihlr-16481	221	9	gives	give	VERB
ihlr-16481	221	10	new	new	ADJ
ihlr-16481	221	11	life	life	NOUN
ihlr-16481	221	12	to	to	ADP
ihlr-16481	221	13	efforts	effort	NOUN
ihlr-16481	221	14	to	to	PART
ihlr-16481	221	15	make	make	VERB
ihlr-16481	221	16	government	government	NOUN
ihlr-16481	221	17	a	a	DET
ihlr-16481	221	18	more	more	ADV
ihlr-16481	221	19	effective	effective	ADJ
ihlr-16481	221	20	purchaser	purchaser	NOUN
ihlr-16481	221	21	of	of	ADP
ihlr-16481	221	22	health	health	NOUN
ihlr-16481	221	23	care	care	NOUN
ihlr-16481	221	24	in	in	ADP
ihlr-16481	221	25	the	the	DET
ihlr-16481	221	26	medicare	medicare	PROPN
ihlr-16481	221	27	and	and	CCONJ
ihlr-16481	221	28	medicaid	medicaid	PROPN
ihlr-16481	221	29	programs	program	NOUN
ihlr-16481	221	30	.	.	PUNCT
ihlr-16481	222	1	it	it	PRON
ihlr-16481	222	2	is	be	AUX
ihlr-16481	222	3	well	well	ADV
ihlr-16481	222	4	known	know	VERB
ihlr-16481	222	5	that	that	SCONJ
ihlr-16481	222	6	medicare	medicare	PROPN
ihlr-16481	222	7	has	have	AUX
ihlr-16481	222	8	never	never	ADV
ihlr-16481	222	9	been	be	AUX
ihlr-16481	222	10	able	able	ADJ
ihlr-16481	222	11	to	to	PART
ihlr-16481	222	12	obtain	obtain	VERB
ihlr-16481	222	13	the	the	DET
ihlr-16481	222	14	29	29	NUM
ihlr-16481	222	15	.	.	PUNCT
ihlr-16481	223	1	mark	mark	PROPN
ihlr-16481	223	2	r	r	PROPN
ihlr-16481	223	3	..	..	PUNCT
ihlr-16481	223	4	chassio	chassio	PROPN
ihlr-16481	223	5	&	&	CCONJ
ihlr-16481	223	6	robert	robert	PROPN
ihlr-16481	223	7	w.	w.	PROPN
ihlr-16481	223	8	galvin	galvin	PROPN
ihlr-16481	223	9	,	,	PUNCT
ihlr-16481	223	10	the	the	DET
ihlr-16481	223	11	urgent	urgent	ADJ
ihlr-16481	223	12	need	need	NOUN
ihlr-16481	223	13	to	to	PART
ihlr-16481	223	14	improve	improve	VERB
ihlr-16481	223	15	health	health	NOUN
ihlr-16481	223	16	care	care	NOUN
ihlr-16481	223	17	quality	quality	NOUN
ihlr-16481	223	18	:	:	PUNCT
ihlr-16481	223	19	institute	institute	VERB
ihlr-16481	223	20	ofmedicine	ofmedicine	ADJ
ihlr-16481	223	21	national	national	PROPN
ihlr-16481	223	22	roundtable	roundtable	PROPN
ihlr-16481	223	23	on	on	ADP
ihlr-16481	223	24	health	health	NOUN
ihlr-16481	223	25	care	care	NOUN
ihlr-16481	223	26	quality	quality	NOUN
ihlr-16481	223	27	,	,	PUNCT
ihlr-16481	223	28	280	280	NUM
ihlr-16481	223	29	jama	jama	NOUN
ihlr-16481	223	30	1000	1000	NUM
ihlr-16481	223	31	,	,	PUNCT
ihlr-16481	223	32	1000	1000	NUM
ihlr-16481	223	33	(	(	PUNCT
ihlr-16481	223	34	1998	1998	NUM
ihlr-16481	223	35	)	)	PUNCT
ihlr-16481	223	36	.	.	PUNCT
ihlr-16481	224	1	314	314	NUM
ihlr-16481	224	2	indiana	indiana	PROPN
ihlr-16481	224	3	heal	heal	PROPN
ihlr-16481	224	4	til	til	SCONJ
ihlr-16481	224	5	law	law	NOUN
ihlr-16481	224	6	review	review	NOUN
ihlr-16481	224	7	[	[	X
ihlr-16481	224	8	vol	vol	NOUN
ihlr-16481	224	9	.	.	NOUN
ihlr-16481	224	10	3:303	3:303	NUM
ihlr-16481	224	11	price	price	NOUN
ihlr-16481	224	12	and	and	CCONJ
ihlr-16481	224	13	quality	quality	NOUN
ihlr-16481	224	14	of	of	ADP
ihlr-16481	224	15	services	service	NOUN
ihlr-16481	224	16	for	for	ADP
ihlr-16481	224	17	its	its	PRON
ihlr-16481	224	18	beneficiaries	beneficiary	NOUN
ihlr-16481	224	19	that	that	SCONJ
ihlr-16481	224	20	its	its	PRON
ihlr-16481	224	21	size	size	NOUN
ihlr-16481	224	22	and	and	CCONJ
ihlr-16481	224	23	sophistication	sophistication	NOUN
ihlr-16481	224	24	would	would	AUX
ihlr-16481	224	25	suggest	suggest	VERB
ihlr-16481	224	26	because	because	SCONJ
ihlr-16481	224	27	government	government	NOUN
ihlr-16481	224	28	faces	face	VERB
ihlr-16481	224	29	political	political	ADJ
ihlr-16481	224	30	obstacles	obstacle	NOUN
ihlr-16481	224	31	and	and	CCONJ
ihlr-16481	224	32	legal	legal	ADJ
ihlr-16481	224	33	barriers	barrier	NOUN
ihlr-16481	224	34	that	that	PRON
ihlr-16481	224	35	do	do	AUX
ihlr-16481	224	36	not	not	PART
ihlr-16481	224	37	similarly	similarly	ADV
ihlr-16481	224	38	handcuff	handcuff	VERB
ihlr-16481	224	39	private	private	ADJ
ihlr-16481	224	40	parties	party	NOUN
ihlr-16481	224	41	.	.	PUNCT
ihlr-16481	225	1	30	30	NUM
ihlr-16481	225	2	using	use	VERB
ihlr-16481	225	3	objective	objective	ADJ
ihlr-16481	225	4	measures	measure	NOUN
ihlr-16481	225	5	of	of	ADP
ihlr-16481	225	6	medical	medical	ADJ
ihlr-16481	225	7	quality	quality	NOUN
ihlr-16481	225	8	to	to	PART
ihlr-16481	225	9	determine	determine	VERB
ihlr-16481	225	10	payment	payment	NOUN
ihlr-16481	225	11	amounts	amount	NOUN
ihlr-16481	225	12	under	under	ADP
ihlr-16481	225	13	p4p	p4p	PROPN
ihlr-16481	225	14	is	be	AUX
ihlr-16481	225	15	likely	likely	ADJ
ihlr-16481	225	16	to	to	PART
ihlr-16481	225	17	provoke	provoke	VERB
ihlr-16481	225	18	less	less	ADV
ihlr-16481	225	19	public	public	ADJ
ihlr-16481	225	20	and	and	CCONJ
ihlr-16481	225	21	interest	interest	NOUN
ihlr-16481	225	22	group	group	NOUN
ihlr-16481	225	23	resistance	resistance	NOUN
ihlr-16481	225	24	than	than	ADP
ihlr-16481	225	25	attempting	attempt	VERB
ihlr-16481	225	26	to	to	PART
ihlr-16481	225	27	exert	exert	VERB
ihlr-16481	225	28	pure	pure	ADJ
ihlr-16481	225	29	financial	financial	ADJ
ihlr-16481	225	30	leverage	leverage	NOUN
ihlr-16481	225	31	through	through	ADP
ihlr-16481	225	32	administered	administer	VERB
ihlr-16481	225	33	pricing	pricing	NOUN
ihlr-16481	225	34	.	.	PUNCT
ihlr-16481	226	1	government	government	NOUN
ihlr-16481	226	2	may	may	AUX
ihlr-16481	226	3	even	even	ADV
ihlr-16481	226	4	be	be	AUX
ihlr-16481	226	5	able	able	ADJ
ihlr-16481	226	6	to	to	PART
ihlr-16481	226	7	back	back	VERB
ihlr-16481	226	8	into	into	ADP
ihlr-16481	226	9	selective	selective	ADJ
ihlr-16481	226	10	contracting	contracting	NOUN
ihlr-16481	226	11	using	use	VERB
ihlr-16481	226	12	p4p	p4p	PROPN
ihlr-16481	226	13	.	.	PUNCT
ihlr-16481	227	1	historically	historically	ADV
ihlr-16481	227	2	,	,	PUNCT
ihlr-16481	227	3	it	it	PRON
ihlr-16481	227	4	has	have	AUX
ihlr-16481	227	5	been	be	AUX
ihlr-16481	227	6	nearly	nearly	ADV
ihlr-16481	227	7	impossible	impossible	ADJ
ihlr-16481	227	8	for	for	SCONJ
ihlr-16481	227	9	public	public	ADJ
ihlr-16481	227	10	purchasers	purchaser	NOUN
ihlr-16481	227	11	to	to	PART
ihlr-16481	227	12	exclude	exclude	VERB
ihlr-16481	227	13	physicians	physician	NOUN
ihlr-16481	227	14	from	from	ADP
ihlr-16481	227	15	participation	participation	NOUN
ihlr-16481	227	16	barring	bar	VERB
ihlr-16481	227	17	fraud	fraud	NOUN
ihlr-16481	227	18	or	or	CCONJ
ihlr-16481	227	19	other	other	ADJ
ihlr-16481	227	20	extreme	extreme	ADJ
ihlr-16481	227	21	circumstances	circumstance	NOUN
ihlr-16481	227	22	.	.	PUNCT
ihlr-16481	228	1	but	but	CCONJ
ihlr-16481	228	2	it	it	PRON
ihlr-16481	228	3	might	might	AUX
ihlr-16481	228	4	be	be	AUX
ihlr-16481	228	5	politically	politically	ADV
ihlr-16481	228	6	palatable	palatable	ADJ
ihlr-16481	228	7	if	if	SCONJ
ihlr-16481	228	8	measurably	measurably	ADV
ihlr-16481	228	9	worse	bad	ADJ
ihlr-16481	228	10	physicians	physician	NOUN
ihlr-16481	228	11	simply	simply	ADV
ihlr-16481	228	12	receive	receive	VERB
ihlr-16481	228	13	less	less	ADJ
ihlr-16481	228	14	money	money	NOUN
ihlr-16481	228	15	.	.	PUNCT
ihlr-16481	229	1	eventually	eventually	ADV
ihlr-16481	229	2	;	;	PUNCT
ihlr-16481	229	3	however	however	ADV
ihlr-16481	229	4	,	,	PUNCT
ihlr-16481	229	5	a	a	DET
ihlr-16481	229	6	difficult	difficult	ADJ
ihlr-16481	229	7	challenge	challenge	NOUN
ihlr-16481	229	8	for	for	ADP
ihlr-16481	229	9	government	government	NOUN
ihlr-16481	229	10	arises	arise	VERB
ihlr-16481	229	11	:	:	PUNCT
ihlr-16481	229	12	what	what	PRON
ihlr-16481	229	13	to	to	PART
ihlr-16481	229	14	do	do	VERB
ihlr-16481	229	15	about	about	ADP
ihlr-16481	229	16	physicians	physician	NOUN
ihlr-16481	229	17	(	(	PUNCT
ihlr-16481	229	18	or	or	CCONJ
ihlr-16481	229	19	hospitals	hospital	NOUN
ihlr-16481	229	20	)	)	PUNCT
ihlr-16481	229	21	who	who	PRON
ihlr-16481	229	22	really	really	ADV
ihlr-16481	229	23	do	do	AUX
ihlr-16481	229	24	not	not	PART
ihlr-16481	229	25	measure	measure	VERB
ihlr-16481	229	26	up	up	ADP
ihlr-16481	229	27	,	,	PUNCT
ihlr-16481	229	28	and	and	CCONJ
ihlr-16481	229	29	who	who	PRON
ihlr-16481	229	30	should	should	AUX
ihlr-16481	229	31	get	get	AUX
ihlr-16481	229	32	paid	pay	VERB
ihlr-16481	229	33	nothing	nothing	PRON
ihlr-16481	229	34	rather	rather	ADV
ihlr-16481	229	35	than	than	ADP
ihlr-16481	229	36	just	just	ADV
ihlr-16481	229	37	less	less	ADJ
ihlr-16481	229	38	.	.	PUNCT
ihlr-16481	230	1	h	h	NOUN
ihlr-16481	230	2	information	information	NOUN
ihlr-16481	230	3	technology	technology	NOUN
ihlr-16481	230	4	the	the	DET
ihlr-16481	230	5	dominant	dominant	ADJ
ihlr-16481	230	6	trend	trend	NOUN
ihlr-16481	230	7	in	in	ADP
ihlr-16481	230	8	american	american	ADJ
ihlr-16481	230	9	health	health	NOUN
ihlr-16481	230	10	policy	policy	NOUN
ihlr-16481	230	11	has	have	AUX
ihlr-16481	230	12	been	be	AUX
ihlr-16481	230	13	to	to	PART
ihlr-16481	230	14	increase	increase	VERB
ihlr-16481	230	15	the	the	DET
ihlr-16481	230	16	supply	supply	NOUN
ihlr-16481	230	17	of	of	ADP
ihlr-16481	230	18	medical	medical	ADJ
ihlr-16481	230	19	services	service	NOUN
ihlr-16481	230	20	,	,	PUNCT
ihlr-16481	230	21	with	with	ADP
ihlr-16481	230	22	other	other	ADJ
ihlr-16481	230	23	social	social	ADJ
ihlr-16481	230	24	goals	goal	NOUN
ihlr-16481	230	25	such	such	ADJ
ihlr-16481	230	26	as	as	ADP
ihlr-16481	230	27	ensuring	ensure	VERB
ihlr-16481	230	28	broad	broad	ADJ
ihlr-16481	230	29	access	access	NOUN
ihlr-16481	230	30	largely	largely	ADV
ihlr-16481	230	31	an	an	DET
ihlr-16481	230	32	afterthought31	afterthought31	NOUN
ihlr-16481	230	33	p4p	p4p	PROPN
ihlr-16481	230	34	is	be	AUX
ihlr-16481	230	35	easily	easily	ADV
ihlr-16481	230	36	appropriated	appropriate	VERB
ihlr-16481	230	37	by	by	ADP
ihlr-16481	230	38	traditional	traditional	ADJ
ihlr-16481	230	39	supply	supply	NOUN
ihlr-16481	230	40	-	-	PUNCT
ihlr-16481	230	41	side	side	NOUN
ihlr-16481	230	42	forces	force	NOUN
ihlr-16481	230	43	for	for	ADP
ihlr-16481	230	44	a	a	DET
ihlr-16481	230	45	straightforward	straightforward	ADJ
ihlr-16481	230	46	if	if	SCONJ
ihlr-16481	230	47	limited	limited	ADJ
ihlr-16481	230	48	purpose	purpose	NOUN
ihlr-16481	230	49	:	:	PUNCT
ihlr-16481	230	50	financing	finance	VERB
ihlr-16481	230	51	information	information	NOUN
ihlr-16481	230	52	technology	technology	NOUN
ihlr-16481	230	53	in	in	ADP
ihlr-16481	230	54	the	the	DET
ihlr-16481	230	55	health	health	NOUN
ihlr-16481	230	56	care	care	NOUN
ihlr-16481	230	57	system	system	NOUN
ihlr-16481	230	58	.	.	PUNCT
ihlr-16481	231	1	this	this	DET
ihlr-16481	231	2	account	account	NOUN
ihlr-16481	231	3	of	of	ADP
ihlr-16481	231	4	pay	pay	NOUN
ihlr-16481	231	5	for	for	ADP
ihlr-16481	231	6	performance	performance	NOUN
ihlr-16481	231	7	regards	regard	VERB
ihlr-16481	231	8	the	the	DET
ihlr-16481	231	9	details	detail	NOUN
ihlr-16481	231	10	of	of	ADP
ihlr-16481	231	11	p4p	p4p	PROPN
ihlr-16481	231	12	as	as	ADP
ihlr-16481	231	13	secondary	secondary	ADJ
ihlr-16481	231	14	,	,	PUNCT
ihlr-16481	231	15	so	so	ADV
ihlr-16481	231	16	long	long	ADV
ihlr-16481	231	17	as	as	SCONJ
ihlr-16481	231	18	its	its	PRON
ihlr-16481	231	19	implementation	implementation	NOUN
ihlr-16481	231	20	requires	require	VERB
ihlr-16481	231	21	sponsor	sponsor	NOUN
ihlr-16481	231	22	organizations	organization	NOUN
ihlr-16481	231	23	and	and	CCONJ
ihlr-16481	231	24	participating	participate	VERB
ihlr-16481	231	25	providers	provider	NOUN
ihlr-16481	231	26	to	to	PART
ihlr-16481	231	27	invest	invest	VERB
ihlr-16481	231	28	in	in	ADP
ihlr-16481	231	29	electronic	electronic	ADJ
ihlr-16481	231	30	health	health	NOUN
ihlr-16481	231	31	records	record	NOUN
ihlr-16481	231	32	,	,	PUNCT
ihlr-16481	231	33	computerized	computerized	ADJ
ihlr-16481	231	34	patient	patient	ADJ
ihlr-16481	231	35	order	order	NOUN
ihlr-16481	231	36	entry	entry	NOUN
ihlr-16481	231	37	systems	system	NOUN
ihlr-16481	231	38	,	,	PUNCT
ihlr-16481	231	39	and	and	CCONJ
ihlr-16481	231	40	other	other	ADJ
ihlr-16481	231	41	hi	hi	ADJ
ihlr-16481	231	42	-	-	PUNCT
ihlr-16481	231	43	tech	tech	NOUN
ihlr-16481	231	44	tools	tool	NOUN
ihlr-16481	231	45	.	.	PUNCT
ihlr-16481	232	1	these	these	DET
ihlr-16481	232	2	resources	resource	NOUN
ihlr-16481	232	3	may	may	AUX
ihlr-16481	232	4	indeed	indeed	ADV
ihlr-16481	232	5	pay	pay	VERB
ihlr-16481	232	6	long	long	ADJ
ihlr-16481	232	7	-	-	PUNCT
ihlr-16481	232	8	term	term	NOUN
ihlr-16481	232	9	dividends	dividend	NOUN
ihlr-16481	232	10	in	in	ADP
ihlr-16481	232	11	quality	quality	NOUN
ihlr-16481	232	12	and	and	CCONJ
ihlr-16481	232	13	even	even	ADV
ihlr-16481	232	14	cost	cost	NOUN
ihlr-16481	232	15	-	-	PUNCT
ihlr-16481	232	16	effectiveness	effectiveness	NOUN
ihlr-16481	232	17	,	,	PUNCT
ihlr-16481	232	18	but	but	CCONJ
ihlr-16481	232	19	the	the	DET
ihlr-16481	232	20	primary	primary	ADJ
ihlr-16481	232	21	objective	objective	NOUN
ihlr-16481	232	22	of	of	ADP
ihlr-16481	232	23	those	those	PRON
ihlr-16481	232	24	who	who	PRON
ihlr-16481	232	25	support	support	VERB
ihlr-16481	232	26	p4p	p4p	PROPN
ihlr-16481	232	27	on	on	ADP
ihlr-16481	232	28	these	these	DET
ihlr-16481	232	29	grounds	ground	NOUN
ihlr-16481	232	30	is	be	AUX
ihlr-16481	232	31	simply	simply	ADV
ihlr-16481	232	32	to	to	PART
ihlr-16481	232	33	induce	induce	VERB
ihlr-16481	232	34	capital	capital	NOUN
ihlr-16481	232	35	investment	investment	NOUN
ihlr-16481	232	36	in	in	ADP
ihlr-16481	232	37	information	information	NOUN
ihlr-16481	232	38	technology	technology	NOUN
ihlr-16481	232	39	.	.	PUNCT
ihlr-16481	233	1	ill	ill	PROPN
ihlr-16481	233	2	.	.	PUNCT
ihlr-16481	234	1	unify1ng	unify1ng	PROPN
ihlr-16481	234	2	theories	theory	NOUN
ihlr-16481	234	3	of	of	ADP
ihlr-16481	234	4	p4p	p4p	PROPN
ihlr-16481	234	5	the	the	DET
ihlr-16481	234	6	eight	eight	NUM
ihlr-16481	234	7	sources	source	NOUN
ihlr-16481	234	8	of	of	ADP
ihlr-16481	234	9	enthusiasm	enthusiasm	NOUN
ihlr-16481	234	10	for	for	ADP
ihlr-16481	234	11	pay	pay	NOUN
ihlr-16481	234	12	for	for	ADP
ihlr-16481	234	13	performance	performance	NOUN
ihlr-16481	234	14	outlined	outline	VERB
ihlr-16481	234	15	above	above	ADV
ihlr-16481	234	16	come	come	VERB
ihlr-16481	234	17	from	from	ADP
ihlr-16481	234	18	different	different	ADJ
ihlr-16481	234	19	camps	camp	NOUN
ihlr-16481	234	20	for	for	ADP
ihlr-16481	234	21	different	different	ADJ
ihlr-16481	234	22	reasons	reason	NOUN
ihlr-16481	234	23	with	with	ADP
ihlr-16481	234	24	different	different	ADJ
ihlr-16481	234	25	manifestations	manifestation	NOUN
ihlr-16481	234	26	.	.	PUNCT
ihlr-16481	235	1	together	together	ADV
ihlr-16481	235	2	,	,	PUNCT
ihlr-16481	235	3	they	they	PRON
ihlr-16481	235	4	constitute	constitute	VERB
ihlr-16481	235	5	a	a	DET
ihlr-16481	235	6	movement	movement	NOUN
ihlr-16481	235	7	,	,	PUNCT
ihlr-16481	235	8	but	but	CCONJ
ihlr-16481	235	9	a	a	DET
ihlr-16481	235	10	movement	movement	NOUN
ihlr-16481	235	11	without	without	ADP
ihlr-16481	235	12	a	a	DET
ihlr-16481	235	13	theory	theory	NOUN
ihlr-16481	235	14	.	.	PUNCT
ihlr-16481	236	1	can	can	AUX
ihlr-16481	236	2	one	one	NUM
ihlr-16481	236	3	sort	sort	VERB
ihlr-16481	236	4	their	their	PRON
ihlr-16481	236	5	motives	motive	NOUN
ihlr-16481	236	6	and	and	CCONJ
ihlr-16481	236	7	effects	effect	NOUN
ihlr-16481	236	8	into	into	ADP
ihlr-16481	236	9	unifying	unifying	ADJ
ihlr-16481	236	10	principles	principle	NOUN
ihlr-16481	236	11	,	,	PUNCT
ihlr-16481	236	12	so	so	SCONJ
ihlr-16481	236	13	that	that	SCONJ
ihlr-16481	236	14	supporters	supporter	NOUN
ihlr-16481	236	15	from	from	ADP
ihlr-16481	236	16	different	different	ADJ
ihlr-16481	236	17	groups	group	NOUN
ihlr-16481	236	18	can	can	AUX
ihlr-16481	236	19	coalesce	coalesce	VERB
ihlr-16481	236	20	around	around	ADP
ihlr-16481	236	21	a	a	DET
ihlr-16481	236	22	core	core	NOUN
ihlr-16481	236	23	notion	notion	NOUN
ihlr-16481	236	24	ofp4p	ofp4p	PROPN
ihlr-16481	236	25	that	that	SCONJ
ihlr-16481	236	26	society	society	NOUN
ihlr-16481	236	27	might	might	AUX
ihlr-16481	236	28	actually	actually	ADV
ihlr-16481	236	29	carry	carry	VERB
ihlr-16481	236	30	into	into	ADP
ihlr-16481	236	31	operation	operation	NOUN
ihlr-16481	236	32	?	?	PUNCT
ihlr-16481	237	1	to	to	ADP
ihlr-16481	237	2	my	my	PRON
ihlr-16481	237	3	mind	mind	NOUN
ihlr-16481	237	4	,	,	PUNCT
ihlr-16481	237	5	there	there	PRON
ihlr-16481	237	6	are	be	VERB
ihlr-16481	237	7	three	three	NUM
ihlr-16481	237	8	plausible	plausible	ADJ
ihlr-16481	237	9	theories	theory	NOUN
ihlr-16481	237	10	of	of	ADP
ihlr-16481	237	11	pay	pay	NOUN
ihlr-16481	237	12	for	for	ADP
ihlr-16481	237	13	performance	performance	NOUN
ihlr-16481	237	14	:	:	PUNCT
ihlr-16481	237	15	a	a	DET
ihlr-16481	237	16	measurement	measurement	NOUN
ihlr-16481	237	17	theory	theory	NOUN
ihlr-16481	237	18	,	,	PUNCT
ihlr-16481	237	19	a	a	DET
ihlr-16481	237	20	loyalty	loyalty	NOUN
ihlr-16481	237	21	theory	theory	NOUN
ihlr-16481	237	22	,	,	PUNCT
ihlr-16481	237	23	and	and	CCONJ
ihlr-16481	237	24	a	a	DET
ihlr-16481	237	25	productivity	productivity	NOUN
ihlr-16481	237	26	theory	theory	NOUN
ihlr-16481	237	27	.	.	PUNCT
ihlr-16481	238	1	these	these	DET
ihlr-16481	238	2	30	30	NUM
ihlr-16481	238	3	.	.	PUNCT
ihlr-16481	238	4	len	len	PROPN
ihlr-16481	238	5	m.	m.	PROPN
ihlr-16481	238	6	nichols	nichols	PROPN
ihlr-16481	238	7	&	&	CCONJ
ihlr-16481	238	8	robert	robert	PROPN
ihlr-16481	238	9	d.	d.	PROPN
ihlr-16481	238	10	reischauer	reischauer	PROPN
ihlr-16481	238	11	,	,	PUNCT
ihlr-16481	238	12	who	who	PRON
ihlr-16481	238	13	really	really	ADV
ihlr-16481	238	14	wants	want	VERB
ihlr-16481	238	15	price	price	NOUN
ihlr-16481	238	16	competition	competition	NOUN
ihlr-16481	238	17	in	in	ADP
ihlr-16481	238	18	medicare	medicare	PROPN
ihlr-16481	238	19	managed	manage	VERB
ihlr-16481	238	20	care	care	NOUN
ihlr-16481	238	21	?	?	PUNCT
ihlr-16481	238	22	,	,	PUNCT
ihlr-16481	238	23	19(5	19(5	X
ihlr-16481	238	24	)	)	PUNCT
ihlr-16481	238	25	healthaff	healthaff	NOUN
ihlr-16481	238	26	.	.	PUNCT
ihlr-16481	239	1	30,30(2000	30,30(2000	NUM
ihlr-16481	239	2	)	)	PUNCT
ihlr-16481	239	3	;	;	PUNCT
ihlr-16481	239	4	bryan	bryan	PROPN
ihlr-16481	239	5	dowd	dowd	PROPN
ihlr-16481	239	6	etal	etal	PROPN
ihlr-16481	239	7	.	.	PUNCT
ihlr-16481	239	8	,a	,a	PUNCT
ihlr-16481	239	9	tale	tale	VERB
ihlr-16481	239	10	off	off	ADP
ihlr-16481	239	11	our	our	PRON
ihlr-16481	239	12	cities	city	NOUN
ihlr-16481	239	13	:	:	PUNCT
ihlr-16481	239	14	medicare	medicare	NOUN
ihlr-16481	239	15	reform	reform	NOUN
ihlr-16481	239	16	and	and	CCONJ
ihlr-16481	239	17	competitive	competitive	ADJ
ihlr-16481	239	18	pricing	pricing	NOUN
ihlr-16481	239	19	,	,	PUNCT
ihlr-16481	239	20	19(5	19(5	NUM
ihlr-16481	239	21	)	)	PUNCT
ihlr-16481	239	22	health	health	NOUN
ihlr-16481	239	23	aff	aff	PROPN
ihlr-16481	239	24	.	.	PROPN
ihlr-16481	240	1	9	9	NUM
ihlr-16481	240	2	,	,	PUNCT
ihlr-16481	240	3	9	9	NUM
ihlr-16481	240	4	(	(	PUNCT
ihlr-16481	240	5	2000	2000	NUM
ihlr-16481	240	6	)	)	PUNCT
ihlr-16481	240	7	.	.	PUNCT
ihlr-16481	241	1	31	31	NUM
ihlr-16481	241	2	.	.	PUNCT
ihlr-16481	242	1	lawrence	lawrence	PROPN
ihlr-16481	242	2	r	r	PROPN
ihlr-16481	242	3	jacobs	jacobs	PROPN
ihlr-16481	242	4	,	,	PUNCT
ihlr-16481	242	5	politics	politic	NOUN
ihlr-16481	242	6	of	of	ADP
ihlr-16481	242	7	america	america	PROPN
ihlr-16481	242	8	's	's	PART
ihlr-16481	242	9	supply	supply	NOUN
ihlr-16481	242	10	state	state	NOUN
ihlr-16481	242	11	:	:	PUNCT
ihlr-16481	242	12	health	health	NOUN
ihlr-16481	242	13	reform	reform	NOUN
ihlr-16481	242	14	and	and	CCONJ
ihlr-16481	242	15	technology	technology	NOUN
ihlr-16481	242	16	,	,	PUNCT
ihlr-16481	242	17	14(2	14(2	NUM
ihlr-16481	242	18	)	)	PUNCT
ihlr-16481	242	19	healthaff.i43	healthaff.i43	NOUN
ihlr-16481	242	20	,	,	PUNCT
ihlr-16481	242	21	143	143	NUM
ihlr-16481	242	22	(	(	PUNCT
ihlr-16481	242	23	1995	1995	NUM
ihlr-16481	242	24	)	)	PUNCT
ihlr-16481	242	25	.	.	PUNCT
ihlr-16481	243	1	2006	2006	NUM
ihlr-16481	243	2	]	]	PUNCT
ihlr-16481	244	1	p4p	p4p	PROPN
ihlr-16481	244	2	:	:	PUNCT
ihlr-16481	244	3	wnl	wnl	PROPN
ihlr-16481	244	4	it	it	PRON
ihlr-16481	244	5	work	work	VERB
ihlr-16481	244	6	.	.	PUNCT
ihlr-16481	245	1	in	in	ADP
ihlr-16481	245	2	theory	theory	NOUN
ihlr-16481	245	3	?	?	PUNCT
ihlr-16481	246	1	315	315	NUM
ihlr-16481	246	2	theories	theory	NOUN
ihlr-16481	246	3	are	be	AUX
ihlr-16481	246	4	plausible	plausible	ADJ
ihlr-16481	246	5	in	in	ADP
ihlr-16481	246	6	the	the	DET
ihlr-16481	246	7	sense	sense	NOUN
ihlr-16481	246	8	that	that	SCONJ
ihlr-16481	246	9	if	if	SCONJ
ihlr-16481	246	10	we	we	PRON
ihlr-16481	246	11	as	as	ADP
ihlr-16481	246	12	a	a	DET
ihlr-16481	246	13	nation	nation	NOUN
ihlr-16481	246	14	,	,	PUNCT
ihlr-16481	246	15	or	or	CCONJ
ihlr-16481	246	16	as	as	ADP
ihlr-16481	246	17	a	a	DET
ihlr-16481	246	18	profession	profession	NOUN
ihlr-16481	246	19	,	,	PUNCT
ihlr-16481	246	20	or	or	CCONJ
ihlr-16481	246	21	as	as	ADP
ihlr-16481	246	22	a	a	DET
ihlr-16481	246	23	community	community	NOUN
ihlr-16481	246	24	,	,	PUNCT
ihlr-16481	246	25	decided	decide	VERB
ihlr-16481	246	26	that	that	SCONJ
ihlr-16481	246	27	this	this	PRON
ihlr-16481	246	28	is	be	AUX
ihlr-16481	246	29	what	what	PRON
ihlr-16481	246	30	we	we	PRON
ihlr-16481	246	31	really	really	ADV
ihlr-16481	246	32	want	want	VERB
ihlr-16481	246	33	to	to	PART
ihlr-16481	246	34	do	do	VERB
ihlr-16481	246	35	with	with	ADP
ihlr-16481	246	36	p4p	p4p	PROPN
ihlr-16481	246	37	,	,	PUNCT
ihlr-16481	246	38	we	we	PRON
ihlr-16481	246	39	would	would	AUX
ihlr-16481	246	40	have	have	AUX
ihlr-16481	246	41	a	a	DET
ihlr-16481	246	42	pretty	pretty	ADV
ihlr-16481	246	43	good	good	ADJ
ihlr-16481	246	44	sense	sense	NOUN
ihlr-16481	246	45	of	of	ADP
ihlr-16481	246	46	bow	bow	NOUN
ihlr-16481	246	47	to	to	PART
ihlr-16481	246	48	do	do	AUX
ihlr-16481	246	49	it	it	PRON
ihlr-16481	246	50	and	and	CCONJ
ihlr-16481	246	51	of	of	ADP
ihlr-16481	246	52	the	the	DET
ihlr-16481	246	53	pros	pro	NOUN
ihlr-16481	246	54	and	and	CCONJ
ihlr-16481	246	55	cons	con	NOUN
ihlr-16481	246	56	involved	involve	VERB
ihlr-16481	246	57	.	.	PUNCT
ihlr-16481	247	1	a.	a.	NOUN
ihlr-16481	247	2	defining	define	VERB
ihlr-16481	247	3	"	"	PUNCT
ihlr-16481	247	4	performance	performance	NOUN
ihlr-16481	247	5	"	"	PUNCT
ihlr-16481	247	6	in	in	ADP
ihlr-16481	247	7	order	order	NOUN
ihlr-16481	247	8	to	to	PART
ihlr-16481	247	9	appreciate	appreciate	VERB
ihlr-16481	247	10	the	the	DET
ihlr-16481	247	11	distinct	distinct	ADJ
ihlr-16481	247	12	implications	implication	NOUN
ihlr-16481	247	13	of	of	ADP
ihlr-16481	247	14	the	the	DET
ihlr-16481	247	15	three	three	NUM
ihlr-16481	247	16	approaches	approach	NOUN
ihlr-16481	247	17	,	,	PUNCT
ihlr-16481	247	18	it	it	PRON
ihlr-16481	247	19	is	be	AUX
ihlr-16481	247	20	necessary	necessary	ADJ
ihlr-16481	247	21	to	to	PART
ihlr-16481	247	22	construct	construct	VERB
ihlr-16481	247	23	a	a	DET
ihlr-16481	247	24	basic	basic	ADJ
ihlr-16481	247	25	typology	typology	NOUN
ihlr-16481	247	26	of	of	ADP
ihlr-16481	247	27	performance	performance	NOUN
ihlr-16481	247	28	metrics	metric	NOUN
ihlr-16481	247	29	.	.	PUNCT
ihlr-16481	248	1	the	the	DET
ihlr-16481	248	2	types	type	NOUN
ihlr-16481	248	3	of	of	ADP
ihlr-16481	248	4	rewardable	rewardable	ADJ
ihlr-16481	248	5	performance	performance	NOUN
ihlr-16481	248	6	one	one	PRON
ihlr-16481	248	7	observes	observe	VERB
ihlr-16481	248	8	in	in	ADP
ihlr-16481	248	9	emerging	emerge	VERB
ihlr-16481	248	10	p4p	p4p	PROPN
ihlr-16481	248	11	systems	system	NOUN
ihlr-16481	248	12	mirror	mirror	VERB
ihlr-16481	248	13	the	the	DET
ihlr-16481	248	14	ambiguities	ambiguity	NOUN
ihlr-16481	248	15	and	and	CCONJ
ihlr-16481	248	16	tensions	tension	NOUN
ihlr-16481	248	17	in	in	ADP
ihlr-16481	248	18	the	the	DET
ihlr-16481	248	19	movement	movement	NOUN
ihlr-16481	248	20	.	.	PUNCT
ihlr-16481	249	1	pay	pay	VERB
ihlr-16481	249	2	for	for	ADP
ihlr-16481	249	3	performance	performance	NOUN
ihlr-16481	249	4	consists	consist	NOUN
ihlr-16481	249	5	of	of	ADP
ihlr-16481	249	6	financial	financial	ADJ
ihlr-16481	249	7	incentives	incentive	NOUN
ihlr-16481	249	8	for	for	ADP
ihlr-16481	249	9	measurable	measurable	ADJ
ihlr-16481	249	10	quality	quality	NOUN
ihlr-16481	249	11	,	,	PUNCT
ihlr-16481	249	12	but	but	CCONJ
ihlr-16481	249	13	measurable	measurable	ADJ
ihlr-16481	249	14	quality	quality	NOUN
ihlr-16481	249	15	can	can	AUX
ihlr-16481	249	16	take	take	VERB
ihlr-16481	249	17	many	many	ADJ
ihlr-16481	249	18	different	different	ADJ
ihlr-16481	249	19	forms	form	NOUN
ihlr-16481	249	20	.	.	PUNCT
ihlr-16481	250	1	by	by	ADP
ihlr-16481	250	2	mentally	mentally	ADV
ihlr-16481	250	3	matching	matching	NOUN
ihlr-16481	250	4	points	point	NOUN
ihlr-16481	250	5	along	along	ADP
ihlr-16481	250	6	the	the	DET
ihlr-16481	250	7	spectrum	spectrum	NOUN
ihlr-16481	250	8	of	of	ADP
ihlr-16481	250	9	potential	potential	ADJ
ihlr-16481	250	10	incentives	incentive	NOUN
ihlr-16481	250	11	to	to	ADP
ihlr-16481	250	12	the	the	DET
ihlr-16481	250	13	various	various	ADJ
ihlr-16481	250	14	motivations	motivation	NOUN
ihlr-16481	250	15	that	that	PRON
ihlr-16481	250	16	exist	exist	VERB
ihlr-16481	250	17	for	for	ADP
ihlr-16481	250	18	p4p	p4p	PROPN
ihlr-16481	250	19	,	,	PUNCT
ihlr-16481	250	20	one	one	PRON
ihlr-16481	250	21	begins	begin	VERB
ihlr-16481	250	22	to	to	PART
ihlr-16481	250	23	see	see	VERB
ihlr-16481	250	24	the	the	DET
ihlr-16481	250	25	challenges	challenge	NOUN
ihlr-16481	250	26	involved	involve	VERB
ihlr-16481	250	27	in	in	ADP
ihlr-16481	250	28	operationalizing	operationalize	VERB
ihlr-16481	250	29	a	a	DET
ihlr-16481	250	30	national	national	ADJ
ihlr-16481	250	31	commitment	commitment	NOUN
ihlr-16481	250	32	to	to	ADP
ihlr-16481	250	33	paying	pay	VERB
ihlr-16481	250	34	for	for	ADP
ihlr-16481	250	35	performance	performance	NOUN
ihlr-16481	250	36	.	.	PUNCT
ihlr-16481	251	1	applying	apply	VERB
ihlr-16481	251	2	the	the	DET
ihlr-16481	251	3	traditional	traditional	ADJ
ihlr-16481	251	4	donabedian	donabedian	NOUN
ihlr-16481	251	5	classification	classification	NOUN
ihlr-16481	251	6	ofhealth	ofhealth	NOUN
ihlr-16481	251	7	care	care	NOUN
ihlr-16481	251	8	quality	quality	NOUN
ihlr-16481	251	9	demonstrates	demonstrate	VERB
ihlr-16481	251	10	that	that	SCONJ
ihlr-16481	251	11	performance	performance	NOUN
ihlr-16481	251	12	incentives	incentive	NOUN
ihlr-16481	251	13	can	can	AUX
ihlr-16481	251	14	be	be	AUX
ihlr-16481	251	15	structured	structure	VERB
ihlr-16481	251	16	to	to	PART
ihlr-16481	251	17	further	further	VERB
ihlr-16481	251	18	each	each	DET
ihlr-16481	251	19	aspect	aspect	NOUN
ihlr-16481	251	20	of	of	ADP
ihlr-16481	251	21	quality	quality	NOUN
ihlr-16481	251	22	that	that	PRON
ihlr-16481	251	23	donabedian	donabedian	NOUN
ihlr-16481	251	24	laid	lay	VERB
ihlr-16481	251	25	out.32	out.32	PROPN
ihlr-16481	251	26	first	first	ADV
ihlr-16481	251	27	,	,	PUNCT
ihlr-16481	251	28	one	one	PRON
ihlr-16481	251	29	can	can	AUX
ihlr-16481	251	30	reward	reward	VERB
ihlr-16481	251	31	"	"	PUNCT
ihlr-16481	251	32	interpersonal	interpersonal	ADJ
ihlr-16481	251	33	quality	quality	NOUN
ihlr-16481	251	34	,	,	PUNCT
ihlr-16481	251	35	"	"	PUNCT
ihlr-16481	251	36	meaning	mean	VERB
ihlr-16481	251	37	the	the	DET
ihlr-16481	251	38	ability	ability	NOUN
ihlr-16481	251	39	of	of	ADP
ihlr-16481	251	40	doctors	doctor	NOUN
ihlr-16481	251	41	,	,	PUNCT
ihlr-16481	251	42	hospitals	hospital	NOUN
ihlr-16481	251	43	,	,	PUNCT
ihlr-16481	251	44	and	and	CCONJ
ihlr-16481	251	45	other	other	ADJ
ihlr-16481	251	46	health	health	NOUN
ihlr-16481	251	47	professionals	professional	NOUN
ihlr-16481	251	48	to	to	PART
ihlr-16481	251	49	connect	connect	VERB
ihlr-16481	251	50	with	with	ADP
ihlr-16481	251	51	patients	patient	NOUN
ihlr-16481	251	52	and	and	CCONJ
ihlr-16481	251	53	make	make	VERB
ihlr-16481	251	54	them	they	PRON
ihlr-16481	251	55	feel	feel	VERB
ihlr-16481	251	56	subjectively	subjectively	ADV
ihlr-16481	251	57	better	well	ADJ
ihlr-16481	251	58	.	.	PUNCT
ihlr-16481	252	1	one	one	PRON
ihlr-16481	252	2	can	can	AUX
ihlr-16481	252	3	reward	reward	VERB
ihlr-16481	252	4	interpersonal	interpersonal	ADJ
ihlr-16481	252	5	quality	quality	NOUN
ihlr-16481	252	6	using	use	VERB
ihlr-16481	252	7	measures	measure	NOUN
ihlr-16481	252	8	of	of	ADP
ihlr-16481	252	9	patient	patient	ADJ
ihlr-16481	252	10	satis­	satis­	ADJ
ihlr-16481	252	11	faction	faction	NOUN
ihlr-16481	252	12	,	,	PUNCT
ihlr-16481	252	13	continuity	continuity	NOUN
ihlr-16481	252	14	of	of	ADP
ihlr-16481	252	15	care	care	NOUN
ihlr-16481	252	16	,	,	PUNCT
ihlr-16481	252	17	and	and	CCONJ
ihlr-16481	252	18	perhaps	perhaps	ADV
ihlr-16481	252	19	patient	patient	ADJ
ihlr-16481	252	20	compliance	compliance	NOUN
ihlr-16481	252	21	with	with	ADP
ihlr-16481	252	22	recommended	recommend	VERB
ihlr-16481	252	23	treatment	treatment	NOUN
ihlr-16481	252	24	.	.	PUNCT
ihlr-16481	253	1	second	second	ADJ
ihlr-16481	253	2	,	,	PUNCT
ihlr-16481	253	3	one	one	PRON
ihlr-16481	253	4	can	can	AUX
ihlr-16481	253	5	reward	reward	VERB
ihlr-16481	253	6	"	"	PUNCT
ihlr-16481	253	7	technical	technical	ADJ
ihlr-16481	253	8	quality	quality	NOUN
ihlr-16481	253	9	,	,	PUNCT
ihlr-16481	253	10	"	"	PUNCT
ihlr-16481	253	11	which	which	PRON
ihlr-16481	253	12	donabedian	donabedian	NOUN
ihlr-16481	253	13	breaks	break	VERB
ihlr-16481	253	14	down	down	ADP
ihlr-16481	253	15	further	far	ADV
ihlr-16481	253	16	into	into	ADP
ihlr-16481	253	17	structural	structural	ADJ
ihlr-16481	253	18	measures	measure	NOUN
ihlr-16481	253	19	,	,	PUNCT
ihlr-16481	253	20	process	process	NOUN
ihlr-16481	253	21	measures	measure	NOUN
ihlr-16481	253	22	,	,	PUNCT
ihlr-16481	253	23	and	and	CCONJ
ihlr-16481	253	24	outcome	outcome	NOUN
ihlr-16481	253	25	measures	measure	NOUN
ihlr-16481	253	26	.	.	PUNCT
ihlr-16481	254	1	adoption	adoption	NOUN
ihlr-16481	254	2	of	of	ADP
ihlr-16481	254	3	information	information	NOUN
ihlr-16481	254	4	technology	technology	NOUN
ihlr-16481	254	5	is	be	AUX
ihlr-16481	254	6	one	one	NUM
ihlr-16481	254	7	of	of	ADP
ihlr-16481	254	8	the	the	DET
ihlr-16481	254	9	structural	structural	ADJ
ihlr-16481	254	10	measures	measure	NOUN
ihlr-16481	254	11	commonly	commonly	ADV
ihlr-16481	254	12	incorporated	incorporate	VERB
ihlr-16481	254	13	into	into	ADP
ihlr-16481	254	14	pay	pay	NOUN
ihlr-16481	254	15	for	for	ADP
ihlr-16481	254	16	performance	performance	NOUN
ihlr-16481	254	17	as	as	SCONJ
ihlr-16481	254	18	it	it	PRON
ihlr-16481	254	19	has	have	AUX
ihlr-16481	254	20	been	be	AUX
ihlr-16481	254	21	evolving	evolve	VERB
ihlr-16481	254	22	.	.	PUNCT
ihlr-16481	255	1	33	33	NUM
ihlr-16481	255	2	rewards	reward	NOUN
ihlr-16481	255	3	might	might	AUX
ihlr-16481	255	4	be	be	AUX
ihlr-16481	255	5	based	base	VERB
ihlr-16481	255	6	on	on	ADP
ihlr-16481	255	7	acquisition	acquisition	NOUN
ihlr-16481	255	8	of	of	ADP
ihlr-16481	255	9	particular	particular	ADJ
ihlr-16481	255	10	computer	computer	NOUN
ihlr-16481	255	11	systems	system	NOUN
ihlr-16481	255	12	or	or	CCONJ
ihlr-16481	255	13	capacities	capacity	NOUN
ihlr-16481	255	14	like	like	ADP
ihlr-16481	255	15	electronic	electronic	ADJ
ihlr-16481	255	16	medical	medical	ADJ
ihlr-16481	255	17	records	record	NOUN
ihlr-16481	255	18	or	or	CCONJ
ihlr-16481	255	19	computerized	computerized	ADJ
ihlr-16481	255	20	physician	physician	NOUN
ihlr-16481	255	21	or	or	CCONJ
ihlr-16481	255	22	pharmacy	pharmacy	NOUN
ihlr-16481	255	23	order	order	NOUN
ihlr-16481	255	24	entry	entry	NOUN
ihlr-16481	255	25	,	,	PUNCT
ihlr-16481	255	26	or	or	CCONJ
ihlr-16481	255	27	on	on	ADP
ihlr-16481	255	28	telecommunications	telecommunications	NOUN
ihlr-16481	255	29	capability	capability	NOUN
ihlr-16481	255	30	such	such	ADJ
ihlr-16481	255	31	as	as	ADP
ihlr-16481	255	32	instant	instant	ADJ
ihlr-16481	255	33	messaging	messaging	NOUN
ihlr-16481	255	34	.	.	PUNCT
ihlr-16481	256	1	process	process	NOUN
ihlr-16481	256	2	measures	measure	NOUN
ihlr-16481	256	3	are	be	AUX
ihlr-16481	256	4	the	the	DET
ihlr-16481	256	5	quality	quality	NOUN
ihlr-16481	256	6	metrics	metric	NOUN
ihlr-16481	256	7	most	most	ADV
ihlr-16481	256	8	frequently	frequently	ADV
ihlr-16481	256	9	used	use	VERB
ihlr-16481	256	10	in	in	ADP
ihlr-16481	256	11	pay	pay	NOUN
ihlr-16481	256	12	for	for	ADP
ihlr-16481	256	13	performance	performance	NOUN
ihlr-16481	256	14	systems	system	NOUN
ihlr-16481	256	15	to	to	ADP
ihlr-16481	256	16	date	date	NOUN
ihlr-16481	256	17	.	.	PUNCT
ihlr-16481	257	1	many	many	ADJ
ihlr-16481	257	2	p4p	p4p	PROPN
ihlr-16481	257	3	programs	program	NOUN
ihlr-16481	257	4	focus	focus	VERB
ihlr-16481	257	5	on	on	ADP
ihlr-16481	257	6	disease	disease	NOUN
ihlr-16481	257	7	screening	screening	NOUN
ihlr-16481	257	8	and	and	CCONJ
ihlr-16481	257	9	early	early	ADJ
ihlr-16481	257	10	intervention	intervention	NOUN
ihlr-16481	257	11	for	for	ADP
ihlr-16481	257	12	preventable	preventable	ADJ
ihlr-16481	257	13	illness	illness	NOUN
ihlr-16481	257	14	.	.	PUNCT
ihlr-16481	258	1	some	some	DET
ihlr-16481	258	2	focus	focus	NOUN
ihlr-16481	258	3	on	on	ADP
ihlr-16481	258	4	actual	actual	ADJ
ihlr-16481	258	5	treatment	treatment	NOUN
ihlr-16481	258	6	of	of	ADP
ihlr-16481	258	7	disease	disease	NOUN
ihlr-16481	258	8	in	in	ADP
ihlr-16481	258	9	accordance	accordance	NOUN
ihlr-16481	258	10	with	with	ADP
ihlr-16481	258	11	some	some	DET
ihlr-16481	258	12	notion	notion	NOUN
ihlr-16481	258	13	of"best	of"b	ADJ
ihlr-16481	258	14	practice	practice	NOUN
ihlr-16481	258	15	,	,	PUNCT
ihlr-16481	258	16	''	''	PUNCT
ihlr-16481	258	17	though	though	SCONJ
ihlr-16481	258	18	whether	whether	SCONJ
ihlr-16481	258	19	it	it	PRON
ihlr-16481	258	20	is	be	AUX
ihlr-16481	258	21	conformity	conformity	NOUN
ihlr-16481	258	22	with	with	ADP
ihlr-16481	258	23	a	a	DET
ihlr-16481	258	24	science	science	NOUN
ihlr-16481	258	25	-	-	PUNCT
ihlr-16481	258	26	based	base	VERB
ihlr-16481	258	27	clinical	clinical	ADJ
ihlr-16481	258	28	practice	practice	NOUN
ihlr-16481	258	29	guideline	guideline	NOUN
ihlr-16481	258	30	or	or	CCONJ
ihlr-16481	258	31	a	a	DET
ihlr-16481	258	32	cost­	cost­	ADJ
ihlr-16481	258	33	effectiveness	effectiveness	NOUN
ihlr-16481	258	34	standard	standard	NOUN
ihlr-16481	258	35	depends	depend	VERB
ihlr-16481	258	36	on	on	ADP
ihlr-16481	258	37	the	the	DET
ihlr-16481	258	38	context	context	NOUN
ihlr-16481	258	39	outcome	outcome	NOUN
ihlr-16481	258	40	measures	measure	NOUN
ihlr-16481	258	41	also	also	ADV
ihlr-16481	258	42	can	can	AUX
ihlr-16481	258	43	32	32	NUM
ihlr-16481	258	44	.	.	PUNCT
ihlr-16481	259	1	a	a	DET
ihlr-16481	259	2	vedis	vedis	ADJ
ihlr-16481	259	3	donabedian	donabedian	NOUN
ihlr-16481	259	4	,	,	PUNCT
ihlr-16481	259	5	the	the	DET
ihlr-16481	259	6	definition	definition	NOUN
ihlr-16481	259	7	of	of	ADP
ihlr-16481	259	8	quality	quality	NOUN
ihlr-16481	259	9	and	and	CCONJ
ihlr-16481	259	10	approaches	approach	NOUN
ihlr-16481	259	11	to	to	ADP
ihlr-16481	259	12	assessment	assessment	NOUN
ihlr-16481	259	13	:	:	PUNCT
ihlr-16481	259	14	expwrations	expwration	VERB
ihlr-16481	259	15	1n	1n	NUM
ihlr-16481	259	16	quality	quality	NOUN
ihlr-16481	259	17	assessment	assessment	NOUN
ihlr-16481	259	18	and	and	CCONJ
ihlr-16481	259	19	monitoring	monitoring	NOUN
ihlr-16481	259	20	(	(	PUNCT
ihlr-16481	259	21	1980	1980	NUM
ihlr-16481	259	22	)	)	PUNCT
ihlr-16481	259	23	;	;	PUNCT
ihlr-16481	259	24	avedis	avedis	PROPN
ihlr-16481	259	25	donabedian	donabedian	NOUN
ihlr-16481	259	26	,	,	PUNCT
ihlr-16481	259	27	evaluating	evaluate	VERB
ihlr-16481	259	28	the	the	DET
ihlr-16481	259	29	quality	quality	NOUN
ihlr-16481	259	30	of	of	ADP
ihlr-16481	259	31	medical	medical	ADJ
ihlr-16481	259	32	care	care	NOUN
ihlr-16481	259	33	,	,	PUNCT
ihlr-16481	259	34	44	44	NUM
ihlr-16481	259	35	milbank	milbank	PROPN
ihlr-16481	259	36	memorial	memorial	PROPN
ihlr-16481	259	37	fund	fund	PROPN
ihlr-16481	259	38	q.	q.	PROPN
ihlr-16481	259	39	166	166	NUM
ihlr-16481	259	40	(	(	PUNCT
ihlr-16481	259	41	1966	1966	NUM
ihlr-16481	259	42	)	)	PUNCT
ihlr-16481	259	43	.	.	PUNCT
ihlr-16481	260	1	33	33	NUM
ihlr-16481	260	2	.	.	PUNCT
ihlr-16481	261	1	rainu	rainu	PROPN
ihlr-16481	261	2	kaushal	kaushal	PROPN
ihlr-16481	261	3	et	et	PROPN
ihlr-16481	261	4	al	al	PROPN
ihlr-16481	261	5	.	.	PROPN
ihlr-16481	261	6	,	,	PUNCT
ihlr-16481	261	7	the	the	DET
ihlr-16481	261	8	costs	cost	NOUN
ihlr-16481	261	9	of	of	ADP
ihlr-16481	261	10	a	a	DET
ihlr-16481	261	11	national	national	ADJ
ihlr-16481	261	12	health	health	PROPN
ihlr-16481	261	13	information	information	NOUN
ihlr-16481	261	14	network	network	NOUN
ihlr-16481	261	15	,	,	PUNCT
ihlr-16481	261	16	143	143	NUM
ihlr-16481	261	17	annals	annal	NOUN
ihlr-16481	261	18	of	of	ADP
ihlr-16481	261	19	internal	internal	ADJ
ihlr-16481	261	20	med	med	ADJ
ihlr-16481	261	21	.	.	PUNCT
ihlr-16481	261	22	165	165	NUM
ihlr-16481	261	23	,	,	PUNCT
ihlr-16481	261	24	170	170	NUM
ihlr-16481	261	25	-	-	SYM
ihlr-16481	261	26	72	72	NUM
ihlr-16481	261	27	(	(	PUNCT
ihlr-16481	261	28	2005	2005	NUM
ihlr-16481	261	29	)	)	PUNCT
ihlr-16481	261	30	.	.	PUNCT
ihlr-16481	262	1	316	316	NUM
ihlr-16481	262	2	indiana	indiana	PROPN
ihlr-16481	262	3	health	health	PROPN
ihlr-16481	262	4	law	law	PROPN
ihlr-16481	262	5	review	review	NOUN
ihlr-16481	262	6	[	[	X
ihlr-16481	262	7	vol	vol	NOUN
ihlr-16481	262	8	.	.	PUNCT
ihlr-16481	262	9	3:303	3:303	NUM
ihlr-16481	262	10	be	be	AUX
ihlr-16481	262	11	associated	associate	VERB
ihlr-16481	262	12	with	with	ADP
ihlr-16481	262	13	pay	pay	NOUN
ihlr-16481	262	14	for	for	ADP
ihlr-16481	262	15	performance	performance	NOUN
ihlr-16481	262	16	systems	system	NOUN
ihlr-16481	262	17	.	.	PUNCT
ihlr-16481	263	1	some	some	PRON
ihlr-16481	263	2	involve	involve	VERB
ihlr-16481	263	3	avoiding	avoid	VERB
ihlr-16481	263	4	particular	particular	ADJ
ihlr-16481	263	5	complications	complication	NOUN
ihlr-16481	263	6	of	of	ADP
ihlr-16481	263	7	medical	medical	ADJ
ihlr-16481	263	8	care	care	NOUN
ihlr-16481	263	9	such	such	ADJ
ihlr-16481	263	10	as	as	ADP
ihlr-16481	263	11	hospital	hospital	NOUN
ihlr-16481	263	12	-	-	PUNCT
ihlr-16481	263	13	acquired	acquire	VERB
ihlr-16481	263	14	infections	infection	NOUN
ihlr-16481	263	15	or	or	CCONJ
ihlr-16481	263	16	readmissions	readmission	NOUN
ihlr-16481	263	17	.	.	PUNCT
ihlr-16481	264	1	others	other	NOUN
ihlr-16481	264	2	assess	assess	VERB
ihlr-16481	264	3	longer	long	ADJ
ihlr-16481	264	4	-	-	PUNCT
ihlr-16481	264	5	term	term	NOUN
ihlr-16481	264	6	;	;	PUNCT
ihlr-16481	264	7	events	event	NOUN
ihlr-16481	264	8	such	such	ADJ
ihlr-16481	264	9	as	as	ADP
ihlr-16481	264	10	restoration	restoration	NOUN
ihlr-16481	264	11	of	of	ADP
ihlr-16481	264	12	functional	functional	ADJ
ihlr-16481	264	13	capacity	capacity	NOUN
ihlr-16481	264	14	or	or	CCONJ
ihlr-16481	264	15	patient	patient	ADJ
ihlr-16481	264	16	survival	survival	NOUN
ihlr-16481	264	17	.	.	PUNCT
ihlr-16481	265	1	b.	b.	PROPN
ihlr-16481	265	2	measurement	measurement	PROPN
ihlr-16481	265	3	theory	theory	NOUN
ihlr-16481	265	4	what	what	PRON
ihlr-16481	265	5	i	i	PRON
ihlr-16481	265	6	call	call	VERB
ihlr-16481	265	7	the	the	DET
ihlr-16481	265	8	measurement	measurement	NOUN
ihlr-16481	265	9	theory	theory	NOUN
ihlr-16481	265	10	of	of	ADP
ihlr-16481	265	11	pay	pay	NOUN
ihlr-16481	265	12	for	for	ADP
ihlr-16481	265	13	performance	performance	NOUN
ihlr-16481	265	14	is	be	AUX
ihlr-16481	265	15	fairly	fairly	ADV
ihlr-16481	265	16	common	common	ADJ
ihlr-16481	265	17	in	in	ADP
ihlr-16481	265	18	practice	practice	NOUN
ihlr-16481	265	19	but	but	CCONJ
ihlr-16481	265	20	is	be	AUX
ihlr-16481	265	21	not	not	PART
ihlr-16481	265	22	labeled	label	VERB
ihlr-16481	265	23	as	as	ADP
ihlr-16481	265	24	such	such	ADJ
ihlr-16481	265	25	.	.	PUNCT
ihlr-16481	266	1	it	it	PRON
ihlr-16481	266	2	simply	simply	ADV
ihlr-16481	266	3	asserts	assert	VERB
ihlr-16481	266	4	that	that	SCONJ
ihlr-16481	266	5	the	the	DET
ihlr-16481	266	6	goal	goal	NOUN
ihlr-16481	266	7	ofp4p	ofp4p	PROPN
ihlr-16481	266	8	is	be	AUX
ihlr-16481	266	9	to	to	PART
ihlr-16481	266	10	make	make	VERB
ihlr-16481	266	11	quality	quality	NOUN
ihlr-16481	266	12	measurable	measurable	NOUN
ihlr-16481	266	13	.	.	PUNCT
ihlr-16481	267	1	the	the	DET
ihlr-16481	267	2	measurement	measurement	NOUN
ihlr-16481	267	3	theory	theory	NOUN
ihlr-16481	267	4	is	be	AUX
ihlr-16481	267	5	founded	found	VERB
ihlr-16481	267	6	on	on	ADP
ihlr-16481	267	7	a	a	DET
ihlr-16481	267	8	view	view	NOUN
ihlr-16481	267	9	of	of	ADP
ihlr-16481	267	10	health	health	NOUN
ihlr-16481	267	11	care	care	NOUN
ihlr-16481	267	12	inefficiency	inefficiency	NOUN
ihlr-16481	267	13	that	that	PRON
ihlr-16481	267	14	derives	derive	VERB
ihlr-16481	267	15	from	from	ADP
ihlr-16481	267	16	both	both	DET
ihlr-16481	267	17	lack	lack	NOUN
ihlr-16481	267	18	of	of	ADP
ihlr-16481	267	19	information	information	NOUN
ihlr-16481	267	20	and	and	CCONJ
ihlr-16481	267	21	asymmetric	asymmetric	ADJ
ihlr-16481	267	22	information	information	NOUN
ihlr-16481	267	23	.	.	PUNCT
ihlr-16481	268	1	34	34	NUM
ihlr-16481	268	2	lack	lack	NOUN
ihlr-16481	268	3	of	of	ADP
ihlr-16481	268	4	information	information	NOUN
ihlr-16481	268	5	means	mean	VERB
ihlr-16481	268	6	that	that	SCONJ
ihlr-16481	268	7	health	health	NOUN
ihlr-16481	268	8	care	care	NOUN
ihlr-16481	268	9	providers	provider	NOUN
ihlr-16481	268	10	do	do	AUX
ihlr-16481	268	11	not	not	PART
ihlr-16481	268	12	know	know	VERB
ihlr-16481	268	13	how	how	SCONJ
ihlr-16481	268	14	well	well	ADV
ihlr-16481	268	15	they	they	PRON
ihlr-16481	268	16	are	be	AUX
ihlr-16481	268	17	doing	do	VERB
ihlr-16481	268	18	for	for	ADP
ihlr-16481	268	19	patients	patient	NOUN
ihlr-16481	268	20	,	,	PUNCT
ihlr-16481	268	21	and	and	CCONJ
ihlr-16481	268	22	therefore	therefore	ADV
ihlr-16481	268	23	can	can	AUX
ihlr-16481	268	24	not	not	PART
ihlr-16481	268	25	improve	improve	VERB
ihlr-16481	268	26	.	.	PUNCT
ihlr-16481	269	1	asymmetric	asymmetric	ADJ
ihlr-16481	269	2	information	information	NOUN
ihlr-16481	269	3	means	mean	VERB
ihlr-16481	269	4	that	that	SCONJ
ihlr-16481	269	5	health	health	NOUN
ihlr-16481	269	6	care	care	NOUN
ihlr-16481	269	7	providers	provider	NOUN
ihlr-16481	269	8	know	know	VERB
ihlr-16481	269	9	how	how	SCONJ
ihlr-16481	269	10	well	well	ADV
ihlr-16481	269	11	they	they	PRON
ihlr-16481	269	12	are	be	AUX
ihlr-16481	269	13	doing	do	VERB
ihlr-16481	269	14	,	,	PUNCT
ihlr-16481	269	15	but	but	CCONJ
ihlr-16481	269	16	patients	patient	NOUN
ihlr-16481	269	17	and	and	CCONJ
ihlr-16481	269	18	health	health	NOUN
ihlr-16481	269	19	care	care	NOUN
ihlr-16481	269	20	purchasers	purchaser	NOUN
ihlr-16481	269	21	do	do	VERB
ihlr-16481	269	22	not	not	PART
ihlr-16481	269	23	,	,	PUNCT
ihlr-16481	269	24	and	and	CCONJ
ihlr-16481	269	25	therefore	therefore	ADV
ihlr-16481	269	26	can	can	AUX
ihlr-16481	269	27	not	not	PART
ihlr-16481	269	28	choose	choose	VERB
ihlr-16481	269	29	sensibly	sensibly	ADV
ihlr-16481	269	30	among	among	ADP
ihlr-16481	269	31	them	they	PRON
ihlr-16481	269	32	.	.	PUNCT
ihlr-16481	270	1	structural	structural	ADJ
ihlr-16481	270	2	pay	pay	NOUN
ihlr-16481	270	3	for	for	ADP
ihlr-16481	270	4	perf01'dl8dce	perf01'dl8dce	ADJ
ihlr-16481	270	5	systems	system	NOUN
ihlr-16481	270	6	linked	link	VERB
ihlr-16481	270	7	·	·	PUNCT
ihlr-16481	270	8	to	to	ADP
ihlr-16481	270	9	the	the	DET
ihlr-16481	270	10	adoption	adoption	NOUN
ihlr-16481	270	11	of	of	ADP
ihlr-16481	270	12	electronic	electronic	ADJ
ihlr-16481	270	13	medical	medical	ADJ
ihlr-16481	270	14	records	record	NOUN
ihlr-16481	270	15	and	and	CCONJ
ihlr-16481	270	16	other	other	ADJ
ihlr-16481	270	17	sorts	sort	NOUN
ihlr-16481	270	18	of	of	ADP
ihlr-16481	270	19	information	information	NOUN
ihlr-16481	270	20	and	and	CCONJ
ihlr-16481	270	21	communication	communication	NOUN
ihlr-16481	270	22	technologies	technology	NOUN
ihlr-16481	270	23	may	may	AUX
ihlr-16481	270	24	begin	begin	VERB
ihlr-16481	270	25	a	a	DET
ihlr-16481	270	26	cascade	cascade	NOUN
ihlr-16481	270	27	of	of	ADP
ihlr-16481	270	28	me8surability.3	me8surability.3	PROPN
ihlr-16481	270	29	$	$	SYM
ihlr-16481	270	30	measurable	measurable	ADJ
ihlr-16481	270	31	quality	quality	NOUN
ihlr-16481	270	32	probably	probably	ADV
ihlr-16481	270	33	means	mean	VERB
ihlr-16481	270	34	better	well	ADJ
ihlr-16481	270	35	quality	quality	NOUN
ihlr-16481	270	36	,	,	PUNCT
ihlr-16481	270	37	although	although	SCONJ
ihlr-16481	270	38	the	the	DET
ihlr-16481	270	39	mechanism	mechanism	NOUN
ihlr-16481	270	40	for	for	ADP
ihlr-16481	270	41	achieving	achieve	VERB
ihlr-16481	270	42	it	it	PRON
ihlr-16481	270	43	may	may	AUX
ihlr-16481	270	44	vary.36	vary.36	PROPN
ihlr-16481	270	45	measurement	measurement	NOUN
ihlr-16481	270	46	,	,	PUNCT
ihlr-16481	270	47	particularly	particularly	ADV
ihlr-16481	270	48	measurement	measurement	NOUN
ihlr-16481	270	49	that	that	PRON
ihlr-16481	270	50	reduces	reduce	VERB
ihlr-16481	270	51	information	information	NOUN
ihlr-16481	270	52	asymmetry	asymmetry	NOUN
ihlr-16481	270	53	,	,	PUNCT
ihlr-16481	270	54	is	be	AUX
ihlr-16481	270	55	a	a	DET
ihlr-16481	270	56	key	key	ADJ
ihlr-16481	270	57	component	component	NOUN
ihlr-16481	270	58	of	of	ADP
ihlr-16481	270	59	competition	competition	NOUN
ihlr-16481	270	60	-	-	PUNCT
ihlr-16481	270	61	based	base	VERB
ihlr-16481	270	62	visions	vision	NOUN
ihlr-16481	270	63	of	of	ADP
ihlr-16481	270	64	american	american	PROPN
ihlr-16481	270	65	health	health	PROPN
ihlr-16481	270	66	care	care	NOUN
ihlr-16481	270	67	.	.	PUNCT
ihlr-16481	271	1	in	in	ADP
ihlr-16481	271	2	economic	economic	ADJ
ihlr-16481	271	3	terms	term	NOUN
ihlr-16481	271	4	,	,	PUNCT
ihlr-16481	271	5	competition	competition	NOUN
ihlr-16481	271	6	involving	involve	VERB
ihlr-16481	271	7	the	the	DET
ihlr-16481	271	8	quality	quality	NOUN
ihlr-16481	271	9	of	of	ADP
ihlr-16481	271	10	a	a	DET
ihlr-16481	271	11	good	good	NOUN
ihlr-16481	271	12	or	or	CCONJ
ihlr-16481	271	13	service	service	NOUN
ihlr-16481	271	14	is	be	AUX
ihlr-16481	271	15	no	no	ADV
ihlr-16481	271	16	different	different	ADJ
ihlr-16481	271	17	than	than	ADP
ihlr-16481	271	18	competition	competition	NOUN
ihlr-16481	271	19	based	base	VERB
ihlr-16481	271	20	on	on	ADP
ihlr-16481	271	21	price	price	NOUN
ihlr-16481	271	22	,	,	PUNCT
ihlr-16481	271	23	except	except	SCONJ
ihlr-16481	271	24	for	for	ADP
ihlr-16481	271	25	the	the	DET
ihlr-16481	271	26	fact	fact	NOUN
ihlr-16481	271	27	that	that	SCONJ
ihlr-16481	271	28	it	it	PRON
ihlr-16481	271	29	is	be	AUX
ihlr-16481	271	30	harder	hard	ADJ
ihlr-16481	271	31	to	to	PART
ihlr-16481	271	32	measure	measure	VERB
ihlr-16481	271	33	.	.	PUNCT
ihlr-16481	272	1	if	if	SCONJ
ihlr-16481	272	2	improved	improve	VERB
ihlr-16481	272	3	measurement	measurement	NOUN
ihlr-16481	272	4	capacity	capacity	NOUN
ihlr-16481	272	5	allows	allow	VERB
ihlr-16481	272	6	providers	provider	NOUN
ihlr-16481	272	7	to	to	PART
ihlr-16481	272	8	make	make	VERB
ihlr-16481	272	9	credible	credible	ADJ
ihlr-16481	272	10	assertions	assertion	NOUN
ihlr-16481	272	11	regarding	regard	VERB
ihlr-16481	272	12	the	the	DET
ihlr-16481	272	13	quality	quality	NOUN
ihlr-16481	272	14	of	of	ADP
ihlr-16481	272	15	the	the	DET
ihlr-16481	272	16	care	care	NOUN
ihlr-16481	272	17	they	they	PRON
ihlr-16481	272	18	deliver	deliver	VERB
ihlr-16481	272	19	,	,	PUNCT
ihlr-16481	272	20	buyers	buyer	NOUN
ihlr-16481	272	21	can	can	AUX
ihlr-16481	272	22	act	act	VERB
ihlr-16481	272	23	on	on	ADP
ihlr-16481	272	24	those	those	DET
ihlr-16481	272	25	assertions	assertion	NOUN
ihlr-16481	272	26	.	.	PUNCT
ihlr-16481	273	1	so	so	ADV
ihlr-16481	273	2	if	if	SCONJ
ihlr-16481	273	3	one	one	PRON
ihlr-16481	273	4	can	can	AUX
ihlr-16481	273	5	measure	measure	VERB
ihlr-16481	273	6	quality	quality	NOUN
ihlr-16481	273	7	better	well	ADV
ihlr-16481	273	8	,	,	PUNCT
ihlr-16481	273	9	arguably	arguably	ADV
ihlr-16481	273	10	one	one	NUM
ihlr-16481	273	11	can	can	AUX
ihlr-16481	273	12	channel	channel	VERB
ihlr-16481	273	13	competition	competition	NOUN
ihlr-16481	273	14	into	into	ADP
ihlr-16481	273	15	fostering	foster	VERB
ihlr-16481	273	16	quality	quality	NOUN
ihlr-16481	273	17	improvement	improvement	NOUN
ihlr-16481	273	18	.	.	PUNCT
ihlr-16481	274	1	another	another	DET
ihlr-16481	274	2	reason	reason	NOUN
ihlr-16481	274	3	one	one	NUM
ihlr-16481	274	4	·	·	PUNCT
ihlr-16481	274	5	might	might	AUX
ihlr-16481	274	6	want	want	VERB
ihlr-16481	274	7	to	to	PART
ihlr-16481	274	8	measure	measure	VERB
ihlr-16481	274	9	quality	quality	NOUN
ihlr-16481	274	10	is	be	AUX
ihlr-16481	274	11	to	to	PART
ihlr-16481	274	12	benchmark	benchmark	VERB
ihlr-16481	274	13	quality	quality	NOUN
ihlr-16481	274	14	so	so	SCONJ
ihlr-16481	274	15	there	there	PRON
ihlr-16481	274	16	can	can	AUX
ihlr-16481	274	17	be	be	AUX
ihlr-16481	274	18	aggressive	aggressive	ADJ
ihlr-16481	274	19	price	price	NOUN
ihlr-16481	274	20	competition	competition	NOUN
ihlr-16481	274	21	.	.	PUNCT
ihlr-16481	275	1	back	back	ADV
ihlr-16481	275	2	in	in	ADP
ihlr-16481	275	3	those	those	DET
ihlr-16481	275	4	heady	heady	ADJ
ihlr-16481	275	5	days	day	NOUN
ihlr-16481	275	6	oftheclintonhealthplan	oftheclintonhealthplan	PROPN
ihlr-16481	275	7	,	,	PUNCT
ihlr-16481	275	8	managedcompetitiongurusbelievedthatastandard	managedcompetitiongurusbelievedthatastandard	NOUN
ihlr-16481	275	9	benefit	benefit	NOUN
ihlr-16481	275	10	package	package	NOUN
ihlr-16481	275	11	with	with	ADP
ihlr-16481	275	12	quality	quality	NOUN
ihlr-16481	275	13	metrics	metric	NOUN
ihlr-16481	275	14	and	and	CCONJ
ihlr-16481	275	15	government	government	NOUN
ihlr-16481	275	16	oversight	oversight	NOUN
ihlr-16481	275	17	would	would	AUX
ihlr-16481	275	18	make	make	VERB
ihlr-16481	275	19	it	it	PRON
ihlr-16481	275	20	possible	possible	ADJ
ihlr-16481	275	21	for	for	SCONJ
ihlr-16481	275	22	consumers	consumer	NOUN
ihlr-16481	275	23	to	to	PART
ihlr-16481	275	24	comparison	comparison	VERB
ihlr-16481	275	25	shop	shop	NOUN
ihlr-16481	275	26	for	for	ADP
ihlr-16481	275	27	health	health	NOUN
ihlr-16481	275	28	insurance	insurance	NOUN
ihlr-16481	275	29	.	.	PUNCT
ihlr-16481	276	1	if	if	SCONJ
ihlr-16481	276	2	one	one	PRON
ihlr-16481	276	3	wants	want	VERB
ihlr-16481	276	4	better	well	ADJ
ihlr-16481	276	5	price	price	NOUN
ihlr-16481	276	6	competitimi	competitimi	NOUN
ihlr-16481	276	7	for	for	ADP
ihlr-16481	276	8	medical	medical	ADJ
ihlr-16481	276	9	care	care	NOUN
ihlr-16481	276	10	,	,	PUNCT
ihlr-16481	276	11	therefore	therefore	ADV
ihlr-16481	276	12	,	,	PUNCT
ihlr-16481	276	13	one	one	PRON
ihlr-16481	276	14	also	also	ADV
ihlr-16481	276	15	needs	need	VERB
ihlr-16481	276	16	to	to	ADP
ihlr-16481	276	17	34	34	NUM
ihlr-16481	276	18	.	.	PUNCT
ihlr-16481	277	1	see	see	VERB
ihlr-16481	277	2	wiuiam	wiuiam	PROPN
ihlr-16481	277	3	m.	m.	NOUN
ihlr-16481	277	4	sage	sage	NOUN
ihlr-16481	277	5	,	,	PUNCT
ihlr-16481	277	6	reguloting	regulote	VERB
ihlr-16481	277	7	through	through	ADP
ihlr-16481	277	8	information	information	NOUN
ihlr-16481	277	9	:	:	PUNCT
ihlr-16481	277	10	disclosure	disclosure	NOUN
ihlr-16481	277	11	laws	law	NOUN
ihlr-16481	277	12	ond	ond	PROPN
ihlr-16481	277	13	american	american	PROPN
ihlr-16481	277	14	health	health	PROPN
ihlr-16481	277	15	care	care	PROPN
ihlr-16481	277	16	,	,	PUNCT
ihlr-16481	277	17	99	99	NUM
ihlr-16481	277	18	cowm	cowm	NOUN
ihlr-16481	277	19	.	.	PUNCT
ihlr-16481	278	1	l.	l.	PROPN
ihlr-16481	278	2	rev	rev	PROPN
ihlr-16481	278	3	.	.	PROPN
ihlr-16481	278	4	1701	1701	NUM
ihlr-16481	278	5	,	,	PUNCT
ihlr-16481	278	6	1715	1715	NUM
ihlr-16481	278	7	-	-	SYM
ihlr-16481	278	8	20	20	NUM
ihlr-16481	278	9	,	,	PUNCT
ihlr-16481	278	10	1771	1771	NUM
ihlr-16481	278	11	-	-	SYM
ihlr-16481	278	12	80	80	NUM
ihlr-16481	278	13	(	(	PUNCT
ihlr-16481	278	14	1999	1999	NUM
ihlr-16481	278	15	)	)	PUNCT
ihlr-16481	278	16	.	.	PUNCT
ihlr-16481	279	1	35	35	NUM
ihlr-16481	279	2	.	.	PUNCT
ihlr-16481	280	1	see	see	VERB
ihlr-16481	280	2	,	,	PUNCT
ihlr-16481	280	3	e.g.	e.g.	ADV
ihlr-16481	280	4	,petewelch&h.gilbortwelch	,petewelch&h.gilbortwelch	PUNCT
ihlr-16481	280	5	,	,	PUNCT
ihlr-16481	280	6	fee	fee	NOUN
ihlr-16481	280	7	-	-	PUNCT
ihlr-16481	280	8	jor	jor	NOUN
ihlr-16481	280	9	-	-	PUNCT
ihlr-16481	280	10	data	data	PROPN
ihlr-16481	280	11	:	:	PUNCT
ihlr-16481	280	12	astrategytoopenthehmo	astrategytoopenthehmo	PROPN
ihlr-16481	280	13	black	black	PROPN
ihlr-16481	280	14	box	box	PROPN
ihlr-16481	280	15	,	,	PUNCT
ihlr-16481	280	16	14(4	14(4	NUM
ihlr-16481	280	17	)	)	PUNCT
ihlr-16481	280	18	heai.m	heai.m	NOUN
ihlr-16481	281	1	aff	aff	PROPN
ihlr-16481	281	2	.	.	PROPN
ihlr-16481	282	1	104	104	NUM
ihlr-16481	282	2	,	,	PUNCT
ihlr-16481	282	3	104	104	NUM
ihlr-16481	282	4	(	(	PUNCT
ihlr-16481	282	5	1995	1995	NUM
ihlr-16481	282	6	)	)	PUNCT
ihlr-16481	282	7	(	(	PUNCT
ihlr-16481	282	8	proposing	propose	VERB
ihlr-16481	282	9	that	that	SCONJ
ihlr-16481	282	10	medicare	medicare	PROPN
ihlr-16481	282	11	pay	pay	VERB
ihlr-16481	282	12	hmos	hmos	PROPN
ihlr-16481	282	13	more	more	ADV
ihlr-16481	282	14	for	for	ADP
ihlr-16481	282	15	sharing	share	VERB
ihlr-16481	282	16	claims	claim	NOUN
ihlr-16481	282	17	and	and	CCONJ
ihlr-16481	282	18	encounter	encounter	ADJ
ihlr-16481	282	19	data	datum	NOUN
ihlr-16481	282	20	)	)	PUNCT
ihlr-16481	282	21	.	.	PUNCT
ihlr-16481	282	22	·	·	PUNCT
ihlr-16481	283	1	36	36	NUM
ihlr-16481	283	2	.	.	PUNCT
ihlr-16481	283	3	sage	sage	NOUN
ihlr-16481	283	4	,	,	PUNCT
ihlr-16481	283	5	supra	supra	PROPN
ihlr-16481	283	6	note	note	NOUN
ihlr-16481	283	7	34	34	NUM
ihlr-16481	283	8	,	,	PUNCT
ihlr-16481	283	9	at	at	ADP
ihlr-16481	283	10	1826	1826	NUM
ihlr-16481	283	11	(	(	PUNCT
ihlr-16481	283	12	distinguishing	distinguish	VERB
ihlr-16481	283	13	eonsumersovereignty	eonsumersovereignty	ADJ
ihlr-16481	283	14	ftom	ftom	NOUN
ihlr-16481	283	15	ends	ends	AUX
ihlr-16481	283	16	-	-	PUNCT
ihlr-16481	283	17	forcing	force	VERB
ihlr-16481	283	18	regulatory	regulatory	ADJ
ihlr-16481	283	19	or	or	CCONJ
ihlr-16481	283	20	self	self	NOUN
ihlr-16481	283	21	-	-	PUNCT
ihlr-16481	283	22	regulatory	regulatory	ADJ
ihlr-16481	283	23	oversight	oversight	NOUN
ihlr-16481	283	24	)	)	PUNCT
ihlr-16481	283	25	;	;	PUNCT
ihlr-16481	283	26	see	see	VERB
ihlr-16481	283	27	also	also	ADV
ihlr-16481	283	28	anne	anne	PROPN
ihlr-16481	283	29	-	-	PUNCT
ihlr-16481	283	30	marie	marie	PROPN
ihlr-16481	283	31	j.	j.	PROPN
ihlr-16481	283	32	audet	audet	PROPN
ihlr-16481	283	33	et	et	PROPN
ihlr-16481	283	34	al	al	PROPN
ihlr-16481	283	35	.	.	PROPN
ihlr-16481	283	36	,	,	PUNCT
ihlr-16481	283	37	measure	measure	NOUN
ihlr-16481	283	38	,	,	PUNCT
ihlr-16481	283	39	learn	learn	VERB
ihlr-16481	283	40	,	,	PUNCT
ihlr-16481	283	41	ondlmprove	ondlmprove	ADJ
ihlr-16481	283	42	:	:	PUNCT
ihlr-16481	283	43	physicians'lnvolvememmqualil)'lmprovement,24(3)heai.maff.843,843	physicians'lnvolvememmqualil)'lmprovement,24(3)heai.maff.843,843	VERB
ihlr-16481	283	44	-	-	SYM
ihlr-16481	283	45	44	44	NUM
ihlr-16481	283	46	(	(	PUNCT
ihlr-16481	283	47	2005	2005	NUM
ihlr-16481	283	48	)	)	PUNCT
ihlr-16481	283	49	(	(	PUNCT
ihlr-16481	283	50	contrasting	contrast	VERB
ihlr-16481	283	51	physicians	physician	NOUN
ihlr-16481	283	52	desire	desire	NOUN
ihlr-16481	283	53	·	·	PUNCT
ihlr-16481	283	54	for	for	ADP
ihlr-16481	283	55	quality	quality	NOUN
ihlr-16481	283	56	-	-	PUNCT
ihlr-16481	283	57	related	relate	VERB
ihlr-16481	283	58	practice	practice	NOUN
ihlr-16481	283	59	information	information	NOUN
ihlr-16481	283	60	with	with	ADP
ihlr-16481	283	61	their	their	PRON
ihlr-16481	283	62	resistance	resistance	NOUN
ihlr-16481	283	63	to	to	ADP
ihlr-16481	283	64	external	external	ADJ
ihlr-16481	283	65	disclosure	disclosure	NOUN
ihlr-16481	283	66	)	)	PUNCT
ihlr-16481	283	67	.	.	PUNCT
ihlr-16481	284	1	2006	2006	NUM
ihlr-16481	284	2	]	]	PUNCT
ihlr-16481	285	1	p4p	p4p	PROPN
ihlr-16481	285	2	:	:	PUNCT
ihlr-16481	285	3	will	will	AUX
ihlr-16481	285	4	it	it	PRON
ihlr-16481	285	5	work	work	VERB
ihlr-16481	285	6	in	in	ADP
ihlr-16481	285	7	theory	theory	NOUN
ihlr-16481	285	8	?	?	PUNCT
ihlr-16481	286	1	317	317	NUM
ihlr-16481	286	2	be	be	AUX
ihlr-16481	286	3	able	able	ADJ
ihlr-16481	286	4	to	to	PART
ihlr-16481	286	5	measure	measure	VERB
ihlr-16481	286	6	quality	quality	NOUN
ihlr-16481	286	7	.	.	PUNCT
ihlr-16481	287	1	this	this	DET
ihlr-16481	287	2	rationale	rationale	NOUN
ihlr-16481	287	3	for	for	ADP
ihlr-16481	287	4	p4p	p4p	PROPN
ihlr-16481	287	5	,	,	PUNCT
ihlr-16481	287	6	however	however	ADV
ihlr-16481	287	7	,	,	PUNCT
ihlr-16481	287	8	must	must	AUX
ihlr-16481	287	9	be	be	AUX
ihlr-16481	287	10	imple­	imple­	NOUN
ihlr-16481	287	11	mented	mente	VERB
ihlr-16481	287	12	carefully	carefully	ADV
ihlr-16481	287	13	.	.	PUNCT
ihlr-16481	288	1	one	one	NUM
ihlr-16481	288	2	caution	caution	NOUN
ihlr-16481	288	3	is	be	AUX
ihlr-16481	288	4	complexity	complexity	NOUN
ihlr-16481	288	5	.	.	PUNCT
ihlr-16481	289	1	adding	add	VERB
ihlr-16481	289	2	layers	layer	NOUN
ihlr-16481	289	3	of	of	ADP
ihlr-16481	289	4	pay	pay	NOUN
ihlr-16481	289	5	for	for	ADP
ihlr-16481	289	6	performance	performance	NOUN
ihlr-16481	289	7	incentives	incentive	NOUN
ihlr-16481	289	8	to	to	PART
ihlr-16481	289	9	already	already	ADV
ihlr-16481	289	10	complicated	complicate	VERB
ihlr-16481	289	11	payment	payment	NOUN
ihlr-16481	289	12	methodologies	methodology	NOUN
ihlr-16481	289	13	in	in	ADP
ihlr-16481	289	14	health	health	NOUN
ihlr-16481	289	15	care	care	NOUN
ihlr-16481	289	16	makes	make	VERB
ihlr-16481	289	17	benchmarked	benchmarked	ADJ
ihlr-16481	289	18	price	price	NOUN
ihlr-16481	289	19	even	even	ADV
ihlr-16481	289	20	less	less	ADV
ihlr-16481	289	21	transparent	transparent	ADJ
ihlr-16481	289	22	to	to	ADP
ihlr-16481	289	23	buyers	buyer	NOUN
ihlr-16481	289	24	.	.	PUNCT
ihlr-16481	290	1	it	it	PRON
ihlr-16481	290	2	may	may	AUX
ihlr-16481	290	3	be	be	AUX
ihlr-16481	290	4	good	good	ADJ
ihlr-16481	290	5	to	to	PART
ihlr-16481	290	6	have	have	VERB
ihlr-16481	290	7	more	more	ADJ
ihlr-16481	290	8	information	information	NOUN
ihlr-16481	290	9	about	about	ADP
ihlr-16481	290	10	quality	quality	NOUN
ihlr-16481	290	11	,	,	PUNCT
ihlr-16481	290	12	but	but	CCONJ
ihlr-16481	290	13	it	it	PRON
ihlr-16481	290	14	may	may	AUX
ihlr-16481	290	15	not	not	PART
ihlr-16481	290	16	be	be	AUX
ihlr-16481	290	17	good	good	ADJ
ihlr-16481	290	18	to	to	PART
ihlr-16481	290	19	combine	combine	VERB
ihlr-16481	290	20	traditional	traditional	ADJ
ihlr-16481	290	21	payment	payment	NOUN
ihlr-16481	290	22	systems	system	NOUN
ihlr-16481	290	23	with	with	ADP
ihlr-16481	290	24	p4p	p4p	PROPN
ihlr-16481	290	25	supplements	supplement	NOUN
ihlr-16481	290	26	.	.	PUNCT
ihlr-16481	291	1	the	the	DET
ihlr-16481	291	2	other	other	ADJ
ihlr-16481	291	3	problem	problem	NOUN
ihlr-16481	291	4	with	with	ADP
ihlr-16481	291	5	a	a	DET
ihlr-16481	291	6	competition	competition	NOUN
ihlr-16481	291	7	-	-	PUNCT
ihlr-16481	291	8	based	base	VERB
ihlr-16481	291	9	rationale	rationale	NOUN
ihlr-16481	291	10	for	for	ADP
ihlr-16481	291	11	p4p	p4p	PROPN
ihlr-16481	291	12	is	be	AUX
ihlr-16481	291	13	collusion	collusion	NOUN
ihlr-16481	291	14	.	.	PUNCT
ihlr-16481	292	1	if	if	SCONJ
ihlr-16481	292	2	quality	quality	NOUN
ihlr-16481	292	3	measurement	measurement	NOUN
ihlr-16481	292	4	is	be	AUX
ihlr-16481	292	5	to	to	PART
ihlr-16481	292	6	improve	improve	VERB
ihlr-16481	292	7	,	,	PUNCT
ihlr-16481	292	8	measurement	measurement	NOUN
ihlr-16481	292	9	techniques	technique	NOUN
ihlr-16481	292	10	need	need	VERB
ihlr-16481	292	11	to	to	PART
ihlr-16481	292	12	be	be	AUX
ihlr-16481	292	13	consistent	consistent	ADJ
ihlr-16481	292	14	from	from	ADP
ihlr-16481	292	15	provider	provider	NOUN
ihlr-16481	292	16	to	to	ADP
ihlr-16481	292	17	provider	provider	NOUN
ihlr-16481	292	18	and	and	CCONJ
ihlr-16481	292	19	payer	payer	NOUN
ihlr-16481	292	20	to	to	ADP
ihlr-16481	292	21	payer	payer	NOUN
ihlr-16481	292	22	.	.	PUNCT
ihlr-16481	293	1	but	but	CCONJ
ihlr-16481	293	2	the	the	DET
ihlr-16481	293	3	process	process	NOUN
ihlr-16481	293	4	of	of	ADP
ihlr-16481	293	5	getting	get	VERB
ihlr-16481	293	6	everyone	everyone	PRON
ihlr-16481	293	7	on	on	ADP
ihlr-16481	293	8	the	the	DET
ihlr-16481	293	9	same	same	ADJ
ihlr-16481	293	10	page	page	NOUN
ihlr-16481	293	11	in	in	ADP
ihlr-16481	293	12	terms	term	NOUN
ihlr-16481	293	13	of	of	ADP
ihlr-16481	293	14	what	what	PRON
ihlr-16481	293	15	they	they	PRON
ihlr-16481	293	16	are	be	AUX
ihlr-16481	293	17	measuring	measure	VERB
ihlr-16481	293	18	and	and	CCONJ
ihlr-16481	293	19	how	how	SCONJ
ihlr-16481	293	20	much	much	ADJ
ihlr-16481	293	21	of	of	ADP
ihlr-16481	293	22	a	a	DET
ihlr-16481	293	23	reward	reward	NOUN
ihlr-16481	293	24	they	they	PRON
ihlr-16481	293	25	are	be	AUX
ihlr-16481	293	26	offering	offer	VERB
ihlr-16481	293	27	or	or	CCONJ
ihlr-16481	293	28	receiving	receive	VERB
ihlr-16481	293	29	for	for	ADP
ihlr-16481	293	30	an	an	DET
ihlr-16481	293	31	increment	increment	NOUN
ihlr-16481	293	32	of	of	ADP
ihlr-16481	293	33	quality	quality	NOUN
ihlr-16481	293	34	may	may	AUX
ihlr-16481	293	35	end	end	VERB
ihlr-16481	293	36	up	up	ADP
ihlr-16481	293	37	dampening	dampen	VERB
ihlr-16481	293	38	competition	competition	NOUN
ihlr-16481	293	39	rather	rather	ADV
ihlr-16481	293	40	than	than	ADP
ihlr-16481	293	41	improving	improve	VERB
ihlr-16481	293	42	competition	competition	NOUN
ihlr-16481	293	43	.	.	PUNCT
ihlr-16481	294	1	private	private	ADJ
ihlr-16481	294	2	insurers	insurer	NOUN
ihlr-16481	294	3	have	have	AUX
ihlr-16481	294	4	been	be	AUX
ihlr-16481	294	5	alert	alert	ADJ
ihlr-16481	294	6	to	to	ADP
ihlr-16481	294	7	the	the	DET
ihlr-16481	294	8	antitrust	antitrust	ADJ
ihlr-16481	294	9	risks	risk	NOUN
ihlr-16481	294	10	of	of	ADP
ihlr-16481	294	11	agreeing	agree	VERB
ihlr-16481	294	12	on	on	ADP
ihlr-16481	294	13	specific	specific	ADJ
ihlr-16481	294	14	p4p	p4p	PROPN
ihlr-16481	294	15	payment	payment	NOUN
ihlr-16481	294	16	amounts	amount	NOUN
ihlr-16481	294	17	,	,	PUNCT
ihlr-16481	294	18	but	but	CCONJ
ihlr-16481	294	19	the	the	DET
ihlr-16481	294	20	health	health	NOUN
ihlr-16481	294	21	policy	policy	NOUN
ihlr-16481	294	22	and	and	CCONJ
ihlr-16481	294	23	medical	medical	ADJ
ihlr-16481	294	24	professional	professional	ADJ
ihlr-16481	294	25	literature	literature	NOUN
ihlr-16481	294	26	on	on	ADP
ihlr-16481	294	27	pay	pay	NOUN
ihlr-16481	294	28	for	for	ADP
ihlr-16481	294	29	performance	performance	NOUN
ihlr-16481	294	30	by	by	ADP
ihlr-16481	294	31	and	and	CCONJ
ihlr-16481	294	32	large	large	ADJ
ihlr-16481	294	33	views	view	NOUN
ihlr-16481	294	34	the	the	DET
ihlr-16481	294	35	development	development	NOUN
ihlr-16481	294	36	of	of	ADP
ihlr-16481	294	37	quality	quality	NOUN
ihlr-16481	294	38	incentives	incentive	NOUN
ihlr-16481	294	39	as	as	ADP
ihlr-16481	294	40	a	a	DET
ihlr-16481	294	41	cooperative	cooperative	ADJ
ihlr-16481	294	42	enterprise	enterprise	NOUN
ihlr-16481	294	43	and	and	CCONJ
ihlr-16481	294	44	seems	seem	VERB
ihlr-16481	294	45	unaware	unaware	ADJ
ihlr-16481	294	46	of	of	ADP
ihlr-16481	294	47	the	the	DET
ihlr-16481	294	48	anticompetitive	anticompetitive	ADJ
ihlr-16481	294	49	potential	potential	NOUN
ihlr-16481	294	50	of	of	ADP
ihlr-16481	294	51	uniformity	uniformity	NOUN
ihlr-16481	294	52	.	.	PUNCT
ihlr-16481	295	1	the	the	DET
ihlr-16481	295	2	measurement	measurement	NOUN
ihlr-16481	295	3	theory	theory	NOUN
ihlr-16481	295	4	ofp4p	ofp4p	PROPN
ihlr-16481	295	5	is	be	AUX
ihlr-16481	295	6	also	also	ADV
ihlr-16481	295	7	compatible	compatible	ADJ
ihlr-16481	295	8	with	with	ADP
ihlr-16481	295	9	non	non	ADJ
ihlr-16481	295	10	-	-	ADJ
ihlr-16481	295	11	competitive	competitive	ADJ
ihlr-16481	295	12	mechanisms	mechanism	NOUN
ihlr-16481	295	13	for	for	ADP
ihlr-16481	295	14	quality	quality	NOUN
ihlr-16481	295	15	improvement	improvement	NOUN
ihlr-16481	295	16	.	.	PUNCT
ihlr-16481	296	1	in	in	ADP
ihlr-16481	296	2	fact	fact	NOUN
ihlr-16481	296	3	,	,	PUNCT
ihlr-16481	296	4	competition	competition	NOUN
ihlr-16481	296	5	on	on	ADP
ihlr-16481	296	6	quality	quality	NOUN
ihlr-16481	296	7	eventually	eventually	ADV
ihlr-16481	296	8	should	should	AUX
ihlr-16481	296	9	render	render	VERB
ihlr-16481	296	10	explicit	explicit	ADJ
ihlr-16481	296	11	p4p	p4p	PROPN
ihlr-16481	296	12	superfluous	superfluous	ADJ
ihlr-16481	296	13	.	.	PUNCT
ihlr-16481	297	1	at	at	ADP
ihlr-16481	297	2	the	the	DET
ihlr-16481	297	3	point	point	NOUN
ihlr-16481	297	4	where	where	SCONJ
ihlr-16481	297	5	providers	provider	NOUN
ihlr-16481	297	6	can	can	AUX
ihlr-16481	297	7	make	make	VERB
ihlr-16481	297	8	credible	credible	ADJ
ihlr-16481	297	9	quality	quality	NOUN
ihlr-16481	297	10	commitments	commitment	NOUN
ihlr-16481	297	11	to	to	ADP
ihlr-16481	297	12	purchasers	purchaser	NOUN
ihlr-16481	297	13	,	,	PUNCT
ihlr-16481	297	14	the	the	DET
ihlr-16481	297	15	need	need	NOUN
ihlr-16481	297	16	for	for	ADP
ihlr-16481	297	17	supplemental	supplemental	ADJ
ihlr-16481	297	18	p4p	p4p	PROPN
ihlr-16481	297	19	recedes	recede	VERB
ihlr-16481	297	20	and	and	CCONJ
ihlr-16481	297	21	payment	payment	NOUN
ihlr-16481	297	22	terms	term	NOUN
ihlr-16481	297	23	simply	simply	ADV
ihlr-16481	297	24	integrate	integrate	VERB
ihlr-16481	297	25	quality	quality	NOUN
ihlr-16481	297	26	considerations	consideration	NOUN
ihlr-16481	297	27	with	with	ADP
ihlr-16481	297	28	price	price	NOUN
ihlr-16481	297	29	considerations	consideration	NOUN
ihlr-16481	297	30	.	.	PUNCT
ihlr-16481	298	1	however	however	ADV
ihlr-16481	298	2	,	,	PUNCT
ihlr-16481	298	3	p4p	p4p	PROPN
ihlr-16481	298	4	that	that	PRON
ihlr-16481	298	5	furthers	further	VERB
ihlr-16481	298	6	measurement	measurement	NOUN
ihlr-16481	298	7	can	can	AUX
ihlr-16481	298	8	reinforce	reinforce	VERB
ihlr-16481	298	9	government	government	NOUN
ihlr-16481	298	10	regulation	regulation	NOUN
ihlr-16481	298	11	or	or	CCONJ
ihlr-16481	298	12	professional	professional	ADJ
ihlr-16481	298	13	self­	self­	NOUN
ihlr-16481	298	14	regulatory	regulatory	ADJ
ihlr-16481	298	15	processes	process	NOUN
ihlr-16481	298	16	even	even	ADV
ihlr-16481	298	17	if	if	SCONJ
ihlr-16481	298	18	competition	competition	NOUN
ihlr-16481	298	19	never	never	ADV
ihlr-16481	298	20	develops	develop	VERB
ihlr-16481	298	21	.	.	PUNCT
ihlr-16481	299	1	whether	whether	SCONJ
ihlr-16481	299	2	or	or	CCONJ
ihlr-16481	299	3	not	not	PART
ihlr-16481	299	4	the	the	DET
ihlr-16481	299	5	buying	buy	VERB
ihlr-16481	299	6	public	public	ADJ
ihlr-16481	299	7	values	value	NOUN
ihlr-16481	299	8	quality	quality	NOUN
ihlr-16481	299	9	,	,	PUNCT
ihlr-16481	299	10	once	once	SCONJ
ihlr-16481	299	11	regulators	regulator	NOUN
ihlr-16481	299	12	or	or	CCONJ
ihlr-16481	299	13	the	the	DET
ihlr-16481	299	14	medical	medical	ADJ
ihlr-16481	299	15	profession	profession	NOUN
ihlr-16481	299	16	can	can	AUX
ihlr-16481	299	17	measure	measure	VERB
ihlr-16481	299	18	quality	quality	NOUN
ihlr-16481	299	19	,	,	PUNCT
ihlr-16481	299	20	they	they	PRON
ihlr-16481	299	21	can	can	AUX
ihlr-16481	299	22	do	do	VERB
ihlr-16481	299	23	something	something	PRON
ihlr-16481	299	24	about	about	ADP
ihlr-16481	299	25	it	it	PRON
ihlr-16481	299	26	directly	directly	ADV
ihlr-16481	299	27	.	.	PUNCT
ihlr-16481	300	1	if	if	SCONJ
ihlr-16481	300	2	that	that	PRON
ihlr-16481	300	3	is	be	AUX
ihlr-16481	300	4	the	the	DET
ihlr-16481	300	5	mechanism	mechanism	NOUN
ihlr-16481	300	6	by	by	ADP
ihlr-16481	300	7	which	which	PRON
ihlr-16481	300	8	p4p	p4p	PROPN
ihlr-16481	300	9	connects	connect	VERB
ihlr-16481	300	10	measurement	measurement	NOUN
ihlr-16481	300	11	to	to	ADP
ihlr-16481	300	12	quality	quality	NOUN
ihlr-16481	300	13	improvement	improvement	NOUN
ihlr-16481	300	14	,	,	PUNCT
ihlr-16481	300	15	of	of	ADP
ihlr-16481	300	16	course	course	NOUN
ihlr-16481	300	17	,	,	PUNCT
ihlr-16481	300	18	the	the	DET
ihlr-16481	300	19	principal	principal	ADJ
ihlr-16481	300	20	benefits	benefit	NOUN
ihlr-16481	300	21	are	be	AUX
ihlr-16481	300	22	going	go	VERB
ihlr-16481	300	23	to	to	PART
ihlr-16481	300	24	be	be	AUX
ihlr-16481	300	25	collective	collective	ADJ
ihlr-16481	300	26	rather	rather	ADV
ihlr-16481	300	27	than	than	ADP
ihlr-16481	300	28	accruing	accrue	VERB
ihlr-16481	300	29	to	to	ADP
ihlr-16481	300	30	individual	individual	ADJ
ihlr-16481	300	31	buyers	buyer	NOUN
ihlr-16481	300	32	(	(	PUNCT
ihlr-16481	300	33	or	or	CCONJ
ihlr-16481	300	34	to	to	ADP
ihlr-16481	300	35	individual	individual	ADJ
ihlr-16481	300	36	sellers	seller	NOUN
ihlr-16481	300	37	anticipating	anticipate	VERB
ihlr-16481	300	38	the	the	DET
ihlr-16481	300	39	behavior	behavior	NOUN
ihlr-16481	300	40	of	of	ADP
ihlr-16481	300	41	those	those	DET
ihlr-16481	300	42	buyers	buyer	NOUN
ihlr-16481	300	43	)	)	PUNCT
ihlr-16481	300	44	.	.	PUNCT
ihlr-16481	301	1	consequently	consequently	ADV
ihlr-16481	301	2	,	,	PUNCT
ihlr-16481	301	3	economically	economically	ADV
ihlr-16481	301	4	self	self	NOUN
ihlr-16481	301	5	-	-	PUNCT
ihlr-16481	301	6	interested	interested	ADJ
ihlr-16481	301	7	parties	party	NOUN
ihlr-16481	301	8	will	will	AUX
ihlr-16481	301	9	not	not	PART
ihlr-16481	301	10	invest	invest	VERB
ihlr-16481	301	11	enthusiastically	enthusiastically	ADV
ihlr-16481	301	12	in	in	ADP
ihlr-16481	301	13	p4p	p4p	PROPN
ihlr-16481	301	14	systems	system	NOUN
ihlr-16481	301	15	because	because	SCONJ
ihlr-16481	301	16	they	they	PRON
ihlr-16481	301	17	can	can	AUX
ihlr-16481	301	18	not	not	PART
ihlr-16481	301	19	capture	capture	VERB
ihlr-16481	301	20	exclusive	exclusive	ADJ
ihlr-16481	301	21	returns	return	NOUN
ihlr-16481	301	22	from	from	ADP
ihlr-16481	301	23	them	they	PRON
ihlr-16481	301	24	.	.	PUNCT
ihlr-16481	302	1	a	a	DET
ihlr-16481	302	2	national	national	ADJ
ihlr-16481	302	3	commitment	commitment	NOUN
ihlr-16481	302	4	to	to	PART
ihlr-16481	302	5	make	make	VERB
ihlr-16481	302	6	quality	quality	NOUN
ihlr-16481	302	7	measurable	measurable	ADJ
ihlr-16481	302	8	through	through	ADP
ihlr-16481	302	9	pay	pay	NOUN
ihlr-16481	302	10	for	for	ADP
ihlr-16481	302	11	performance	performance	NOUN
ihlr-16481	302	12	may	may	AUX
ihlr-16481	302	13	require	require	VERB
ihlr-16481	302	14	public	public	ADJ
ihlr-16481	302	15	investment	investment	NOUN
ihlr-16481	302	16	.	.	PUNCT
ihlr-16481	303	1	c.	c.	NOUN
ihlr-16481	303	2	loyalty	loyalty	PROPN
ihlr-16481	303	3	theory	theory	NOUN
ihlr-16481	303	4	another	another	DET
ihlr-16481	303	5	plausible	plausible	ADJ
ihlr-16481	303	6	theory	theory	NOUN
ihlr-16481	303	7	of	of	ADP
ihlr-16481	303	8	pay	pay	NOUN
ihlr-16481	303	9	for	for	ADP
ihlr-16481	303	10	performance	performance	NOUN
ihlr-16481	303	11	,	,	PUNCT
ihlr-16481	303	12	though	though	SCONJ
ihlr-16481	303	13	one	one	NUM
ihlr-16481	303	14	that	that	PRON
ihlr-16481	303	15	is	be	AUX
ihlr-16481	303	16	harder	hard	ADJ
ihlr-16481	303	17	to	to	PART
ihlr-16481	303	18	implement	implement	VERB
ihlr-16481	303	19	,	,	PUNCT
ihlr-16481	303	20	can	can	AUX
ihlr-16481	303	21	be	be	AUX
ihlr-16481	303	22	called	call	VERB
ihlr-16481	303	23	the	the	DET
ihlr-16481	303	24	loyalty	loyalty	NOUN
ihlr-16481	303	25	theory	theory	NOUN
ihlr-16481	303	26	.	.	PUNCT
ihlr-16481	304	1	the	the	DET
ihlr-16481	304	2	loyalty	loyalty	NOUN
ihlr-16481	304	3	theory	theory	NOUN
ihlr-16481	304	4	grows	grow	VERB
ihlr-16481	304	5	out	out	ADP
ihlr-16481	304	6	of	of	ADP
ihlr-16481	304	7	the	the	DET
ihlr-16481	304	8	managed	manage	VERB
ihlr-16481	304	9	care	care	NOUN
ihlr-16481	304	10	experiences	experience	NOUN
ihlr-16481	304	11	of	of	ADP
ihlr-16481	304	12	the	the	DET
ihlr-16481	304	13	1990s	1990	NOUN
ihlr-16481	304	14	,	,	PUNCT
ihlr-16481	304	15	which	which	PRON
ihlr-16481	304	16	introduced	introduce	VERB
ihlr-16481	304	17	into	into	ADP
ihlr-16481	304	18	the	the	DET
ihlr-16481	304	19	health	health	NOUN
ihlr-16481	304	20	care	care	NOUN
ihlr-16481	304	21	system	system	NOUN
ihlr-16481	304	22	a	a	DET
ihlr-16481	304	23	host	host	NOUN
ihlr-16481	304	24	of	of	ADP
ihlr-16481	304	25	what	what	PRON
ihlr-16481	304	26	economists	economist	NOUN
ihlr-16481	304	27	and	and	CCONJ
ihlr-16481	304	28	legal	legal	ADJ
ihlr-16481	304	29	scholars	scholar	NOUN
ihlr-16481	304	30	call	call	VERB
ihlr-16481	304	31	318	318	NUM
ihlr-16481	304	32	indiana	indiana	PROPN
ihlr-16481	304	33	health	health	PROPN
ihlr-16481	304	34	law	law	PROPN
ihlr-16481	304	35	review	review	NOUN
ihlr-16481	304	36	[	[	X
ihlr-16481	304	37	vol	vol	NOUN
ihlr-16481	304	38	.	.	PUNCT
ihlr-16481	305	1	3:303	3:303	NUM
ihlr-16481	305	2	"	"	PUNCT
ihlr-16481	305	3	agency	agency	NOUN
ihlr-16481	305	4	costs	cost	NOUN
ihlr-16481	305	5	.	.	PUNCT
ihlr-16481	306	1	'm	be	AUX
ihlr-16481	306	2	instead	instead	ADV
ihlr-16481	306	3	of	of	ADP
ihlr-16481	306	4	a	a	DET
ihlr-16481	306	5	dyadic	dyadic	ADJ
ihlr-16481	306	6	relationship	relationship	NOUN
ihlr-16481	306	7	between	between	ADP
ihlr-16481	306	8	a	a	DET
ihlr-16481	306	9	single	single	ADJ
ihlr-16481	306	10	consumer	consumer	NOUN
ihlr-16481	306	11	(	(	PUNCT
ihlr-16481	306	12	the	the	DET
ihlr-16481	306	13	patient	patient	NOUN
ihlr-16481	306	14	)	)	PUNCT
ihlr-16481	306	15	and	and	CCONJ
ihlr-16481	306	16	a	a	DET
ihlr-16481	306	17	single	single	ADJ
ihlr-16481	306	18	provider	provider	NOUN
ihlr-16481	306	19	(	(	PUNCT
ihlr-16481	306	20	a	a	DET
ihlr-16481	306	21	physician	physician	NOUN
ihlr-16481	306	22	or	or	CCONJ
ihlr-16481	306	23	perhaps	perhaps	ADV
ihlr-16481	306	24	a	a	DET
ihlr-16481	306	25	hospital	hospital	NOUN
ihlr-16481	306	26	)	)	PUNCT
ihlr-16481	306	27	,	,	PUNCT
ihlr-16481	306	28	with	with	ADP
ihlr-16481	306	29	care	care	NOUN
ihlr-16481	306	30	usually	usually	ADV
ihlr-16481	306	31	financed	finance	VERB
ihlr-16481	306	32	by	by	ADP
ihlr-16481	306	33	a	a	DET
ihlr-16481	306	34	passive	passive	ADJ
ihlr-16481	306	35	third	third	ADJ
ihlr-16481	306	36	party	party	NOUN
ihlr-16481	306	37	payer	payer	NOUN
ihlr-16481	306	38	(	(	PUNCT
ihlr-16481	306	39	a	a	DET
ihlr-16481	306	40	health	health	NOUN
ihlr-16481	306	41	insurer	insurer	NOUN
ihlr-16481	306	42	)	)	PUNCT
ihlr-16481	306	43	,	,	PUNCT
ihlr-16481	306	44	there	there	PRON
ihlr-16481	306	45	are	be	VERB
ihlr-16481	306	46	various	various	ADJ
ihlr-16481	306	47	intermediaries	intermediary	NOUN
ihlr-16481	306	48	offering	offer	VERB
ihlr-16481	306	49	or	or	CCONJ
ihlr-16481	306	50	receiving	receive	VERB
ihlr-16481	306	51	financial	financial	ADJ
ihlr-16481	306	52	incentives	incentive	NOUN
ihlr-16481	306	53	that	that	PRON
ihlr-16481	306	54	create	create	VERB
ihlr-16481	306	55	competing	compete	VERB
ihlr-16481	306	56	loyalties	loyalty	NOUN
ihlr-16481	306	57	.	.	PUNCT
ihlr-16481	307	1	38	38	NUM
ihlr-16481	307	2	insurers	insurer	NOUN
ihlr-16481	307	3	,	,	PUNCT
ihlr-16481	307	4	now	now	ADV
ihlr-16481	307	5	called	call	VERB
ihlr-16481	307	6	managed	managed	ADJ
ihlr-16481	307	7	care	care	NOUN
ihlr-16481	307	8	organizations	organization	NOUN
ihlr-16481	307	9	,	,	PUNCT
ihlr-16481	307	10	actively	actively	ADV
ihlr-16481	307	11	negotiate	negotiate	VERB
ihlr-16481	307	12	fees	fee	NOUN
ihlr-16481	307	13	with	with	ADP
ihlr-16481	307	14	providers	provider	NOUN
ihlr-16481	307	15	and	and	CCONJ
ihlr-16481	307	16	monitor	monitor	VERB
ihlr-16481	307	17	care	care	NOUN
ihlr-16481	307	18	~t	~t	PUNCT
ihlr-16481	307	19	is	be	AUX
ihlr-16481	307	20	given	give	VERB
ihlr-16481	307	21	to	to	ADP
ihlr-16481	307	22	beneficiaries	beneficiary	NOUN
ihlr-16481	307	23	.	.	PUNCT
ihlr-16481	308	1	"	"	PUNCT
ihlr-16481	308	2	usual	usual	ADJ
ihlr-16481	308	3	and	and	CCONJ
ihlr-16481	308	4	customary	customary	ADJ
ihlr-16481	308	5	''	''	PUNCT
ihlr-16481	308	6	fee	fee	NOUN
ihlr-16481	308	7	-	-	PUNCT
ihlr-16481	308	8	for	for	ADP
ihlr-16481	308	9	-	-	PUNCT
ihlr-16481	308	10	service	service	NOUN
ihlr-16481	308	11	reimbursement	reimbursement	NOUN
ihlr-16481	308	12	gives	give	VERB
ihlr-16481	308	13	way	way	NOUN
ihlr-16481	308	14	to	to	ADP
ihlr-16481	308	15	discounts	discount	NOUN
ihlr-16481	308	16	,	,	PUNCT
ihlr-16481	308	17	withholds	withhold	NOUN
ihlr-16481	308	18	,	,	PUNCT
ihlr-16481	308	19	capitation	capitation	NOUN
ihlr-16481	308	20	,	,	PUNCT
ihlr-16481	308	21	and	and	CCONJ
ihlr-16481	308	22	a	a	DET
ihlr-16481	308	23	host	host	NOUN
ihlr-16481	308	24	of	of	ADP
ihlr-16481	308	25	mixtures	mixture	NOUN
ihlr-16481	308	26	.	.	PUNCT
ihlr-16481	309	1	39	39	NUM
ihlr-16481	310	1	some	some	DET
ihlr-16481	310	2	providers	provider	NOUN
ihlr-16481	310	3	join	join	VERB
ihlr-16481	310	4	fqrces	fqrce	NOUN
ihlr-16481	310	5	with	with	ADP
ihlr-16481	310	6	payers	payer	NOUN
ihlr-16481	310	7	to	to	PART
ihlr-16481	310	8	form	form	VERB
ihlr-16481	310	9	integrated	integrate	VERB
ihlr-16481	310	10	enterprises	enterprise	NOUN
ihlr-16481	310	11	,	,	PUNCT
ihlr-16481	310	12	while	while	SCONJ
ihlr-16481	310	13	others	other	NOUN
ihlr-16481	310	14	create	create	VERB
ihlr-16481	310	15	consolidated	consolidated	ADJ
ihlr-16481	310	16	entities	entity	NOUN
ihlr-16481	310	17	or	or	CCONJ
ihlr-16481	310	18	common	common	ADJ
ihlr-16481	310	19	contracting	contracting	NOUN
ihlr-16481	310	20	vehicles	vehicle	NOUN
ihlr-16481	310	21	to	to	PART
ihlr-16481	310	22	improve	improve	VERB
ihlr-16481	310	23	their	their	PRON
ihlr-16481	310	24	financial	financial	ADJ
ihlr-16481	310	25	leverage	leverage	NOUN
ihlr-16481	310	26	.	.	PUNCT
ihlr-16481	311	1	a	a	DET
ihlr-16481	311	2	consequence	consequence	NOUN
ihlr-16481	311	3	of	of	ADP
ihlr-16481	311	4	·	·	PUNCT
ihlr-16481	311	5	this	this	DET
ihlr-16481	311	6	activity	activity	NOUN
ihlr-16481	311	7	was	be	AUX
ihlr-16481	311	8	to	to	PART
ihlr-16481	311	9	erode	erode	VERB
ihlr-16481	311	10	,	,	PUNCT
ihlr-16481	311	11	or	or	CCONJ
ihlr-16481	311	12	at	at	ADP
ihlr-16481	311	13	least	least	ADJ
ihlr-16481	311	14	create	create	VERB
ihlr-16481	311	15	the	the	DET
ihlr-16481	311	16	appearance	appearance	NOUN
ihlr-16481	311	17	of	of	ADP
ihlr-16481	311	18	eroding	erode	VERB
ihlr-16481	311	19	,	,	PUNCT
ihlr-16481	311	20	longstanding	longstanding	ADJ
ihlr-16481	311	21	fiduciary	fiduciary	ADJ
ihlr-16481	311	22	obligations	obligation	NOUN
ihlr-16481	311	23	running	run	VERB
ihlr-16481	311	24	from	from	ADP
ihlr-16481	311	25	doctor	doctor	NOUN
ihlr-16481	311	26	to	to	PART
ihlr-16481	311	27	patient	patient	VERB
ihlr-16481	311	28	.	.	PUNCT
ihlr-16481	312	1	paying	pay	VERB
ihlr-16481	312	2	physicians	physician	NOUN
ihlr-16481	312	3	for	for	ADP
ihlr-16481	312	4	performance	performance	NOUN
ihlr-16481	312	5	,	,	PUNCT
ihlr-16481	312	6	like	like	ADP
ihlr-16481	312	7	paying	pay	VERB
ihlr-16481	312	8	lawyers	lawyer	NOUN
ihlr-16481	312	9	contingent	contingent	ADJ
ihlr-16481	312	10	fees	fee	NOUN
ihlr-16481	312	11	,	,	PUNCT
ihlr-16481	312	12	is	be	AUX
ihlr-16481	312	13	a	a	DET
ihlr-16481	312	14	superficially	superficially	ADV
ihlr-16481	312	15	appealing	appealing	ADJ
ihlr-16481	312	16	way	way	NOUN
ihlr-16481	312	17	to	to	PART
ihlr-16481	312	18	restore	restore	VERB
ihlr-16481	312	19	traditional	traditional	ADJ
ihlr-16481	312	20	ethical	ethical	ADJ
ihlr-16481	312	21	values	value	NOUN
ihlr-16481	312	22	by	by	ADP
ihlr-16481	312	23	aligning	align	VERB
ihlr-16481	312	24	incentives	incentive	NOUN
ihlr-16481	312	25	between	between	ADP
ihlr-16481	312	26	provider	provider	NOUN
ihlr-16481	312	27	and	and	CCONJ
ihlr-16481	312	28	patient	patient	NOUN
ihlr-16481	312	29	.	.	PUNCT
ihlr-16481	313	1	think	think	VERB
ihlr-16481	313	2	about	about	ADP
ihlr-16481	313	3	it	it	PRON
ihlr-16481	313	4	as	as	ADP
ihlr-16481	313	5	a	a	DET
ihlr-16481	313	6	goldilocks	goldilock	NOUN
ihlr-16481	313	7	storythe	storythe	DET
ihlr-16481	313	8	search	search	NOUN
ihlr-16481	313	9	for	for	ADP
ihlr-16481	313	10	the	the	DET
ihlr-16481	313	11	'	'	PUNCT
ihlr-16481	313	12	~ust	~ust	ADJ
ihlr-16481	313	13	righf	righf	NOUN
ihlr-16481	313	14	'	'	PART
ihlr-16481	313	15	compensation	compensation	NOUN
ihlr-16481	313	16	package	package	NOUN
ihlr-16481	313	17	.	.	PUNCT
ihlr-16481	314	1	if	if	SCONJ
ihlr-16481	314	2	fee	fee	NOUN
ihlr-16481	314	3	-	-	PUNCT
ihlr-16481	314	4	for	for	ADP
ihlr-16481	314	5	-	-	PUNCT
ihlr-16481	314	6	service	service	NOUN
ihlr-16481	314	7	induces	induce	VERB
ihlr-16481	314	8	too	too	ADV
ihlr-16481	314	9	much	much	ADJ
ihlr-16481	314	10	treatment	treatment	NOUN
ihlr-16481	314	11	,	,	PUNCT
ihlr-16481	314	12	and	and	CCONJ
ihlr-16481	314	13	capitation	capitation	NOUN
ihlr-16481	314	14	induces	induce	VERB
ihlr-16481	314	15	too	too	ADV
ihlr-16481	314	16	little	little	ADJ
ihlr-16481	314	17	treatment	treatment	NOUN
ihlr-16481	314	18	,	,	PUNCT
ihlr-16481	314	19	where	where	SCONJ
ihlr-16481	314	20	should	should	AUX
ihlr-16481	314	21	dr	dr	PROPN
ihlr-16481	314	22	.	.	PROPN
ihlr-16481	314	23	goldilocks	goldilocks	PROPN
ihlr-16481	314	24	sleep	sleep	VERB
ihlr-16481	314	25	?	?	PUNCT
ihlr-16481	315	1	policymakers	policymaker	NOUN
ihlr-16481	315	2	continue	continue	VERB
ihlr-16481	315	3	to	to	PART
ihlr-16481	315	4	seek	seek	VERB
ihlr-16481	315	5	a	a	DET
ihlr-16481	315	6	payment	payment	NOUN
ihlr-16481	315	7	formula	formula	NOUN
ihlr-16481	315	8	that	that	PRON
ihlr-16481	315	9	will	will	AUX
ihlr-16481	315	10	reinforce	reinforce	VERB
ihlr-16481	315	11	both	both	DET
ihlr-16481	315	12	medical	medical	ADJ
ihlr-16481	315	13	science	science	NOUN
ihlr-16481	315	14	and	and	CCONJ
ihlr-16481	315	15	fiduciary	fiduciary	ADJ
ihlr-16481	315	16	obligation	obligation	NOUN
ihlr-16481	315	17	.	.	PUNCT
ihlr-16481	316	1	in	in	ADP
ihlr-16481	316	2	the	the	DET
ihlr-16481	316	3	midst	midst	NOUN
ihlr-16481	316	4	of	of	ADP
ihlr-16481	316	5	the	the	DET
ihlr-16481	316	6	national	national	PROPN
ihlr-16481	316	7	health	health	PROPN
ihlr-16481	316	8	reform	reform	PROPN
ihlr-16481	316	9	debate	debate	NOUN
ihlr-16481	316	10	in	in	ADP
ihlr-16481	316	11	1993	1993	NUM
ihlr-16481	316	12	,	,	PUNCT
ihlr-16481	316	13	for	for	ADP
ihlr-16481	316	14	example,.jama	example,.jama	PROPN
ihlr-16481	316	15	published	publish	VERB
ihlr-16481	316	16	an	an	DET
ihlr-16481	316	17	article	article	NOUN
ihlr-16481	316	18	proposing	propose	VERB
ihlr-16481	316	19	"	"	PUNCT
ihlr-16481	316	20	fee	fee	NOUN
ihlr-16481	316	21	for	for	ADP
ihlr-16481	316	22	time	time	NOUN
ihlr-16481	316	23	"	"	PUNCT
ihlr-16481	316	24	as	as	ADP
ihlr-16481	316	25	an	an	DET
ihlr-16481	316	26	"	"	PUNCT
ihlr-16481	316	27	incentive	incentive	NOUN
ihlr-16481	316	28	-	-	PUNCT
ihlr-16481	316	29	neutral	neutral	ADJ
ihlr-16481	316	30	"	"	PUNCT
ihlr-16481	316	31	system	system	NOUN
ihlr-16481	316	32	.	.	PUNCT
ihlr-16481	317	1	40	40	NUM
ihlr-16481	318	1	i	i	PRON
ihlr-16481	318	2	assign	assign	VERB
ihlr-16481	318	3	the	the	DET
ihlr-16481	318	4	article	article	NOUN
ihlr-16481	318	5	to	to	ADP
ihlr-16481	318	6	my	my	PRON
ihlr-16481	318	7	professional	professional	ADJ
ihlr-16481	318	8	responsibility	responsibility	NOUN
ihlr-16481	318	9	students	student	NOUN
ihlr-16481	318	10	because	because	SCONJ
ihlr-16481	318	11	it	it	PRON
ihlr-16481	318	12	is	be	AUX
ihlr-16481	318	13	so	so	ADV
ihlr-16481	318	14	charmingly	charmingly	ADV
ihlr-16481	318	15	naive	naive	ADJ
ihlr-16481	318	16	.	.	PUNCT
ihlr-16481	319	1	any	any	DET
ihlr-16481	319	2	lawyer	lawyer	NOUN
ihlr-16481	319	3	(	(	PUNCT
ihlr-16481	319	4	or	or	CCONJ
ihlr-16481	319	5	client	client	NOUN
ihlr-16481	319	6	)	)	PUNCT
ihlr-16481	319	7	held	hold	VERB
ihlr-16481	319	8	hostage	hostage	NOUN
ihlr-16481	319	9	by	by	ADP
ihlr-16481	319	10	billable	billable	ADJ
ihlr-16481	319	11	hours	hour	NOUN
ihlr-16481	319	12	understands	understand	VERB
ihlr-16481	319	13	the	the	DET
ihlr-16481	319	14	perverse	perverse	ADJ
ihlr-16481	319	15	incentives	incentive	NOUN
ihlr-16481	319	16	that	that	SCONJ
ihlr-16481	319	17	a	a	DET
ihlr-16481	319	18	fee	fee	NOUN
ihlr-16481	319	19	for	for	ADP
ihlr-16481	319	20	time	time	NOUN
ihlr-16481	319	21	system	system	NOUN
ihlr-16481	319	22	can	can	AUX
ihlr-16481	319	23	create	create	VERB
ihlr-16481	319	24	.	.	PUNCT
ihlr-16481	320	1	is	be	AUX
ihlr-16481	320	2	pay	pay	NOUN
ihlr-16481	320	3	for	for	ADP
ihlr-16481	320	4	performan~	performan~	PROPN
ihlr-16481	320	5	the	the	DET
ihlr-16481	320	6	holy	holy	ADJ
ihlr-16481	320	7	grail	grail	NOUN
ihlr-16481	320	8	for	for	ADP
ihlr-16481	320	9	physician	physician	NOUN
ihlr-16481	320	10	payment	payment	NOUN
ihlr-16481	320	11	?	?	PUNCT
ihlr-16481	321	1	will	will	AUX
ihlr-16481	321	2	it	it	PRON
ihlr-16481	321	3	perfectly	perfectly	ADV
ihlr-16481	321	4	align	align	VERB
ihlr-16481	321	5	physician	physician	NOUN
ihlr-16481	321	6	behavior	behavior	NOUN
ihlr-16481	321	7	with	with	ADP
ihlr-16481	321	8	patient	patient	ADJ
ihlr-16481	321	9	desires	desire	NOUN
ihlr-16481	321	10	?	?	PUNCT
ihlr-16481	322	1	probably	probably	ADV
ihlr-16481	322	2	not	not	PART
ihlr-16481	322	3	.	.	PUNCT
ihlr-16481	323	1	rewarding	reward	VERB
ihlr-16481	323	2	physicians	physician	NOUN
ihlr-16481	323	3	for	for	ADP
ihlr-16481	323	4	improving	improve	VERB
ihlr-16481	323	5	interpersonal	interpersonal	ADJ
ihlr-16481	323	6	quality	quality	NOUN
ihlr-16481	323	7	using	use	VERB
ihlr-16481	323	8	metrics	metric	NOUN
ihlr-16481	323	9	such	such	ADJ
ihlr-16481	323	10	as	as	ADP
ihlr-16481	323	11	patient	patient	ADJ
ihlr-16481	323	12	satisfaction	satisfaction	NOUN
ihlr-16481	323	13	surveys	survey	NOUN
ihlr-16481	323	14	does	do	AUX
ihlr-16481	323	15	seem	seem	VERB
ihlr-16481	323	16	loyalty	loyalty	NOUN
ihlr-16481	323	17	-	-	PUNCT
ihlr-16481	323	18	enhancing	enhancing	NOUN
ihlr-16481	323	19	.	.	PUNCT
ihlr-16481	324	1	defenders	defender	NOUN
ihlr-16481	324	2	.	.	PUNCT
ihlr-16481	325	1	of	of	ADP
ihlr-16481	325	2	patient	patient	ADJ
ihlr-16481	325	3	autonomy	autonomy	NOUN
ihlr-16481	325	4	would	would	AUX
ihlr-16481	325	5	agree	agree	VERB
ihlr-16481	325	6	that	that	SCONJ
ihlr-16481	325	7	what	what	PRON
ihlr-16481	325	8	the	the	DET
ihlr-16481	325	9	patient	patient	NOUN
ihlr-16481	325	10	subjectively	subjectively	ADV
ihlr-16481	325	11	experiences	experience	VERB
ihlr-16481	325	12	from	from	ADP
ihlr-16481	325	13	medical	medical	ADJ
ihlr-16481	325	14	care	care	NOUN
ihlr-16481	325	15	is	be	AUX
ihlr-16481	325	16	an	an	DET
ihlr-16481	325	17	appropriate	appropriate	ADJ
ihlr-16481	325	18	basis	basis	NOUN
ihlr-16481	325	19	for	for	ADP
ihlr-16481	325	20	physician	physician	NOUN
ihlr-16481	325	21	payment	payment	NOUN
ihlr-16481	325	22	.	.	PUNCT
ihlr-16481	326	1	p4p	p4p	PROPN
ihlr-16481	326	2	based	base	VERB
ihlr-16481	326	3	on	on	ADP
ihlr-16481	326	4	hard	hard	ADJ
ihlr-16481	326	5	measures	measure	NOUN
ihlr-16481	326	6	of	of	ADP
ihlr-16481	326	7	clinical	clinical	ADJ
ihlr-16481	326	8	outcomes	outcome	NOUN
ihlr-16481	326	9	(	(	PUNCT
ihlr-16481	326	10	technical	technical	ADJ
ihlr-16481	326	11	quality	quality	NOUN
ihlr-16481	326	12	)	)	PUNCT
ihlr-16481	326	13	also	also	ADV
ihlr-16481	326	14	furthers	further	VERB
ihlr-16481	326	15	loyalty	loyalty	NOUN
ihlr-16481	326	16	to	to	ADP
ihlr-16481	326	17	patients	patient	NOUN
ihlr-16481	326	18	.	.	PUNCT
ihlr-16481	327	1	if	if	SCONJ
ihlr-16481	327	2	we	we	PRON
ihlr-16481	327	3	reward	reward	VERB
ihlr-16481	327	4	physicians	physician	NOUN
ihlr-16481	327	5	for	for	ADP
ihlr-16481	327	6	curing	cure	VERB
ihlr-16481	327	7	patients	patient	NOUN
ihlr-16481	327	8	,	,	PUNCT
ihlr-16481	327	9	the	the	DET
ihlr-16481	327	10	patients	patient	NOUN
ihlr-16481	327	11	who	who	PRON
ihlr-16481	327	12	37	37	X
ihlr-16481	327	13	.	.	PUNCT
ihlr-16481	328	1	marc	marc	PROPN
ihlr-16481	328	2	a.	a.	PROPN
ihlr-16481	328	3	rodwin	rodwin	PROPN
ihlr-16481	328	4	,	,	PUNCT
ihlr-16481	328	5	medicine	medicine	NOUN
ihlr-16481	328	6	,	,	PUNCT
ihlr-16481	328	7	money	money	NOUN
ihlr-16481	328	8	&	&	CCONJ
ihlr-16481	328	9	morals	moral	NOUN
ihlr-16481	328	10	:	:	PUNCT
ihlr-16481	328	11	physicians	physician	NOUN
ihlr-16481	328	12	'	'	PART
ihlr-16481	328	13	conflicts	conflict	NOUN
ihlr-16481	328	14	of	of	ADP
ihlr-16481	328	15	interest	interest	NOUN
ihlr-16481	328	16	(	(	PUNCT
ihlr-16481	328	17	1995	1995	NUM
ihlr-16481	328	18	)	)	PUNCT
ihlr-16481	328	19	.	.	PUNCT
ihlr-16481	329	1	agency	agency	NOUN
ihlr-16481	329	2	costs	cost	NOUN
ihlr-16481	329	3	have	have	AUX
ihlr-16481	329	4	long	long	ADV
ihlr-16481	329	5	been	be	AUX
ihlr-16481	329	6	a	a	DET
ihlr-16481	329	7	concern	concern	NOUN
ihlr-16481	329	8	of	of	ADP
ihlr-16481	329	9	scholars	scholar	NOUN
ihlr-16481	329	10	qf	qf	PROPN
ihlr-16481	329	11	corporate	corporate	ADJ
ihlr-16481	329	12	governance	governance	NOUN
ihlr-16481	329	13	.	.	PUNCT
ihlr-16481	330	1	michael	michael	PROPN
ihlr-16481	330	2	c.	c.	PROPN
ihlr-16481	330	3	jensen	jensen	PROPN
ihlr-16481	330	4	&	&	CCONJ
ihlr-16481	330	5	william	william	PROPN
ihlr-16481	330	6	h.	h.	PROPN
ihlr-16481	330	7	meckling	meckling	PROPN
ihlr-16481	330	8	,	,	PUNCT
ihlr-16481	330	9	theory	theory	NOUN
ihlr-16481	330	10	of	of	ADP
ihlr-16481	330	11	the	the	DET
ihlr-16481	330	12	firm	firm	NOUN
ihlr-16481	330	13	:	:	PUNCT
ihlr-16481	330	14	managerial	managerial	ADJ
ihlr-16481	330	15	behavior	behavior	NOUN
ihlr-16481	330	16	,	,	PUNCT
ihlr-16481	330	17	agency	agency	NOUN
ihlr-16481	330	18	costs	cost	NOUN
ihlr-16481	330	19	and	and	CCONJ
ihlr-16481	330	20	ownership	ownership	NOUN
ihlr-16481	330	21	structure	structure	NOUN
ihlr-16481	330	22	,	,	PUNCT
ihlr-16481	330	23	3	3	NUM
ihlr-16481	330	24	j.	j.	PROPN
ihlr-16481	330	25	fin	fin	PROPN
ihlr-16481	330	26	.	.	PUNCT
ihlr-16481	330	27	econ	econ	PROPN
ihlr-16481	330	28	.	.	PUNCT
ihlr-16481	331	1	305	305	NUM
ihlr-16481	331	2	(	(	PUNCT
ihlr-16481	331	3	1976	1976	NUM
ihlr-16481	331	4	)	)	PUNCT
ihlr-16481	331	5	.	.	PUNCT
ihlr-16481	332	1	38	38	NUM
ihlr-16481	332	2	.	.	PUNCT
ihlr-16481	333	1	lawrence	lawrence	PROPN
ihlr-16481	333	2	casalino	casalino	PROPN
ihlr-16481	333	3	,	,	PUNCT
ihlr-16481	333	4	managing	manage	VERB
ihlr-16481	333	5	uncertainty	uncertainty	NOUN
ihlr-16481	333	6	:	:	PUNCT
ihlr-16481	333	7	intermediate	intermediate	ADJ
ihlr-16481	333	8	organizations	organization	NOUN
ihlr-16481	333	9	as	as	ADP
ihlr-16481	333	10	triple	triple	ADJ
ihlr-16481	333	11	agents	agent	NOUN
ihlr-16481	333	12	,	,	PUNCT
ihlr-16481	333	13	26	26	NUM
ihlr-16481	333	14	j.	j.	PROPN
ihlr-16481	333	15	health	health	PROPN
ihlr-16481	333	16	pol	pol	PROPN
ihlr-16481	333	17	.	.	PUNCT
ihlr-16481	334	1	pol'y	pol'y	PROPN
ihlr-16481	334	2	&	&	CCONJ
ihlr-16481	334	3	l.	l.	PROPN
ihlr-16481	334	4	1055	1055	NUM
ihlr-16481	334	5	,	,	PUNCT
ihlr-16481	334	6	1055	1055	NUM
ihlr-16481	334	7	-	-	SYM
ihlr-16481	334	8	57	57	NUM
ihlr-16481	334	9	(	(	PUNCT
ihlr-16481	334	10	2001	2001	NUM
ihlr-16481	334	11	)	)	PUNCT
ihlr-16481	334	12	.	.	PUNCT
ihlr-16481	335	1	39	39	NUM
ihlr-16481	335	2	.	.	PUNCT
ihlr-16481	336	1	jon	jon	PROPN
ihlr-16481	336	2	gabel	gabel	PROPN
ihlr-16481	336	3	,	,	PUNCT
ihlr-16481	336	4	ten	ten	NUM
ihlr-16481	336	5	ways	way	NOUN
ihlr-16481	336	6	hmos	hmos	PROPN
ihlr-16481	336	7	have	have	AUX
ihlr-16481	336	8	changed	change	VERB
ihlr-16481	336	9	during	during	ADP
ihlr-16481	336	10	the	the	DET
ihlr-16481	336	11	1990s	1990s	NUM
ihlr-16481	336	12	,	,	PUNCT
ihlr-16481	336	13	16(3	16(3	NUM
ihlr-16481	336	14	)	)	PUNCT
ihlr-16481	336	15	health	health	NOUN
ihlr-16481	336	16	aff.l34,140	aff.l34,140	PROPN
ihlr-16481	336	17	-	-	SYM
ihlr-16481	336	18	41	41	NUM
ihlr-16481	336	19	(	(	PUNCT
ihlr-16481	336	20	1997	1997	NUM
ihlr-16481	336	21	)	)	PUNCT
ihlr-16481	336	22	;	;	PUNCT
ihlr-16481	336	23	robert	robert	PROPN
ihlr-16481	336	24	a	a	DET
ihlr-16481	336	25	berenson	berenson	PROPN
ihlr-16481	336	26	,	,	PUNCT
ihlr-16481	336	27	beyond	beyond	ADP
ihlr-16481	336	28	competition	competition	NOUN
ihlr-16481	336	29	,	,	PUNCT
ihlr-16481	336	30	16(2	16(2	NUM
ihlr-16481	336	31	)	)	PUNCT
ihlr-16481	336	32	healthaff	healthaff	NOUN
ihlr-16481	336	33	.	.	PUNCT
ihlr-16481	337	1	171	171	NUM
ihlr-16481	337	2	,	,	PUNCT
ihlr-16481	337	3	177	177	NUM
ihlr-16481	337	4	-	-	NUM
ihlr-16481	337	5	78(1997	78(1997	NUM
ihlr-16481	337	6	)	)	PUNCT
ihlr-16481	337	7	.	.	PUNCT
ihlr-16481	337	8	.	.	PUNCT
ihlr-16481	338	1	40	40	NUM
ihlr-16481	338	2	.	.	PUNCT
ihlr-16481	338	3	tomj	tomj	PROPN
ihlr-16481	338	4	.	.	PUNCT
ihlr-16481	339	1	wachtel	wachtel	PROPN
ihlr-16481	339	2	&	&	CCONJ
ihlr-16481	339	3	michael	michael	PROPN
ihlr-16481	339	4	d.	d.	PROPN
ihlr-16481	339	5	stein	stein	PROPN
ihlr-16481	339	6	,	,	PUNCT
ihlr-16481	339	7	fee	fee	NOUN
ihlr-16481	339	8	-	-	PUNCT
ihlr-16481	339	9	for	for	ADP
ihlr-16481	339	10	-	-	PUNCT
ihlr-16481	339	11	time	time	NOUN
ihlr-16481	339	12	system	system	NOUN
ihlr-16481	339	13	:	:	PUNCT
ihlr-16481	339	14	a	a	DET
ihlr-16481	339	15	conceptual	conceptual	ADJ
ihlr-16481	339	16	framework	framework	NOUN
ihlr-16481	339	17	for	for	ADP
ihlr-16481	339	18	an	an	DET
ihlr-16481	339	19	incentive	incentive	NOUN
ihlr-16481	339	20	-	-	PUNCT
ihlr-16481	339	21	neutral	neutral	ADJ
ihlr-16481	339	22	method	method	NOUN
ihlr-16481	339	23	of	of	ADP
ihlr-16481	339	24	physician	physician	NOUN
ihlr-16481	339	25	payment	payment	NOUN
ihlr-16481	339	26	,	,	PUNCT
ihlr-16481	339	27	270	270	NUM
ihlr-16481	339	28	jama	jama	NOUN
ihlr-16481	339	29	1226	1226	NUM
ihlr-16481	339	30	,	,	PUNCT
ihlr-16481	339	31	1226	1226	NUM
ihlr-16481	339	32	-	-	SYM
ihlr-16481	339	33	29	29	NUM
ihlr-16481	339	34	(	(	PUNCT
ihlr-16481	339	35	1993	1993	NUM
ihlr-16481	339	36	)	)	PUNCT
ihlr-16481	339	37	.	.	PUNCT
ihlr-16481	340	1	2006	2006	NUM
ihlr-16481	340	2	]	]	PUNCT
ihlr-16481	341	1	p4p	p4p	PROPN
ihlr-16481	341	2	:	:	PUNCT
ihlr-16481	341	3	will	will	AUX
ihlr-16481	341	4	it	it	PRON
ihlr-16481	341	5	work	work	VERB
ihlr-16481	341	6	in	in	ADP
ihlr-16481	341	7	theory	theory	NOUN
ihlr-16481	341	8	?	?	PUNCT
ihlr-16481	342	1	319	319	NUM
ihlr-16481	342	2	receive	receive	VERB
ihlr-16481	342	3	treatment	treatment	NOUN
ihlr-16481	342	4	from	from	ADP
ihlr-16481	342	5	those	those	DET
ihlr-16481	342	6	physicians	physician	NOUN
ihlr-16481	342	7	will	will	AUX
ihlr-16481	342	8	be	be	AUX
ihlr-16481	342	9	well	well	ADV
ihlr-16481	342	10	cared	care	VERB
ihlr-16481	342	11	for	for	ADP
ihlr-16481	342	12	(	(	PUNCT
ihlr-16481	342	13	we	we	PRON
ihlr-16481	342	14	will	will	AUX
ihlr-16481	342	15	return	return	VERB
ihlr-16481	342	16	to	to	ADP
ihlr-16481	342	17	the	the	DET
ihlr-16481	342	18	issue	issue	NOUN
ihlr-16481	342	19	of	of	ADP
ihlr-16481	342	20	patients	patient	NOUN
ihlr-16481	342	21	who	who	PRON
ihlr-16481	342	22	have	have	VERB
ihlr-16481	342	23	trouble	trouble	NOUN
ihlr-16481	342	24	finding	find	VERB
ihlr-16481	342	25	a	a	DET
ihlr-16481	342	26	physician	physician	NOUN
ihlr-16481	342	27	willing	willing	ADJ
ihlr-16481	342	28	to	to	PART
ihlr-16481	342	29	serve	serve	VERB
ihlr-16481	342	30	them	they	PRON
ihlr-16481	342	31	under	under	ADP
ihlr-16481	342	32	those	those	DET
ihlr-16481	342	33	financial	financial	ADJ
ihlr-16481	342	34	conditions	condition	NOUN
ihlr-16481	342	35	)	)	PUNCT
ihlr-16481	342	36	.	.	PUNCT
ihlr-16481	343	1	on	on	ADP
ihlr-16481	343	2	the	the	DET
ihlr-16481	343	3	other	other	ADJ
ihlr-16481	343	4	hand	hand	NOUN
ihlr-16481	343	5	,	,	PUNCT
ihlr-16481	343	6	process	process	NOUN
ihlr-16481	343	7	-	-	PUNCT
ihlr-16481	343	8	based	base	VERB
ihlr-16481	343	9	p4p	p4p	PROPN
ihlr-16481	343	10	-	-	PUNCT
ihlr-16481	343	11	the	the	DET
ihlr-16481	343	12	most	most	ADV
ihlr-16481	343	13	common	common	ADJ
ihlr-16481	343	14	form	form	NOUN
ihlr-16481	343	15	of	of	ADP
ihlr-16481	343	16	pay	pay	NOUN
ihlr-16481	343	17	for	for	ADP
ihlr-16481	343	18	performance	performance	NOUN
ihlr-16481	343	19	currently	currently	ADV
ihlr-16481	343	20	being	be	AUX
ihlr-16481	343	21	implemented	implement	VERB
ihlr-16481	343	22	-	-	PUNCT
ihlr-16481	343	23	has	have	VERB
ihlr-16481	343	24	ambiguous	ambiguous	ADJ
ihlr-16481	343	25	implications	implication	NOUN
ihlr-16481	343	26	for	for	ADP
ihlr-16481	343	27	physician	physician	NOUN
ihlr-16481	343	28	loyalty	loyalty	NOUN
ihlr-16481	343	29	.	.	PUNCT
ihlr-16481	344	1	process	process	NOUN
ihlr-16481	344	2	-	-	PUNCT
ihlr-16481	344	3	based	base	VERB
ihlr-16481	344	4	p4p	p4p	PROPN
ihlr-16481	344	5	is	be	AUX
ihlr-16481	344	6	basically	basically	ADV
ihlr-16481	344	7	compliance	compliance	NOUN
ihlr-16481	344	8	with	with	ADP
ihlr-16481	344	9	rules	rule	NOUN
ihlr-16481	344	10	.	.	PUNCT
ihlr-16481	345	1	someone	someone	PRON
ihlr-16481	345	2	has	have	VERB
ihlr-16481	345	3	to	to	PART
ihlr-16481	345	4	set	set	VERB
ihlr-16481	345	5	those	those	DET
ihlr-16481	345	6	rules	rule	NOUN
ihlr-16481	345	7	,	,	PUNCT
ihlr-16481	345	8	and	and	CCONJ
ihlr-16481	345	9	it	it	PRON
ihlr-16481	345	10	is	be	AUX
ihlr-16481	345	11	not	not	PART
ihlr-16481	345	12	going	go	VERB
ihlr-16481	345	13	to	to	PART
ihlr-16481	345	14	be	be	AUX
ihlr-16481	345	15	the	the	DET
ihlr-16481	345	16	patient	patient	NOUN
ihlr-16481	345	17	.	.	PUNCT
ihlr-16481	346	1	maybe	maybe	ADV
ihlr-16481	346	2	third	third	ADJ
ihlr-16481	346	3	-	-	PUNCT
ihlr-16481	346	4	party	party	NOUN
ihlr-16481	346	5	payers	payer	NOUN
ihlr-16481	346	6	will	will	AUX
ihlr-16481	346	7	set	set	VERB
ihlr-16481	346	8	the	the	DET
ihlr-16481	346	9	rules	rule	NOUN
ihlr-16481	346	10	,	,	PUNCT
ihlr-16481	346	11	maybe	maybe	ADV
ihlr-16481	346	12	scientific	scientific	ADJ
ihlr-16481	346	13	and	and	CCONJ
ihlr-16481	346	14	professional	professional	ADJ
ihlr-16481	346	15	bodies	body	NOUN
ihlr-16481	346	16	will	will	AUX
ihlr-16481	346	17	set	set	VERB
ihlr-16481	346	18	the	the	DET
ihlr-16481	346	19	rules	rule	NOUN
ihlr-16481	346	20	,	,	PUNCT
ihlr-16481	346	21	maybe	maybe	ADV
ihlr-16481	346	22	government	government	NOUN
ihlr-16481	346	23	will	will	AUX
ihlr-16481	346	24	set	set	VERB
ihlr-16481	346	25	the	the	DET
ihlr-16481	346	26	rules	rule	NOUN
ihlr-16481	346	27	.	.	PUNCT
ihlr-16481	347	1	but	but	CCONJ
ihlr-16481	347	2	the	the	DET
ihlr-16481	347	3	patient	patient	NOUN
ihlr-16481	347	4	wo	will	AUX
ihlr-16481	347	5	n't	not	PART
ihlr-16481	347	6	.	.	PUNCT
ihlr-16481	348	1	physicians	physician	NOUN
ihlr-16481	348	2	who	who	PRON
ihlr-16481	348	3	earn	earn	VERB
ihlr-16481	348	4	process	process	NOUN
ihlr-16481	348	5	-	-	PUNCT
ihlr-16481	348	6	based	base	VERB
ihlr-16481	348	7	p4p	p4p	PROPN
ihlr-16481	348	8	rewards	reward	VERB
ihlr-16481	348	9	,	,	PUNCT
ihlr-16481	348	10	therefore	therefore	ADV
ihlr-16481	348	11	,	,	PUNCT
ihlr-16481	348	12	will	will	AUX
ihlr-16481	348	13	likely	likely	ADV
ihlr-16481	348	14	be	be	AUX
ihlr-16481	348	15	furthering	further	VERB
ihlr-16481	348	16	collective	collective	ADJ
ihlr-16481	348	17	interests	interest	NOUN
ihlr-16481	348	18	of	of	ADP
ihlr-16481	348	19	public	public	ADJ
ihlr-16481	348	20	and	and	CCONJ
ihlr-16481	348	21	private	private	ADJ
ihlr-16481	348	22	payers	payer	NOUN
ihlr-16481	348	23	in	in	ADP
ihlr-16481	348	24	cost	cost	NOUN
ihlr-16481	348	25	-	-	PUNCT
ihlr-16481	348	26	effective	effective	ADJ
ihlr-16481	348	27	care	care	NOUN
ihlr-16481	348	28	for	for	ADP
ihlr-16481	348	29	populations	population	NOUN
ihlr-16481	348	30	of	of	ADP
ihlr-16481	348	31	enrollees.41	enrollees.41	NOUN
ihlr-16481	348	32	if	if	SCONJ
ihlr-16481	348	33	these	these	DET
ihlr-16481	348	34	types	type	NOUN
ihlr-16481	348	35	of	of	ADP
ihlr-16481	348	36	metrics	metric	NOUN
ihlr-16481	348	37	dominate	dominate	VERB
ihlr-16481	348	38	,	,	PUNCT
ihlr-16481	348	39	the	the	DET
ihlr-16481	348	40	loyalty	loyalty	NOUN
ihlr-16481	348	41	effects	effect	NOUN
ihlr-16481	348	42	of	of	ADP
ihlr-16481	348	43	pay	pay	NOUN
ihlr-16481	348	44	for	for	ADP
ihlr-16481	348	45	performance	performance	NOUN
ihlr-16481	348	46	are	be	AUX
ihlr-16481	348	47	not	not	PART
ihlr-16481	348	48	going	go	VERB
ihlr-16481	348	49	to	to	PART
ihlr-16481	348	50	be	be	AUX
ihlr-16481	348	51	that	that	ADV
ihlr-16481	348	52	different	different	ADJ
ihlr-16481	348	53	from	from	ADP
ihlr-16481	348	54	the	the	DET
ihlr-16481	348	55	loyalty	loyalty	NOUN
ihlr-16481	348	56	effects	effect	NOUN
ihlr-16481	348	57	of	of	ADP
ihlr-16481	348	58	managed	manage	VERB
ihlr-16481	348	59	care	care	NOUN
ihlr-16481	348	60	.	.	PUNCT
ihlr-16481	349	1	i	i	PRON
ihlr-16481	349	2	was	be	AUX
ihlr-16481	349	3	a	a	DET
ihlr-16481	349	4	cautious	cautious	ADJ
ihlr-16481	349	5	supporter	supporter	NOUN
ihlr-16481	349	6	of	of	ADP
ihlr-16481	349	7	managed	manage	VERB
ihlr-16481	349	8	care	care	NOUN
ihlr-16481	349	9	in	in	ADP
ihlr-16481	349	10	the	the	DET
ihlr-16481	349	11	1990s	1990	NOUN
ihlr-16481	349	12	,	,	PUNCT
ihlr-16481	349	13	and	and	CCONJ
ihlr-16481	349	14	p4p	p4p	PROPN
ihlr-16481	349	15	may	may	AUX
ihlr-16481	349	16	bring	bring	VERB
ihlr-16481	349	17	out	out	ADP
ihlr-16481	349	18	some	some	PRON
ihlr-16481	349	19	of	of	ADP
ihlr-16481	349	20	the	the	DET
ihlr-16481	349	21	better	well	ADJ
ihlr-16481	349	22	qualities	quality	NOUN
ihlr-16481	349	23	of	of	ADP
ihlr-16481	349	24	managed	manage	VERB
ihlr-16481	349	25	care	care	NOUN
ihlr-16481	349	26	.	.	PUNCT
ihlr-16481	350	1	however	however	ADV
ihlr-16481	350	2	,	,	PUNCT
ihlr-16481	350	3	it	it	PRON
ihlr-16481	350	4	will	will	AUX
ihlr-16481	350	5	do	do	VERB
ihlr-16481	350	6	so	so	ADV
ihlr-16481	350	7	by	by	ADP
ihlr-16481	350	8	refining	refining	NOUN
ihlr-16481	350	9	managed	manage	VERB
ihlr-16481	350	10	care	care	NOUN
ihlr-16481	350	11	,	,	PUNCT
ihlr-16481	350	12	not	not	PART
ihlr-16481	350	13	by	by	ADP
ihlr-16481	350	14	superimposing	superimpose	VERB
ihlr-16481	350	15	a	a	DET
ihlr-16481	350	16	payment	payment	NOUN
ihlr-16481	350	17	formula	formula	NOUN
ihlr-16481	350	18	that	that	PRON
ihlr-16481	350	19	obviates	obviate	VERB
ihlr-16481	350	20	conflicts	conflict	NOUN
ihlr-16481	350	21	of	of	ADP
ihlr-16481	350	22	interest	interest	NOUN
ihlr-16481	350	23	or	or	CCONJ
ihlr-16481	350	24	obligation.42	obligation.42	PROPN
ihlr-16481	350	25	d.	d.	PROPN
ihlr-16481	350	26	productivity	productivity	PROPN
ihlr-16481	350	27	theory	theory	NOUN
ihlr-16481	350	28	the	the	DET
ihlr-16481	350	29	third	third	ADJ
ihlr-16481	350	30	plausible	plausible	ADJ
ihlr-16481	350	31	theory	theory	NOUN
ihlr-16481	350	32	of	of	ADP
ihlr-16481	350	33	pay	pay	NOUN
ihlr-16481	350	34	for	for	ADP
ihlr-16481	350	35	performance	performance	NOUN
ihlr-16481	350	36	is	be	AUX
ihlr-16481	350	37	the	the	DET
ihlr-16481	350	38	one	one	NUM
ihlr-16481	350	39	that	that	PRON
ihlr-16481	350	40	i	i	PRON
ihlr-16481	350	41	think	think	VERB
ihlr-16481	350	42	has	have	VERB
ihlr-16481	350	43	the	the	DET
ihlr-16481	350	44	.	.	PUNCT
ihlr-16481	350	45	greatest	great	ADJ
ihlr-16481	350	46	potential	potential	ADJ
ihlr-16481	350	47	payoff	payoff	NOUN
ihlr-16481	350	48	.	.	PUNCT
ihlr-16481	351	1	predictably	predictably	ADV
ihlr-16481	351	2	,	,	PUNCT
ihlr-16481	351	3	it	it	PRON
ihlr-16481	351	4	is	be	AUX
ihlr-16481	351	5	also	also	ADV
ihlr-16481	351	6	the	the	DET
ihlr-16481	351	7	one	one	NOUN
ihlr-16481	351	8	that	that	PRON
ihlr-16481	351	9	presents	present	VERB
ihlr-16481	351	10	the	the	DET
ihlr-16481	351	11	greatest	great	ADJ
ihlr-16481	351	12	challenges	challenge	NOUN
ihlr-16481	351	13	for	for	ADP
ihlr-16481	351	14	the	the	DET
ihlr-16481	351	15	next	next	ADJ
ihlr-16481	351	16	ten	ten	NUM
ihlr-16481	351	17	years	year	NOUN
ihlr-16481	351	18	.	.	PUNCT
ihlr-16481	352	1	the	the	DET
ihlr-16481	352	2	idea	idea	NOUN
ihlr-16481	352	3	of	of	ADP
ihlr-16481	352	4	what	what	PRON
ihlr-16481	352	5	i	i	PRON
ihlr-16481	352	6	call	call	VERB
ihlr-16481	352	7	the	the	DET
ihlr-16481	352	8	productivity	productivity	NOUN
ihlr-16481	352	9	theory	theory	NOUN
ihlr-16481	352	10	of	of	ADP
ihlr-16481	352	11	pay	pay	NOUN
ihlr-16481	352	12	for	for	ADP
ihlr-16481	352	13	performance	performance	NOUN
ihlr-16481	352	14	is	be	AUX
ihlr-16481	352	15	that	that	SCONJ
ihlr-16481	352	16	setting	set	VERB
ihlr-16481	352	17	up	up	ADP
ihlr-16481	352	18	the	the	DET
ihlr-16481	352	19	incentives	incentive	NOUN
ihlr-16481	352	20	correctly	correctly	ADV
ihlr-16481	352	21	will	will	AUX
ihlr-16481	352	22	induce	induce	VERB
ihlr-16481	352	23	american	american	ADJ
ihlr-16481	352	24	medicine	medicine	NOUN
ihlr-16481	352	25	to	to	PART
ihlr-16481	352	26	get	get	VERB
ihlr-16481	352	27	better	well	ADJ
ihlr-16481	352	28	at	at	ADP
ihlr-16481	352	29	its	its	PRON
ihlr-16481	352	30	job	job	NOUN
ihlr-16481	352	31	.	.	PUNCT
ihlr-16481	353	1	increasing	increase	VERB
ihlr-16481	353	2	productivity	productivity	NOUN
ihlr-16481	353	3	through	through	ADP
ihlr-16481	353	4	p4p	p4p	PROPN
ihlr-16481	353	5	can	can	AUX
ihlr-16481	353	6	be	be	AUX
ihlr-16481	353	7	slow	slow	ADJ
ihlr-16481	353	8	or	or	CCONJ
ihlr-16481	353	9	rapid	rapid	ADJ
ihlr-16481	353	10	.	.	PUNCT
ihlr-16481	354	1	one	one	NUM
ihlr-16481	354	2	approach	approach	NOUN
ihlr-16481	354	3	is	be	AUX
ihlr-16481	354	4	to	to	PART
ihlr-16481	354	5	produce	produce	VERB
ihlr-16481	354	6	productivity	productivity	NOUN
ihlr-16481	354	7	gains	gain	NOUN
ihlr-16481	354	8	without	without	ADP
ihlr-16481	354	9	massive	massive	ADJ
ihlr-16481	354	10	industry	industry	NOUN
ihlr-16481	354	11	restructuring.43	restructuring.43	NOUN
ihlr-16481	354	12	that	that	PRON
ihlr-16481	354	13	is	be	AUX
ihlr-16481	354	14	probably	probably	ADV
ihlr-16481	354	15	what	what	PRON
ihlr-16481	354	16	we	we	PRON
ihlr-16481	354	17	are	be	AUX
ihlr-16481	354	18	attempting	attempt	VERB
ihlr-16481	354	19	right	right	ADV
ihlr-16481	354	20	now	now	ADV
ihlr-16481	354	21	.	.	PUNCT
ihlr-16481	355	1	most	most	ADJ
ihlr-16481	355	2	p4p	p4p	PROPN
ihlr-16481	355	3	programs	program	NOUN
ihlr-16481	355	4	seek	seek	VERB
ihlr-16481	355	5	to	to	PART
ihlr-16481	355	6	make	make	VERB
ihlr-16481	355	7	doctors	doctor	NOUN
ihlr-16481	355	8	practice	practice	VERB
ihlr-16481	355	9	better	well	ADV
ihlr-16481	355	10	but	but	CCONJ
ihlr-16481	355	11	not	not	PART
ihlr-16481	355	12	fundamentally	fundamentally	ADV
ihlr-16481	355	13	change	change	VERB
ihlr-16481	355	14	the	the	DET
ihlr-16481	355	15	way	way	NOUN
ihlr-16481	355	16	that	that	PRON
ihlr-16481	355	17	medical	medical	ADJ
ihlr-16481	355	18	practice	practice	NOUN
ihlr-16481	355	19	is	be	AUX
ihlr-16481	355	20	organized	organize	VERB
ihlr-16481	355	21	.	.	PUNCT
ihlr-16481	356	1	they	they	PRON
ihlr-16481	356	2	reward	reward	VERB
ihlr-16481	356	3	the	the	DET
ihlr-16481	356	4	acquisition	acquisition	NOUN
ihlr-16481	356	5	of	of	ADP
ihlr-16481	356	6	basic	basic	ADJ
ihlr-16481	356	7	information	information	NOUN
ihlr-16481	356	8	technologies	technology	NOUN
ihlr-16481	356	9	.	.	PUNCT
ihlr-16481	357	1	they	they	PRON
ihlr-16481	357	2	make	make	VERB
ihlr-16481	357	3	incentive	incentive	NOUN
ihlr-16481	357	4	payments	payment	NOUN
ihlr-16481	357	5	for	for	ADP
ihlr-16481	357	6	compliance	compliance	NOUN
ihlr-16481	357	7	with	with	ADP
ihlr-16481	357	8	professionally	professionally	ADV
ihlr-16481	357	9	determined	determine	VERB
ihlr-16481	357	10	,	,	PUNCT
ihlr-16481	357	11	consensus	consensus	NOUN
ihlr-16481	357	12	best	good	ADJ
ihlr-16481	357	13	practices	practice	NOUN
ihlr-16481	357	14	that	that	PRON
ihlr-16481	357	15	are	be	AUX
ihlr-16481	357	16	broadly	broadly	ADV
ihlr-16481	357	17	acceptable	acceptable	ADJ
ihlr-16481	357	18	to	to	ADP
ihlr-16481	357	19	physicians	physician	NOUN
ihlr-16481	357	20	.	.	PUNCT
ihlr-16481	358	1	they	they	PRON
ihlr-16481	358	2	key	key	VERB
ihlr-16481	358	3	payment	payment	NOUN
ihlr-16481	358	4	to	to	PART
ihlr-16481	358	5	process	process	VERB
ihlr-16481	358	6	measures	measure	NOUN
ihlr-16481	358	7	that	that	PRON
ihlr-16481	358	8	can	can	AUX
ihlr-16481	358	9	be	be	AUX
ihlr-16481	358	10	verified	verify	VERB
ihlr-16481	358	11	using	use	VERB
ihlr-16481	358	12	standard	standard	ADJ
ihlr-16481	358	13	insurance	insurance	NOUN
ihlr-16481	358	14	claims	claim	NOUN
ihlr-16481	358	15	data	datum	NOUN
ihlr-16481	358	16	,	,	PUNCT
ihlr-16481	358	17	and	and	CCONJ
ihlr-16481	358	18	do	do	VERB
ihlr-16481	358	19	other	other	ADJ
ihlr-16481	358	20	things	thing	NOUN
ihlr-16481	358	21	that	that	PRON
ihlr-16481	358	22	are	be	AUX
ihlr-16481	358	23	not	not	PART
ihlr-16481	358	24	41	41	NUM
ihlr-16481	358	25	.	.	PUNCT
ihlr-16481	359	1	a	a	DET
ihlr-16481	359	2	compromise	compromise	NOUN
ihlr-16481	359	3	approach	approach	NOUN
ihlr-16481	359	4	to	to	ADP
ihlr-16481	359	5	p4p	p4p	PROPN
ihlr-16481	359	6	intended	intend	VERB
ihlr-16481	359	7	to	to	PART
ihlr-16481	359	8	reward	reward	VERB
ihlr-16481	359	9	comprehensive	comprehensive	ADJ
ihlr-16481	359	10	,	,	PUNCT
ihlr-16481	359	11	complete	complete	ADJ
ihlr-16481	359	12	care	care	NOUN
ihlr-16481	359	13	rendered	render	VERB
ihlr-16481	359	14	to	to	ADP
ihlr-16481	359	15	individual	individual	ADJ
ihlr-16481	359	16	patients	patient	NOUN
ihlr-16481	359	17	has	have	AUX
ihlr-16481	359	18	been	be	AUX
ihlr-16481	359	19	proposed	propose	VERB
ihlr-16481	359	20	.	.	PUNCT
ihlr-16481	360	1	see	see	VERB
ihlr-16481	360	2	thomas	thomas	PROPN
ihlr-16481	360	3	nolan	nolan	PROPN
ihlr-16481	360	4	&	&	CCONJ
ihlr-16481	360	5	donald	donald	PROPN
ihlr-16481	360	6	m.	m.	PROPN
ihlr-16481	360	7	berwick	berwick	PROPN
ihlr-16481	360	8	,	,	PUNCT
ihlr-16481	360	9	all	all	PRON
ihlr-16481	360	10	-	-	PUNCT
ihlr-16481	360	11	or	or	CCONJ
ihlr-16481	360	12	-	-	PUNCT
ihlr-16481	360	13	none	none	NOUN
ihlr-16481	360	14	measurement	measurement	NOUN
ihlr-16481	360	15	raises	raise	VERB
ihlr-16481	360	16	the	the	DET
ihlr-16481	360	17	bar	bar	NOUN
ihlr-16481	360	18	on	on	ADP
ihlr-16481	360	19	petformance	petformance	NOUN
ihlr-16481	360	20	,	,	PUNCT
ihlr-16481	360	21	295	295	NUM
ihlr-16481	360	22	jama	jama	X
ihlr-16481	360	23	1168	1168	NUM
ihlr-16481	360	24	(	(	PUNCT
ihlr-16481	360	25	2006	2006	NUM
ihlr-16481	360	26	)	)	PUNCT
ihlr-16481	360	27	.	.	PUNCT
ihlr-16481	361	1	42	42	NUM
ihlr-16481	361	2	.	.	PUNCT
ihlr-16481	362	1	e.	e.	PROPN
ihlr-16481	362	2	haavi	haavi	PROPN
ihlr-16481	362	3	morreim	morreim	PROPN
ihlr-16481	362	4	,	,	PUNCT
ihlr-16481	362	5	benefits	benefit	VERB
ihlr-16481	362	6	decisions	decision	NOUN
ihlr-16481	362	7	in	in	ADP
ihlr-16481	362	8	erisa	erisa	NOUN
ihlr-16481	362	9	plans	plan	NOUN
ihlr-16481	362	10	:	:	PUNCT
ihlr-16481	362	11	diminishing	diminish	VERB
ihlr-16481	362	12	deference	deference	NOUN
ihlr-16481	362	13	to	to	ADP
ihlr-16481	362	14	fiduciaries	fiduciary	NOUN
ihlr-16481	362	15	and	and	CCONJ
ihlr-16481	362	16	an	an	DET
ihlr-16481	362	17	emerging	emerge	VERB
ihlr-16481	362	18	problem	problem	NOUN
ihlr-16481	362	19	for	for	ADP
ihlr-16481	362	20	provider	provider	NOUN
ihlr-16481	362	21	-	-	PUNCT
ihlr-16481	362	22	sponsored	sponsor	VERB
ihlr-16481	362	23	organizations	organization	NOUN
ihlr-16481	362	24	,	,	PUNCT
ihlr-16481	362	25	65	65	NUM
ihlr-16481	362	26	tenn	tenn	PROPN
ihlr-16481	362	27	.	.	PUNCT
ihlr-16481	363	1	l.	l.	PROPN
ihlr-16481	363	2	rev	rev	PROPN
ihlr-16481	363	3	.	.	PROPN
ihlr-16481	363	4	511	511	NUM
ihlr-16481	363	5	,	,	PUNCT
ihlr-16481	363	6	523	523	NUM
ihlr-16481	363	7	-	-	SYM
ihlr-16481	363	8	34	34	NUM
ihlr-16481	363	9	(	(	PUNCT
ihlr-16481	363	10	1998	1998	NUM
ihlr-16481	363	11	)	)	PUNCT
ihlr-16481	363	12	.	.	PUNCT
ihlr-16481	364	1	43	43	NUM
ihlr-16481	364	2	.	.	PUNCT
ihlr-16481	365	1	see	see	VERB
ihlr-16481	365	2	robert	robert	PROPN
ihlr-16481	365	3	cunningham	cunningham	PROPN
ihlr-16481	365	4	,	,	PUNCT
ihlr-16481	365	5	professionolism	professionolism	NOUN
ihlr-16481	365	6	reconsidered	reconsider	VERB
ihlr-16481	365	7	:	:	PUNCT
ihlr-16481	365	8	physician	physician	NOUN
ihlr-16481	365	9	payment	payment	NOUN
ihlr-16481	365	10	in	in	ADP
ihlr-16481	365	11	a	a	DET
ihlr-16481	365	12	small	small	ADJ
ihlr-16481	365	13	-	-	PUNCT
ihlr-16481	365	14	practice	practice	NOUN
ihlr-16481	365	15	environment	environment	NOUN
ihlr-16481	365	16	,	,	PUNCT
ihlr-16481	365	17	23(6	23(6	NUM
ihlr-16481	365	18	)	)	PUNCT
ihlr-16481	365	19	health	health	NOUN
ihlr-16481	365	20	aff	aff	PROPN
ihlr-16481	365	21	.	.	PROPN
ihlr-16481	366	1	36	36	NUM
ihlr-16481	366	2	,	,	PUNCT
ihlr-16481	366	3	46	46	NUM
ihlr-16481	366	4	(	(	PUNCT
ihlr-16481	366	5	2004	2004	NUM
ihlr-16481	366	6	)	)	PUNCT
ihlr-16481	366	7	(	(	PUNCT
ihlr-16481	366	8	urging	urge	VERB
ihlr-16481	366	9	the	the	DET
ihlr-16481	366	10	development	development	NOUN
ihlr-16481	366	11	of	of	ADP
ihlr-16481	366	12	quality	quality	NOUN
ihlr-16481	366	13	-	-	PUNCT
ihlr-16481	366	14	based	base	VERB
ihlr-16481	366	15	payment	payment	NOUN
ihlr-16481	366	16	systems	system	NOUN
ihlr-16481	366	17	that	that	PRON
ihlr-16481	366	18	accommodate	accommodate	VERB
ihlr-16481	366	19	the	the	DET
ihlr-16481	366	20	persistence	persistence	NOUN
ihlr-16481	366	21	,	,	PUNCT
ihlr-16481	366	22	and	and	CCONJ
ihlr-16481	366	23	perhaps	perhaps	ADV
ihlr-16481	366	24	the	the	DET
ihlr-16481	366	25	nonnative	nonnative	ADJ
ihlr-16481	366	26	desirability	desirability	NOUN
ihlr-16481	366	27	,	,	PUNCT
ihlr-16481	366	28	of	of	ADP
ihlr-16481	366	29	small	small	ADJ
ihlr-16481	366	30	-	-	PUNCT
ihlr-16481	366	31	group	group	NOUN
ihlr-16481	366	32	practice	practice	NOUN
ihlr-16481	366	33	)	)	PUNCT
ihlr-16481	366	34	.	.	PUNCT
ihlr-16481	367	1	320	320	NUM
ihlr-16481	367	2	indiana	indiana	PROPN
ihlr-16481	367	3	health	health	NOUN
ihlr-16481	367	4	law	law	NOUN
ihlr-16481	367	5	revlew	revlew	NOUN
ihlr-16481	367	6	[	[	X
ihlr-16481	367	7	vol	vol	NOUN
ihlr-16481	367	8	.	.	NOUN
ihlr-16481	368	1	3:303	3:303	NUM
ihlr-16481	368	2	too	too	ADV
ihlr-16481	368	3	intrusive	intrusive	ADJ
ihlr-16481	368	4	or	or	CCONJ
ihlr-16481	368	5	too	too	ADV
ihlr-16481	368	6	.	.	PUNCT
ihlr-16481	369	1	costly	costly	ADJ
ihlr-16481	369	2	·	·	PUNCT
ihlr-16481	369	3	to	to	ADP
ihlr-16481	369	4	participating	participate	VERB
ihlr-16481	369	5	physicians	physician	NOUN
ihlr-16481	369	6	in	in	ADP
ihlr-16481	369	7	the	the	DET
ihlr-16481	369	8	hope	hope	NOUN
ihlr-16481	369	9	of	of	ADP
ihlr-16481	369	10	stimulating	stimulate	VERB
ihlr-16481	369	11	incremental	incremental	ADJ
ihlr-16481	369	12	improvement	improvement	NOUN
ihlr-16481	369	13	.	.	PUNCT
ihlr-16481	369	14	'	'	PUNCT
ihlr-16481	369	15	"	"	PUNCT
ihlr-16481	370	1	but	but	CCONJ
ihlr-16481	370	2	the	the	DET
ihlr-16481	370	3	dividends	dividend	NOUN
ihlr-16481	370	4	from	from	ADP
ihlr-16481	370	5	this	this	DET
ihlr-16481	370	6	type	type	NOUN
ihlr-16481	370	7	of	of	ADP
ihlr-16481	370	8	productivity	productivity	NOUN
ihlr-16481	370	9	-	-	PUNCT
ihlr-16481	370	10	based	base	VERB
ihlr-16481	370	11	p4p	p4p	PROPN
ihlr-16481	370	12	.	.	PROPN
ihlr-16481	370	13	will	will	AUX
ihlr-16481	370	14	be	be	AUX
ihlr-16481	370	15	limited	limit	VERB
ihlr-16481	370	16	.	.	PUNCT
ihlr-16481	371	1	the	the	DET
ihlr-16481	371	2	problem	problem	NOUN
ihlr-16481	371	3	is	be	AUX
ihlr-16481	371	4	that	that	SCONJ
ihlr-16481	371	5	there	there	PRON
ihlr-16481	371	6	are	be	VERB
ihlr-16481	371	7	trade	trade	NOUN
ihlr-16481	371	8	-	-	PUNCT
ihlr-16481	371	9	off	off	NOUN
ihlr-16481	371	10	's	be	AUX
ihlr-16481	371	11	between	between	ADP
ihlr-16481	371	12	how	how	SCONJ
ihlr-16481	371	13	easily	easily	ADV
ihlr-16481	371	14	we	we	PRON
ihlr-16481	371	15	can	can	AUX
ihlr-16481	371	16	get	get	VERB
ihlr-16481	371	17	the	the	DET
ihlr-16481	371	18	information	information	NOUN
ihlr-16481	371	19	on	on	ADP
ihlr-16481	371	20	which	which	PRON
ihlr-16481	371	21	we	we	PRON
ihlr-16481	371	22	are	be	AUX
ihlr-16481	371	23	basing	base	VERB
ihlr-16481	371	24	performance	performance	NOUN
ihlr-16481	371	25	incentives	incentive	NOUN
ihlr-16481	371	26	and	and	CCONJ
ihlr-16481	371	27	how	how	SCONJ
ihlr-16481	371	28	useful	useful	ADJ
ihlr-16481	371	29	that	that	SCONJ
ihlr-16481	371	30	information	information	NOUN
ihlr-16481	371	31	really	really	ADV
ihlr-16481	371	32	is	be	AUX
ihlr-16481	371	33	.	.	PUNCT
ihlr-16481	372	1	we	we	PRON
ihlr-16481	372	2	also	also	ADV
ihlr-16481	372	3	will	will	AUX
ihlr-16481	372	4	not	not	PART
ihlr-16481	372	5	be	be	AUX
ihlr-16481	372	6	able	able	ADJ
ihlr-16481	372	7	to	to	PART
ihlr-16481	372	8	incorporate	incorporate	VERB
ihlr-16481	372	9	many	many	ADJ
ihlr-16481	372	10	outcome	outcome	NOUN
ihlr-16481	372	11	-	-	PUNCT
ihlr-16481	372	12	based	base	VERB
ihlr-16481	372	13	p4p	p4p	PROPN
ihlr-16481	372	14	measures	measure	NOUN
ihlr-16481	372	15	because	because	SCONJ
ihlr-16481	372	16	outcome	outcome	NOUN
ihlr-16481	372	17	measurement	measurement	NOUN
ihlr-16481	372	18	requires	require	VERB
ihlr-16481	372	19	pooling	pool	VERB
ihlr-16481	372	20	large	large	ADJ
ihlr-16481	372	21	numbers	number	NOUN
ihlr-16481	372	22	of	of	ADP
ihlr-16481	372	23	patients	patient	NOUN
ihlr-16481	372	24	to	to	PART
ihlr-16481	372	25	achieve	achieve	VERB
ihlr-16481	372	26	statistical	statistical	ADJ
ihlr-16481	372	27	validity	validity	NOUN
ihlr-16481	372	28	and	and	CCONJ
ihlr-16481	372	29	being	be	AUX
ihlr-16481	372	30	able	able	ADJ
ihlr-16481	372	31	to	to	PART
ihlr-16481	372	32	confidently	confidently	ADV
ihlr-16481	372	33	attribute	attribute	VERB
ihlr-16481	372	34	higher	higher	ADV
ihlr-16481	372	35	or	or	CCONJ
ihlr-16481	372	36	low~	low~	VERB
ihlr-16481	372	37	performance	performance	NOUN
ihlr-16481	372	38	accurately	accurately	ADV
ihlr-16481	372	39	to	to	ADP
ihlr-16481	372	40	the	the	DET
ihlr-16481	372	41	person	person	NOUN
ihlr-16481	372	42	or	or	CCONJ
ihlr-16481	372	43	entity	entity	NOUN
ihlr-16481	372	44	actually	actually	ADV
ihlr-16481	372	45	responsible	responsible	ADJ
ihlr-16481	372	46	for	for	ADP
ihlr-16481	372	47	it	it	PRON
ihlr-16481	372	48	.	.	PUNCT
ihlr-16481	373	1	the	the	DET
ihlr-16481	373	2	more	more	ADV
ihlr-16481	373	3	one	one	NUM
ihlr-16481	373	4	segments	segment	NOUN
ihlr-16481	373	5	a	a	DET
ihlr-16481	373	6	patient	patient	NOUN
ihlr-16481	373	7	's	's	PART
ihlr-16481	373	8	experience	experience	NOUN
ihlr-16481	373	9	among	among	ADP
ihlr-16481	373	10	different	different	ADJ
ihlr-16481	373	11	providers	provider	NOUN
ihlr-16481	373	12	offering	offer	VERB
ihlr-16481	373	13	different	different	ADJ
ihlr-16481	373	14	services	service	NOUN
ihlr-16481	373	15	at	at	ADP
ihlr-16481	373	16	different	different	ADJ
ihlr-16481	373	17	times	time	NOUN
ihlr-16481	373	18	,	,	PUNCT
ihlr-16481	373	19	the	the	PRON
ihlr-16481	373	20	less	less	ADV
ihlr-16481	373	21	likely	likely	ADJ
ihlr-16481	373	22	it	it	PRON
ihlr-16481	373	23	is	be	AUX
ihlr-16481	373	24	that	that	SCONJ
ihlr-16481	373	25	outcomes	outcome	NOUN
ihlr-16481	373	26	can	can	AUX
ihlr-16481	373	27	·	·	VERB
ihlr-16481	373	28	be	be	AUX
ihlr-16481	373	29	measured	measure	VERB
ihlr-16481	373	30	reliably	reliably	ADV
ihlr-16481	373	31	and	and	CCONJ
ihlr-16481	373	32	usefully.45	usefully.45	VERB
ihlr-16481	373	33	a	a	DET
ihlr-16481	373	34	related	related	ADJ
ihlr-16481	373	35	problem	problem	NOUN
ihlr-16481	373	36	is	be	AUX
ihlr-16481	373	37	that	that	SCONJ
ihlr-16481	373	38	·	·	PUNCT
ihlr-16481	373	39	individual	individual	ADJ
ihlr-16481	373	40	physicians	physician	NOUN
ihlr-16481	373	41	have	have	VERB
ihlr-16481	373	42	limited	limit	VERB
ihlr-16481	373	43	authority	authority	NOUN
ihlr-16481	373	44	to	to	PART
ihlr-16481	373	45	command	command	VERB
ihlr-16481	373	46	resources	resource	NOUN
ihlr-16481	373	47	for	for	ADP
ihlr-16481	373	48	which	which	PRON
ihlr-16481	373	49	they	they	PRON
ihlr-16481	373	50	do	do	AUX
ihlr-16481	373	51	not	not	PART
ihlr-16481	373	52	directly	directly	ADV
ihlr-16481	373	53	pay	pay	VERB
ihlr-16481	373	54	.	.	PUNCT
ihlr-16481	374	1	unlike	unlike	ADP
ihlr-16481	374	2	lawyers	lawyer	NOUN
ihlr-16481	374	3	receiving	receive	VERB
ihlr-16481	374	4	contingent	contingent	ADJ
ihlr-16481	374	5	fees	fee	NOUN
ihlr-16481	374	6	,	,	PUNCT
ihlr-16481	374	7	who	who	PRON
ihlr-16481	374	8	beyond	beyond	ADP
ihlr-16481	374	9	the	the	DET
ihlr-16481	374	10	opportunity	opportunity	NOUN
ihlr-16481	374	11	cost	cost	NOUN
ihlr-16481	374	12	of	of	ADP
ihlr-16481	374	13	their	their	PRON
ihlr-16481	374	14	own	own	ADJ
ihlr-16481	374	15	time	time	NOUN
ihlr-16481	374	16	have	have	VERB
ihlr-16481	374	17	at	at	ADV
ihlr-16481	374	18	most	most	ADJ
ihlr-16481	374	19	to	to	PART
ihlr-16481	374	20	advance	advance	VERB
ihlr-16481	374	21	expenses	expense	NOUN
ihlr-16481	374	22	for	for	ADP
ihlr-16481	374	23	expert	expert	ADJ
ihlr-16481	374	24	witnesses	witness	NOUN
ihlr-16481	374	25	,	,	PUNCT
ihlr-16481	374	26	a	a	DET
ihlr-16481	374	27	physician	physician	NOUN
ihlr-16481	374	28	who	who	PRON
ihlr-16481	374	29	truly	truly	ADV
ihlr-16481	374	30	wanted	want	VERB
ihlr-16481	374	31	to	to	PART
ihlr-16481	374	32	improve	improve	VERB
ihlr-16481	374	33	outcomes	outcome	NOUN
ihlr-16481	374	34	would	would	AUX
ihlr-16481	374	35	have	have	VERB
ihlr-16481	374	36	to	to	ADP
ihlr-16481	374	37	front	front	ADJ
ihlr-16481	374	38	hospital	hospital	NOUN
ihlr-16481	374	39	,	,	PUNCT
ihlr-16481	374	40	pharmaceutical	pharmaceutical	NOUN
ihlr-16481	374	41	,	,	PUNCT
ihlr-16481	374	42	and	and	CCONJ
ihlr-16481	374	43	other	other	ADJ
ihlr-16481	374	44	hard	hard	ADJ
ihlr-16481	374	45	costs	cost	NOUN
ihlr-16481	374	46	that	that	PRON
ihlr-16481	374	47	far	far	ADV
ihlr-16481	374	48	exceed	exceed	VERB
ihlr-16481	374	49	the	the	DET
ihlr-16481	374	50	potential	potential	ADJ
ihlr-16481	374	51	personal	personal	ADJ
ihlr-16481	374	52	financial	financial	ADJ
ihlr-16481	374	53	gain	gain	NOUN
ihlr-16481	374	54	from	from	ADP
ihlr-16481	374	55	success	success	NOUN
ihlr-16481	374	56	.	.	PUNCT
ihlr-16481	375	1	how	how	SCONJ
ihlr-16481	375	2	might	might	AUX
ihlr-16481	375	3	medicine	medicine	NOUN
ihlr-16481	375	4	improve	improve	VERB
ihlr-16481	375	5	more	more	ADV
ihlr-16481	375	6	rapidly	rapidly	ADV
ihlr-16481	375	7	?	?	PUNCT
ihlr-16481	376	1	primarily	primarily	ADV
ihlr-16481	376	2	by	by	ADP
ihlr-16481	376	3	becoming	become	VERB
ihlr-16481	376	4	more	more	ADV
ihlr-16481	376	5	integrated	integrated	ADJ
ihlr-16481	376	6	,	,	PUNCT
ihlr-16481	376	7	more	more	ADV
ihlr-16481	376	8	coordinated	coordinated	ADJ
ihlr-16481	376	9	,	,	PUNCT
ihlr-16481	376	10	and	and	CCONJ
ihlr-16481	376	11	larger	large	ADJ
ihlr-16481	376	12	scale	scale	NOUN
ihlr-16481	376	13	than	than	ADP
ihlr-16481	376	14	it	it	PRON
ihlr-16481	376	15	currently	currently	ADV
ihlr-16481	376	16	is.46	is.46	VERB
ihlr-16481	376	17	the	the	DET
ihlr-16481	376	18	persistent	persistent	ADJ
ihlr-16481	376	19	fragmentation	fragmentation	NOUN
ihlr-16481	376	20	of	of	ADP
ihlr-16481	376	21	medical	medical	ADJ
ihlr-16481	376	22	practice	practice	NOUN
ihlr-16481	376	23	in	in	ADP
ihlr-16481	376	24	this	this	DET
ihlr-16481	376	25	country	country	NOUN
ihlr-16481	376	26	is	be	AUX
ihlr-16481	376	27	its	its	PRON
ihlr-16481	376	28	greatest	great	ADJ
ihlr-16481	376	29	barrier	barrier	NOUN
ihlr-16481	376	30	to	to	ADP
ihlr-16481	376	31	improvement	improvement	NOUN
ihlr-16481	376	32	.	.	PUNCT
ihlr-16481	377	1	american	american	PROPN
ihlr-16481	377	2	health	health	PROPN
ihlr-16481	377	3	care	care	NOUN
ihlr-16481	377	4	is	be	AUX
ihlr-16481	377	5	the	the	DET
ihlr-16481	377	6	world	world	NOUN
ihlr-16481	377	7	's	's	PART
ihlr-16481	377	8	largest	large	ADJ
ihlr-16481	377	9	cottage	cottage	NOUN
ihlr-16481	377	10	industry	industry	NOUN
ihlr-16481	377	11	.	.	PUNCT
ihlr-16481	378	1	changing	change	VERB
ihlr-16481	378	2	this	this	PRON
ihlr-16481	378	3	-	-	PUNCT
ihlr-16481	378	4	something	something	PRON
ihlr-16481	378	5	that	that	PRON
ihlr-16481	378	6	pay	pay	VERB
ihlr-16481	378	7	for	for	ADP
ihlr-16481	378	8	performance	performance	NOUN
ihlr-16481	378	9	may	may	AUX
ihlr-16481	378	10	be	be	AUX
ihlr-16481	378	11	able	able	ADJ
ihlr-16481	378	12	to	to	PART
ihlr-16481	378	13	do	do	VERB
ihlr-16481	378	14	if	if	SCONJ
ihlr-16481	378	15	its	its	PRON
ihlr-16481	378	16	proponents	proponent	NOUN
ihlr-16481	378	17	attempt	attempt	VERB
ihlr-16481	378	18	it	it	PRON
ihlr-16481	378	19	-	-	PUNCT
ihlr-16481	378	20	is	be	AUX
ihlr-16481	378	21	likely	likely	ADJ
ihlr-16481	378	22	to	to	PART
ihlr-16481	378	23	have	have	VERB
ihlr-16481	378	24	the	the	DET
ihlr-16481	378	25	greatest	great	ADJ
ihlr-16481	378	26	measurable	measurable	ADJ
ihlr-16481	378	27	benefits	benefit	NOUN
ihlr-16481	378	28	in	in	ADP
ihlr-16481	378	29	terms	term	NOUN
ihlr-16481	378	30	of	of	ADP
ihlr-16481	378	31	quality	quality	NOUN
ihlr-16481	378	32	improvement	improvement	NOUN
ihlr-16481	378	33	and	and	CCONJ
ihlr-16481	378	34	cost	cost	NOUN
ihlr-16481	378	35	effectiveness.47	effectiveness.47	NOUN
ihlr-16481	378	36	44	44	NUM
ihlr-16481	378	37	.	.	PUNCT
ihlr-16481	379	1	see	see	VERB
ihlr-16481	379	2	pacific	pacific	PROPN
ihlr-16481	379	3	business	business	PROPN
ihlr-16481	379	4	group	group	NOUN
ihlr-16481	379	5	on	on	ADP
ihlr-16481	379	6	healm	healm	PROPN
ihlr-16481	379	7	,	,	PUNCT
ihlr-16481	379	8	advawcjnq	advawcjnq	NOUN
ihlr-16481	379	9	physician	physician	NOUN
ihlr-16481	379	10	performance	performance	NOUN
ihlr-16481	379	11	measurement	measurement	NOUN
ihlr-16481	379	12	:	:	PUNCT
ihlr-16481	379	13	usingadministaativedata	usingadministaativedata	ADJ
ihlr-16481	379	14	toassessphysicjanquaiiiy	toassessphysicjanquaiiiy	NOUN
ihlr-16481	379	15	andemciency	andemciency	NOUN
ihlr-16481	379	16	(	(	PUNCT
ihlr-16481	379	17	sept	sept	PROPN
ihlr-16481	379	18	.	.	PROPN
ihlr-16481	379	19	2005	2005	NUM
ihlr-16481	379	20	)	)	PUNCT
ihlr-16481	379	21	,	,	PUNCT
ihlr-16481	379	22	available	available	ADJ
ihlr-16481	379	23	at	at	ADP
ihlr-16481	379	24	http://www.pbgb.org	http://www.pbgb.org	X
ihlr-16481	379	25	(	(	PUNCT
ihlr-16481	379	26	last	last	ADJ
ihlr-16481	379	27	visited	visit	VERB
ihlr-16481	379	28	may	may	PROPN
ihlr-16481	379	29	17	17	NUM
ihlr-16481	379	30	,	,	PUNCT
ihlr-16481	379	31	2006	2006	NUM
ihlr-16481	379	32	)	)	PUNCT
ihlr-16481	379	33	.	.	PUNCT
ihlr-16481	380	1	45	45	NUM
ihlr-16481	380	2	.	.	PUNCT
ihlr-16481	381	1	a	a	DET
ihlr-16481	381	2	weak	weak	ADJ
ihlr-16481	381	3	compromise	compromise	NOUN
ihlr-16481	381	4	is	be	AUX
ihlr-16481	381	5	to	to	PART
ihlr-16481	381	6	reward	reward	VERB
ihlr-16481	381	7	participation	participation	NOUN
ihlr-16481	381	8	in	in	ADP
ihlr-16481	381	9	quality	quality	NOUN
ihlr-16481	381	10	improvement	improvement	NOUN
ihlr-16481	381	11	programs	program	NOUN
ihlr-16481	381	12	regardless	regardless	ADV
ihlr-16481	381	13	of	of	ADP
ihlr-16481	381	14	short	short	ADJ
ihlr-16481	381	15	-	-	PUNCT
ihlr-16481	381	16	term	term	NOUN
ihlr-16481	381	17	measurable	measurable	ADJ
ihlr-16481	381	18	change	change	NOUN
ihlr-16481	381	19	.	.	PUNCT
ihlr-16481	382	1	see	see	VERB
ihlr-16481	382	2	nancy	nancy	PROPN
ihlr-16481	382	3	j.o	j.o	PROPN
ihlr-16481	382	4	.	.	PROPN
ihlr-16481	382	5	birkmeyer	birkmeyer	PROPN
ihlr-16481	382	6	&	&	CCONJ
ihlr-16481	382	7	john	john	PROPN
ihlr-16481	382	8	d.	d.	PROPN
ihlr-16481	382	9	birkmeyer	birkmeyer	PROPN
ihlr-16481	382	10	,	,	PUNCT
ihlr-16481	382	11	strategies	strategy	NOUN
ihlr-16481	382	12	/	/	SYM
ihlr-16481	382	13	or	or	CCONJ
ihlr-16481	382	14	improving	improve	VERB
ihlr-16481	382	15	surgical	surgical	ADJ
ihlr-16481	382	16	quality	quality	NOUN
ihlr-16481	382	17	-	-	PUNCT
ihlr-16481	382	18	should	should	AUX
ihlr-16481	382	19	payers	payer	NOUN
ihlr-16481	382	20	reward	reward	VERB
ihlr-16481	382	21	excellence	excellence	NOUN
ihlr-16481	382	22	or	or	CCONJ
ihlr-16481	382	23	effort	effort	NOUN
ihlr-16481	382	24	?	?	PUNCT
ihlr-16481	382	25	,	,	PUNCT
ihlr-16481	382	26	354	354	NUM
ihlr-16481	382	27	new	new	ADJ
ihlr-16481	382	28	enol	enol	NOUN
ihlr-16481	382	29	j.	j.	PROPN
ihlr-16481	382	30	med	med	PROPN
ihlr-16481	382	31	.	.	PUNCT
ihlr-16481	383	1	864	864	NUM
ihlr-16481	383	2	(	(	PUNCT
ihlr-16481	383	3	2006	2006	NUM
ihlr-16481	383	4	)	)	PUNCT
ihlr-16481	383	5	.	.	PUNCT
ihlr-16481	384	1	46	46	NUM
ihlr-16481	384	2	.	.	PUNCT
ihlr-16481	385	1	see	see	VERB
ihlr-16481	385	2	crossing	cross	VERB
ihlr-16481	385	3	the	the	DET
ihlr-16481	385	4	quau1y	quau1y	ADJ
ihlr-16481	385	5	chasm	chasm	NOUN
ihlr-16481	385	6	,	,	PUNCT
ihlr-16481	385	7	supra	supra	ADJ
ihlr-16481	385	8	note	note	NOUN
ihlr-16481	385	9	19	19	NUM
ihlr-16481	385	10	at	at	ADP
ihlr-16481	385	11	61	61	NUM
ihlr-16481	385	12	-	-	SYM
ihlr-16481	385	13	88	88	NUM
ihlr-16481	385	14	(	(	PUNCT
ihlr-16481	385	15	bighligbting	bighligbte	VERB
ihlr-16481	385	16	coordination	coordination	NOUN
ihlr-16481	385	17	and	and	CCONJ
ihlr-16481	385	18	cooperation	cooperation	NOUN
ihlr-16481	385	19	as	as	ADP
ihlr-16481	385	20	keys	key	NOUN
ihlr-16481	385	21	to	to	ADP
ihlr-16481	385	22	improvement	improvement	NOUN
ihlr-16481	385	23	)	)	PUNCT
ihlr-16481	385	24	;	;	PUNCT
ihlr-16481	386	1	joseph	joseph	PROPN
ihlr-16481	386	2	r.	r.	PROPN
ihlr-16481	386	3	newhouse	newhouse	PROPN
ihlr-16481	386	4	,	,	PUNCT
ihlr-16481	386	5	why	why	SCONJ
ihlr-16481	386	6	is	be	AUX
ihlr-16481	386	7	there	there	PRON
ihlr-16481	386	8	a	a	DET
ihlr-16481	386	9	qualitychasm?,21(4)healthaff.l3,22(2002)(11gr'eingwitbthe(lualitychasmreportbut	qualitychasm?,21(4)healthaff.l3,22(2002)(11gr'eingwitbthe(lualitychasmreportbut	NOUN
ihlr-16481	386	10	describing	describe	VERB
ihlr-16481	386	11	"	"	PUNCT
ihlr-16481	386	12	even	even	ADV
ihlr-16481	386	13	more	more	ADV
ihlr-16481	386	14	fundamental	fundamental	ADJ
ihlr-16481	386	15	"	"	PUNCT
ihlr-16481	386	16	barriers	barrier	NOUN
ihlr-16481	386	17	to	to	ADP
ihlr-16481	386	18	good	good	ADJ
ihlr-16481	386	19	performance	performance	NOUN
ihlr-16481	386	20	tban	tban	ADJ
ihlr-16481	386	21	lack	lack	NOUN
ihlr-16481	386	22	of	of	ADP
ihlr-16481	386	23	organized	organized	ADJ
ihlr-16481	386	24	systems	system	NOUN
ihlr-16481	386	25	)	)	PUNCT
ihlr-16481	386	26	;	;	PUNCT
ihlr-16481	386	27	diane	diane	PROPN
ihlr-16481	386	28	r.	r.	PROPN
ihlr-16481	386	29	rittenhouse	rittenhouse	PROPN
ihlr-16481	386	30	et	et	PROPN
ihlr-16481	386	31	al	al	PROPN
ihlr-16481	386	32	..	..	PROPN
ihlr-16481	386	33	physician	physician	PROPN
ihlr-16481	386	34	organization	organization	NOUN
ihlr-16481	386	35	and	and	CCONJ
ihlr-16481	386	36	care	care	NOUN
ihlr-16481	386	37	management	management	NOUN
ihlr-16481	386	38	in	in	ADP
ihlr-16481	386	39	califomia	califomia	NOUN
ihlr-16481	386	40	:	:	PUNCT
ihlr-16481	386	41	fromcottagetokaiser,23(6)healthaff.si	fromcottagetokaiser,23(6)healthaff.si	ADJ
ihlr-16481	386	42	,	,	PUNCT
ihlr-16481	386	43	s8	s8	NOUN
ihlr-16481	386	44	-	-	PUNCT
ihlr-16481	386	45	s9(2004)(reportinggreateruse	s9(2004)(reportinggreateruse	NOUN
ihlr-16481	386	46	of	of	ADP
ihlr-16481	386	47	quality	quality	NOUN
ihlr-16481	386	48	tools	tool	NOUN
ihlr-16481	386	49	in	in	ADP
ihlr-16481	386	50	hmo	hmo	NOUN
ihlr-16481	386	51	practice	practice	NOUN
ihlr-16481	386	52	settings	setting	NOUN
ihlr-16481	386	53	)	)	PUNCT
ihlr-16481	386	54	.	.	PUNCT
ihlr-16481	387	1	but	but	CCONJ
ihlr-16481	387	2	see	see	VERB
ihlr-16481	387	3	judith	judith	PROPN
ihlr-16481	387	4	smitb	smitb	PROPN
ihlr-16481	387	5	&	&	CCONJ
ihlr-16481	387	6	kieran	kieran	PROPN
ihlr-16481	387	7	walshe	walshe	PROPN
ihlr-16481	387	8	,	,	PUNCT
ihlr-16481	387	9	big	big	ADJ
ihlr-16481	387	10	business	business	NOUN
ihlr-16481	387	11	:	:	PUNCT
ihlr-16481	387	12	the	the	DET
ihlr-16481	387	13	corporatlzation	corporatlzation	NOUN
ihlr-16481	387	14	of	of	ADP
ihlr-16481	387	15	primary	primary	ADJ
ihlr-16481	387	16	care	care	NOUN
ihlr-16481	387	17	in	in	ADP
ihlr-16481	387	18	the	the	DET
ihlr-16481	387	19	uk	uk	PROPN
ihlr-16481	387	20	and	and	CCONJ
ihlr-16481	387	21	the	the	DET
ihlr-16481	387	22	usa	usa	PROPN
ihlr-16481	387	23	,	,	PUNCT
ihlr-16481	387	24	pub	pub	NOUN
ihlr-16481	387	25	.	.	PUNCT
ihlr-16481	388	1	money	money	NOUN
ihlr-16481	388	2	&	&	CCONJ
ihlr-16481	388	3	mgmt	mgmt	PROPN
ihlr-16481	388	4	.	.	PROPN
ihlr-16481	388	5	,	,	PUNCT
ihlr-16481	388	6	apr	apr	PROPN
ihlr-16481	388	7	.	.	PROPN
ihlr-16481	388	8	2004	2004	NUM
ihlr-16481	388	9	,	,	PUNCT
ihlr-16481	388	10	at	at	ADP
ihlr-16481	388	11	87	87	NUM
ihlr-16481	388	12	(	(	PUNCT
ihlr-16481	388	13	asserting	assert	VERB
ihlr-16481	388	14	tbat	tbat	ADV
ihlr-16481	388	15	tightly	tightly	ADV
ihlr-16481	388	16	organized	organize	VERB
ihlr-16481	388	17	primary	primary	ADJ
ihlr-16481	388	18	care	care	NOUN
ihlr-16481	388	19	is	be	AUX
ihlr-16481	388	20	unsuccessful	unsuccessful	ADJ
ihlr-16481	388	21	)	)	PUNCT
ihlr-16481	388	22	.	.	PUNCT
ihlr-16481	389	1	47	47	NUM
ihlr-16481	389	2	.	.	PUNCT
ihlr-16481	390	1	see	see	VERB
ihlr-16481	390	2	.	.	PUNCT
ihlr-16481	391	1	e.g.	e.g.	ADV
ihlr-16481	391	2	,	,	PUNCT
ihlr-16481	391	3	robert	robert	PROPN
ihlr-16481	391	4	s.	s.	PROPN
ihlr-16481	391	5	huclanan	huclanan	PROPN
ihlr-16481	391	6	&	&	CCONJ
ihlr-16481	391	7	gary	gary	PROPN
ihlr-16481	391	8	p.	p.	PROPN
ihlr-16481	391	9	pisano	pisano	PROPN
ihlr-16481	391	10	,	,	PUNCT
ihlr-16481	391	11	the	the	DET
ihlr-16481	391	12	firm	firm	ADJ
ihlr-16481	391	13	specificity	specificity	NOUN
ihlr-16481	391	14	of	of	ADP
ihlr-16481	391	15	individual	individual	ADJ
ihlr-16481	391	16	performance	performance	NOUN
ihlr-16481	391	17	:	:	PUNCT
ihlr-16481	391	18	evidence	evidence	NOUN
ihlr-16481	391	19	/	/	SYM
ihlr-16481	391	20	rom	rom	NOUN
ihlr-16481	391	21	cardiac	cardiac	ADJ
ihlr-16481	391	22	surgery	surgery	NOUN
ihlr-16481	391	23	,	,	PUNCT
ihlr-16481	391	24	52	52	NUM
ihlr-16481	391	25	mgmt	mgmt	NOUN
ihlr-16481	391	26	.	.	PUNCT
ihlr-16481	392	1	sci	sci	PROPN
ihlr-16481	392	2	.	.	PROPN
ihlr-16481	393	1	473,484	473,484	NUM
ihlr-16481	393	2	-	-	SYM
ihlr-16481	393	3	85	85	NUM
ihlr-16481	393	4	(	(	PUNCT
ihlr-16481	393	5	2006	2006	NUM
ihlr-16481	393	6	)	)	PUNCT
ihlr-16481	393	7	(	(	PUNCT
ihlr-16481	393	8	finding	find	VERB
ihlr-16481	393	9	that	that	SCONJ
ihlr-16481	393	10	surgeon	surgeon	NOUN
ihlr-16481	393	11	performance	performance	NOUN
ihlr-16481	393	12	is	be	AUX
ihlr-16481	393	13	largely	largely	ADV
ihlr-16481	393	14	dependent	dependent	ADJ
ihlr-16481	393	15	on	on	ADP
ihlr-16481	393	16	hospital	hospital	NOUN
ihlr-16481	393	17	-	-	PUNCT
ihlr-16481	393	18	specific	specific	ADJ
ihlr-16481	393	19	characteristics	characteristic	NOUN
ihlr-16481	393	20	)	)	PUNCT
ihlr-16481	393	21	.	.	PUNCT
ihlr-16481	394	1	2006	2006	NUM
ihlr-16481	394	2	]	]	PUNCT
ihlr-16481	395	1	p4p	p4p	PROPN
ihlr-16481	395	2	:	:	PUNCT
ihlr-16481	395	3	will	will	AUX
ihlr-16481	395	4	it	it	PRON
ihlr-16481	395	5	work	work	VERB
ihlr-16481	395	6	in	in	ADP
ihlr-16481	395	7	theory	theory	NOUN
ihlr-16481	395	8	?	?	PUNCT
ihlr-16481	396	1	321	321	NUM
ihlr-16481	396	2	for	for	ADP
ihlr-16481	396	3	this	this	DET
ihlr-16481	396	4	purpose	purpose	NOUN
ihlr-16481	396	5	,	,	PUNCT
ihlr-16481	396	6	outcome	outcome	NOUN
ihlr-16481	396	7	-	-	PUNCT
ihlr-16481	396	8	based	base	VERB
ihlr-16481	396	9	pay	pay	NOUN
ihlr-16481	396	10	for	for	ADP
ihlr-16481	396	11	performance	performance	NOUN
ihlr-16481	396	12	is	be	AUX
ihlr-16481	396	13	clearly	clearly	ADV
ihlr-16481	396	14	superior	superior	ADJ
ihlr-16481	396	15	.	.	PUNCT
ihlr-16481	397	1	outcome	outcome	NOUN
ihlr-16481	397	2	measurement	measurement	NOUN
ihlr-16481	397	3	with	with	ADP
ihlr-16481	397	4	significant	significant	ADJ
ihlr-16481	397	5	rewards	reward	NOUN
ihlr-16481	397	6	attached	attach	VERB
ihlr-16481	397	7	to	to	ADP
ihlr-16481	397	8	improvement	improvement	NOUN
ihlr-16481	397	9	will	will	AUX
ihlr-16481	397	10	force	force	VERB
ihlr-16481	397	11	providers	provider	NOUN
ihlr-16481	397	12	to	to	PART
ihlr-16481	397	13	coordinate	coordinate	VERB
ihlr-16481	397	14	and	and	CCONJ
ihlr-16481	397	15	combine	combine	VERB
ihlr-16481	397	16	their	their	PRON
ihlr-16481	397	17	practices	practice	NOUN
ihlr-16481	397	18	so	so	SCONJ
ihlr-16481	397	19	that	that	SCONJ
ihlr-16481	397	20	they	they	PRON
ihlr-16481	397	21	can	can	AUX
ihlr-16481	397	22	take	take	VERB
ihlr-16481	397	23	collective	collective	ADJ
ihlr-16481	397	24	responsibility	responsibility	NOUN
ihlr-16481	397	25	for	for	ADP
ihlr-16481	397	26	success	success	NOUN
ihlr-16481	397	27	and	and	CCONJ
ihlr-16481	397	28	collectively	collectively	ADV
ihlr-16481	397	29	share	share	VERB
ihlr-16481	397	30	the	the	DET
ihlr-16481	397	31	rewards	reward	NOUN
ihlr-16481	397	32	.	.	PUNCT
ihlr-16481	398	1	48	48	NUM
ihlr-16481	398	2	it	it	PRON
ihlr-16481	398	3	remains	remain	VERB
ihlr-16481	398	4	to	to	PART
ihlr-16481	398	5	be	be	AUX
ihlr-16481	398	6	seen	see	VERB
ihlr-16481	398	7	,	,	PUNCT
ihlr-16481	398	8	however	however	ADV
ihlr-16481	398	9	,	,	PUNCT
ihlr-16481	398	10	whether	whether	SCONJ
ihlr-16481	398	11	the	the	DET
ihlr-16481	398	12	political	political	ADJ
ihlr-16481	398	13	influence	influence	NOUN
ihlr-16481	398	14	of	of	ADP
ihlr-16481	398	15	fragmented	fragmented	ADJ
ihlr-16481	398	16	provider	provider	NOUN
ihlr-16481	398	17	organizations	organization	NOUN
ihlr-16481	398	18	will	will	AUX
ihlr-16481	398	19	retard	retard	VERB
ihlr-16481	398	20	the	the	DET
ihlr-16481	398	21	implementation	implementation	NOUN
ihlr-16481	398	22	of	of	ADP
ihlr-16481	398	23	this	this	DET
ihlr-16481	398	24	type	type	NOUN
ihlr-16481	398	25	of	of	ADP
ihlr-16481	398	26	p4p	p4p	PROPN
ihlr-16481	398	27	if	if	SCONJ
ihlr-16481	398	28	proposed	propose	VERB
ihlr-16481	398	29	by	by	ADP
ihlr-16481	398	30	government	government	NOUN
ihlr-16481	398	31	payers	payer	NOUN
ihlr-16481	398	32	,	,	PUNCT
ihlr-16481	398	33	or	or	CCONJ
ihlr-16481	398	34	whether	whether	SCONJ
ihlr-16481	398	35	the	the	DET
ihlr-16481	398	36	public	public	NOUN
ihlr-16481	398	37	will	will	AUX
ihlr-16481	398	38	accept	accept	VERB
ihlr-16481	398	39	integrated	integrated	ADJ
ihlr-16481	398	40	organizations	organization	NOUN
ihlr-16481	398	41	bmught	bmught	VERB
ihlr-16481	398	42	into	into	ADP
ihlr-16481	398	43	existence	existence	NOUN
ihlr-16481	398	44	through	through	ADP
ihlr-16481	398	45	private	private	ADJ
ihlr-16481	398	46	p4p	p4p	PROPN
ihlr-16481	398	47	more	more	ADV
ihlr-16481	398	48	readily	readily	ADV
ihlr-16481	398	49	than	than	SCONJ
ihlr-16481	398	50	they	they	PRON
ihlr-16481	398	51	did	do	VERB
ihlr-16481	398	52	traditional	traditional	PROPN
ihlr-16481	398	53	hmos	hmos	PROPN
ihlr-16481	398	54	.	.	PUNCT
ihlr-16481	399	1	one	one	NUM
ihlr-16481	399	2	unanswered	unanswered	ADJ
ihlr-16481	399	3	technical	technical	ADJ
ihlr-16481	399	4	question	question	NOUN
ihlr-16481	399	5	for	for	ADP
ihlr-16481	399	6	p4p	p4p	PROPN
ihlr-16481	399	7	intended	intend	VERB
ihlr-16481	399	8	to	to	PART
ihlr-16481	399	9	induce	induce	VERB
ihlr-16481	399	10	organiza­	organiza­	CCONJ
ihlr-16481	399	11	tional	tional	ADJ
ihlr-16481	399	12	change	change	NOUN
ihlr-16481	399	13	,	,	PUNCT
ihlr-16481	399	14	beyond	beyond	ADP
ihlr-16481	399	15	the	the	DET
ihlr-16481	399	16	practice	practice	NOUN
ihlr-16481	399	17	restructuring	restructure	VERB
ihlr-16481	399	18	itself	itself	PRON
ihlr-16481	399	19	,	,	PUNCT
ihlr-16481	399	20	is	be	AUX
ihlr-16481	399	21	how	how	SCONJ
ihlr-16481	399	22	financial	financial	ADJ
ihlr-16481	399	23	rewards	reward	NOUN
ihlr-16481	399	24	for	for	ADP
ihlr-16481	399	25	productivity	productivity	NOUN
ihlr-16481	399	26	gains	gain	NOUN
ihlr-16481	399	27	get	get	AUX
ihlr-16481	399	28	distributed	distribute	VERB
ihlr-16481	399	29	internally	internally	ADV
ihlr-16481	399	30	within	within	ADP
ihlr-16481	399	31	the	the	DET
ihlr-16481	399	32	organiza­	organiza­	CCONJ
ihlr-16481	399	33	tions	tion	NOUN
ihlr-16481	399	34	that	that	PRON
ihlr-16481	399	35	receive	receive	VERB
ihlr-16481	399	36	them.49	them.49	PROPN
ihlr-16481	399	37	the	the	DET
ihlr-16481	399	38	california	california	PROPN
ihlr-16481	399	39	experience	experience	NOUN
ihlr-16481	399	40	with	with	ADP
ihlr-16481	399	41	pay	pay	NOUN
ihlr-16481	399	42	for	for	ADP
ihlr-16481	399	43	performance	performance	NOUN
ihlr-16481	399	44	is	be	AUX
ihlr-16481	399	45	instructive	instructive	ADJ
ihlr-16481	399	46	because	because	SCONJ
ihlr-16481	399	47	capitated	capitated	ADJ
ihlr-16481	399	48	medical	medical	ADJ
ihlr-16481	399	49	groups	group	NOUN
ihlr-16481	399	50	made	make	VERB
ihlr-16481	399	51	much	much	ADV
ihlr-16481	399	52	greater	great	ADJ
ihlr-16481	399	53	headway	headway	NOUN
ihlr-16481	399	54	there	there	ADV
ihlr-16481	399	55	in	in	ADP
ihlr-16481	399	56	the	the	DET
ihlr-16481	399	57	1990s	1990s	NUM
ihlr-16481	399	58	than	than	SCONJ
ihlr-16481	399	59	elsewhere.5	elsewhere.5	NOUN
ihlr-16481	399	60	°	°	PROPN
ihlr-16481	399	61	california	california	PROPN
ihlr-16481	399	62	p4p	p4p	PROPN
ihlr-16481	399	63	programs	program	NOUN
ihlr-16481	399	64	have	have	VERB
ihlr-16481	399	65	two	two	NUM
ihlr-16481	399	66	distinct	distinct	ADJ
ihlr-16481	399	67	components	component	NOUN
ihlr-16481	399	68	:	:	PUNCT
ihlr-16481	399	69	the	the	DET
ihlr-16481	399	70	method	method	NOUN
ihlr-16481	399	71	by	by	ADP
ihlr-16481	399	72	which	which	PRON
ihlr-16481	399	73	payers	payer	NOUN
ihlr-16481	399	74	structure	structure	NOUN
ihlr-16481	399	75	incentives	incentive	VERB
ihlr-16481	399	76	for	for	ADP
ihlr-16481	399	77	the	the	DET
ihlr-16481	399	78	medical	medical	ADJ
ihlr-16481	399	79	groups	group	NOUN
ihlr-16481	399	80	,	,	PUNCT
ihlr-16481	399	81	and	and	CCONJ
ihlr-16481	399	82	the	the	DET
ihlr-16481	399	83	manner	manner	NOUN
ihlr-16481	399	84	in	in	ADP
ihlr-16481	399	85	which	which	PRON
ihlr-16481	399	86	the	the	DET
ihlr-16481	399	87	medical	medical	ADJ
ihlr-16481	399	88	groups	group	NOUN
ihlr-16481	399	89	divide	divide	VERB
ihlr-16481	399	90	those	those	DET
ihlr-16481	399	91	rewards	reward	NOUN
ihlr-16481	399	92	among	among	ADP
ihlr-16481	399	93	their	their	PRON
ihlr-16481	399	94	employed	employ	VERB
ihlr-16481	399	95	or	or	CCONJ
ihlr-16481	399	96	affiliated	affiliated	ADJ
ihlr-16481	399	97	physicians	physician	NOUN
ihlr-16481	399	98	.	.	PUNCT
ihlr-16481	400	1	this	this	DET
ihlr-16481	400	2	observation	observation	NOUN
ihlr-16481	400	3	has	have	VERB
ihlr-16481	400	4	a	a	DET
ihlr-16481	400	5	further	further	ADJ
ihlr-16481	400	6	implication	implication	NOUN
ihlr-16481	400	7	for	for	ADP
ihlr-16481	400	8	the	the	DET
ihlr-16481	400	9	design	design	NOUN
ihlr-16481	400	10	of	of	ADP
ihlr-16481	400	11	p4p	p4p	PROPN
ihlr-16481	400	12	programs	program	NOUN
ihlr-16481	400	13	.	.	PUNCT
ihlr-16481	401	1	for	for	ADP
ihlr-16481	401	2	productivity	productivity	NOUN
ihlr-16481	401	3	gains	gain	NOUN
ihlr-16481	401	4	that	that	PRON
ihlr-16481	401	5	do	do	AUX
ihlr-16481	401	6	not	not	PART
ihlr-16481	401	7	involve	involve	VERB
ihlr-16481	401	8	practice	practice	NOUN
ihlr-16481	401	9	consolidation	consolidation	NOUN
ihlr-16481	401	10	and	and	CCONJ
ihlr-16481	401	11	industry	industry	NOUN
ihlr-16481	401	12	restructuring	restructuring	NOUN
ihlr-16481	401	13	,	,	PUNCT
ihlr-16481	401	14	modest	modest	ADJ
ihlr-16481	401	15	amounts	amount	NOUN
ihlr-16481	401	16	of	of	ADP
ihlr-16481	401	17	cash	cash	NOUN
ihlr-16481	401	18	may	may	AUX
ihlr-16481	401	19	go	go	VERB
ihlr-16481	401	20	a	a	DET
ihlr-16481	401	21	long	long	ADJ
ihlr-16481	401	22	way	way	NOUN
ihlr-16481	401	23	and	and	CCONJ
ihlr-16481	401	24	unanticipated	unanticipated	ADJ
ihlr-16481	401	25	consequences	consequence	NOUN
ihlr-16481	401	26	should	should	AUX
ihlr-16481	401	27	be	be	AUX
ihlr-16481	401	28	minor	minor	ADJ
ihlr-16481	401	29	.	.	PUNCT
ihlr-16481	402	1	individual	individual	ADJ
ihlr-16481	402	2	professionals	professional	NOUN
ihlr-16481	402	3	,	,	PUNCT
ihlr-16481	402	4	like	like	ADP
ihlr-16481	402	5	all	all	DET
ihlr-16481	402	6	small	small	ADJ
ihlr-16481	402	7	businesspeople	businesspeople	NOUN
ihlr-16481	402	8	,	,	PUNCT
ihlr-16481	402	9	respond	respond	VERB
ihlr-16481	402	10	well	well	ADV
ihlr-16481	402	11	to	to	ADP
ihlr-16481	402	12	small	small	ADJ
ihlr-16481	402	13	cash	cash	NOUN
ihlr-16481	402	14	incentives	incentive	NOUN
ihlr-16481	402	15	.	.	PUNCT
ihlr-16481	403	1	this	this	PRON
ihlr-16481	403	2	seems	seem	VERB
ihlr-16481	403	3	to	to	PART
ihlr-16481	403	4	be	be	AUX
ihlr-16481	403	5	the	the	DET
ihlr-16481	403	6	experience	experience	NOUN
ihlr-16481	403	7	in	in	ADP
ihlr-16481	403	8	england	england	PROPN
ihlr-16481	403	9	,	,	PUNCT
ihlr-16481	403	10	where	where	SCONJ
ihlr-16481	403	11	general	general	ADJ
ihlr-16481	403	12	practitioners	practitioner	NOUN
ihlr-16481	403	13	enthusiastically	enthusiastically	ADV
ihlr-16481	403	14	agreed	agree	VERB
ihlr-16481	403	15	to	to	ADP
ihlr-16481	403	16	various	various	ADJ
ihlr-16481	403	17	process	process	NOUN
ihlr-16481	403	18	measures	measure	NOUN
ihlr-16481	403	19	in	in	ADP
ihlr-16481	403	20	exchange	exchange	NOUN
ihlr-16481	403	21	for	for	ADP
ihlr-16481	403	22	a	a	DET
ihlr-16481	403	23	pay	pay	NOUN
ihlr-16481	403	24	increase	increase	NOUN
ihlr-16481	403	25	.	.	PUNCT
ihlr-16481	404	1	by	by	ADP
ihlr-16481	404	2	contrast	contrast	NOUN
ihlr-16481	404	3	,	,	PUNCT
ihlr-16481	404	4	performance	performance	NOUN
ihlr-16481	404	5	rewards	reward	VERB
ihlr-16481	404	6	for	for	ADP
ihlr-16481	404	7	corporate	corporate	ADJ
ihlr-16481	404	8	entities	entity	NOUN
ihlr-16481	404	9	must	must	AUX
ihlr-16481	404	10	be	be	AUX
ihlr-16481	404	11	orders	order	NOUN
ihlr-16481	404	12	of	of	ADP
ihlr-16481	404	13	magnitude	magnitude	NOUN
ihlr-16481	404	14	greater	great	ADJ
ihlr-16481	404	15	to	to	PART
ihlr-16481	404	16	attract	attract	VERB
ihlr-16481	404	17	participation	participation	NOUN
ihlr-16481	404	18	by	by	ADP
ihlr-16481	404	19	senior	senior	ADJ
ihlr-16481	404	20	executives	executive	NOUN
ihlr-16481	404	21	,	,	PUNCT
ihlr-16481	404	22	who	who	PRON
ihlr-16481	404	23	then	then	ADV
ihlr-16481	404	24	must	must	AUX
ihlr-16481	404	25	be	be	AUX
ihlr-16481	404	26	willing	willing	ADJ
ihlr-16481	404	27	to	to	PART
ihlr-16481	404	28	create	create	VERB
ihlr-16481	404	29	internal	internal	ADJ
ihlr-16481	404	30	incentives	incentive	NOUN
ihlr-16481	404	31	for	for	ADP
ihlr-16481	404	32	middle	middle	ADJ
ihlr-16481	404	33	managers	manager	NOUN
ihlr-16481	404	34	and	and	CCONJ
ihlr-16481	404	35	front	front	ADJ
ihlr-16481	404	36	-	-	PUNCT
ihlr-16481	404	37	line	line	NOUN
ihlr-16481	404	38	care	care	NOUN
ihlr-16481	404	39	providers	provider	NOUN
ihlr-16481	404	40	who	who	PRON
ihlr-16481	404	41	are	be	AUX
ihlr-16481	404	42	precluded	preclude	VERB
ihlr-16481	404	43	from	from	ADP
ihlr-16481	404	44	accepting	accept	VERB
ihlr-16481	404	45	direct	direct	ADJ
ihlr-16481	404	46	payment	payment	NOUN
ihlr-16481	404	47	from	from	ADP
ihlr-16481	404	48	outside	outside	ADP
ihlr-16481	404	49	the	the	DET
ihlr-16481	404	50	organization	organization	NOUN
ihlr-16481	404	51	.	.	PUNCT
ihlr-16481	405	1	experience	experience	NOUN
ihlr-16481	405	2	with	with	ADP
ihlr-16481	405	3	incentive	incentive	NOUN
ihlr-16481	405	4	stock	stock	NOUN
ihlr-16481	405	5	options	option	NOUN
ihlr-16481	405	6	and	and	CCONJ
ihlr-16481	405	7	other	other	ADJ
ihlr-16481	405	8	performance­	performance­	NOUN
ihlr-16481	405	9	based	base	VERB
ihlr-16481	405	10	executive	executive	NOUN
ihlr-16481	405	11	compensation	compensation	NOUN
ihlr-16481	405	12	packages	package	NOUN
ihlr-16481	405	13	in	in	ADP
ihlr-16481	405	14	fortune	fortune	NOUN
ihlr-16481	405	15	500	500	NUM
ihlr-16481	405	16	corporations	corporation	NOUN
ihlr-16481	405	17	suggests	suggest	VERB
ihlr-16481	405	18	that	that	SCONJ
ihlr-16481	405	19	these	these	DET
ihlr-16481	405	20	programs	program	NOUN
ihlr-16481	405	21	have	have	VERB
ihlr-16481	405	22	both	both	DET
ihlr-16481	405	23	benefits	benefit	NOUN
ihlr-16481	405	24	and	and	CCONJ
ihlr-16481	405	25	risks	risk	NOUN
ihlr-16481	405	26	.	.	PUNCT
ihlr-16481	406	1	major	major	ADJ
ihlr-16481	406	2	corporate	corporate	ADJ
ihlr-16481	406	3	scandals	scandal	NOUN
ihlr-16481	406	4	involving	involve	VERB
ihlr-16481	406	5	fraudulent	fraudulent	ADJ
ihlr-16481	406	6	"	"	PUNCT
ihlr-16481	406	7	earnings	earning	NOUN
ihlr-16481	406	8	management	management	NOUN
ihlr-16481	406	9	"	"	PUNCT
ihlr-16481	406	10	and	and	CCONJ
ihlr-16481	406	11	share	share	NOUN
ihlr-16481	406	12	price	price	NOUN
ihlr-16481	406	13	manipulation	manipulation	NOUN
ihlr-16481	406	14	are	be	AUX
ihlr-16481	406	15	48	48	NUM
ihlr-16481	406	16	.	.	PUNCT
ihlr-16481	407	1	this	this	PRON
ihlr-16481	407	2	is	be	AUX
ihlr-16481	407	3	why	why	SCONJ
ihlr-16481	407	4	federal	federal	ADJ
ihlr-16481	407	5	antitrust	antitrust	ADJ
ihlr-16481	407	6	enforcers	enforcer	NOUN
ihlr-16481	407	7	regard	regard	VERB
ihlr-16481	407	8	pay	pay	NOUN
ihlr-16481	407	9	for	for	ADP
ihlr-16481	407	10	performance	performance	NOUN
ihlr-16481	407	11	as	as	ADP
ihlr-16481	407	12	a	a	DET
ihlr-16481	407	13	potential	potential	ADJ
ihlr-16481	407	14	indicator	indicator	NOUN
ihlr-16481	407	15	of	of	ADP
ihlr-16481	407	16	either	either	CCONJ
ihlr-16481	407	17	clinical	clinical	ADJ
ihlr-16481	407	18	or	or	CCONJ
ihlr-16481	407	19	financial	financial	ADJ
ihlr-16481	407	20	integration	integration	NOUN
ihlr-16481	407	21	,	,	PUNCT
ihlr-16481	407	22	sufficient	sufficient	ADJ
ihlr-16481	407	23	in	in	ADP
ihlr-16481	407	24	many	many	ADJ
ihlr-16481	407	25	cases	case	NOUN
ihlr-16481	407	26	to	to	PART
ihlr-16481	407	27	immunize	immunize	VERB
ihlr-16481	407	28	provider	provider	NOUN
ihlr-16481	407	29	collaboration	collaboration	NOUN
ihlr-16481	407	30	from	from	ADP
ihlr-16481	407	31	per	per	ADP
ihlr-16481	407	32	se	se	X
ihlr-16481	407	33	condemnation	condemnation	NOUN
ihlr-16481	407	34	under	under	ADP
ihlr-16481	407	35	the	the	DET
ihlr-16481	407	36	sherman	sherman	PROPN
ihlr-16481	407	37	act	act	PROPN
ihlr-16481	407	38	.	.	PUNCT
ihlr-16481	408	1	william	william	PROPN
ihlr-16481	408	2	m.	m.	PROPN
ihlr-16481	408	3	sage	sage	PROPN
ihlr-16481	408	4	&	&	CCONJ
ihlr-16481	408	5	dev	dev	PROPN
ihlr-16481	408	6	n.	n.	PROPN
ihlr-16481	408	7	kalyan	kalyan	PROPN
ihlr-16481	408	8	,	,	PUNCT
ihlr-16481	408	9	horses	horse	NOUN
ihlr-16481	408	10	or	or	CCONJ
ihlr-16481	408	11	unicorns	unicorn	NOUN
ihlr-16481	408	12	:	:	PUNCT
ihlr-16481	408	13	can	can	AUX
ihlr-16481	408	14	payingfor	payingfor	VERB
ihlr-16481	408	15	performance	performance	NOUN
ihlr-16481	408	16	make	make	VERB
ihlr-16481	408	17	quality	quality	NOUN
ihlr-16481	408	18	competition	competition	NOUN
ihlr-16481	408	19	routine	routine	NOUN
ihlr-16481	408	20	?	?	PUNCT
ihlr-16481	408	21	,	,	PUNCT
ihlr-16481	408	22	31	31	NUM
ihlr-16481	408	23	j.	j.	PROPN
ihlr-16481	408	24	health	health	PROPN
ihlr-16481	408	25	pol	pol	PROPN
ihlr-16481	408	26	.	.	PUNCT
ihlr-16481	409	1	pol'y	pol'y	PROPN
ihlr-16481	409	2	&	&	CCONJ
ihlr-16481	409	3	l.	l.	PROPN
ihlr-16481	409	4	529,536	529,536	NUM
ihlr-16481	409	5	-	-	SYM
ihlr-16481	409	6	39	39	NUM
ihlr-16481	409	7	(	(	PUNCT
ihlr-16481	409	8	2006	2006	NUM
ihlr-16481	409	9	)	)	PUNCT
ihlr-16481	409	10	.	.	PUNCT
ihlr-16481	410	1	49	49	NUM
ihlr-16481	410	2	.	.	PUNCT
ihlr-16481	410	3	inst	inst	PROPN
ihlr-16481	410	4	.	.	PROPN
ihlr-16481	410	5	of	of	ADP
ihlr-16481	410	6	med	med	PROPN
ihlr-16481	410	7	.	.	PROPN
ihlr-16481	410	8	,	,	PUNCT
ihlr-16481	410	9	crossing	cross	VERB
ihlr-16481	410	10	the	the	DET
ihlr-16481	410	11	quauty	quauty	PROPN
ihlr-16481	410	12	chasm	chasm	NOUN
ihlr-16481	410	13	,	,	PUNCT
ihlr-16481	410	14	supra	supra	ADJ
ihlr-16481	410	15	note	note	NOUN
ihlr-16481	410	16	19	19	NUM
ihlr-16481	410	17	,	,	PUNCT
ihlr-16481	410	18	at	at	ADP
ihlr-16481	410	19	28	28	NUM
ihlr-16481	410	20	-	-	SYM
ihlr-16481	410	21	30	30	NUM
ihlr-16481	410	22	,	,	PUNCT
ihlr-16481	410	23	111	111	NUM
ihlr-16481	410	24	-	-	SYM
ihlr-16481	410	25	44	44	NUM
ihlr-16481	410	26	;	;	PUNCT
ihlr-16481	410	27	meredith	meredith	PROPN
ihlr-16481	410	28	b.	b.	PROPN
ihlr-16481	410	29	rosenthal	rosenthal	PROPN
ihlr-16481	410	30	et	et	PROPN
ihlr-16481	410	31	al	al	PROPN
ihlr-16481	410	32	.	.	PROPN
ihlr-16481	410	33	,	,	PUNCT
ihlr-16481	410	34	transmission	transmission	NOUN
ihlr-16481	410	35	of	of	ADP
ihlr-16481	410	36	financial	financial	ADJ
ihlr-16481	410	37	incentives	incentive	NOUN
ihlr-16481	410	38	to	to	ADP
ihlr-16481	410	39	physicians	physician	NOUN
ihlr-16481	410	40	by	by	ADP
ihlr-16481	410	41	intermediary	intermediary	ADJ
ihlr-16481	410	42	organizations	organization	NOUN
ihlr-16481	410	43	in	in	ADP
ihlr-16481	410	44	california	california	PROPN
ihlr-16481	410	45	,	,	PUNCT
ihlr-16481	410	46	21(4	21(4	NUM
ihlr-16481	410	47	)	)	PUNCT
ihlr-16481	410	48	healtiiaff.197,197	healtiiaff.197,197	PROPN
ihlr-16481	410	49	-	-	PUNCT
ihlr-16481	410	50	98	98	NUM
ihlr-16481	410	51	(	(	PUNCT
ihlr-16481	410	52	2002	2002	NUM
ihlr-16481	410	53	)	)	PUNCT
ihlr-16481	410	54	.	.	PUNCT
ihlr-16481	411	1	50	50	NUM
ihlr-16481	411	2	.	.	PUNCT
ihlr-16481	412	1	jambs	jambs	PROPN
ihlr-16481	412	2	c.	c.	PROPN
ihlr-16481	412	3	robinson	robinson	PROPN
ihlr-16481	412	4	,	,	PUNCT
ihlr-16481	412	5	the	the	DET
ihlr-16481	412	6	corporate	corporate	ADJ
ihlr-16481	412	7	practice	practice	NOUN
ihlr-16481	412	8	of	of	ADP
ihlr-16481	412	9	medicine	medicine	NOUN
ihlr-16481	412	10	:	:	PUNCT
ihlr-16481	412	11	competition	competition	NOUN
ihlr-16481	412	12	and	and	CCONJ
ihlr-16481	412	13	innovation	innovation	NOUN
ihlr-16481	412	14	in	in	ADP
ihlr-16481	412	15	healtii	healtii	PROPN
ihlr-16481	412	16	care	care	NOUN
ihlr-16481	412	17	(	(	PUNCT
ihlr-16481	412	18	1999	1999	NUM
ihlr-16481	412	19	)	)	PUNCT
ihlr-16481	412	20	;	;	PUNCT
ihlr-16481	412	21	robin	robin	PROPN
ihlr-16481	412	22	r.	r.	PROPN
ihlr-16481	412	23	gillies	gillies	PROPN
ihlr-16481	412	24	et	et	PROPN
ihlr-16481	412	25	al	al	PROPN
ihlr-16481	412	26	.	.	PROPN
ihlr-16481	412	27	,	,	PUNCT
ihlr-16481	412	28	how	how	SCONJ
ihlr-16481	412	29	different	different	ADJ
ihlr-16481	412	30	is	be	AUX
ihlr-16481	412	31	california	california	PROPN
ihlr-16481	412	32	?	?	PUNCT
ihlr-16481	413	1	a	a	DET
ihlr-16481	413	2	comparison	comparison	NOUN
ihlr-16481	413	3	of	of	ADP
ihlr-16481	413	4	u.s	u.s	PROPN
ihlr-16481	413	5	.	.	PROPN
ihlr-16481	413	6	physician	physician	NOUN
ihlr-16481	413	7	organizations	organization	NOUN
ihlr-16481	413	8	,	,	PUNCT
ihlr-16481	413	9	healthaff	healthaff	NOUN
ihlr-16481	413	10	.	.	PUNCT
ihlr-16481	414	1	suppl	suppl	PROPN
ihlr-16481	414	2	.	.	PUNCT
ihlr-16481	414	3	web	web	NOUN
ihlr-16481	414	4	exclusive	exclusive	NOUN
ihlr-16481	414	5	,	,	PUNCT
ihlr-16481	414	6	w3	w3	PROPN
ihlr-16481	414	7	492w3	492w3	NUM
ihlr-16481	414	8	502	502	NUM
ihlr-16481	414	9	(	(	PUNCT
ihlr-16481	414	10	2003	2003	NUM
ihlr-16481	414	11	)	)	PUNCT
ihlr-16481	414	12	.	.	PUNCT
ihlr-16481	415	1	322	322	NUM
ihlr-16481	415	2	indiana	indiana	PROPN
ihlr-16481	415	3	heal1h	heal1h	PROPN
ihlr-16481	415	4	law	law	NOUN
ihlr-16481	415	5	review	review	NOUN
ihlr-16481	415	6	[	[	X
ihlr-16481	415	7	vol	vol	NOUN
ihlr-16481	415	8	.	.	PUNCT
ihlr-16481	415	9	3:303	3:303	NUM
ihlr-16481	415	10	clear	clear	ADJ
ihlr-16481	415	11	evidence	evidence	NOUN
ihlr-16481	415	12	that	that	SCONJ
ihlr-16481	415	13	rewarding	reward	VERB
ihlr-16481	415	14	senior	senior	ADJ
ihlr-16481	415	15	executives	executive	NOUN
ihlr-16481	415	16	for	for	ADP
ihlr-16481	415	17	short	short	ADJ
ihlr-16481	415	18	-	-	PUNCT
ihlr-16481	415	19	term	term	NOUN
ihlr-16481	415	20	gains	gain	NOUN
ihlr-16481	415	21	in	in	ADP
ihlr-16481	415	22	market	market	NOUN
ihlr-16481	415	23	capitalization	capitalization	NOUN
ihlr-16481	415	24	did	do	AUX
ihlr-16481	415	25	not	not	PART
ihlr-16481	415	26	align	align	VERB
ihlr-16481	415	27	management	management	NOUN
ihlr-16481	415	28	and	and	CCONJ
ihlr-16481	415	29	shareholder	shareholder	NOUN
ihlr-16481	415	30	incentives	incentive	NOUN
ihlr-16481	415	31	exactly	exactly	ADV
ihlr-16481	415	32	as	as	ADP
ihlr-16481	415	33	intended	intend	VERB
ihlr-16481	415	34	.	.	PUNCT
ihlr-16481	416	1	e.	e.	PROPN
ihlr-16481	416	2	the	the	DET
ihlr-16481	416	3	government	government	NOUN
ihlr-16481	416	4	's	's	PART
ihlr-16481	416	5	role	role	NOUN
ihlr-16481	416	6	pay	pay	NOUN
ihlr-16481	416	7	for	for	ADP
ihlr-16481	416	8	performance	performance	NOUN
ihlr-16481	416	9	is	be	AUX
ihlr-16481	416	10	often	often	ADV
ihlr-16481	416	11	described	describe	VERB
ihlr-16481	416	12	as	as	ADP
ihlr-16481	416	13	an	an	DET
ihlr-16481	416	14	innovation	innovation	NOUN
ihlr-16481	416	15	in	in	ADP
ihlr-16481	416	16	private	private	ADJ
ihlr-16481	416	17	health	health	NOUN
ihlr-16481	416	18	care	care	NOUN
ihlr-16481	416	19	purchasing	purchasing	NOUN
ihlr-16481	416	20	-	-	PUNCT
ihlr-16481	416	21	an	an	DET
ihlr-16481	416	22	example	example	NOUN
ihlr-16481	416	23	of	of	ADP
ihlr-16481	416	24	managed	manage	VERB
ihlr-16481	416	25	care	care	NOUN
ihlr-16481	416	26	learning	learn	VERB
ihlr-16481	416	27	how	how	SCONJ
ihlr-16481	416	28	to	to	PART
ihlr-16481	416	29	do	do	VERB
ihlr-16481	416	30	what	what	PRON
ihlr-16481	416	31	it	it	PRON
ihlr-16481	416	32	wants	want	VERB
ihlr-16481	416	33	to	to	PART
ihlr-16481	416	34	do	do	VERB
ihlr-16481	416	35	better	well	ADV
ihlr-16481	416	36	.	.	PUNCT
ihlr-16481	417	1	nonetheless	nonetheless	ADV
ihlr-16481	417	2	,	,	PUNCT
ihlr-16481	417	3	i	i	PRON
ihlr-16481	417	4	believe	believe	VERB
ihlr-16481	417	5	government	government	NOUN
ihlr-16481	417	6	has	have	VERB
ihlr-16481	417	7	a	a	DET
ihlr-16481	417	8	central	central	ADJ
ihlr-16481	417	9	part	part	NOUN
ihlr-16481	417	10	to	to	PART
ihlr-16481	417	11	play	play	VERB
ihlr-16481	417	12	,	,	PUNCT
ihlr-16481	417	13	and	and	CCONJ
ihlr-16481	417	14	i	i	PRON
ihlr-16481	417	15	am	be	AUX
ihlr-16481	417	16	heartened	hearten	VERB
ihlr-16481	417	17	by	by	ADP
ihlr-16481	417	18	the	the	DET
ihlr-16481	417	19	fact	fact	NOUN
ihlr-16481	417	20	that	that	SCONJ
ihlr-16481	417	21	the	the	DET
ihlr-16481	417	22	bush	bush	PROPN
ihlr-16481	417	23	administration	administration	NOUN
ihlr-16481	417	24	has	have	AUX
ihlr-16481	417	25	been	be	AUX
ihlr-16481	417	26	aggressively	aggressively	ADV
ihlr-16481	417	27	promoting	promote	VERB
ihlr-16481	417	28	p4p	p4p	PROPN
ihlr-16481	417	29	in	in	ADP
ihlr-16481	417	30	the	the	DET
ihlr-16481	417	31	medicare	medicare	PROPN
ihlr-16481	417	32	program	program	NOUN
ihlr-16481	417	33	.	.	PUNCT
ihlr-16481	418	1	there	there	PRON
ihlr-16481	418	2	are	be	VERB
ihlr-16481	418	3	three	three	NUM
ihlr-16481	418	4	aspects	aspect	NOUN
ihlr-16481	418	5	to	to	ADP
ihlr-16481	418	6	the	the	DET
ihlr-16481	418	7	government	government	NOUN
ihlr-16481	418	8	's	's	PART
ihlr-16481	418	9	rqle	rqle	NOUN
ihlr-16481	418	10	.	.	PUNCT
ihlr-16481	419	1	there	there	PRON
ihlr-16481	419	2	is	be	VERB
ihlr-16481	419	3	the	the	DET
ihlr-16481	419	4	govern­	govern­	PROPN
ihlr-16481	419	5	ment	ment	NOUN
ihlr-16481	419	6	's	's	PART
ihlr-16481	419	7	role	role	NOUN
ihlr-16481	419	8	as	as	ADP
ihlr-16481	419	9	purchaser	purchaser	NOUN
ihlr-16481	419	10	through	through	ADP
ihlr-16481	419	11	medicare	medicare	PROPN
ihlr-16481	419	12	and	and	CCONJ
ihlr-16481	419	13	medicaid	medicaid	PROPN
ihlr-16481	419	14	,	,	PUNCT
ihlr-16481	419	15	the	the	DET
ihlr-16481	419	16	government	government	NOUN
ihlr-16481	419	17	's	's	PART
ihlr-16481	419	18	role	role	NOUN
ihlr-16481	419	19	as	as	ADP
ihlr-16481	419	20	regulator	regulator	NOUN
ihlr-16481	419	21	,	,	PUNCT
ihlr-16481	419	22	and	and	CCONJ
ihlr-16481	419	23	-	-	PUNCT
ihlr-16481	419	24	though	though	SCONJ
ihlr-16481	419	25	there	there	PRON
ihlr-16481	419	26	is	be	VERB
ihlr-16481	419	27	not	not	PART
ihlr-16481	419	28	a	a	DET
ihlr-16481	419	29	perfect	perfect	ADJ
ihlr-16481	419	30	way	way	NOUN
ihlr-16481	419	31	to	to	PART
ihlr-16481	419	32	describe	describe	VERB
ihlr-16481	419	33	this	this	PRON
ihlr-16481	419	34	-	-	PUNCT
ihlr-16481	419	35	the	the	DET
ihlr-16481	419	36	government	government	NOUN
ihlr-16481	419	37	's	's	PART
ihlr-16481	419	38	potential	potential	ADJ
ihlr-16481	419	39	role	role	NOUN
ihlr-16481	419	40	as	as	ADP
ihlr-16481	419	41	guarantor	guarantor	NOUN
ihlr-16481	419	42	of	of	ADP
ihlr-16481	419	43	access	access	NOUN
ihlr-16481	419	44	to	to	ADP
ihlr-16481	419	45	health	health	NOUN
ihlr-16481	419	46	care	care	NOUN
ihlr-16481	419	47	and	and	CCONJ
ihlr-16481	419	48	health	health	NOUN
ihlr-16481	419	49	insurance	insurance	NOUN
ihlr-16481	419	50	.	.	PUNCT
ihlr-16481	420	1	each	each	DET
ihlr-16481	420	2	aspect	aspect	NOUN
ihlr-16481	420	3	has	have	VERB
ihlr-16481	420	4	implications	implication	NOUN
ihlr-16481	420	5	for	for	ADP
ihlr-16481	420	6	the	the	DET
ihlr-16481	420	7	design	design	NOUN
ihlr-16481	420	8	and	and	CCONJ
ihlr-16481	420	9	implementation	implementation	NOUN
ihlr-16481	420	10	of	of	ADP
ihlr-16481	420	11	pay	pay	NOUN
ihlr-16481	420	12	for	for	ADP
ihlr-16481	420	13	performance	performance	NOUN
ihlr-16481	420	14	.	.	PUNCT
ihlr-16481	421	1	government	government	NOUN
ihlr-16481	421	2	can	can	AUX
ihlr-16481	421	3	do	do	VERB
ihlr-16481	421	4	very	very	ADV
ihlr-16481	421	5	well	well	ADV
ihlr-16481	421	6	as	as	ADP
ihlr-16481	421	7	a	a	DET
ihlr-16481	421	8	purchaser	purchaser	NOUN
ihlr-16481	421	9	because	because	SCONJ
ihlr-16481	421	10	of	of	ADP
ihlr-16481	421	11	the	the	DET
ihlr-16481	421	12	scale	scale	NOUN
ihlr-16481	421	13	and	and	CCONJ
ihlr-16481	421	14	visibility	visibility	NOUN
ihlr-16481	421	15	of	of	ADP
ihlr-16481	421	16	medicare	medicare	PROPN
ihlr-16481	421	17	.	.	PUNCT
ihlr-16481	422	1	first	first	ADV
ihlr-16481	422	2	,	,	PUNCT
ihlr-16481	422	3	medicare	medicare	PROPN
ihlr-16481	422	4	is	be	AUX
ihlr-16481	422	5	so	so	ADV
ihlr-16481	422	6	big	big	ADJ
ihlr-16481	422	7	that	that	SCONJ
ihlr-16481	422	8	it	it	PRON
ihlr-16481	422	9	can	can	AUX
ihlr-16481	422	10	produce	produce	VERB
ihlr-16481	422	11	modal	modal	ADJ
ihlr-16481	422	12	change	change	NOUN
ihlr-16481	422	13	in	in	ADP
ihlr-16481	422	14	health	health	NOUN
ihlr-16481	422	15	care	care	NOUN
ihlr-16481	422	16	quality	quality	NOUN
ihlr-16481	422	17	rather	rather	ADV
ihlr-16481	422	18	than	than	ADP
ihlr-16481	422	19	marginal	marginal	ADJ
ihlr-16481	422	20	change	change	NOUN
ihlr-16481	422	21	..	..	PUNCT
ihlr-16481	423	1	economists	economist	NOUN
ihlr-16481	423	2	focus	focus	VERB
ihlr-16481	423	3	on	on	ADP
ihlr-16481	423	4	differences	difference	NOUN
ihlr-16481	423	5	at	at	ADP
ihlr-16481	423	6	the	the	DET
ihlr-16481	423	7	margin	margin	NOUN
ihlr-16481	423	8	-	-	PUNCT
ihlr-16481	423	9	turning	turn	VERB
ihlr-16481	423	10	a	a	DET
ihlr-16481	423	11	lower	low	ADJ
ihlr-16481	423	12	quality	quality	NOUN
ihlr-16481	423	13	provider	provider	NOUN
ihlr-16481	423	14	into	into	ADP
ihlr-16481	423	15	a	a	DET
ihlr-16481	423	16	higher	high	ADJ
ihlr-16481	423	17	quality	quality	NOUN
ihlr-16481	423	18	one	one	NUM
ihlr-16481	423	19	because	because	SCONJ
ihlr-16481	423	20	of	of	ADP
ihlr-16481	423	21	the	the	DET
ihlr-16481	423	22	new	new	ADJ
ihlr-16481	423	23	incentive	incentive	NOUN
ihlr-16481	423	24	structure	structure	NOUN
ihlr-16481	423	25	-	-	PUNCT
ihlr-16481	423	26	but	but	CCONJ
ihlr-16481	423	27	quality	quality	NOUN
ihlr-16481	423	28	control	control	NOUN
ihlr-16481	423	29	is	be	AUX
ihlr-16481	423	30	so	so	ADV
ihlr-16481	423	31	poorly	poorly	ADV
ihlr-16481	423	32	developed	develop	VERB
ihlr-16481	423	33	in	in	ADP
ihlr-16481	423	34	medicine	medicine	NOUN
ihlr-16481	423	35	that	that	SCONJ
ihlr-16481	423	36	p4p	p4p	PROPN
ihlr-16481	423	37	must	must	AUX
ihlr-16481	423	38	improve	improve	VERB
ihlr-16481	423	39	the	the	DET
ihlr-16481	423	40	average	average	ADJ
ihlr-16481	423	41	experience	experience	NOUN
ihlr-16481	423	42	of	of	ADP
ihlr-16481	423	43	patients	patient	NOUN
ihlr-16481	423	44	.	.	PUNCT
ihlr-16481	424	1	only	only	ADV
ihlr-16481	424	2	very	very	ADV
ihlr-16481	424	3	large	large	ADJ
ihlr-16481	424	4	payers	payer	NOUN
ihlr-16481	424	5	can	can	AUX
ihlr-16481	424	6	accomplish	accomplish	VERB
ihlr-16481	424	7	that	that	PRON
ihlr-16481	424	8	.	.	PUNCT
ihlr-16481	425	1	second	second	ADV
ihlr-16481	425	2	,	,	PUNCT
ihlr-16481	425	3	medicare	medicare	PROPN
ihlr-16481	425	4	can	can	AUX
ihlr-16481	425	5	encourage	encourage	VERB
ihlr-16481	425	6	provider	provider	NOUN
ihlr-16481	425	7	integration	integration	NOUN
ihlr-16481	425	8	without	without	ADP
ihlr-16481	425	9	completely	completely	ADV
ihlr-16481	425	10	compromising	compromise	VERB
ihlr-16481	425	11	physician	physician	NOUN
ihlr-16481	425	12	morale	morale	NOUN
ihlr-16481	425	13	.	.	PUNCT
ihlr-16481	426	1	empirical	empirical	ADJ
ihlr-16481	426	2	research	research	NOUN
ihlr-16481	426	3	suggests	suggest	VERB
ihlr-16481	426	4	that	that	SCONJ
ihlr-16481	426	5	large	large	ADJ
ihlr-16481	426	6	organizations	organization	NOUN
ihlr-16481	426	7	deliver	deliver	VERB
ihlr-16481	426	8	better	well	ADJ
ihlr-16481	426	9	medical	medical	ADJ
ihlr-16481	426	10	care	care	NOUN
ihlr-16481	426	11	than	than	ADP
ihlr-16481	426	12	small	small	ADJ
ihlr-16481	426	13	organizations	organization	NOUN
ihlr-16481	426	14	.	.	PUNCT
ihlr-16481	427	1	st	st	PROPN
ihlr-16481	427	2	however	however	ADV
ihlr-16481	427	3	,	,	PUNCT
ihlr-16481	427	4	it	it	PRON
ihlr-16481	427	5	also	also	ADV
ihlr-16481	427	6	appears	appear	VERB
ihlr-16481	427	7	that	that	SCONJ
ihlr-16481	427	8	physicians	physician	NOUN
ihlr-16481	427	9	are	be	AUX
ihlr-16481	427	10	less	less	ADV
ihlr-16481	427	11	satisfied	satisfied	ADJ
ihlr-16481	427	12	practicing	practice	VERB
ihlr-16481	427	13	in	in	ADP
ihlr-16481	427	14	settings	setting	NOUN
ihlr-16481	427	15	that	that	PRON
ihlr-16481	427	16	limit	limit	VERB
ihlr-16481	427	17	their	their	PRON
ihlr-16481	427	18	clinical	clinical	ADJ
ihlr-16481	427	19	autonomy	autonomy	NOUN
ihlr-16481	427	20	,	,	PUNCT
ihlr-16481	427	21	which	which	PRON
ihlr-16481	427	22	may	may	AUX
ihlr-16481	427	23	include	include	VERB
ihlr-16481	427	24	large	large	ADJ
ihlr-16481	427	25	organizations.s2	organizations.s2	PROPN
ihlr-16481	427	26	medicare	medicare	NOUN
ihlr-16481	427	27	can	can	AUX
ihlr-16481	427	28	ease	ease	VERB
ihlr-16481	427	29	this	this	DET
ihlr-16481	427	30	tension	tension	NOUN
ihlr-16481	427	31	through	through	ADP
ihlr-16481	427	32	its	its	PRON
ihlr-16481	427	33	support	support	NOUN
ihlr-16481	427	34	for	for	ADP
ihlr-16481	427	35	medical	medical	ADJ
ihlr-16481	427	36	education	education	NOUN
ihlr-16481	427	37	and	and	CCONJ
ihlr-16481	427	38	training	training	NOUN
ihlr-16481	427	39	.	.	PUNCT
ihlr-16481	428	1	over	over	ADP
ihlr-16481	428	2	the	the	DET
ihlr-16481	428	3	long	long	ADJ
ihlr-16481	428	4	term	term	NOUN
ihlr-16481	428	5	,	,	PUNCT
ihlr-16481	428	6	only	only	ADV
ihlr-16481	428	7	improved	improve	VERB
ihlr-16481	428	8	education	education	NOUN
ihlr-16481	428	9	and	and	CCONJ
ihlr-16481	428	10	generational	generational	ADJ
ihlr-16481	428	11	change	change	NOUN
ihlr-16481	428	12	in	in	ADP
ihlr-16481	428	13	the	the	DET
ihlr-16481	428	14	professions	profession	NOUN
ihlr-16481	428	15	will	will	AUX
ihlr-16481	428	16	allow	allow	VERB
ihlr-16481	428	17	practice	practice	NOUN
ihlr-16481	428	18	restructuring	restructuring	NOUN
ihlr-16481	428	19	to	to	PART
ihlr-16481	428	20	happen	happen	VERB
ihlr-16481	428	21	in	in	ADP
ihlr-16481	428	22	american	american	ADJ
ihlr-16481	428	23	medicine	medicine	NOUN
ihlr-16481	428	24	in	in	ADP
ihlr-16481	428	25	a	a	DET
ihlr-16481	428	26	beneficial	beneficial	ADJ
ihlr-16481	428	27	rather	rather	ADV
ihlr-16481	428	28	than	than	ADP
ihlr-16481	428	29	a	a	DET
ihlr-16481	428	30	counterproductive	counterproductive	ADJ
ihlr-16481	428	31	fashion	fashion	NOUN
ihlr-16481	428	32	.	.	PUNCT
ihlr-16481	429	1	third	third	ADJ
ihlr-16481	429	2	,	,	PUNCT
ihlr-16481	429	3	government	government	NOUN
ihlr-16481	429	4	can	can	AUX
ihlr-16481	429	5	pay	pay	VERB
ihlr-16481	429	6	for	for	ADP
ihlr-16481	429	7	public	public	ADJ
ihlr-16481	429	8	goods	good	NOUN
ihlr-16481	429	9	and	and	CCONJ
ihlr-16481	429	10	partial	partial	ADJ
ihlr-16481	429	11	public	public	ADJ
ihlr-16481	429	12	goods	good	NOUN
ihlr-16481	429	13	.	.	PUNCT
ihlr-16481	430	1	as	as	SCONJ
ihlr-16481	430	2	described	describe	VERB
ihlr-16481	430	3	above	above	ADV
ihlr-16481	430	4	,	,	PUNCT
ihlr-16481	430	5	many	many	ADJ
ihlr-16481	430	6	benefits	benefit	NOUN
ihlr-16481	430	7	of	of	ADP
ihlr-16481	430	8	establishing	establish	VERB
ihlr-16481	430	9	the	the	DET
ihlr-16481	430	10	infrastructure	infrastructure	NOUN
ihlr-16481	430	11	to	to	PART
ihlr-16481	430	12	respond	respond	VERB
ihlr-16481	430	13	to	to	ADP
ihlr-16481	430	14	p4p	p4p	PROPN
ihlr-16481	430	15	are	be	AUX
ihlr-16481	430	16	collective	collective	ADJ
ihlr-16481	430	17	rather	rather	ADV
ihlr-16481	430	18	than	than	ADP
ihlr-16481	430	19	individual	individual	ADJ
ihlr-16481	430	20	.	.	PUNCT
ihlr-16481	431	1	in	in	ADP
ihlr-16481	431	2	the	the	DET
ihlr-16481	431	3	united	united	ADJ
ihlr-16481	431	4	kingdom	kingdom	PROPN
ihlr-16481	431	5	,	,	PUNCT
ihlr-16481	431	6	the	the	DET
ihlr-16481	431	7	nhs	nhs	NOUN
ihlr-16481	431	8	obtained	obtain	VERB
ihlr-16481	431	9	buy	buy	NOUN
ihlr-16481	431	10	-	-	PUNCT
ihlr-16481	431	11	in	in	NOUN
ihlr-16481	431	12	for	for	ADP
ihlr-16481	431	13	its	its	PRON
ihlr-16481	431	14	general	general	ADJ
ihlr-16481	431	15	practitioner	practitioner	NOUN
ihlr-16481	431	16	pay	pay	VERB
ihlr-16481	431	17	for	for	ADP
ihlr-16481	431	18	performance	performance	NOUN
ihlr-16481	431	19	requirements	requirement	NOUN
ihlr-16481	431	20	by	by	ADP
ihlr-16481	431	21	offering	offer	VERB
ihlr-16481	431	22	physicians	physician	NOUN
ihlr-16481	431	23	an	an	DET
ihlr-16481	431	24	overall	overall	ADJ
ihlr-16481	431	25	increase	increase	NOUN
ihlr-16481	431	26	in	in	ADP
ihlr-16481	431	27	compensation.s3	compensation.s3	PROPN
ihlr-16481	431	28	by	by	ADP
ihlr-16481	431	29	51	51	NUM
ihlr-16481	431	30	.	.	PUNCT
ihlr-16481	432	1	edward	edward	PROPN
ihlr-16481	432	2	l.	l.	PROPN
ihlr-16481	432	3	halinan	halinan	PROPN
ihlr-16481	432	4	,	,	PUNCT
ihlr-16481	432	5	the	the	DET
ihlr-16481	432	6	relation	relation	NOUN
ihlr-16481	432	7	between	between	ADP
ihlr-16481	432	8	volume	volume	NOUN
ihlr-16481	432	9	and	and	CCONJ
ihlr-16481	432	10	outcome	outcome	NOUN
ihlr-16481	432	11	in	in	ADP
ihlr-16481	432	12	health	health	NOUN
ihlr-16481	432	13	care	care	NOUN
ihlr-16481	432	14	,	,	PUNCT
ihlr-16481	432	15	340	340	NUM
ihlr-16481	432	16	neweng.j.med.l677	neweng.j.med.l677	NOUN
ihlr-16481	432	17	,	,	PUNCT
ihlr-16481	432	18	1677	1677	NUM
ihlr-16481	432	19	-	-	PUNCT
ihlr-16481	432	20	79(1999	79(1999	NOUN
ihlr-16481	432	21	)	)	PUNCT
ihlr-16481	432	22	.	.	PUNCT
ihlr-16481	433	1	52	52	NUM
ihlr-16481	433	2	.	.	PUNCT
ihlr-16481	434	1	bruce	bruce	PROPN
ihlr-16481	434	2	e.	e.	PROPN
ihlr-16481	434	3	landon	landon	PROPN
ihlr-16481	434	4	et	et	PROPN
ihlr-16481	434	5	al	al	PROPN
ihlr-16481	434	6	.	.	PROPN
ihlr-16481	434	7	,	,	PUNCT
ihlr-16481	434	8	changes	change	NOUN
ihlr-16481	434	9	in	in	ADP
ihlr-16481	434	10	career	career	NOUN
ihlr-16481	434	11	satisfaction	satisfaction	NOUN
ihlr-16481	434	12	among	among	ADP
ihlr-16481	434	13	primary	primary	ADJ
ihlr-16481	434	14	care	care	NOUN
ihlr-16481	434	15	and	and	CCONJ
ihlr-16481	434	16	specialist	specialist	NOUN
ihlr-16481	434	17	physicians	physician	NOUN
ihlr-16481	434	18	,	,	PUNCT
ihlr-16481	434	19	1997	1997	NUM
ihlr-16481	434	20	-	-	SYM
ihlr-16481	434	21	2001,289	2001,289	NUM
ihlr-16481	434	22	jama	jama	X
ihlr-16481	434	23	442	442	NUM
ihlr-16481	434	24	,	,	PUNCT
ihlr-16481	434	25	442	442	NUM
ihlr-16481	434	26	(	(	PUNCT
ihlr-16481	434	27	2003	2003	NUM
ihlr-16481	434	28	)	)	PUNCT
ihlr-16481	434	29	.	.	PUNCT
ihlr-16481	435	1	53	53	NUM
ihlr-16481	435	2	.	.	PUNCT
ihlr-16481	435	3	peter	peter	PROPN
ihlr-16481	435	4	c.	c.	PROPN
ihlr-16481	435	5	smith	smith	PROPN
ihlr-16481	435	6	,	,	PUNCT
ihlr-16481	435	7	petformance	petformance	NOUN
ihlr-16481	435	8	management	management	NOUN
ihlr-16481	435	9	in	in	ADP
ihlr-16481	435	10	british	british	ADJ
ihlr-16481	435	11	health	health	NOUN
ihlr-16481	435	12	care	care	NOUN
ihlr-16481	435	13	:	:	PUNCT
ihlr-16481	435	14	will	will	AUX
ihlr-16481	435	15	it	it	PRON
ihlr-16481	435	16	deliver	deliver	VERB
ihlr-16481	435	17	?	?	PUNCT
ihlr-16481	435	18	,	,	PUNCT
ihlr-16481	435	19	21(3	21(3	NUM
ihlr-16481	435	20	)	)	PUNCT
ihlr-16481	435	21	healthaff	healthaff	NOUN
ihlr-16481	435	22	.	.	PUNCT
ihlr-16481	436	1	103	103	NUM
ihlr-16481	436	2	,	,	PUNCT
ihlr-16481	436	3	103	103	NUM
ihlr-16481	436	4	(	(	PUNCT
ihlr-16481	436	5	2002	2002	NUM
ihlr-16481	436	6	)	)	PUNCT
ihlr-16481	436	7	.	.	PUNCT
ihlr-16481	437	1	2006	2006	NUM
ihlr-16481	437	2	]	]	PUNCT
ihlr-16481	438	1	p4p	p4p	PROPN
ihlr-16481	438	2	:	:	PUNCT
ihlr-16481	438	3	wnl	wnl	PROPN
ihlr-16481	438	4	it	it	PRON
ihlr-16481	438	5	work	work	VERB
ihlr-16481	438	6	1n	1n	NUM
ihlr-16481	438	7	theory	theory	NOUN
ihlr-16481	438	8	?	?	PUNCT
ihlr-16481	439	1	323	323	NUM
ihlr-16481	439	2	contrast	contrast	NOUN
ihlr-16481	439	3	,	,	PUNCT
ihlr-16481	439	4	a	a	DET
ihlr-16481	439	5	private	private	ADJ
ihlr-16481	439	6	insurer	insurer	NOUN
ihlr-16481	439	7	would	would	AUX
ihlr-16481	439	8	be	be	AUX
ihlr-16481	439	9	hard	hard	ADV
ihlr-16481	439	10	pressed	pressed	ADJ
ihlr-16481	439	11	to	to	PART
ihlr-16481	439	12	justify	justify	VERB
ihlr-16481	439	13	increased	increase	VERB
ihlr-16481	439	14	compensation	compensation	NOUN
ihlr-16481	439	15	simply	simply	ADV
ihlr-16481	439	16	because	because	SCONJ
ihlr-16481	439	17	providers	provider	NOUN
ihlr-16481	439	18	are	be	AUX
ihlr-16481	439	19	now	now	ADV
ihlr-16481	439	20	demonstrably	demonstrably	ADV
ihlr-16481	439	21	delivering	deliver	VERB
ihlr-16481	439	22	the	the	DET
ihlr-16481	439	23	results	result	NOUN
ihlr-16481	439	24	they	they	PRON
ihlr-16481	439	25	have	have	AUX
ihlr-16481	439	26	always	always	ADV
ihlr-16481	439	27	promised	promise	VERB
ihlr-16481	439	28	.	.	PUNCT
ihlr-16481	440	1	a	a	DET
ihlr-16481	440	2	significant	significant	ADJ
ihlr-16481	440	3	caution	caution	NOUN
ihlr-16481	440	4	is	be	AUX
ihlr-16481	440	5	that	that	SCONJ
ihlr-16481	440	6	health	health	NOUN
ihlr-16481	440	7	care	care	NOUN
ihlr-16481	440	8	is	be	AUX
ihlr-16481	440	9	such	such	DET
ihlr-16481	440	10	a	a	DET
ihlr-16481	440	11	huge	huge	ADJ
ihlr-16481	440	12	slice	slice	NOUN
ihlr-16481	440	13	of	of	ADP
ihlr-16481	440	14	the	the	DET
ihlr-16481	440	15	federal	federal	ADJ
ihlr-16481	440	16	budget	budget	NOUN
ihlr-16481	440	17	that	that	PRON
ihlr-16481	440	18	additional	additional	ADJ
ihlr-16481	440	19	appropriations	appropriation	NOUN
ihlr-16481	440	20	tied	tie	VERB
ihlr-16481	440	21	to	to	ADP
ihlr-16481	440	22	p4p	p4p	PROPN
ihlr-16481	440	23	may	may	AUX
ihlr-16481	440	24	encounter	encounter	VERB
ihlr-16481	440	25	political	political	ADJ
ihlr-16481	440	26	resistance	resistance	NOUN
ihlr-16481	440	27	.	.	PUNCT
ihlr-16481	441	1	large	large	ADJ
ihlr-16481	441	2	-	-	PUNCT
ihlr-16481	441	3	scale	scale	NOUN
ihlr-16481	441	4	changes	change	NOUN
ihlr-16481	441	5	in	in	ADP
ihlr-16481	441	6	medicare	medicare	PROPN
ihlr-16481	441	7	payment	payment	NOUN
ihlr-16481	441	8	are	be	AUX
ihlr-16481	441	9	less	less	ADV
ihlr-16481	441	10	driven	drive	VERB
ihlr-16481	441	11	by	by	ADP
ihlr-16481	441	12	health	health	NOUN
ihlr-16481	441	13	care	care	NOUN
ihlr-16481	441	14	politics	politic	NOUN
ihlr-16481	441	15	than	than	ADP
ihlr-16481	441	16	by	by	ADP
ihlr-16481	441	17	general	general	ADJ
ihlr-16481	441	18	fiscal	fiscal	ADJ
ihlr-16481	441	19	and	and	CCONJ
ihlr-16481	441	20	tax	tax	NOUN
ihlr-16481	441	21	politics	politic	NOUN
ihlr-16481	441	22	.	.	PUNCT
ihlr-16481	442	1	for	for	ADP
ihlr-16481	442	2	example	example	NOUN
ihlr-16481	442	3	,	,	PUNCT
ihlr-16481	442	4	hospitals	hospital	NOUN
ihlr-16481	442	5	have	have	AUX
ihlr-16481	442	6	had	have	VERB
ihlr-16481	442	7	only	only	ADV
ihlr-16481	442	8	modest	modest	ADJ
ihlr-16481	442	9	success	success	NOUN
ihlr-16481	442	10	defending	defend	VERB
ihlr-16481	442	11	their	their	PRON
ihlr-16481	442	12	medicare	medicare	NOUN
ihlr-16481	442	13	reimbursement	reimbursement	NOUN
ihlr-16481	442	14	because	because	SCONJ
ihlr-16481	442	15	even	even	ADV
ihlr-16481	442	16	·	·	PUNCT
ihlr-16481	442	17	small	small	ADJ
ihlr-16481	442	18	changes	change	NOUN
ihlr-16481	442	19	in	in	ADP
ihlr-16481	442	20	hospital	hospital	NOUN
ihlr-16481	442	21	payment	payment	NOUN
ihlr-16481	442	22	have	have	VERB
ihlr-16481	442	23	significant	significant	ADJ
ihlr-16481	442	24	budgetary	budgetary	ADJ
ihlr-16481	442	25	consequences	consequence	NOUN
ihlr-16481	442	26	.	.	PUNCT
ihlr-16481	443	1	54	54	NUM
ihlr-16481	443	2	what	what	PRON
ihlr-16481	443	3	can	can	AUX
ihlr-16481	443	4	government	government	NOUN
ihlr-16481	443	5	do	do	VERB
ihlr-16481	443	6	as	as	ADP
ihlr-16481	443	7	regulator	regulator	NOUN
ihlr-16481	443	8	?	?	PUNCT
ihlr-16481	444	1	pay	pay	NOUN
ihlr-16481	444	2	for	for	ADP
ihlr-16481	444	3	performance	performance	NOUN
ihlr-16481	444	4	is	be	AUX
ihlr-16481	444	5	a	a	DET
ihlr-16481	444	6	fairly	fairly	ADV
ihlr-16481	444	7	standard	standard	ADJ
ihlr-16481	444	8	type	type	NOUN
ihlr-16481	444	9	of	of	ADP
ihlr-16481	444	10	regulatory	regulatory	ADJ
ihlr-16481	444	11	intervention	intervention	NOUN
ihlr-16481	444	12	.	.	PUNCT
ihlr-16481	445	1	it	it	PRON
ihlr-16481	445	2	sits	sit	VERB
ihlr-16481	445	3	somewhere	somewhere	ADV
ihlr-16481	445	4	in	in	ADP
ihlr-16481	445	5	between	between	ADP
ihlr-16481	445	6	a	a	DET
ihlr-16481	445	7	mandatory	mandatory	ADJ
ihlr-16481	445	8	information	information	NOUN
ihlr-16481	445	9	disclosure	disclosure	NOUN
ihlr-16481	445	10	law	law	NOUN
ihlr-16481	445	11	(	(	PUNCT
ihlr-16481	445	12	"	"	PUNCT
ihlr-16481	445	13	tell	tell	VERB
ihlr-16481	445	14	us	we	PRON
ihlr-16481	445	15	and	and	CCONJ
ihlr-16481	445	16	the	the	DET
ihlr-16481	445	17	world	world	NOUN
ihlr-16481	445	18	how	how	SCONJ
ihlr-16481	445	19	you	you	PRON
ihlr-16481	445	20	are	be	AUX
ihlr-16481	445	21	doing	do	VERB
ihlr-16481	445	22	but	but	CCONJ
ihlr-16481	445	23	nothing	nothing	PRON
ihlr-16481	445	24	more	more	ADJ
ihlr-16481	445	25	is	be	AUX
ihlr-16481	445	26	required	require	VERB
ihlr-16481	445	27	''	''	PUNCT
ihlr-16481	445	28	)	)	PUNCT
ihlr-16481	445	29	and	and	CCONJ
ihlr-16481	445	30	a	a	DET
ihlr-16481	445	31	command	command	NOUN
ihlr-16481	445	32	-	-	PUNCT
ihlr-16481	445	33	and	and	CCONJ
ihlr-16481	445	34	-	-	PUNCT
ihlr-16481	445	35	control	control	NOUN
ihlr-16481	445	36	standard	standard	NOUN
ihlr-16481	445	37	(	(	PUNCT
ihlr-16481	445	38	"	"	PUNCT
ihlr-16481	445	39	tell	tell	VERB
ihlr-16481	445	40	us	we	PRON
ihlr-16481	445	41	how	how	SCONJ
ihlr-16481	445	42	you	you	PRON
ihlr-16481	445	43	are	be	AUX
ihlr-16481	445	44	doing	do	VERB
ihlr-16481	445	45	and	and	CCONJ
ihlr-16481	445	46	we	we	PRON
ihlr-16481	445	47	'll	will	AUX
ihlr-16481	445	48	tell	tell	VERB
ihlr-16481	445	49	you	you	PRON
ihlr-16481	445	50	if	if	SCONJ
ihlr-16481	445	51	you	you	PRON
ihlr-16481	445	52	need	need	VERB
ihlr-16481	445	53	to	to	PART
ihlr-16481	445	54	do	do	VERB
ihlr-16481	445	55	better	well	ADV
ihlr-16481	445	56	,	,	PUNCT
ihlr-16481	445	57	and	and	CCONJ
ihlr-16481	445	58	how	how	SCONJ
ihlr-16481	445	59	"	"	PUNCT
ihlr-16481	445	60	)	)	PUNCT
ihlr-16481	445	61	.	.	PUNCT
ihlr-16481	446	1	in	in	ADP
ihlr-16481	446	2	p4p	p4p	PROPN
ihlr-16481	446	3	,	,	PUNCT
ihlr-16481	446	4	financial	financial	ADJ
ihlr-16481	446	5	inducements	inducement	NOUN
ihlr-16481	446	6	make	make	VERB
ihlr-16481	446	7	disclosure	disclosure	NOUN
ihlr-16481	446	8	more	more	ADV
ihlr-16481	446	9	likely	likely	ADJ
ihlr-16481	446	10	,	,	PUNCT
ihlr-16481	446	11	and	and	CCONJ
ihlr-16481	446	12	quality	quality	NOUN
ihlr-16481	446	13	metrics	metric	NOUN
ihlr-16481	446	14	make	make	VERB
ihlr-16481	446	15	disclosure	disclosure	NOUN
ihlr-16481	446	16	more	more	ADV
ihlr-16481	446	17	meaningful	meaningful	ADJ
ihlr-16481	446	18	,	,	PUNCT
ihlr-16481	446	19	but	but	CCONJ
ihlr-16481	446	20	do	do	AUX
ihlr-16481	446	21	not	not	PART
ihlr-16481	446	22	constitute	constitute	VERB
ihlr-16481	446	23	mandatory	mandatory	ADJ
ihlr-16481	446	24	standards	standard	NOUN
ihlr-16481	446	25	.	.	PUNCT
ihlr-16481	447	1	for	for	ADP
ihlr-16481	447	2	example	example	NOUN
ihlr-16481	447	3	,	,	PUNCT
ihlr-16481	447	4	financial	financial	ADJ
ihlr-16481	447	5	incentives	incentive	NOUN
ihlr-16481	447	6	to	to	PART
ihlr-16481	447	7	adopt	adopt	VERB
ihlr-16481	447	8	information	information	NOUN
ihlr-16481	447	9	technology	technology	NOUN
ihlr-16481	447	10	may	may	AUX
ihlr-16481	447	11	prove	prove	VERB
ihlr-16481	447	12	more	more	ADV
ihlr-16481	447	13	effective	effective	ADJ
ihlr-16481	447	14	,	,	PUNCT
ihlr-16481	447	15	and	and	CCONJ
ihlr-16481	447	16	more	more	ADV
ihlr-16481	447	17	politically	politically	ADV
ihlr-16481	447	18	achievable	achievable	ADJ
ihlr-16481	447	19	,	,	PUNCT
ihlr-16481	447	20	than	than	ADP
ihlr-16481	447	21	a	a	DET
ihlr-16481	447	22	direct	direct	ADJ
ihlr-16481	447	23	mandate	mandate	NOUN
ihlr-16481	447	24	.	.	PUNCT
ihlr-16481	448	1	another	another	DET
ihlr-16481	448	2	function	function	NOUN
ihlr-16481	448	3	ofp4p	ofp4p	PROPN
ihlr-16481	448	4	will	will	AUX
ihlr-16481	448	5	be	be	AUX
ihlr-16481	448	6	to	to	PART
ihlr-16481	448	7	focus	focus	VERB
ihlr-16481	448	8	government	government	NOUN
ihlr-16481	448	9	on	on	ADP
ihlr-16481	448	10	the	the	DET
ihlr-16481	448	11	detrimental	detrimental	ADJ
ihlr-16481	448	12	consequences	consequence	NOUN
ihlr-16481	448	13	of	of	ADP
ihlr-16481	448	14	some	some	PRON
ihlr-16481	448	15	of	of	ADP
ihlr-16481	448	16	its	its	PRON
ihlr-16481	448	17	prior	prior	ADJ
ihlr-16481	448	18	regulation	regulation	NOUN
ihlr-16481	448	19	.	.	PUNCT
ihlr-16481	449	1	medical	medical	ADJ
ihlr-16481	449	2	regulatory	regulatory	ADJ
ihlr-16481	449	3	policy	policy	NOUN
ihlr-16481	449	4	in	in	ADP
ihlr-16481	449	5	this	this	DET
ihlr-16481	449	6	country	country	NOUN
ihlr-16481	449	7	has	have	AUX
ihlr-16481	449	8	always	always	ADV
ihlr-16481	449	9	preserved	preserve	VERB
ihlr-16481	449	10	physicians	physician	NOUN
ihlr-16481	449	11	'	'	PART
ihlr-16481	449	12	prerogatives	prerogative	NOUN
ihlr-16481	449	13	both	both	CCONJ
ihlr-16481	449	14	as	as	ADP
ihlr-16481	449	15	ethical	ethical	ADJ
ihlr-16481	449	16	professionals	professional	NOUN
ihlr-16481	449	17	and	and	CCONJ
ihlr-16481	449	18	as	as	ADP
ihlr-16481	449	19	small	small	ADJ
ihlr-16481	449	20	businesspeople	businesspeople	NOUN
ihlr-16481	449	21	.	.	PUNCT
ihlr-16481	450	1	pay	pay	VERB
ihlr-16481	450	2	for	for	ADP
ihlr-16481	450	3	performance	performance	NOUN
ihlr-16481	450	4	will	will	AUX
ihlr-16481	450	5	force	force	VERB
ihlr-16481	450	6	government	government	NOUN
ihlr-16481	450	7	at	at	ADP
ihlr-16481	450	8	various	various	ADJ
ihlr-16481	450	9	levels	level	NOUN
ihlr-16481	450	10	to	to	PART
ihlr-16481	450	11	rethink	rethink	VERB
ihlr-16481	450	12	that	that	SCONJ
ihlr-16481	450	13	jeffersonian	jeffersonian	ADJ
ihlr-16481	450	14	commitment	commitment	NOUN
ihlr-16481	450	15	.	.	PUNCT
ihlr-16481	451	1	medical	medical	ADJ
ihlr-16481	451	2	regulation	regulation	NOUN
ihlr-16481	451	3	,	,	PUNCT
ihlr-16481	451	4	notably	notably	ADV
ihlr-16481	451	5	professional	professional	ADJ
ihlr-16481	451	6	licensing	licensing	NOUN
ihlr-16481	451	7	but	but	CCONJ
ihlr-16481	451	8	also	also	ADV
ihlr-16481	451	9	managed	manage	VERB
ihlr-16481	451	10	care	care	NOUN
ihlr-16481	451	11	regulation	regulation	NOUN
ihlr-16481	451	12	,	,	PUNCT
ihlr-16481	451	13	has	have	AUX
ihlr-16481	451	14	also	also	ADV
ihlr-16481	451	15	discouraged	discourage	VERB
ihlr-16481	451	16	consumers	consumer	NOUN
ihlr-16481	451	17	from	from	ADP
ihlr-16481	451	18	accepting	accept	VERB
ihlr-16481	451	19	tradeoffs	tradeoff	NOUN
ihlr-16481	451	20	between	between	ADP
ihlr-16481	451	21	price	price	NOUN
ihlr-16481	451	22	and	and	CCONJ
ihlr-16481	451	23	quality	quality	NOUN
ihlr-16481	451	24	in	in	ADP
ihlr-16481	451	25	medical	medical	ADJ
ihlr-16481	451	26	care	care	NOUN
ihlr-16481	451	27	.	.	PUNCT
ihlr-16481	452	1	55	55	NUM
ihlr-16481	452	2	p4p	p4p	PROPN
ihlr-16481	452	3	clearly	clearly	ADV
ihlr-16481	452	4	contemplates	contemplate	VERB
ihlr-16481	452	5	paying	pay	VERB
ihlr-16481	452	6	more	more	ADJ
ihlr-16481	452	7	for	for	ADP
ihlr-16481	452	8	better	well	ADJ
ihlr-16481	452	9	medicine	medicine	NOUN
ihlr-16481	452	10	and	and	CCONJ
ihlr-16481	452	11	less	less	ADJ
ihlr-16481	452	12	for	for	ADP
ihlr-16481	452	13	worse	bad	ADJ
ihlr-16481	452	14	medicine	medicine	NOUN
ihlr-16481	452	15	,	,	PUNCT
ihlr-16481	452	16	a	a	DET
ihlr-16481	452	17	bow	bow	NOUN
ihlr-16481	452	18	to	to	ADP
ihlr-16481	452	19	economic	economic	ADJ
ihlr-16481	452	20	reality	reality	NOUN
ihlr-16481	452	21	that	that	PRON
ihlr-16481	452	22	may	may	AUX
ihlr-16481	452	23	spill	spill	VERB
ihlr-16481	452	24	over	over	ADP
ihlr-16481	452	25	and	and	CCONJ
ihlr-16481	452	26	loosen	loosen	VERB
ihlr-16481	452	27	restrictions	restriction	NOUN
ihlr-16481	452	28	on	on	ADP
ihlr-16481	452	29	private	private	ADJ
ihlr-16481	452	30	contracting	contracting	NOUN
ihlr-16481	452	31	for	for	ADP
ihlr-16481	452	32	medical	medical	ADJ
ihlr-16481	452	33	care	care	NOUN
ihlr-16481	452	34	.	.	PUNCT
ihlr-16481	453	1	finally	finally	ADV
ihlr-16481	453	2	,	,	PUNCT
ihlr-16481	453	3	pay	pay	VERB
ihlr-16481	453	4	for	for	ADP
ihlr-16481	453	5	performance	performance	NOUN
ihlr-16481	453	6	should	should	AUX
ihlr-16481	453	7	attract	attract	VERB
ihlr-16481	453	8	greater	great	ADJ
ihlr-16481	453	9	scrutiny	scrutiny	NOUN
ihlr-16481	453	10	from	from	ADP
ihlr-16481	453	11	the	the	DET
ihlr-16481	453	12	federal	federal	ADJ
ihlr-16481	453	13	antitrust	antitrust	ADJ
ihlr-16481	453	14	enforcement	enforcement	NOUN
ihlr-16481	453	15	agencies	agency	NOUN
ihlr-16481	453	16	.	.	PUNCT
ihlr-16481	454	1	both	both	DET
ihlr-16481	454	2	private	private	ADJ
ihlr-16481	454	3	and	and	CCONJ
ihlr-16481	454	4	government	government	NOUN
ihlr-16481	454	5	sponsors	sponsor	NOUN
ihlr-16481	454	6	ofp4p	ofp4p	PROPN
ihlr-16481	454	7	have	have	AUX
ihlr-16481	454	8	considered	consider	VERB
ihlr-16481	454	9	its	its	PRON
ihlr-16481	454	10	regulatory	regulatory	ADJ
ihlr-16481	454	11	interactions	interaction	NOUN
ihlr-16481	454	12	with	with	ADP
ihlr-16481	454	13	federal	federal	ADJ
ihlr-16481	454	14	fraud	fraud	NOUN
ihlr-16481	454	15	and	and	CCONJ
ihlr-16481	454	16	abuse	abuse	NOUN
ihlr-16481	454	17	law	law	NOUN
ihlr-16481	454	18	,	,	PUNCT
ihlr-16481	454	19	and	and	CCONJ
ihlr-16481	454	20	with	with	ADP
ihlr-16481	454	21	federal	federal	ADJ
ihlr-16481	454	22	and	and	CCONJ
ihlr-16481	454	23	state	state	NOUN
ihlr-16481	454	24	tax	tax	NOUN
ihlr-16481	454	25	-	-	PUNCT
ihlr-16481	454	26	exempt	exempt	ADJ
ihlr-16481	454	27	organization	organization	NOUN
ihlr-16481	454	28	law	law	NOUN
ihlr-16481	454	29	.	.	PUNCT
ihlr-16481	455	1	it	it	PRON
ihlr-16481	455	2	is	be	AUX
ihlr-16481	455	3	equally	equally	ADV
ihlr-16481	455	4	important	important	ADJ
ihlr-16481	455	5	for	for	SCONJ
ihlr-16481	455	6	government	government	NOUN
ihlr-16481	455	7	regulators	regulator	NOUN
ihlr-16481	455	8	to	to	PART
ihlr-16481	455	9	assure	assure	VERB
ihlr-16481	455	10	that	that	PRON
ihlr-16481	455	11	pay	pay	NOUN
ihlr-16481	455	12	for	for	ADP
ihlr-16481	455	13	performance	performance	NOUN
ihlr-16481	455	14	does	do	AUX
ihlr-16481	455	15	not	not	PART
ihlr-16481	455	16	evolve	evolve	VERB
ihlr-16481	455	17	so	so	ADV
ihlr-16481	455	18	as	as	SCONJ
ihlr-16481	455	19	to	to	PART
ihlr-16481	455	20	reduce	reduce	VERB
ihlr-16481	455	21	competition	competition	NOUN
ihlr-16481	455	22	in	in	ADP
ihlr-16481	455	23	american	american	PROPN
ihlr-16481	455	24	medical	medical	PROPN
ihlr-16481	455	25	care	care	NOUN
ihlr-16481	455	26	.	.	PUNCT
ihlr-16481	456	1	let	let	VERB
ihlr-16481	456	2	me	i	PRON
ihlr-16481	456	3	conclude	conclude	VERB
ihlr-16481	456	4	by	by	ADP
ihlr-16481	456	5	mentioning	mention	VERB
ihlr-16481	456	6	government	government	NOUN
ihlr-16481	456	7	's	's	PART
ihlr-16481	456	8	role	role	NOUN
ihlr-16481	456	9	in	in	ADP
ihlr-16481	456	10	assuring	assure	VERB
ihlr-16481	456	11	broad	broad	ADJ
ihlr-16481	456	12	public	public	ADJ
ihlr-16481	456	13	access	access	NOUN
ihlr-16481	456	14	to	to	ADP
ihlr-16481	456	15	medical	medical	ADJ
ihlr-16481	456	16	care	care	NOUN
ihlr-16481	456	17	.	.	PUNCT
ihlr-16481	457	1	lack	lack	NOUN
ihlr-16481	457	2	of	of	ADP
ihlr-16481	457	3	health	health	NOUN
ihlr-16481	457	4	insurance	insurance	NOUN
ihlr-16481	457	5	and	and	CCONJ
ihlr-16481	457	6	health	health	NOUN
ihlr-16481	457	7	care	care	NOUN
ihlr-16481	457	8	is	be	AUX
ihlr-16481	457	9	a	a	DET
ihlr-16481	457	10	much	much	ADV
ihlr-16481	457	11	larger	large	ADJ
ihlr-16481	457	12	and	and	CCONJ
ihlr-16481	457	13	more	more	ADV
ihlr-16481	457	14	pressing	pressing	ADJ
ihlr-16481	457	15	problem	problem	NOUN
ihlr-16481	457	16	in	in	ADP
ihlr-16481	457	17	american	american	ADJ
ihlr-16481	457	18	society	society	NOUN
ihlr-16481	457	19	than	than	ADP
ihlr-16481	457	20	poor	poor	ADJ
ihlr-16481	457	21	medical	medical	ADJ
ihlr-16481	457	22	quality	quality	NOUN
ihlr-16481	457	23	for	for	ADP
ihlr-16481	457	24	those	those	PRON
ihlr-16481	457	25	who	who	PRON
ihlr-16481	457	26	are	be	AUX
ihlr-16481	457	27	well	well	ADV
ihlr-16481	457	28	insured	insure	VERB
ihlr-16481	457	29	.	.	PUNCT
ihlr-16481	458	1	unlike	unlike	ADP
ihlr-16481	458	2	lawyers	lawyer	NOUN
ihlr-16481	458	3	'	'	PART
ihlr-16481	458	4	contingent	contingent	NOUN
ihlr-16481	458	5	54	54	NUM
ihlr-16481	458	6	.	.	PUNCT
ihlr-16481	459	1	bruce	bruce	PROPN
ihlr-16481	459	2	c.	c.	PROPN
ihlr-16481	459	3	vladeck	vladeck	PROPN
ihlr-16481	459	4	,	,	PUNCT
ihlr-16481	459	5	thepoliticaleconomyofmedicare	thepoliticaleconomyofmedicare	INTJ
ihlr-16481	459	6	,	,	PUNCT
ihlr-16481	459	7	l8(l)healrnaff.22,22	l8(l)healrnaff.22,22	PROPN
ihlr-16481	459	8	(	(	PUNCT
ihlr-16481	459	9	1999	1999	NUM
ihlr-16481	459	10	)	)	PUNCT
ihlr-16481	459	11	.	.	PUNCT
ihlr-16481	460	1	55	55	NUM
ihlr-16481	460	2	.	.	PUNCT
ihlr-16481	461	1	clark	clark	PROPN
ihlr-16481	461	2	c.	c.	PROPN
ihlr-16481	461	3	haviohurst	haviohurst	PROPN
ihlr-16481	461	4	,	,	PUNCT
ihlr-16481	461	5	health	health	NOUN
ihlr-16481	461	6	care	care	NOUN
ihlr-16481	461	7	choices	choice	NOUN
ihlr-16481	461	8	:	:	PUNCT
ihlr-16481	461	9	private	private	ADJ
ihlr-16481	461	10	contracts	contract	NOUN
ihlr-16481	461	11	as	as	ADP
ihlr-16481	461	12	instruments	instrument	NOUN
ihlr-16481	461	13	of	of	ADP
ihlr-16481	461	14	realm	realm	NOUN
ihlr-16481	461	15	reform	reform	NOUN
ihlr-16481	461	16	(	(	PUNCT
ihlr-16481	461	17	1995	1995	NUM
ihlr-16481	461	18	)	)	PUNCT
ihlr-16481	461	19	;	;	PUNCT
ihlr-16481	461	20	james	james	PROPN
ihlr-16481	461	21	f.	f.	PROPN
ihlr-16481	461	22	blumstein	blumstein	PROPN
ihlr-16481	461	23	,	,	PUNCT
ihlr-16481	461	24	health	health	NOUN
ihlr-16481	461	25	care	care	NOUN
ihlr-16481	461	26	law	law	NOUN
ihlr-16481	461	27	and	and	CCONJ
ihlr-16481	461	28	policy	policy	NOUN
ihlr-16481	461	29	:	:	PUNCT
ihlr-16481	461	30	whence	whence	NOUN
ihlr-16481	461	31	and	and	CCONJ
ihlr-16481	461	32	whither	whither	NOUN
ihlr-16481	461	33	?	?	PUNCT
ihlr-16481	461	34	,	,	PUNCT
ihlr-16481	461	35	14	14	NUM
ihlr-16481	461	36	healtiimatrix	healtiimatrix	NOUN
ihlr-16481	461	37	35	35	NUM
ihlr-16481	461	38	,	,	PUNCT
ihlr-16481	461	39	38	38	NUM
ihlr-16481	461	40	-	-	SYM
ihlr-16481	461	41	39	39	NUM
ihlr-16481	461	42	(	(	PUNCT
ihlr-16481	461	43	2004	2004	NUM
ihlr-16481	461	44	)	)	PUNCT
ihlr-16481	461	45	.	.	PUNCT
ihlr-16481	462	1	324	324	NUM
ihlr-16481	462	2	indiana	indiana	PROPN
ihlr-16481	462	3	heal1h	heal1h	PROPN
ihlr-16481	462	4	law	law	NOUN
ihlr-16481	462	5	review	review	NOUN
ihlr-16481	462	6	[	[	X
ihlr-16481	462	7	vol	vol	NOUN
ihlr-16481	462	8	.	.	PUNCT
ihlr-16481	462	9	3:303	3:303	NUM
ihlr-16481	462	10	fees	fee	NOUN
ihlr-16481	462	11	,	,	PUNCT
ihlr-16481	462	12	medical	medical	ADJ
ihlr-16481	462	13	pay	pay	NOUN
ihlr-16481	462	14	for	for	ADP
ihlr-16481	462	15	performance	performance	NOUN
ihlr-16481	462	16	does	do	AUX
ihlr-16481	462	17	not	not	PART
ihlr-16481	462	18	automatically	automatically	ADV
ihlr-16481	462	19	improve	improve	VERB
ihlr-16481	462	20	access	access	NOUN
ihlr-16481	462	21	to	to	ADP
ihlr-16481	462	22	professional	professional	ADJ
ihlr-16481	462	23	services~	services~	PROPN
ihlr-16481	462	24	and	and	CCONJ
ihlr-16481	462	25	may	may	AUX
ihlr-16481	462	26	have	have	VERB
ihlr-16481	462	27	the	the	DET
ihlr-16481	462	28	opposite	opposite	ADJ
ihlr-16481	462	29	effect.56	effect.56	NOUN
ihlr-16481	462	30	iil	iil	NOUN
ihlr-16481	462	31	addition	addition	NOUN
ihlr-16481	462	32	to	to	ADP
ihlr-16481	462	33	providing	provide	VERB
ihlr-16481	462	34	incentives	incentive	NOUN
ihlr-16481	462	35	to	to	PART
ihlr-16481	462	36	work	work	VERB
ihlr-16481	462	37	bard	bard	ADJ
ihlr-16481	462	38	and	and	CCONJ
ihlr-16481	462	39	to	to	PART
ihlr-16481	462	40	work	work	VERB
ihlr-16481	462	41	cost	cost	NOUN
ihlr-16481	462	42	effectively	effectively	ADV
ihlr-16481	462	43	for	for	ADP
ihlr-16481	462	44	clients	client	NOUN
ihlr-16481	462	45	,	,	PUNCT
ihlr-16481	462	46	contingent	contingent	ADJ
ihlr-16481	462	47	fees	fee	NOUN
ihlr-16481	462	48	in	in	ADP
ihlr-16481	462	49	litigation	litigation	NOUN
ihlr-16481	462	50	induce	induce	VERB
ihlr-16481	462	51	lawyers	lawyer	NOUN
ihlr-16481	462	52	to	to	PART
ihlr-16481	462	53	take	take	VERB
ihlr-16481	462	54	winnable	winnable	ADJ
ihlr-16481	462	55	rather	rather	ADV
ihlr-16481	462	56	than	than	ADP
ihlr-16481	462	57	non­	non­	VERB
ihlr-16481	462	58	winnable	winnable	ADJ
ihlr-16481	462	59	cases	case	NOUN
ihlr-16481	462	60	,	,	PUNCT
ihlr-16481	462	61	and	and	CCONJ
ihlr-16481	462	62	allow	allow	VERB
ihlr-16481	462	63	poor	poor	ADJ
ihlr-16481	462	64	people	people	NOUN
ihlr-16481	462	65	who	who	PRON
ihlr-16481	462	66	could	could	AUX
ihlr-16481	462	67	not	not	PART
ihlr-16481	462	68	afford	afford	VERB
ihlr-16481	462	69	to	to	PART
ihlr-16481	462	70	pay	pay	VERB
ihlr-16481	462	71	hourly	hourly	ADJ
ihlr-16481	462	72	fees	fee	NOUN
ihlr-16481	462	73	to	to	PART
ihlr-16481	462	74	receive	receive	VERB
ihlr-16481	462	75	legal	legal	ADJ
ihlr-16481	462	76	services	service	NOUN
ihlr-16481	462	77	.	.	PUNCT
ihlr-16481	463	1	medical	medical	ADJ
ihlr-16481	463	2	p4p	p4p	PROPN
ihlr-16481	463	3	does	do	AUX
ihlr-16481	463	4	not	not	PART
ihlr-16481	463	5	generate	generate	VERB
ihlr-16481	463	6	funds	fund	NOUN
ihlr-16481	463	7	for	for	ADP
ihlr-16481	463	8	indigent	indigent	ADJ
ihlr-16481	463	9	care	care	NOUN
ihlr-16481	463	10	.	.	PUNCT
ihlr-16481	464	1	a	a	DET
ihlr-16481	464	2	poor	poor	ADJ
ihlr-16481	464	3	patient	patient	NOUN
ihlr-16481	464	4	"	"	PUNCT
ihlr-16481	464	5	recovers	recover	VERB
ihlr-16481	464	6	"	"	PUNCT
ihlr-16481	464	7	health	health	NOUN
ihlr-16481	464	8	,	,	PUNCT
ihlr-16481	464	9	not	not	PART
ihlr-16481	464	10	money	money	NOUN
ihlr-16481	464	11	,	,	PUNCT
ihlr-16481	464	12	and	and	CCONJ
ihlr-16481	464	13	any	any	DET
ihlr-16481	464	14	payment	payment	NOUN
ihlr-16481	464	15	that	that	PRON
ihlr-16481	464	16	rewards	reward	VERB
ihlr-16481	464	17	recovery	recovery	NOUN
ihlr-16481	464	18	must	must	AUX
ihlr-16481	464	19	come	come	VERB
ihlr-16481	464	20	from	from	ADP
ihlr-16481	464	21	elsewhere	elsewhere	ADV
ihlr-16481	464	22	.	.	PUNCT
ihlr-16481	465	1	moreover	moreover	ADV
ihlr-16481	465	2	,	,	PUNCT
ihlr-16481	465	3	pay	pay	VERB
ihlr-16481	465	4	for	for	ADP
ihlr-16481	465	5	performance	performance	NOUN
ihlr-16481	465	6	creates	create	VERB
ihlr-16481	465	7	uncomfortable	uncomfortable	ADJ
ihlr-16481	465	8	selection	selection	NOUN
ihlr-16481	465	9	dynamics	dynamic	NOUN
ihlr-16481	465	10	with	with	ADP
ihlr-16481	465	11	respect	respect	NOUN
ihlr-16481	465	12	to	to	ADP
ihlr-16481	465	13	the	the	DET
ihlr-16481	465	14	types	type	NOUN
ihlr-16481	465	15	of	of	ADP
ihlr-16481	465	16	cases	case	NOUN
ihlr-16481	465	17	that	that	PRON
ihlr-16481	465	18	physician	physician	NOUN
ihlr-16481	465	19	and	and	CCONJ
ihlr-16481	465	20	hospitals	hospital	NOUN
ihlr-16481	465	21	will	will	AUX
ihlr-16481	465	22	be	be	AUX
ihlr-16481	465	23	willing	willing	ADJ
ihlr-16481	465	24	to	to	PART
ihlr-16481	465	25	undertake	undertake	VERB
ihlr-16481	465	26	if	if	SCONJ
ihlr-16481	465	27	payment	payment	NOUN
ihlr-16481	465	28	depends	depend	VERB
ihlr-16481	465	29	on	on	ADP
ihlr-16481	465	30	successful	successful	ADJ
ihlr-16481	465	31	outcomes	outcome	NOUN
ihlr-16481	465	32	.	.	PUNCT
ihlr-16481	466	1	in	in	ADP
ihlr-16481	466	2	law	law	NOUN
ihlr-16481	466	3	,	,	PUNCT
ihlr-16481	466	4	contingent	contingent	ADJ
ihlr-16481	466	5	fee	fee	NOUN
ihlr-16481	466	6	payment	payment	NOUN
ihlr-16481	466	7	discourages	discourage	VERB
ihlr-16481	466	8	frivolous	frivolous	ADJ
ihlr-16481	466	9	litigation	litigation	NOUN
ihlr-16481	466	10	(	(	PUNCT
ihlr-16481	466	11	setting	set	VERB
ihlr-16481	466	12	aside	aside	ADV
ihlr-16481	466	13	its	its	PRON
ihlr-16481	466	14	risk	risk	NOUN
ihlr-16481	466	15	of	of	ADP
ihlr-16481	466	16	provoking	provoke	VERB
ihlr-16481	466	17	lawyers	lawyer	NOUN
ihlr-16481	466	18	to	to	PART
ihlr-16481	466	19	act	act	VERB
ihlr-16481	466	20	unethically	unethically	ADV
ihlr-16481	466	21	when	when	SCONJ
ihlr-16481	466	22	pursuing	pursue	VERB
ihlr-16481	466	23	settlement	settlement	NOUN
ihlr-16481	466	24	)	)	PUNCT
ihlr-16481	466	25	because	because	SCONJ
ihlr-16481	466	26	a	a	DET
ihlr-16481	466	27	lawyer	lawyer	NOUN
ihlr-16481	466	28	does	do	AUX
ihlr-16481	466	29	not	not	PART
ihlr-16481	466	30	get	get	AUX
ihlr-16481	466	31	paid	pay	VERB
ihlr-16481	466	32	for	for	ADP
ihlr-16481	466	33	losing	lose	VERB
ihlr-16481	466	34	.	.	PUNCT
ihlr-16481	467	1	however	however	ADV
ihlr-16481	467	2	,	,	PUNCT
ihlr-16481	467	3	society	society	NOUN
ihlr-16481	467	4	's	's	PART
ihlr-16481	467	5	interest	interest	NOUN
ihlr-16481	467	6	in	in	ADP
ihlr-16481	467	7	health	health	NOUN
ihlr-16481	467	8	care	care	NOUN
ihlr-16481	467	9	is	be	AUX
ihlr-16481	467	10	not	not	PART
ihlr-16481	467	11	limited	limit	VERB
ihlr-16481	467	12	to	to	ADP
ihlr-16481	467	13	the	the	DET
ihlr-16481	467	14	curable	curable	ADJ
ihlr-16481	467	15	case	case	NOUN
ihlr-16481	467	16	.	.	PUNCT
ihlr-16481	468	1	nor	nor	CCONJ
ihlr-16481	468	2	should	should	AUX
ihlr-16481	468	3	physicians	physician	NOUN
ihlr-16481	468	4	be	be	AUX
ihlr-16481	468	5	rewarded	reward	VERB
ihlr-16481	468	6	for	for	ADP
ihlr-16481	468	7	treating	treat	VERB
ihlr-16481	468	8	the	the	DET
ihlr-16481	468	9	healthy	healthy	ADJ
ihlr-16481	468	10	or	or	CCONJ
ihlr-16481	468	11	those	those	PRON
ihlr-16481	468	12	with	with	ADP
ihlr-16481	468	13	self	self	NOUN
ihlr-16481	468	14	-	-	PUNCT
ihlr-16481	468	15	limiting	limit	VERB
ihlr-16481	468	16	disease	disease	NOUN
ihlr-16481	468	17	.	.	PUNCT
ihlr-16481	469	1	society	society	NOUN
ihlr-16481	469	2	's	's	PART
ihlr-16481	469	3	commitment	commitment	NOUN
ihlr-16481	469	4	is	be	AUX
ihlr-16481	469	5	to	to	PART
ihlr-16481	469	6	do	do	VERB
ihlr-16481	469	7	the	the	DET
ihlr-16481	469	8	best	good	ADJ
ihlr-16481	469	9	for	for	ADP
ihlr-16481	469	10	every	every	DET
ihlr-16481	469	11	patient	patient	NOUN
ihlr-16481	469	12	,	,	PUNCT
ihlr-16481	469	13	particularly	particularly	ADV
ihlr-16481	469	14	patients	patient	NOUN
ihlr-16481	469	15	with	with	ADP
ihlr-16481	469	16	grave	grave	ADJ
ihlr-16481	469	17	illnesses	illness	NOUN
ihlr-16481	469	18	who	who	PRON
ihlr-16481	469	19	crave	crave	VERB
ihlr-16481	469	20	hope	hope	NOUN
ihlr-16481	469	21	and	and	CCONJ
ihlr-16481	469	22	compassion	compassion	NOUN
ihlr-16481	469	23	.	.	PUNCT
ihlr-16481	470	1	government	government	NOUN
ihlr-16481	470	2	is	be	AUX
ihlr-16481	470	3	likely	likely	ADJ
ihlr-16481	470	4	to	to	PART
ihlr-16481	470	5	be	be	AUX
ihlr-16481	470	6	in	in	ADP
ihlr-16481	470	7	a	a	DET
ihlr-16481	470	8	stronger	strong	ADJ
ihlr-16481	470	9	position	position	NOUN
ihlr-16481	470	10	than	than	ADP
ihlr-16481	470	11	private	private	ADJ
ihlr-16481	470	12	payers	payer	NOUN
ihlr-16481	470	13	to	to	PART
ihlr-16481	470	14	assert	assert	VERB
ihlr-16481	470	15	these	these	DET
ihlr-16481	470	16	interests	interest	NOUN
ihlr-16481	470	17	when	when	SCONJ
ihlr-16481	470	18	designing	design	VERB
ihlr-16481	470	19	and	and	CCONJ
ihlr-16481	470	20	monitoring	monitoring	NOUN
ihlr-16481	470	21	pay	pay	NOUN
ihlr-16481	470	22	for	for	ADP
ihlr-16481	470	23	performance	performance	NOUN
ihlr-16481	470	24	systems	system	NOUN
ihlr-16481	470	25	.	.	PUNCT
ihlr-16481	471	1	n.	n.	NOUN
ihlr-16481	471	2	conclusion	conclusion	NOUN
ihlr-16481	471	3	since	since	SCONJ
ihlr-16481	471	4	the	the	DET
ihlr-16481	471	5	spectacular	spectacular	ADJ
ihlr-16481	471	6	failure	failure	NOUN
ihlr-16481	471	7	of	of	ADP
ihlr-16481	471	8	national	national	ADJ
ihlr-16481	471	9	health	health	NOUN
ihlr-16481	471	10	reform	reform	NOUN
ihlr-16481	471	11	in	in	ADP
ihlr-16481	471	12	the	the	DET
ihlr-16481	471	13	early	early	ADJ
ihlr-16481	471	14	1990s	1990	NOUN
ihlr-16481	471	15	,	,	PUNCT
ihlr-16481	471	16	it	it	PRON
ihlr-16481	471	17	is	be	AUX
ihlr-16481	471	18	rare	rare	ADJ
ihlr-16481	471	19	than	than	SCONJ
ihlr-16481	471	20	any	any	DET
ihlr-16481	471	21	health	health	NOUN
ihlr-16481	471	22	policy	policy	NOUN
ihlr-16481	471	23	prescription	prescription	NOUN
ihlr-16481	471	24	generates	generate	VERB
ihlr-16481	471	25	widespread	widespread	ADJ
ihlr-16481	471	26	enthusiasm	enthusiasm	NOUN
ihlr-16481	471	27	.	.	PUNCT
ihlr-16481	472	1	pay	pay	VERB
ihlr-16481	472	2	for	for	ADP
ihlr-16481	472	3	performance	performance	NOUN
ihlr-16481	472	4	makes	make	VERB
ihlr-16481	472	5	a	a	DET
ihlr-16481	472	6	very	very	ADV
ihlr-16481	472	7	short	short	ADJ
ihlr-16481	472	8	list	list	NOUN
ihlr-16481	472	9	of	of	ADP
ihlr-16481	472	10	innovations	innovation	NOUN
ihlr-16481	472	11	with	with	ADP
ihlr-16481	472	12	broad	broad	ADV
ihlr-16481	472	13	-	-	PUNCT
ihlr-16481	472	14	based	base	VERB
ihlr-16481	472	15	support	support	NOUN
ihlr-16481	472	16	.	.	PUNCT
ihlr-16481	473	1	with	with	ADP
ihlr-16481	473	2	planning	planning	NOUN
ihlr-16481	473	3	,	,	PUNCT
ihlr-16481	473	4	and	and	CCONJ
ihlr-16481	473	5	luck	luck	NOUN
ihlr-16481	473	6	,	,	PUNCT
ihlr-16481	473	7	p4p	p4p	PROPN
ihlr-16481	473	8	may	may	AUX
ihlr-16481	473	9	contribute	contribute	VERB
ihlr-16481	473	10	significantly	significantly	ADV
ihlr-16481	473	11	to	to	ADP
ihlr-16481	473	12	improving	improve	VERB
ihlr-16481	473	13	the	the	DET
ihlr-16481	473	14	quality	quality	NOUN
ihlr-16481	473	15	of	of	ADP
ihlr-16481	473	16	medical	medical	ADJ
ihlr-16481	473	17	care	care	NOUN
ihlr-16481	473	18	.	.	PUNCT
ihlr-16481	474	1	to	to	PART
ihlr-16481	474	2	do	do	VERB
ihlr-16481	474	3	so	so	ADV
ihlr-16481	474	4	,	,	PUNCT
ihlr-16481	474	5	however	however	ADV
ihlr-16481	474	6	,	,	PUNCT
ihlr-16481	474	7	it	it	PRON
ihlr-16481	474	8	needs	need	VERB
ihlr-16481	474	9	a	a	DET
ihlr-16481	474	10	more	more	ADV
ihlr-16481	474	11	clearly	clearly	ADV
ihlr-16481	474	12	articulated	articulate	VERB
ihlr-16481	474	13	theory	theory	NOUN
ihlr-16481	474	14	than	than	SCONJ
ihlr-16481	474	15	has	have	AUX
ihlr-16481	474	16	been	be	AUX
ihlr-16481	474	17	the	the	DET
ihlr-16481	474	18	case	case	NOUN
ihlr-16481	474	19	thus	thus	ADV
ihlr-16481	474	20	far	far	ADV
ihlr-16481	474	21	.	.	PUNCT
ihlr-16481	475	1	that	that	DET
ihlr-16481	475	2	theory	theory	NOUN
ihlr-16481	475	3	,	,	PUNCT
ihlr-16481	475	4	moreover	moreover	ADV
ihlr-16481	475	5	,	,	PUNCT
ihlr-16481	475	6	must	must	AUX
ihlr-16481	475	7	assert	assert	VERB
ihlr-16481	475	8	a	a	DET
ihlr-16481	475	9	leading	leading	ADJ
ihlr-16481	475	10	role	role	NOUN
ihlr-16481	475	11	for	for	ADP
ihlr-16481	475	12	government	government	NOUN
ihlr-16481	475	13	.	.	PUNCT
ihlr-16481	476	1	performance	performance	NOUN
ihlr-16481	476	2	-	-	PUNCT
ihlr-16481	476	3	based	base	VERB
ihlr-16481	476	4	payment	payment	NOUN
ihlr-16481	476	5	will	will	AUX
ihlr-16481	476	6	not	not	PART
ihlr-16481	476	7	automatically	automatically	ADV
ihlr-16481	476	8	link	link	VERB
ihlr-16481	476	9	financial	financial	ADJ
ihlr-16481	476	10	flows	flow	NOUN
ihlr-16481	476	11	in	in	ADP
ihlr-16481	476	12	health	health	NOUN
ihlr-16481	476	13	care	care	NOUN
ihlr-16481	476	14	to	to	ADP
ihlr-16481	476	15	desirable	desirable	ADJ
ihlr-16481	476	16	social	social	ADJ
ihlr-16481	476	17	outcomes	outcome	NOUN
ihlr-16481	476	18	.	.	PUNCT
ihlr-16481	477	1	in	in	ADP
ihlr-16481	477	2	particular	particular	ADJ
ihlr-16481	477	3	,	,	PUNCT
ihlr-16481	477	4	neither	neither	CCONJ
ihlr-16481	477	5	active	active	ADJ
ihlr-16481	477	6	quality	quality	NOUN
ihlr-16481	477	7	competition	competition	NOUN
ihlr-16481	477	8	nor	nor	CCONJ
ihlr-16481	477	9	quality­	quality­	VERB
ihlr-16481	477	10	related	relate	VERB
ihlr-16481	477	11	productivity	productivity	NOUN
ihlr-16481	477	12	gains	gain	NOUN
ihlr-16481	477	13	apart	apart	ADV
ihlr-16481	477	14	from	from	ADP
ihlr-16481	477	15	competition	competition	NOUN
ihlr-16481	477	16	will	will	AUX
ihlr-16481	477	17	resolve	resolve	VERB
ihlr-16481	477	18	daunting	daunt	VERB
ihlr-16481	477	19	problems	problem	NOUN
ihlr-16481	477	20	of	of	ADP
ihlr-16481	477	21	access	access	NOUN
ihlr-16481	477	22	and	and	CCONJ
ihlr-16481	477	23	affordability	affordability	NOUN
ihlr-16481	477	24	in	in	ADP
ihlr-16481	477	25	american	american	ADJ
ihlr-16481	477	26	health	health	PROPN
ihlr-16481	477	27	care	care	NOUN
ihlr-16481	477	28	.	.	PUNCT
ihlr-16481	478	1	it	it	PRON
ihlr-16481	478	2	has	have	AUX
ihlr-16481	478	3	been	be	AUX
ihlr-16481	478	4	my	my	PRON
ihlr-16481	478	5	pleasure	pleasure	NOUN
ihlr-16481	478	6	to	to	PART
ihlr-16481	478	7	welcome	welcome	VERB
ihlr-16481	478	8	you	you	PRON
ihlr-16481	478	9	to	to	ADP
ihlr-16481	478	10	the	the	DET
ihlr-16481	478	11	pay	pay	NOUN
ihlr-16481	478	12	for	for	ADP
ihlr-16481	478	13	performance	performance	NOUN
ihlr-16481	478	14	medical	medical	ADJ
ihlr-16481	478	15	quality	quality	NOUN
ihlr-16481	478	16	movement	movement	NOUN
ihlr-16481	478	17	.	.	PUNCT
ihlr-16481	479	1	and	and	CCONJ
ihlr-16481	479	2	remember	remember	VERB
ihlr-16481	479	3	---	---	PUNCT
ihlr-16481	479	4	all	all	PRON
ihlr-16481	479	5	you	you	PRON
ihlr-16481	479	6	have	have	VERB
ihlr-16481	479	7	to	to	PART
ihlr-16481	479	8	do	do	VERB
ihlr-16481	479	9	to	to	PART
ihlr-16481	479	10	join	join	VERB
ihlr-16481	479	11	is	be	AUX
ihlr-16481	479	12	to	to	PART
ihlr-16481	479	13	sing	sing	VERB
ihlr-16481	479	14	it	it	PRON
ihlr-16481	479	15	the	the	DET
ihlr-16481	479	16	next	next	ADJ
ihlr-16481	479	17	time	time	NOUN
ihlr-16481	479	18	it	it	PRON
ihlr-16481	479	19	comes	come	VERB
ihlr-16481	479	20	around	around	ADV
ihlr-16481	479	21	on	on	ADP
ihlr-16481	479	22	the	the	DET
ihlr-16481	479	23	guitar	guitar	NOUN
ihlr-16481	479	24	.	.	PUNCT
ihlr-16481	480	1	56	56	NUM
ihlr-16481	480	2	.	.	X
ihlr-16481	481	1	see	see	VERB
ihlr-16481	481	2	william	william	PROPN
ihlr-16481	481	3	m.	m.	PROPN
ihlr-16481	481	4	sage	sage	NOUN
ihlr-16481	481	5	,	,	PUNCT
ihlr-16481	481	6	physicians	physician	NOUN
ihlr-16481	481	7	as	as	ADP
ihlr-16481	481	8	advocates	advocate	NOUN
ihlr-16481	481	9	,	,	PUNCT
ihlr-16481	481	10	13	13	NUM
ihlr-16481	481	11	hous	hous	ADJ
ihlr-16481	481	12	.	.	PUNCT
ihlr-16481	482	1	l.	l.	PROPN
ihlr-16481	482	2	rev	rev	PROPN
ihlr-16481	482	3	.	.	PROPN
ihlr-16481	482	4	1529	1529	NUM
ihlr-16481	482	5	,	,	PUNCT
ihlr-16481	482	6	1624	1624	NUM
ihlr-16481	482	7	-	-	SYM
ihlr-16481	482	8	25	25	NUM
ihlr-16481	482	9	(	(	PUNCT
ihlr-16481	482	10	1999	1999	NUM
ihlr-16481	482	11	)	)	PUNCT
ihlr-16481	482	12	.	.	PUNCT