id	sid	tid	token	lemma	pos
ihlr-16489	1	1	richard	richard	PROPN
ihlr-16489	1	2	0	0	PROPN
ihlr-16489	1	3	.	.	PUNCT
ihlr-16489	2	1	dolinar	dolinar	VERB
ihlr-16489	2	2	a	a	DET
ihlr-16489	2	3	private	private	ADJ
ihlr-16489	2	4	practice	practice	NOUN
ihlr-16489	2	5	clinical	clinical	ADJ
ihlr-16489	2	6	endocrinologist	endocrinologist	NOUN
ihlr-16489	2	7	in	in	ADP
ihlr-16489	2	8	phoenix	phoenix	PROPN
ihlr-16489	2	9	,	,	PUNCT
ihlr-16489	2	10	arizona	arizona	PROPN
ihlr-16489	2	11	,	,	PUNCT
ihlr-16489	2	12	dr	dr	PROPN
ihlr-16489	2	13	.	.	PROPN
ihlr-16489	2	14	dolinar	dolinar	PROPN
ihlr-16489	2	15	earned	earn	VERB
ihlr-16489	2	16	his	his	PRON
ihlr-16489	2	17	medical	medical	ADJ
ihlr-16489	2	18	degree	degree	NOUN
ihlr-16489	2	19	from	from	ADP
ihlr-16489	2	20	the	the	DET
ihlr-16489	2	21	state	state	NOUN
ihlr-16489	2	22	university	university	PROPN
ihlr-16489	2	23	ofnew	ofnew	PROPN
ihlr-16489	2	24	york	york	PROPN
ihlr-16489	2	25	at	at	ADP
ihlr-16489	2	26	buffalo	buffalo	PROPN
ihlr-16489	2	27	and	and	CCONJ
ihlr-16489	2	28	did	do	VERB
ihlr-16489	2	29	his	his	PRON
ihlr-16489	2	30	endocrinology	endocrinology	NOUN
ihlr-16489	2	31	fellowship	fellowship	NOUN
ihlr-16489	2	32	at	at	ADP
ihlr-16489	2	33	duke	duke	PROPN
ihlr-16489	2	34	university	university	PROPN
ihlr-16489	2	35	.	.	PUNCT
ihlr-16489	3	1	dr	dr	PROPN
ihlr-16489	3	2	.	.	PROPN
ihlr-16489	3	3	dolinar	dolinar	PROPN
ihlr-16489	3	4	has	have	AUX
ihlr-16489	3	5	testified	testify	VERB
ihlr-16489	3	6	before	before	ADP
ihlr-16489	3	7	the	the	DET
ihlr-16489	3	8	u.s	u.s	PROPN
ihlr-16489	3	9	.	.	PROPN
ihlr-16489	3	10	senate	senate	PROPN
ihlr-16489	3	11	subcommittee	subcommittee	NOUN
ihlr-16489	3	12	on	on	ADP
ihlr-16489	3	13	consumer	consumer	NOUN
ihlr-16489	3	14	affairs	affair	NOUN
ihlr-16489	3	15	and	and	CCONJ
ihlr-16489	3	16	has	have	AUX
ihlr-16489	3	17	also	also	ADV
ihlr-16489	3	18	given	give	VERB
ihlr-16489	3	19	congressional	congressional	ADJ
ihlr-16489	3	20	briefings	briefing	NOUN
ihlr-16489	3	21	on	on	ADP
ihlr-16489	3	22	capitol	capitol	PROPN
ihlr-16489	3	23	hill	hill	PROPN
ihlr-16489	3	24	regarding	regard	VERB
ihlr-16489	3	25	healthcare	healthcare	NOUN
ihlr-16489	3	26	issues	issue	NOUN
ihlr-16489	3	27	.	.	PUNCT
ihlr-16489	4	1	he	he	PRON
ihlr-16489	4	2	represented	represent	VERB
ihlr-16489	4	3	the	the	DET
ihlr-16489	4	4	american	american	PROPN
ihlr-16489	4	5	association	association	PROPN
ihlr-16489	4	6	of	of	ADP
ihlr-16489	4	7	clinical	clinical	ADJ
ihlr-16489	4	8	endocrinologists	endocrinologist	NOUN
ihlr-16489	4	9	(	(	PUNCT
ihlr-16489	4	10	"	"	PUNCT
ihlr-16489	4	11	aace	aace	NOUN
ihlr-16489	4	12	"	"	PUNCT
ihlr-16489	4	13	)	)	PUNCT
ihlr-16489	4	14	at	at	ADP
ihlr-16489	4	15	the	the	DET
ihlr-16489	4	16	public	public	ADJ
ihlr-16489	4	17	hearings	hearing	NOUN
ihlr-16489	4	18	regarding	regard	VERB
ihlr-16489	4	19	the	the	DET
ihlr-16489	4	20	medicare	medicare	PROPN
ihlr-16489	4	21	modernization	modernization	PROPN
ihlr-16489	4	22	act	act	NOUN
ihlr-16489	4	23	of	of	ADP
ihlr-16489	4	24	2003	2003	NUM
ihlr-16489	4	25	and	and	CCONJ
ihlr-16489	4	26	the	the	DET
ihlr-16489	4	27	medicare	medicare	PROPN
ihlr-16489	4	28	drug	drug	NOUN
ihlr-16489	4	29	benefit	benefit	NOUN
ihlr-16489	4	30	.	.	PUNCT
ihlr-16489	5	1	he	he	PRON
ihlr-16489	5	2	has	have	AUX
ihlr-16489	5	3	also	also	ADV
ihlr-16489	5	4	presented	present	VERB
ihlr-16489	5	5	to	to	ADP
ihlr-16489	5	6	state	state	NOUN
ihlr-16489	5	7	legislators	legislator	NOUN
ihlr-16489	5	8	as	as	ADV
ihlr-16489	5	9	well	well	ADV
ihlr-16489	5	10	as	as	ADP
ihlr-16489	5	11	various	various	ADJ
ihlr-16489	5	12	·	·	PUNCT
ihlr-16489	5	13	healthcare	healthcare	NOUN
ihlr-16489	5	14	industry	industry	NOUN
ihlr-16489	5	15	professionals	professional	NOUN
ihlr-16489	5	16	.	.	PUNCT
ihlr-16489	6	1	dr	dr	PROPN
ihlr-16489	6	2	.	.	PROPN
ihlr-16489	6	3	dolinar	dolinar	PROPN
ihlr-16489	6	4	has	have	AUX
ihlr-16489	6	5	been	be	AUX
ihlr-16489	6	6	interviewed	interview	VERB
ihlr-16489	6	7	by	by	ADP
ihlr-16489	6	8	both	both	CCONJ
ihlr-16489	6	9	the	the	DET
ihlr-16489	6	10	local	local	ADJ
ihlr-16489	6	11	and	and	CCONJ
ihlr-16489	6	12	national	national	ADJ
ihlr-16489	6	13	media	medium	NOUN
ihlr-16489	6	14	,	,	PUNCT
ihlr-16489	6	15	including	include	VERB
ihlr-16489	6	16	cnn	cnn	PROPN
ihlr-16489	6	17	,	,	PUNCT
ihlr-16489	6	18	cbs	cbs	PROPN
ihlr-16489	6	19	and	and	CCONJ
ihlr-16489	6	20	pbs	pbs	PROPN
ihlr-16489	6	21	regarding	regard	VERB
ihlr-16489	6	22	his	his	PRON
ihlr-16489	6	23	opinions	opinion	NOUN
ihlr-16489	6	24	on	on	ADP
ihlr-16489	6	25	healthcare	healthcare	NOUN
ihlr-16489	6	26	issues	issue	NOUN
ihlr-16489	6	27	.	.	PUNCT
ihlr-16489	7	1	a	a	DET
ihlr-16489	7	2	published	publish	VERB
ihlr-16489	7	3	author	author	NOUN
ihlr-16489	7	4	,	,	PUNCT
ihlr-16489	7	5	in	in	ADP
ihlr-16489	7	6	both	both	CCONJ
ihlr-16489	7	7	professional	professional	ADJ
ihlr-16489	7	8	and	and	CCONJ
ihlr-16489	7	9	consumer	consumer	NOUN
ihlr-16489	7	10	publications	publication	NOUN
ihlr-16489	7	11	,	,	PUNCT
ihlr-16489	7	12	his	his	PRON
ihlr-16489	7	13	articles	article	NOUN
ihlr-16489	7	14	and	and	CCONJ
ihlr-16489	7	15	opinion	opinion	NOUN
ihlr-16489	7	16	pieces	piece	NOUN
ihlr-16489	7	17	have	have	AUX
ihlr-16489	7	18	appeared	appear	VERB
ihlr-16489	7	19	in	in	ADP
ihlr-16489	7	20	the	the	DET
ihlr-16489	7	21	wall	wall	PROPN
ihlr-16489	7	22	street	street	PROPN
ihlr-16489	7	23	journal	journal	PROPN
ihlr-16489	7	24	,	,	PUNCT
ihlr-16489	7	25	usa	usa	PROPN
ihlr-16489	7	26	today	today	NOUN
ihlr-16489	7	27	,	,	PUNCT
ihlr-16489	7	28	the	the	DET
ihlr-16489	7	29	new	new	PROPN
ihlr-16489	7	30	york	york	PROPN
ihlr-16489	7	31	times	times	PROPN
ihlr-16489	7	32	,	,	PUNCT
ihlr-16489	7	33	the	the	DET
ihlr-16489	7	34	new	new	PROPN
ihlr-16489	7	35	england	england	PROPN
ihlr-16489	7	36	journal	journal	PROPN
ihlr-16489	7	37	ofmedicine	ofmedicine	PROPN
ihlr-16489	7	38	,	,	PUNCT
ihlr-16489	7	39	jama	jama	X
ihlr-16489	7	40	(	(	PUNCT
ihlr-16489	7	41	journal	journal	NOUN
ihlr-16489	7	42	of	of	ADP
ihlr-16489	7	43	the	the	DET
ihlr-16489	7	44	american	american	PROPN
ihlr-16489	7	45	medical	medical	PROPN
ihlr-16489	7	46	association	association	PROPN
ihlr-16489	7	47	)	)	PUNCT
ihlr-16489	7	48	and	and	CCONJ
ihlr-16489	7	49	diabetes	diabetes	NOUN
ihlr-16489	7	50	research	research	NOUN
ihlr-16489	7	51	.	.	PUNCT
ihlr-16489	8	1	his	his	PRON
ihlr-16489	8	2	articles	article	NOUN
ihlr-16489	8	3	have	have	AUX
ihlr-16489	8	4	also	also	ADV
ihlr-16489	8	5	appeared	appear	VERB
ihlr-16489	8	6	on	on	ADP
ihlr-16489	8	7	various	various	ADJ
ihlr-16489	8	8	web	web	NOUN
ihlr-16489	8	9	sites	site	NOUN
ihlr-16489	8	10	including	include	VERB
ihlr-16489	8	11	the	the	DET
ihlr-16489	8	12	heritage	heritage	NOUN
ihlr-16489	8	13	foundation	foundation	NOUN
ihlr-16489	8	14	.	.	PUNCT
ihlr-16489	9	1	he	he	PRON
ihlr-16489	9	2	is	be	AUX
ihlr-16489	9	3	co	co	NOUN
ihlr-16489	9	4	-	-	NOUN
ihlr-16489	9	5	author	author	NOUN
ihlr-16489	9	6	of	of	ADP
ihlr-16489	9	7	the	the	DET
ihlr-16489	9	8	book	book	NOUN
ihlr-16489	9	9	,	,	PUNCT
ihlr-16489	9	10	diabetes	diabetes	NOUN
ihlr-16489	9	11	101	101	NUM
ihlr-16489	9	12	:	:	PUNCT
ihlr-16489	9	13	a	a	DET
ihlr-16489	9	14	pure	pure	ADJ
ihlr-16489	9	15	and	and	CCONJ
ihlr-16489	9	16	simple	simple	ADJ
ihlr-16489	9	17	guide	guide	NOUN
ihlr-16489	9	18	for	for	ADP
ihlr-16489	9	19	people	people	NOUN
ihlr-16489	9	20	who	who	PRON
ihlr-16489	9	21	use	use	VERB
ihlr-16489	9	22	insulin	insulin	NOUN
ihlr-16489	9	23	(	(	PUNCT
ihlr-16489	9	24	1998	1998	NUM
ihlr-16489	9	25	)	)	PUNCT
ihlr-16489	9	26	.	.	PUNCT
ihlr-16489	10	1	dr	dr	PROPN
ihlr-16489	10	2	.	.	PROPN
ihlr-16489	10	3	dolinar	dolinar	PROPN
ihlr-16489	10	4	is	be	AUX
ihlr-16489	10	5	a	a	DET
ihlr-16489	10	6	member	member	NOUN
ihlr-16489	10	7	of	of	ADP
ihlr-16489	10	8	the	the	DET
ihlr-16489	10	9	board	board	NOUN
ihlr-16489	10	10	ofdirectors	ofdirector	NOUN
ihlr-16489	10	11	of	of	ADP
ihlr-16489	10	12	aace	aace	NOUN
ihlr-16489	10	13	and	and	CCONJ
ihlr-16489	10	14	serves	serve	VERB
ihlr-16489	10	15	on	on	ADP
ihlr-16489	10	16	its	its	PRON
ihlr-16489	10	17	national	national	ADJ
ihlr-16489	10	18	legislative	legislative	ADJ
ihlr-16489	10	19	and	and	CCONJ
ihlr-16489	10	20	regulatory	regulatory	ADJ
ihlr-16489	10	21	committee	committee	NOUN
ihlr-16489	10	22	.	.	PUNCT
ihlr-16489	11	1	he	he	PRON
ihlr-16489	11	2	is	be	AUX
ihlr-16489	11	3	the	the	DET
ihlr-16489	11	4	chair	chair	NOUN
ihlr-16489	11	5	of	of	ADP
ihlr-16489	11	6	its	its	PRON
ihlr-16489	11	7	future	future	NOUN
ihlr-16489	11	8	of	of	ADP
ihlr-16489	11	9	healthcare	healthcare	PROPN
ihlr-16489	11	10	task	task	PROPN
ihlr-16489	11	11	force	force	PROPN
ihlr-16489	11	12	.	.	PUNCT
ihlr-16489	12	1	dr	dr	PROPN
ihlr-16489	12	2	.	.	PROPN
ihlr-16489	12	3	dolinar	dolinar	PROPN
ihlr-16489	12	4	also	also	ADV
ihlr-16489	12	5	serves	serve	VERB
ihlr-16489	12	6	as	as	ADP
ihlr-16489	12	7	a	a	DET
ihlr-16489	12	8	senior	senior	ADJ
ihlr-16489	12	9	fellow	fellow	NOUN
ihlr-16489	12	10	in	in	ADP
ihlr-16489	12	11	healthcare	healthcare	NOUN
ihlr-16489	12	12	policy	policy	NOUN
ihlr-16489	12	13	at	at	ADP
ihlr-16489	12	14	the	the	DET
ihlr-16489	12	15	heartland	heartland	PROPN
ihlr-16489	12	16	institute	institute	PROPN
ihlr-16489	12	17	and	and	CCONJ
ihlr-16489	12	18	has	have	AUX
ihlr-16489	12	19	held	hold	VERB
ihlr-16489	12	20	leadership	leadership	NOUN
ihlr-16489	12	21	positions	position	NOUN
ihlr-16489	12	22	in	in	ADP
ihlr-16489	12	23	other	other	ADJ
ihlr-16489	12	24	professional	professional	ADJ
ihlr-16489	12	25	organizations	organization	NOUN
ihlr-16489	12	26	including	include	VERB
ihlr-16489	12	27	the	the	DET
ihlr-16489	12	28	juvenile	juvenile	ADJ
ihlr-16489	12	29	diabetes	diabetes	NOUN
ihlr-16489	12	30	research	research	NOUN
ihlr-16489	12	31	foundation	foundation	NOUN
ihlr-16489	12	32	and	and	CCONJ
ihlr-16489	12	33	the	the	DET
ihlr-16489	12	34	american	american	ADJ
ihlr-16489	12	35	diabetes	diabetes	PROPN
ihlr-16489	12	36	association	association	PROPN
ihlr-16489	12	37	.	.	PUNCT
ihlr-16489	13	1	dr	dr	PROPN
ihlr-16489	13	2	.	.	PROPN
ihlr-16489	13	3	dolinar	dolinar	PROPN
ihlr-16489	13	4	served	serve	VERB
ihlr-16489	13	5	as	as	ADP
ihlr-16489	13	6	a	a	DET
ihlr-16489	13	7	flight	flight	NOUN
ihlr-16489	13	8	surgeon	surgeon	NOUN
ihlr-16489	13	9	in	in	ADP
ihlr-16489	13	10	the	the	DET
ihlr-16489	13	11	vietnam	vietnam	PROPN
ihlr-16489	13	12	war	war	NOUN
ihlr-16489	13	13	and	and	CCONJ
ihlr-16489	13	14	is	be	AUX
ihlr-16489	13	15	a	a	DET
ihlr-16489	13	16	retired	retired	ADJ
ihlr-16489	13	17	u.s	u.s	PROPN
ihlr-16489	13	18	.	.	PROPN
ihlr-16489	13	19	air	air	PROPN
ihlr-16489	13	20	force	force	PROPN
ihlr-16489	13	21	colonel	colonel	PROPN
ihlr-16489	13	22	.	.	PUNCT
ihlr-16489	14	1	s.	s.	PROPN
ihlr-16489	14	2	luke	luke	PROPN
ihlr-16489	14	3	leillinger	leillinger	PROPN
ihlr-16489	14	4	luke	luke	PROPN
ihlr-16489	14	5	leininger	leininger	NOUN
ihlr-16489	14	6	is	be	AUX
ihlr-16489	14	7	currently	currently	ADV
ihlr-16489	14	8	a	a	DET
ihlr-16489	14	9	student	student	NOUN
ihlr-16489	14	10	at	at	ADP
ihlr-16489	14	11	both	both	CCONJ
ihlr-16489	14	12	harvard	harvard	PROPN
ihlr-16489	14	13	business	business	PROPN
ihlr-16489	14	14	school	school	PROPN
ihlr-16489	14	15	,	,	PUNCT
ihlr-16489	14	16	where	where	SCONJ
ihlr-16489	14	17	he	he	PRON
ihlr-16489	14	18	is	be	AUX
ihlr-16489	14	19	completing	complete	VERB
ihlr-16489	14	20	his	his	PRON
ihlr-16489	14	21	mba	mba	NOUN
ihlr-16489	14	22	,	,	PUNCT
ihlr-16489	14	23	and	and	CCONJ
ihlr-16489	14	24	at	at	ADP
ihlr-16489	14	25	harvard	harvard	PROPN
ihlr-16489	14	26	university	university	PROPN
ihlr-16489	14	27	's	's	PART
ihlr-16489	14	28	john	john	PROPN
ihlr-16489	14	29	f.	f.	PROPN
ihlr-16489	14	30	kennedy	kennedy	PROPN
ihlr-16489	14	31	school	school	PROPN
ihlr-16489	14	32	of	of	ADP
ihlr-16489	14	33	government	government	NOUN
ihlr-16489	14	34	,	,	PUNCT
ihlr-16489	14	35	where	where	SCONJ
ihlr-16489	14	36	he	he	PRON
ihlr-16489	14	37	is	be	AUX
ihlr-16489	14	38	completing	complete	VERB
ihlr-16489	14	39	his	his	PRON
ihlr-16489	14	40	mp	mp	NOUN
ihlr-16489	14	41	a	a	PRON
ihlr-16489	14	42	,	,	PUNCT
ihlr-16489	14	43	with	with	ADP
ihlr-16489	14	44	an	an	DET
ihlr-16489	14	45	emphasis	emphasis	NOUN
ihlr-16489	14	46	in	in	ADP
ihlr-16489	14	47	health	health	NOUN
ihlr-16489	14	48	policy	policy	NOUN
ihlr-16489	14	49	.	.	PUNCT
ihlr-16489	15	1	mr	mr	PROPN
ihlr-16489	15	2	.	.	PROPN
ihlr-16489	15	3	leininger	leininger	PROPN
ihlr-16489	15	4	earned	earn	VERB
ihlr-16489	15	5	his	his	PRON
ihlr-16489	15	6	bachelor	bachelor	NOUN
ihlr-16489	15	7	's	's	PART
ihlr-16489	15	8	degree	degree	NOUN
ihlr-16489	15	9	in	in	ADP
ihlr-16489	15	10	economics	economic	NOUN
ihlr-16489	15	11	from	from	ADP
ihlr-16489	15	12	brigham	brigham	PROPN
ihlr-16489	15	13	young	young	PROPN
ihlr-16489	15	14	university	university	NOUN
ihlr-16489	15	15	in	in	ADP
ihlr-16489	15	16	2002	2002	NUM
ihlr-16489	15	17	.	.	PUNCT
ihlr-16489	16	1	during	during	ADP
ihlr-16489	16	2	the	the	DET
ihlr-16489	16	3	summer	summer	NOUN
ihlr-16489	16	4	of2005	of2005	PROPN
ihlr-16489	16	5	,	,	PUNCT
ihlr-16489	16	6	mr	mr	PROPN
ihlr-16489	16	7	.	.	PROPN
ihlr-16489	16	8	leininger	leininger	PROPN
ihlr-16489	16	9	served	serve	VERB
ihlr-16489	16	10	as	as	ADP
ihlr-16489	16	11	a	a	DET
ihlr-16489	16	12	health	health	NOUN
ihlr-16489	16	13	policy	policy	NOUN
ihlr-16489	16	14	fellow	fellow	NOUN
ihlr-16489	16	15	at	at	ADP
ihlr-16489	16	16	the	the	DET
ihlr-16489	16	17	heritage	heritage	NOUN
ihlr-16489	16	18	foundation	foundation	PROPN
ihlr-16489	16	19	,	,	PUNCT
ihlr-16489	16	20	where	where	SCONJ
ihlr-16489	16	21	he	he	PRON
ihlr-16489	16	22	researched	research	VERB
ihlr-16489	16	23	and	and	CCONJ
ihlr-16489	16	24	wrote	write	VERB
ihlr-16489	16	25	extensively	extensively	ADV
ihlr-16489	16	26	on	on	ADP
ihlr-16489	16	27	topics	topic	NOUN
ihlr-16489	16	28	pertaining	pertain	VERB
ihlr-16489	16	29	to	to	ADP
ihlr-16489	16	30	physician	physician	NOUN
ihlr-16489	16	31	compensation	compensation	NOUN
ihlr-16489	16	32	and	and	CCONJ
ihlr-16489	16	33	medicare	medicare	PROPN
ihlr-16489	16	34	prescription	prescription	NOUN
ihlr-16489	16	35	drug	drug	NOUN
ihlr-16489	16	36	coverage	coverage	NOUN
ihlr-16489	16	37	.	.	PUNCT
ihlr-16489	17	1	prior	prior	ADV
ihlr-16489	17	2	to	to	ADP
ihlr-16489	17	3	attending	attend	VERB
ihlr-16489	17	4	graduate	graduate	ADJ
ihlr-16489	17	5	school	school	NOUN
ihlr-16489	17	6	,	,	PUNCT
ihlr-16489	17	7	he	he	PRON
ihlr-16489	17	8	was	be	AUX
ihlr-16489	17	9	an	an	DET
ihlr-16489	17	10	associate	associate	NOUN
ihlr-16489	17	11	in	in	ADP
ihlr-16489	17	12	the	the	DET
ihlr-16489	17	13	pharmaceuticals	pharmaceutical	NOUN
ihlr-16489	17	14	practice	practice	NOUN
ihlr-16489	17	15	of	of	ADP
ihlr-16489	17	16	the	the	DET
ihlr-16489	17	17	economic	economic	ADJ
ihlr-16489	17	18	consulting	consulting	NOUN
ihlr-16489	17	19	firm	firm	NOUN
ihlr-16489	17	20	,	,	PUNCT
ihlr-16489	17	21	charles	charles	PROPN
ihlr-16489	17	22	river	river	PROPN
ihlr-16489	17	23	associates	associate	NOUN
ihlr-16489	17	24	,	,	PUNCT
ihlr-16489	17	25	where	where	SCONJ
ihlr-16489	17	26	he	he	PRON
ihlr-16489	17	27	designed	design	VERB
ihlr-16489	17	28	pricing	pricing	NOUN
ihlr-16489	17	29	and	and	CCONJ
ihlr-16489	17	30	contracting	contracting	NOUN
ihlr-16489	17	31	strategies	strategy	NOUN
ihlr-16489	17	32	for	for	ADP
ihlr-16489	17	33	both	both	CCONJ
ihlr-16489	17	34	branded	brand	VERB
ihlr-16489	17	35	and	and	CCONJ
ihlr-16489	17	36	generic	generic	ADJ
ihlr-16489	17	37	pharmaceutical	pharmaceutical	ADJ
ihlr-16489	17	38	products	product	NOUN
ihlr-16489	17	39	.	.	PUNCT
ihlr-16489	18	1	in	in	ADP
ihlr-16489	18	2	addition	addition	NOUN
ihlr-16489	18	3	to	to	ADP
ihlr-16489	18	4	these	these	DET
ihlr-16489	18	5	professional	professional	ADJ
ihlr-16489	18	6	experiences	experience	NOUN
ihlr-16489	18	7	,	,	PUNCT
ihlr-16489	18	8	mr	mr	PROPN
ihlr-16489	18	9	.	.	PROPN
ihlr-16489	18	10	leininger	leininger	PROPN
ihlr-16489	18	11	spent	spend	VERB
ihlr-16489	18	12	two	two	NUM
ihlr-16489	18	13	years	year	NOUN
ihlr-16489	18	14	as	as	ADP
ihlr-16489	18	15	a	a	DET
ihlr-16489	18	16	religious	religious	ADJ
ihlr-16489	18	17	volunteer	volunteer	NOUN
ihlr-16489	18	18	in	in	ADP
ihlr-16489	18	19	romania	romania	PROPN
ihlr-16489	18	20	,	,	PUNCT
ihlr-16489	18	21	where	where	SCONJ
ihlr-16489	18	22	he	he	PRON
ihlr-16489	18	23	developed	develop	VERB
ihlr-16489	18	24	an	an	DET
ihlr-16489	18	25	interest	interest	NOUN
ihlr-16489	18	26	in	in	ADP
ihlr-16489	18	27	health	health	NOUN
ihlr-16489	18	28	care	care	NOUN
ihlr-16489	18	29	delivery	delivery	NOUN
ihlr-16489	18	30	in	in	ADP
ihlr-16489	18	31	developing	develop	VERB
ihlr-16489	18	32	countries	country	NOUN
ihlr-16489	18	33	.	.	PUNCT
ihlr-16489	19	1	heritage	heritage	NOUN
ihlr-16489	19	2	fonndatioa	fonndatioa	VERB
ihlr-16489	19	3	the	the	DET
ihlr-16489	19	4	heritage	heritage	NOUN
ihlr-16489	19	5	foundation	foundation	NOUN
ihlr-16489	19	6	is	be	AUX
ihlr-16489	19	7	a	a	DET
ihlr-16489	19	8	research	research	NOUN
ihlr-16489	19	9	institute	institute	NOUN
ihlr-16489	19	10	founded	found	VERB
ihlr-16489	19	11	in	in	ADP
ihlr-16489	19	12	1973	1973	NUM
ihlr-16489	19	13	.	.	PUNCT
ihlr-16489	20	1	its	its	PRON
ihlr-16489	20	2	mission	mission	NOUN
ihlr-16489	20	3	is	be	AUX
ihlr-16489	20	4	to	to	PART
ihlr-16489	20	5	formulate	formulate	VERB
ihlr-16489	20	6	and	and	CCONJ
ihlr-16489	20	7	promote	promote	VERB
ihlr-16489	20	8	conservative	conservative	ADJ
ihlr-16489	20	9	public	public	ADJ
ihlr-16489	20	10	policies	policy	NOUN
ihlr-16489	20	11	based	base	VERB
ihlr-16489	20	12	on	on	ADP
ihlr-16489	20	13	the	the	DET
ihlr-16489	20	14	principles	principle	NOUN
ihlr-16489	20	15	of	of	ADP
ihlr-16489	20	16	free	free	ADJ
ihlr-16489	20	17	enterprise	enterprise	NOUN
ihlr-16489	20	18	,	,	PUNCT
ihlr-16489	20	19	limited	limited	ADJ
ihlr-16489	20	20	government	government	NOUN
ihlr-16489	20	21	,	,	PUNCT
ihlr-16489	20	22	individual	individual	ADJ
ihlr-16489	20	23	freedom	freedom	NOUN
ihlr-16489	20	24	,	,	PUNCT
ihlr-16489	20	25	tradi­	tradi­	ADJ
ihlr-16489	20	26	tional	tional	ADJ
ihlr-16489	20	27	american	american	ADJ
ihlr-16489	20	28	values	value	NOUN
ihlr-16489	20	29	and	and	CCONJ
ihlr-16489	20	30	a	a	DET
ihlr-16489	20	31	strong	strong	ADJ
ihlr-16489	20	32	national	national	ADJ
ihlr-16489	20	33	defense	defense	NOUN
ihlr-16489	20	34	.	.	PUNCT
ihlr-16489	21	1	members	member	NOUN
ihlr-16489	21	2	·	·	PUNCT
ihlr-16489	21	3	of	of	ADP
ihlr-16489	21	4	the	the	DET
ihlr-16489	21	5	heritage	heritage	NOUN
ihlr-16489	21	6	foundation	foundation	PROPN
ihlr-16489	21	7	conduct	conduct	NOUN
ihlr-16489	21	8	research	research	NOUN
ihlr-16489	21	9	on	on	ADP
ihlr-16489	21	10	numerous	numerous	ADJ
ihlr-16489	21	11	domestic	domestic	ADJ
ihlr-16489	21	12	and	and	CCONJ
ihlr-16489	21	13	international	international	ADJ
ihlr-16489	21	14	topics	topic	NOUN
ihlr-16489	21	15	.	.	PUNCT
ihlr-16489	22	1	their	their	PRON
ihlr-16489	22	2	focus	focus	NOUN
ihlr-16489	22	3	is	be	AUX
ihlr-16489	22	4	to	to	PART
ihlr-16489	22	5	provide	provide	VERB
ihlr-16489	22	6	timely	timely	ADJ
ihlr-16489	22	7	articles	article	NOUN
ihlr-16489	22	8	on	on	ADP
ihlr-16489	22	9	important	important	ADJ
ihlr-16489	22	10	issues	issue	NOUN
ihlr-16489	22	11	currently	currently	ADV
ihlr-16489	22	12	facing	face	VERB
ihlr-16489	22	13	the	the	DET
ihlr-16489	22	14	american	american	ADJ
ihlr-16489	22	15	public	public	NOUN
ihlr-16489	22	16	.	.	PUNCT
ihlr-16489	23	1	the	the	DET
ihlr-16489	23	2	completed	complete	VERB
ihlr-16489	23	3	research	research	NOUN
ihlr-16489	23	4	projects	project	NOUN
ihlr-16489	23	5	from	from	ADP
ihlr-16489	23	6	the	the	DET
ihlr-16489	23	7	heritage	heritage	NOUN
ihlr-16489	23	8	foundation	foundation	NOUN
ihlr-16489	23	9	are	be	AUX
ihlr-16489	23	10	used	use	VERB
ihlr-16489	23	11	to	to	PART
ihlr-16489	23	12	develop	develop	VERB
ihlr-16489	23	13	and	and	CCONJ
ihlr-16489	23	14	influence	influence	VERB
ihlr-16489	23	15	public	public	ADJ
ihlr-16489	23	16	policy	policy	NOUN
ihlr-16489	23	17	.	.	PUNCT
ihlr-16489	24	1	more	more	ADJ
ihlr-16489	24	2	information	information	NOUN
ihlr-16489	24	3	about	about	ADP
ihlr-16489	24	4	the	the	DET
ihlr-16489	24	5	heritage	heritage	NOUN
ihlr-16489	24	6	foundation	foundation	NOUN
ihlr-16489	24	7	and	and	CCONJ
ihlr-16489	24	8	other	other	ADJ
ihlr-16489	24	9	on	on	ADP
ihlr-16489	24	10	-	-	PUNCT
ihlr-16489	24	11	line	line	NOUN
ihlr-16489	24	12	articles	article	NOUN
ihlr-16489	24	13	written	write	VERB
ihlr-16489	24	14	by	by	ADP
ihlr-16489	24	15	nationally	nationally	ADV
ihlr-16489	24	16	recognized	recognize	VERB
ihlr-16489	24	17	contributors	contributor	NOUN
ihlr-16489	24	18	focused	focus	VERB
ihlr-16489	24	19	on	on	ADP
ihlr-16489	24	20	important	important	ADJ
ihlr-16489	24	21	national	national	ADJ
ihlr-16489	24	22	topics	topic	NOUN
ihlr-16489	24	23	may	may	AUX
ihlr-16489	24	24	be	be	AUX
ihlr-16489	24	25	obtained	obtain	VERB
ihlr-16489	24	26	at	at	ADP
ihlr-16489	24	27	the	the	DET
ihlr-16489	24	28	heritage	heritage	NOUN
ihlr-16489	24	29	foundation	foundation	PROPN
ihlr-16489	24	30	's	's	PART
ihlr-16489	24	31	website	website	NOUN
ihlr-16489	24	32	:	:	PUNCT
ihlr-16489	24	33	http://www.heritage.org	http://www.heritage.org	X
ihlr-16489	24	34	.	.	PUNCT
ihlr-16489	25	1	pay	pay	VERB
ihlr-16489	25	2	for	for	ADP
ihlr-16489	25	3	performance	performance	NOUN
ihlr-16489	25	4	or	or	CCONJ
ihlr-16489	25	5	compliance	compliance	NOUN
ihlr-16489	25	6	?	?	PUNCT
ihlr-16489	26	1	a	a	DET
ihlr-16489	26	2	second	second	ADJ
ihlr-16489	26	3	opinion	opinion	NOUN
ihlr-16489	26	4	on	on	ADP
ihlr-16489	26	5	medicare	medicare	PROPN
ihlr-16489	26	6	reimbursement	reimbursement	PROPN
ihlr-16489	26	7	richard	richard	PROPN
ihlr-16489	26	8	dolinar	dolinar	PROPN
ihlr-16489	26	9	s.	s.	PROPN
ihlr-16489	26	10	luke	luke	PROPN
ihlr-16489	26	11	leininger	leininger	NOUN
ihlr-16489	26	12	nothing	nothing	PRON
ihlr-16489	26	13	in	in	ADP
ihlr-16489	26	14	this	this	DET
ihlr-16489	26	15	title	title	NOUN
ihlr-16489	26	16	shall	shall	AUX
ihlr-16489	26	17	be	be	AUX
ihlr-16489	26	18	construed	construe	VERB
ihlr-16489	26	19	to	to	PART
ihlr-16489	26	20	authorize	authorize	VERB
ihlr-16489	26	21	any	any	DET
ihlr-16489	26	22	federal	federal	ADJ
ihlr-16489	26	23	officer	officer	NOUN
ihlr-16489	26	24	or	or	CCONJ
ihlr-16489	26	25	employee	employee	NOUN
ihlr-16489	26	26	to	to	PART
ihlr-16489	26	27	exercise	exercise	VERB
ihlr-16489	26	28	any	any	DET
ihlr-16489	26	29	supervision	supervision	NOUN
ihlr-16489	26	30	or	or	CCONJ
ihlr-16489	26	31	control	control	NOUN
ihlr-16489	26	32	over	over	ADP
ihlr-16489	26	33	the	the	DET
ihlr-16489	26	34	practice	practice	NOUN
ihlr-16489	26	35	of	of	ADP
ihlr-16489	26	36	medicine	medicine	NOUN
ihlr-16489	26	37	or	or	CCONJ
ihlr-16489	26	38	the	the	DET
ihlr-16489	26	39	manner	manner	NOUN
ihlr-16489	26	40	in	in	ADP
ihlr-16489	26	41	which	which	PRON
ihlr-16489	26	42	medical	medical	ADJ
ihlr-16489	26	43	services	service	NOUN
ihlr-16489	26	44	are	be	AUX
ihlr-16489	26	45	provided	provide	VERB
ihlr-16489	26	46	,	,	PUNCT
ihlr-16489	26	47	or	or	CCONJ
ihlr-16489	26	48	over	over	ADP
ihlr-16489	26	49	the	the	DET
ihlr-16489	26	50	selection	selection	NOUN
ihlr-16489	26	51	,	,	PUNCT
ihlr-16489	26	52	tenure	tenure	NOUN
ihlr-16489	26	53	,	,	PUNCT
ihlr-16489	26	54	or	or	CCONJ
ihlr-16489	26	55	compensation	compensation	NOUN
ihlr-16489	26	56	of	of	ADP
ihlr-16489	26	57	any	any	DET
ihlr-16489	26	58	officer	officer	NOUN
ihlr-16489	26	59	or	or	CCONJ
ihlr-16489	26	60	employee	employee	NOUN
ihlr-16489	26	61	of	of	ADP
ihlr-16489	26	62	any	any	DET
ihlr-16489	26	63	institution	institution	NOUN
ihlr-16489	26	64	,	,	PUNCT
ihlr-16489	26	65	agency	agency	NOUN
ihlr-16489	26	66	,	,	PUNCT
ihlr-16489	26	67	or	or	CCONJ
ihlr-16489	26	68	person	person	NOUN
ihlr-16489	26	69	providing	provide	VERB
ihlr-16489	26	70	health	health	NOUN
ihlr-16489	26	71	services	service	NOUN
ihlr-16489	26	72	;	;	PUNCT
ihlr-16489	26	73	or	or	CCONJ
ihlr-16489	26	74	to	to	PART
ihlr-16489	26	75	exercise	exercise	VERB
ihlr-16489	26	76	any	any	DET
ihlr-16489	26	77	supervision	supervision	NOUN
ihlr-16489	26	78	or	or	CCONJ
ihlr-16489	26	79	control	control	NOUN
ihlr-16489	26	80	over	over	ADP
ihlr-16489	26	81	the	the	DET
ihlr-16489	26	82	administration	administration	NOUN
ihlr-16489	26	83	or	or	CCONJ
ihlr-16489	26	84	operation	operation	NOUN
ihlr-16489	26	85	of	of	ADP
ihlr-16489	26	86	any	any	DET
ihlr-16489	26	87	such	such	ADJ
ihlr-16489	26	88	institution	institution	NOUN
ihlr-16489	26	89	,	,	PUNCT
ihlr-16489	26	90	agency	agency	NOUN
ihlr-16489	26	91	,	,	PUNCT
ihlr-16489	26	92	or	or	CCONJ
ihlr-16489	26	93	person	person	NOUN
ihlr-16489	26	94	.	.	PUNCT
ihlr-16489	27	1	social	social	ADJ
ihlr-16489	27	2	security	security	NOUN
ihlr-16489	27	3	act1	act1	PROPN
ihlr-16489	27	4	there	there	PRON
ihlr-16489	27	5	is	be	VERB
ihlr-16489	27	6	good	good	ADJ
ihlr-16489	27	7	news	news	NOUN
ihlr-16489	27	8	and	and	CCONJ
ihlr-16489	27	9	bad	bad	ADJ
ihlr-16489	27	10	news	news	NOUN
ihlr-16489	27	11	on	on	ADP
ihlr-16489	27	12	medicare	medicare	PROPN
ihlr-16489	27	13	reimbursement	reimbursement	NOUN
ihlr-16489	27	14	.	.	PUNCT
ihlr-16489	28	1	the	the	DET
ihlr-16489	28	2	good	good	PROPN
ihlr-16489	28	3	news	news	PROPN
ihlr-16489	28	4	is	be	AUX
ihlr-16489	28	5	that	that	SCONJ
ihlr-16489	28	6	members	member	NOUN
ihlr-16489	28	7	of	of	ADP
ihlr-16489	28	8	congress	congress	PROPN
ihlr-16489	28	9	are	be	AUX
ihlr-16489	28	10	unhappy	unhappy	ADJ
ihlr-16489	28	11	with	with	ADP
ihlr-16489	28	12	the	the	DET
ihlr-16489	28	13	medicare	medicare	PROPN
ihlr-16489	28	14	physician	physician	NOUN
ihlr-16489	28	15	payment	payment	NOUN
ihlr-16489	28	16	program	program	NOUN
ihlr-16489	28	17	that	that	PRON
ihlr-16489	28	18	they	they	PRON
ihlr-16489	28	19	created	create	VERB
ihlr-16489	28	20	.	.	PUNCT
ihlr-16489	29	1	it	it	PRON
ihlr-16489	29	2	is	be	AUX
ihlr-16489	29	3	a	a	DET
ihlr-16489	29	4	complex	complex	ADJ
ihlr-16489	29	5	system	system	NOUN
ihlr-16489	29	6	of	of	ADP
ihlr-16489	29	7	administered	administer	VERB
ihlr-16489	29	8	pricing	pricing	NOUN
ihlr-16489	29	9	and	and	CCONJ
ihlr-16489	29	10	price	price	NOUN
ihlr-16489	29	11	controls	control	NOUN
ihlr-16489	29	12	,	,	PUNCT
ihlr-16489	29	13	governed	govern	VERB
ihlr-16489	29	14	by	by	ADP
ihlr-16489	29	15	elaborate	elaborate	ADJ
ihlr-16489	29	16	statutory	statutory	ADJ
ihlr-16489	29	17	formulas	formula	NOUN
ihlr-16489	29	18	and	and	CCONJ
ihlr-16489	29	19	characterized	characterize	VERB
ihlr-16489	29	20	by	by	ADP
ihlr-16489	29	21	mind	mind	NOUN
ihlr-16489	29	22	-	-	PUNCT
ihlr-16489	29	23	numbing	numb	VERB
ihlr-16489	29	24	regulatory	regulatory	ADJ
ihlr-16489	29	25	micromanagement	micromanagement	NOUN
ihlr-16489	29	26	.	.	PUNCT
ihlr-16489	30	1	in	in	ADP
ihlr-16489	30	2	sharp	sharp	ADJ
ihlr-16489	30	3	contrast	contrast	NOUN
ihlr-16489	30	4	to	to	ADP
ihlr-16489	30	5	reimbursement	reimbursement	NOUN
ihlr-16489	30	6	for	for	ADP
ihlr-16489	30	7	professional	professional	ADJ
ihlr-16489	30	8	services	service	NOUN
ihlr-16489	30	9	in	in	ADP
ihlr-16489	30	10	other	other	ADJ
ihlr-16489	30	11	economic	economic	ADJ
ihlr-16489	30	12	sectors	sector	NOUN
ihlr-16489	30	13	,	,	PUNCT
ihlr-16489	30	14	medicare	medicare	PROPN
ihlr-16489	30	15	providers	provider	NOUN
ihlr-16489	30	16	are	be	AUX
ihlr-16489	30	17	not	not	PART
ihlr-16489	30	18	paid	pay	VERB
ihlr-16489	30	19	according	accord	VERB
ihlr-16489	30	20	to	to	ADP
ihlr-16489	30	21	their	their	PRON
ihlr-16489	30	22	skill	skill	NOUN
ihlr-16489	30	23	levels	level	NOUN
ihlr-16489	30	24	,	,	PUNCT
ihlr-16489	30	25	their	their	PRON
ihlr-16489	30	26	innovative	innovative	ADJ
ihlr-16489	30	27	treatments	treatment	NOUN
ihlr-16489	30	28	,	,	PUNCT
ihlr-16489	30	29	the	the	DET
ihlr-16489	30	30	quality	quality	NOUN
ihlr-16489	30	31	of	of	ADP
ihlr-16489	30	32	the	the	DET
ihlr-16489	30	33	care	care	NOUN
ihlr-16489	30	34	delivered	deliver	VERB
ihlr-16489	30	35	to	to	ADP
ihlr-16489	30	36	individual	individual	ADJ
ihlr-16489	30	37	medicare	medicare	PROPN
ihlr-16489	30	38	patients	patient	NOUN
ihlr-16489	30	39	,	,	PUNCT
ihlr-16489	30	40	or	or	CCONJ
ihlr-16489	30	41	the	the	DET
ihlr-16489	30	42	specific	specific	ADJ
ihlr-16489	30	43	benefits	benefit	NOUN
ihlr-16489	30	44	provided	provide	VERB
ihlr-16489	30	45	to	to	ADP
ihlr-16489	30	46	patients	patient	NOUN
ihlr-16489	30	47	.	.	PUNCT
ihlr-16489	31	1	moreover	moreover	ADV
ihlr-16489	31	2	,	,	PUNCT
ihlr-16489	31	3	under	under	ADP
ihlr-16489	31	4	current	current	ADJ
ihlr-16489	31	5	government	government	NOUN
ihlr-16489	31	6	formulas	formula	NOUN
ihlr-16489	31	7	,	,	PUNCT
ihlr-16489	31	8	they	they	PRON
ihlr-16489	31	9	can	can	AUX
ihlr-16489	31	10	look	look	VERB
ihlr-16489	31	11	forward	forward	ADV
ihlr-16489	31	12	to	to	ADP
ihlr-16489	31	13	future	future	ADJ
ihlr-16489	31	14	reductions	reduction	NOUN
ihlr-16489	31	15	in	in	ADP
ihlr-16489	31	16	medicare	medicare	PROPN
ihlr-16489	31	17	reimbursement	reimbursement	NOUN
ihlr-16489	31	18	even	even	ADV
ihlr-16489	31	19	though	though	SCONJ
ihlr-16489	31	20	they	they	PRON
ihlr-16489	31	21	are	be	AUX
ihlr-16489	31	22	expected	expect	VERB
ihlr-16489	31	23	to	to	PART
ihlr-16489	31	24	treat	treat	VERB
ihlr-16489	31	25	a	a	DET
ihlr-16489	31	26	dramatically	dramatically	ADV
ihlr-16489	31	27	larger	large	ADJ
ihlr-16489	31	28	medicare	medicare	PROPN
ihlr-16489	31	29	population	population	NOUN
ihlr-16489	31	30	.	.	PUNCT
ihlr-16489	32	1	needless	needless	ADJ
ihlr-16489	32	2	to	to	PART
ihlr-16489	32	3	say	say	VERB
ihlr-16489	32	4	,	,	PUNCT
ihlr-16489	32	5	most	most	ADJ
ihlr-16489	32	6	physicians	physician	NOUN
ihlr-16489	32	7	are	be	AUX
ihlr-16489	32	8	unhappy	unhappy	ADJ
ihlr-16489	32	9	with	with	ADP
ihlr-16489	32	10	medicare	medicare	PROPN
ihlr-16489	32	11	's	's	PART
ihlr-16489	32	12	payment	payment	NOUN
ihlr-16489	32	13	system	system	NOUN
ihlr-16489	32	14	-	-	PUNCT
ihlr-16489	32	15	a	a	DET
ihlr-16489	32	16	view	view	NOUN
ihlr-16489	32	17	increasingly	increasingly	ADV
ihlr-16489	32	18	shared	share	VERB
ihlr-16489	32	19	by	by	ADP
ihlr-16489	32	20	senior	senior	ADJ
ihlr-16489	32	21	members	member	NOUN
ihlr-16489	32	22	of	of	ADP
ihlr-16489	32	23	congress	congress	PROPN
ihlr-16489	32	24	.	.	PUNCT
ihlr-16489	33	1	house	house	NOUN
ihlr-16489	33	2	ways	way	NOUN
ihlr-16489	33	3	and	and	CCONJ
ihlr-16489	33	4	means	mean	VERB
ihlr-16489	33	5	committee	committee	NOUN
ihlr-16489	33	6	chairman	chairman	NOUN
ihlr-16489	33	7	bill	bill	PROPN
ihlr-16489	33	8	thomas	thomas	PROPN
ihlr-16489	34	1	(	(	PUNCT
ihlr-16489	34	2	r	r	X
ihlr-16489	34	3	-	-	PUNCT
ihlr-16489	34	4	ca	ca	NOUN
ihlr-16489	34	5	)	)	PUNCT
ihlr-16489	34	6	and	and	CCONJ
ihlr-16489	34	7	health	health	NOUN
ihlr-16489	34	8	subcommittee	subcommittee	NOUN
ihlr-16489	34	9	chairman	chairman	PROPN
ihlr-16489	34	10	nancy	nancy	PROPN
ihlr-16489	34	11	johnson	johnson	PROPN
ihlr-16489	34	12	(	(	PUNCT
ihlr-16489	34	13	r	r	X
ihlr-16489	34	14	...	...	PUNCT
ihlr-16489	34	15	ct	ct	X
ihlr-16489	34	16	)	)	PUNCT
ihlr-16489	34	17	have	have	AUX
ihlr-16489	34	18	said	say	VERB
ihlr-16489	34	19	,	,	PUNCT
ihlr-16489	34	20	"	"	PUNCT
ihlr-16489	34	21	it	it	PRON
ihlr-16489	34	22	is	be	AUX
ihlr-16489	34	23	time	time	NOUN
ihlr-16489	34	24	to	to	PART
ihlr-16489	34	25	change	change	VERB
ihlr-16489	34	26	this	this	DET
ihlr-16489	34	27	irrational	irrational	ADJ
ihlr-16489	34	28	system	system	NOUN
ihlr-16489	34	29	.	.	PUNCT
ihlr-16489	35	1	"	"	PUNCT
ihlr-16489	35	2	2	2	NUM
ihlr-16489	35	3	the	the	DET
ihlr-16489	35	4	bad	bad	ADJ
ihlr-16489	35	5	news	news	NOUN
ihlr-16489	35	6	is	be	AUX
ihlr-16489	35	7	that	that	SCONJ
ihlr-16489	35	8	,	,	PUNCT
ihlr-16489	35	9	instead	instead	ADV
ihlr-16489	35	10	of	of	ADP
ihlr-16489	35	11	enacting	enact	VERB
ihlr-16489	35	12	real	real	ADJ
ihlr-16489	35	13	reform	reform	NOUN
ihlr-16489	35	14	,	,	PUNCT
ihlr-16489	35	15	congress	congress	PROPN
ihlr-16489	35	16	is	be	AUX
ihlr-16489	35	17	preparing	prepare	VERB
ihlr-16489	35	18	not	not	PART
ihlr-16489	35	19	only	only	ADV
ihlr-16489	35	20	to	to	PART
ihlr-16489	35	21	keep	keep	VERB
ihlr-16489	35	22	medicare	medicare	PROPN
ihlr-16489	35	23	's	's	PART
ihlr-16489	35	24	rigid	rigid	ADJ
ihlr-16489	35	25	system	system	NOUN
ihlr-16489	35	26	of	of	ADP
ihlr-16489	35	27	price	price	NOUN
ihlr-16489	35	28	controls	control	NOUN
ihlr-16489	35	29	and	and	CCONJ
ihlr-16489	35	30	central	central	ADJ
ihlr-16489	35	31	planning	planning	NOUN
ihlr-16489	35	32	,	,	PUNCT
ihlr-16489	35	33	but	but	CCONJ
ihlr-16489	35	34	also	also	ADV
ihlr-16489	35	35	to	to	PART
ihlr-16489	35	36	add	add	VERB
ihlr-16489	35	37	another	another	DET
ihlr-16489	35	38	layer	layer	NOUN
ihlr-16489	35	39	of	of	ADP
ihlr-16489	35	40	regulatory	regulatory	ADJ
ihlr-16489	35	41	control	control	NOUN
ihlr-16489	35	42	over	over	ADP
ihlr-16489	35	43	physician	physician	NOUN
ihlr-16489	35	44	behavior	behavior	NOUN
ihlr-16489	35	45	.	.	PUNCT
ihlr-16489	36	1	senate	senate	PROPN
ihlr-16489	36	2	finance	finance	PROPN
ihlr-16489	36	3	committee	committee	PROPN
ihlr-16489	36	4	chairman	chairman	PROPN
ihlr-16489	36	5	charles	charles	PROPN
ihlr-16489	36	6	grassley	grassley	PROPN
ihlr-16489	36	7	(	(	PUNCT
ihlr-16489	36	8	r	r	NOUN
ihlr-16489	36	9	-	-	PUNCT
ihlr-16489	36	10	ia	ia	NOUN
ihlr-16489	36	11	)	)	PUNCT
ihlr-16489	36	12	and	and	CCONJ
ihlr-16489	36	13	ranking	rank	VERB
ihlr-16489	36	14	member	member	NOUN
ihlr-16489	36	15	max	max	PROPN
ihlr-16489	36	16	baucus	baucus	PROPN
ihlr-16489	36	17	(	(	PUNCT
ihlr-16489	36	18	d	d	PROPN
ihlr-16489	36	19	-	-	PUNCT
ihlr-16489	36	20	mt	mt	NOUN
ihlr-16489	36	21	)	)	PUNCT
ihlr-16489	36	22	sponsored	sponsor	VERB
ihlr-16489	36	23	the	the	DET
ihlr-16489	36	24	medicare	medicare	PROPN
ihlr-16489	36	25	1	1	NUM
ihlr-16489	36	26	.	.	X
ihlr-16489	36	27	42	42	NUM
ihlr-16489	36	28	u.s.c	u.s.c	ADJ
ihlr-16489	36	29	.	.	PUNCT
ihlr-16489	37	1	§	§	PROPN
ihlr-16489	37	2	1395	1395	NUM
ihlr-16489	37	3	(	(	PUNCT
ihlr-16489	37	4	2006	2006	NUM
ihlr-16489	37	5	)	)	PUNCT
ihlr-16489	37	6	.	.	PUNCT
ihlr-16489	38	1	2	2	X
ihlr-16489	38	2	.	.	NUM
ihlr-16489	38	3	reps	reps	PROPN
ihlr-16489	38	4	.	.	PROPN
ihlr-16489	38	5	thomas	thomas	PROPN
ihlr-16489	38	6	,	,	PUNCT
ihlr-16489	38	7	johnson	johnson	PROPN
ihlr-16489	38	8	ask	ask	VERB
ihlr-16489	38	9	for	for	ADP
ihlr-16489	38	10	cms	cms	NOUN
ihlr-16489	38	11	help	help	NOUN
ihlr-16489	38	12	in	in	ADP
ihlr-16489	38	13	changing	change	VERB
ihlr-16489	38	14	medicare	medicare	PROPN
ihlr-16489	38	15	's	's	PART
ihlr-16489	38	16	"	"	PUNCT
ihlr-16489	38	17	irrational	irrational	ADJ
ihlr-16489	38	18	"	"	PUNCT
ihlr-16489	38	19	payment	payment	NOUN
ihlr-16489	38	20	system	system	NOUN
ihlr-16489	38	21	,	,	PUNCT
ihlr-16489	38	22	wash	wash	NOUN
ihlr-16489	38	23	.	.	PUNCT
ihlr-16489	39	1	health	health	NOUN
ihlr-16489	39	2	pol'y	pol'y	NOUN
ihlr-16489	39	3	week	week	NOUN
ihlr-16489	39	4	in	in	ADP
ihlr-16489	39	5	rev	rev	PROPN
ihlr-16489	39	6	.	.	PROPN
ihlr-16489	39	7	,	,	PUNCT
ihlr-16489	39	8	june	june	PROPN
ihlr-16489	39	9	27	27	NUM
ihlr-16489	39	10	,	,	PUNCT
ihlr-16489	39	11	2005	2005	NUM
ihlr-16489	39	12	,	,	PUNCT
ihlr-16489	39	13	available	available	ADJ
ihlr-16489	39	14	at	at	ADP
ihlr-16489	39	15	http://www.cmwf.org/healthpolicyweek	http://www.cmwf.org/healthpolicyweek	PROPN
ihlr-16489	39	16	!	!	PUNCT
ihlr-16489	40	1	(	(	PUNCT
ihlr-16489	40	2	last	last	ADJ
ihlr-16489	40	3	visited	visit	VERB
ihlr-16489	40	4	may	may	PROPN
ihlr-16489	40	5	19	19	NUM
ihlr-16489	40	6	,	,	PUNCT
ihlr-16489	40	7	2006	2006	NUM
ihlr-16489	40	8	)	)	PUNCT
ihlr-16489	40	9	.	.	PUNCT
ihlr-16489	41	1	398	398	NUM
ihlr-16489	41	2	indiana	indiana	PROPN
ihlr-16489	41	3	health	health	PROPN
ihlr-16489	41	4	law	law	PROPN
ihlr-16489	41	5	review	review	NOUN
ihlr-16489	41	6	[	[	X
ihlr-16489	41	7	vol	vol	NOUN
ihlr-16489	41	8	.	.	PUNCT
ihlr-16489	42	1	3:391	3:391	NUM
ihlr-16489	42	2	value	value	NOUN
ihlr-16489	42	3	purchasing	purchasing	NOUN
ihlr-16489	42	4	act	act	NOUN
ihlr-16489	42	5	of2005	of2005	PROPN
ihlr-16489	42	6	(	(	PUNCT
ihlr-16489	42	7	s.	s.	PROPN
ihlr-16489	42	8	1356_>3	1356_>3	NUM
ihlr-16489	42	9	,	,	PUNCT
ihlr-16489	42	10	which	which	PRON
ihlr-16489	42	11	would	would	AUX
ihlr-16489	42	12	implement	implement	VERB
ihlr-16489	42	13	''	''	PUNCT
ihlr-16489	42	14	pay	pay	VERB
ihlr-16489	42	15	for	for	ADP
ihlr-16489	42	16	performance	performance	NOUN
ihlr-16489	42	17	"	"	PUNCT
ihlr-16489	42	18	in	in	ADP
ihlr-16489	42	19	·	·	PROPN
ihlr-16489	42	20	the	the	DET
ihlr-16489	42	21	medicare	medicare	PROPN
ihlr-16489	42	22	program	program	NOUN
ihlr-16489	42	23	by	by	ADP
ihlr-16489	42	24	tying	tie	VERB
ihlr-16489	42	25	physician	physician	NOUN
ihlr-16489	42	26	payment	payment	NOUN
ihlr-16489	42	27	to	to	ADP
ihlr-16489	42	28	compliance	compliance	NOUN
ihlr-16489	42	29	with	with	ADP
ihlr-16489	42	30	government	government	NOUN
ihlr-16489	42	31	-	-	PUNCT
ihlr-16489	42	32	defined	define	VERB
ihlr-16489	42	33	medical	medical	ADJ
ihlr-16489	42	34	guidelines	guideline	NOUN
ihlr-16489	42	35	.	.	PUNCT
ihlr-16489	43	1	representative	representative	PROPN
ihlr-16489	43	2	johnson	johnson	PROPN
ihlr-16489	43	3	introduced	introduce	VERB
ihlr-16489	43	4	·	·	PUNCT
ihlr-16489	43	5	a	a	DET
ihlr-16489	43	6	·	·	SYM
ihlr-16489	43	7	similar	similar	ADJ
ihlr-16489	43	8	bill	bill	NOUN
ihlr-16489	43	9	in	in	ADP
ihlr-16489	43	10	the	the	DET
ihlr-16489	43	11	house	house	NOUN
ihlr-16489	43	12	.	.	PUNCT
ihlr-16489	44	1	the	the	DET
ihlr-16489	44	2	approach	approach	NOUN
ihlr-16489	44	3	is	be	AUX
ihlr-16489	44	4	well	well	ADV
ihlr-16489	44	5	intentioned	intentione	VERB
ihlr-16489	44	6	,	,	PUNCT
ihlr-16489	44	7	but	but	CCONJ
ihlr-16489	44	8	more	more	ADJ
ihlr-16489	44	9	central	central	ADJ
ihlr-16489	44	10	planning	planning	NOUN
ihlr-16489	44	11	will	will	AUX
ihlr-16489	44	12	only	only	ADV
ihlr-16489	44	13	intensify	intensify	VERB
ihlr-16489	44	14	the	the	DET
ihlr-16489	44	15	medicare	medicare	PROPN
ihlr-16489	44	16	reimbursement	reimbursement	NOUN
ihlr-16489	44	17	problem	problem	NOUN
ihlr-16489	44	18	,	,	PUNCT
ihlr-16489	44	19	not	not	PART
ihlr-16489	44	20	ameliorate	ameliorate	VERB
ihlr-16489	44	21	it	it	PRON
ihlr-16489	44	22	.	.	PUNCT
ihlr-16489	45	1	i.	i.	PROPN
ihlr-16489	45	2	a	a	DET
ihlr-16489	45	3	misguided	misguided	ADJ
ihlr-16489	45	4	approach	approach	NOUN
ihlr-16489	45	5	the	the	DET
ihlr-16489	45	6	·	·	SYM
ihlr-16489	45	7	concept	concept	NOUN
ihlr-16489	45	8	of	of	ADP
ihlr-16489	45	9	''	''	PUNCT
ihlr-16489	45	10	pay	pay	VERB
ihlr-16489	45	11	for	for	ADP
ihlr-16489	45	12	performance	performance	NOUN
ihlr-16489	45	13	"	"	PUNCT
ihlr-16489	45	14	in	in	ADP
ihlr-16489	45	15	medicare	medicare	PROPN
ihlr-16489	45	16	is	be	AUX
ihlr-16489	45	17	unquestionably	unquestionably	ADV
ihlr-16489	45	18	attractive	attractive	ADJ
ihlr-16489	45	19	to	to	ADP
ihlr-16489	45	20	federal	federal	ADJ
ihlr-16489	45	21	policymakers	policymaker	NOUN
ihlr-16489	45	22	and	and	CCONJ
ihlr-16489	45	23	suggests	suggest	VERB
ihlr-16489	45	24	-	-	PUNCT
ihlr-16489	45	25	correctly	correctly	ADV
ihlr-16489	45	26	in	in	ADP
ihlr-16489	45	27	our	our	PRON
ihlr-16489	45	28	view	view	NOUN
ihlr-16489	45	29	-	-	PUNCT
ihlr-16489	45	30	that	that	SCONJ
ihlr-16489	45	31	medicare	medicare	PROPN
ihlr-16489	45	32	patients	patient	NOUN
ihlr-16489	45	33	and	and	CCONJ
ihlr-16489	45	34	the	the	DET
ihlr-16489	45	35	taxpayers	taxpayer	NOUN
ihlr-16489	45	36	are	be	AUX
ihlr-16489	45	37	not	not	PART
ihlr-16489	45	38	getting	get	VERB
ihlr-16489	45	39	the	the	DET
ihlr-16489	45	40	best	good	ADJ
ihlr-16489	45	41	value	value	NOUN
ihlr-16489	45	42	for	for	ADP
ihlr-16489	45	43	their	their	PRON
ihlr-16489	45	44	money	money	NOUN
ihlr-16489	45	45	.	.	PUNCT
ihlr-16489	46	1	using	use	VERB
ihlr-16489	46	2	the	the	DET
ihlr-16489	46	3	rhetoric	rhetoric	NOUN
ihlr-16489	46	4	of"best	of"b	ADJ
ihlr-16489	46	5	practices	practice	NOUN
ihlr-16489	46	6	"	"	PUNCT
ihlr-16489	46	7	and	and	CCONJ
ihlr-16489	46	8	"	"	PUNCT
ihlr-16489	46	9	evidence	evidence	NOUN
ihlr-16489	46	10	-	-	PUNCT
ihlr-16489	46	11	based	base	VERB
ihlr-16489	46	12	medicine	medicine	NOUN
ihlr-16489	46	13	"	"	PUNCT
ihlr-16489	46	14	to	to	PART
ihlr-16489	46	15	describe	describe	VERB
ihlr-16489	46	16	this	this	DET
ihlr-16489	46	17	approach	approach	NOUN
ihlr-16489	46	18	,	,	PUNCT
ihlr-16489	46	19	proponents	proponent	NOUN
ihlr-16489	46	20	are	be	AUX
ihlr-16489	46	21	creating	create	VERB
ihlr-16489	46	22	the	the	DET
ihlr-16489	46	23	false	false	ADJ
ihlr-16489	46	24	impression	impression	NOUN
ihlr-16489	46	25	that	that	SCONJ
ihlr-16489	46	26	new	new	ADJ
ihlr-16489	46	27	government	government	NOUN
ihlr-16489	46	28	guidelines	guideline	NOUN
ihlr-16489	46	29	would	would	AUX
ihlr-16489	46	30	promote	promote	VERB
ihlr-16489	46	31	market	market	NOUN
ihlr-16489	46	32	-	-	PUNCT
ihlr-16489	46	33	like	like	ADJ
ihlr-16489	46	34	competition	competition	NOUN
ihlr-16489	46	35	,	,	PUNCT
ihlr-16489	46	36	control	control	NOUN
ihlr-16489	46	37	costs	cost	NOUN
ihlr-16489	46	38	,	,	PUNCT
ihlr-16489	46	39	and	and	CCONJ
ihlr-16489	46	40	improve	improve	VERB
ihlr-16489	46	41	the	the	DET
ihlr-16489	46	42	quality	quality	NOUN
ihlr-16489	46	43	ofhealth	ofhealth	NOUN
ihlr-16489	46	44	care	care	NOUN
ihlr-16489	46	45	delivered	deliver	VERB
ihlr-16489	46	46	within	within	ADP
ihlr-16489	46	47	medicare	medicare	PROPN
ihlr-16489	46	48	.	.	PUNCT
ihlr-16489	47	1	they	they	PRON
ihlr-16489	47	2	believe	believe	VERB
ihlr-16489	47	3	that	that	SCONJ
ihlr-16489	47	4	adopting	adopt	VERB
ihlr-16489	47	5	this	this	DET
ihlr-16489	47	6	approach	approach	NOUN
ihlr-16489	47	7	would	would	AUX
ihlr-16489	47	8	simultaneously	simultaneously	ADV
ihlr-16489	47	9	control	control	VERB
ihlr-16489	47	10	the	the	DET
ihlr-16489	47	11	growth	growth	NOUN
ihlr-16489	47	12	of	of	ADP
ihlr-16489	47	13	medicare	medicare	PROPN
ihlr-16489	47	14	costs	cost	NOUN
ihlr-16489	47	15	in	in	ADP
ihlr-16489	47	16	a	a	DET
ihlr-16489	47	17	more	more	ADV
ihlr-16489	47	18	rational	rational	ADJ
ihlr-16489	47	19	fashion	fashion	NOUN
ihlr-16489	47	20	and	and	CCONJ
ihlr-16489	47	21	close	close	VERB
ihlr-16489	47	22	the	the	DET
ihlr-16489	47	23	gap	gap	NOUN
ihlr-16489	47	24	"	"	PUNCT
ihlr-16489	47	25	between	between	ADP
ihlr-16489	47	26	the	the	DET
ihlr-16489	47	27	health	health	NOUN
ihlr-16489	47	28	care	care	NOUN
ihlr-16489	47	29	we	we	PRON
ihlr-16489	47	30	now	now	ADV
ihlr-16489	47	31	have	have	VERB
ihlr-16489	47	32	and	and	CCONJ
ihlr-16489	47	33	the	the	DET
ihlr-16489	47	34	health	health	NOUN
ihlr-16489	47	35	care	care	NOUN
ihlr-16489	47	36	we	we	PRON
ihlr-16489	47	37	could	could	AUX
ihlr-16489	47	38	have	have	VERB
ihlr-16489	47	39	.	.	PUNCT
ihlr-16489	47	40	'>4	'>4	PUNCT
ihlr-16489	48	1	before	before	ADP
ihlr-16489	48	2	succumbing	succumb	VERB
ihlr-16489	48	3	to	to	ADP
ihlr-16489	48	4	the	the	DET
ihlr-16489	48	5	latest	late	ADJ
ihlr-16489	48	6	health	health	NOUN
ihlr-16489	48	7	care	care	NOUN
ihlr-16489	48	8	policy	policy	NOUN
ihlr-16489	48	9	fad	fad	NOUN
ihlr-16489	48	10	,	,	PUNCT
ihlr-16489	48	11	members	member	NOUN
ihlr-16489	48	12	of	of	ADP
ihlr-16489	48	13	congress	congress	PROPN
ihlr-16489	48	14	should	should	AUX
ihlr-16489	48	15	carefully	carefully	ADV
ihlr-16489	48	16	consider	consider	VERB
ihlr-16489	48	17	two	two	NUM
ihlr-16489	48	18	things	thing	NOUN
ihlr-16489	48	19	:	:	PUNCT
ihlr-16489	48	20	the	the	DET
ihlr-16489	48	21	likely	likely	ADJ
ihlr-16489	48	22	impact	impact	NOUN
ihlr-16489	48	23	of	of	ADP
ihlr-16489	48	24	government	government	NOUN
ihlr-16489	48	25	incentives	incentive	NOUN
ihlr-16489	48	26	designed	design	VERB
ihlr-16489	48	27	to	to	PART
ihlr-16489	48	28	secure	secure	VERB
ihlr-16489	48	29	physician	physician	NOUN
ihlr-16489	48	30	adherence	adherence	NOUN
ihlr-16489	48	31	to	to	ADP
ihlr-16489	48	32	centrally	centrally	ADV
ihlr-16489	48	33	determined	determine	VERB
ihlr-16489	48	34	standards	standard	NOUN
ihlr-16489	48	35	and	and	CCONJ
ihlr-16489	48	36	whether	whether	SCONJ
ihlr-16489	48	37	or	or	CCONJ
ihlr-16489	48	38	not	not	PART
ihlr-16489	48	39	those	those	DET
ihlr-16489	48	40	standards	standard	NOUN
ihlr-16489	48	41	can	can	AUX
ihlr-16489	48	42	indeed	indeed	ADV
ihlr-16489	48	43	provide	provide	VERB
ihlr-16489	48	44	higher	high	ADJ
ihlr-16489	48	45	quality	quality	NOUN
ihlr-16489	48	46	to	to	ADP
ihlr-16489	48	47	patients	patient	NOUN
ihlr-16489	48	48	and	and	CCONJ
ihlr-16489	48	49	better	well	ADJ
ihlr-16489	48	50	value	value	NOUN
ihlr-16489	48	51	to	to	ADP
ihlr-16489	48	52	taxpayers	taxpayer	NOUN
ihlr-16489	48	53	.	.	PUNCT
ihlr-16489	49	1	despite	despite	SCONJ
ihlr-16489	49	2	the	the	DET
ihlr-16489	49	3	rhetoric	rhetoric	NOUN
ihlr-16489	49	4	to	to	ADP
ihlr-16489	49	5	the	the	DET
ihlr-16489	49	6	contrary	contrary	NOUN
ihlr-16489	49	7	,	,	PUNCT
ihlr-16489	49	8	this	this	DET
ihlr-16489	49	9	proposal	proposal	NOUN
ihlr-16489	49	10	is	be	AUX
ihlr-16489	49	11	anything	anything	PRON
ihlr-16489	49	12	but	but	SCONJ
ihlr-16489	49	13	a	a	DET
ihlr-16489	49	14	free	free	ADJ
ihlr-16489	49	15	-	-	PUNCT
ihlr-16489	49	16	market	market	NOUN
ihlr-16489	49	17	approach	approach	NOUN
ihlr-16489	49	18	to	to	ADP
ihlr-16489	49	19	physician	physician	NOUN
ihlr-16489	49	20	payment	payment	NOUN
ihlr-16489	49	21	.	.	PUNCT
ihlr-16489	50	1	it	it	PRON
ihlr-16489	50	2	is	be	AUX
ihlr-16489	50	3	,	,	PUNCT
ihlr-16489	50	4	in	in	ADP
ihlr-16489	50	5	fact	fact	NOUN
ihlr-16489	50	6	,	,	PUNCT
ihlr-16489	50	7	a	a	DET
ihlr-16489	50	8	compliance	compliance	NOUN
ihlr-16489	50	9	-	-	PUNCT
ihlr-16489	50	10	based	base	VERB
ihlr-16489	50	11	system	system	NOUN
ihlr-16489	50	12	,	,	PUNCT
ihlr-16489	50	13	inherently	inherently	ADV
ihlr-16489	50	14	burdened	burden	VERB
ihlr-16489	50	15	by	by	ADP
ihlr-16489	50	16	serious	serious	ADJ
ihlr-16489	50	17	limitations	limitation	NOUN
ihlr-16489	50	18	.	.	PUNCT
ihlr-16489	51	1	for	for	ADP
ihlr-16489	51	2	example	example	NOUN
ihlr-16489	51	3	,	,	PUNCT
ihlr-16489	51	4	such	such	DET
ihlr-16489	51	5	a	a	DET
ihlr-16489	51	6	system	system	NOUN
ihlr-16489	51	7	would	would	AUX
ihlr-16489	51	8	:	:	PUNCT
ihlr-16489	51	9	•	•	ADP
ihlr-16489	51	10	dump	dump	VERB
ihlr-16489	51	11	patients	patient	NOUN
ihlr-16489	51	12	into	into	ADP
ihlr-16489	51	13	a	a	DET
ihlr-16489	51	14	system	system	NOUN
ihlr-16489	51	15	of	of	ADP
ihlr-16489	51	16	top	top	ADJ
ihlr-16489	51	17	-	-	PUNCT
ihlr-16489	51	18	down	down	NOUN
ihlr-16489	51	19	,	,	PUNCT
ihlr-16489	51	20	"	"	PUNCT
ihlr-16489	51	21	cookbook	cookbook	NOUN
ihlr-16489	51	22	''	''	PUNCT
ihlr-16489	51	23	medicine	medicine	NOUN
ihlr-16489	51	24	that	that	PRON
ihlr-16489	51	25	is	be	AUX
ihlr-16489	51	26	incompatible	incompatible	ADJ
ihlr-16489	51	27	with	with	ADP
ihlr-16489	51	28	high	high	ADJ
ihlr-16489	51	29	professional	professional	ADJ
ihlr-16489	51	30	standards	standard	NOUN
ihlr-16489	51	31	of	of	ADP
ihlr-16489	51	32	patient	patient	ADJ
ihlr-16489	51	33	care	care	NOUN
ihlr-16489	51	34	;	;	PUNCT
ihlr-16489	51	35	•	•	SCONJ
ihlr-16489	51	36	spawn	spawn	VERB
ihlr-16489	51	37	an	an	DET
ihlr-16489	51	38	increasing	increase	VERB
ihlr-16489	51	39	number	number	NOUN
ihlr-16489	51	40	of	of	ADP
ihlr-16489	51	41	medicare	medicare	PROPN
ihlr-16489	51	42	rules	rule	NOUN
ihlr-16489	51	43	,	,	PUNCT
ihlr-16489	51	44	regulations	regulation	NOUN
ihlr-16489	51	45	,	,	PUNCT
ihlr-16489	51	46	and	and	CCONJ
ihlr-16489	51	47	guidelines	guideline	NOUN
ihlr-16489	51	48	,	,	PUNCT
ihlr-16489	51	49	furtherundercuttingthephysician	furtherundercuttingthephysician	PROPN
ihlr-16489	51	50	's	's	PART
ihlr-16489	51	51	professional	professional	ADJ
ihlr-16489	51	52	auto­	auto­	CCONJ
ihlr-16489	51	53	nomy	nomy	NOUN
ihlr-16489	51	54	and	and	CCONJ
ihlr-16489	51	55	integrity	integrity	NOUN
ihlr-16489	51	56	,	,	PUNCT
ihlr-16489	51	57	as	as	ADV
ihlr-16489	51	58	well	well	ADV
ihlr-16489	51	59	as	as	ADP
ihlr-16489	51	60	patient	patient	ADJ
ihlr-16489	51	61	choice	choice	NOUN
ihlr-16489	51	62	and	and	CCONJ
ihlr-16489	51	63	access	access	NOUN
ihlr-16489	51	64	to	to	ADP
ihlr-16489	51	65	care	care	NOUN
ihlr-16489	51	66	;	;	PUNCT
ihlr-16489	51	67	•	•	ADV
ihlr-16489	51	68	undermine	undermine	VERB
ihlr-16489	51	69	the	the	DET
ihlr-16489	51	70	more	more	ADV
ihlr-16489	51	71	desirable	desirable	ADJ
ihlr-16489	51	72	goal	goal	NOUN
ihlr-16489	51	73	ofhigh	ofhigh	NOUN
ihlr-16489	51	74	quality	quality	NOUN
ihlr-16489	51	75	,	,	PUNCT
ihlr-16489	51	76	which	which	PRON
ihlr-16489	51	77	requires	require	VERB
ihlr-16489	51	78	personalized	personalized	ADJ
ihlr-16489	51	79	care	care	NOUN
ihlr-16489	51	80	;	;	PUNCT
ihlr-16489	51	81	•	•	NUM
ihlr-16489	51	82	retard	retard	VERB
ihlr-16489	51	83	medical	medical	ADJ
ihlr-16489	51	84	innovation	innovation	NOUN
ihlr-16489	51	85	and	and	CCONJ
ihlr-16489	51	86	introduce	introduce	VERB
ihlr-16489	51	87	unproductive	unproductive	ADJ
ihlr-16489	51	88	gaming	gaming	NOUN
ihlr-16489	51	89	by	by	ADP
ihlr-16489	51	90	doctors	doctor	NOUN
ihlr-16489	51	91	to	to	PART
ihlr-16489	51	92	secure	secure	VERB
ihlr-16489	51	93	higher	high	ADJ
ihlr-16489	51	94	medicare	medicare	PROPN
ihlr-16489	51	95	reimbursement	reimbursement	NOUN
ihlr-16489	51	96	;	;	PUNCT
ihlr-16489	51	97	and	and	CCONJ
ihlr-16489	51	98	•	•	ADV
ihlr-16489	51	99	further	far	ADV
ihlr-16489	51	100	weaken	weaken	VERB
ihlr-16489	51	101	the	the	DET
ihlr-16489	51	102	traditional	traditional	ADJ
ihlr-16489	51	103	doctor	doctor	NOUN
ihlr-16489	51	104	-	-	PUNCT
ihlr-16489	51	105	patient	patient	NOUN
ihlr-16489	51	106	relationship	relationship	NOUN
ihlr-16489	51	107	.	.	PUNCT
ihlr-16489	52	1	3	3	X
ihlr-16489	52	2	.	.	X
ihlr-16489	52	3	senator	senator	PROPN
ihlr-16489	52	4	chuck	chuck	PROPN
ihlr-16489	52	5	grassley	grassley	PROPN
ihlr-16489	52	6	,	,	PUNCT
ihlr-16489	52	7	statement	statement	NOUN
ihlr-16489	52	8	upon	upon	SCONJ
ihlr-16489	52	9	introduction	introduction	NOUN
ihlr-16489	52	10	of	of	ADP
ihlr-16489	52	11	the	the	DET
ihlr-16489	52	12	medicare	medicare	PROPN
ihlr-16489	52	13	value	value	NOUN
ihlr-16489	52	14	purchasing	purchasing	NOUN
ihlr-16489	52	15	act	act	NOUN
ihlr-16489	52	16	of2005	of2005	PROPN
ihlr-16489	52	17	(	(	PUNCT
ihlr-16489	52	18	june	june	PROPN
ihlr-16489	52	19	30	30	NUM
ihlr-16489	52	20	,	,	PUNCT
ihlr-16489	52	21	2005	2005	NUM
ihlr-16489	52	22	)	)	PUNCT
ihlr-16489	52	23	,	,	PUNCT
ihlr-16489	52	24	at	at	ADP
ihlr-16489	52	25	http://www	http://www	PROPN
ihlr-16489	52	26	.himss.org	.himss.org	PROPN
ihlr-16489	52	27	/	/	SYM
ihlr-16489	52	28	content	content	NOUN
ihlr-16489	52	29	/	/	SYM
ihlr-16489	52	30	files	file	NOUN
ihlr-16489	52	31	/	/	SYM
ihlr-16489	52	32	medicare6	medicare6	NOUN
ihlr-16489	52	33	-	-	PUNCT
ihlr-16489	52	34	3005_floor_statementpdf(last	3005_floor_statementpdf(last	NOUN
ihlr-16489	52	35	visited	visit	VERB
ihlr-16489	52	36	may	may	PROPN
ihlr-16489	52	37	19	19	NUM
ihlr-16489	52	38	,	,	PUNCT
ihlr-16489	52	39	2006	2006	NUM
ihlr-16489	52	40	)	)	PUNCT
ihlr-16489	52	41	.	.	PUNCT
ihlr-16489	53	1	4	4	X
ihlr-16489	53	2	.	.	X
ihlr-16489	53	3	inst	inst	PROPN
ihlr-16489	53	4	.	.	PROPN
ihlr-16489	53	5	of	of	ADP
ihlr-16489	53	6	med	med	PROPN
ihlr-16489	53	7	.	.	PROPN
ihlr-16489	53	8	,	,	PUNCT
ihlr-16489	53	9	crossing	cross	VERB
ihlr-16489	53	10	nm	nm	PRON
ihlr-16489	53	11	quaijty	quaijty	NOUN
ihlr-16489	53	12	chasm	chasm	NOUN
ihlr-16489	53	13	:	:	PUNCT
ihlr-16489	53	14	a	a	DET
ihlr-16489	53	15	new	new	ADJ
ihlr-16489	53	16	realm	realm	NOUN
ihlr-16489	53	17	system	system	NOUN
ihlr-16489	53	18	for	for	ADP
ihlr-16489	53	19	nib	nib	NOUN
ihlr-16489	53	20	21stcen1ury	21stcen1ury	NUM
ihlr-16489	53	21	(	(	PUNCT
ihlr-16489	53	22	2001	2001	NUM
ihlr-16489	53	23	)	)	PUNCT
ihlr-16489	54	1	[	[	X
ihlr-16489	54	2	hereinafter	hereinafter	NOUN
ihlr-16489	54	3	crossing	cross	VERB
ihlr-16489	54	4	nib	nib	VERB
ihlr-16489	54	5	quality	quality	NOUN
ihlr-16489	54	6	chasm	chasm	NOUN
ihlr-16489	54	7	)	)	PUNCT
ihlr-16489	54	8	.	.	PUNCT
ihlr-16489	55	1	2006	2006	NUM
ihlr-16489	55	2	]	]	PUNCT
ihlr-16489	55	3	pay	pay	VERB
ihlr-16489	55	4	for	for	ADP
ihlr-16489	55	5	performance	performance	NOUN
ihlr-16489	55	6	or	or	CCONJ
ihlr-16489	55	7	compliance	compliance	NOUN
ihlr-16489	55	8	?	?	PUNCT
ihlr-16489	56	1	399	399	NUM
ihlr-16489	56	2	ii	ii	NOUN
ihlr-16489	56	3	.	.	PUNCT
ihlr-16489	57	1	a	a	DET
ihlr-16489	57	2	beiter	beiter	ADJ
ihlr-16489	57	3	policy	policy	NOUN
ihlr-16489	57	4	if	if	SCONJ
ihlr-16489	57	5	members	member	NOUN
ihlr-16489	57	6	of	of	ADP
ihlr-16489	57	7	congress	congress	PROPN
ihlr-16489	57	8	had	have	AUX
ihlr-16489	57	9	seized	seize	VERB
ihlr-16489	57	10	the	the	DET
ihlr-16489	57	11	opportunity	opportunity	NOUN
ihlr-16489	57	12	to	to	PART
ihlr-16489	57	13	replace	replace	VERB
ihlr-16489	57	14	the	the	DET
ihlr-16489	57	15	current	current	ADJ
ihlr-16489	57	16	medicare	medicare	NOUN
ihlr-16489	57	17	system	system	NOUN
ihlr-16489	57	18	with	with	ADP
ihlr-16489	57	19	a	a	DET
ihlr-16489	57	20	premium	premium	NOUN
ihlr-16489	57	21	support	support	NOUN
ihlr-16489	57	22	program	program	NOUN
ihlr-16489	57	23	similar	similar	ADJ
ihlr-16489	57	24	to	to	ADP
ihlr-16489	57	25	the	the	DET
ihlr-16489	57	26	federal	federal	ADJ
ihlr-16489	57	27	employees	employee	NOUN
ihlr-16489	57	28	health	health	PROPN
ihlr-16489	57	29	benefits	benefit	NOUN
ihlr-16489	57	30	program	program	NOUN
ihlr-16489	57	31	(	(	PUNCT
ihlr-16489	57	32	"	"	PUNCT
ihlr-16489	57	33	fehbp	fehbp	NOUN
ihlr-16489	57	34	"	"	PUNCT
ihlr-16489	57	35	)	)	PUNCT
ihlr-16489	57	36	during	during	ADP
ihlr-16489	57	37	consideration	consideration	NOUN
ihlr-16489	57	38	of	of	ADP
ihlr-16489	57	39	the	the	DET
ihlr-16489	57	40	medicare	medicare	PROPN
ihlr-16489	57	41	modernization	modernization	PROPN
ihlr-16489	57	42	act	act	NOUN
ihlr-16489	57	43	of	of	ADP
ihlr-16489	57	44	2003	2003	NUM
ihlr-16489	57	45	,	,	PUNCT
ihlr-16489	57	46	they	they	PRON
ihlr-16489	57	47	would	would	AUX
ihlr-16489	57	48	not	not	PART
ihlr-16489	57	49	now	now	ADV
ihlr-16489	57	50	need	need	VERB
ihlr-16489	57	51	to	to	PART
ihlr-16489	57	52	fix	fix	VERB
ihlr-16489	57	53	the	the	DET
ihlr-16489	57	54	medicare	medicare	PROPN
ihlr-16489	57	55	physician	physician	NOUN
ihlr-16489	57	56	payment	payment	NOUN
ihlr-16489	57	57	system	system	NOUN
ihlr-16489	57	58	that	that	PRON
ihlr-16489	57	59	they	they	PRON
ihlr-16489	57	60	created	create	VERB
ihlr-16489	57	61	.	.	PUNCT
ihlr-16489	58	1	the	the	DET
ihlr-16489	58	2	fehbp	fehbp	NOUN
ihlr-16489	58	3	is	be	AUX
ihlr-16489	58	4	characterized	characterize	VERB
ihlr-16489	58	5	by	by	ADP
ihlr-16489	58	6	consumer	consumer	NOUN
ihlr-16489	58	7	choice	choice	NOUN
ihlr-16489	58	8	,	,	PUNCT
ihlr-16489	58	9	market	market	NOUN
ihlr-16489	58	10	competition	competition	NOUN
ihlr-16489	58	11	,	,	PUNCT
ihlr-16489	58	12	and	and	CCONJ
ihlr-16489	58	13	minimal	minimal	ADJ
ihlr-16489	58	14	bureaucracy	bureaucracy	NOUN
ihlr-16489	58	15	and	and	CCONJ
ihlr-16489	58	16	regulation	regulation	NOUN
ihlr-16489	58	17	.	.	PUNCT
ihlr-16489	59	1	the	the	DET
ihlr-16489	59	2	office	office	NOUN
ihlr-16489	59	3	of	of	ADP
ihlr-16489	59	4	personnel	personnel	NOUN
ihlr-16489	59	5	management	management	NOUN
ihlr-16489	59	6	,	,	PUNCT
ihlr-16489	59	7	which	which	PRON
ihlr-16489	59	8	administers	administer	VERB
ihlr-16489	59	9	the	the	DET
ihlr-16489	59	10	fehbp	fehbp	NOUN
ihlr-16489	59	11	,	,	PUNCT
ihlr-16489	59	12	does	do	AUX
ihlr-16489	59	13	not	not	PART
ihlr-16489	59	14	prescribe	prescribe	VERB
ihlr-16489	59	15	detailed	detailed	ADJ
ihlr-16489	59	16	formulas	formula	NOUN
ihlr-16489	59	17	for	for	ADP
ihlr-16489	59	18	physician	physician	NOUN
ihlr-16489	59	19	payment	payment	NOUN
ihlr-16489	59	20	for	for	ADP
ihlr-16489	59	21	thousands	thousand	NOUN
ihlr-16489	59	22	of	of	ADP
ihlr-16489	59	23	medical	medical	ADJ
ihlr-16489	59	24	services	service	NOUN
ihlr-16489	59	25	,	,	PUNCT
ihlr-16489	59	26	enforce	enforce	VERB
ihlr-16489	59	27	price	price	NOUN
ihlr-16489	59	28	controls	control	NOUN
ihlr-16489	59	29	,	,	PUNCT
ihlr-16489	59	30	or	or	CCONJ
ihlr-16489	59	31	conduct	conduct	VERB
ihlr-16489	59	32	compliance	compliance	NOUN
ihlr-16489	59	33	audits	audits	NOUN
ihlr-16489	59	34	or	or	CCONJ
ihlr-16489	59	35	investigations	investigation	NOUN
ihlr-16489	59	36	into	into	ADP
ihlr-16489	59	37	physician	physician	NOUN
ihlr-16489	59	38	payment	payment	NOUN
ihlr-16489	59	39	.	.	PUNCT
ihlr-16489	60	1	however	however	ADV
ihlr-16489	60	2	,	,	PUNCT
ihlr-16489	60	3	short	short	ADV
ihlr-16489	60	4	of	of	ADP
ihlr-16489	60	5	serious	serious	ADJ
ihlr-16489	60	6	and	and	CCONJ
ihlr-16489	60	7	comprehensive	comprehensive	ADJ
ihlr-16489	60	8	medicare	medicare	PROPN
ihlr-16489	60	9	reform	reform	PROPN
ihlr-16489	60	10	,	,	PUNCT
ihlr-16489	60	11	congress	congress	PROPN
ihlr-16489	60	12	should	should	AUX
ihlr-16489	60	13	go	go	VERB
ihlr-16489	60	14	back	back	ADV
ihlr-16489	60	15	to	to	ADP
ihlr-16489	60	16	the	the	DET
ihlr-16489	60	17	drawing	drawing	NOUN
ihlr-16489	60	18	board	board	NOUN
ihlr-16489	60	19	and	and	CCONJ
ihlr-16489	60	20	design	design	VERB
ihlr-16489	60	21	a	a	DET
ihlr-16489	60	22	new	new	ADJ
ihlr-16489	60	23	reimburse­	reimburse­	NOUN
ihlr-16489	60	24	ment	ment	ADJ
ihlr-16489	60	25	system	system	NOUN
ihlr-16489	60	26	for	for	ADP
ihlr-16489	60	27	medicare	medicare	PROPN
ihlr-16489	60	28	doctors	doctor	NOUN
ihlr-16489	60	29	,	,	PUNCT
ihlr-16489	60	30	combined	combine	VERB
ihlr-16489	60	31	with	with	ADP
ihlr-16489	60	32	reliable	reliable	ADJ
ihlr-16489	60	33	market	market	NOUN
ihlr-16489	60	34	-	-	PUNCT
ihlr-16489	60	35	based	base	VERB
ihlr-16489	60	36	updates	update	NOUN
ihlr-16489	60	37	for	for	ADP
ihlr-16489	60	38	physicians	physician	NOUN
ihlr-16489	60	39	'	'	PART
ihlr-16489	60	40	services	service	NOUN
ihlr-16489	60	41	.	.	PUNCT
ihlr-16489	61	1	meanwhile	meanwhile	ADV
ihlr-16489	61	2	,	,	PUNCT
ihlr-16489	61	3	congress	congress	PROPN
ihlr-16489	61	4	should	should	AUX
ihlr-16489	61	5	:	:	PUNCT
ihlr-16489	61	6	•	•	VERB
ihlr-16489	61	7	abolish	abolish	VERB
ihlr-16489	61	8	the	the	DET
ihlr-16489	61	9	current	current	ADJ
ihlr-16489	61	10	fee	fee	NOUN
ihlr-16489	61	11	schedules	schedule	NOUN
ihlr-16489	61	12	and	and	CCONJ
ihlr-16489	61	13	the	the	DET
ihlr-16489	61	14	update	update	NOUN
ihlr-16489	61	15	formulas	formula	NOUN
ihlr-16489	61	16	;	;	PUNCT
ihlr-16489	61	17	•	•	NUM
ihlr-16489	61	18	eliminate	eliminate	VERB
ihlr-16489	61	19	medicare	medicare	PROPN
ihlr-16489	61	20	restrictions	restriction	NOUN
ihlr-16489	61	21	on	on	ADP
ihlr-16489	61	22	balance	balance	NOUN
ihlr-16489	61	23	billing	billing	NOUN
ihlr-16489	61	24	(	(	PUNCT
ihlr-16489	61	25	effectively	effectively	ADV
ihlr-16489	61	26	a	a	DET
ihlr-16489	61	27	price	price	NOUN
ihlr-16489	61	28	control	control	NOUN
ihlr-16489	61	29	system	system	NOUN
ihlr-16489	61	30	)	)	PUNCT
ihlr-16489	61	31	and	and	CCONJ
ihlr-16489	61	32	allow	allow	VERB
ihlr-16489	61	33	doctors	doctor	NOUN
ihlr-16489	61	34	to	to	PART
ihlr-16489	61	35	charge	charge	VERB
ihlr-16489	61	36	either	either	CCONJ
ihlr-16489	61	37	more	more	ADV
ihlr-16489	61	38	or	or	CCONJ
ihlr-16489	61	39	less	less	ADJ
ihlr-16489	61	40	than	than	ADP
ihlr-16489	61	41	the	the	DET
ihlr-16489	61	42	medicare	medicare	PROPN
ihlr-16489	61	43	fixed	fix	VERB
ihlr-16489	61	44	price	price	NOUN
ihlr-16489	61	45	for	for	ADP
ihlr-16489	61	46	medical	medical	ADJ
ihlr-16489	61	47	services	service	NOUN
ihlr-16489	61	48	;	;	PUNCT
ihlr-16489	61	49	and	and	CCONJ
ihlr-16489	61	50	•	•	NUM
ihlr-16489	61	51	require	require	NOUN
ihlr-16489	61	52	physicians	physician	NOUN
ihlr-16489	61	53	,	,	PUNCT
ihlr-16489	61	54	as	as	ADP
ihlr-16489	61	55	a	a	DET
ihlr-16489	61	56	condition	condition	NOUN
ihlr-16489	61	57	of	of	ADP
ihlr-16489	61	58	participating	participate	VERB
ihlr-16489	61	59	in	in	ADP
ihlr-16489	61	60	medicare	medicare	PROPN
ihlr-16489	61	61	,	,	PUNCT
ihlr-16489	61	62	to	to	PART
ihlr-16489	61	63	disclose	disclose	VERB
ihlr-16489	61	64	the	the	DET
ihlr-16489	61	65	prices	price	NOUN
ihlr-16489	61	66	that	that	PRON
ihlr-16489	61	67	they	they	PRON
ihlr-16489	61	68	charge	charge	VERB
ihlr-16489	61	69	for	for	ADP
ihlr-16489	61	70	medicare	medicare	PROPN
ihlr-16489	61	71	services	service	NOUN
ihlr-16489	61	72	.	.	PUNCT
ihlr-16489	62	1	as	as	SCONJ
ihlr-16489	62	2	a	a	DET
ihlr-16489	62	3	national	national	ADJ
ihlr-16489	62	4	market	market	NOUN
ihlr-16489	62	5	develops	develop	VERB
ihlr-16489	62	6	,	,	PUNCT
ihlr-16489	62	7	private	private	ADJ
ihlr-16489	62	8	-	-	PUNCT
ihlr-16489	62	9	sector	sector	NOUN
ihlr-16489	62	10	organizations	organization	NOUN
ihlr-16489	62	11	(	(	PUNCT
ihlr-16489	62	12	e.g.	e.g.	ADV
ihlr-16489	62	13	,	,	PUNCT
ihlr-16489	62	14	consumer	consumer	NOUN
ihlr-16489	62	15	,	,	PUNCT
ihlr-16489	62	16	professional	professional	ADJ
ihlr-16489	62	17	,	,	PUNCT
ihlr-16489	62	18	and	and	CCONJ
ihlr-16489	62	19	seniors	senior	NOUN
ihlr-16489	62	20	'	'	PART
ihlr-16489	62	21	groups	group	NOUN
ihlr-16489	62	22	)	)	PUNCT
ihlr-16489	62	23	could	could	AUX
ihlr-16489	62	24	generate	generate	VERB
ihlr-16489	62	25	information	information	NOUN
ihlr-16489	62	26	on	on	ADP
ihlr-16489	62	27	the	the	DET
ihlr-16489	62	28	quality	quality	NOUN
ihlr-16489	62	29	of	of	ADP
ihlr-16489	62	30	health	health	NOUN
ihlr-16489	62	31	care	care	NOUN
ihlr-16489	62	32	services	service	NOUN
ihlr-16489	62	33	,	,	PUNCT
ihlr-16489	62	34	meeting	meet	VERB
ihlr-16489	62	35	the	the	DET
ihlr-16489	62	36	market	market	NOUN
ihlr-16489	62	37	demand	demand	NOUN
ihlr-16489	62	38	for	for	ADP
ihlr-16489	62	39	quality	quality	NOUN
ihlr-16489	62	40	information	information	NOUN
ihlr-16489	62	41	.	.	PUNCT
ihlr-16489	63	1	ill	ill	ADJ
ihlr-16489	63	2	.	.	PUNCT
ihlr-16489	64	1	the	the	DET
ihlr-16489	64	2	current	current	ADJ
ihlr-16489	64	3	medicare	medicare	PROPN
ihlr-16489	64	4	reimbursement	reimbursement	NOUN
ihlr-16489	64	5	system	system	NOUN
ihlr-16489	64	6	medicare	medicare	PROPN
ihlr-16489	64	7	's	's	PART
ihlr-16489	64	8	current	current	ADJ
ihlr-16489	64	9	reimbursement	reimbursement	NOUN
ihlr-16489	64	10	policy	policy	NOUN
ihlr-16489	64	11	is	be	AUX
ihlr-16489	64	12	a	a	DET
ihlr-16489	64	13	complex	complex	ADJ
ihlr-16489	64	14	,	,	PUNCT
ihlr-16489	64	15	formula	formula	NOUN
ihlr-16489	64	16	-	-	PUNCT
ihlr-16489	64	17	driven	drive	VERB
ihlr-16489	64	18	system	system	NOUN
ihlr-16489	64	19	of	of	ADP
ihlr-16489	64	20	administrative	administrative	ADJ
ihlr-16489	64	21	pricing	pricing	NOUN
ihlr-16489	64	22	,	,	PUNCT
ihlr-16489	64	23	central	central	ADJ
ihlr-16489	64	24	planning	planning	NOUN
ihlr-16489	64	25	,	,	PUNCT
ihlr-16489	64	26	and	and	CCONJ
ihlr-16489	64	27	price	price	NOUN
ihlr-16489	64	28	controls.5	controls.5	NOUN
ihlr-16489	64	29	it	it	PRON
ihlr-16489	64	30	has	have	VERB
ihlr-16489	64	31	5	5	NUM
ihlr-16489	64	32	.	.	PUNCT
ihlr-16489	65	1	since	since	SCONJ
ihlr-16489	65	2	the	the	DET
ihlr-16489	65	3	early	early	ADJ
ihlr-16489	65	4	1980s	1980s	NUM
ihlr-16489	65	5	,	,	PUNCT
ihlr-16489	65	6	congress	congress	PROPN
ihlr-16489	65	7	has	have	AUX
ihlr-16489	65	8	tried	try	VERB
ihlr-16489	65	9	repeatedly	repeatedly	ADV
ihlr-16489	65	10	to	to	PART
ihlr-16489	65	11	solve	solve	VERB
ihlr-16489	65	12	the	the	DET
ihlr-16489	65	13	growing	grow	VERB
ihlr-16489	65	14	problem	problem	NOUN
ihlr-16489	65	15	of	of	ADP
ihlr-16489	65	16	rapidly	rapidly	ADV
ihlr-16489	65	17	rising	rise	VERB
ihlr-16489	65	18	medicare	medicare	NOUN
ihlr-16489	65	19	expenditures	expenditure	NOUN
ihlr-16489	65	20	by	by	ADP
ihlr-16489	65	21	imposing	impose	VERB
ihlr-16489	65	22	complicated	complicated	ADJ
ihlr-16489	65	23	and	and	CCONJ
ihlr-16489	65	24	progressively	progressively	ADV
ihlr-16489	65	25	tighter	tight	ADJ
ihlr-16489	65	26	systems	system	NOUN
ihlr-16489	65	27	of	of	ADP
ihlr-16489	65	28	administrative	administrative	ADJ
ihlr-16489	65	29	pricing	pricing	NOUN
ihlr-16489	65	30	for	for	ADP
ihlr-16489	65	31	hospital	hospital	NOUN
ihlr-16489	65	32	and	and	CCONJ
ihlr-16489	65	33	physician	physician	NOUN
ihlr-16489	65	34	services	service	NOUN
ihlr-16489	65	35	.	.	PUNCT
ihlr-16489	66	1	in	in	ADP
ihlr-16489	66	2	1983	1983	NUM
ihlr-16489	66	3	,	,	PUNCT
ihlr-16489	66	4	with	with	ADP
ihlr-16489	66	5	the	the	DET
ihlr-16489	66	6	support	support	NOUN
ihlr-16489	66	7	of	of	ADP
ihlr-16489	66	8	the	the	DET
ihlr-16489	66	9	reagan	reagan	PROPN
ihlr-16489	66	10	administration	administration	NOUN
ihlr-16489	66	11	,	,	PUNCT
ihlr-16489	66	12	congress	congress	PROPN
ihlr-16489	66	13	adopted	adopt	VERB
ihlr-16489	66	14	a	a	DET
ihlr-16489	66	15	progpective	progpective	ADJ
ihlr-16489	66	16	payment	payment	NOUN
ihlr-16489	66	17	system	system	NOUN
ihlr-16489	66	18	(	(	PUNCT
ihlr-16489	66	19	"	"	PUNCT
ihlr-16489	66	20	pps	pps	NOUN
ihlr-16489	66	21	"	"	PUNCT
ihlr-16489	66	22	)	)	PUNCT
ihlr-16489	66	23	for	for	ADP
ihlr-16489	66	24	medicare	medicare	PROPN
ihlr-16489	66	25	payment	payment	NOUN
ihlr-16489	66	26	to	to	ADP
ihlr-16489	66	27	hospitals	hospital	NOUN
ihlr-16489	66	28	,	,	PUNCT
ihlr-16489	66	29	fixing	fix	VERB
ihlr-16489	66	30	the	the	DET
ihlr-16489	66	31	prices	price	NOUN
ihlr-16489	66	32	of	of	ADP
ihlr-16489	66	33	hospital	hospital	NOUN
ihlr-16489	66	34	services	service	NOUN
ihlr-16489	66	35	according	accord	VERB
ihlr-16489	66	36	to	to	ADP
ihlr-16489	66	37	the	the	DET
ihlr-16489	66	38	average	average	ADJ
ihlr-16489	66	39	cost	cost	NOUN
ihlr-16489	66	40	of	of	ADP
ihlr-16489	66	41	treating	treat	VERB
ihlr-16489	66	42	specified	specified	ADJ
ihlr-16489	66	43	diagnoses	diagnosis	NOUN
ihlr-16489	66	44	.	.	PUNCT
ihlr-16489	67	1	in	in	ADP
ihlr-16489	67	2	1989	1989	NUM
ihlr-16489	67	3	,	,	PUNCT
ihlr-16489	67	4	congress	congress	PROPN
ihlr-16489	67	5	created	create	VERB
ihlr-16489	67	6	the	the	DET
ihlr-16489	67	7	rbrvs	rbrvs	NOUN
ihlr-16489	67	8	system	system	NOUN
ihlr-16489	67	9	for	for	ADP
ihlr-16489	67	10	physician	physician	NOUN
ihlr-16489	67	11	reimbursement	reimbursement	NOUN
ihlr-16489	67	12	.	.	PUNCT
ihlr-16489	68	1	in	in	ADP
ihlr-16489	68	2	1997	1997	NUM
ihlr-16489	68	3	,	,	PUNCT
ihlr-16489	68	4	congress	congress	PROPN
ihlr-16489	68	5	expanded	expand	VERB
ihlr-16489	68	6	the	the	DET
ihlr-16489	68	7	pps	pps	NOUN
ihlr-16489	68	8	system	system	NOUN
ihlr-16489	68	9	for	for	ADP
ihlr-16489	68	10	a	a	DET
ihlr-16489	68	11	variety	variety	NOUN
ihlr-16489	68	12	of	of	ADP
ihlr-16489	68	13	non	non	ADJ
ihlr-16489	68	14	-	-	ADJ
ihlr-16489	68	15	physician	physician	ADJ
ihlr-16489	68	16	medicare	medicare	NOUN
ihlr-16489	68	17	providers	provider	NOUN
ihlr-16489	68	18	.	.	PUNCT
ihlr-16489	69	1	see	see	VERB
ihlr-16489	69	2	generally	generally	ADV
ihlr-16489	69	3	ctrs	ctrs	PROPN
ihlr-16489	69	4	.	.	PUNCT
ihlr-16489	70	1	for	for	ADP
ihlr-16489	70	2	medicare	medicare	PROPN
ihlr-16489	70	3	&	&	CCONJ
ihlr-16489	70	4	medicaid	medicaid	PROPN
ihlr-16489	70	5	servs	servs	PROPN
ihlr-16489	70	6	.	.	PUNCT
ihlr-16489	70	7	,	,	PUNCT
ihlr-16489	70	8	http://www.cms.hhs.gov/	http://www.cms.hhs.gov/	PROPN
ihlr-16489	70	9	(	(	PUNCT
ihlr-16489	70	10	last	last	ADJ
ihlr-16489	70	11	visited	visit	VERB
ihlr-16489	70	12	may	may	AUX
ihlr-16489	70	13	20	20	NUM
ihlr-16489	70	14	,	,	PUNCT
ihlr-16489	70	15	2006	2006	NUM
ihlr-16489	70	16	)	)	PUNCT
ihlr-16489	70	17	.	.	PUNCT
ihlr-16489	71	1	400	400	NUM
ihlr-16489	71	2	indiana	indiana	PROPN
ihlr-16489	71	3	health	health	PROPN
ihlr-16489	71	4	law	law	PROPN
ihlr-16489	71	5	review	review	NOUN
ihlr-16489	71	6	[	[	X
ihlr-16489	71	7	vol	vol	NOUN
ihlr-16489	71	8	.	.	PUNCT
ihlr-16489	72	1	3:391	3:391	NUM
ihlr-16489	72	2	·	·	SYM
ihlr-16489	72	3	three	three	NUM
ihlr-16489	72	4	main	main	ADJ
ihlr-16489	72	5	features	feature	NOUN
ihlr-16489	72	6	:	:	PUNCT
ihlr-16489	72	7	the	the	DET
ihlr-16489	72	8	fee	fee	NOUN
ihlr-16489	72	9	schedule	schedule	NOUN
ihlr-16489	72	10	,	,	PUNCT
ihlr-16489	72	11	updates	update	NOUN
ihlr-16489	72	12	and	and	CCONJ
ihlr-16489	72	13	controls	control	NOUN
ihlr-16489	72	14	,	,	PUNCT
ihlr-16489	72	15	and	and	CCONJ
ihlr-16489	72	16	balance	balance	NOUN
ihlr-16489	72	17	billing	billing	NOUN
ihlr-16489	72	18	restrictions	restriction	NOUN
ihlr-16489	72	19	.	.	PUNCT
ihlr-16489	73	1	a.	a.	NOUN
ihlr-16489	73	2	the	the	DET
ihlr-16489	73	3	rbrvs	rbrvs	NOUN
ihlr-16489	73	4	fee	fee	NOUN
ihlr-16489	73	5	schedule6	schedule6	PROPN
ihlr-16489	73	6	medicare	medicare	PROPN
ihlr-16489	73	7	uses	use	VERB
ihlr-16489	73	8	thetesource	thetesource	NOUN
ihlr-16489	73	9	-	-	PUNCT
ihlr-16489	73	10	basedrelative	basedrelative	NOUN
ihlr-16489	73	11	value	value	NOUN
ihlr-16489	73	12	scale	scale	NOUN
ihlr-16489	73	13	(	(	PUNCT
ihlr-16489	73	14	''	''	PUNCT
ihlr-16489	73	15	rbrvs	rbrvs	NOUN
ihlr-16489	73	16	"	"	PUNCT
ihlr-16489	73	17	)	)	PUNCT
ihlr-16489	73	18	to	to	PART
ihlr-16489	73	19	pay	pay	VERB
ihlr-16489	73	20	for	for	ADP
ihlr-16489	73	21	physician	physician	NOUN
ihlr-16489	73	22	services	service	NOUN
ihlr-16489	73	23	.	.	PUNCT
ihlr-16489	74	1	under	under	ADP
ihlr-16489	74	2	this	this	DET
ihlr-16489	74	3	formula	formula	NOUN
ihlr-16489	74	4	.	.	PUNCT
ihlr-16489	75	1	medicare	medicare	PROPN
ihlr-16489	75	2	officials	official	NOUN
ihlr-16489	75	3	compute	compute	VERB
ihlr-16489	75	4	the	the	DET
ihlr-16489	75	5	"	"	PUNCT
ihlr-16489	75	6	objective	objective	ADJ
ihlr-16489	75	7	value	value	NOUN
ihlr-16489	75	8	"	"	PUNCT
ihlr-16489	75	9	of	of	ADP
ihlr-16489	75	10	an	an	DET
ihlr-16489	75	11	estimated	estimate	VERB
ihlr-16489	75	12	7,000	7,000	NUM
ihlr-16489	75	13	procedures.7	procedures.7	NOUN
ihlr-16489	75	14	each	each	DET
ihlr-16489	75	15	component	component	NOUN
ihlr-16489	75	16	of	of	ADP
ihlr-16489	75	17	a	a	DET
ihlr-16489	75	18	medical	medical	ADJ
ihlr-16489	75	19	service	service	NOUN
ihlr-16489	75	20	is	be	AUX
ihlr-16489	75	21	assigned	assign	VERB
ihlr-16489	75	22	a	a	DET
ihlr-16489	75	23	weighted	weight	VERB
ihlr-16489	75	24	value	value	NOUN
ihlr-16489	75	25	that	that	PRON
ihlr-16489	75	26	is	be	AUX
ihlr-16489	75	27	calculated	calculate	VERB
ihlr-16489	75	28	by	by	ADP
ihlr-16489	75	29	using	use	VERB
ihlr-16489	75	30	social	social	ADJ
ihlr-16489	75	31	science	science	NOUN
ihlr-16489	75	32	measurements	measurement	NOUN
ihlr-16489	75	33	of	of	ADP
ihlr-16489	75	34	the	the	DET
ihlr-16489	75	35	time	time	NOUN
ihlr-16489	75	36	,	,	PUNCT
ihlr-16489	75	37	energy	energy	NOUN
ihlr-16489	75	38	,	,	PUNCT
ihlr-16489	75	39	and	and	CCONJ
ihlr-16489	75	40	effort	effort	NOUN
ihlr-16489	75	41	required	require	VERB
ihlr-16489	75	42	to	to	PART
ihlr-16489	75	43	perform	perform	VERB
ihlr-16489	75	44	a	a	DET
ihlr-16489	75	45	given	give	VERB
ihlr-16489	75	46	procedure	procedure	NOUN
ihlr-16489	75	47	,	,	PUNCT
ihlr-16489	75	48	including	include	VERB
ihlr-16489	75	49	resource	resource	NOUN
ihlr-16489	75	50	inputs	input	NOUN
ihlr-16489	75	51	such	such	ADJ
ihlr-16489	75	52	as	as	ADP
ihlr-16489	75	53	medical	medical	ADJ
ihlr-16489	75	54	equipment	equipment	NOUN
ihlr-16489	75	55	.	.	PUNCT
ihlr-16489	76	1	malpractice	malpractice	NOUN
ihlr-16489	76	2	insurance	insurance	NOUN
ihlr-16489	76	3	,	,	PUNCT
ihlr-16489	76	4	and	and	CCONJ
ihlr-16489	76	5	administrative	administrative	ADJ
ihlr-16489	76	6	costs	cost	NOUN
ihlr-16489	76	7	.	.	PUNCT
ihlr-16489	77	1	these	these	PRON
ihlr-16489	77	2	weighted	weight	VERB
ihlr-16489	77	3	"	"	PUNCT
ihlr-16489	77	4	values••	values••	NOUN
ihlr-16489	77	5	are	be	AUX
ihlr-16489	77	6	then	then	ADV
ihlr-16489	77	7	converted	convert	VERB
ihlr-16489	77	8	into	into	ADP
ihlr-16489	77	9	dollar	dollar	NOUN
ihlr-16489	77	10	amounts	amount	NOUN
ihlr-16489	77	11	and	and	CCONJ
ihlr-16489	77	12	used	use	VERB
ihlr-16489	77	13	to	to	PART
ihlr-16489	77	14	determine	determine	VERB
ihlr-16489	77	15	the	the	PRON
ihlr-16489	77	16	.	.	PUNCT
ihlr-16489	77	17	fees	fee	NOUN
ihlr-16489	77	18	that	that	PRON
ihlr-16489	77	19	medicare	medicare	PROPN
ihlr-16489	77	20	pays	pay	VERB
ihlr-16489	77	21	to	to	ADP
ihlr-16489	77	22	physicians	physician	NOUN
ihlr-16489	77	23	for	for	ADP
ihlr-16489	77	24	those	those	DET
ihlr-16489	77	25	services.8	services.8	PROPN
ihlr-16489	77	26	the	the	DET
ihlr-16489	77	27	diagnosis	diagnosis	NOUN
ihlr-16489	77	28	related	relate	VERB
ihlr-16489	77	29	group	group	NOUN
ihlr-16489	77	30	(	(	PUNCT
ihlr-16489	77	31	"	"	PUNCT
ihlr-16489	77	32	drg	drg	NOUN
ihlr-16489	77	33	"	"	PUNCT
ihlr-16489	77	34	)	)	PUNCT
ihlr-16489	77	35	system	system	NOUN
ihlr-16489	77	36	reimburses	reimburse	VERB
ihlr-16489	77	37	hospitals	hospital	NOUN
ihlr-16489	77	38	using	use	VERB
ihlr-16489	77	39	a	a	DET
ihlr-16489	77	40	similar	similar	ADJ
ihlr-16489	77	41	strategy	strategy	NOUN
ihlr-16489	77	42	.	.	PUNCT
ihlr-16489	78	1	9	9	NUM
ihlr-16489	78	2	b.	b.	PROPN
ihlr-16489	78	3	updates	update	NOUN
ihlr-16489	78	4	and	and	CCONJ
ihlr-16489	78	5	controls	control	NOUN
ihlr-16489	78	6	attempting	attempt	VERB
ihlr-16489	78	7	to	to	PART
ihlr-16489	78	8	limit	limit	VERB
ihlr-16489	78	9	medicare	medicare	PROPN
ihlr-16489	78	10	physician	physician	NOUN
ihlr-16489	78	11	costs	cost	NOUN
ihlr-16489	78	12	,	,	PUNCT
ihlr-16489	78	13	congress	congress	PROPN
ihlr-16489	78	14	also	also	ADV
ihlr-16489	78	15	created	create	VERB
ihlr-16489	78	16	volume	volume	NOUN
ihlr-16489	78	17	controls	control	NOUN
ihlr-16489	78	18	,	,	PUNCT
ihlr-16489	78	19	based	base	VERB
ihlr-16489	78	20	on	on	ADP
ihlr-16489	78	21	an	an	DET
ihlr-16489	78	22	official	official	ADJ
ihlr-16489	78	23	projection	projection	NOUN
ihlr-16489	78	24	of	of	ADP
ihlr-16489	78	25	the	the	DET
ihlr-16489	78	26	"	"	PUNCT
ihlr-16489	78	27	appropriate	appropriate	ADJ
ihlr-16489	78	28	"	"	PUNCT
ihlr-16489	78	29	growth	growth	NOUN
ihlr-16489	78	30	rate	rate	NOUN
ihlr-16489	78	31	of	of	ADP
ihlr-16489	78	32	medicare	medicare	PROPN
ihlr-16489	78	33	physician	physician	NOUN
ihlr-16489	78	34	services	service	NOUN
ihlr-16489	78	35	.	.	PUNCT
ihlr-16489	79	1	since	since	SCONJ
ihlr-16489	79	2	1997	1997	NUM
ihlr-16489	79	3	,	,	PUNCT
ihlr-16489	79	4	these	these	DET
ihlr-16489	79	5	volume	volume	NOUN
ihlr-16489	79	6	controls	control	NOUN
ihlr-16489	79	7	have	have	AUX
ihlr-16489	79	8	been	be	AUX
ihlr-16489	79	9	tied	tie	VERB
ihlr-16489	79	10	to	to	ADP
ihlr-16489	79	11	the	the	DET
ihlr-16489	79	12	sustainable	sustainable	ADJ
ihlr-16489	79	13	growth	growth	NOUN
ihlr-16489	79	14	rate	rate	NOUN
ihlr-16489	79	15	(	(	PUNCT
ihlr-16489	79	16	"	"	PUNCT
ihlr-16489	79	17	sgr	sgr	PROPN
ihlr-16489	79	18	"	"	PUNCT
ihlr-16489	79	19	)	)	PUNCT
ihlr-16489	79	20	,	,	PUNCT
ihlr-16489	79	21	the	the	DET
ihlr-16489	79	22	congressionally	congressionally	ADV
ihlr-16489	79	23	created	create	VERB
ihlr-16489	79	24	formula	formula	NOUN
ihlr-16489	79	25	for	for	ADP
ihlr-16489	79	26	determining	determine	VERB
ihlr-16489	79	27	annual	annual	ADJ
ihlr-16489	79	28	updates	update	NOUN
ihlr-16489	79	29	in	in	ADP
ihlr-16489	79	30	physician	physician	NOUN
ihlr-16489	79	31	reimbursement	reimbursement	NOUN
ihlr-16489	79	32	rates	rate	NOUN
ihlr-16489	79	33	under	under	ADP
ihlr-16489	79	34	the	the	DET
ihlr-16489	79	35	medicare	medicare	PROPN
ihlr-16489	79	36	fee	fee	NOUN
ihlr-16489	79	37	schedules	schedule	NOUN
ihlr-16489	79	38	.	.	PUNCT
ihlr-16489	80	1	under	under	ADP
ihlr-16489	80	2	the	the	DET
ihlr-16489	80	3	sgr	sgr	PROPN
ihlr-16489	80	4	,	,	PUNCT
ihlr-16489	80	5	the	the	DET
ihlr-16489	80	6	annual	annual	ADJ
ihlr-16489	80	7	update	update	NOUN
ihlr-16489	80	8	in	in	ADP
ihlr-16489	80	9	reimbursement	reimbursement	NOUN
ihlr-16489	80	10	is	be	AUX
ihlr-16489	80	11	linked	link	VERB
ihlr-16489	80	12	to	to	ADP
ihlr-16489	80	13	·	·	PUNCT
ihlr-16489	80	14	the	the	DET
ihlr-16489	80	15	aggregate	aggregate	ADJ
ihlr-16489	80	16	level	level	NOUN
ihlr-16489	80	17	of	of	ADP
ihlr-16489	80	18	medicare	medicare	NOUN
ihlr-16489	80	19	spending	spending	NOUN
ihlr-16489	80	20	for	for	ADP
ihlr-16489	80	21	physician	physician	NOUN
ihlr-16489	80	22	services	service	NOUN
ihlr-16489	80	23	.	.	PUNCT
ihlr-16489	81	1	if	if	SCONJ
ihlr-16489	81	2	spending	spending	NOUN
ihlr-16489	81	3	exceeds	exceed	VERB
ihlr-16489	81	4	the	the	DET
ihlr-16489	81	5	government	government	NOUN
ihlr-16489	81	6	target	target	NOUN
ihlr-16489	81	7	,	,	PUNCT
ihlr-16489	81	8	which	which	PRON
ihlr-16489	81	9	is	be	AUX
ihlr-16489	81	10	based	base	VERB
ihlr-16489	81	11	6	6	NUM
ihlr-16489	81	12	.	.	PUNCT
ihlr-16489	81	13	altogether	altogether	ADV
ihlr-16489	81	14	,	,	PUNCT
ihlr-16489	81	15	medicare	medicare	PROPN
ihlr-16489	81	16	use8	use8	PROPN
ihlr-16489	81	17	eleven	eleven	NUM
ihlr-16489	81	18	different	different	ADJ
ihlr-16489	81	19	fee	fee	NOUN
ihlr-16489	81	20	schedules	schedule	NOUN
ihlr-16489	81	21	and	and	CCONJ
ihlr-16489	81	22	pps	pps	NOUN
ihlr-16489	81	23	arrangements	arrangement	NOUN
ihlr-16489	81	24	to	to	PART
ihlr-16489	81	25	establish	establish	VERB
ihlr-16489	81	26	the	the	DET
ihlr-16489	81	27	prices	price	NOUN
ihlr-16489	81	28	paid	pay	VERB
ihlr-16489	81	29	to	to	ADP
ihlr-16489	81	30	over	over	ADP
ihlr-16489	81	31	one	one	NUM
ihlr-16489	81	32	million	million	NUM
ihlr-16489	81	33	providers	provider	NOUN
ihlr-16489	81	34	for	for	ADP
ihlr-16489	81	35	treating	treat	VERB
ihlr-16489	81	36	medicare	medicare	PROPN
ihlr-16489	81	37	patients	patient	NOUN
ihlr-16489	81	38	.	.	PUNCT
ihlr-16489	82	1	letter	letter	NOUN
ihlr-16489	82	2	from	from	ADP
ihlr-16489	82	3	the	the	DET
ihlr-16489	82	4	ctrs	ctrs	PROPN
ihlr-16489	82	5	.	.	PUNCT
ihlr-16489	83	1	for	for	ADP
ihlr-16489	83	2	medicare	medicare	PROPN
ihlr-16489	83	3	and	and	CCONJ
ihlr-16489	83	4	medicaid	medicaid	PROPN
ihlr-16489	83	5	servs	servs	PROPN
ihlr-16489	83	6	.	.	PUNCT
ihlr-16489	84	1	adm'r	adm'r	PROPN
ihlr-16489	84	2	mark	mark	PROPN
ihlr-16489	84	3	mcclellan	mcclellan	PROPN
ihlr-16489	84	4	,	,	PUNCT
ihlr-16489	84	5	to	to	ADP
ihlr-16489	84	6	the	the	DET
ihlr-16489	84	7	house	house	NOUN
ihlr-16489	84	8	ways	way	NOUN
ihlr-16489	84	9	and	and	CCONJ
ihlr-16489	84	10	means	mean	VERB
ihlr-16489	84	11	comm	comm	NOUN
ihlr-16489	84	12	.	.	PUNCT
ihlr-16489	85	1	chairman	chairman	PROPN
ihlr-16489	85	2	wllliam	wllliam	PROPN
ihlr-16489	85	3	thomas	thomas	PROPN
ihlr-16489	85	4	(	(	PUNCT
ihlr-16489	85	5	june	june	PROPN
ihlr-16489	85	6	24	24	NUM
ihlr-16489	85	7	,	,	PUNCT
ihlr-16489	85	8	2005	2005	NUM
ihlr-16489	85	9	)	)	PUNCT
ihlr-16489	85	10	(	(	PUNCT
ihlr-16489	85	11	on	on	ADP
ihlr-16489	85	12	file	file	NOUN
ihlr-16489	85	13	with	with	ADP
ihlr-16489	85	14	author	author	NOUN
ihlr-16489	85	15	)	)	PUNCT
ihlr-16489	85	16	.	.	PUNCT
ihlr-16489	86	1	7	7	X
ihlr-16489	86	2	.	.	X
ihlr-16489	86	3	for	for	ADP
ihlr-16489	86	4	more	more	ADJ
ihlr-16489	86	5	information	information	NOUN
ihlr-16489	86	6	about	about	ADP
ihlr-16489	86	7	the	the	DET
ihlr-16489	86	8	rbrvs	rbrvs	NOUN
ihlr-16489	86	9	,	,	PUNCT
ihlr-16489	86	10	see	see	VERB
ihlr-16489	86	11	kevin	kevin	PROPN
ihlr-16489	86	12	hayes	hayes	PROPN
ihlr-16489	86	13	,	,	PUNCT
ihlr-16489	86	14	medicare	medicare	PROPN
ihlr-16489	86	15	's	's	PART
ihlr-16489	86	16	payments	payment	NOUN
ihlr-16489	86	17	for	for	ADP
ihlr-16489	86	18	physician	physician	NOUN
ihlr-16489	86	19	services	service	NOUN
ihlr-16489	86	20	,	,	PUNCT
ihlr-16489	86	21	medicare	medicare	PROPN
ihlr-16489	86	22	payment	payment	NOUN
ihlr-16489	86	23	advisory	advisory	NOUN
ihlr-16489	86	24	comm'n	comm'n	PROPN
ihlr-16489	86	25	(	(	PUNCT
ihlr-16489	86	26	medpac	medpac	NOUN
ihlr-16489	86	27	)	)	PUNCT
ihlr-16489	86	28	(	(	PUNCT
ihlr-16489	86	29	feb	feb	PROPN
ihlr-16489	86	30	.	.	PROPN
ihlr-16489	86	31	14	14	NUM
ihlr-16489	86	32	,	,	PUNCT
ihlr-16489	86	33	2003	2003	NUM
ihlr-16489	86	34	)	)	PUNCT
ihlr-16489	86	35	,	,	PUNCT
ihlr-16489	86	36	at	at	ADP
ihlr-16489	86	37	http://www.medpac.gov/publicationsfcongressional_reports/physicians_kh.pdf	http://www.medpac.gov/publicationsfcongressional_reports/physicians_kh.pdf	PROPN
ihlr-16489	86	38	(	(	PUNCT
ihlr-16489	86	39	last	last	ADJ
ihlr-16489	86	40	visited	visit	VERB
ihlr-16489	86	41	may	may	PROPN
ihlr-16489	86	42	19	19	NUM
ihlr-16489	86	43	,	,	PUNCT
ihlr-16489	86	44	2006	2006	NUM
ihlr-16489	86	45	)	)	PUNCT
ihlr-16489	86	46	.	.	PUNCT
ihlr-16489	87	1	for	for	ADP
ihlr-16489	87	2	a	a	DET
ihlr-16489	87	3	critical	critical	ADJ
ihlr-16489	87	4	evaluation	evaluation	NOUN
ihlr-16489	87	5	of	of	ADP
ihlr-16489	87	6	the	the	DET
ihlr-16489	87	7	rbrvs	rbrvs	NOUN
ihlr-16489	87	8	,	,	PUNCT
ihlr-16489	87	9	see	see	VERB
ihlr-16489	87	10	robert	robert	PROPN
ihlr-16489	87	11	e.	e.	PROPN
ihlr-16489	87	12	moffit	moffit	PROPN
ihlr-16489	87	13	,	,	PUNCT
ihlr-16489	87	14	back	back	ADV
ihlr-16489	87	15	to	to	ADP
ihlr-16489	87	16	the	the	DET
ihlr-16489	87	17	future	future	NOUN
ihlr-16489	87	18	:	:	PUNCT
ihlr-16489	87	19	medicare	medicare	PROPN
ihlr-16489	87	20	's	's	PART
ihlr-16489	87	21	resurrection	resurrection	NOUN
ihlr-16489	87	22	of	of	ADP
ihlr-16489	87	23	the	the	DET
ihlr-16489	87	24	labor	labor	NOUN
ihlr-16489	87	25	theory	theory	NOUN
ihlr-16489	87	26	of	of	ADP
ihlr-16489	87	27	value	value	NOUN
ihlr-16489	87	28	,	,	PUNCT
ihlr-16489	87	29	is	be	AUX
ihlr-16489	87	30	reo	reo	PROPN
ihlr-16489	87	31	.	.	PROPN
ihlr-16489	87	32	54	54	NUM
ihlr-16489	87	33	,	,	PUNCT
ihlr-16489	87	34	54	54	NUM
ihlr-16489	87	35	-	-	SYM
ihlr-16489	87	36	63	63	NUM
ihlr-16489	87	37	(	(	PUNCT
ihlr-16489	87	38	1992	1992	NUM
ihlr-16489	87	39	)	)	PUNCT
ihlr-16489	87	40	,	,	PUNCT
ihlr-16489	87	41	availab	availab	PROPN
ihlr-16489	87	42	/	/	SYM
ihlr-16489	87	43	eathttp:/lwww.cato.~onlreglsn4f.html(lastvisitedmay	eathttp:/lwww.cato.~onlreglsn4f.html(lastvisitedmay	PROPN
ihlr-16489	87	44	19	19	NUM
ihlr-16489	87	45	,	,	PUNCT
ihlr-16489	87	46	2006	2006	NUM
ihlr-16489	87	47	)	)	PUNCT
ihlr-16489	87	48	.	.	PUNCT
ihlr-16489	88	1	see	see	AUX
ihlr-16489	88	2	also	also	ADV
ihlr-16489	88	3	regulating	regulate	VERB
ihlr-16489	88	4	doctors	doctor	NOUN
ihlr-16489	88	5	'	'	PART
ihlr-16489	88	6	fees	fee	NOUN
ihlr-16489	88	7	:	:	PUNCT
ihlr-16489	88	8	compbtmon	compbtmon	NOUN
ihlr-16489	88	9	,	,	PUNCT
ihlr-16489	88	10	benefitsandconi'rolsundbrmedicare	benefitsandconi'rolsundbrmedicare	NOUN
ihlr-16489	88	11	(	(	PUNCT
ihlr-16489	88	12	h.e	h.e	PROPN
ihlr-16489	88	13	.	.	PROPN
ihlr-16489	88	14	frech	frech	PROPN
ihlr-16489	88	15	iii	iii	PROPN
ihlr-16489	88	16	,	,	PUNCT
ihlr-16489	88	17	ed	ed	NOUN
ihlr-16489	88	18	.	.	PROPN
ihlr-16489	88	19	,	,	PUNCT
ihlr-16489	88	20	1991	1991	NUM
ihlr-16489	88	21	)	)	PUNCT
ihlr-16489	88	22	.	.	PUNCT
ihlr-16489	89	1	8	8	X
ihlr-16489	89	2	.	.	PUNCT
ihlr-16489	89	3	robert	robert	PROPN
ihlr-16489	89	4	e.	e.	PROPN
ihlr-16489	89	5	moffit	moffit	PROPN
ihlr-16489	89	6	,	,	PUNCT
ihlr-16489	89	7	why	why	SCONJ
ihlr-16489	89	8	doctors	doctor	NOUN
ihlr-16489	89	9	he	he	PRON
ihlr-16489	89	10	abandoning	abandon	VERB
ihlr-16489	89	11	medicare	medicare	PROPN
ihlr-16489	89	12	and	and	CCONJ
ihlr-16489	89	13	what	what	PRON
ihlr-16489	89	14	should	should	AUX
ihlr-16489	89	15	be	be	AUX
ihlr-16489	89	16	done	do	VERB
ihlr-16489	89	17	about	about	ADP
ihlr-16489	89	18	it	it	PRON
ihlr-16489	89	19	,	,	PUNCT
ihlr-16489	89	20	heritage	heritage	NOUN
ihlr-16489	89	21	found	find	VERB
ihlr-16489	89	22	.	.	PUNCT
ihlr-16489	90	1	backgrounder	backgrounder	NOUN
ihlr-16489	90	2	no	no	INTJ
ihlr-16489	90	3	.	.	PUNCT
ihlr-16489	91	1	1539	1539	NUM
ihlr-16489	91	2	,	,	PUNCT
ihlr-16489	91	3	apr	apr	PROPN
ihlr-16489	91	4	.	.	PROPN
ihlr-16489	91	5	22	22	NUM
ihlr-16489	91	6	,	,	PUNCT
ihlr-16489	91	7	2002	2002	NUM
ihlr-16489	91	8	,	,	PUNCT
ihlr-16489	91	9	at	at	ADP
ihlr-16489	91	10	5	5	NUM
ihlr-16489	91	11	,	,	PUNCT
ihlr-16489	91	12	available	available	ADJ
ihlr-16489	91	13	at	at	ADP
ihlr-16489	91	14	http://www.heritage.orgiresearch/healtbcare/bg1539.cfin	http://www.heritage.orgiresearch/healtbcare/bg1539.cfin	NOUN
ihlr-16489	91	15	(	(	PUNCT
ihlr-16489	91	16	last	last	ADJ
ihlr-16489	91	17	visited	visit	VERB
ihlr-16489	91	18	may	may	PROPN
ihlr-16489	91	19	19	19	NUM
ihlr-16489	91	20	,	,	PUNCT
ihlr-16489	91	21	2006	2006	NUM
ihlr-16489	91	22	)	)	PUNCT
ihlr-16489	91	23	.	.	PUNCT
ihlr-16489	92	1	9	9	X
ihlr-16489	92	2	.	.	X
ihlr-16489	93	1	for	for	ADP
ihlr-16489	93	2	more	more	ADJ
ihlr-16489	93	3	information	information	NOUN
ihlr-16489	93	4	about	about	ADP
ihlr-16489	93	5	the	the	DET
ihlr-16489	93	6	drg	drg	PROPN
ihlr-16489	93	7	hospital	hospital	NOUN
ihlr-16489	93	8	payment	payment	NOUN
ihlr-16489	93	9	system	system	NOUN
ihlr-16489	93	10	,	,	PUNCT
ihlr-16489	93	11	see	see	VERB
ihlr-16489	93	12	medicare	medicare	PROPN
ihlr-16489	93	13	payment	payment	NOUN
ihlr-16489	93	14	advisory	advisory	PROPN
ihlr-16489	93	15	comm'n	comm'n	PROPN
ihlr-16489	93	16	,	,	PUNCT
ihlr-16489	93	17	rep	rep	PROPN
ihlr-16489	93	18	.	.	PROPN
ihlr-16489	93	19	to	to	ADP
ihlr-16489	93	20	congress	congress	PROPN
ihlr-16489	93	21	:	:	PUNCT
ihlr-16489	93	22	medicare	medicare	PROPN
ihlr-16489	93	23	payment	payment	NOUN
ihlr-16489	93	24	poucy	poucy	PROPN
ihlr-16489	93	25	,	,	PUNCT
ihlr-16489	93	26	at	at	ADP
ihlr-16489	93	27	43	43	NUM
ihlr-16489	93	28	-	-	SYM
ihlr-16489	93	29	44	44	NUM
ihlr-16489	93	30	(	(	PUNCT
ihlr-16489	93	31	mar	mar	PROPN
ihlr-16489	93	32	.	.	PROPN
ihlr-16489	93	33	2005	2005	NUM
ihlr-16489	93	34	)	)	PUNCT
ihlr-16489	93	35	,	,	PUNCT
ihlr-16489	93	36	available	available	ADJ
ihlr-16489	93	37	at	at	ADP
ihlr-16489	93	38	http://www.medpac.gov/publications	http://www.medpac.gov/publication	NOUN
ihlr-16489	93	39	(	(	PUNCT
ihlr-16489	93	40	follow	follow	VERB
ihlr-16489	93	41	"	"	PUNCT
ihlr-16489	93	42	more	more	ADJ
ihlr-16489	93	43	publication	publication	NOUN
ihlr-16489	93	44	"	"	PUNCT
ihlr-16489	93	45	hyperlink	hyperlink	NOUN
ihlr-16489	93	46	;	;	PUNCT
ihlr-16489	93	47	then	then	ADV
ihlr-16489	93	48	follow	follow	VERB
ihlr-16489	93	49	"	"	PUNCT
ihlr-16489	93	50	reports	report	VERB
ihlr-16489	93	51	"	"	PUNCT
ihlr-16489	93	52	hyperlink	hyperlink	NOUN
ihlr-16489	93	53	)	)	PUNCT
ihlr-16489	93	54	(	(	PUNCT
ihlr-16489	93	55	last	last	ADJ
ihlr-16489	93	56	visited	visit	VERB
ihlr-16489	93	57	may	may	PROPN
ihlr-16489	93	58	19	19	NUM
ihlr-16489	93	59	,	,	PUNCT
ihlr-16489	93	60	2006	2006	NUM
ihlr-16489	93	61	)	)	PUNCT
ihlr-16489	93	62	.	.	PUNCT
ihlr-16489	94	1	2006	2006	NUM
ihlr-16489	94	2	]	]	PUNCT
ihlr-16489	94	3	pay	pay	VERB
ihlr-16489	94	4	for	for	ADP
ihlr-16489	94	5	performance	performance	NOUN
ihlr-16489	94	6	or	or	CCONJ
ihlr-16489	94	7	compliance	compliance	NOUN
ihlr-16489	94	8	?	?	PUNCT
ihlr-16489	95	1	401	401	NUM
ihlr-16489	95	2	on	on	ADP
ihlr-16489	95	3	growth	growth	NOUN
ihlr-16489	95	4	in	in	ADP
ihlr-16489	95	5	the	the	DET
ihlr-16489	95	6	national	national	ADJ
ihlr-16489	95	7	economy	economy	NOUN
ihlr-16489	96	1	,	,	PUNCT
ihlr-16489	96	2	a	a	DET
ihlr-16489	96	3	statutory	statutory	ADJ
ihlr-16489	96	4	algorithm	algorithm	NOUN
ihlr-16489	96	5	reduces	reduce	VERB
ihlr-16489	96	6	the	the	DET
ihlr-16489	96	7	increases	increase	NOUN
ihlr-16489	96	8	in	in	ADP
ihlr-16489	96	9	the	the	DET
ihlr-16489	96	10	reimbursement	reimbursement	NOUN
ihlr-16489	96	11	rate	rate	NOUN
ihlr-16489	96	12	.	.	PUNCT
ihlr-16489	97	1	the	the	DET
ihlr-16489	97	2	sgr	sgr	PROPN
ihlr-16489	97	3	system	system	NOUN
ihlr-16489	97	4	has	have	AUX
ihlr-16489	97	5	been	be	AUX
ihlr-16489	97	6	ineffective	ineffective	ADJ
ihlr-16489	97	7	in	in	ADP
ihlr-16489	97	8	controlling	control	VERB
ihlr-16489	97	9	volume	volume	NOUN
ihlr-16489	97	10	--	--	PUNCT
ihlr-16489	97	11	the	the	DET
ihlr-16489	97	12	volume	volume	NOUN
ihlr-16489	97	13	of	of	ADP
ihlr-16489	97	14	physician	physician	NOUN
ihlr-16489	97	15	services	service	NOUN
ihlr-16489	97	16	per	per	ADP
ihlr-16489	97	17	beneficiary	beneficiary	NOUN
ihlr-16489	97	18	rose	rise	VERB
ihlr-16489	97	19	by	by	ADP
ihlr-16489	97	20	almost	almost	ADV
ihlr-16489	97	21	twenty	twenty	NUM
ihlr-16489	97	22	-	-	PUNCT
ihlr-16489	97	23	two	two	NUM
ihlr-16489	97	24	percent	percent	NOUN
ihlr-16489	97	25	between	between	ADP
ihlr-16489	97	26	1999	1999	NUM
ihlr-16489	97	27	and	and	CCONJ
ihlr-16489	97	28	200310	200310	NUM
ihlr-16489	97	29	-while	-while	NOUN
ihlr-16489	97	30	creating	create	VERB
ihlr-16489	97	31	new	new	ADJ
ihlr-16489	97	32	problems	problem	NOUN
ihlr-16489	97	33	for	for	ADP
ihlr-16489	97	34	physician	physician	NOUN
ihlr-16489	97	35	reimbursement	reimbursement	NOUN
ihlr-16489	97	36	.	.	PUNCT
ihlr-16489	98	1	the	the	DET
ihlr-16489	98	2	centers	center	NOUN
ihlr-16489	98	3	for	for	ADP
ihlr-16489	98	4	medicare	medicare	PROPN
ihlr-16489	98	5	and	and	CCONJ
ihlr-16489	98	6	medicaid	medicaid	PROPN
ihlr-16489	98	7	services	service	NOUN
ihlr-16489	98	8	(	(	PUNCT
ihlr-16489	98	9	"	"	PUNCT
ihlr-16489	98	10	cms	cms	NOUN
ihlr-16489	98	11	"	"	PUNCT
ihlr-16489	98	12	)	)	PUNCT
ihlr-16489	98	13	recently	recently	ADV
ihlr-16489	98	14	reported	report	VERB
ihlr-16489	98	15	that	that	SCONJ
ihlr-16489	98	16	medicare	medicare	PROPN
ihlr-16489	98	17	's	's	PART
ihlr-16489	98	18	sharp	sharp	ADJ
ihlr-16489	98	19	15.2	15.2	NUM
ihlr-16489	98	20	%	%	NOUN
ihlr-16489	98	21	increase	increase	NOUN
ihlr-16489	98	22	in	in	ADP
ihlr-16489	98	23	spending	spending	NOUN
ihlr-16489	98	24	for	for	ADP
ihlr-16489	98	25	physician	physician	NOUN
ihlr-16489	98	26	services	service	NOUN
ihlr-16489	98	27	in	in	ADP
ihlr-16489	98	28	2004	2004	NUM
ihlr-16489	98	29	was	be	AUX
ihlr-16489	98	30	due	due	ADJ
ihlr-16489	98	31	almost	almost	ADV
ihlr-16489	98	32	entirely	entirely	ADV
ihlr-16489	98	33	to	to	PART
ihlr-16489	98	34	volume	volume	VERB
ihlr-16489	98	35	growth	growth	NOUN
ihlr-16489	98	36	.	.	PUNCT
ihlr-16489	99	1	the	the	DET
ihlr-16489	99	2	result	result	NOUN
ihlr-16489	99	3	was	be	AUX
ihlr-16489	99	4	a	a	DET
ihlr-16489	99	5	scheduled	scheduled	ADJ
ihlr-16489	99	6	4.3	4.3	NUM
ihlr-16489	99	7	%	%	NOUN
ihlr-16489	99	8	cut	cut	NOUN
ihlr-16489	99	9	in	in	ADP
ihlr-16489	99	10	physician	physician	NOUN
ihlr-16489	99	11	reimbursement	reimbursement	NOUN
ihlr-16489	99	12	rates	rate	NOUN
ihlr-16489	99	13	,	,	PUNCT
ihlr-16489	99	14	beginning	begin	VERB
ihlr-16489	99	15	january	january	PROPN
ihlr-16489	99	16	1	1	NUM
ihlr-16489	99	17	,	,	PUNCT
ihlr-16489	99	18	2006.u	2006.u	NUM
ihlr-16489	99	19	cms	cms	NOUN
ihlr-16489	99	20	actuaries	actuary	NOUN
ihlr-16489	99	21	are	be	AUX
ihlr-16489	99	22	projecting	project	VERB
ihlr-16489	99	23	similar	similar	ADJ
ihlr-16489	99	24	negative	negative	ADJ
ihlr-16489	99	25	payment	payment	NOUN
ihlr-16489	99	26	updates	update	NOUN
ihlr-16489	99	27	of	of	ADP
ihlr-16489	99	28	five	five	NUM
ihlr-16489	99	29	percent	percent	NOUN
ihlr-16489	99	30	annually	annually	ADV
ihlr-16489	99	31	for	for	ADP
ihlr-16489	99	32	the	the	DET
ihlr-16489	99	33	next	next	ADJ
ihlr-16489	99	34	seven	seven	NUM
ihlr-16489	99	35	years	year	NOUN
ihlr-16489	99	36	,	,	PUNCT
ihlr-16489	99	37	which	which	PRON
ihlr-16489	99	38	means	mean	VERB
ihlr-16489	99	39	that	that	SCONJ
ihlr-16489	99	40	physician	physician	NOUN
ihlr-16489	99	41	payments	payment	NOUN
ihlr-16489	99	42	would	would	AUX
ihlr-16489	99	43	decrease	decrease	VERB
ihlr-16489	99	44	by	by	ADP
ihlr-16489	99	45	more	more	ADJ
ihlr-16489	99	46	than	than	ADP
ihlr-16489	99	47	thirty	thirty	NUM
ihlr-16489	99	48	-	-	PUNCT
ihlr-16489	99	49	one	one	NUM
ihlr-16489	99	50	percent	percent	NOUN
ihlr-16489	99	51	from	from	ADP
ihlr-16489	99	52	2005	2005	NUM
ihlr-16489	99	53	to	to	ADP
ihlr-16489	99	54	2012	2012	NUM
ihlr-16489	99	55	.	.	PUNCT
ihlr-16489	100	1	during	during	ADP
ihlr-16489	100	2	the	the	DET
ihlr-16489	100	3	same	same	ADJ
ihlr-16489	100	4	period	period	NOUN
ihlr-16489	100	5	,	,	PUNCT
ihlr-16489	100	6	physician	physician	NOUN
ihlr-16489	100	7	practice	practice	NOUN
ihlr-16489	100	8	costs	cost	NOUN
ihlr-16489	100	9	would	would	AUX
ihlr-16489	100	10	go	go	VERB
ihlr-16489	100	11	up	up	ADP
ihlr-16489	100	12	by	by	ADP
ihlr-16489	100	13	nineteen	nineteen	NUM
ihlr-16489	100	14	percent	percent	NOUN
ihlr-16489	100	15	.	.	PUNCT
ihlr-16489	101	1	12	12	NUM
ihlr-16489	101	2	as	as	SCONJ
ihlr-16489	101	3	doctors	doctor	NOUN
ihlr-16489	101	4	find	find	VERB
ihlr-16489	101	5	it	it	PRON
ihlr-16489	101	6	financially	financially	ADV
ihlr-16489	101	7	burdensome	burdensome	ADJ
ihlr-16489	101	8	to	to	PART
ihlr-16489	101	9	treat	treat	VERB
ihlr-16489	101	10	medicare	medicare	PROPN
ihlr-16489	101	11	patients	patient	NOUN
ihlr-16489	101	12	,	,	PUNCT
ihlr-16489	101	13	they	they	PRON
ihlr-16489	101	14	will	will	AUX
ihlr-16489	101	15	stop	stop	VERB
ihlr-16489	101	16	accepting	accept	VERB
ihlr-16489	101	17	new	new	ADJ
ihlr-16489	101	18	ones	one	NOUN
ihlr-16489	101	19	.	.	PUNCT
ihlr-16489	102	1	according	accord	VERB
ihlr-16489	102	2	to	to	ADP
ihlr-16489	102	3	a	a	DET
ihlr-16489	102	4	recent	recent	ADJ
ihlr-16489	102	5	american	american	PROPN
ihlr-16489	102	6	medical	medical	PROPN
ihlr-16489	102	7	association	association	PROPN
ihlr-16489	102	8	survey	survey	NOUN
ihlr-16489	102	9	,	,	PUNCT
ihlr-16489	102	10	thirty	thirty	NUM
ihlr-16489	102	11	-	-	PUNCT
ihlr-16489	102	12	eight	eight	NUM
ihlr-16489	102	13	percent	percent	NOUN
ihlr-16489	102	14	of	of	ADP
ihlr-16489	102	15	physicians	physician	NOUN
ihlr-16489	102	16	will	will	AUX
ihlr-16489	102	17	reduce	reduce	VERB
ihlr-16489	102	18	the	the	DET
ihlr-16489	102	19	number	number	NOUN
ihlr-16489	102	20	of	of	ADP
ihlr-16489	102	21	new	new	ADJ
ihlr-16489	102	22	medicare	medicare	PROPN
ihlr-16489	102	23	patients	patient	NOUN
ihlr-16489	102	24	that	that	PRON
ihlr-16489	102	25	they	they	PRON
ihlr-16489	102	26	see	see	VERB
ihlr-16489	102	27	as	as	ADP
ihlr-16489	102	28	a	a	DET
ihlr-16489	102	29	result	result	NOUN
ihlr-16489	102	30	of	of	ADP
ihlr-16489	102	31	the	the	DET
ihlr-16489	102	32	impending	impending	ADJ
ihlr-16489	102	33	2006	2006	NUM
ihlr-16489	102	34	cuts.13	cuts.13	NOUN
ihlr-16489	102	35	more	more	ADJ
ihlr-16489	102	36	than	than	ADP
ihlr-16489	102	37	one	one	NUM
ihlr-16489	102	38	-	-	PUNCT
ihlr-16489	102	39	fifth	fifth	ADJ
ihlr-16489	102	40	ofmedicare	ofmedicare	NOUN
ihlr-16489	102	41	enrollees	enrollee	NOUN
ihlr-16489	102	42	already	already	ADV
ihlr-16489	102	43	have	have	VERB
ihlr-16489	102	44	trouble	trouble	NOUN
ihlr-16489	102	45	finding	find	VERB
ihlr-16489	102	46	a	a	DET
ihlr-16489	102	47	primary	primary	ADJ
ihlr-16489	102	48	care	care	NOUN
ihlr-16489	102	49	physician	physician	NOUN
ihlr-16489	102	50	,	,	PUNCT
ihlr-16489	102	51	and	and	CCONJ
ihlr-16489	102	52	twenty	twenty	NUM
ihlr-16489	102	53	-	-	PUNCT
ihlr-16489	102	54	seven	seven	NUM
ihlr-16489	102	55	percent	percent	NOUN
ihlr-16489	102	56	report	report	NOUN
ihlr-16489	102	57	delays	delay	NOUN
ihlr-16489	102	58	in	in	ADP
ihlr-16489	102	59	getting	get	VERB
ihlr-16489	102	60	an	an	DET
ihlr-16489	102	61	appointment	appointment	NOUN
ihlr-16489	102	62	,	,	PUNCT
ihlr-16489	102	63	according	accord	VERB
ihlr-16489	102	64	to	to	ADP
ihlr-16489	102	65	a	a	DET
ihlr-16489	102	66	recent	recent	ADJ
ihlr-16489	102	67	medicare	medicare	PROPN
ihlr-16489	102	68	payment	payment	NOUN
ihlr-16489	102	69	advisory	advisory	PROPN
ihlr-16489	102	70	commission	commission	NOUN
ihlr-16489	102	71	(	(	PUNCT
ihlr-16489	102	72	"	"	PUNCT
ihlr-16489	102	73	medp	medp	ADJ
ihlr-16489	102	74	ac	ac	NOUN
ihlr-16489	102	75	"	"	PUNCT
ihlr-16489	102	76	)	)	PUNCT
ihlr-16489	102	77	study	study	NOUN
ihlr-16489	102	78	.	.	PUNCT
ihlr-16489	103	1	14	14	NUM
ihlr-16489	103	2	there	there	PRON
ihlr-16489	103	3	are	be	VERB
ihlr-16489	103	4	several	several	ADJ
ihlr-16489	103	5	reasons	reason	NOUN
ihlr-16489	103	6	for	for	ADP
ihlr-16489	103	7	the	the	DET
ihlr-16489	103	8	sgr	sgr	PROPN
ihlr-16489	103	9	'	'	PART
ihlr-16489	103	10	s	s	PART
ihlr-16489	103	11	inability	inability	NOUN
ihlr-16489	103	12	to	to	PART
ihlr-16489	103	13	control	control	VERB
ihlr-16489	103	14	volume	volume	NOUN
ihlr-16489	103	15	.	.	PUNCT
ihlr-16489	104	1	for	for	ADP
ihlr-16489	104	2	one	one	NUM
ihlr-16489	104	3	,	,	PUNCT
ihlr-16489	104	4	the	the	DET
ihlr-16489	104	5	growth	growth	NOUN
ihlr-16489	104	6	rate	rate	NOUN
ihlr-16489	104	7	of	of	ADP
ihlr-16489	104	8	the	the	DET
ihlr-16489	104	9	national	national	ADJ
ihlr-16489	104	10	economy	economy	NOUN
ihlr-16489	104	11	(	(	PUNCT
ihlr-16489	104	12	as	as	SCONJ
ihlr-16489	104	13	measured	measure	VERB
ihlr-16489	104	14	by	by	ADP
ihlr-16489	104	15	gdp	gdp	NOUN
ihlr-16489	104	16	)	)	PUNCT
ihlr-16489	104	17	has	have	VERB
ihlr-16489	104	18	very	very	ADV
ihlr-16489	104	19	little	little	ADJ
ihlr-16489	104	20	to	to	PART
ihlr-16489	104	21	do	do	VERB
ihlr-16489	104	22	with	with	ADP
ihlr-16489	104	23	the	the	DET
ihlr-16489	104	24	growth	growth	NOUN
ihlr-16489	104	25	rate	rate	NOUN
ihlr-16489	104	26	of	of	ADP
ihlr-16489	104	27	services	service	NOUN
ihlr-16489	104	28	,	,	PUNCT
ihlr-16489	104	29	making	make	VERB
ihlr-16489	104	30	it	it	PRON
ihlr-16489	104	31	a	a	DET
ihlr-16489	104	32	poor	poor	ADJ
ihlr-16489	104	33	benchmark	benchmark	NOUN
ihlr-16489	104	34	for	for	ADP
ihlr-16489	104	35	a	a	DET
ihlr-16489	104	36	spending	spending	NOUN
ihlr-16489	104	37	target	target	NOUN
ihlr-16489	104	38	.	.	PUNCT
ihlr-16489	105	1	for	for	ADP
ihlr-16489	105	2	example	example	NOUN
ihlr-16489	105	3	,	,	PUNCT
ihlr-16489	105	4	during	during	ADP
ihlr-16489	105	5	a	a	DET
ihlr-16489	105	6	recession	recession	NOUN
ihlr-16489	105	7	,	,	PUNCT
ihlr-16489	105	8	the	the	DET
ihlr-16489	105	9	spending	spending	NOUN
ihlr-16489	105	10	target	target	NOUN
ihlr-16489	105	11	is	be	AUX
ihlr-16489	105	12	pushed	push	VERB
ihlr-16489	105	13	downward	downward	ADV
ihlr-16489	105	14	,	,	PUNCT
ihlr-16489	105	15	punishing	punish	VERB
ihlr-16489	105	16	physicians	physician	NOUN
ihlr-16489	105	17	,	,	PUNCT
ihlr-16489	105	18	even	even	ADV
ihlr-16489	105	19	though	though	SCONJ
ihlr-16489	105	20	practice	practice	NOUN
ihlr-16489	105	21	costs	cost	NOUN
ihlr-16489	105	22	and	and	CCONJ
ihlr-16489	105	23	demand	demand	NOUN
ihlr-16489	105	24	for	for	ADP
ihlr-16489	105	25	services	service	NOUN
ihlr-16489	105	26	do	do	AUX
ihlr-16489	105	27	not	not	PART
ihlr-16489	105	28	drop	drop	VERB
ihlr-16489	105	29	proportionally	proportionally	ADV
ihlr-16489	105	30	.	.	PUNCT
ihlr-16489	106	1	in	in	ADP
ihlr-16489	106	2	fact	fact	NOUN
ihlr-16489	106	3	,	,	PUNCT
ihlr-16489	106	4	the	the	DET
ihlr-16489	106	5	growth	growth	NOUN
ihlr-16489	106	6	in	in	ADP
ihlr-16489	106	7	medicare	medicare	PROPN
ihlr-16489	106	8	spending	spending	NOUN
ihlr-16489	106	9	is	be	AUX
ihlr-16489	106	10	driven	drive	VERB
ihlr-16489	106	11	largely	largely	ADV
ihlr-16489	106	12	by	by	ADP
ihlr-16489	106	13	new	new	ADJ
ihlr-16489	106	14	technology	technology	NOUN
ihlr-16489	106	15	,	,	PUNCT
ihlr-16489	106	16	patient	patient	NOUN
ihlr-16489	106	17	needs	need	NOUN
ihlr-16489	106	18	,	,	PUNCT
ihlr-16489	106	19	and	and	CCONJ
ihlr-16489	106	20	public	public	ADJ
ihlr-16489	106	21	policies	policy	NOUN
ihlr-16489	106	22	related	relate	VERB
ihlr-16489	106	23	to	to	ADP
ihlr-16489	106	24	the	the	DET
ihlr-16489	106	25	provision	provision	NOUN
ihlr-16489	106	26	of	of	ADP
ihlr-16489	106	27	services	service	NOUN
ihlr-16489	106	28	.	.	PUNCT
ihlr-16489	107	1	these	these	DET
ihlr-16489	107	2	factors	factor	NOUN
ihlr-16489	107	3	are	be	AUX
ihlr-16489	107	4	outside	outside	ADP
ihlr-16489	107	5	the	the	DET
ihlr-16489	107	6	direct	direct	ADJ
ihlr-16489	107	7	control	control	NOUN
ihlr-16489	107	8	of	of	ADP
ihlr-16489	107	9	physicians	physician	NOUN
ihlr-16489	107	10	,	,	PUNCT
ihlr-16489	107	11	making	make	VERB
ihlr-16489	107	12	them	they	PRON
ihlr-16489	107	13	useless	useless	ADJ
ihlr-16489	107	14	targets	target	NOUN
ihlr-16489	107	15	for	for	ADP
ihlr-16489	107	16	volume	volume	NOUN
ihlr-16489	107	17	control	control	NOUN
ihlr-16489	107	18	incentives	incentive	NOUN
ihlr-16489	107	19	.	.	PUNCT
ihlr-16489	108	1	10	10	NUM
ihlr-16489	108	2	.	.	PUNCT
ihlr-16489	109	1	i	i	PRON
ihlr-16489	109	2	d.	d.	PROPN
ihlr-16489	109	3	11	11	NUM
ihlr-16489	109	4	.	.	PUNCT
ihlr-16489	110	1	medicare	medicare	PROPN
ihlr-16489	110	2	payment	payment	NOUN
ihlr-16489	110	3	advisory	advisory	PROPN
ihlr-16489	110	4	comm'n	comm'n	NOUN
ihlr-16489	110	5	,	,	PUNCT
ihlr-16489	110	6	issues	issue	NOUN
ihlr-16489	110	7	in	in	ADP
ihlr-16489	110	8	a	a	DET
ihlr-16489	110	9	modernized	modernized	ADJ
ihlr-16489	110	10	medicare	medicare	PROPN
ihlr-16489	110	11	program	program	NOUN
ihlr-16489	110	12	,	,	PUNCT
ihlr-16489	110	13	atl98	atl98	PROPN
ihlr-16489	110	14	(	(	PUNCT
ihlr-16489	110	15	june	june	PROPN
ihlr-16489	110	16	2005	2005	NUM
ihlr-16489	110	17	)	)	PUNCT
ihlr-16489	110	18	,	,	PUNCT
ihlr-16489	110	19	available	available	ADJ
ihlr-16489	110	20	athttp://www.medpac.gov/publications	athttp://www.medpac.gov/publication	NOUN
ihlr-16489	110	21	(	(	PUNCT
ihlr-16489	110	22	follow	follow	VERB
ihlr-16489	110	23	"	"	PUNCT
ihlr-16489	110	24	more	more	ADJ
ihlr-16489	110	25	publication	publication	NOUN
ihlr-16489	110	26	"	"	PUNCT
ihlr-16489	110	27	hyperlink	hyperlink	NOUN
ihlr-16489	110	28	;	;	PUNCT
ihlr-16489	110	29	then	then	ADV
ihlr-16489	110	30	follow	follow	VERB
ihlr-16489	110	31	"	"	PUNCT
ihlr-16489	110	32	reports	report	VERB
ihlr-16489	110	33	"	"	PUNCT
ihlr-16489	110	34	hyperlink	hyperlink	NOUN
ihlr-16489	110	35	)	)	PUNCT
ihlr-16489	110	36	(	(	PUNCT
ihlr-16489	110	37	last	last	ADJ
ihlr-16489	110	38	visited	visit	VERB
ihlr-16489	110	39	may	may	PROPN
ihlr-16489	110	40	19	19	NUM
ihlr-16489	110	41	,	,	PUNCT
ihlr-16489	110	42	2006	2006	NUM
ihlr-16489	110	43	)	)	PUNCT
ihlr-16489	110	44	.	.	PUNCT
ihlr-16489	111	1	12	12	NUM
ihlr-16489	111	2	.	.	PUNCT
ihlr-16489	111	3	letter	letter	NOUN
ihlr-16489	111	4	from	from	ADP
ihlr-16489	111	5	william	william	PROPN
ihlr-16489	111	6	thomas	thomas	PROPN
ihlr-16489	111	7	,	,	PUNCT
ihlr-16489	111	8	house	house	NOUN
ihlr-16489	111	9	ways	way	NOUN
ihlr-16489	111	10	and	and	CCONJ
ihlr-16489	111	11	means	mean	VERB
ihlr-16489	111	12	comm	comm	NOUN
ihlr-16489	111	13	.	.	PUNCT
ihlr-16489	112	1	chairman	chairman	NOUN
ihlr-16489	112	2	and	and	CCONJ
ihlr-16489	112	3	nancy	nancy	PROPN
ihlr-16489	112	4	l.	l.	PROPN
ihlr-16489	112	5	johnson	johnson	PROPN
ihlr-16489	112	6	,	,	PUNCT
ihlr-16489	112	7	chairman	chairman	NOUN
ihlr-16489	112	8	,	,	PUNCT
ihlr-16489	112	9	subcomm	subcomm	NOUN
ihlr-16489	112	10	.	.	PUNCT
ihlr-16489	113	1	on	on	ADP
ihlr-16489	113	2	health	health	NOUN
ihlr-16489	113	3	,	,	PUNCT
ihlr-16489	113	4	to	to	ADP
ihlr-16489	113	5	ctrs	ctrs	PROPN
ihlr-16489	113	6	.	.	PUNCT
ihlr-16489	114	1	medicare	medicare	PROPN
ihlr-16489	114	2	and	and	CCONJ
ihlr-16489	114	3	medicaid	medicaid	PROPN
ihlr-16489	114	4	servs	servs	PROPN
ihlr-16489	114	5	.	.	PUNCT
ihlr-16489	115	1	adm'r	adm'r	PROPN
ihlr-16489	115	2	mark	mark	PROPN
ihlr-16489	115	3	mcclellan	mcclellan	PROPN
ihlr-16489	115	4	(	(	PUNCT
ihlr-16489	115	5	july	july	PROPN
ihlr-16489	115	6	12	12	NUM
ihlr-16489	115	7	,	,	PUNCT
ihlr-16489	115	8	2005	2005	NUM
ihlr-16489	115	9	)	)	PUNCT
ihlr-16489	115	10	(	(	PUNCT
ihlr-16489	115	11	on	on	ADP
ihlr-16489	115	12	tile	tile	NOUN
ihlr-16489	115	13	with	with	ADP
ihlr-16489	115	14	author	author	NOUN
ihlr-16489	115	15	)	)	PUNCT
ihlr-16489	115	16	.	.	PUNCT
ihlr-16489	116	1	13	13	NUM
ihlr-16489	116	2	.	.	X
ihlr-16489	117	1	am	be	AUX
ihlr-16489	117	2	.	.	PUNCT
ihlr-16489	118	1	med	med	PROPN
ihlr-16489	118	2	.	.	PUNCT
ihlr-16489	119	1	ass'n	ass'n	PROPN
ihlr-16489	119	2	,	,	PUNCT
ihlr-16489	119	3	ama	ama	PROPN
ihlr-16489	119	4	member	member	NOUN
ihlr-16489	119	5	connect	connect	PROPN
ihlr-16489	119	6	survey	survey	NOUN
ihlr-16489	119	7	:	:	PUNCT
ihlr-16489	119	8	medicare	medicare	PROPN
ihlr-16489	119	9	payment	payment	NOUN
ihlr-16489	119	10	cuts	cut	NOUN
ihlr-16489	119	11	will	will	AUX
ihlr-16489	119	12	hurt	hurt	VERB
ihlr-16489	119	13	access	access	NOUN
ihlr-16489	119	14	to	to	ADP
ihlr-16489	119	15	care	care	NOUN
ihlr-16489	119	16	,	,	PUNCT
ihlr-16489	119	17	http://www.ama-assn.org/ama/publcategory/i4925.html	http://www.ama-assn.org/ama/publcategory/i4925.html	NOUN
ihlr-16489	119	18	(	(	PUNCT
ihlr-16489	119	19	last	last	ADJ
ihlr-16489	119	20	visited	visit	VERB
ihlr-16489	119	21	may	may	PROPN
ihlr-16489	119	22	19	19	NUM
ihlr-16489	119	23	,	,	PUNCT
ihlr-16489	119	24	2006	2006	NUM
ihlr-16489	119	25	)	)	PUNCT
ihlr-16489	119	26	.	.	PUNCT
ihlr-16489	120	1	14	14	NUM
ihlr-16489	120	2	.	.	PUNCT
ihlr-16489	121	1	am	be	AUX
ihlr-16489	121	2	.	.	PUNCT
ihlr-16489	122	1	med	med	PROPN
ihlr-16489	122	2	.	.	PUNCT
ihlr-16489	123	1	ass'n	ass'n	PROPN
ihlr-16489	123	2	,	,	PUNCT
ihlr-16489	123	3	medicare	medicare	PROPN
ihlr-16489	123	4	physician	physician	NOUN
ihlr-16489	123	5	payment	payment	NOUN
ihlr-16489	123	6	:	:	PUNCT
ihlr-16489	123	7	the	the	DET
ihlr-16489	123	8	facts	fact	NOUN
ihlr-16489	123	9	,	,	PUNCT
ihlr-16489	123	10	http://www.ama­	http://www.ama­	X
ihlr-16489	123	11	assn.org/amal/pub/uploadlmm/399/nac	assn.org/amal/pub/uploadlmm/399/nac	X
ihlr-16489	123	12	_	_	PUNCT
ihlr-16489	124	1	ppfacts.pdf	ppfacts.pdf	X
ihlr-16489	124	2	(	(	PUNCT
ihlr-16489	124	3	last	last	ADJ
ihlr-16489	124	4	visited	visit	VERB
ihlr-16489	124	5	may	may	PROPN
ihlr-16489	124	6	19	19	NUM
ihlr-16489	124	7	,	,	PUNCT
ihlr-16489	124	8	2006	2006	NUM
ihlr-16489	124	9	)	)	PUNCT
ihlr-16489	124	10	.	.	PUNCT
ihlr-16489	125	1	402	402	NUM
ihlr-16489	125	2	indiana	indiana	PROPN
ihlr-16489	125	3	heal1h	heal1h	PROPN
ihlr-16489	125	4	law	law	NOUN
ihlr-16489	125	5	review	review	NOUN
ihlr-16489	125	6	[	[	X
ihlr-16489	125	7	vol	vol	NOUN
ihlr-16489	125	8	.	.	PUNCT
ihlr-16489	126	1	3:391	3:391	NUM
ihlr-16489	126	2	moreover	moreover	ADV
ihlr-16489	126	3	,	,	PUNCT
ihlr-16489	126	4	even	even	ADV
ihlr-16489	126	5	if	if	SCONJ
ihlr-16489	126	6	physicians	physician	NOUN
ihlr-16489	126	7	did	do	AUX
ihlr-16489	126	8	exert	exert	VERB
ihlr-16489	126	9	a	a	DET
ihlr-16489	126	10	large	large	ADJ
ihlr-16489	126	11	degree	degree	NOUN
ihlr-16489	126	12	of	of	ADP
ihlr-16489	126	13	control	control	NOUN
ihlr-16489	126	14	over	over	ADP
ihlr-16489	126	15	medicare	medicare	PROPN
ihlr-16489	126	16	spending	spending	NOUN
ihlr-16489	126	17	,	,	PUNCT
ihlr-16489	126	18	individual	individual	ADJ
ihlr-16489	126	19	doctors	doctor	NOUN
ihlr-16489	126	20	can	can	AUX
ihlr-16489	126	21	not	not	PART
ihlr-16489	126	22	be	be	AUX
ihlr-16489	126	23	expected	expect	VERB
ihlr-16489	126	24	to	to	PART
ihlr-16489	126	25	respond	respond	VERB
ihlr-16489	126	26	to	to	ADP
ihlr-16489	126	27	collective	collective	ADJ
ihlr-16489	126	28	incentives	incentive	NOUN
ihlr-16489	126	29	.	.	PUNCT
ihlr-16489	127	1	an	an	DET
ihlr-16489	127	2	aggregate	aggregate	ADJ
ihlr-16489	127	3	spending	spending	NOUN
ihlr-16489	127	4	target	target	NOUN
ihlr-16489	127	5	and	and	CCONJ
ihlr-16489	127	6	universally	universally	ADV
ihlr-16489	127	7	applied	apply	VERB
ihlr-16489	127	8	rate	rate	NOUN
ihlr-16489	127	9	update	update	NOUN
ihlr-16489	127	10	will	will	AUX
ihlr-16489	127	11	not	not	PART
ihlr-16489	127	12	decrease	decrease	VERB
ihlr-16489	127	13	(	(	PUNCT
ihlr-16489	127	14	and	and	CCONJ
ihlr-16489	127	15	may	may	AUX
ihlr-16489	127	16	even	even	ADV
ihlr-16489	127	17	increase	increase	VERB
ihlr-16489	127	18	)	)	PUNCT
ihlr-16489	127	19	the	the	DET
ihlr-16489	127	20	short	short	ADJ
ihlr-16489	127	21	-	-	PUNCT
ihlr-16489	127	22	run	run	NOUN
ihlr-16489	127	23	incentives	incentive	NOUN
ihlr-16489	127	24	for	for	SCONJ
ihlr-16489	127	25	individual	individual	ADJ
ihlr-16489	127	26	physicians	physician	NOUN
ihlr-16489	127	27	to	to	PART
ihlr-16489	127	28	increase	increase	VERB
ihlr-16489	127	29	volume	volume	NOUN
ihlr-16489	127	30	,	,	PUNCT
ihlr-16489	127	31	because	because	SCONJ
ihlr-16489	127	32	they	they	PRON
ihlr-16489	127	33	know	know	VERB
ihlr-16489	127	34	that	that	SCONJ
ihlr-16489	127	35	any	any	DET
ihlr-16489	127	36	personal	personal	ADJ
ihlr-16489	127	37	effort	effort	NOUN
ihlr-16489	127	38	to	to	PART
ihlr-16489	127	39	reduce	reduce	VERB
ihlr-16489	127	40	services	service	NOUN
ihlr-16489	127	41	would	would	AUX
ihlr-16489	127	42	not	not	PART
ihlr-16489	127	43	result	result	VERB
ihlr-16489	127	44	in	in	ADP
ihlr-16489	127	45	a	a	DET
ihlr-16489	127	46	proportional	proportional	ADJ
ihlr-16489	127	47	increase	increase	NOUN
ihlr-16489	127	48	in	in	ADP
ihlr-16489	127	49	payments.15	payments.15	PROPN
ihlr-16489	127	50	c.	c.	PROPN
ihlr-16489	127	51	balance	balance	NOUN
ihlr-16489	127	52	-	-	PUNCT
ihlr-16489	127	53	billing	billing	NOUN
ihlr-16489	127	54	restrictions	restriction	NOUN
ihlr-16489	127	55	the	the	DET
ihlr-16489	127	56	third	third	ADJ
ihlr-16489	127	57	feature	feature	NOUN
ihlr-16489	127	58	of	of	ADP
ihlr-16489	127	59	medicare	medicare	PROPN
ihlr-16489	127	60	's	's	PART
ihlr-16489	127	61	current	current	ADJ
ihlr-16489	127	62	reimbursement	reimbursement	NOUN
ihlr-16489	127	63	policy	policy	NOUN
ihlr-16489	127	64	is	be	AUX
ihlr-16489	127	65	the	the	DET
ihlr-16489	127	66	restriction	restriction	NOUN
ihlr-16489	127	67	on	on	ADP
ihlr-16489	127	68	balance	balance	NOUN
ihlr-16489	127	69	billing	billing	NOUN
ihlr-16489	127	70	,	,	PUNCT
ihlr-16489	127	71	the	the	DET
ihlr-16489	127	72	amount	amount	NOUN
ihlr-16489	127	73	charged	charge	VERB
ihlr-16489	127	74	by	by	ADP
ihlr-16489	127	75	a	a	DET
ihlr-16489	127	76	provider	provider	NOUN
ihlr-16489	127	77	to	to	ADP
ihlr-16489	127	78	a	a	DET
ihlr-16489	127	79	patient	patient	NOUN
ihlr-16489	127	80	above	above	ADP
ihlr-16489	127	81	what	what	PRON
ihlr-16489	127	82	medicare	medicare	PROPN
ihlr-16489	127	83	is	be	AUX
ihlr-16489	127	84	willing	willing	ADJ
ihlr-16489	127	85	to	to	PART
ihlr-16489	127	86	reimburse	reimburse	VERB
ihlr-16489	127	87	.	.	PUNCT
ihlr-16489	128	1	with	with	ADP
ihlr-16489	128	2	the	the	DET
ihlr-16489	128	3	enactment	enactment	NOUN
ihlr-16489	128	4	of	of	ADP
ihlr-16489	128	5	the	the	DET
ihlr-16489	128	6	balanced	balanced	ADJ
ihlr-16489	128	7	budget	budget	NOUN
ihlr-16489	128	8	act	act	NOUN
ihlr-16489	128	9	of	of	ADP
ihlr-16489	128	10	1997	1997	NUM
ihlr-16489	128	11	,	,	PUNCT
ihlr-16489	128	12	congress	congress	PROPN
ihlr-16489	128	13	imposed	impose	VERB
ihlr-16489	128	14	new	new	ADJ
ihlr-16489	128	15	legal	legal	ADJ
ihlr-16489	128	16	obstacles	obstacle	NOUN
ihlr-16489	128	17	to	to	ADP
ihlr-16489	128	18	private	private	ADJ
ihlr-16489	128	19	contracts	contract	NOUN
ihlr-16489	128	20	for	for	ADP
ihlr-16489	128	21	services	service	NOUN
ihlr-16489	128	22	performed	perform	VERB
ihlr-16489	128	23	on	on	ADP
ihlr-16489	128	24	medicare	medicare	PROPN
ihlr-16489	128	25	recipients	recipient	NOUN
ihlr-16489	128	26	,	,	PUNCT
ihlr-16489	128	27	cutting	cut	VERB
ihlr-16489	128	28	off	off	ADP
ihlr-16489	128	29	an	an	DET
ihlr-16489	128	30	escape	escape	NOUN
ihlr-16489	128	31	route	route	NOUN
ihlr-16489	128	32	for	for	ADP
ihlr-16489	128	33	doctors	doctor	NOUN
ihlr-16489	128	34	and	and	CCONJ
ihlr-16489	128	35	patients	patient	NOUN
ihlr-16489	128	36	who	who	PRON
ihlr-16489	128	37	might	might	AUX
ihlr-16489	128	38	want	want	VERB
ihlr-16489	128	39	to	to	PART
ihlr-16489	128	40	enter	enter	VERB
ihlr-16489	128	41	into	into	ADP
ihlr-16489	128	42	a	a	DET
ihlr-16489	128	43	private	private	ADJ
ihlr-16489	128	44	payment	payment	NOUN
ihlr-16489	128	45	system	system	NOUN
ihlr-16489	128	46	outside	outside	ADP
ihlr-16489	128	47	the	the	DET
ihlr-16489	128	48	medicare	medicare	PROPN
ihlr-16489	128	49	program	program	NOUN
ihlr-16489	128	50	.	.	PUNCT
ihlr-16489	129	1	16	16	NUM
ihlr-16489	129	2	meanwhile	meanwhile	ADV
ihlr-16489	129	3	,	,	PUNCT
ihlr-16489	129	4	providers	provider	NOUN
ihlr-16489	129	5	must	must	AUX
ihlr-16489	129	6	incur	incur	VERB
ihlr-16489	129	7	losses	loss	NOUN
ihlr-16489	129	8	because	because	SCONJ
ihlr-16489	129	9	of	of	ADP
ihlr-16489	129	10	inadequate	inadequate	ADJ
ihlr-16489	129	11	reimbursement	reimbursement	NOUN
ihlr-16489	129	12	for	for	ADP
ihlr-16489	129	13	medicare	medicare	PROPN
ihlr-16489	129	14	services17	services17	PROPN
ihlr-16489	129	15	,	,	PUNCT
ihlr-16489	129	16	and	and	CCONJ
ihlr-16489	129	17	they	they	PRON
ihlr-16489	129	18	do	do	AUX
ihlr-16489	129	19	not	not	PART
ihlr-16489	129	20	have	have	VERB
ihlr-16489	129	21	the	the	DET
ihlr-16489	129	22	flexibility	flexibility	NOUN
ihlr-16489	129	23	to	to	PART
ihlr-16489	129	24	adjust	adjust	VERB
ihlr-16489	129	25	prices	price	NOUN
ihlr-16489	129	26	to	to	PART
ihlr-16489	129	27	attract	attract	VERB
ihlr-16489	129	28	new	new	ADJ
ihlr-16489	129	29	business	business	NOUN
ihlr-16489	129	30	or	or	CCONJ
ihlr-16489	129	31	react	react	VERB
ihlr-16489	129	32	to	to	ADP
ihlr-16489	129	33	market	market	NOUN
ihlr-16489	129	34	challenges	challenge	NOUN
ihlr-16489	129	35	and	and	CCONJ
ihlr-16489	129	36	opportunities	opportunity	NOUN
ihlr-16489	129	37	.	.	PUNCT
ihlr-16489	130	1	by	by	ADP
ihlr-16489	130	2	removing	remove	VERB
ihlr-16489	130	3	any	any	DET
ihlr-16489	130	4	remnant	remnant	NOUN
ihlr-16489	130	5	of	of	ADP
ihlr-16489	130	6	a	a	DET
ihlr-16489	130	7	price	price	NOUN
ihlr-16489	130	8	mechanism	mechanism	NOUN
ihlr-16489	130	9	,	,	PUNCT
ihlr-16489	130	10	balance	balance	NOUN
ihlr-16489	130	11	-	-	PUNCT
ihlr-16489	130	12	billing	billing	NOUN
ihlr-16489	130	13	restrictions	restriction	NOUN
ihlr-16489	130	14	compound	compound	VERB
ihlr-16489	130	15	the	the	DET
ihlr-16489	130	16	inefficiencies	inefficiency	NOUN
ihlr-16489	130	17	of	of	ADP
ihlr-16489	130	18	the	the	DET
ihlr-16489	130	19	medicare	medicare	PROPN
ihlr-16489	130	20	physician	physician	NOUN
ihlr-16489	130	21	payment	payment	NOUN
ihlr-16489	130	22	system	system	NOUN
ihlr-16489	130	23	and	and	CCONJ
ihlr-16489	130	24	stifle	stifle	VERB
ihlr-16489	130	25	improvements	improvement	NOUN
ihlr-16489	130	26	in	in	ADP
ihlr-16489	130	27	quality	quality	NOUN
ihlr-16489	130	28	and	and	CCONJ
ihlr-16489	130	29	value	value	NOUN
ihlr-16489	130	30	.	.	PUNCT
ihlr-16489	131	1	in	in	ADP
ihlr-16489	131	2	summacy	summacy	NOUN
ihlr-16489	131	3	,	,	PUNCT
ihlr-16489	131	4	medicare	medicare	PROPN
ihlr-16489	131	5	pays	pay	VERB
ihlr-16489	131	6	doctors	doctor	NOUN
ihlr-16489	131	7	according	accord	VERB
ihlr-16489	131	8	to	to	ADP
ihlr-16489	131	9	a	a	DET
ihlr-16489	131	10	resource	resource	NOUN
ihlr-16489	131	11	-	-	PUNCT
ihlr-16489	131	12	based	base	VERB
ihlr-16489	131	13	formula	formula	NOUN
ihlr-16489	131	14	that	that	PRON
ihlr-16489	131	15	embodies	embody	VERB
ihlr-16489	131	16	.	.	PUNCT
ihlr-16489	132	1	an	an	DET
ihlr-16489	132	2	"	"	PUNCT
ihlr-16489	132	3	objective	objective	ADJ
ihlr-16489	132	4	"	"	PUNCT
ihlr-16489	132	5	theory	theory	NOUN
ihlr-16489	132	6	of	of	ADP
ihlr-16489	132	7	value	value	NOUN
ihlr-16489	132	8	that	that	PRON
ihlr-16489	132	9	is	be	AUX
ihlr-16489	132	10	utterly	utterly	ADV
ihlr-16489	132	11	inconsistent	inconsistent	ADJ
ihlr-16489	132	12	with	with	ADP
ihlr-16489	132	13	modern	modern	ADJ
ihlr-16489	132	14	economics	economic	NOUN
ihlr-16489	132	15	,	,	PUNCT
ihlr-16489	132	16	combined	combine	VERB
ihlr-16489	132	17	with	with	ADP
ihlr-16489	132	18	inefficient	inefficient	ADJ
ihlr-16489	132	19	price	price	NOUN
ihlr-16489	132	20	regulation	regulation	NOUN
ihlr-16489	132	21	and	and	CCONJ
ihlr-16489	132	22	an	an	DET
ihlr-16489	132	23	illogical	illogical	ADJ
ihlr-16489	132	24	reimbursement	reimbursement	NOUN
ihlr-16489	132	25	update	update	NOUN
ihlr-16489	132	26	formula	formula	NOUN
ihlr-16489	132	27	.	.	PUNCT
ihlr-16489	133	1	the	the	DET
ihlr-16489	133	2	current	current	ADJ
ihlr-16489	133	3	medicare	medicare	PROPN
ihlr-16489	133	4	fee	fee	NOUN
ihlr-16489	133	5	schedule	schedule	NOUN
ihlr-16489	133	6	does	do	AUX
ihlr-16489	133	7	not	not	PART
ihlr-16489	133	8	and	and	CCONJ
ihlr-16489	133	9	can	can	AUX
ihlr-16489	133	10	not	not	PART
ihlr-16489	133	11	account	account	VERB
ihlr-16489	133	12	for	for	ADP
ihlr-16489	133	13	differences	difference	NOUN
ihlr-16489	133	14	in	in	ADP
ihlr-16489	133	15	physicians	physician	NOUN
ihlr-16489	133	16	'	'	PART
ihlr-16489	133	17	skills	skill	NOUN
ihlr-16489	133	18	,	,	PUNCT
ihlr-16489	133	19	quality	quality	NOUN
ihlr-16489	133	20	of	of	ADP
ihlr-16489	133	21	service	service	NOUN
ihlr-16489	133	22	,	,	PUNCT
ihlr-16489	133	23	and	and	CCONJ
ihlr-16489	133	24	benefit	benefit	VERB
ihlr-16489	133	25	to	to	ADP
ihlr-16489	133	26	the	the	DET
ihlr-16489	133	27	patient	patient	NOUN
ihlr-16489	133	28	any	any	PRON
ihlr-16489	133	29	more	more	ADJ
ihlr-16489	133	30	than	than	ADP
ihlr-16489	133	31	a	a	DET
ihlr-16489	133	32	physician	physician	NOUN
ihlr-16489	133	33	can	can	AUX
ihlr-16489	133	34	account	account	VERB
ihlr-16489	133	35	for	for	ADP
ihlr-16489	133	36	the	the	DET
ihlr-16489	133	37	state	state	NOUN
ihlr-16489	133	38	of	of	ADP
ihlr-16489	133	39	the	the	DET
ihlr-16489	133	40	national	national	ADJ
ihlr-16489	133	41	economy	economy	NOUN
ihlr-16489	133	42	.	.	PUNCT
ihlr-16489	134	1	while	while	SCONJ
ihlr-16489	134	2	common	common	ADJ
ihlr-16489	134	3	sense	sense	NOUN
ihlr-16489	134	4	would	would	AUX
ihlr-16489	134	5	dictate	dictate	VERB
ihlr-16489	134	6	abolishing	abolish	VERB
ihlr-16489	134	7	this	this	DET
ihlr-16489	134	8	outdated	outdated	ADJ
ihlr-16489	134	9	approach	approach	NOUN
ihlr-16489	134	10	in	in	ADP
ihlr-16489	134	11	favor	favor	NOUN
ihlr-16489	134	12	of	of	ADP
ihlr-16489	134	13	a	a	DET
ihlr-16489	134	14	rational	rational	ADJ
ihlr-16489	134	15	system	system	NOUN
ihlr-16489	134	16	of	of	ADP
ihlr-16489	134	17	market	market	NOUN
ihlr-16489	134	18	pricing	pricing	NOUN
ihlr-16489	134	19	,	,	PUNCT
ihlr-16489	134	20	congress	congress	PROPN
ihlr-16489	134	21	is	be	AUX
ihlr-16489	134	22	instead	instead	ADV
ihlr-16489	134	23	preparing	prepare	VERB
ihlr-16489	134	24	to	to	PART
ihlr-16489	134	25	impose	impose	VERB
ihlr-16489	134	26	another	another	DET
ihlr-16489	134	27	layer	layer	NOUN
ihlr-16489	134	28	of	of	ADP
ihlr-16489	134	29	regulatory	regulatory	ADJ
ihlr-16489	134	30	compliance	compliance	NOUN
ihlr-16489	134	31	on	on	ADP
ihlr-16489	134	32	physicians	physician	NOUN
ihlr-16489	134	33	.	.	PUNCT
ihlr-16489	135	1	15	15	NUM
ihlr-16489	135	2	.	.	PUNCT
ihlr-16489	136	1	moffit	moffit	PROPN
ihlr-16489	136	2	,	,	PUNCT
ihlr-16489	136	3	supra	supra	PROPN
ihlr-16489	136	4	note	note	PROPN
ihlr-16489	136	5	8	8	NUM
ihlr-16489	136	6	,	,	PUNCT
ihlr-16489	136	7	at	at	ADP
ihlr-16489	136	8	5	5	NUM
ihlr-16489	136	9	-	-	SYM
ihlr-16489	136	10	6	6	NUM
ihlr-16489	136	11	.	.	NOUN
ihlr-16489	136	12	16	16	NUM
ihlr-16489	136	13	.	.	PUNCT
ihlr-16489	137	1	under	under	ADP
ihlr-16489	137	2	the	the	DET
ihlr-16489	137	3	terms	term	NOUN
ihlr-16489	137	4	ofsection	ofsection	NOUN
ihlr-16489	137	5	4507	4507	NUM
ihlr-16489	137	6	of	of	ADP
ihlr-16489	137	7	the	the	DET
ihlr-16489	137	8	balanced	balanced	ADJ
ihlr-16489	137	9	budget	budget	NOUN
ihlr-16489	137	10	act	act	NOUN
ihlr-16489	137	11	ofl997	ofl997	ADV
ihlr-16489	137	12	,	,	PUNCT
ihlr-16489	137	13	any	any	DET
ihlr-16489	137	14	doctor	doctor	NOUN
ihlr-16489	137	15	who	who	PRON
ihlr-16489	137	16	enters	enter	VERB
ihlr-16489	137	17	into	into	ADP
ihlr-16489	137	18	a	a	DET
ihlr-16489	137	19	private	private	ADJ
ihlr-16489	137	20	contract	contract	NOUN
ihlr-16489	137	21	with	with	ADP
ihlr-16489	137	22	a	a	DET
ihlr-16489	137	23	medicare	medicare	PROPN
ihlr-16489	137	24	enrollee	enrollee	PROPN
ihlr-16489	137	25	to	to	PART
ihlr-16489	137	26	provide	provide	VERB
ihlr-16489	137	27	services	service	NOUN
ihlr-16489	137	28	outside	outside	ADP
ihlr-16489	137	29	of	of	ADP
ihlr-16489	137	30	the	the	DET
ihlr-16489	137	31	medicare	medicare	PROPN
ihlr-16489	137	32	system	system	NOUN
ihlr-16489	137	33	is	be	AUX
ihlr-16489	137	34	prohibited	prohibit	VERB
ihlr-16489	137	35	fiom	fiom	NOUN
ihlr-16489	137	36	billing	billing	NOUN
ihlr-16489	137	37	medicare	medicare	NOUN
ihlr-16489	137	38	for	for	ADP
ihlr-16489	137	39	two	two	NUM
ihlr-16489	137	40	years	year	NOUN
ihlr-16489	137	41	for	for	ADP
ihlr-16489	137	42	any	any	DET
ihlr-16489	137	43	patients	patient	NOUN
ihlr-16489	137	44	.	.	PUNCT
ihlr-16489	138	1	since	since	SCONJ
ihlr-16489	138	2	1997	1997	NUM
ihlr-16489	138	3	,	,	PUNCT
ihlr-16489	138	4	the	the	DET
ihlr-16489	138	5	terms	term	NOUN
ihlr-16489	138	6	and	and	CCONJ
ihlr-16489	138	7	conditions	condition	NOUN
ihlr-16489	138	8	of	of	ADP
ihlr-16489	138	9	these	these	DET
ihlr-16489	138	10	relationships	relationship	NOUN
ihlr-16489	138	11	have	have	AUX
ihlr-16489	138	12	been	be	AUX
ihlr-16489	138	13	further	far	ADV
ihlr-16489	138	14	codified	codify	VERB
ihlr-16489	138	15	through	through	ADP
ihlr-16489	138	16	regulation	regulation	NOUN
ihlr-16489	138	17	and	and	CCONJ
ihlr-16489	138	18	litigation	litigation	NOUN
ihlr-16489	138	19	.	.	PUNCT
ihlr-16489	139	1	for	for	ADP
ihlr-16489	139	2	an	an	DET
ihlr-16489	139	3	excellent	excellent	ADJ
ihlr-16489	139	4	overview	overview	NOUN
ihlr-16489	139	5	of	of	ADP
ihlr-16489	139	6	this	this	DET
ihlr-16489	139	7	issue	issue	NOUN
ihlr-16489	139	8	,	,	PUNCT
ihlr-16489	139	9	see	see	VERB
ihlr-16489	139	10	johns	johns	PROPN
ihlr-16489	139	11	.	.	PROPN
ihlr-16489	139	12	hoff	hoff	PROPN
ihlr-16489	139	13	,	,	PUNCT
ihlr-16489	139	14	medicare	medicare	PROPN
ihlr-16489	139	15	private	private	ADJ
ihlr-16489	139	16	contracting	contracting	NOUN
ihlr-16489	139	17	:	:	PUNCT
ihlr-16489	139	18	paternausm	paternausm	NOUN
ihlr-16489	139	19	or	or	CCONJ
ihlr-16489	139	20	autonomy	autonomy	NOUN
ihlr-16489	139	21	?	?	PUNCT
ihlr-16489	140	1	(	(	PUNCT
ihlr-16489	140	2	1998	1998	NUM
ihlr-16489	140	3	)	)	PUNCT
ihlr-16489	140	4	.	.	PUNCT
ihlr-16489	141	1	17	17	NUM
ihlr-16489	141	2	.	.	PUNCT
ihlr-16489	142	1	david	david	PROPN
ihlr-16489	142	2	glendinning	glendinning	PROPN
ihlr-16489	142	3	,	,	PUNCT
ihlr-16489	142	4	ama	ama	NOUN
ihlr-16489	142	5	to	to	PART
ihlr-16489	142	6	write	write	VERB
ihlr-16489	142	7	balance	balance	NOUN
ihlr-16489	142	8	-	-	PUNCT
ihlr-16489	142	9	billing	billing	NOUN
ihlr-16489	142	10	legislation	legislation	NOUN
ihlr-16489	142	11	,	,	PUNCT
ihlr-16489	142	12	am	be	AUX
ihlr-16489	142	13	.	.	PUNCT
ihlr-16489	142	14	med	med	ADJ
ihlr-16489	142	15	.	.	PUNCT
ihlr-16489	143	1	ass'n	ass'n	PROPN
ihlr-16489	143	2	news	news	NOUN
ihlr-16489	143	3	,	,	PUNCT
ihlr-16489	143	4	july	july	PROPN
ihlr-16489	143	5	11	11	NUM
ihlr-16489	143	6	,	,	PUNCT
ihlr-16489	143	7	200s.available	200s.available	NUM
ihlr-16489	143	8	at	at	ADP
ihlr-16489	143	9	hup:/lwww.ama	hup:/lwww.ama	NOUN
ihlr-16489	143	10	-	-	PUNCT
ihlr-16489	143	11	assn.org	assn.org	NOUN
ihlr-16489	143	12	/	/	SYM
ihlr-16489	143	13	amednews	amednew	NOUN
ihlr-16489	143	14	(	(	PUNCT
ihlr-16489	143	15	subscription	subscription	NOUN
ihlr-16489	143	16	required	require	VERB
ihlr-16489	143	17	)	)	PUNCT
ihlr-16489	143	18	(	(	PUNCT
ihlr-16489	143	19	last	last	ADJ
ihlr-16489	143	20	visited	visit	VERB
ihlr-16489	143	21	may	may	AUX
ihlr-16489	143	22	20	20	NUM
ihlr-16489	143	23	,	,	PUNCT
ihlr-16489	143	24	2006	2006	NUM
ihlr-16489	143	25	)	)	PUNCT
ihlr-16489	143	26	.	.	PUNCT
ihlr-16489	144	1	2006	2006	NUM
ihlr-16489	144	2	]	]	PUNCT
ihlr-16489	144	3	pay	pay	VERB
ihlr-16489	144	4	for	for	ADP
ihlr-16489	144	5	performance	performance	NOUN
ihlr-16489	144	6	or	or	CCONJ
ihlr-16489	144	7	compuance	compuance	NOUN
ihlr-16489	144	8	?	?	PUNCT
ihlr-16489	145	1	403	403	NUM
ihlr-16489	145	2	n.	n.	NOUN
ihlr-16489	145	3	the	the	DET
ihlr-16489	145	4	genesis	genesis	NOUN
ihlr-16489	145	5	of	of	ADP
ihlr-16489	145	6	pay	pay	NOUN
ihlr-16489	145	7	-	-	PUNCT
ihlr-16489	145	8	for	for	ADP
ihlr-16489	145	9	-	-	PUNCT
ihlr-16489	145	10	performance	performance	NOUN
ihlr-16489	145	11	reimbursement	reimbursement	NOUN
ihlr-16489	145	12	health	health	NOUN
ihlr-16489	145	13	policy	policy	NOUN
ihlr-16489	145	14	experts	expert	NOUN
ihlr-16489	145	15	who	who	PRON
ihlr-16489	145	16	advocate	advocate	VERB
ihlr-16489	145	17	pay	pay	VERB
ihlr-16489	145	18	for	for	ADP
ihlr-16489	145	19	performance	performance	NOUN
ihlr-16489	145	20	in	in	ADP
ihlr-16489	145	21	provider	provider	NOUN
ihlr-16489	145	22	reimbursement	reimbursement	NOUN
ihlr-16489	145	23	invariably	invariably	ADV
ihlr-16489	145	24	rely	rely	VERB
ihlr-16489	145	25	on	on	ADP
ihlr-16489	145	26	the	the	DET
ihlr-16489	145	27	concept	concept	NOUN
ihlr-16489	145	28	of	of	ADP
ihlr-16489	145	29	evidence	evidence	NOUN
ihlr-16489	145	30	-	-	PUNCT
ihlr-16489	145	31	based	base	VERB
ihlr-16489	145	32	medicine	medicine	NOUN
ihlr-16489	145	33	(	(	PUNCT
ihlr-16489	145	34	"	"	PUNCT
ihlr-16489	145	35	ebm	ebm	NOUN
ihlr-16489	145	36	"	"	PUNCT
ihlr-16489	145	37	)	)	PUNCT
ihlr-16489	145	38	.	.	PUNCT
ihlr-16489	146	1	originally	originally	ADV
ihlr-16489	146	2	developed	develop	VERB
ihlr-16489	146	3	in	in	ADP
ihlr-16489	146	4	the	the	DET
ihlr-16489	146	5	1970s	1970	NOUN
ihlr-16489	146	6	and	and	CCONJ
ihlr-16489	146	7	1980s	1980	NOUN
ihlr-16489	146	8	by	by	ADP
ihlr-16489	146	9	clinical	clinical	ADJ
ihlr-16489	146	10	epidemiologists	epidemiologist	NOUN
ihlr-16489	146	11	at	at	ADP
ihlr-16489	146	12	mcmaster	mcmaster	PROPN
ihlr-16489	146	13	university	university	PROPN
ihlr-16489	146	14	in	in	ADP
ihlr-16489	146	15	canada	canada	PROPN
ihlr-16489	146	16	,	,	PUNCT
ihlr-16489	146	17	ebm	ebm	PROPN
ihlr-16489	146	18	is	be	AUX
ihlr-16489	146	19	an	an	DET
ihlr-16489	146	20	attempt	attempt	NOUN
ihlr-16489	146	21	to	to	PART
ihlr-16489	146	22	apply	apply	VERB
ihlr-16489	146	23	epidemiological	epidemiological	ADJ
ihlr-16489	146	24	principles	principle	NOUN
ihlr-16489	146	25	to	to	ADP
ihlr-16489	146	26	clinical	clinical	ADJ
ihlr-16489	146	27	care	care	NOUN
ihlr-16489	146	28	and	and	CCONJ
ihlr-16489	146	29	promote	promote	VERB
ihlr-16489	146	30	reliance	reliance	NOUN
ihlr-16489	146	31	on	on	ADP
ihlr-16489	146	32	research	research	NOUN
ihlr-16489	146	33	data	datum	NOUN
ihlr-16489	146	34	,	,	PUNCT
ihlr-16489	146	35	particularly	particularly	ADV
ihlr-16489	146	36	randomized	randomize	VERB
ihlr-16489	146	37	controlled	control	VERB
ihlr-16489	146	38	trials	trial	NOUN
ihlr-16489	146	39	(	(	PUNCT
ihlr-16489	146	40	"	"	PUNCT
ihlr-16489	146	41	rcts	rct	NOUN
ihlr-16489	146	42	"	"	PUNCT
ihlr-16489	146	43	)	)	PUNCT
ihlr-16489	146	44	,	,	PUNCT
ihlr-16489	146	45	in	in	ADP
ihlr-16489	146	46	the	the	DET
ihlr-16489	146	47	practice	practice	NOUN
ihlr-16489	146	48	ofmedicine.18	ofmedicine.18	NOUN
ihlr-16489	146	49	in	in	ADP
ihlr-16489	146	50	a	a	DET
ihlr-16489	146	51	performance	performance	NOUN
ihlr-16489	146	52	-	-	PUNCT
ihlr-16489	146	53	based	base	VERB
ihlr-16489	146	54	reimbursement	reimbursement	NOUN
ihlr-16489	146	55	system	system	NOUN
ihlr-16489	146	56	,	,	PUNCT
ihlr-16489	146	57	ebm	ebm	X
ihlr-16489	146	58	is	be	AUX
ihlr-16489	146	59	used	use	VERB
ihlr-16489	146	60	to	to	PART
ihlr-16489	146	61	develop	develop	VERB
ihlr-16489	146	62	''	''	PUNCT
ihlr-16489	146	63	clinical	clinical	ADJ
ihlr-16489	146	64	practice	practice	NOUN
ihlr-16489	146	65	guidelines	guideline	NOUN
ihlr-16489	146	66	''	''	PUNCT
ihlr-16489	146	67	and	and	CCONJ
ihlr-16489	146	68	compensate	compensate	VERB
ihlr-16489	146	69	health	health	NOUN
ihlr-16489	146	70	care	care	NOUN
ihlr-16489	146	71	providers	provider	NOUN
ihlr-16489	146	72	according	accord	VERB
ihlr-16489	146	73	to	to	ADP
ihlr-16489	146	74	their	their	PRON
ihlr-16489	146	75	compliance	compliance	NOUN
ihlr-16489	146	76	with	with	ADP
ihlr-16489	146	77	the	the	DET
ihlr-16489	146	78	''	''	PUNCT
ihlr-16489	146	79	best	good	ADJ
ihlr-16489	146	80	practices	practice	NOUN
ihlr-16489	146	81	"	"	PUNCT
ihlr-16489	146	82	dictated	dictate	VERB
ihlr-16489	146	83	by	by	ADP
ihlr-16489	146	84	a	a	DET
ihlr-16489	146	85	third	third	ADJ
ihlr-16489	146	86	party	party	NOUN
ihlr-16489	146	87	's	's	PART
ihlr-16489	146	88	interpretation	interpretation	NOUN
ihlr-16489	146	89	of	of	ADP
ihlr-16489	146	90	rcts	rct	NOUN
ihlr-16489	146	91	.	.	PUNCT
ihlr-16489	147	1	health	health	NOUN
ihlr-16489	147	2	maintenance	maintenance	NOUN
ihlr-16489	147	3	organizations	organization	NOUN
ihlr-16489	147	4	(	(	PUNCT
ihlr-16489	147	5	"	"	PUNCT
ihlr-16489	147	6	hmos	hmos	PROPN
ihlr-16489	147	7	''	''	PUNCT
ihlr-16489	147	8	)	)	PUNCT
ihlr-16489	147	9	seized	seize	VERB
ihlr-16489	147	10	upon	upon	SCONJ
ihlr-16489	147	11	this	this	DET
ihlr-16489	147	12	concept	concept	NOUN
ihlr-16489	147	13	in	in	ADP
ihlr-16489	147	14	the	the	DET
ihlr-16489	147	15	1990s	1990	NOUN
ihlr-16489	147	16	,	,	PUNCT
ihlr-16489	147	17	employing	employ	VERB
ihlr-16489	147	18	strict	strict	ADJ
ihlr-16489	147	19	practice	practice	NOUN
ihlr-16489	147	20	rules	rule	NOUN
ihlr-16489	147	21	to	to	PART
ihlr-16489	147	22	override	override	VERB
ihlr-16489	147	23	the	the	DET
ihlr-16489	147	24	clinical	clinical	ADJ
ihlr-16489	147	25	judgment	judgment	NOUN
ihlr-16489	147	26	of	of	ADP
ihlr-16489	147	27	the	the	DET
ihlr-16489	147	28	treating	treat	VERB
ihlr-16489	147	29	physician	physician	NOUN
ihlr-16489	147	30	in	in	ADP
ihlr-16489	147	31	order	order	NOUN
ihlr-16489	147	32	to	to	PART
ihlr-16489	147	33	control	control	VERB
ihlr-16489	147	34	utilization	utilization	NOUN
ihlr-16489	147	35	and	and	CCONJ
ihlr-16489	147	36	limit	limit	VERB
ihlr-16489	147	37	costs	cost	NOUN
ihlr-16489	147	38	.	.	PUNCT
ihlr-16489	148	1	in	in	ADP
ihlr-16489	148	2	practice	practice	NOUN
ihlr-16489	148	3	,	,	PUNCT
ihlr-16489	148	4	they	they	PRON
ihlr-16489	148	5	used	use	VERB
ihlr-16489	148	6	guidelines	guideline	NOUN
ihlr-16489	148	7	to	to	PART
ihlr-16489	148	8	rule	rule	VERB
ihlr-16489	148	9	instead	instead	ADV
ihlr-16489	148	10	of	of	ADP
ihlr-16489	148	11	to	to	PART
ihlr-16489	148	12	guide	guide	VERB
ihlr-16489	148	13	,	,	PUNCT
ihlr-16489	148	14	stressing	stress	VERB
ihlr-16489	148	15	evidence	evidence	NOUN
ihlr-16489	148	16	-	-	PUNCT
ihlr-16489	148	17	based	base	VERB
ihlr-16489	148	18	guidelines	guideline	NOUN
ihlr-16489	148	19	to	to	ADP
ihlr-16489	148	20	the	the	DET
ihlr-16489	148	21	exclusion	exclusion	NOUN
ihlr-16489	148	22	of	of	ADP
ihlr-16489	148	23	clinical	clinical	ADJ
ihlr-16489	148	24	judgment	judgment	NOUN
ihlr-16489	148	25	.	.	PUNCT
ihlr-16489	149	1	despite	despite	SCONJ
ihlr-16489	149	2	provoking	provoke	VERB
ihlr-16489	149	3	a	a	DET
ihlr-16489	149	4	backlash	backlash	NOUN
ihlr-16489	149	5	from	from	ADP
ihlr-16489	149	6	physicians	physician	NOUN
ihlr-16489	149	7	and	and	CCONJ
ihlr-16489	149	8	patients	patient	NOUN
ihlr-16489	149	9	during	during	ADP
ihlr-16489	149	10	the	the	DET
ihlr-16489	149	11	mid	mid	NOUN
ihlr-16489	149	12	to	to	ADP
ihlr-16489	149	13	late	late	ADJ
ihlr-16489	149	14	1990s	1990	NOUN
ihlr-16489	149	15	,	,	PUNCT
ihlr-16489	149	16	practice	practice	NOUN
ihlr-16489	149	17	guidelines	guideline	NOUN
ihlr-16489	149	18	continued	continue	VERB
ihlr-16489	149	19	to	to	PART
ihlr-16489	149	20	be	be	AUX
ihlr-16489	149	21	developed	develop	VERB
ihlr-16489	149	22	for	for	ADP
ihlr-16489	149	23	physician	physician	NOUN
ihlr-16489	149	24	practice	practice	NOUN
ihlr-16489	149	25	at	at	ADP
ihlr-16489	149	26	a	a	DET
ihlr-16489	149	27	rapid	rapid	ADJ
ihlr-16489	149	28	rate	rate	NOUN
ihlr-16489	149	29	.	.	PUNCT
ihlr-16489	150	1	according	accord	VERB
ihlr-16489	150	2	to	to	ADP
ihlr-16489	150	3	one	one	NUM
ihlr-16489	150	4	estimate	estimate	NOUN
ihlr-16489	150	5	,	,	PUNCT
ihlr-16489	150	6	more	more	ADJ
ihlr-16489	150	7	than	than	ADP
ihlr-16489	150	8	1,000	1,000	NUM
ihlr-16489	150	9	guidelines	guideline	NOUN
ihlr-16489	150	10	are	be	AUX
ihlr-16489	150	11	being	be	AUX
ihlr-16489	150	12	developed	develop	VERB
ihlr-16489	150	13	annually	annually	ADV
ihlr-16489	150	14	by	by	ADP
ihlr-16489	150	15	quality	quality	NOUN
ihlr-16489	150	16	-	-	PUNCT
ihlr-16489	150	17	of	of	ADP
ihlr-16489	150	18	-	-	PUNCT
ihlr-16489	150	19	care	care	NOUN
ihlr-16489	150	20	organit.ations	organit.ation	NOUN
ihlr-16489	150	21	,	,	PUNCT
ihlr-16489	150	22	medical	medical	ADJ
ihlr-16489	150	23	associations	association	NOUN
ihlr-16489	150	24	,	,	PUNCT
ihlr-16489	150	25	and	and	CCONJ
ihlr-16489	150	26	health	health	NOUN
ihlr-16489	150	27	insurance	insurance	NOUN
ihlr-16489	150	28	plans.19	plans.19	PROPN
ihlr-16489	150	29	those	those	PRON
ihlr-16489	150	30	who	who	PRON
ihlr-16489	150	31	advocate	advocate	VERB
ihlr-16489	150	32	tying	tie	VERB
ihlr-16489	150	33	clinical	clinical	ADJ
ihlr-16489	150	34	guidelines	guideline	NOUN
ihlr-16489	150	35	to	to	ADP
ihlr-16489	150	36	financial	financial	ADJ
ihlr-16489	150	37	compensation	compensation	NOUN
ihlr-16489	150	38	through	through	ADP
ihlr-16489	150	39	pay	pay	NOUN
ihlr-16489	150	40	-	-	PUNCT
ihlr-16489	150	41	for	for	ADP
ihlr-16489	150	42	-	-	PUNCT
ihlr-16489	150	43	performance	performance	NOUN
ihlr-16489	150	44	reimbursement	reimbursement	NOUN
ihlr-16489	150	45	claim	claim	NOUN
ihlr-16489	150	46	that	that	SCONJ
ihlr-16489	150	47	it	it	PRON
ihlr-16489	150	48	will	will	AUX
ihlr-16489	150	49	narrow	narrow	VERB
ihlr-16489	150	50	the	the	DET
ihlr-16489	150	51	gap	gap	NOUN
ihlr-16489	150	52	between	between	ADP
ihlr-16489	150	53	"	"	PUNCT
ihlr-16489	150	54	ideal	ideal	ADJ
ihlr-16489	150	55	,	,	PUNCT
ihlr-16489	150	56	"	"	PUNCT
ihlr-16489	150	57	cost	cost	NOUN
ihlr-16489	150	58	-	-	PUNCT
ihlr-16489	150	59	effective	effective	ADJ
ihlr-16489	150	60	care	care	NOUN
ihlr-16489	150	61	and	and	CCONJ
ihlr-16489	150	62	·	·	PUNCT
ihlr-16489	150	63	actual	actual	ADJ
ihlr-16489	150	64	care	care	NOUN
ihlr-16489	150	65	observed	observe	VERB
ihlr-16489	150	66	in	in	ADP
ihlr-16489	150	67	clinical	clinical	ADJ
ihlr-16489	150	68	settings	setting	NOUN
ihlr-16489	150	69	.	.	PUNCT
ihlr-16489	151	1	in	in	ADP
ihlr-16489	151	2	their	their	PRON
ihlr-16489	151	3	view	view	NOUN
ihlr-16489	151	4	,	,	PUNCT
ihlr-16489	151	5	financial	financial	ADJ
ihlr-16489	151	6	teeth	tooth	NOUN
ihlr-16489	151	7	are	be	AUX
ihlr-16489	151	8	needed	need	VERB
ihlr-16489	151	9	to	to	PART
ihlr-16489	151	10	motivate	motivate	VERB
ihlr-16489	151	11	physicians	physician	NOUN
ihlr-16489	151	12	to	to	PART
ihlr-16489	151	13	standardize	standardize	VERB
ihlr-16489	151	14	their	their	PRON
ihlr-16489	151	15	treatment	treatment	NOUN
ihlr-16489	151	16	decisions	decision	NOUN
ihlr-16489	151	17	.	.	PUNCT
ihlr-16489	152	1	they	they	PRON
ihlr-16489	152	2	believe	believe	VERB
ihlr-16489	152	3	that	that	SCONJ
ihlr-16489	152	4	this	this	PRON
ihlr-16489	152	5	would	would	AUX
ihlr-16489	152	6	reduce	reduce	VERB
ihlr-16489	152	7	medical	medical	ADJ
ihlr-16489	152	8	errors	error	NOUN
ihlr-16489	152	9	,	,	PUNCT
ihlr-16489	152	10	optimize	optimize	VERB
ihlr-16489	152	11	quality	quality	NOUN
ihlr-16489	152	12	of	of	ADP
ihlr-16489	152	13	care	care	NOUN
ihlr-16489	152	14	,	,	PUNCT
ihlr-16489	152	15	and	and	CCONJ
ihlr-16489	152	16	control	control	VERB
ihlr-16489	152	17	escalating	escalate	VERB
ihlr-16489	152	18	health	health	NOUN
ihlr-16489	152	19	care	care	NOUN
ihlr-16489	152	20	costs	cost	NOUN
ihlr-16489	152	21	by	by	ADP
ihlr-16489	152	22	controlling	control	VERB
ihlr-16489	152	23	price	price	NOUN
ihlr-16489	152	24	and	and	CCONJ
ihlr-16489	152	25	utilization	utilization	NOUN
ihlr-16489	152	26	more	more	ADJ
ihlr-16489	152	27	directly.20	directly.20	PROPN
ihlr-16489	152	28	a.	a.	NOUN
ihlr-16489	152	29	enter	enter	VERB
ihlr-16489	152	30	medicare	medicare	VERB
ihlr-16489	152	31	the	the	DET
ihlr-16489	152	32	centers	center	NOUN
ihlr-16489	152	33	for	for	ADP
ihlr-16489	152	34	medicare	medicare	PROPN
ihlr-16489	152	35	and	and	CCONJ
ihlr-16489	152	36	medicaid	medicaid	PROPN
ihlr-16489	152	37	services	service	NOUN
ihlr-16489	152	38	obtained	obtain	VERB
ihlr-16489	152	39	the	the	DET
ihlr-16489	152	40	authority	authority	NOUN
ihlr-16489	152	41	to	to	PART
ihlr-16489	152	42	experiment	experiment	VERB
ihlr-16489	152	43	with	with	ADP
ihlr-16489	152	44	pay	pay	NOUN
ihlr-16489	152	45	for	for	ADP
ihlr-16489	152	46	performance	performance	NOUN
ihlr-16489	152	47	in	in	ADP
ihlr-16489	152	48	medicare	medicare	PROPN
ihlr-16489	152	49	from	from	ADP
ihlr-16489	152	50	the	the	DET
ihlr-16489	152	51	medicare	medicare	PROPN
ihlr-16489	152	52	modernization	modernization	PROPN
ihlr-16489	152	53	act	act	PROPN
ihlr-16489	152	54	of2003	of2003	PROPN
ihlr-16489	152	55	and	and	CCONJ
ihlr-16489	152	56	the	the	DET
ihlr-16489	152	57	medicare	medicare	PROPN
ihlr-16489	152	58	,	,	PUNCT
ihlr-16489	152	59	medicaid	medicaid	PROPN
ihlr-16489	152	60	,	,	PUNCT
ihlr-16489	152	61	and	and	CCONJ
ihlr-16489	152	62	schip	schip	NOUN
ihlr-16489	152	63	benefits	benefit	NOUN
ihlr-16489	152	64	18	18	NUM
ihlr-16489	152	65	.	.	PUNCT
ihlr-16489	153	1	r.	r.	PROPN
ihlr-16489	153	2	brian	brian	PROPN
ihlr-16489	153	3	haynes	haynes	PROPN
ihlr-16489	153	4	,	,	PUNCT
ihlr-16489	153	5	what	what	PRON
ihlr-16489	153	6	kind	kind	NOUN
ihlr-16489	153	7	of	of	ADP
ihlr-16489	153	8	evidence	evidence	NOUN
ihlr-16489	153	9	is	be	AUX
ihlr-16489	153	10	it	it	PRON
ihlr-16489	153	11	that	that	SCONJ
ihlr-16489	153	12	evidence	evidence	NOUN
ihlr-16489	153	13	-	-	PUNCT
ihlr-16489	153	14	b03ed	b03ed	NOUN
ihlr-16489	153	15	medicine	medicine	NOUN
ihlr-16489	153	16	advocates	advocate	NOUN
ihlr-16489	153	17	want	want	VERB
ihlr-16489	153	18	health	health	NOUN
ihlr-16489	153	19	care	care	NOUN
ihlr-16489	153	20	providers	provider	NOUN
ihlr-16489	153	21	and	and	CCONJ
ihlr-16489	153	22	consumers	consumer	NOUN
ihlr-16489	153	23	to	to	PART
ihlr-16489	153	24	pay	pay	VERB
ihlr-16489	153	25	attention	attention	NOUN
ihlr-16489	153	26	to	to	ADP
ihlr-16489	153	27	?	?	PUNCT
ihlr-16489	153	28	,	,	PUNCT
ihlr-16489	153	29	2	2	NUM
ihlr-16489	153	30	bmc	bmc	NOUN
ihlr-16489	153	31	health	health	NOUN
ihlr-16489	153	32	servs	servs	PROPN
ihlr-16489	153	33	.	.	PUNCT
ihlr-16489	154	1	res	re	NOUN
ihlr-16489	154	2	.	.	PROPN
ihlr-16489	155	1	3	3	NUM
ihlr-16489	155	2	(	(	PUNCT
ihlr-16489	155	3	mar	mar	PROPN
ihlr-16489	155	4	.	.	PROPN
ihlr-16489	155	5	6	6	NUM
ihlr-16489	155	6	,	,	PUNCT
ihlr-16489	155	7	2002	2002	NUM
ihlr-16489	155	8	)	)	PUNCT
ihlr-16489	155	9	,	,	PUNCT
ihlr-16489	155	10	at	at	ADP
ihlr-16489	155	11	http://www.biomedcentral.com/1472-6963/2/3	http://www.biomedcentral.com/1472-6963/2/3	PROPN
ihlr-16489	155	12	(	(	PUNCT
ihlr-16489	155	13	last	last	ADJ
ihlr-16489	155	14	visited	visit	VERB
ihlr-16489	155	15	may	may	AUX
ihlr-16489	155	16	20	20	NUM
ihlr-16489	155	17	,	,	PUNCT
ihlr-16489	155	18	2006	2006	NUM
ihlr-16489	155	19	)	)	PUNCT
ihlr-16489	155	20	.	.	PUNCT
ihlr-16489	156	1	19	19	NUM
ihlr-16489	156	2	.	.	PUNCT
ihlr-16489	156	3	stefan	stefan	PROPN
ihlr-16489	156	4	timmermans	timmermans	PROPN
ihlr-16489	156	5	&	&	CCONJ
ihlr-16489	156	6	aaron	aaron	PROPN
ihlr-16489	156	7	mauck	mauck	PROPN
ihlr-16489	156	8	,	,	PUNCT
ihlr-16489	156	9	the	the	DET
ihlr-16489	156	10	promise$	promise$	PROPN
ihlr-16489	156	11	and	and	CCONJ
ihlr-16489	156	12	pitfalls	pitfall	VERB
ihlr-16489	156	13	ofevidence	ofevidence	NOUN
ihlr-16489	156	14	-	-	PUNCT
ihlr-16489	156	15	b03ed	b03ed	NOUN
ihlr-16489	156	16	medicine	medicine	NOUN
ihlr-16489	156	17	,	,	PUNCT
ihlr-16489	156	18	24(1	24(1	NUM
ihlr-16489	156	19	)	)	PUNCT
ihlr-16489	156	20	healthaff	healthaff	NOUN
ihlr-16489	156	21	.	.	PUNCT
ihlr-16489	157	1	18	18	NUM
ihlr-16489	157	2	,	,	PUNCT
ihlr-16489	157	3	19	19	NUM
ihlr-16489	157	4	(	(	PUNCT
ihlr-16489	157	5	2005	2005	NUM
ihlr-16489	157	6	)	)	PUNCT
ihlr-16489	157	7	.	.	PUNCT
ihlr-16489	158	1	20	20	NUM
ihlr-16489	158	2	.	.	PUNCT
ihlr-16489	159	1	crossing	cross	VERB
ihlr-16489	159	2	the	the	DET
ihlr-16489	159	3	quauiychasm	quauiychasm	NOUN
ihlr-16489	159	4	,	,	PUNCT
ihlr-16489	159	5	supra	supra	ADJ
ihlr-16489	159	6	note	note	NOUN
ihlr-16489	159	7	4	4	NUM
ihlr-16489	159	8	;	;	PUNCT
ihlr-16489	159	9	nat'l	nat'l	NOUN
ihlr-16489	159	10	comm	comm	NOUN
ihlr-16489	159	11	.	.	PUNCT
ihlr-16489	160	1	for	for	ADP
ihlr-16489	160	2	quality	quality	NOUN
ihlr-16489	160	3	assurance	assurance	NOUN
ihlr-16489	160	4	,	,	PUNCT
ihlr-16489	160	5	the	the	DET
ihlr-16489	160	6	state	state	NOUN
ihlr-16489	160	7	of	of	ADP
ihlr-16489	160	8	health	health	NOUN
ihlr-16489	160	9	care	care	NOUN
ihlr-16489	160	10	quality	quality	NOUN
ihlr-16489	160	11	:	:	PUNCT
ihlr-16489	160	12	2004	2004	NUM
ihlr-16489	160	13	,	,	PUNCT
ihlr-16489	160	14	at	at	ADP
ihlr-16489	160	15	http://www.ncqa.orglcommunications/somc/	http://www.ncqa.orglcommunications/somc/	PROPN
ihlr-16489	160	16	sohc2004.pdf	sohc2004.pdf	NOUN
ihlr-16489	160	17	(	(	PUNCT
ihlr-16489	160	18	last	last	ADJ
ihlr-16489	160	19	visited	visit	VERB
ihlr-16489	160	20	may	may	AUX
ihlr-16489	160	21	20	20	NUM
ihlr-16489	160	22	,	,	PUNCT
ihlr-16489	160	23	2006	2006	NUM
ihlr-16489	160	24	)	)	PUNCT
ihlr-16489	160	25	.	.	PUNCT
ihlr-16489	161	1	404	404	NUM
ihlr-16489	161	2	indiana	indiana	PROPN
ihlr-16489	161	3	heallll	heallll	PROPN
ihlr-16489	161	4	law	law	PROPN
ihlr-16489	161	5	review	review	NOUN
ihlr-16489	162	1	[	[	X
ihlr-16489	162	2	vol	vol	NOUN
ihlr-16489	162	3	.	.	PUNCT
ihlr-16489	163	1	3:391	3:391	NUM
ihlr-16489	163	2	improvement	improvement	NOUN
ihlr-16489	163	3	and	and	CCONJ
ihlr-16489	163	4	protection	protection	NOUN
ihlr-16489	163	5	act	act	NOUN
ihlr-16489	163	6	of2000.21	of2000.21	PROPN
ihlr-16489	163	7	the	the	DET
ihlr-16489	163	8	agency	agency	NOUN
ihlr-16489	163	9	has	have	AUX
ihlr-16489	163	10	established	establish	VERB
ihlr-16489	163	11	eight	eight	NUM
ihlr-16489	163	12	demonstration	demonstration	NOUN
ihlr-16489	163	13	initiatives	initiative	NOUN
ihlr-16489	163	14	:	:	PUNCT
ihlr-16489	163	15	two	two	NUM
ihlr-16489	163	16	address	address	NOUN
ihlr-16489	163	17	the	the	DET
ihlr-16489	163	18	quality	quality	NOUN
ihlr-16489	163	19	of	of	ADP
ihlr-16489	163	20	clinical	clinical	ADJ
ihlr-16489	163	21	care	care	NOUN
ihlr-16489	163	22	in	in	ADP
ihlr-16489	163	23	hospitals	hospital	NOUN
ihlr-16489	163	24	,	,	PUNCT
ihlr-16489	163	25	three	three	NUM
ihlr-16489	163	26	deal	deal	NOUN
ihlr-16489	163	27	with	with	ADP
ihlr-16489	163	28	physician	physician	NOUN
ihlr-16489	163	29	offices	office	NOUN
ihlr-16489	163	30	and	and	CCONJ
ihlr-16489	163	31	integrated	integrate	VERB
ihlr-16489	163	32	health	health	NOUN
ihlr-16489	163	33	systems	system	NOUN
ihlr-16489	163	34	,	,	PUNCT
ihlr-16489	163	35	and	and	CCONJ
ihlr-16489	163	36	three	three	NUM
ihlr-16489	163	37	test	test	NOUN
ihlr-16489	163	38	specific	specific	ADJ
ihlr-16489	163	39	models	model	NOUN
ihlr-16489	163	40	of	of	ADP
ihlr-16489	163	41	chronic	chronic	ADJ
ihlr-16489	163	42	care	care	NOUN
ihlr-16489	163	43	improvement	improvement	NOUN
ihlr-16489	163	44	and	and	CCONJ
ihlr-16489	163	45	disease	disease	NOUN
ihlr-16489	163	46	management.22	management.22	NOUN
ihlr-16489	163	47	the	the	DET
ihlr-16489	163	48	premier	premier	ADJ
ihlr-16489	163	49	hospital	hospital	NOUN
ihlr-16489	163	50	quality	quality	NOUN
ihlr-16489	163	51	incentive	incentive	NOUN
ihlr-16489	163	52	(	(	PUNCT
ihlr-16489	163	53	''	''	PUNCT
ihlr-16489	163	54	phqf	phqf	PROPN
ihlr-16489	163	55	'	'	PART
ihlr-16489	163	56	)	)	PUNCT
ihlr-16489	163	57	demonstration	demonstration	NOUN
ihlr-16489	163	58	,	,	PUNCT
ihlr-16489	163	59	the	the	DET
ihlr-16489	163	60	most	most	ADV
ihlr-16489	163	61	advanced	advanced	ADJ
ihlr-16489	163	62	initiative	initiative	NOUN
ihlr-16489	163	63	,	,	PUNCT
ihlr-16489	163	64	is	be	AUX
ihlr-16489	163	65	designed	design	VERB
ihlr-16489	163	66	to	to	PART
ihlr-16489	163	67	track	track	VERB
ihlr-16489	163	68	and	and	CCONJ
ihlr-16489	163	69	reward	reward	VERB
ihlr-16489	163	70	performance	performance	NOUN
ihlr-16489	163	71	in	in	ADP
ihlr-16489	163	72	treating	treat	VERB
ihlr-16489	163	73	five	five	NUM
ihlr-16489	163	74	chronic	chronic	ADJ
ihlr-16489	163	75	health	health	NOUN
ihlr-16489	163	76	conditions	condition	NOUN
ihlr-16489	163	77	at	at	ADP
ihlr-16489	163	78	270	270	NUM
ihlr-16489	163	79	hospitals	hospital	NOUN
ihlr-16489	163	80	around	around	ADP
ihlr-16489	163	81	the	the	DET
ihlr-16489	163	82	country.23	country.23	PROPN
ihlr-16489	163	83	provider	provider	NOUN
ihlr-16489	163	84	compliance	compliance	NOUN
ihlr-16489	163	85	with	with	ADP
ihlr-16489	163	86	a	a	DET
ihlr-16489	163	87	uniform	uniform	NOUN
ihlr-16489	163	88	set	set	NOUN
ihlr-16489	163	89	of	of	ADP
ihlr-16489	163	90	thirty	thirty	NUM
ihlr-16489	163	91	-	-	PUNCT
ihlr-16489	163	92	four	four	NUM
ihlr-16489	163	93	quality	quality	NOUN
ihlr-16489	163	94	indicators	indicator	NOUN
ihlr-16489	163	95	yields	yield	VERB
ihlr-16489	163	96	significant	significant	ADJ
ihlr-16489	163	97	financial	financial	ADJ
ihlr-16489	163	98	rewards	reward	NOUN
ihlr-16489	163	99	for	for	ADP
ihlr-16489	163	100	participating	participate	VERB
ihlr-16489	163	101	providers	provider	NOUN
ihlr-16489	163	102	,	,	PUNCT
ihlr-16489	163	103	and	and	CCONJ
ihlr-16489	163	104	failure	failure	NOUN
ihlr-16489	163	105	to	to	PART
ihlr-16489	163	106	follow	follow	VERB
ihlr-16489	163	107	them	they	PRON
ihlr-16489	163	108	adequately	adequately	ADV
ihlr-16489	163	109	leads	lead	VERB
ihlr-16489	163	110	to	to	ADP
ihlr-16489	163	111	decreased	decrease	VERB
ihlr-16489	163	112	compensation	compensation	NOUN
ihlr-16489	163	113	.	.	PUNCT
ihlr-16489	164	1	while	while	SCONJ
ihlr-16489	164	2	it	it	PRON
ihlr-16489	164	3	will	will	AUX
ihlr-16489	164	4	be	be	AUX
ihlr-16489	164	5	several	several	ADJ
ihlr-16489	164	6	years	year	NOUN
ihlr-16489	164	7	before	before	SCONJ
ihlr-16489	164	8	conclusions	conclusion	NOUN
ihlr-16489	164	9	can	can	AUX
ihlr-16489	164	10	be	be	AUX
ihlr-16489	164	11	drawn	draw	VERB
ihlr-16489	164	12	from	from	ADP
ihlr-16489	164	13	even	even	ADV
ihlr-16489	164	14	this	this	DET
ihlr-16489	164	15	first	first	ADJ
ihlr-16489	164	16	demonstration	demonstration	NOUN
ihlr-16489	164	17	,	,	PUNCT
ihlr-16489	164	18	cms	cms	NOUN
ihlr-16489	164	19	did	do	AUX
ihlr-16489	164	20	release	release	VERB
ihlr-16489	164	21	a	a	DET
ihlr-16489	164	22	round	round	NOUN
ihlr-16489	164	23	of	of	ADP
ihlr-16489	164	24	tentative	tentative	ADJ
ihlr-16489	164	25	first	first	ADJ
ihlr-16489	164	26	-	-	PUNCT
ihlr-16489	164	27	year	year	NOUN
ihlr-16489	164	28	results	result	NOUN
ihlr-16489	164	29	in	in	ADP
ihlr-16489	164	30	may	may	PROPN
ihlr-16489	164	31	,	,	PUNCT
ihlr-16489	164	32	showing	show	VERB
ihlr-16489	164	33	an	an	DET
ihlr-16489	164	34	average	average	ADJ
ihlr-16489	164	35	increase	increase	NOUN
ihlr-16489	164	36	in	in	ADP
ihlr-16489	164	37	the	the	DET
ihlr-16489	164	38	composite	composite	ADJ
ihlr-16489	164	39	quality	quality	NOUN
ihlr-16489	164	40	score	score	NOUN
ihlr-16489	164	41	of	of	ADP
ihlr-16489	164	42	participating	participate	VERB
ihlr-16489	164	43	hospitals	hospital	NOUN
ihlr-16489	164	44	from	from	ADP
ihlr-16489	164	45	seventy	seventy	NUM
ihlr-16489	164	46	-	-	PUNCT
ihlr-16489	164	47	nine	nine	NUM
ihlr-16489	164	48	percent	percent	NOUN
ihlr-16489	164	49	to	to	ADP
ihlr-16489	164	50	eight	eight	NUM
ihlr-16489	164	51	-	-	PUNCT
ihlr-16489	164	52	six	six	NUM
ihlr-16489	164	53	percent.24	percent.24	NOUN
ihlr-16489	164	54	while	while	SCONJ
ihlr-16489	164	55	seemingly	seemingly	ADV
ihlr-16489	164	56	impressive	impressive	ADJ
ihlr-16489	164	57	,	,	PUNCT
ihlr-16489	164	58	however	however	ADV
ihlr-16489	164	59	,	,	PUNCT
ihlr-16489	164	60	these	these	DET
ihlr-16489	164	61	prehminary	prehminary	ADJ
ihlr-16489	164	62	results	result	NOUN
ihlr-16489	164	63	do	do	AUX
ihlr-16489	164	64	not	not	PART
ihlr-16489	164	65	constitute	constitute	VERB
ihlr-16489	164	66	evidence	evidence	NOUN
ihlr-16489	164	67	of	of	ADP
ihlr-16489	164	68	improved	improved	ADJ
ihlr-16489	164	69	quality	quality	NOUN
ihlr-16489	164	70	,	,	PUNCT
ihlr-16489	164	71	but	but	CCONJ
ihlr-16489	164	72	rather	rather	ADV
ihlr-16489	164	73	of	of	ADP
ihlr-16489	164	74	increased	increase	VERB
ihlr-16489	164	75	compliance	compliance	NOUN
ihlr-16489	164	76	.	.	PUNCT
ihlr-16489	165	1	the	the	DET
ihlr-16489	165	2	composite	composite	ADJ
ihlr-16489	165	3	quality	quality	NOUN
ihlr-16489	165	4	score	score	NOUN
ihlr-16489	165	5	is	be	AUX
ihlr-16489	165	6	merely	merely	ADV
ihlr-16489	165	7	a	a	DET
ihlr-16489	165	8	measure	measure	NOUN
ihlr-16489	165	9	of	of	ADP
ihlr-16489	165	10	the	the	DET
ihlr-16489	165	11	percentage	percentage	NOUN
ihlr-16489	165	12	of	of	ADP
ihlr-16489	165	13	the	the	DET
ihlr-16489	165	14	time	time	NOUN
ihlr-16489	165	15	that	that	PRON
ihlr-16489	165	16	hospitals	hospital	NOUN
ihlr-16489	165	17	followed	follow	VERB
ihlr-16489	165	18	treatment	treatment	NOUN
ihlr-16489	165	19	instructions	instruction	NOUN
ihlr-16489	165	20	in	in	ADP
ihlr-16489	165	21	pursuit	pursuit	NOUN
ihlr-16489	165	22	.	.	PUNCT
ihlr-16489	166	1	of	of	ADP
ihlr-16489	166	2	a	a	DET
ihlr-16489	166	3	financial	financial	ADJ
ihlr-16489	166	4	bonus	bonus	NOUN
ihlr-16489	166	5	.	.	PUNCT
ihlr-16489	167	1	b.	b.	PROPN
ihlr-16489	167	2	triumph	triumph	NOUN
ihlr-16489	167	3	of	of	ADP
ihlr-16489	167	4	process	process	NOUN
ihlr-16489	167	5	although	although	SCONJ
ihlr-16489	167	6	the	the	DET
ihlr-16489	167	7	score	score	NOUN
ihlr-16489	167	8	does	do	AUX
ihlr-16489	167	9	contain	contain	VERB
ihlr-16489	167	10	two	two	NUM
ihlr-16489	167	11	components	component	NOUN
ihlr-16489	167	12	,	,	PUNCT
ihlr-16489	167	13	a	a	DET
ihlr-16489	167	14	process	process	NOUN
ihlr-16489	167	15	score	score	NOUN
ihlr-16489	167	16	and	and	CCONJ
ihlr-16489	167	17	an	an	DET
ihlr-16489	167	18	outcome	outcome	NOUN
ihlr-16489	167	19	score	score	NOUN
ihlr-16489	167	20	,	,	PUNCT
ihlr-16489	167	21	it	it	PRON
ihlr-16489	167	22	is	be	AUX
ihlr-16489	167	23	heavily	heavily	ADV
ihlr-16489	167	24	weighted	weight	VERB
ihlr-16489	167	25	toward	toward	ADP
ihlr-16489	167	26	recommended	recommend	VERB
ihlr-16489	167	27	processes	process	NOUN
ihlr-16489	167	28	,	,	PUNCT
ihlr-16489	167	29	not	not	PART
ihlr-16489	167	30	outcomes	outcome	NOUN
ihlr-16489	167	31	.	.	PUNCT
ihlr-16489	168	1	of	of	ADP
ihlr-16489	168	2	the	the	DET
ihlr-16489	168	3	thirty	thirty	NUM
ihlr-16489	168	4	-	-	PUNCT
ihlr-16489	168	5	four	four	NUM
ihlr-16489	168	6	quality	quality	NOUN
ihlr-16489	168	7	indicators	indicator	NOUN
ihlr-16489	168	8	in	in	ADP
ihlr-16489	168	9	the	the	DET
ihlr-16489	168	10	hospital	hospital	NOUN
ihlr-16489	168	11	demonstration	demonstration	NOUN
ihlr-16489	168	12	,	,	PUNCT
ihlr-16489	168	13	twenty	twenty	NUM
ihlr-16489	168	14	-	-	PUNCT
ihlr-16489	168	15	seven	seven	NUM
ihlr-16489	168	16	measure	measure	NOUN
ihlr-16489	168	17	compliance	compliance	NOUN
ihlr-16489	168	18	with	with	ADP
ihlr-16489	168	19	dictated	dictate	VERB
ihlr-16489	168	20	processes	process	NOUN
ihlr-16489	168	21	,	,	PUNCT
ihlr-16489	168	22	while	while	SCONJ
ihlr-16489	168	23	only	only	ADV
ihlr-16489	168	24	seven	seven	NUM
ihlr-16489	168	25	measure	measure	NOUN
ihlr-16489	168	26	outcomes	outcome	NOUN
ihlr-16489	168	27	like	like	ADP
ihlr-16489	168	28	mortality	mortality	NOUN
ihlr-16489	168	29	or	or	CCONJ
ihlr-16489	168	30	readmission	readmission	NOUN
ihlr-16489	168	31	rates.25	rates.25	NOUN
ihlr-16489	168	32	the	the	DET
ihlr-16489	168	33	physician	physician	NOUN
ihlr-16489	168	34	group	group	NOUN
ihlr-16489	168	35	practice	practice	NOUN
ihlr-16489	168	36	demonstration	demonstration	NOUN
ihlr-16489	168	37	,	,	PUNCT
ihlr-16489	168	38	which	which	PRON
ihlr-16489	168	39	began	begin	VERB
ihlr-16489	168	40	in	in	ADP
ihlr-16489	168	41	april	april	PROPN
ihlr-16489	168	42	of	of	ADP
ihlr-16489	168	43	this	this	DET
ihlr-16489	168	44	year	year	NOUN
ihlr-16489	168	45	and	and	CCONJ
ihlr-16489	168	46	is	be	AUX
ihlr-16489	168	47	the	the	DET
ihlr-16489	168	48	first	first	ADJ
ihlr-16489	168	49	major	major	ADJ
ihlr-16489	168	50	medicare	medicare	PROPN
ihlr-16489	168	51	pay.for	pay.for	ADP
ihlr-16489	168	52	-	-	PUNCT
ihlr-16489	168	53	performance	performance	NOUN
ihlr-16489	168	54	initiative	initiative	NOUN
ihlr-16489	168	55	to	to	PART
ihlr-16489	168	56	concentrate	concentrate	VERB
ihlr-16489	168	57	on	on	ADP
ihlr-16489	168	58	physicians	physician	NOUN
ihlr-16489	168	59	,	,	PUNCT
ihlr-16489	168	60	similarly	similarly	ADV
ihlr-16489	168	61	focuses	focus	VERB
ihlr-16489	168	62	on	on	ADP
ihlr-16489	168	63	process	process	NOUN
ihlr-16489	168	64	over	over	ADP
ihlr-16489	168	65	outcome	outcome	NOUN
ihlr-16489	168	66	.	.	PUNCT
ihlr-16489	169	1	according	accord	VERB
ihlr-16489	169	2	to	to	ADP
ihlr-16489	169	3	the	the	DET
ihlr-16489	169	4	demonstration	demonstration	NOUN
ihlr-16489	169	5	design	design	NOUN
ihlr-16489	169	6	report	report	NOUN
ihlr-16489	169	7	,	,	PUNCT
ihlr-16489	169	8	"	"	PUNCT
ihlr-16489	169	9	the	the	DET
ihlr-16489	169	10	major	major	ADJ
ihlr-16489	169	11	focus	focus	NOUN
ihlr-16489	169	12	of	of	ADP
ihlr-16489	169	13	the	the	DET
ihlr-16489	169	14	21	21	NUM
ihlr-16489	169	15	.	.	PUNCT
ihlr-16489	170	1	ctrs	ctrs	PROPN
ihlr-16489	170	2	.	.	PUNCT
ihlr-16489	171	1	for	for	ADP
ihlr-16489	171	2	medicare	medicare	PROPN
ihlr-16489	171	3	and	and	CCONJ
ihlr-16489	171	4	medicaid	medicaid	PROPN
ihlr-16489	171	5	servs	servs	PROPN
ihlr-16489	171	6	.	.	PUNCT
ihlr-16489	171	7	,	,	PUNCT
ihlr-16489	171	8	medicare	medicare	PROPN
ihlr-16489	171	9	"	"	PUNCT
ihlr-16489	171	10	pay	pay	VERB
ihlr-16489	171	11	for	for	ADP
ihlr-16489	171	12	peiformance	peiformance	NOUN
ihlr-16489	171	13	(	(	PUNCT
ihlr-16489	171	14	p4p	p4p	PROPN
ihlr-16489	171	15	)	)	PUNCT
ihlr-16489	171	16	"	"	PUNCT
ihlr-16489	171	17	initiatives	initiative	NOUN
ihlr-16489	171	18	,	,	PUNCT
ihlr-16489	171	19	http:/lwww.cms.hbs.gov	http:/lwww.cms.hbs.gov	PROPN
ihlr-16489	171	20	/	/	SYM
ihlr-16489	171	21	medialpresslrelease.asp?counter=1343	medialpresslrelease.asp?counter=1343	PROPN
ihlr-16489	171	22	qast	qast	PROPN
ihlr-16489	171	23	visited	visit	VERB
ihlr-16489	171	24	may	may	PROPN
ihlr-16489	171	25	20,2006	20,2006	NUM
ihlr-16489	171	26	)	)	PUNCT
ihlr-16489	171	27	.	.	PUNCT
ihlr-16489	172	1	22	22	NUM
ihlr-16489	172	2	.	.	PUNCT
ihlr-16489	173	1	i	i	PRON
ihlr-16489	173	2	d	d	PROPN
ihlr-16489	173	3	23	23	NUM
ihlr-16489	173	4	.	.	PUNCT
ihlr-16489	174	1	press	press	NOUN
ihlr-16489	174	2	release	release	NOUN
ihlr-16489	174	3	,	,	PUNCT
ihlr-16489	174	4	ctrs	ctrs	PROPN
ihlr-16489	174	5	.	.	PROPN
ihlr-16489	175	1	for	for	ADP
ihlr-16489	175	2	medicare	medicare	PROPN
ihlr-16489	175	3	and	and	CCONJ
ihlr-16489	175	4	medicaid	medicaid	PROPN
ihlr-16489	175	5	servs	servs	PROPN
ihlr-16489	175	6	.	.	PUNCT
ihlr-16489	175	7	,	,	PUNCT
ihlr-16489	175	8	medicare	medicare	PROPN
ihlr-16489	175	9	pay	pay	PROPN
ihlr-16489	175	10	-	-	PUNCT
ihlr-16489	175	11	for	for	ADP
ihlr-16489	175	12	-	-	PUNCT
ihlr-16489	175	13	performance	performance	NOUN
ihlr-16489	175	14	demonstration	demonstration	NOUN
ihlr-16489	175	15	shows	show	VERB
ihlr-16489	175	16	significant	significant	ADJ
ihlr-16489	175	17	quality	quality	NOUN
ihlr-16489	175	18	ofcare	ofcare	NOUN
ihlr-16489	175	19	improvement	improvement	NOUN
ihlr-16489	175	20	at	at	ADP
ihlr-16489	175	21	participating	participate	VERB
ihlr-16489	175	22	hospitals	hospital	NOUN
ihlr-16489	175	23	(	(	PUNCT
ihlr-16489	175	24	may	may	PROPN
ihlr-16489	175	25	3	3	NUM
ihlr-16489	175	26	,	,	PUNCT
ihlr-16489	175	27	2005	2005	NUM
ihlr-16489	175	28	)	)	PUNCT
ihlr-16489	175	29	,	,	PUNCT
ihlr-16489	175	30	at	at	ADP
ihlr-16489	175	31	http://www.cms.hhs.gov/appslmedialpress/release.asp?counter=	http://www.cms.hhs.gov/appslmedialpress/release.asp?counter=	DET
ihlr-16489	175	32	1441	1441	NUM
ihlr-16489	175	33	(	(	PUNCT
ihlr-16489	175	34	last	last	ADJ
ihlr-16489	175	35	visited	visit	VERB
ihlr-16489	175	36	may	may	AUX
ihlr-16489	175	37	20	20	NUM
ihlr-16489	175	38	,	,	PUNCT
ihlr-16489	175	39	2006	2006	NUM
ihlr-16489	175	40	)	)	PUNCT
ihlr-16489	175	41	.	.	PUNCT
ihlr-16489	176	1	24	24	NUM
ihlr-16489	176	2	.	.	X
ihlr-16489	176	3	ld	ld	PROPN
ihlr-16489	176	4	this	this	PRON
ihlr-16489	176	5	is	be	AUX
ihlr-16489	176	6	the	the	DET
ihlr-16489	176	7	average	average	NOUN
ihlr-16489	176	8	of	of	ADP
ihlr-16489	176	9	reported	report	VERB
ihlr-16489	176	10	composite	composite	ADJ
ihlr-16489	176	11	score	score	NOUN
ihlr-16489	176	12	improvements	improvement	NOUN
ihlr-16489	176	13	for	for	ADP
ihlr-16489	176	14	each	each	PRON
ihlr-16489	176	15	of	of	ADP
ihlr-16489	176	16	the	the	DET
ihlr-16489	176	17	five	five	NUM
ihlr-16489	176	18	chronic	chronic	ADJ
ihlr-16489	176	19	conditions	condition	NOUN
ihlr-16489	176	20	,	,	PUNCT
ihlr-16489	176	21	25	25	NUM
ihlr-16489	176	22	.	.	PUNCT
ihlr-16489	176	23	outcomemeasuresrepresentonly50%ofthehipandkneereplacementscore,37.5	outcomemeasuresrepresentonly50%ofthehipandkneereplacementscore,37.5	NOUN
ihlr-16489	176	24	%	%	NOUN
ihlr-16489	176	25	of	of	ADP
ihlr-16489	176	26	the	the	DET
ihlr-16489	176	27	coronary	coronary	ADJ
ihlr-16489	176	28	artery	artery	NOUN
ihlr-16489	176	29	bypass	bypass	NOUN
ihlr-16489	176	30	graft(cabg	graft(cabg	NOUN
ihlr-16489	176	31	)	)	PUNCT
ihlr-16489	176	32	score	score	NOUN
ihlr-16489	176	33	,	,	PUNCT
ihlr-16489	176	34	i	i	PRON
ihlr-16489	176	35	i%	i%	VERB
ihlr-16489	176	36	oftheacutemyocardial	oftheacutemyocardial	ADJ
ihlr-16489	176	37	infarction	infarction	NOUN
ihlr-16489	176	38	(	(	PUNCT
ihlr-16489	176	39	ami	ami	NOUN
ihlr-16489	176	40	)	)	PUNCT
ihlr-16489	176	41	score	score	NOUN
ihlr-16489	176	42	,	,	PUNCT
ihlr-16489	176	43	and	and	CCONJ
ihlr-16489	176	44	zero	zero	NUM
ihlr-16489	176	45	percent	percent	NOUN
ihlr-16489	176	46	of	of	ADP
ihlr-16489	176	47	the	the	DET
ihlr-16489	176	48	pneumonia	pneumonia	NOUN
ihlr-16489	176	49	and	and	CCONJ
ihlr-16489	176	50	heart	heart	NOUN
ihlr-16489	176	51	failure	failure	NOUN
ihlr-16489	176	52	scores	score	NOUN
ihlr-16489	176	53	.	.	PUNCT
ihlr-16489	177	1	ctrs	ctrs	PROPN
ihlr-16489	177	2	.	.	PUNCT
ihlr-16489	178	1	for	for	ADP
ihlr-16489	178	2	medicare	medicare	PROPN
ihlr-16489	178	3	and	and	CCONJ
ihlr-16489	178	4	medicaid	medicaid	PROPN
ihlr-16489	178	5	servs	servs	PROPN
ihlr-16489	178	6	.	.	PUNCT
ihlr-16489	178	7	,	,	PUNCT
ihlr-16489	178	8	cms	cms	PROPN
ihlr-16489	178	9	hqi	hqi	ADJ
ihlr-16489	178	10	demonstration	demonstration	NOUN
ihlr-16489	178	11	project	project	NOUN
ihlr-16489	178	12	:	:	PUNCT
ihlr-16489	178	13	composite	composite	ADJ
ihlr-16489	178	14	quality	quality	NOUN
ihlr-16489	178	15	score	score	NOUN
ihlr-16489	178	16	methodology	methodology	NOUN
ihlr-16489	178	17	overview	overview	NOUN
ihlr-16489	178	18	,	,	PUNCT
ihlr-16489	178	19	at	at	ADP
ihlr-16489	178	20	http://www.cms.hhs.gov/hospitaiqualitylnits/downloadsihospitalcomposite	http://www.cms.hhs.gov/hospitaiqualitylnits/downloadsihospitalcomposite	PROPN
ihlr-16489	178	21	qualityscoremethodologyoverview.pdfqast	qualityscoremethodologyoverview.pdfqast	NUM
ihlr-16489	178	22	visited	visit	VERB
ihlr-16489	178	23	may	may	AUX
ihlr-16489	178	24	20	20	NUM
ihlr-16489	178	25	,	,	PUNCT
ihlr-16489	178	26	2006	2006	NUM
ihlr-16489	178	27	)	)	PUNCT
ihlr-16489	178	28	.	.	PUNCT
ihlr-16489	179	1	2006	2006	NUM
ihlr-16489	179	2	]	]	PUNCT
ihlr-16489	179	3	pay	pay	VERB
ihlr-16489	179	4	for	for	ADP
ihlr-16489	179	5	performance	performance	NOUN
ihlr-16489	179	6	or	or	CCONJ
ihlr-16489	179	7	compliance	compliance	NOUN
ihlr-16489	179	8	?	?	PUNCT
ihlr-16489	180	1	405	405	NUM
ihlr-16489	180	2	demonstration	demonstration	NOUN
ihlr-16489	180	3	will	will	AUX
ihlr-16489	180	4	be	be	AUX
ihlr-16489	180	5	on	on	ADP
ihlr-16489	180	6	measuring	measure	VERB
ihlr-16489	180	7	process	process	NOUN
ihlr-16489	180	8	indicators	indicator	NOUN
ihlr-16489	180	9	of	of	ADP
ihlr-16489	180	10	quality	quality	NOUN
ihlr-16489	180	11	.	.	PUNCT
ihlr-16489	181	1	they	they	PRON
ihlr-16489	181	2	are	be	AUX
ihlr-16489	181	3	the	the	DET
ihlr-16489	181	4	indicators	indicator	NOUN
ihlr-16489	181	5	most	most	ADV
ihlr-16489	181	6	easily	easily	ADV
ihlr-16489	181	7	measured	measure	VERB
ihlr-16489	181	8	.	.	PUNCT
ihlr-16489	182	1	"26	"26	X
ihlr-16489	182	2	they	they	PRON
ihlr-16489	182	3	may	may	AUX
ihlr-16489	182	4	be	be	AUX
ihlr-16489	182	5	the	the	DET
ihlr-16489	182	6	most	most	ADV
ihlr-16489	182	7	easily	easily	ADV
ihlr-16489	182	8	measured	measure	VERB
ihlr-16489	182	9	,	,	PUNCT
ihlr-16489	182	10	but	but	CCONJ
ihlr-16489	182	11	are	be	AUX
ihlr-16489	182	12	they	they	PRON
ihlr-16489	182	13	the	the	DET
ihlr-16489	182	14	most	most	ADV
ihlr-16489	182	15	indicative	indicative	ADJ
ihlr-16489	182	16	of	of	ADP
ihlr-16489	182	17	quality	quality	NOUN
ihlr-16489	182	18	care	care	NOUN
ihlr-16489	182	19	?	?	PUNCT
ihlr-16489	183	1	thus	thus	ADV
ihlr-16489	183	2	,	,	PUNCT
ihlr-16489	183	3	despite	despite	SCONJ
ihlr-16489	183	4	the	the	DET
ihlr-16489	183	5	relative	relative	ADJ
ihlr-16489	183	6	lack	lack	NOUN
ihlr-16489	183	7	of	of	ADP
ihlr-16489	183	8	objectivity	objectivity	NOUN
ihlr-16489	183	9	and	and	CCONJ
ihlr-16489	183	10	flexibility	flexibility	NOUN
ihlr-16489	183	11	,	,	PUNCT
ihlr-16489	183	12	medicare	medicare	PROPN
ihlr-16489	183	13	's	's	PART
ihlr-16489	183	14	demonstrations	demonstration	NOUN
ihlr-16489	183	15	rely	rely	VERB
ihlr-16489	183	16	primarily	primarily	ADV
ihlr-16489	183	17	on	on	ADP
ihlr-16489	183	18	process	process	NOUN
ihlr-16489	183	19	mandates	mandate	NOUN
ihlr-16489	183	20	rather	rather	ADV
ihlr-16489	183	21	than	than	ADP
ihlr-16489	183	22	outcome	outcome	VERB
ihlr-16489	183	23	measures	measure	NOUN
ihlr-16489	183	24	to	to	PART
ihlr-16489	183	25	implement	implement	VERB
ihlr-16489	183	26	pay	pay	NOUN
ihlr-16489	183	27	for	for	ADP
ihlr-16489	183	28	performance	performance	NOUN
ihlr-16489	183	29	.	.	PUNCT
ihlr-16489	184	1	david	david	PROPN
ihlr-16489	184	2	m.	m.	PROPN
ihlr-16489	184	3	eddy	eddy	PROPN
ihlr-16489	184	4	,	,	PUNCT
ihlr-16489	184	5	senior	senior	ADJ
ihlr-16489	184	6	advisor	advisor	NOUN
ihlr-16489	184	7	for	for	ADP
ihlr-16489	184	8	health	health	NOUN
ihlr-16489	184	9	policy	policy	NOUN
ihlr-16489	184	10	and	and	CCONJ
ihlr-16489	184	11	management	management	NOUN
ihlr-16489	184	12	at	at	ADP
ihlr-16489	184	13	kaiser	kaiser	PROPN
ihlr-16489	184	14	permanente	permanente	PROPN
ihlr-16489	184	15	,	,	PUNCT
ihlr-16489	184	16	acknowledges	acknowledge	VERB
ihlr-16489	184	17	that	that	SCONJ
ihlr-16489	184	18	••a	••a	ADJ
ihlr-16489	184	19	process	process	NOUN
ihlr-16489	184	20	measure	measure	NOUN
ihlr-16489	184	21	,	,	PUNCT
ihlr-16489	184	22	by	by	ADP
ihlr-16489	184	23	its	its	PRON
ihlr-16489	184	24	very	very	ADJ
ihlr-16489	184	25	nature	nature	NOUN
ihlr-16489	184	26	,	,	PUNCT
ihlr-16489	184	27	micromanages	micromanage	VERB
ihlr-16489	184	28	.	.	PUNCT
ihlr-16489	185	1	instead	instead	ADV
ihlr-16489	185	2	ofleaving	ofleave	VERB
ihlr-16489	185	3	plans	plan	NOUN
ihlr-16489	185	4	free	free	ADJ
ihlr-16489	185	5	to	to	PART
ihlr-16489	185	6	set	set	VERB
ihlr-16489	185	7	their	their	PRON
ihlr-16489	185	8	own	own	ADJ
ihlr-16489	185	9	priorities	priority	NOUN
ihlr-16489	185	10	for	for	ADP
ihlr-16489	185	11	improving	improve	VERB
ihlr-16489	185	12	health	health	NOUN
ihlr-16489	185	13	outcomes	outcome	NOUN
ihlr-16489	185	14	,	,	PUNCT
ihlr-16489	185	15	a	a	DET
ihlr-16489	185	16	process	process	NOUN
ihlr-16489	185	17	measure	measure	NOUN
ihlr-16489	185	18	tells	tell	VERB
ihlr-16489	185	19	plans	plan	NOUN
ihlr-16489	185	20	precisely	precisely	ADV
ihlr-16489	185	21	what	what	PRON
ihlr-16489	185	22	their	their	PRON
ihlr-16489	185	23	priorities	priority	NOUN
ihlr-16489	185	24	should	should	AUX
ihlr-16489	185	25	be	be	AUX
ihlr-16489	185	26	.	.	PUNCT
ihlr-16489	185	27	'm	be	AUX
ihlr-16489	185	28	even	even	ADV
ihlr-16489	185	29	if	if	SCONJ
ihlr-16489	185	30	outcomes	outcome	NOUN
ihlr-16489	185	31	were	be	AUX
ihlr-16489	185	32	used	use	VERB
ihlr-16489	185	33	exclusively	exclusively	ADV
ihlr-16489	185	34	,	,	PUNCT
ihlr-16489	185	35	the	the	DET
ihlr-16489	185	36	process	process	NOUN
ihlr-16489	185	37	of	of	ADP
ihlr-16489	185	38	choosing	choose	VERB
ihlr-16489	185	39	which	which	DET
ihlr-16489	185	40	outcomes	outcome	NOUN
ihlr-16489	185	41	to	to	PART
ihlr-16489	185	42	include	include	VERB
ihlr-16489	185	43	and	and	CCONJ
ihlr-16489	185	44	deciding	decide	VERB
ihlr-16489	185	45	the	the	DET
ihlr-16489	185	46	relative	relative	ADJ
ihlr-16489	185	47	importance	importance	NOUN
ihlr-16489	185	48	of	of	ADP
ihlr-16489	185	49	each	each	DET
ihlr-16489	185	50	outcome	outcome	NOUN
ihlr-16489	185	51	would	would	AUX
ihlr-16489	185	52	necessitate	necessitate	VERB
ihlr-16489	185	53	deference	deference	NOUN
ihlr-16489	185	54	to	to	ADP
ihlr-16489	185	55	the	the	DET
ihlr-16489	185	56	values	value	NOUN
ihlr-16489	185	57	,	,	PUNCT
ihlr-16489	185	58	perspectives	perspective	NOUN
ihlr-16489	185	59	,	,	PUNCT
ihlr-16489	185	60	and	and	CCONJ
ihlr-16489	185	61	agenda	agenda	NOUN
ihlr-16489	185	62	of	of	ADP
ihlr-16489	185	63	the	the	DET
ihlr-16489	185	64	policymaker	policymaker	NOUN
ihlr-16489	185	65	.	.	PUNCT
ihlr-16489	186	1	c.	c.	PROPN
ihlr-16489	186	2	congressional	congressional	ADJ
ihlr-16489	186	3	action	action	NOUN
ihlr-16489	186	4	bipartisan	bipartisan	ADJ
ihlr-16489	186	5	congressional	congressional	ADJ
ihlr-16489	186	6	efforts	effort	NOUN
ihlr-16489	186	7	are	be	AUX
ihlr-16489	186	8	now	now	ADV
ihlr-16489	186	9	underway	underway	ADJ
ihlr-16489	186	10	to	to	PART
ihlr-16489	186	11	move	move	VERB
ihlr-16489	186	12	medicare	medicare	PROPN
ihlr-16489	186	13	beyond	beyond	ADP
ihlr-16489	186	14	demonstrations	demonstration	NOUN
ihlr-16489	186	15	into	into	ADP
ihlr-16489	186	16	a	a	DET
ihlr-16489	186	17	full	full	ADJ
ihlr-16489	186	18	-	-	PUNCT
ihlr-16489	186	19	scale	scale	NOUN
ihlr-16489	186	20	pay	pay	NOUN
ihlr-16489	186	21	-	-	PUNCT
ihlr-16489	186	22	for	for	ADP
ihlr-16489	186	23	-	-	PUNCT
ihlr-16489	186	24	performance	performance	NOUN
ihlr-16489	186	25	reimbursement	reimbursement	NOUN
ihlr-16489	186	26	system	system	NOUN
ihlr-16489	186	27	.	.	PUNCT
ihlr-16489	187	1	cms	cms	NOUN
ihlr-16489	187	2	administrator	administrator	NOUN
ihlr-16489	187	3	mark	mark	PROPN
ihlr-16489	187	4	mcclellan	mcclellan	PROPN
ihlr-16489	187	5	appears	appear	VERB
ihlr-16489	187	6	determined	determine	VERB
ihlr-16489	187	7	to	to	PART
ihlr-16489	187	8	move	move	VERB
ihlr-16489	187	9	ahead	ahead	ADV
ihlr-16489	187	10	with	with	ADP
ihlr-16489	187	11	a	a	DET
ihlr-16489	187	12	medicare	medicare	PROPN
ihlr-16489	187	13	pay	pay	VERB
ihlr-16489	187	14	-	-	PUNCT
ihlr-16489	187	15	for	for	ADP
ihlr-16489	187	16	-	-	PUNCT
ihlr-16489	187	17	performance	performance	NOUN
ihlr-16489	187	18	expansion	expansion	NOUN
ihlr-16489	187	19	under	under	ADP
ihlr-16489	187	20	the	the	DET
ihlr-16489	187	21	regulatory	regulatory	ADJ
ihlr-16489	187	22	prerogatives	prerogative	NOUN
ihlr-16489	187	23	ofhis	ofhis	NOUN
ihlr-16489	187	24	agency	agency	NOUN
ihlr-16489	187	25	.	.	PUNCT
ihlr-16489	188	1	he	he	PRON
ihlr-16489	188	2	is	be	AUX
ihlr-16489	188	3	making	make	VERB
ihlr-16489	188	4	the	the	DET
ihlr-16489	188	5	effort	effort	NOUN
ihlr-16489	188	6	one	one	NUM
ihlr-16489	188	7	ofhis	ofhis	PRON
ihlr-16489	188	8	top	top	ADJ
ihlr-16489	188	9	priorities	priority	NOUN
ihlr-16489	188	10	and	and	CCONJ
ihlr-16489	188	11	recently	recently	ADV
ihlr-16489	188	12	speculated	speculate	VERB
ihlr-16489	188	13	that	that	SCONJ
ihlr-16489	188	14	within	within	ADP
ihlr-16489	188	15	the	the	DET
ihlr-16489	188	16	next	next	ADJ
ihlr-16489	188	17	five	five	NUM
ihlr-16489	188	18	to	to	PART
ihlr-16489	188	19	ten	ten	NUM
ihlr-16489	188	20	years	year	NOUN
ihlr-16489	188	21	,	,	PUNCT
ihlr-16489	188	22	performance	performance	NOUN
ihlr-16489	188	23	-	-	PUNCT
ihlr-16489	188	24	based	base	VERB
ihlr-16489	188	25	compensation	compensation	NOUN
ihlr-16489	188	26	could	could	AUX
ihlr-16489	188	27	comprise	comprise	VERB
ihlr-16489	188	28	up	up	ADP
ihlr-16489	188	29	to	to	PART
ihlr-16489	188	30	thirty	thirty	NUM
ihlr-16489	188	31	percent	percent	NOUN
ihlr-16489	188	32	of	of	ADP
ihlr-16489	188	33	the	the	DET
ihlr-16489	188	34	government	government	NOUN
ihlr-16489	188	35	's	's	PART
ihlr-16489	188	36	payments	payment	NOUN
ihlr-16489	188	37	to	to	ADP
ihlr-16489	188	38	providers	provider	NOUN
ihlr-16489	188	39	.	.	PUNCT
ihlr-16489	189	1	28	28	NUM
ihlr-16489	190	1	any	any	DET
ihlr-16489	190	2	national	national	PROPN
ihlr-16489	190	3	medicare	medicare	PROPN
ihlr-16489	190	4	pay	pay	VERB
ihlr-16489	190	5	-	-	PUNCT
ihlr-16489	190	6	for	for	ADP
ihlr-16489	190	7	-	-	PUNCT
ihlr-16489	190	8	performance	performance	NOUN
ihlr-16489	190	9	payment	payment	NOUN
ihlr-16489	190	10	system	system	NOUN
ihlr-16489	190	11	will	will	AUX
ihlr-16489	190	12	likely	likely	ADV
ihlr-16489	190	13	be	be	AUX
ihlr-16489	190	14	similar	similar	ADJ
ihlr-16489	190	15	to	to	ADP
ihlr-16489	190	16	the	the	DET
ihlr-16489	190	17	cms	cms	NOUN
ihlr-16489	190	18	demonstration	demonstration	NOUN
ihlr-16489	190	19	initiatives	initiative	NOUN
ihlr-16489	190	20	,	,	PUNCT
ihlr-16489	190	21	emphasizing	emphasize	VERB
ihlr-16489	190	22	process	process	NOUN
ihlr-16489	190	23	over	over	ADP
ihlr-16489	190	24	outcome	outcome	NOUN
ihlr-16489	190	25	and	and	CCONJ
ihlr-16489	190	26	rewarding	rewarding	ADJ
ihlr-16489	190	27	compliance	compliance	NOUN
ihlr-16489	190	28	with	with	ADP
ihlr-16489	190	29	centrally	centrally	ADV
ihlr-16489	190	30	defined	define	VERB
ihlr-16489	190	31	practice	practice	NOUN
ihlr-16489	190	32	guidelines	guideline	NOUN
ihlr-16489	190	33	.	.	PUNCT
ihlr-16489	191	1	preliminary	preliminary	ADJ
ihlr-16489	191	2	reports	report	NOUN
ihlr-16489	191	3	indicate	indicate	VERB
ihlr-16489	191	4	that	that	SCONJ
ihlr-16489	191	5	the	the	DET
ihlr-16489	191	6	proposed	propose	VERB
ihlr-16489	191	7	legislation	legislation	NOUN
ihlr-16489	191	8	would	would	AUX
ihlr-16489	191	9	pay	pay	VERB
ihlr-16489	191	10	for	for	ADP
ihlr-16489	191	11	compliance	compliance	NOUN
ihlr-16489	191	12	-	-	PUNCT
ihlr-16489	191	13	based	base	VERB
ihlr-16489	191	14	bonuses	bonus	NOUN
ihlr-16489	191	15	by	by	ADP
ihlr-16489	191	16	withholding	withhold	VERB
ihlr-16489	191	17	up	up	ADP
ihlr-16489	191	18	to	to	PART
ihlr-16489	191	19	two	two	NUM
ihlr-16489	191	20	percent	percent	NOUN
ihlr-16489	191	21	of	of	ADP
ihlr-16489	191	22	regular	regular	ADJ
ihlr-16489	191	23	reimbursements	reimbursement	NOUN
ihlr-16489	191	24	from	from	ADP
ihlr-16489	191	25	all	all	DET
ihlr-16489	191	26	physicians	physician	NOUN
ihlr-16489	191	27	.	.	PUNCT
ihlr-16489	192	1	29	29	NUM
ihlr-16489	192	2	in	in	ADP
ihlr-16489	192	3	other	other	ADJ
ihlr-16489	192	4	words	word	NOUN
ihlr-16489	192	5	,	,	PUNCT
ihlr-16489	192	6	most	most	ADJ
ihlr-16489	192	7	doctors	doctor	NOUN
ihlr-16489	192	8	would	would	AUX
ihlr-16489	192	9	receive	receive	VERB
ihlr-16489	192	10	less	less	ADJ
ihlr-16489	192	11	so	so	ADV
ihlr-16489	192	12	some	some	PRON
ihlr-16489	192	13	could	could	AUX
ihlr-16489	192	14	receive	receive	VERB
ihlr-16489	192	15	more	more	ADJ
ihlr-16489	192	16	.	.	PUNCT
ihlr-16489	193	1	this	this	PRON
ihlr-16489	193	2	·	·	PUNCT
ihlr-16489	193	3	is	be	AUX
ihlr-16489	193	4	not	not	PART
ihlr-16489	193	5	quality	quality	NOUN
ihlr-16489	193	6	-	-	PUNCT
ihlr-16489	193	7	based	base	VERB
ihlr-16489	193	8	compensation	compensation	NOUN
ihlr-16489	193	9	;	;	PUNCT
ihlr-16489	193	10	it	it	PRON
ihlr-16489	193	11	is	be	AUX
ihlr-16489	193	12	redistribution	redistribution	NOUN
ihlr-16489	193	13	of	of	ADP
ihlr-16489	193	14	income	income	NOUN
ihlr-16489	193	15	toward	toward	ADP
ihlr-16489	193	16	those	those	DET
ihlr-16489	193	17	providers	provider	NOUN
ihlr-16489	193	18	who	who	PRON
ihlr-16489	193	19	subordinate	subordinate	VERB
ihlr-16489	193	20	their	their	PRON
ihlr-16489	193	21	judgment	judgment	NOUN
ihlr-16489	193	22	and	and	CCONJ
ihlr-16489	193	23	creativity	creativity	NOUN
ihlr-16489	193	24	to	to	ADP
ihlr-16489	193	25	the	the	DET
ihlr-16489	193	26	mandated	mandate	VERB
ihlr-16489	193	27	protocols	protocol	NOUN
ihlr-16489	193	28	most	most	ADV
ihlr-16489	193	29	successfully	successfully	ADV
ihlr-16489	193	30	.	.	PUNCT
ihlr-16489	194	1	26	26	NUM
ihlr-16489	194	2	.	.	PUNCT
ihlr-16489	195	1	gregory	gregory	PROPN
ihlr-16489	195	2	c.	c.	PROPN
ihlr-16489	195	3	pope	pope	PROPN
ihlr-16489	195	4	et	et	PROPN
ihlr-16489	195	5	al	al	PROPN
ihlr-16489	195	6	.	.	PROPN
ihlr-16489	195	7	,	,	PUNCT
ihlr-16489	195	8	physician	physician	NOUN
ihlr-16489	195	9	group	group	NOUN
ihlr-16489	195	10	practice	practice	NOUN
ihlr-16489	195	11	(	(	PUNCT
ihlr-16489	195	12	pgp	pgp	NOUN
ihlr-16489	195	13	)	)	PUNCT
ihlr-16489	195	14	demonstration	demonstration	NOUN
ihlr-16489	195	15	design	design	NOUN
ihlr-16489	195	16	report	report	NOUN
ihlr-16489	195	17	,	,	PUNCT
ihlr-16489	195	18	at	at	ADP
ihlr-16489	195	19	http://www	http://www	PROPN
ihlr-16489	195	20	.cms.hhs.gov	.cms.hhs.gov	VERB
ihlr-16489	195	21	/	/	SYM
ihlr-16489	195	22	healthplans	healthplans	PROPN
ihlr-16489	195	23	/	/	SYM
ihlr-16489	195	24	research	research	NOUN
ihlr-16489	195	25	/	/	SYM
ihlr-16489	195	26	pgpdemorpt.pdf	pgpdemorpt.pdf	PROPN
ihlr-16489	195	27	(	(	PUNCT
ihlr-16489	195	28	last	last	ADV
ihlr-16489	195	29	visited	visit	VERB
ihlr-16489	195	30	aug	aug	PROPN
ihlr-16489	195	31	.	.	PROPN
ihlr-16489	195	32	30	30	NUM
ihlr-16489	195	33	,	,	PUNCT
ihlr-16489	195	34	2005	2005	NUM
ihlr-16489	195	35	)	)	PUNCT
ihlr-16489	195	36	.	.	PUNCT
ihlr-16489	196	1	27	27	NUM
ihlr-16489	196	2	.	.	PUNCT
ihlr-16489	197	1	david	david	PROPN
ihlr-16489	197	2	m.	m.	PROPN
ihlr-16489	197	3	eddy	eddy	PROPN
ihlr-16489	197	4	,	,	PUNCT
ihlr-16489	197	5	peiformance	peiformance	NOUN
ihlr-16489	197	6	measurement	measurement	NOUN
ihlr-16489	197	7	:	:	PUNCT
ihlr-16489	197	8	problems	problem	NOUN
ihlr-16489	197	9	and	and	CCONJ
ihlr-16489	197	10	solutions	solution	NOUN
ihlr-16489	197	11	,	,	PUNCT
ihlr-16489	197	12	17(4	17(4	NUM
ihlr-16489	197	13	)	)	PUNCT
ihlr-16489	197	14	health	health	NOUN
ihlr-16489	197	15	aff	aff	PROPN
ihlr-16489	197	16	.	.	PROPN
ihlr-16489	198	1	7	7	NUM
ihlr-16489	198	2	,	,	PUNCT
ihlr-16489	198	3	18	18	NUM
ihlr-16489	198	4	(	(	PUNCT
ihlr-16489	198	5	1998	1998	NUM
ihlr-16489	198	6	)	)	PUNCT
ihlr-16489	198	7	.	.	PUNCT
ihlr-16489	199	1	28	28	NUM
ihlr-16489	199	2	.	.	X
ihlr-16489	199	3	cal	cal	X
ihlr-16489	199	4	.	.	PUNCT
ihlr-16489	200	1	healthcare	healthcare	PROPN
ihlr-16489	200	2	found	find	VERB
ihlr-16489	200	3	.	.	PUNCT
ihlr-16489	201	1	,	,	PUNCT
ihlr-16489	201	2	pay	pay	VERB
ihlr-16489	201	3	-	-	PUNCT
ihlr-16489	201	4	for	for	ADP
ihlr-16489	201	5	-	-	PUNCT
ihlr-16489	201	6	performance	performance	NOUN
ihlr-16489	201	7	programs	program	NOUN
ihlr-16489	201	8	draw	draw	VERB
ihlr-16489	201	9	mixed	mixed	ADJ
ihlr-16489	201	10	reviews	review	NOUN
ihlr-16489	201	11	,	,	PUNCT
ihlr-16489	201	12	http	http	ADJ
ihlr-16489	201	13	:	:	PUNCT
ihlr-16489	201	14	l	l	NOUN
ihlr-16489	201	15	/	/	SYM
ihlr-16489	201	16	www.ihealthbeat.orglindex.cfm?action	www.ihealthbeat.orglindex.cfm?action	NOUN
ihlr-16489	201	17	=	=	SYM
ihlr-16489	201	18	dspltem&itemid=	dspltem&itemid=	NOUN
ihlr-16489	201	19	105722	105722	NUM
ihlr-16489	201	20	(	(	PUNCT
ihlr-16489	201	21	last	last	ADJ
ihlr-16489	201	22	visited	visit	VERB
ihlr-16489	201	23	may	may	AUX
ihlr-16489	201	24	20	20	NUM
ihlr-16489	201	25	,	,	PUNCT
ihlr-16489	201	26	2006	2006	NUM
ihlr-16489	201	27	)	)	PUNCT
ihlr-16489	201	28	.	.	PUNCT
ihlr-16489	202	1	29	29	NUM
ihlr-16489	202	2	.	.	X
ihlr-16489	203	1	e	e	X
ihlr-16489	203	2	-	-	NOUN
ihlr-16489	203	3	mail	mail	NOUN
ihlr-16489	203	4	from	from	ADP
ihlr-16489	203	5	renal	renal	ADJ
ihlr-16489	203	6	physicians	physician	NOUN
ihlr-16489	203	7	ass'n	ass'n	PROPN
ihlr-16489	203	8	,	,	PUNCT
ihlr-16489	203	9	to	to	ADP
ihlr-16489	203	10	rpa	rpa	PROPN
ihlr-16489	203	11	members	member	NOUN
ihlr-16489	203	12	(	(	PUNCT
ihlr-16489	203	13	july	july	PROPN
ihlr-16489	203	14	15	15	NUM
ihlr-16489	203	15	,	,	PUNCT
ihlr-16489	203	16	2005	2005	NUM
ihlr-16489	203	17	)	)	PUNCT
ihlr-16489	203	18	,	,	PUNCT
ihlr-16489	203	19	at	at	ADP
ihlr-16489	203	20	http://www.renalmd.orglblastemaivjulyos.html	http://www.renalmd.orglblastemaivjulyos.html	NUM
ihlr-16489	203	21	(	(	PUNCT
ihlr-16489	203	22	last	last	ADJ
ihlr-16489	203	23	visited	visit	VERB
ihlr-16489	203	24	may	may	AUX
ihlr-16489	203	25	20	20	NUM
ihlr-16489	203	26	,	,	PUNCT
ihlr-16489	203	27	2006	2006	NUM
ihlr-16489	203	28	)	)	PUNCT
ihlr-16489	203	29	.	.	PUNCT
ihlr-16489	204	1	406	406	NUM
ihlr-16489	204	2	indiana	indiana	PROPN
ihlr-16489	204	3	health	health	PROPN
ihlr-16489	204	4	law	law	NOUN
ihlr-16489	204	5	review	review	NOUN
ihlr-16489	204	6	[	[	X
ihlr-16489	204	7	vol	vol	NOUN
ihlr-16489	204	8	.	.	PUNCT
ihlr-16489	204	9	3:391	3:391	NUM
ihlr-16489	204	10	because	because	SCONJ
ihlr-16489	204	11	of	of	ADP
ihlr-16489	204	12	medicare	medicare	PROPN
ihlr-16489	204	13	's	's	PART
ihlr-16489	204	14	vast	vast	ADJ
ihlr-16489	204	15	size	size	NOUN
ihlr-16489	204	16	,	,	PUNCT
ihlr-16489	204	17	the	the	DET
ihlr-16489	204	18	change	change	NOUN
ihlr-16489	204	19	would	would	AUX
ihlr-16489	204	20	reverberate	reverberate	VERB
ihlr-16489	204	21	throughout	throughout	ADP
ihlr-16489	204	22	the	the	DET
ihlr-16489	204	23	private	private	ADJ
ihlr-16489	204	24	payer	payer	NOUN
ihlr-16489	204	25	system	system	NOUN
ihlr-16489	204	26	,	,	PUNCT
ihlr-16489	204	27	compounding	compound	VERB
ihlr-16489	204	28	its	its	PRON
ihlr-16489	204	29	effect	effect	NOUN
ihlr-16489	204	30	.	.	PUNCT
ihlr-16489	205	1	with	with	ADP
ihlr-16489	205	2	almost	almost	ADV
ihlr-16489	205	3	forty	forty	NUM
ihlr-16489	205	4	-	-	PUNCT
ihlr-16489	205	5	two	two	NUM
ihlr-16489	205	6	million	million	NUM
ihlr-16489	205	7	enrollees	enrollee	NOUN
ihlr-16489	205	8	and	and	CCONJ
ihlr-16489	205	9	$	$	SYM
ihlr-16489	205	10	290	290	NUM
ihlr-16489	205	11	billion	billion	NUM
ihlr-16489	205	12	in	in	ADP
ihlr-16489	205	13	annual	annual	ADJ
ihlr-16489	205	14	expenditures	expenditure	NOUN
ihlr-16489	205	15	,	,	PUNCT
ihlr-16489	205	16	which	which	PRON
ihlr-16489	205	17	will	will	AUX
ihlr-16489	205	18	dramatically	dramatically	ADV
ihlr-16489	205	19	increase	increase	VERB
ihlr-16489	205	20	in	in	ADP
ihlr-16489	205	21	2006	2006	NUM
ihlr-16489	205	22	when	when	SCONJ
ihlr-16489	205	23	the	the	DET
ihlr-16489	205	24	medicare	medicare	PROPN
ihlr-16489	205	25	part	part	NOUN
ihlr-16489	205	26	d	d	PROPN
ihlr-16489	205	27	drug	drug	NOUN
ihlr-16489	205	28	entitlement	entitlement	NOUN
ihlr-16489	205	29	takes	take	VERB
ihlr-16489	205	30	effect	effect	NOUN
ihlr-16489	205	31	,	,	PUNCT
ihlr-16489	205	32	medicare	medicare	PROPN
ihlr-16489	205	33	is	be	AUX
ihlr-16489	205	34	the	the	DET
ihlr-16489	205	35	largest	large	ADJ
ihlr-16489	205	36	purchaser	purchaser	NOUN
ihlr-16489	205	37	ofhealth	ofhealth	NOUN
ihlr-16489	205	38	services	service	NOUN
ihlr-16489	205	39	in	in	ADP
ihlr-16489	205	40	the	the	DET
ihlr-16489	205	41	united	united	PROPN
ihlr-16489	205	42	states.30	states.30	PROPN
ihlr-16489	205	43	in	in	ADP
ihlr-16489	205	44	an	an	DET
ihlr-16489	205	45	open	open	ADJ
ihlr-16489	205	46	letter	letter	NOUN
ihlr-16489	205	47	published	publish	VERB
ihlr-16489	205	48	in	in	ADP
ihlr-16489	205	49	health	health	NOUN
ihlr-16489	205	50	affairs	affair	NOUN
ihlr-16489	205	51	,	,	PUNCT
ihlr-16489	205	52	medicare	medicare	PROPN
ihlr-16489	205	53	pay	pay	PROPN
ihlr-16489	205	54	-	-	PUNCT
ihlr-16489	205	55	for­	for­	PROPN
ihlr-16489	205	56	performance	performance	NOUN
ihlr-16489	205	57	advocates	advocate	NOUN
ihlr-16489	205	58	point	point	VERB
ihlr-16489	205	59	out	out	ADP
ihlr-16489	205	60	that	that	SCONJ
ihlr-16489	205	61	..	..	PUNCT
ihlr-16489	206	1	a	a	DET
ihlr-16489	206	2	major	major	ADJ
ihlr-16489	206	3	initiative	initiative	NOUN
ihlr-16489	206	4	by	by	ADP
ihlr-16489	206	5	medicare	medicare	PROPN
ihlr-16489	206	6	to	to	PART
ihlr-16489	206	7	pay	pay	VERB
ihlr-16489	206	8	for	for	ADP
ihlr-16489	206	9	performance	performance	NOUN
ihlr-16489	206	10	can	can	AUX
ihlr-16489	206	11	be	be	AUX
ihlr-16489	206	12	expected	expect	VERB
ihlr-16489	206	13	to	to	PART
ihlr-16489	206	14	stimulate	stimulate	VERB
ihlr-16489	206	15	similar	similar	ADJ
ihlr-16489	206	16	efforts	effort	NOUN
ihlr-16489	206	17	by	by	ADP
ihlr-16489	206	18	private	private	ADJ
ihlr-16489	206	19	payers	payer	NOUN
ihlr-16489	206	20	,	,	PUNCT
ihlr-16489	206	21	just	just	ADV
ihlr-16489	206	22	as	as	SCONJ
ihlr-16489	206	23	medicare	medicare	PROPN
ihlr-16489	206	24	's	's	PART
ihlr-16489	206	25	adoption	adoption	NOUN
ihlr-16489	206	26	of	of	ADP
ihlr-16489	206	27	prospective	prospective	ADJ
ihlr-16489	206	28	payment	payment	NOUN
ihlr-16489	206	29	for	for	ADP
ihlr-16489	206	30	hospitals	hospital	NOUN
ihlr-16489	206	31	did	do	VERB
ihlr-16489	206	32	two	two	NUM
ihlr-16489	206	33	decades	decade	NOUN
ihlr-16489	206	34	ago	ago	ADV
ihlr-16489	206	35	.	.	PUNCT
ihlr-16489	207	1	"31	"31	PUNCT
ihlr-16489	208	1	v.	v.	ADP
ihlr-16489	208	2	problems	problem	NOUN
ihlr-16489	208	3	of	of	ADP
ihlr-16489	208	4	the	the	DET
ihlr-16489	208	5	medicare	medicare	PROPN
ihlr-16489	208	6	pay	pay	VERB
ihlr-16489	208	7	-	-	PUNCT
ihlr-16489	208	8	for	for	ADP
ihlr-16489	208	9	-	-	PUNCT
ihlr-16489	208	10	performance	performance	NOUN
ihlr-16489	208	11	project	project	NOUN
ihlr-16489	208	12	before	before	ADP
ihlr-16489	208	13	launching	launch	VERB
ihlr-16489	208	14	medicare	medicare	PROPN
ihlr-16489	208	15	into	into	ADP
ihlr-16489	208	16	a	a	DET
ihlr-16489	208	17	pay	pay	VERB
ihlr-16489	208	18	-	-	PUNCT
ihlr-16489	208	19	for	for	ADP
ihlr-16489	208	20	-	-	PUNCT
ihlr-16489	208	21	performance	performance	NOUN
ihlr-16489	208	22	program	program	NOUN
ihlr-16489	208	23	,	,	PUNCT
ihlr-16489	208	24	congress	congress	PROPN
ihlr-16489	208	25	should	should	AUX
ihlr-16489	208	26	consider	consider	VERB
ihlr-16489	208	27	the	the	DET
ihlr-16489	208	28	problems	problem	NOUN
ihlr-16489	208	29	that	that	PRON
ihlr-16489	208	30	will	will	AUX
ihlr-16489	208	31	necessarily	necessarily	ADV
ihlr-16489	208	32	arise	arise	VERB
ihlr-16489	208	33	out	out	ADP
ihlr-16489	208	34	of	of	ADP
ihlr-16489	208	35	a	a	DET
ihlr-16489	208	36	medicare	medicare	NOUN
ihlr-16489	208	37	payment	payment	NOUN
ihlr-16489	208	38	system	system	NOUN
ihlr-16489	208	39	that	that	PRON
ihlr-16489	208	40	requires	require	VERB
ihlr-16489	208	41	adherence	adherence	NOUN
ihlr-16489	208	42	to	to	ADP
ihlr-16489	208	43	centrally	centrally	ADV
ihlr-16489	208	44	defined	define	VERB
ihlr-16489	208	45	protocols	protocol	NOUN
ihlr-16489	208	46	.	.	PUNCT
ihlr-16489	209	1	congress	congress	PROPN
ihlr-16489	209	2	can	can	AUX
ihlr-16489	209	3	not	not	PART
ihlr-16489	209	4	safely	safely	ADV
ihlr-16489	209	5	ignore	ignore	VERB
ihlr-16489	209	6	these	these	DET
ihlr-16489	209	7	difficulties	difficulty	NOUN
ihlr-16489	209	8	.	.	PUNCT
ihlr-16489	210	1	a.	a.	NOUN
ihlr-16489	210	2	problem	problem	NOUN
ihlr-16489	210	3	#	#	SYM
ihlr-16489	210	4	1	1	NUM
ihlr-16489	210	5	:	:	PUNCT
ihlr-16489	210	6	limitations	limitation	VERB
ihlr-16489	210	7	ofevidence	ofevidence	NOUN
ihlr-16489	210	8	-	-	PUNCT
ihlr-16489	210	9	based	base	VERB
ihlr-16489	210	10	medicine	medicine	NOUN
ihlr-16489	210	11	the	the	DET
ihlr-16489	210	12	gold	gold	ADJ
ihlr-16489	210	13	standard	standard	NOUN
ihlr-16489	210	14	of	of	ADP
ihlr-16489	210	15	evidence	evidence	NOUN
ihlr-16489	210	16	in	in	ADP
ihlr-16489	210	17	evidence	evidence	NOUN
ihlr-16489	210	18	-	-	PUNCT
ihlr-16489	210	19	based	base	VERB
ihlr-16489	210	20	medicine	medicine	NOUN
ihlr-16489	210	21	is	be	AUX
ihlr-16489	210	22	a	a	DET
ihlr-16489	210	23	combination	combination	NOUN
ihlr-16489	210	24	of	of	ADP
ihlr-16489	210	25	double	double	ADJ
ihlr-16489	210	26	-	-	PUNCT
ihlr-16489	210	27	blind	blind	ADJ
ihlr-16489	210	28	,	,	PUNCT
ihlr-16489	210	29	randomized	randomize	VERB
ihlr-16489	210	30	,	,	PUNCT
ihlr-16489	210	31	controlled	control	VERB
ihlr-16489	210	32	trials	trial	NOUN
ihlr-16489	210	33	and	and	CCONJ
ihlr-16489	210	34	a	a	DET
ihlr-16489	210	35	systematic	systematic	ADJ
ihlr-16489	210	36	review	review	NOUN
ihlr-16489	210	37	of	of	ADP
ihlr-16489	210	38	medical	medical	ADJ
ihlr-16489	210	39	studies	study	NOUN
ihlr-16489	210	40	called	call	VERB
ihlr-16489	210	41	meta	meta	ADJ
ihlr-16489	210	42	-	-	PUNCT
ihlr-16489	210	43	analysis	analysis	NOUN
ihlr-16489	210	44	.	.	PUNCT
ihlr-16489	211	1	although	although	SCONJ
ihlr-16489	211	2	it	it	PRON
ihlr-16489	211	3	is	be	AUX
ihlr-16489	211	4	conceptually	conceptually	ADV
ihlr-16489	211	5	attractive	attractive	ADJ
ihlr-16489	211	6	because	because	SCONJ
ihlr-16489	211	7	of	of	ADP
ihlr-16489	211	8	its	its	PRON
ihlr-16489	211	9	appeal	appeal	NOUN
ihlr-16489	211	10	to	to	ADP
ihlr-16489	211	11	statistics	statistic	NOUN
ihlr-16489	211	12	,	,	PUNCT
ihlr-16489	211	13	no	no	DET
ihlr-16489	211	14	evidence	evidence	NOUN
ihlr-16489	211	15	supports	support	VERB
ihlr-16489	211	16	overriding	override	VERB
ihlr-16489	211	17	the	the	DET
ihlr-16489	211	18	treating	treat	VERB
ihlr-16489	211	19	physician	physician	NOUN
ihlr-16489	211	20	's	's	PART
ihlr-16489	211	21	medical	medical	ADJ
ihlr-16489	211	22	decisions	decision	NOUN
ihlr-16489	211	23	with	with	ADP
ihlr-16489	211	24	rct	rct	PROPN
ihlr-16489	211	25	-	-	PUNCT
ihlr-16489	211	26	based	base	VERB
ihlr-16489	211	27	guidelines	guideline	NOUN
ihlr-16489	211	28	issued	issue	VERB
ihlr-16489	211	29	by	by	ADP
ihlr-16489	211	30	a	a	DET
ihlr-16489	211	31	third	third	ADJ
ihlr-16489	211	32	party	party	NOUN
ihlr-16489	211	33	who	who	PRON
ihlr-16489	211	34	has	have	AUX
ihlr-16489	211	35	never	never	ADV
ihlr-16489	211	36	even	even	ADV
ihlr-16489	211	37	seen	see	VERB
ihlr-16489	211	38	the	the	DET
ihlr-16489	211	39	patient	patient	NOUN
ihlr-16489	211	40	.	.	PUNCT
ihlr-16489	212	1	in	in	ADP
ihlr-16489	212	2	2004	2004	NUM
ihlr-16489	212	3	,	,	PUNCT
ihlr-16489	212	4	the	the	DET
ihlr-16489	212	5	agency	agency	NOUN
ihlr-16489	212	6	for	for	ADP
ihlr-16489	212	7	healthcare	healthcare	PROPN
ihlr-16489	212	8	research	research	NOUN
ihlr-16489	212	9	and	and	CCONJ
ihlr-16489	212	10	quality	quality	NOUN
ihlr-16489	212	11	(	(	PUNCT
ihlr-16489	212	12	"	"	PUNCT
ihlr-16489	212	13	ahrq	ahrq	PROPN
ihlr-16489	212	14	''	''	PUNCT
ihlr-16489	212	15	)	)	PUNCT
ihlr-16489	212	16	in	in	ADP
ihlr-16489	212	17	the	the	DET
ihlr-16489	212	18	u.s	u.s	PROPN
ihlr-16489	212	19	.	.	PROPN
ihlr-16489	212	20	department	department	PROPN
ihlr-16489	212	21	ofhealth	ofhealth	PROPN
ihlr-16489	212	22	and	and	CCONJ
ihlr-16489	212	23	human	human	ADJ
ihlr-16489	212	24	services	service	NOUN
ihlr-16489	212	25	reviewed	review	VERB
ihlr-16489	212	26	the	the	DET
ihlr-16489	212	27	literature	literature	NOUN
ihlr-16489	212	28	related	relate	VERB
ihlr-16489	212	29	to	to	ADP
ihlr-16489	212	30	the	the	DET
ihlr-16489	212	31	efficacy	efficacy	NOUN
ihlr-16489	212	32	ofebm­	ofebm­	PROPN
ihlr-16489	212	33	based	base	VERB
ihlr-16489	212	34	compensation	compensation	NOUN
ihlr-16489	212	35	,	,	PUNCT
ihlr-16489	212	36	which	which	PRON
ihlr-16489	212	37	it	it	PRON
ihlr-16489	212	38	referred	refer	VERB
ihlr-16489	212	39	to	to	ADP
ihlr-16489	212	40	as	as	ADP
ihlr-16489	212	41	..	..	PUNCT
ihlr-16489	212	42	quality	quality	NOUN
ihlr-16489	212	43	-	-	PUNCT
ihlr-16489	212	44	based	base	VERB
ihlr-16489	212	45	purchasing	purchasing	NOUN
ihlr-16489	212	46	.	.	PUNCT
ihlr-16489	212	47	"	"	PUNCT
ihlr-16489	213	1	the	the	DET
ihlr-16489	213	2	review	review	NOUN
ihlr-16489	213	3	found	find	VERB
ihlr-16489	213	4	"	"	PUNCT
ihlr-16489	213	5	only	only	ADV
ihlr-16489	213	6	nine	nine	NUM
ihlr-16489	213	7	randomized	randomized	ADJ
ihlr-16489	213	8	controlled	control	VERB
ihlr-16489	213	9	trials	trial	NOUN
ihlr-16489	213	10	"	"	PUNCT
ihlr-16489	213	11	and	and	CCONJ
ihlr-16489	213	12	concluded	conclude	VERB
ihlr-16489	213	13	that	that	SCONJ
ihlr-16489	213	14	"	"	PUNCT
ihlr-16489	213	15	little	little	ADJ
ihlr-16489	213	16	unequivocal	unequivocal	ADJ
ihlr-16489	213	17	data	datum	NOUN
ihlr-16489	213	18	"	"	PUNCT
ihlr-16489	213	19	supported	support	VERB
ihlr-16489	213	20	this	this	DET
ihlr-16489	213	21	approach.32	approach.32	VERB
ihlr-16489	213	22	the	the	DET
ihlr-16489	213	23	premise	premise	NOUN
ihlr-16489	213	24	of	of	ADP
ihlr-16489	213	25	rcts	rct	NOUN
ihlr-16489	213	26	as	as	ADP
ihlr-16489	213	27	objective	objective	ADJ
ihlr-16489	213	28	verification	verification	NOUN
ihlr-16489	213	29	of	of	ADP
ihlr-16489	213	30	"	"	PUNCT
ihlr-16489	213	31	best	good	ADJ
ihlr-16489	213	32	practice	practice	NOUN
ihlr-16489	213	33	"	"	PUNCT
ihlr-16489	213	34	encounters	encounter	VERB
ihlr-16489	213	35	several	several	ADJ
ihlr-16489	213	36	other	other	ADJ
ihlr-16489	213	37	serious	serious	ADJ
ihlr-16489	213	38	conceptual	conceptual	ADJ
ihlr-16489	213	39	problems	problem	NOUN
ihlr-16489	213	40	.	.	PUNCT
ihlr-16489	214	1	first	first	ADV
ihlr-16489	214	2	,	,	PUNCT
ihlr-16489	214	3	rcts	rct	NOUN
ihlr-16489	214	4	can	can	AUX
ihlr-16489	214	5	conflict	conflict	VERB
ihlr-16489	214	6	with	with	ADP
ihlr-16489	214	7	one	one	NUM
ihlr-16489	214	8	another	another	DET
ihlr-16489	214	9	.	.	PUNCT
ihlr-16489	215	1	in	in	ADP
ihlr-16489	215	2	july	july	PROPN
ihlr-16489	215	3	2002	2002	NUM
ihlr-16489	215	4	,	,	PUNCT
ihlr-16489	215	5	scientists	scientist	NOUN
ihlr-16489	215	6	conducting	conduct	VERB
ihlr-16489	215	7	the	the	DET
ihlr-16489	215	8	women	woman	NOUN
ihlr-16489	215	9	's	's	PART
ihlr-16489	215	10	health	health	NOUN
ihlr-16489	215	11	initiative	initiative	NOUN
ihlr-16489	215	12	found	find	VERB
ihlr-16489	215	13	that	that	SCONJ
ihlr-16489	215	14	preempro	preempro	ADJ
ihlr-16489	215	15	,	,	PUNCT
ihlr-16489	215	16	a	a	DET
ihlr-16489	215	17	hormone	hormone	NOUN
ihlr-16489	215	18	replacement	replacement	NOUN
ihlr-16489	215	19	therapy	therapy	NOUN
ihlr-16489	215	20	drug	drug	NOUN
ihlr-16489	215	21	,	,	PUNCT
ihlr-16489	215	22	had	have	VERB
ihlr-16489	215	23	risks	risk	NOUN
ihlr-16489	215	24	ofheart	ofheart	NOUN
ihlr-16489	215	25	attacks	attack	NOUN
ihlr-16489	215	26	exceeding	exceed	VERB
ihlr-16489	215	27	its	its	PRON
ihlr-16489	215	28	benefits	benefit	NOUN
ihlr-16489	215	29	.	.	PUNCT
ihlr-16489	216	1	these	these	DET
ihlr-16489	216	2	results	result	NOUN
ihlr-16489	216	3	directly	directly	ADV
ihlr-16489	216	4	contradicted	contradict	VERB
ihlr-16489	216	5	the	the	DET
ihlr-16489	216	6	results	result	NOUN
ihlr-16489	216	7	of	of	ADP
ihlr-16489	216	8	several	several	ADJ
ihlr-16489	216	9	other	other	ADJ
ihlr-16489	216	10	previous	previous	ADJ
ihlr-16489	216	11	and	and	CCONJ
ihlr-16489	216	12	ongoing	ongoing	ADJ
ihlr-16489	216	13	rcts	rct	NOUN
ihlr-16489	216	14	,	,	PUNCT
ihlr-16489	216	15	which	which	PRON
ihlr-16489	216	16	showed	show	VERB
ihlr-16489	216	17	a	a	DET
ihlr-16489	216	18	reduced	reduced	ADJ
ihlr-16489	216	19	30	30	NUM
ihlr-16489	216	20	.	.	PUNCT
ihlr-16489	217	1	henry	henry	PROPN
ihlr-16489	217	2	j.	j.	PROPN
ihlr-16489	217	3	kaiser	kaiser	PROPN
ihlr-16489	217	4	family	family	PROPN
ihlr-16489	217	5	found	find	VERB
ihlr-16489	217	6	.	.	PUNCT
ihlr-16489	218	1	,	,	PUNCT
ihlr-16489	218	2	medicare	medicare	PROPN
ihlr-16489	218	3	at	at	ADP
ihlr-16489	218	4	a	a	DET
ihlr-16489	218	5	glance	glance	NOUN
ihlr-16489	218	6	,	,	PUNCT
ihlr-16489	218	7	http://www.kff.org/medicare/	http://www.kff.org/medicare/	PROPN
ihlr-16489	218	8	upload/7305.pdf(jast	upload/7305.pdf(jast	PROPN
ihlr-16489	218	9	visited	visit	VERB
ihlr-16489	218	10	may	may	AUX
ihlr-16489	218	11	20	20	NUM
ihlr-16489	218	12	,	,	PUNCT
ihlr-16489	218	13	2006	2006	NUM
ihlr-16489	218	14	)	)	PUNCT
ihlr-16489	218	15	.	.	PUNCT
ihlr-16489	219	1	31	31	NUM
ihlr-16489	219	2	.	.	X
ihlr-16489	219	3	berwick	berwick	PROPN
ihlr-16489	219	4	et	et	PROPN
ihlr-16489	219	5	al	al	PROPN
ihlr-16489	219	6	.	.	PROPN
ihlr-16489	219	7	,	,	PUNCT
ihlr-16489	219	8	payingfor	payingfor	ADP
ihlr-16489	219	9	peiformance	peiformance	NOUN
ihlr-16489	219	10	:	:	PUNCT
ihlr-16489	219	11	medicare	medicare	PROPN
ihlr-16489	219	12	should	should	AUX
ihlr-16489	219	13	lead	lead	VERB
ihlr-16489	219	14	,	,	PUNCT
ihlr-16489	219	15	22(6	22(6	NUM
ihlr-16489	219	16	)	)	PUNCT
ihlr-16489	219	17	healthaff	healthaff	NOUN
ihlr-16489	219	18	.	.	PUNCT
ihlr-16489	220	1	8	8	NUM
ihlr-16489	220	2	,	,	PUNCT
ihlr-16489	220	3	10	10	NUM
ihlr-16489	220	4	(	(	PUNCT
ihlr-16489	220	5	2003	2003	NUM
ihlr-16489	220	6	)	)	PUNCT
ihlr-16489	220	7	.	.	PUNCT
ihlr-16489	221	1	32	32	NUM
ihlr-16489	221	2	.	.	X
ihlr-16489	222	1	r.a	r.a	PROPN
ihlr-16489	222	2	.	.	PROPN
ihlr-16489	222	3	dudley	dudley	PROPN
ihlr-16489	222	4	et	et	PROPN
ihlr-16489	222	5	al	al	PROPN
ihlr-16489	222	6	.	.	PROPN
ihlr-16489	222	7	,	,	PUNCT
ihlr-16489	222	8	strategies	strategy	NOUN
ihlr-16489	222	9	to	to	PART
ihlr-16489	222	10	support	support	VERB
ihlr-16489	222	11	quality	quality	NOUN
ihlr-16489	222	12	-	-	PUNCT
ihlr-16489	222	13	based	base	VERB
ihlr-16489	222	14	purchasing	purchasing	NOUN
ihlr-16489	222	15	:	:	PUNCT
ihlr-16489	222	16	a	a	DET
ihlr-16489	222	17	review	review	NOUN
ihlr-16489	222	18	of	of	ADP
ihlr-16489	222	19	the	the	DET
ihlr-16489	222	20	evidence	evidence	NOUN
ihlr-16489	222	21	,	,	PUNCT
ihlr-16489	222	22	http://www.ahrq.gov/clinic!epcsums/qpurchsum.pdf(jast	http://www.ahrq.gov/clinic!epcsums/qpurchsum.pdf(jast	ADV
ihlr-16489	222	23	visited	visit	VERB
ihlr-16489	222	24	may	may	PROPN
ihlr-16489	222	25	20	20	NUM
ihlr-16489	222	26	,	,	PUNCT
ihlr-16489	222	27	2006	2006	NUM
ihlr-16489	222	28	)	)	PUNCT
ihlr-16489	222	29	.	.	PUNCT
ihlr-16489	223	1	2006	2006	NUM
ihlr-16489	223	2	]	]	PUNCT
ihlr-16489	223	3	pay	pay	VERB
ihlr-16489	223	4	for	for	ADP
ihlr-16489	223	5	performance	performance	NOUN
ihlr-16489	223	6	or	or	CCONJ
ihlr-16489	223	7	compliance	compliance	NOUN
ihlr-16489	223	8	?	?	PUNCT
ihlr-16489	224	1	407	407	NUM
ihlr-16489	224	2	risk	risk	NOUN
ihlr-16489	224	3	of	of	ADP
ihlr-16489	224	4	heart	heart	NOUN
ihlr-16489	224	5	disease	disease	NOUN
ihlr-16489	224	6	associated	associate	VERB
ihlr-16489	224	7	with	with	ADP
ihlr-16489	224	8	the	the	DET
ihlr-16489	224	9	drug.33	drug.33	NOUN
ihlr-16489	224	10	according	accord	VERB
ihlr-16489	224	11	to	to	ADP
ihlr-16489	224	12	dr	dr	PROPN
ihlr-16489	224	13	.	.	PROPN
ihlr-16489	224	14	r.	r.	PROPN
ihlr-16489	224	15	brian	brian	PROPN
ihlr-16489	224	16	haynes	haynes	PROPN
ihlr-16489	224	17	,	,	PUNCT
ihlr-16489	224	18	chief	chief	NOUN
ihlr-16489	224	19	of	of	ADP
ihlr-16489	224	20	the	the	DET
ihlr-16489	224	21	health	health	NOUN
ihlr-16489	224	22	information	information	PROPN
ihlr-16489	224	23	research	research	NOUN
ihlr-16489	224	24	unit	unit	NOUN
ihlr-16489	224	25	at	at	ADP
ihlr-16489	224	26	mcmaster	mcmaster	PROPN
ihlr-16489	224	27	university	university	PROPN
ihlr-16489	224	28	and	and	CCONJ
ihlr-16489	224	29	one	one	NUM
ihlr-16489	224	30	of	of	ADP
ihlr-16489	224	31	the	the	DET
ihlr-16489	224	32	originators	originator	NOUN
ihlr-16489	224	33	ofebm	ofebm	NOUN
ihlr-16489	224	34	,	,	PUNCT
ihlr-16489	224	35	"	"	PUNCT
ihlr-16489	224	36	it	it	PRON
ihlr-16489	224	37	is	be	AUX
ihlr-16489	224	38	difficult	difficult	ADJ
ihlr-16489	224	39	to	to	PART
ihlr-16489	224	40	be	be	AUX
ihlr-16489	224	41	smug	smug	ADJ
ihlr-16489	224	42	about	about	ADP
ihlr-16489	224	43	the	the	DET
ihlr-16489	224	44	superiority	superiority	NOUN
ihlr-16489	224	45	of	of	ADP
ihlr-16489	224	46	the	the	DET
ihlr-16489	224	47	research	research	NOUN
ihlr-16489	224	48	methods	method	NOUN
ihlr-16489	224	49	advocated	advocate	VERB
ihlr-16489	224	50	by	by	ADP
ihlr-16489	224	51	ebm	ebm	NOUN
ihlr-16489	224	52	when	when	SCONJ
ihlr-16489	224	53	the	the	DET
ihlr-16489	224	54	results	result	NOUN
ihlr-16489	224	55	of	of	ADP
ihlr-16489	224	56	studies	study	NOUN
ihlr-16489	224	57	that	that	PRON
ihlr-16489	224	58	are	be	AUX
ihlr-16489	224	59	similar	similar	ADJ
ihlr-16489	224	60	methodologically	methodologically	ADV
ihlr-16489	224	61	not	not	PART
ihlr-16489	224	62	infrequently	infrequently	ADV
ihlr-16489	224	63	disagree	disagree	VERB
ihlr-16489	224	64	with	with	ADP
ihlr-16489	224	65	one	one	NUM
ihlr-16489	224	66	another	another	DET
ihlr-16489	224	67	.	.	PUNCT
ihlr-16489	225	1	"34	"34	PROPN
ihlr-16489	225	2	ebm	ebm	PROPN
ihlr-16489	225	3	's	's	PART
ihlr-16489	225	4	usefulness	usefulness	NOUN
ihlr-16489	225	5	as	as	ADP
ihlr-16489	225	6	the	the	DET
ihlr-16489	225	7	primary	primary	ADJ
ihlr-16489	225	8	benchmark	benchmark	NOUN
ihlr-16489	225	9	for	for	ADP
ihlr-16489	225	10	treatment	treatment	NOUN
ihlr-16489	225	11	decisions	decision	NOUN
ihlr-16489	225	12	is	be	AUX
ihlr-16489	225	13	also	also	ADV
ihlr-16489	225	14	questionable	questionable	ADJ
ihlr-16489	225	15	because	because	SCONJ
ihlr-16489	225	16	rcts	rct	NOUN
ihlr-16489	225	17	can	can	AUX
ihlr-16489	225	18	address	address	VERB
ihlr-16489	225	19	only	only	ADV
ihlr-16489	225	20	limited	limited	ADJ
ihlr-16489	225	21	medical	medical	ADJ
ihlr-16489	225	22	issues	issue	NOUN
ihlr-16489	225	23	.	.	PUNCT
ihlr-16489	226	1	despite	despite	SCONJ
ihlr-16489	226	2	the	the	DET
ihlr-16489	226	3	massive	massive	ADJ
ihlr-16489	226	4	amount	amount	NOUN
ihlr-16489	226	5	of	of	ADP
ihlr-16489	226	6	medical	medical	ADJ
ihlr-16489	226	7	literature	literature	NOUN
ihlr-16489	226	8	published	publish	VERB
ihlr-16489	226	9	every	every	DET
ihlr-16489	226	10	year	year	NOUN
ihlr-16489	226	11	,	,	PUNCT
ihlr-16489	226	12	legitimate	legitimate	ADJ
ihlr-16489	226	13	rcts	rct	NOUN
ihlr-16489	226	14	cover	cover	VERB
ihlr-16489	226	15	only	only	ADV
ihlr-16489	226	16	a	a	DET
ihlr-16489	226	17	small	small	ADJ
ihlr-16489	226	18	number	number	NOUN
ihlr-16489	226	19	of	of	ADP
ihlr-16489	226	20	conditions	condition	NOUN
ihlr-16489	226	21	and	and	CCONJ
ihlr-16489	226	22	procedures	procedure	NOUN
ihlr-16489	226	23	.	.	PUNCT
ihlr-16489	227	1	almost	almost	ADV
ihlr-16489	227	2	all	all	PRON
ihlr-16489	227	3	are	be	AUX
ihlr-16489	227	4	conducted	conduct	VERB
ihlr-16489	227	5	over	over	ADP
ihlr-16489	227	6	only	only	ADV
ihlr-16489	227	7	a	a	DET
ihlr-16489	227	8	few	few	ADJ
ihlr-16489	227	9	months	month	NOUN
ihlr-16489	227	10	or	or	CCONJ
ihlr-16489	227	11	years	year	NOUN
ihlr-16489	227	12	,	,	PUNCT
ihlr-16489	227	13	leaving	leave	VERB
ihlr-16489	227	14	the	the	DET
ihlr-16489	227	15	long­	long­	ADJ
ihlr-16489	227	16	term	term	NOUN
ihlr-16489	227	17	consequences	consequence	NOUN
ihlr-16489	227	18	of	of	ADP
ihlr-16489	227	19	a	a	DET
ihlr-16489	227	20	therapy	therapy	NOUN
ihlr-16489	227	21	undetected	undetecte	VERB
ihlr-16489	227	22	.	.	PUNCT
ihlr-16489	227	23	35	35	NUM
ihlr-16489	227	24	according	accord	VERB
ihlr-16489	227	25	to	to	ADP
ihlr-16489	227	26	dr	dr	PROPN
ihlr-16489	227	27	.	.	PROPN
ihlr-16489	227	28	nuala	nuala	PROPN
ihlr-16489	227	29	kenny	kenny	PROPN
ihlr-16489	227	30	,	,	PUNCT
ihlr-16489	227	31	founder	founder	NOUN
ihlr-16489	227	32	of	of	ADP
ihlr-16489	227	33	the	the	DET
ihlr-16489	227	34	department	department	NOUN
ihlr-16489	227	35	of	of	ADP
ihlr-16489	227	36	bioethics	bioethics	PROPN
ihlr-16489	227	37	at	at	ADP
ihlr-16489	227	38	dalhousie	dalhousie	PROPN
ihlr-16489	227	39	university	university	PROPN
ihlr-16489	227	40	in	in	ADP
ihlr-16489	227	41	canada	canada	PROPN
ihlr-16489	227	42	,	,	PUNCT
ihlr-16489	227	43	"	"	PUNCT
ihlr-16489	227	44	scientific	scientific	ADJ
ihlr-16489	227	45	data	datum	NOUN
ihlr-16489	227	46	can	can	AUX
ihlr-16489	227	47	not	not	PART
ihlr-16489	227	48	be	be	AUX
ihlr-16489	227	49	expected	expect	VERB
ihlr-16489	227	50	to	to	PART
ihlr-16489	227	51	guide	guide	VERB
ihlr-16489	227	52	most	most	ADJ
ihlr-16489	227	53	medical	medical	ADJ
ihlr-16489	227	54	decisions	decision	NOUN
ihlr-16489	227	55	directly	directly	ADV
ihlr-16489	227	56	.	.	PUNCT
ihlr-16489	228	1	there	there	PRON
ihlr-16489	228	2	are	be	VERB
ihlr-16489	228	3	not	not	PART
ihlr-16489	228	4	enough	enough	ADJ
ihlr-16489	228	5	randomized	randomized	ADJ
ihlr-16489	228	6	trials	trial	NOUN
ihlr-16489	228	7	or	or	CCONJ
ihlr-16489	228	8	epidemiologic	epidemiologic	ADJ
ihlr-16489	228	9	studies	study	NOUN
ihlr-16489	228	10	.	.	PUNCT
ihlr-16489	228	11	"36	"36	VERB
ihlr-16489	228	12	to	to	PART
ihlr-16489	228	13	develop	develop	VERB
ihlr-16489	228	14	guidelines	guideline	NOUN
ihlr-16489	228	15	,	,	PUNCT
ihlr-16489	228	16	developers	developer	NOUN
ihlr-16489	228	17	often	often	ADV
ihlr-16489	228	18	must	must	AUX
ihlr-16489	228	19	depend	depend	VERB
ihlr-16489	228	20	upon	upon	SCONJ
ihlr-16489	228	21	some	some	DET
ihlr-16489	228	22	studies	study	NOUN
ihlr-16489	228	23	conducted	conduct	VERB
ihlr-16489	228	24	on	on	ADP
ihlr-16489	228	25	relatively	relatively	ADV
ihlr-16489	228	26	small	small	ADJ
ihlr-16489	228	27	and	and	CCONJ
ihlr-16489	228	28	unrepresentative	unrepresentative	ADJ
ihlr-16489	228	29	populations	population	NOUN
ihlr-16489	228	30	.	.	PUNCT
ihlr-16489	229	1	as	as	ADP
ihlr-16489	229	2	a	a	DET
ihlr-16489	229	3	result	result	NOUN
ihlr-16489	229	4	,	,	PUNCT
ihlr-16489	229	5	explains	explain	VERB
ihlr-16489	229	6	dr	dr	PROPN
ihlr-16489	229	7	.	.	PROPN
ihlr-16489	229	8	alan	alan	PROPN
ihlr-16489	229	9	m.	m.	PROPN
ihlr-16489	229	10	garber	garber	PROPN
ihlr-16489	229	11	of	of	ADP
ihlr-16489	229	12	stanford	stanford	PROPN
ihlr-16489	229	13	university	university	PROPN
ihlr-16489	229	14	's	's	PART
ihlr-16489	229	15	school	school	NOUN
ihlr-16489	229	16	ofmedicine	ofmedicine	NOUN
ihlr-16489	229	17	,	,	PUNCT
ihlr-16489	229	18	"	"	PUNCT
ihlr-16489	229	19	guideline	guideline	NOUN
ihlr-16489	229	20	authors	author	NOUN
ihlr-16489	229	21	nearly	nearly	ADV
ihlr-16489	229	22	always	always	ADV
ihlr-16489	229	23	extrapolate	extrapolate	VERB
ihlr-16489	229	24	to	to	ADP
ihlr-16489	229	25	groups	group	NOUN
ihlr-16489	229	26	that	that	PRON
ihlr-16489	229	27	were	be	AUX
ihlr-16489	229	28	not	not	PART
ihlr-16489	229	29	adequately	adequately	ADV
ihlr-16489	229	30	represented	represent	VERB
ihlr-16489	229	31	in	in	ADP
ihlr-16489	229	32	the	the	DET
ihlr-16489	229	33	trials	trial	NOUN
ihlr-16489	229	34	.	.	PUNCT
ihlr-16489	230	1	"37	"37	AUX
ihlr-16489	230	2	interestingly	interestingly	ADV
ihlr-16489	230	3	,	,	PUNCT
ihlr-16489	230	4	early	early	ADJ
ihlr-16489	230	5	proponents	proponent	NOUN
ihlr-16489	230	6	of	of	ADP
ihlr-16489	230	7	evidence	evidence	NOUN
ihlr-16489	230	8	-	-	PUNCT
ihlr-16489	230	9	based	base	VERB
ihlr-16489	230	10	medicine	medicine	NOUN
ihlr-16489	230	11	understood	understand	VERB
ihlr-16489	230	12	its	its	PRON
ihlr-16489	230	13	weaknesses	weakness	NOUN
ihlr-16489	230	14	and	and	CCONJ
ihlr-16489	230	15	never	never	ADV
ihlr-16489	230	16	meant	mean	VERB
ihlr-16489	230	17	for	for	SCONJ
ihlr-16489	230	18	it	it	PRON
ihlr-16489	230	19	to	to	PART
ihlr-16489	230	20	be	be	AUX
ihlr-16489	230	21	more	more	ADJ
ihlr-16489	230	22	than	than	ADP
ihlr-16489	230	23	one	one	NUM
ihlr-16489	230	24	factor	factor	NOUN
ihlr-16489	230	25	in	in	ADP
ihlr-16489	230	26	a	a	DET
ihlr-16489	230	27	''	''	PUNCT
ihlr-16489	230	28	multi­	multi­	NOUN
ihlr-16489	230	29	faceted	facete	VERB
ihlr-16489	230	30	clinical	clinical	ADJ
ihlr-16489	230	31	decision	decision	NOUN
ihlr-16489	230	32	-	-	PUNCT
ihlr-16489	230	33	making	make	VERB
ihlr-16489	230	34	decision	decision	NOUN
ihlr-16489	230	35	process	process	NOUN
ihlr-16489	230	36	.	.	PUNCT
ihlr-16489	231	1	"38	"38	PUNCT
ihlr-16489	232	1	according	accord	VERB
ihlr-16489	232	2	to	to	ADP
ihlr-16489	232	3	dr	dr	PROPN
ihlr-16489	232	4	.	.	PROPN
ihlr-16489	232	5	haynes	haynes	PROPN
ihlr-16489	232	6	:	:	PUNCT
ihlr-16489	232	7	fl	fl	X
ihlr-16489	232	8	.	.	PUNCT
ihlr-16489	233	1	[	[	X
ihlr-16489	233	2	e]vidence	e]vidence	NOUN
ihlr-16489	233	3	from	from	ADP
ihlr-16489	233	4	research	research	NOUN
ihlr-16489	233	5	can	can	AUX
ihlr-16489	233	6	be	be	AUX
ihlr-16489	233	7	no	no	ADV
ihlr-16489	233	8	more	more	ADJ
ihlr-16489	233	9	than	than	ADP
ihlr-16489	233	10	one	one	NUM
ihlr-16489	233	11	component	component	NOUN
ihlr-16489	233	12	of	of	ADP
ihlr-16489	233	13	any	any	DET
ihlr-16489	233	14	clinical	clinical	ADJ
ihlr-16489	233	15	decision	decision	NOUN
ihlr-16489	233	16	.	.	PUNCT
ihlr-16489	234	1	other	other	ADJ
ihlr-16489	234	2	key	key	ADJ
ihlr-16489	234	3	components	component	NOUN
ihlr-16489	234	4	are	be	AUX
ihlr-16489	234	5	the	the	DET
ihlr-16489	234	6	circumstances	circumstance	NOUN
ihlr-16489	234	7	of	of	ADP
ihlr-16489	234	8	the	the	DET
ihlr-16489	234	9	patient	patient	NOUN
ihlr-16489	234	10	(	(	PUNCT
ihlr-16489	234	11	as	as	SCONJ
ihlr-16489	234	12	assessed	assess	VERB
ihlr-16489	234	13	through	through	ADP
ihlr-16489	234	14	the	the	DET
ihlr-16489	234	15	expertise	expertise	NOUN
ihlr-16489	234	16	of	of	ADP
ihlr-16489	234	17	the	the	DET
ihlr-16489	234	18	clinician	clinician	NOUN
ihlr-16489	234	19	)	)	PUNCT
ihlr-16489	234	20	and	and	CCONJ
ihlr-16489	234	21	the	the	DET
ihlr-16489	234	22	preferences	preference	NOUN
ihlr-16489	234	23	of	of	ADP
ihlr-16489	234	24	the	the	DET
ihlr-16489	234	25	patient	patient	NOUN
ihlr-16489	234	26	.	.	PUNCT
ihlr-16489	235	1	just	just	ADV
ihlr-16489	235	2	how	how	SCONJ
ihlr-16489	235	3	research	research	NOUN
ihlr-16489	235	4	evidence	evidence	NOUN
ihlr-16489	235	5	,	,	PUNCT
ihlr-16489	235	6	clinical	clinical	ADJ
ihlr-16489	235	7	circumstances	circumstance	NOUN
ihlr-16489	235	8	,	,	PUNCT
ihlr-16489	235	9	and	and	CCONJ
ihlr-16489	235	10	patients	patient	NOUN
ihlr-16489	235	11	'	'	PART
ihlr-16489	235	12	wishes	wish	NOUN
ihlr-16489	235	13	are	be	AUX
ihlr-16489	235	14	to	to	PART
ihlr-16489	235	15	be	be	AUX
ihlr-16489	235	16	combined	combine	VERB
ihlr-16489	235	17	to	to	PART
ihlr-16489	235	18	derive	derive	VERB
ihlr-16489	235	19	an	an	DET
ihlr-16489	235	20	optimal	optimal	ADJ
ihlr-16489	235	21	decision	decision	NOUN
ihlr-16489	235	22	has	have	AUX
ihlr-16489	235	23	not	not	PART
ihlr-16489	235	24	been	be	AUX
ihlr-16489	235	25	clearly	clearly	ADV
ihlr-16489	235	26	stated	state	VERB
ihlr-16489	235	27	,	,	PUNCT
ihlr-16489	235	28	except	except	SCONJ
ihlr-16489	235	29	that	that	SCONJ
ihlr-16489	235	30	clinical	clinical	ADJ
ihlr-16489	235	31	judgment	judgment	NOUN
ihlr-16489	235	32	and	and	CCONJ
ihlr-16489	235	33	expertise	expertise	NOUN
ihlr-16489	235	34	are	be	AUX
ihlr-16489	235	35	viewed	view	VERB
ihlr-16489	235	36	as	as	ADP
ihlr-16489	235	37	essential	essential	ADJ
ihlr-16489	235	38	to	to	ADP
ihlr-16489	235	39	success	success	NOUN
ihlr-16489	235	40	.	.	PUNCT
ihlr-16489	236	1	39	39	NUM
ihlr-16489	236	2	33	33	NUM
ihlr-16489	236	3	.	.	PUNCT
ihlr-16489	237	1	gina	gina	PROPN
ihlr-16489	237	2	kolata	kolata	PROPN
ihlr-16489	237	3	,	,	PUNCT
ihlr-16489	237	4	hormone	hormone	NOUN
ihlr-16489	237	5	studies	study	NOUN
ihlr-16489	237	6	:	:	PUNCT
ihlr-16489	237	7	what	what	PRON
ihlr-16489	237	8	went	go	VERB
ihlr-16489	237	9	wrong	wrong	ADJ
ihlr-16489	237	10	?	?	PUNCT
ihlr-16489	237	11	,	,	PUNCT
ihlr-16489	237	12	n.y	n.y	PROPN
ihlr-16489	237	13	.	.	PROPN
ihlr-16489	237	14	times	times	PROPN
ihlr-16489	237	15	,	,	PUNCT
ihlr-16489	237	16	apr	apr	PROPN
ihlr-16489	237	17	.	.	PROPN
ihlr-16489	237	18	22	22	NUM
ihlr-16489	237	19	,	,	PUNCT
ihlr-16489	237	20	2003	2003	NUM
ihlr-16489	237	21	,	,	PUNCT
ihlr-16489	237	22	at	at	ADP
ihlr-16489	237	23	34	34	NUM
ihlr-16489	237	24	.	.	PUNCT
ihlr-16489	238	1	haynes	haynes	PROPN
ihlr-16489	238	2	,	,	PUNCT
ihlr-16489	238	3	supra	supra	PROPN
ihlr-16489	238	4	note	note	PROPN
ihlr-16489	238	5	18	18	NUM
ihlr-16489	238	6	,	,	PUNCT
ihlr-16489	238	7	at	at	ADP
ihlr-16489	238	8	5	5	NUM
ihlr-16489	238	9	.	.	SYM
ihlr-16489	238	10	35	35	NUM
ihlr-16489	238	11	.	.	PUNCT
ihlr-16489	239	1	mary	mary	PROPN
ihlr-16489	239	2	e.	e.	PROPN
ihlr-16489	239	3	tinnetti	tinnetti	PROPN
ihlr-16489	239	4	et	et	PROPN
ihlr-16489	239	5	al	al	PROPN
ihlr-16489	239	6	.	.	PROPN
ihlr-16489	239	7	,	,	PUNCT
ihlr-16489	239	8	potential	potential	ADJ
ihlr-16489	239	9	pitfalls	pitfall	NOUN
ihlr-16489	239	10	of	of	ADP
ihlr-16489	239	11	disease	disease	NOUN
ihlr-16489	239	12	-	-	PUNCT
ihlr-16489	239	13	specific	specific	ADJ
ihlr-16489	239	14	guidelines	guideline	NOUN
ihlr-16489	239	15	for	for	ADP
ihlr-16489	239	16	patients	patient	NOUN
ihlr-16489	239	17	with	with	ADP
ihlr-16489	239	18	multiple	multiple	ADJ
ihlr-16489	239	19	conditions	condition	NOUN
ihlr-16489	239	20	,	,	PUNCT
ihlr-16489	239	21	351	351	NUM
ihlr-16489	239	22	new	new	ADJ
ihlr-16489	239	23	eng	eng	PROPN
ihlr-16489	239	24	.	.	PUNCT
ihlr-16489	240	1	j.	j.	PROPN
ihlr-16489	240	2	med	med	PROPN
ihlr-16489	240	3	.	.	PUNCT
ihlr-16489	241	1	2870,2870	2870,2870	X
ihlr-16489	241	2	..	..	SYM
ihlr-16489	241	3	74	74	NUM
ihlr-16489	241	4	(	(	PUNCT
ihlr-16489	241	5	2004	2004	NUM
ihlr-16489	241	6	)	)	PUNCT
ihlr-16489	241	7	.	.	PUNCT
ihlr-16489	242	1	36	36	NUM
ihlr-16489	242	2	.	.	X
ihlr-16489	242	3	nualap	nualap	PROPN
ihlr-16489	242	4	.	.	PUNCT
ihlr-16489	243	1	kenny	kenny	PROPN
ihlr-16489	243	2	,	,	PUNCT
ihlr-16489	243	3	does	do	AUX
ihlr-16489	243	4	good	good	ADJ
ihlr-16489	243	5	science	science	NOUN
ihlr-16489	243	6	make	make	VERB
ihlr-16489	243	7	good	good	ADJ
ihlr-16489	243	8	medicine	medicine	NOUN
ihlr-16489	243	9	?	?	PUNCT
ihlr-16489	243	10	,	,	PUNCT
ihlr-16489	243	11	157	157	NUM
ihlr-16489	243	12	can.med.ass'n	can.med.ass'n	PROPN
ihlr-16489	243	13	.	.	PUNCT
ihlr-16489	244	1	j.	j.	PROPN
ihlr-16489	244	2	33	33	PROPN
ihlr-16489	244	3	,	,	PUNCT
ihlr-16489	244	4	34	34	NUM
ihlr-16489	244	5	(	(	PUNCT
ihlr-16489	244	6	1997	1997	NUM
ihlr-16489	244	7	)	)	PUNCT
ihlr-16489	244	8	.	.	PUNCT
ihlr-16489	245	1	37	37	NUM
ihlr-16489	245	2	.	.	PUNCT
ihlr-16489	245	3	alan	alan	PROPN
ihlr-16489	245	4	m.	m.	PROPN
ihlr-16489	245	5	garber	garber	PROPN
ihlr-16489	245	6	,	,	PUNCT
ihlr-16489	245	7	evidence	evidence	NOUN
ihlr-16489	245	8	-	-	PUNCT
ihlr-16489	245	9	based	base	VERB
ihlr-16489	245	10	guidelines	guideline	NOUN
ihlr-16489	245	11	as	as	ADP
ihlr-16489	245	12	a	a	DET
ihlr-16489	245	13	foundation	foundation	NOUN
ihlr-16489	245	14	for	for	ADP
ihlr-16489	245	15	peiformance	peiformance	NOUN
ihlr-16489	245	16	incentives	incentive	NOUN
ihlr-16489	245	17	,	,	PUNCT
ihlr-16489	245	18	24(1	24(1	NUM
ihlr-16489	245	19	)	)	PUNCT
ihlr-16489	245	20	hea.lm.aff	hea.lm.aff	NOUN
ihlr-16489	245	21	.	.	PUNCT
ihlr-16489	246	1	174	174	NUM
ihlr-16489	246	2	,	,	PUNCT
ihlr-16489	246	3	176	176	NUM
ihlr-16489	246	4	(	(	PUNCT
ihlr-16489	246	5	2005	2005	NUM
ihlr-16489	246	6	)	)	PUNCT
ihlr-16489	246	7	.	.	PUNCT
ihlr-16489	247	1	38	38	NUM
ihlr-16489	247	2	.	.	PUNCT
ihlr-16489	248	1	aaron	aaron	PROPN
ihlr-16489	248	2	michael	michael	PROPN
ihlr-16489	248	3	cohen	cohen	PROPN
ihlr-16489	248	4	et	et	PROPN
ihlr-16489	248	5	al	al	PROPN
ihlr-16489	248	6	.	.	PROPN
ihlr-16489	248	7	,	,	PUNCT
ihlr-16489	248	8	a	a	DET
ihlr-16489	248	9	categorization	categorization	NOUN
ihlr-16489	248	10	and	and	CCONJ
ihlr-16489	248	11	analysis	analysis	NOUN
ihlr-16489	248	12	of	of	ADP
ihlr-16489	248	13	the	the	DET
ihlr-16489	248	14	criticisms	criticism	NOUN
ihlr-16489	248	15	of	of	ADP
ihlr-16489	248	16	evidence	evidence	NOUN
ihlr-16489	248	17	-	-	PUNCT
ihlr-16489	248	18	based	base	VERB
ihlr-16489	248	19	medicine	medicine	NOUN
ihlr-16489	248	20	,	,	PUNCT
ihlr-16489	248	21	73	73	NUM
ihlr-16489	248	22	int'lj	int'lj	NOUN
ihlr-16489	248	23	.	.	PUNCT
ihlr-16489	249	1	med.informatics	med.informatic	NOUN
ihlr-16489	249	2	35	35	NUM
ihlr-16489	249	3	,	,	PUNCT
ihlr-16489	249	4	35	35	NUM
ihlr-16489	249	5	-	-	SYM
ihlr-16489	249	6	43	43	NUM
ihlr-16489	249	7	(	(	PUNCT
ihlr-16489	249	8	2004	2004	NUM
ihlr-16489	249	9	)	)	PUNCT
ihlr-16489	249	10	.	.	PUNCT
ihlr-16489	249	11	.	.	PUNCT
ihlr-16489	250	1	39	39	NUM
ihlr-16489	250	2	.	.	PUNCT
ihlr-16489	251	1	haynes	hayne	NOUN
ihlr-16489	251	2	,	,	PUNCT
ihlr-16489	251	3	supra	supra	PROPN
ihlr-16489	251	4	note	note	PROPN
ihlr-16489	251	5	18	18	NUM
ihlr-16489	251	6	,	,	PUNCT
ihlr-16489	251	7	at	at	ADP
ihlr-16489	251	8	4	4	NUM
ihlr-16489	251	9	.	.	NUM
ihlr-16489	251	10	408	408	NUM
ihlr-16489	251	11	indiana	indiana	PROPN
ihlr-16489	251	12	heal	heal	NOUN
ihlr-16489	251	13	.	.	PUNCT
ihlr-16489	252	1	til	til	SCONJ
ihlr-16489	252	2	law	law	NOUN
ihlr-16489	252	3	review	review	NOUN
ihlr-16489	252	4	[	[	X
ihlr-16489	252	5	vol	vol	NOUN
ihlr-16489	252	6	.	.	PUNCT
ihlr-16489	253	1	3:391	3:391	NUM
ihlr-16489	253	2	thus	thus	ADV
ihlr-16489	253	3	,	,	PUNCT
ihlr-16489	253	4	research	research	NOUN
ihlr-16489	253	5	evidence	evidence	NOUN
ihlr-16489	253	6	is	be	AUX
ihlr-16489	253	7	just	just	ADV
ihlr-16489	253	8	one	one	NUM
ihlr-16489	253	9	of	of	ADP
ihlr-16489	253	10	three	three	NUM
ihlr-16489	253	11	decision	decision	NOUN
ihlr-16489	253	12	points	point	NOUN
ihlr-16489	253	13	in	in	ADP
ihlr-16489	253	14	the	the	DET
ihlr-16489	253	15	treatment	treatment	NOUN
ihlr-16489	253	16	process	process	NOUN
ihlr-16489	253	17	.	.	PUNCT
ihlr-16489	254	1	the	the	DET
ihlr-16489	254	2	other	other	ADJ
ihlr-16489	254	3	two	two	NUM
ihlr-16489	254	4	,	,	PUNCT
ihlr-16489	254	5	to	to	PART
ihlr-16489	254	6	which	which	PRON
ihlr-16489	254	7	"	"	PUNCT
ihlr-16489	254	8	applied	apply	VERB
ihlr-16489	254	9	research	research	NOUN
ihlr-16489	254	10	is	be	AUX
ihlr-16489	254	11	a	a	DET
ihlr-16489	254	12	comple­	comple­	NOUN
ihlr-16489	254	13	mentary	mentary	ADJ
ihlr-16489	254	14	way	way	NOUN
ihlr-16489	254	15	of	of	ADP
ihlr-16489	254	16	knowing	know	VERB
ihlr-16489	254	17	,	,	PUNCT
ihlr-16489	254	18	''	''	PUNCT
ihlr-16489	254	19	are	be	AUX
ihlr-16489	254	20	clinical	clinical	ADJ
ihlr-16489	254	21	circumstances	circumstance	NOUN
ihlr-16489	254	22	and	and	CCONJ
ihlr-16489	254	23	patient	patient	ADJ
ihlr-16489	254	24	preferences.40	preferences.40	NOUN
ihlr-16489	254	25	by	by	ADP
ihlr-16489	254	26	using	use	VERB
ihlr-16489	254	27	financial	financial	ADJ
ihlr-16489	254	28	incentives	incentive	NOUN
ihlr-16489	254	29	to	to	PART
ihlr-16489	254	30	drive	drive	VERB
ihlr-16489	254	31	compliance	compliance	NOUN
ihlr-16489	254	32	with	with	ADP
ihlr-16489	254	33	clinical	clinical	ADJ
ihlr-16489	254	34	algorithms	algorithm	NOUN
ihlr-16489	254	35	,	,	PUNCT
ihlr-16489	254	36	a	a	DET
ihlr-16489	254	37	medicare	medicare	PROPN
ihlr-16489	254	38	pay	pay	VERB
ihlr-16489	254	39	-	-	PUNCT
ihlr-16489	254	40	for	for	ADP
ihlr-16489	254	41	-	-	PUNCT
ihlr-16489	254	42	performance	performance	NOUN
ihlr-16489	254	43	scheme	scheme	NOUN
ihlr-16489	254	44	would	would	AUX
ihlr-16489	254	45	devalue	devalue	VERB
ihlr-16489	254	46	these	these	DET
ihlr-16489	254	47	two	two	NUM
ihlr-16489	254	48	aspects	aspect	NOUN
ihlr-16489	254	49	of	of	ADP
ihlr-16489	254	50	medical	medical	ADJ
ihlr-16489	254	51	decisions	decision	NOUN
ihlr-16489	254	52	in	in	ADP
ihlr-16489	254	53	favor	favor	NOUN
ihlr-16489	254	54	of	of	ADP
ihlr-16489	254	55	a	a	DET
ihlr-16489	254	56	prescribed	prescribed	ADJ
ihlr-16489	254	57	list	list	NOUN
ihlr-16489	254	58	of	of	ADP
ihlr-16489	254	59	procedures	procedure	NOUN
ihlr-16489	254	60	.	.	PUNCT
ihlr-16489	255	1	in	in	ADP
ihlr-16489	255	2	other	other	ADJ
ihlr-16489	255	3	words	word	NOUN
ihlr-16489	255	4	,	,	PUNCT
ihlr-16489	255	5	it	it	PRON
ihlr-16489	255	6	would	would	AUX
ihlr-16489	255	7	produce	produce	VERB
ihlr-16489	255	8	the	the	DET
ihlr-16489	255	9	very	very	ADV
ihlr-16489	255	10	"	"	PUNCT
ihlr-16489	255	11	cookbook	cookbook	NOUN
ihlr-16489	255	12	medicine	medicine	NOUN
ihlr-16489	255	13	"	"	PUNCT
ihlr-16489	255	14	that	that	SCONJ
ihlr-16489	255	15	those	those	PRON
ihlr-16489	255	16	who	who	PRON
ihlr-16489	255	17	conceived	conceive	VERB
ihlr-16489	255	18	of	of	ADP
ihlr-16489	255	19	ebm	ebm	PROPN
ihlr-16489	255	20	have	have	AUX
ihlr-16489	255	21	denounced	denounce	VERB
ihlr-16489	255	22	as	as	ADP
ihlr-16489	255	23	a	a	DET
ihlr-16489	255	24	"	"	PUNCT
ihlr-16489	255	25	misuse	misuse	NOUN
ihlr-16489	255	26	of	of	ADP
ihlr-16489	255	27	evidence	evidence	NOUN
ihlr-16489	255	28	based	base	VERB
ihlr-16489	255	29	medicine	medicine	NOUN
ihlr-16489	255	30	.	.	PUNCT
ihlr-16489	256	1	"	"	PUNCT
ihlr-16489	256	2	"	"	PUNCT
ihlr-16489	256	3	1	1	NUM
ihlr-16489	256	4	b.	b.	NOUN
ihlr-16489	256	5	problem	problem	NOUN
ihlr-16489	256	6	#	#	SYM
ihlr-16489	256	7	2	2	NUM
ihlr-16489	256	8	:	:	PUNCT
ihlr-16489	256	9	dangers	danger	NOUN
ihlr-16489	256	10	of	of	ADP
ihlr-16489	256	11	replacing	replace	VERB
ihlr-16489	256	12	patient	patient	ADJ
ihlr-16489	256	13	choice	choice	NOUN
ihlr-16489	256	14	and	and	CCONJ
ihlr-16489	256	15	physician	physician	NOUN
ihlr-16489	256	16	autonomy	autonomy	NOUN
ihlr-16489	256	17	with	with	ADP
ihlr-16489	256	18	central	central	ADJ
ihlr-16489	256	19	planning	planning	NOUN
ihlr-16489	256	20	as	as	SCONJ
ihlr-16489	256	21	dr	dr	PROPN
ihlr-16489	256	22	.	.	PROPN
ihlr-16489	256	23	david	david	PROPN
ihlr-16489	256	24	m.	m.	PROPN
ihlr-16489	256	25	eddy	eddy	PROPN
ihlr-16489	256	26	has	have	AUX
ihlr-16489	256	27	observed	observe	VERB
ihlr-16489	256	28	,	,	PUNCT
ihlr-16489	256	29	"	"	PUNCT
ihlr-16489	256	30	it	it	PRON
ihlr-16489	256	31	is	be	AUX
ihlr-16489	256	32	not	not	PART
ihlr-16489	256	33	stretching	stretch	VERB
ihlr-16489	256	34	things	thing	NOUN
ihlr-16489	256	35	too	too	ADV
ihlr-16489	256	36	far	far	ADV
ihlr-16489	256	37	to	to	PART
ihlr-16489	256	38	say	say	VERB
ihlr-16489	256	39	that	that	SCONJ
ihlr-16489	256	40	whoever	whoever	PRON
ihlr-16489	256	41	controls	control	VERB
ihlr-16489	256	42	practice	practice	NOUN
ihlr-16489	256	43	policies	policy	NOUN
ihlr-16489	256	44	controls	control	VERB
ihlr-16489	256	45	medicine	medicine	NOUN
ihlr-16489	256	46	.	.	PUNCT
ihlr-16489	256	47	'"'2	'"'2	PUNCT
ihlr-16489	257	1	since	since	SCONJ
ihlr-16489	257	2	clinical	clinical	ADJ
ihlr-16489	257	3	research	research	NOUN
ihlr-16489	257	4	produces	produce	VERB
ihlr-16489	257	5	conflicting	conflict	VERB
ihlr-16489	257	6	,	,	PUNCT
ihlr-16489	257	7	questionable	questionable	ADJ
ihlr-16489	257	8	,	,	PUNCT
ihlr-16489	257	9	and	and	CCONJ
ihlr-16489	257	10	limited	limited	ADJ
ihlr-16489	257	11	evidence	evidence	NOUN
ihlr-16489	257	12	,	,	PUNCT
ihlr-16489	257	13	the	the	DET
ihlr-16489	257	14	decisions	decision	NOUN
ihlr-16489	257	15	required	require	VERB
ihlr-16489	257	16	to	to	ADP
ihlr-16489	257	17	reconcile	reconcile	ADJ
ihlr-16489	257	18	results	result	NOUN
ihlr-16489	257	19	,	,	PUNCT
ihlr-16489	257	20	assign	assign	VERB
ihlr-16489	257	21	relative	relative	ADJ
ihlr-16489	257	22	importance	importance	NOUN
ihlr-16489	257	23	,	,	PUNCT
ihlr-16489	257	24	and	and	CCONJ
ihlr-16489	257	25	sift	sift	VERB
ihlr-16489	257	26	out	out	ADP
ihlr-16489	257	27	bad	bad	ADJ
ihlr-16489	257	28	research	research	NOUN
ihlr-16489	257	29	can	can	AUX
ihlr-16489	257	30	not	not	PART
ihlr-16489	257	31	be	be	AUX
ihlr-16489	257	32	made	make	VERB
ihlr-16489	257	33	without	without	ADP
ihlr-16489	257	34	subjective	subjective	ADJ
ihlr-16489	257	35	human	human	ADJ
ihlr-16489	257	36	judgment	judgment	NOUN
ihlr-16489	257	37	.	.	PUNCT
ihlr-16489	258	1	ultimately	ultimately	ADV
ihlr-16489	258	2	,	,	PUNCT
ihlr-16489	258	3	someone	someone	PRON
ihlr-16489	258	4	's	's	PART
ihlr-16489	258	5	values	value	NOUN
ihlr-16489	258	6	are	be	AUX
ihlr-16489	258	7	reflected	reflect	VERB
ihlr-16489	258	8	in	in	ADP
ihlr-16489	258	9	treatment	treatment	NOUN
ihlr-16489	258	10	decisions	decision	NOUN
ihlr-16489	258	11	,	,	PUNCT
ihlr-16489	258	12	whether	whether	SCONJ
ihlr-16489	258	13	those	those	DET
ihlr-16489	258	14	values	value	NOUN
ihlr-16489	258	15	are	be	AUX
ihlr-16489	258	16	those	those	PRON
ihlr-16489	258	17	of	of	ADP
ihlr-16489	258	18	the	the	DET
ihlr-16489	258	19	patient	patient	NOUN
ihlr-16489	258	20	,	,	PUNCT
ihlr-16489	258	21	the	the	DET
ihlr-16489	258	22	physician	physician	NOUN
ihlr-16489	258	23	,	,	PUNCT
ihlr-16489	258	24	or	or	CCONJ
ihlr-16489	258	25	a	a	DET
ihlr-16489	258	26	third	third	ADJ
ihlr-16489	258	27	party	party	NOUN
ihlr-16489	258	28	.	.	PUNCT
ihlr-16489	259	1	bias	bias	NOUN
ihlr-16489	259	2	is	be	AUX
ihlr-16489	259	3	inherent	inherent	ADJ
ihlr-16489	259	4	in	in	ADP
ihlr-16489	259	5	such	such	ADJ
ihlr-16489	259	6	judgments	judgment	NOUN
ihlr-16489	259	7	.	.	PUNCT
ihlr-16489	260	1	bias	bias	NOUN
ihlr-16489	260	2	is	be	AUX
ihlr-16489	260	3	found	find	VERB
ihlr-16489	260	4	in	in	ADP
ihlr-16489	260	5	the	the	DET
ihlr-16489	260	6	production	production	NOUN
ihlr-16489	260	7	,	,	PUNCT
ihlr-16489	260	8	interpretation	interpretation	NOUN
ihlr-16489	260	9	,	,	PUNCT
ihlr-16489	260	10	and	and	CCONJ
ihlr-16489	260	11	application	application	NOUN
ihlr-16489	260	12	of	of	ADP
ihlr-16489	260	13	pay­	pay­	PROPN
ihlr-16489	260	14	for	for	ADP
ihlr-16489	260	15	-	-	PUNCT
ihlr-16489	260	16	performance	performance	NOUN
ihlr-16489	260	17	quality	quality	NOUN
ihlr-16489	260	18	indicators	indicator	NOUN
ihlr-16489	260	19	.	.	PUNCT
ihlr-16489	261	1	researchers	researcher	NOUN
ihlr-16489	261	2	exhibit	exhibit	VERB
ihlr-16489	261	3	bias	bias	NOUN
ihlr-16489	261	4	when	when	SCONJ
ihlr-16489	261	5	deciding	decide	VERB
ihlr-16489	261	6	which	which	DET
ihlr-16489	261	7	areas	area	NOUN
ihlr-16489	261	8	of	of	ADP
ihlr-16489	261	9	research	research	NOUN
ihlr-16489	261	10	to	to	PART
ihlr-16489	261	11	pursue	pursue	VERB
ihlr-16489	261	12	,	,	PUNCT
ihlr-16489	261	13	which	which	DET
ihlr-16489	261	14	previous	previous	ADJ
ihlr-16489	261	15	research	research	NOUN
ihlr-16489	261	16	to	to	ADP
ihlr-16489	261	17	reference	reference	NOUN
ihlr-16489	261	18	,	,	PUNCT
ihlr-16489	261	19	and	and	CCONJ
ihlr-16489	261	20	how	how	SCONJ
ihlr-16489	261	21	to	to	PART
ihlr-16489	261	22	conduct	conduct	VERB
ihlr-16489	261	23	their	their	PRON
ihlr-16489	261	24	experiments	experiment	NOUN
ihlr-16489	261	25	.	.	PUNCT
ihlr-16489	262	1	journal	journal	NOUN
ihlr-16489	262	2	publishers	publisher	NOUN
ihlr-16489	262	3	exhibit	exhibit	VERB
ihlr-16489	262	4	bias	bias	NOUN
ihlr-16489	262	5	when	when	SCONJ
ihlr-16489	262	6	deciding	decide	VERB
ihlr-16489	262	7	which	which	DET
ihlr-16489	262	8	research	research	NOUN
ihlr-16489	262	9	to	to	PART
ihlr-16489	262	10	publish	publish	VERB
ihlr-16489	262	11	.	.	PUNCT
ihlr-16489	263	1	published	publish	VERB
ihlr-16489	263	2	research	research	NOUN
ihlr-16489	263	3	is	be	AUX
ihlr-16489	263	4	then	then	ADV
ihlr-16489	263	5	subject	subject	ADJ
ihlr-16489	263	6	to	to	ADP
ihlr-16489	263	7	interpretation	interpretation	NOUN
ihlr-16489	263	8	by	by	ADP
ihlr-16489	263	9	guideline	guideline	NOUN
ihlr-16489	263	10	creators	creator	NOUN
ihlr-16489	263	11	,	,	PUNCT
ihlr-16489	263	12	who	who	PRON
ihlr-16489	263	13	exhibit	exhibit	VERB
ihlr-16489	263	14	bias	bias	NOUN
ihlr-16489	263	15	when	when	SCONJ
ihlr-16489	263	16	choosing	choose	VERB
ihlr-16489	263	17	which	which	DET
ihlr-16489	263	18	research	research	NOUN
ihlr-16489	263	19	to	to	PART
ihlr-16489	263	20	incorporate	incorporate	VERB
ihlr-16489	263	21	in	in	ADP
ihlr-16489	263	22	their	their	PRON
ihlr-16489	263	23	guidelines	guideline	NOUN
ihlr-16489	263	24	,	,	PUNCT
ihlr-16489	263	25	resolving	resolve	VERB
ihlr-16489	263	26	conflicting	conflicting	ADJ
ihlr-16489	263	27	results	result	NOUN
ihlr-16489	263	28	,	,	PUNCT
ihlr-16489	263	29	assessing	assess	VERB
ihlr-16489	263	30	research	research	NOUN
ihlr-16489	263	31	flaws	flaw	NOUN
ihlr-16489	263	32	,	,	PUNCT
ihlr-16489	263	33	and	and	CCONJ
ihlr-16489	263	34	transforming	transform	VERB
ihlr-16489	263	35	findings	finding	NOUN
ihlr-16489	263	36	into	into	ADP
ihlr-16489	263	37	rules	rule	NOUN
ihlr-16489	263	38	that	that	SCONJ
ihlr-16489	263	39	weight	weight	NOUN
ihlr-16489	263	40	competing	compete	VERB
ihlr-16489	263	41	priorities	priority	NOUN
ihlr-16489	263	42	.	.	PUNCT
ihlr-16489	264	1	according	accord	VERB
ihlr-16489	264	2	to	to	ADP
ihlr-16489	264	3	a	a	DET
ihlr-16489	264	4	2004	2004	NUM
ihlr-16489	264	5	institute	institute	NOUN
ihlr-16489	264	6	ofmedicinereport	ofmedicinereport	NOUN
ihlr-16489	264	7	,	,	PUNCT
ihlr-16489	264	8	"	"	PUNCT
ihlr-16489	264	9	there	there	PRON
ihlr-16489	264	10	are	be	VERB
ihlr-16489	264	11	gaps	gap	NOUN
ihlr-16489	264	12	and	and	CCONJ
ihlr-16489	264	13	inconsistencies	inconsistency	NOUN
ihlr-16489	264	14	in	in	ADP
ihlr-16489	264	15	the	the	DET
ihlr-16489	264	16	medical	medical	ADJ
ihlr-16489	264	17	literature	literature	NOUN
ihlr-16489	264	18	supporting	support	VERB
ihlr-16489	264	19	one	one	NUM
ihlr-16489	264	20	practice	practice	NOUN
ihlr-16489	264	21	versus	versus	ADP
ihlr-16489	264	22	another	another	PRON
ihlr-16489	264	23	,	,	PUNCT
ihlr-16489	264	24	as	as	ADV
ihlr-16489	264	25	well	well	ADV
ihlr-16489	264	26	as	as	ADP
ihlr-16489	264	27	biases	bias	NOUN
ihlr-16489	264	28	based	base	VERB
ihlr-16489	264	29	on	on	ADP
ihlr-16489	264	30	the	the	DET
ihlr-16489	264	31	perspective	perspective	NOUN
ihlr-16489	264	32	of	of	ADP
ihlr-16489	264	33	the	the	DET
ihlr-16489	264	34	authors	author	NOUN
ihlr-16489	264	35	,	,	PUNCT
ihlr-16489	264	36	who	who	PRON
ihlr-16489	264	37	may	may	AUX
ihlr-16489	264	38	be	be	AUX
ihlr-16489	264	39	specialists	specialist	NOUN
ihlr-16489	264	40	,	,	PUNCT
ihlr-16489	264	41	general	general	ADJ
ihlr-16489	264	42	practitioners	practitioner	NOUN
ihlr-16489	264	43	,	,	PUNCT
ihlr-16489	264	44	payers	payer	NOUN
ihlr-16489	264	45	,	,	PUNCT
ihlr-16489	264	46	marketers	marketer	NOUN
ihlr-16489	264	47	,	,	PUNCT
ihlr-16489	264	48	or	or	CCONJ
ihlr-16489	264	49	public	public	ADJ
ihlr-16489	264	50	health	health	NOUN
ihlr-16489	264	51	officials	official	NOUN
ihlr-16489	264	52	.	.	PUNCT
ihlr-16489	265	1	'"'3	'"'3	PART
ihlr-16489	265	2	unable	unable	ADJ
ihlr-16489	265	3	to	to	PART
ihlr-16489	265	4	avoid	avoid	VERB
ihlr-16489	265	5	bias	bias	NOUN
ihlr-16489	265	6	,	,	PUNCT
ihlr-16489	265	7	pay	pay	VERB
ihlr-16489	265	8	for	for	ADP
ihlr-16489	265	9	performance	performance	NOUN
ihlr-16489	265	10	can	can	AUX
ihlr-16489	265	11	not	not	PART
ihlr-16489	265	12	live	live	VERB
ihlr-16489	265	13	up	up	ADP
ihlr-16489	265	14	to	to	ADP
ihlr-16489	265	15	the	the	DET
ihlr-16489	265	16	40	40	NUM
ihlr-16489	265	17	.	.	PUNCT
ihlr-16489	266	1	ld	ld	PROPN
ihlr-16489	266	2	.	.	PROPN
ihlr-16489	266	3	at3	at3	PROPN
ihlr-16489	266	4	.	.	PROPN
ihlr-16489	267	1	41	41	NUM
ihlr-16489	267	2	.	.	PUNCT
ihlr-16489	268	1	david	david	PROPN
ihlr-16489	268	2	l.	l.	PROPN
ihlr-16489	268	3	sackett	sackett	PROPN
ihlr-16489	268	4	et	et	PROPN
ihlr-16489	268	5	al	al	PROPN
ihlr-16489	268	6	.	.	PROPN
ihlr-16489	268	7	,	,	PUNCT
ihlr-16489	268	8	evidence	evidence	NOUN
ihlr-16489	268	9	based	base	VERB
ihlr-16489	268	10	medicine	medicine	NOUN
ihlr-16489	268	11	:	:	PUNCT
ihlr-16489	268	12	what	what	PRON
ihlr-16489	268	13	it	it	PRON
ihlr-16489	268	14	is	be	AUX
ihlr-16489	268	15	and	and	CCONJ
ihlr-16489	268	16	what	what	PRON
ihlr-16489	268	17	it	it	PRON
ihlr-16489	268	18	lsn	lsn	VERB
ihlr-16489	268	19	'	'	PROPN
ihlr-16489	268	20	t	t	PROPN
ihlr-16489	268	21	,	,	PUNCT
ihlr-16489	268	22	312	312	NUM
ihlr-16489	268	23	brit	brit	NOUN
ihlr-16489	268	24	.	.	PUNCT
ihlr-16489	269	1	med	med	PROPN
ihlr-16489	269	2	.	.	PUNCT
ihlr-16489	270	1	j.	j.	PROPN
ihlr-16489	270	2	71	71	NUM
ihlr-16489	270	3	,	,	PUNCT
ihlr-16489	270	4	71	71	NUM
ihlr-16489	270	5	(	(	PUNCT
ihlr-16489	270	6	1996	1996	NUM
ihlr-16489	270	7	)	)	PUNCT
ihlr-16489	270	8	.	.	PUNCT
ihlr-16489	271	1	42	42	NUM
ihlr-16489	271	2	.	.	PUNCT
ihlr-16489	272	1	david	david	PROPN
ihlr-16489	272	2	m.	m.	PROPN
ihlr-16489	272	3	eddy	eddy	PROPN
ihlr-16489	272	4	,	,	PUNCT
ihlr-16489	272	5	clinical	clinical	ADJ
ihlr-16489	272	6	decision	decision	NOUN
ihlr-16489	272	7	making	making	NOUN
ihlr-16489	272	8	:	:	PUNCT
ihlr-16489	272	9	from	from	ADP
ihlr-16489	272	10	theory	theory	NOUN
ihlr-16489	272	11	to	to	ADP
ihlr-16489	272	12	practice	practice	VERB
ihlr-16489	272	13	,	,	PUNCT
ihlr-16489	272	14	practice	practice	VERB
ihlr-16489	272	15	policies	policy	NOUN
ihlr-16489	272	16	-	-	PUNCT
ihlr-16489	272	17	what	what	PRON
ihlr-16489	272	18	are	be	AUX
ihlr-16489	272	19	they	they	PRON
ihlr-16489	272	20	?	?	PUNCT
ihlr-16489	272	21	,	,	PUNCT
ihlr-16489	272	22	263	263	NUM
ihlr-16489	272	23	jama	jama	NOUN
ihlr-16489	272	24	877	877	NUM
ihlr-16489	272	25	,	,	PUNCT
ihlr-16489	272	26	877	877	NUM
ihlr-16489	272	27	-	-	SYM
ihlr-16489	272	28	78	78	NUM
ihlr-16489	272	29	(	(	PUNCT
ihlr-16489	272	30	2000	2000	NUM
ihlr-16489	272	31	)	)	PUNCT
ihlr-16489	272	32	.	.	PUNCT
ihlr-16489	273	1	43	43	NUM
ihlr-16489	273	2	.	.	PUNCT
ihlr-16489	274	1	patient	patient	ADJ
ihlr-16489	274	2	safety	safety	NOUN
ihlr-16489	274	3	:	:	PUNCT
ihlr-16489	274	4	achieving	achieve	VERB
ihlr-16489	274	5	anew	anew	ADJ
ihlr-16489	274	6	standard	standard	PROPN
ihlr-16489	274	7	for	for	ADP
ihlr-16489	274	8	care	care	NOUN
ihlr-16489	274	9	158	158	NUM
ihlr-16489	274	10	(	(	PUNCT
ihlr-16489	274	11	philip	philip	PROPN
ihlr-16489	274	12	aspden	aspden	PROPN
ihlr-16489	274	13	et	et	PROPN
ihlr-16489	274	14	al	al	PROPN
ihlr-16489	274	15	.	.	PUNCT
ihlr-16489	275	1	eds	eds	PROPN
ihlr-16489	275	2	.	.	PROPN
ihlr-16489	275	3	,	,	PUNCT
ihlr-16489	275	4	2003	2003	NUM
ihlr-16489	275	5	)	)	PUNCT
ihlr-16489	275	6	.	.	PUNCT
ihlr-16489	276	1	2006	2006	NUM
ihlr-16489	276	2	]	]	PUNCT
ihlr-16489	276	3	pay	pay	VERB
ihlr-16489	276	4	for	for	ADP
ihlr-16489	276	5	performance	performance	NOUN
ihlr-16489	276	6	or	or	CCONJ
ihlr-16489	276	7	compliance	compliance	NOUN
ihlr-16489	276	8	?	?	PUNCT
ihlr-16489	277	1	409	409	NUM
ihlr-16489	277	2	standards	standard	NOUN
ihlr-16489	277	3	of	of	ADP
ihlr-16489	277	4	objectivity	objectivity	NOUN
ihlr-16489	277	5	claimed	claim	VERB
ihlr-16489	277	6	by	by	ADP
ihlr-16489	277	7	those	those	PRON
ihlr-16489	277	8	who	who	PRON
ihlr-16489	277	9	support	support	VERB
ihlr-16489	277	10	imposing	impose	VERB
ihlr-16489	277	11	their	their	PRON
ihlr-16489	277	12	version	version	NOUN
ihlr-16489	277	13	of"doing	of"doe	VERB
ihlr-16489	277	14	the	the	DET
ihlr-16489	277	15	right	right	ADJ
ihlr-16489	277	16	thing	thing	NOUN
ihlr-16489	277	17	"	"	PUNCT
ihlr-16489	277	18	on	on	ADP
ihlr-16489	277	19	the	the	DET
ihlr-16489	277	20	medical	medical	ADJ
ihlr-16489	277	21	community.44	community.44	NOUN
ihlr-16489	277	22	members	member	NOUN
ihlr-16489	277	23	of	of	ADP
ihlr-16489	277	24	congress	congress	PROPN
ihlr-16489	277	25	need	need	VERB
ihlr-16489	277	26	to	to	PART
ihlr-16489	277	27	ask	ask	VERB
ihlr-16489	277	28	themselves	themselves	PRON
ihlr-16489	277	29	this	this	DET
ihlr-16489	277	30	crucial	crucial	ADJ
ihlr-16489	277	31	question	question	NOUN
ihlr-16489	277	32	:	:	PUNCT
ihlr-16489	277	33	whose	whose	DET
ihlr-16489	277	34	judgment	judgment	NOUN
ihlr-16489	277	35	and	and	CCONJ
ihlr-16489	277	36	values	value	NOUN
ihlr-16489	277	37	do	do	AUX
ihlr-16489	277	38	we	we	PRON
ihlr-16489	277	39	want	want	VERB
ihlr-16489	277	40	to	to	PART
ihlr-16489	277	41	control	control	VERB
ihlr-16489	277	42	important	important	ADJ
ihlr-16489	277	43	decisions	decision	NOUN
ihlr-16489	277	44	about	about	ADP
ihlr-16489	277	45	our	our	PRON
ihlr-16489	277	46	medical	medical	ADJ
ihlr-16489	277	47	care	care	NOUN
ihlr-16489	277	48	?	?	PUNCT
ihlr-16489	278	1	pay	pay	VERB
ihlr-16489	278	2	for	for	ADP
ihlr-16489	278	3	performance	performance	NOUN
ihlr-16489	278	4	would	would	AUX
ihlr-16489	278	5	give	give	VERB
ihlr-16489	278	6	control	control	NOUN
ihlr-16489	278	7	to	to	ADP
ihlr-16489	278	8	third	third	ADJ
ihlr-16489	278	9	-	-	PUNCT
ihlr-16489	278	10	party	party	NOUN
ihlr-16489	278	11	insurance	insurance	NOUN
ihlr-16489	278	12	or	or	CCONJ
ihlr-16489	278	13	government	government	NOUN
ihlr-16489	278	14	managers	manager	NOUN
ihlr-16489	278	15	,	,	PUNCT
ihlr-16489	278	16	who	who	PRON
ihlr-16489	278	17	have	have	VERB
ihlr-16489	278	18	no	no	DET
ihlr-16489	278	19	information	information	NOUN
ihlr-16489	278	20	about	about	ADP
ihlr-16489	278	21	the	the	DET
ihlr-16489	278	22	unique	unique	ADJ
ihlr-16489	278	23	conditions	condition	NOUN
ihlr-16489	278	24	,	,	PUNCT
ihlr-16489	278	25	health	health	NOUN
ihlr-16489	278	26	history	history	NOUN
ihlr-16489	278	27	,	,	PUNCT
ihlr-16489	278	28	preferences	preference	NOUN
ihlr-16489	278	29	,	,	PUNCT
ihlr-16489	278	30	and	and	CCONJ
ihlr-16489	278	31	personal	personal	ADJ
ihlr-16489	278	32	values	value	NOUN
ihlr-16489	278	33	of	of	ADP
ihlr-16489	278	34	the	the	DET
ihlr-16489	278	35	individual	individual	ADJ
ihlr-16489	278	36	patient	patient	NOUN
ihlr-16489	278	37	being	be	AUX
ihlr-16489	278	38	treated	treat	VERB
ihlr-16489	278	39	by	by	ADP
ihlr-16489	278	40	the	the	DET
ihlr-16489	278	41	individual	individual	ADJ
ihlr-16489	278	42	doctor	doctor	NOUN
ihlr-16489	278	43	.	.	PUNCT
ihlr-16489	279	1	the	the	DET
ihlr-16489	279	2	protocols	protocol	NOUN
ihlr-16489	279	3	of	of	ADP
ihlr-16489	279	4	the	the	DET
ihlr-16489	279	5	distant	distant	ADJ
ihlr-16489	279	6	government	government	NOUN
ihlr-16489	279	7	agency	agency	NOUN
ihlr-16489	279	8	would	would	AUX
ihlr-16489	279	9	in	in	ADP
ihlr-16489	279	10	practice	practice	NOUN
ihlr-16489	279	11	overrule	overrule	VERB
ihlr-16489	279	12	the	the	DET
ihlr-16489	279	13	doctor	doctor	NOUN
ihlr-16489	279	14	's	's	PART
ihlr-16489	279	15	medical	medical	ADJ
ihlr-16489	279	16	judgment	judgment	NOUN
ihlr-16489	279	17	and	and	CCONJ
ihlr-16489	279	18	the	the	DET
ihlr-16489	279	19	patient	patient	NOUN
ihlr-16489	279	20	's	's	PART
ihlr-16489	279	21	choices	choice	NOUN
ihlr-16489	279	22	.	.	PUNCT
ihlr-16489	280	1	the	the	DET
ihlr-16489	280	2	impact	impact	NOUN
ihlr-16489	280	3	of	of	ADP
ihlr-16489	280	4	this	this	DET
ihlr-16489	280	5	control	control	NOUN
ihlr-16489	280	6	shift	shift	NOUN
ihlr-16489	280	7	would	would	AUX
ihlr-16489	280	8	be	be	AUX
ihlr-16489	280	9	government	government	NOUN
ihlr-16489	280	10	micromanagement	micromanagement	NOUN
ihlr-16489	280	11	of	of	ADP
ihlr-16489	280	12	medical	medical	ADJ
ihlr-16489	280	13	care	care	NOUN
ihlr-16489	280	14	and	and	CCONJ
ihlr-16489	280	15	a	a	DET
ihlr-16489	280	16	corresponding	corresponding	ADJ
ihlr-16489	280	17	reduction	reduction	NOUN
ihlr-16489	280	18	in	in	ADP
ihlr-16489	280	19	physician	physician	NOUN
ihlr-16489	280	20	autonomy	autonomy	NOUN
ihlr-16489	280	21	and	and	CCONJ
ihlr-16489	280	22	patient	patient	ADJ
ihlr-16489	280	23	choice.45	choice.45	NOUN
ihlr-16489	280	24	physicians	physician	NOUN
ihlr-16489	280	25	would	would	AUX
ihlr-16489	280	26	be	be	AUX
ihlr-16489	280	27	compelled	compel	VERB
ihlr-16489	280	28	either	either	CCONJ
ihlr-16489	280	29	to	to	PART
ihlr-16489	280	30	follow	follow	VERB
ihlr-16489	280	31	government	government	NOUN
ihlr-16489	280	32	treatment	treatment	NOUN
ihlr-16489	280	33	guidelines	guideline	NOUN
ihlr-16489	280	34	or	or	CCONJ
ihlr-16489	280	35	to	to	PART
ihlr-16489	280	36	suffer	suffer	VERB
ihlr-16489	280	37	financial	financial	ADJ
ihlr-16489	280	38	consequences	consequence	NOUN
ihlr-16489	280	39	,	,	PUNCT
ihlr-16489	280	40	regardless	regardless	ADV
ihlr-16489	280	41	of	of	ADP
ihlr-16489	280	42	whether	whether	SCONJ
ihlr-16489	280	43	a	a	DET
ihlr-16489	280	44	particular	particular	ADJ
ihlr-16489	280	45	guideline	guideline	NOUN
ihlr-16489	280	46	is	be	AUX
ihlr-16489	280	47	in	in	ADP
ihlr-16489	280	48	the	the	DET
ihlr-16489	280	49	best	good	ADJ
ihlr-16489	280	50	interests	interest	NOUN
ihlr-16489	280	51	of	of	ADP
ihlr-16489	280	52	a	a	DET
ihlr-16489	280	53	particular	particular	ADJ
ihlr-16489	280	54	patient	patient	NOUN
ihlr-16489	280	55	.	.	PUNCT
ihlr-16489	281	1	twila	twila	PROPN
ihlr-16489	281	2	brase	brase	PROPN
ihlr-16489	281	3	,	,	PUNCT
ihlr-16489	281	4	president	president	NOUN
ihlr-16489	281	5	of	of	ADP
ihlr-16489	281	6	the	the	DET
ihlr-16489	281	7	citizens	citizen	NOUN
ihlr-16489	281	8	council	council	PROPN
ihlr-16489	281	9	on	on	ADP
ihlr-16489	281	10	health	health	NOUN
ihlr-16489	281	11	care	care	NOUN
ihlr-16489	281	12	,	,	PUNCT
ihlr-16489	281	13	warns	warn	VERB
ihlr-16489	281	14	that	that	SCONJ
ihlr-16489	281	15	adopting	adopt	VERB
ihlr-16489	281	16	a	a	DET
ihlr-16489	281	17	pay	pay	VERB
ihlr-16489	281	18	-	-	PUNCT
ihlr-16489	281	19	for	for	ADP
ihlr-16489	281	20	-	-	PUNCT
ihlr-16489	281	21	performance	performance	NOUN
ihlr-16489	281	22	program	program	NOUN
ihlr-16489	281	23	"	"	PUNCT
ihlr-16489	281	24	will	will	AUX
ihlr-16489	281	25	lead	lead	VERB
ihlr-16489	281	26	to	to	ADP
ihlr-16489	281	27	a	a	DET
ihlr-16489	281	28	limited	limited	ADJ
ihlr-16489	281	29	list	list	NOUN
ihlr-16489	281	30	of	of	ADP
ihlr-16489	281	31	approved	approve	VERB
ihlr-16489	281	32	health	health	NOUN
ihlr-16489	281	33	care	care	NOUN
ihlr-16489	281	34	services--'best	services--'b	ADJ
ihlr-16489	281	35	practices	practice	NOUN
ihlr-16489	281	36	'	'	PUNCT
ihlr-16489	281	37	as	as	SCONJ
ihlr-16489	281	38	determined	determine	VERB
ihlr-16489	281	39	by	by	ADP
ihlr-16489	281	40	the	the	DET
ihlr-16489	281	41	agendas	agenda	NOUN
ihlr-16489	281	42	and	and	CCONJ
ihlr-16489	281	43	values	value	NOUN
ihlr-16489	281	44	of	of	ADP
ihlr-16489	281	45	a	a	DET
ihlr-16489	281	46	small	small	ADJ
ihlr-16489	281	47	cadre	cadre	NOUN
ihlr-16489	281	48	of	of	ADP
ihlr-16489	281	49	politically	politically	ADV
ihlr-16489	281	50	motivated	motivated	ADJ
ihlr-16489	281	51	,	,	PUNCT
ihlr-16489	281	52	personally	personally	ADV
ihlr-16489	281	53	-	-	PUNCT
ihlr-16489	281	54	biased	bias	VERB
ihlr-16489	281	55	individuals	individual	NOUN
ihlr-16489	281	56	sitting	sit	VERB
ihlr-16489	281	57	around	around	ADP
ihlr-16489	281	58	a	a	DET
ihlr-16489	281	59	table	table	NOUN
ihlr-16489	281	60	somewhere	somewhere	ADV
ihlr-16489	281	61	making	make	VERB
ihlr-16489	281	62	treatment	treatment	NOUN
ihlr-16489	281	63	decisions	decision	NOUN
ihlr-16489	281	64	far	far	ADV
ihlr-16489	281	65	from	from	ADP
ihlr-16489	281	66	the	the	DET
ihlr-16489	281	67	patient	patient	NOUN
ihlr-16489	281	68	's	's	PART
ihlr-16489	281	69	bedside.•>46	bedside.•>46	NOUN
ihlr-16489	281	70	these	these	DET
ihlr-16489	281	71	"	"	PUNCT
ihlr-16489	281	72	elite	elite	ADJ
ihlr-16489	281	73	"	"	PUNCT
ihlr-16489	281	74	decision	decision	NOUN
ihlr-16489	281	75	makers	maker	NOUN
ihlr-16489	281	76	would	would	AUX
ihlr-16489	281	77	not	not	PART
ihlr-16489	281	78	even	even	ADV
ihlr-16489	281	79	know	know	VERB
ihlr-16489	281	80	the	the	DET
ihlr-16489	281	81	name	name	NOUN
ihlr-16489	281	82	of	of	ADP
ihlr-16489	281	83	the	the	DET
ihlr-16489	281	84	patient	patient	NOUN
ihlr-16489	281	85	,	,	PUNCT
ihlr-16489	281	86	much	much	ADV
ihlr-16489	281	87	less	less	ADJ
ihlr-16489	281	88	the	the	DET
ihlr-16489	281	89	patient	patient	NOUN
ihlr-16489	281	90	's	's	PART
ihlr-16489	281	91	unique	unique	ADJ
ihlr-16489	281	92	circumstances	circumstance	NOUN
ihlr-16489	281	93	and	and	CCONJ
ihlr-16489	281	94	values	value	NOUN
ihlr-16489	281	95	.	.	PUNCT
ihlr-16489	282	1	when	when	SCONJ
ihlr-16489	282	2	made	make	VERB
ihlr-16489	282	3	from	from	ADP
ihlr-16489	282	4	a	a	DET
ihlr-16489	282	5	distance	distance	NOUN
ihlr-16489	282	6	by	by	ADP
ihlr-16489	282	7	budget	budget	NOUN
ihlr-16489	282	8	-	-	PUNCT
ihlr-16489	282	9	focused	focus	VERB
ihlr-16489	282	10	technocrats	technocrat	NOUN
ihlr-16489	282	11	,	,	PUNCT
ihlr-16489	282	12	treatment	treatment	NOUN
ihlr-16489	282	13	decisions	decision	NOUN
ihlr-16489	282	14	are	be	AUX
ihlr-16489	282	15	apt	apt	ADJ
ihlr-16489	282	16	to	to	PART
ihlr-16489	282	17	focus	focus	VERB
ihlr-16489	282	18	as	as	ADV
ihlr-16489	282	19	much	much	ADV
ihlr-16489	282	20	on	on	ADP
ihlr-16489	282	21	rationing	ration	VERB
ihlr-16489	282	22	as	as	SCONJ
ihlr-16489	282	23	they	they	PRON
ihlr-16489	282	24	do	do	VERB
ihlr-16489	282	25	on	on	ADP
ihlr-16489	282	26	quality	quality	NOUN
ihlr-16489	282	27	improvement	improvement	NOUN
ihlr-16489	282	28	.	.	PUNCT
ihlr-16489	283	1	keith	keith	PROPN
ihlr-16489	283	2	syrett	syrett	PROPN
ihlr-16489	283	3	,	,	PUNCT
ihlr-16489	283	4	professor	professor	NOUN
ihlr-16489	283	5	of	of	ADP
ihlr-16489	283	6	law	law	NOUN
ihlr-16489	283	7	at	at	ADP
ihlr-16489	283	8	the	the	DET
ihlr-16489	283	9	university	university	PROPN
ihlr-16489	283	10	of	of	ADP
ihlr-16489	283	11	bristol	bristol	PROPN
ihlr-16489	283	12	,	,	PUNCT
ihlr-16489	283	13	observes	observe	VERB
ihlr-16489	283	14	that	that	SCONJ
ihlr-16489	283	15	"	"	PUNCT
ihlr-16489	283	16	decision	decision	NOUN
ihlr-16489	283	17	making	making	NOUN
ihlr-16489	283	18	by	by	ADP
ihlr-16489	283	19	guideline	guideline	NOUN
ihlr-16489	283	20	offer	offer	NOUN
ihlr-16489	283	21	[	[	PUNCT
ihlr-16489	283	22	s	s	X
ihlr-16489	283	23	]	]	X
ihlr-16489	283	24	a	a	DET
ihlr-16489	283	25	means	means	NOUN
ihlr-16489	283	26	of	of	ADP
ihlr-16489	283	27	scientifically	scientifically	ADV
ihlr-16489	283	28	depoliticizing	depoliticize	VERB
ihlr-16489	283	29	the	the	DET
ihlr-16489	283	30	rationing	ration	VERB
ihlr-16489	283	31	debate	debate	NOUN
ihlr-16489	283	32	.	.	PUNCT
ihlr-16489	284	1	"	"	PUNCT
ihlr-16489	284	2	47	47	NUM
ihlr-16489	284	3	payers	payer	NOUN
ihlr-16489	284	4	are	be	AUX
ihlr-16489	284	5	able	able	ADJ
ihlr-16489	284	6	to	to	PART
ihlr-16489	284	7	create	create	VERB
ihlr-16489	284	8	the	the	DET
ihlr-16489	284	9	impression	impression	NOUN
ihlr-16489	284	10	that	that	SCONJ
ihlr-16489	284	11	there	there	PRON
ihlr-16489	284	12	is	be	VERB
ihlr-16489	284	13	scientific	scientific	ADJ
ihlr-16489	284	14	legitimacy	legitimacy	NOUN
ihlr-16489	284	15	behind	behind	ADP
ihlr-16489	284	16	cost	cost	NOUN
ihlr-16489	284	17	-	-	PUNCT
ihlr-16489	284	18	based	base	VERB
ihlr-16489	284	19	decisions	decision	NOUN
ihlr-16489	284	20	to	to	PART
ihlr-16489	284	21	restrict	restrict	VERB
ihlr-16489	284	22	patient	patient	ADJ
ihlr-16489	284	23	access	access	NOUN
ihlr-16489	284	24	to	to	ADP
ihlr-16489	284	25	medically	medically	ADV
ihlr-16489	284	26	necessary	necessary	ADJ
ihlr-16489	284	27	treatments	treatment	NOUN
ihlr-16489	284	28	.	.	PUNCT
ihlr-16489	285	1	44	44	NUM
ihlr-16489	285	2	.	.	PUNCT
ihlr-16489	286	1	the	the	DET
ihlr-16489	286	2	third	third	NOUN
ihlr-16489	286	3	of	of	ADP
ihlr-16489	286	4	five	five	NUM
ihlr-16489	286	5	system	system	NOUN
ihlr-16489	286	6	strategies	strategy	NOUN
ihlr-16489	286	7	listed	list	VERB
ihlr-16489	286	8	on	on	ADP
ihlr-16489	286	9	cms	cms	PROPN
ihlr-16489	286	10	's	's	PART
ihlr-16489	286	11	quality	quality	NOUN
ihlr-16489	286	12	improvement	improvement	NOUN
ihlr-16489	286	13	roadmap	roadmap	NOUN
ihlr-16489	286	14	,	,	PUNCT
ihlr-16489	286	15	published	publish	VERB
ihlr-16489	286	16	in	in	ADP
ihlr-16489	286	17	july	july	PROPN
ihlr-16489	286	18	2005	2005	NUM
ihlr-16489	286	19	,	,	PUNCT
ihlr-16489	286	20	explains	explain	VERB
ihlr-16489	286	21	the	the	DET
ihlr-16489	286	22	agency	agency	NOUN
ihlr-16489	286	23	's	's	PART
ihlr-16489	286	24	intention	intention	NOUN
ihlr-16489	286	25	to	to	PART
ihlr-16489	286	26	"	"	PUNCT
ihlr-16489	286	27	pay	pay	VERB
ihlr-16489	286	28	in	in	ADP
ihlr-16489	286	29	a	a	DET
ihlr-16489	286	30	way	way	NOUN
ihlr-16489	286	31	that	that	PRON
ihlr-16489	286	32	expresses	express	VERB
ihlr-16489	286	33	our	our	PRON
ihlr-16489	286	34	commitment	commitment	NOUN
ihlr-16489	286	35	to	to	ADP
ihlr-16489	286	36	supporting	support	VERB
ihlr-16489	286	37	providers	provider	NOUN
ihlr-16489	286	38	and	and	CCONJ
ihlr-16489	286	39	practitioners	practitioner	NOUN
ihlr-16489	286	40	for	for	ADP
ihlr-16489	286	41	doing	do	VERB
ihlr-16489	286	42	the	the	DET
ihlr-16489	286	43	right	right	ADJ
ihlr-16489	286	44	thing	thing	NOUN
ihlr-16489	286	45	.	.	PUNCT
ihlr-16489	286	46	"	"	PUNCT
ihlr-16489	287	1	ctrs	ctrs	PROPN
ihlr-16489	287	2	.	.	PUNCT
ihlr-16489	288	1	for	for	ADP
ihlr-16489	288	2	medicare	medicare	PROPN
ihlr-16489	288	3	and	and	CCONJ
ihlr-16489	288	4	medicaid	medicaid	PROPN
ihlr-16489	288	5	servs	servs	PROPN
ihlr-16489	288	6	,	,	PUNCT
ihlr-16489	288	7	quality	quality	NOUN
ihlr-16489	288	8	improvement	improvement	NOUN
ihlr-16489	288	9	roadmap	roadmap	NOUN
ihlr-16489	288	10	,	,	PUNCT
ihlr-16489	288	11	http://www.cms.hhs.gov/	http://www.cms.hhs.gov/	X
ihlr-16489	288	12	councilontechlnnov	councilontechlnnov	PROPN
ihlr-16489	288	13	/	/	SYM
ihlr-16489	288	14	downloads	download	NOUN
ihlr-16489	288	15	/	/	SYM
ihlr-16489	288	16	qualityroadmap.pdf	qualityroadmap.pdf	X
ihlr-16489	288	17	(	(	PUNCT
ihlr-16489	288	18	last	last	ADJ
ihlr-16489	288	19	visited	visit	VERB
ihlr-16489	288	20	may	may	AUX
ihlr-16489	288	21	20	20	NUM
ihlr-16489	288	22	,	,	PUNCT
ihlr-16489	288	23	2006	2006	NUM
ihlr-16489	288	24	)	)	PUNCT
ihlr-16489	288	25	.	.	PUNCT
ihlr-16489	289	1	45	45	NUM
ihlr-16489	289	2	.	.	X
ihlr-16489	290	1	americans	americans	PROPN
ihlr-16489	290	2	overwhelmingly	overwhelmingly	ADV
ihlr-16489	290	3	prefer	prefer	VERB
ihlr-16489	290	4	control	control	NOUN
ihlr-16489	290	5	of	of	ADP
ihlr-16489	290	6	medical	medical	ADJ
ihlr-16489	290	7	care	care	NOUN
ihlr-16489	290	8	to	to	PART
ihlr-16489	290	9	lie	lie	VERB
ihlr-16489	290	10	with	with	ADP
ihlr-16489	290	11	themselves	themselves	PRON
ihlr-16489	290	12	and	and	CCONJ
ihlr-16489	290	13	their	their	PRON
ihlr-16489	290	14	physicians	physician	NOUN
ihlr-16489	290	15	.	.	PUNCT
ihlr-16489	291	1	this	this	PRON
ihlr-16489	291	2	was	be	AUX
ihlr-16489	291	3	demonstrated	demonstrate	VERB
ihlr-16489	291	4	in	in	ADP
ihlr-16489	291	5	the	the	DET
ihlr-16489	291	6	fight	fight	NOUN
ihlr-16489	291	7	over	over	ADP
ihlr-16489	291	8	president	president	PROPN
ihlr-16489	291	9	clinton	clinton	PROPN
ihlr-16489	291	10	's	's	PART
ihlr-16489	291	11	health	health	PROPN
ihlr-16489	291	12	security	security	PROPN
ihlr-16489	291	13	act	act	NOUN
ihlr-16489	291	14	in	in	ADP
ihlr-16489	291	15	1993	1993	NUM
ihlr-16489	291	16	,	,	PUNCT
ihlr-16489	291	17	which	which	PRON
ihlr-16489	291	18	included	include	VERB
ihlr-16489	291	19	,	,	PUNCT
ihlr-16489	291	20	among	among	ADP
ihlr-16489	291	21	other	other	ADJ
ihlr-16489	291	22	things	thing	NOUN
ihlr-16489	291	23	,	,	PUNCT
ihlr-16489	291	24	required	require	VERB
ihlr-16489	291	25	clinical	clinical	ADJ
ihlr-16489	291	26	guidelines	guideline	NOUN
ihlr-16489	291	27	to	to	PART
ihlr-16489	291	28	manage	manage	VERB
ihlr-16489	291	29	utilization	utilization	NOUN
ihlr-16489	291	30	.	.	PUNCT
ihlr-16489	292	1	46	46	NUM
ihlr-16489	292	2	.	.	PUNCT
ihlr-16489	292	3	twilabrase	twilabrase	PROPN
ihlr-16489	292	4	,	,	PUNCT
ihlr-16489	292	5	how	how	SCONJ
ihlr-16489	292	6	technocrats	technocrat	NOUN
ihlr-16489	292	7	are	be	AUX
ihlr-16489	292	8	taking	take	VERB
ihlr-16489	292	9	over	over	ADP
ihlr-16489	292	10	the	the	DET
ihlr-16489	292	11	practice	practice	NOUN
ihlr-16489	292	12	of	of	ADP
ihlr-16489	292	13	medicine	medicine	NOUN
ihlr-16489	292	14	:	:	PUNCT
ihlr-16489	292	15	a	a	DET
ihlr-16489	292	16	wake	wake	VERB
ihlr-16489	292	17	-	-	PUNCT
ihlr-16489	292	18	up	up	ADP
ihlr-16489	292	19	call	call	NOUN
ihlr-16489	292	20	to	to	ADP
ihlr-16489	292	21	the	the	DET
ihlr-16489	292	22	american	american	ADJ
ihlr-16489	292	23	people	people	NOUN
ihlr-16489	292	24	,	,	PUNCT
ihlr-16489	292	25	citizens	citizen	NOUN
ihlr-16489	292	26	'	'	PART
ihlr-16489	292	27	councll	councll	NOUN
ihlr-16489	292	28	..	..	PUNCT
ihlr-16489	292	29	on	on	ADP
ihlr-16489	292	30	heallh	heallh	NOUN
ihlr-16489	292	31	care	care	NOUN
ihlr-16489	292	32	pol'y	pol'y	PROPN
ihlr-16489	292	33	rep	rep	PROPN
ihlr-16489	292	34	.	.	PROPN
ihlr-16489	292	35	18	18	NUM
ihlr-16489	292	36	(	(	PUNCT
ihlr-16489	292	37	2005	2005	NUM
ihlr-16489	292	38	)	)	PUNCT
ihlr-16489	292	39	,	,	PUNCT
ihlr-16489	292	40	avai	avai	PROPN
ihlr-16489	292	41	/	/	SYM
ihlr-16489	292	42	ab	ab	PROPN
ihlr-16489	292	43	/	/	SYM
ihlr-16489	292	44	eathttp	eathttp	ADJ
ihlr-16489	292	45	:	:	PUNCT
ihlr-16489	292	46	j	j	PROPN
ihlr-16489	292	47	/	/	SYM
ihlr-16489	292	48	www.cchconline.orgfpdfreport	www.cchconline.orgfpdfreport	PROPN
ihlr-16489	292	49	/	/	SYM
ihlr-16489	292	50	ebm_report_-_ex_summary.pdf(lastvisited	ebm_report_-_ex_summary.pdf(lastvisite	VERB
ihlr-16489	292	51	may	may	AUX
ihlr-16489	292	52	20	20	NUM
ihlr-16489	292	53	,	,	PUNCT
ihlr-16489	292	54	2006	2006	NUM
ihlr-16489	292	55	)	)	PUNCT
ihlr-16489	292	56	.	.	PUNCT
ihlr-16489	293	1	47	47	NUM
ihlr-16489	293	2	.	.	PUNCT
ihlr-16489	294	1	keith	keith	PROPN
ihlr-16489	294	2	syrett	syrett	PROPN
ihlr-16489	294	3	,	,	PUNCT
ihlr-16489	294	4	a	a	DET
ihlr-16489	294	5	technocratic	technocratic	ADJ
ihlr-16489	294	6	fix	fix	NOUN
ihlr-16489	294	7	to	to	ADP
ihlr-16489	294	8	the	the	DET
ihlr-16489	294	9	"	"	PUNCT
ihlr-16489	294	10	legitimacy	legitimacy	NOUN
ihlr-16489	294	11	problem	problem	NOUN
ihlr-16489	294	12	"	"	PUNCT
ihlr-16489	294	13	?	?	PUNCT
ihlr-16489	295	1	the	the	DET
ihlr-16489	295	2	blair	blair	PROPN
ihlr-16489	295	3	government	government	PROPN
ihlr-16489	295	4	and	and	CCONJ
ihlr-16489	295	5	health	health	NOUN
ihlr-16489	295	6	care	care	NOUN
ihlr-16489	295	7	rationing	ration	VERB
ihlr-16489	295	8	in	in	ADP
ihlr-16489	295	9	the	the	DET
ihlr-16489	295	10	united	united	ADJ
ihlr-16489	295	11	kingdom	kingdom	PROPN
ihlr-16489	295	12	,	,	PUNCT
ihlr-16489	295	13	28	28	NUM
ihlr-16489	295	14	j.	j.	PROPN
ihlr-16489	295	15	heallh	heallh	PROPN
ihlr-16489	295	16	pol	pol	PROPN
ihlr-16489	295	17	.	.	PUNCT
ihlr-16489	295	18	,	,	PUNCT
ihlr-16489	295	19	pol'y	pol'y	PROPN
ihlr-16489	295	20	l.	l.	PROPN
ihlr-16489	295	21	715	715	NUM
ihlr-16489	295	22	,	,	PUNCT
ihlr-16489	295	23	728	728	NUM
ihlr-16489	295	24	(	(	PUNCT
ihlr-16489	295	25	2003	2003	NUM
ihlr-16489	295	26	)	)	PUNCT
ihlr-16489	295	27	.	.	PUNCT
ihlr-16489	296	1	410	410	NUM
ihlr-16489	296	2	indiana	indiana	PROPN
ihlr-16489	296	3	health	health	PROPN
ihlr-16489	296	4	law	law	PROPN
ihlr-16489	296	5	review	review	NOUN
ihlr-16489	296	6	[	[	X
ihlr-16489	296	7	vol	vol	NOUN
ihlr-16489	296	8	.	.	PUNCT
ihlr-16489	297	1	3:391	3:391	NUM
ihlr-16489	297	2	the	the	DET
ihlr-16489	297	3	american	american	PROPN
ihlr-16489	297	4	medical	medical	PROPN
ihlr-16489	297	5	association	association	PROPN
ihlr-16489	297	6	(	(	PUNCT
ihlr-16489	297	7	"	"	PUNCT
ihlr-16489	297	8	ama	ama	NOUN
ihlr-16489	297	9	"	"	PUNCT
ihlr-16489	297	10	)	)	PUNCT
ihlr-16489	297	11	expressed	express	VERB
ihlr-16489	297	12	concern	concern	NOUN
ihlr-16489	297	13	over	over	ADP
ihlr-16489	297	14	such	such	ADJ
ihlr-16489	297	15	potential	potential	ADJ
ihlr-16489	297	16	ebm	ebm	NOUN
ihlr-16489	297	17	-	-	PUNCT
ihlr-16489	297	18	based	base	VERB
ihlr-16489	297	19	rationing	rationing	NOUN
ihlr-16489	297	20	at	at	ADP
ihlr-16489	297	21	its	its	PRON
ihlr-16489	297	22	national	national	ADJ
ihlr-16489	297	23	meeting	meeting	NOUN
ihlr-16489	297	24	in	in	ADP
ihlr-16489	297	25	june	june	PROPN
ihlr-16489	297	26	2005	2005	NUM
ihlr-16489	297	27	.	.	PUNCT
ihlr-16489	298	1	"	"	PUNCT
ihlr-16489	298	2	there	there	PRON
ihlr-16489	298	3	is	be	VERB
ihlr-16489	298	4	a	a	DET
ihlr-16489	298	5	potential	potential	ADJ
ihlr-16489	298	6	concern	concern	NOUN
ihlr-16489	298	7	when	when	SCONJ
ihlr-16489	298	8	there	there	PRON
ihlr-16489	298	9	is	be	VERB
ihlr-16489	298	10	another	another	DET
ihlr-16489	298	11	intent	intent	NOUN
ihlr-16489	298	12	behind	behind	ADP
ihlr-16489	298	13	pay	pay	NOUN
ihlr-16489	298	14	for	for	ADP
ihlr-16489	298	15	performance	performance	NOUN
ihlr-16489	298	16	,	,	PUNCT
ihlr-16489	298	17	"	"	PUNCT
ihlr-16489	298	18	said	say	VERB
ihlr-16489	298	19	ama	ama	NOUN
ihlr-16489	298	20	trustee	trustee	VERB
ihlr-16489	298	21	john	john	PROPN
ihlr-16489	298	22	armstrong	armstrong	PROPN
ihlr-16489	298	23	,	,	PUNCT
ihlr-16489	298	24	m.d.48	m.d.48	PROPN
ihlr-16489	299	1	"	"	PUNCT
ihlr-16489	299	2	some	some	DET
ihlr-16489	299	3	so	so	ADV
ihlr-16489	299	4	-	-	PUNCT
ihlr-16489	299	5	called	call	VERB
ihlr-16489	299	6	pay	pay	NOUN
ihlr-16489	299	7	-	-	PUNCT
ihlr-16489	299	8	for	for	ADP
ihlr-16489	299	9	-	-	PUNCT
ihlr-16489	299	10	performance	performance	NOUN
ihlr-16489	299	11	programs	program	NOUN
ihlr-16489	299	12	are	be	AUX
ihlr-16489	299	13	a	a	DET
ihlr-16489	299	14	lose	lose	NOUN
ihlr-16489	299	15	/	/	SYM
ihlr-16489	299	16	lose	lose	NOUN
ihlr-16489	299	17	proposition	proposition	NOUN
ihlr-16489	299	18	for	for	ADP
ihlr-16489	299	19	patients	patient	NOUN
ihlr-16489	299	20	and	and	CCONJ
ihlr-16489	299	21	their	their	PRON
ihlr-16489	299	22	physicians	physician	NOUN
ihlr-16489	299	23	,	,	PUNCT
ihlr-16489	299	24	with	with	ADP
ihlr-16489	299	25	the	the	DET
ihlr-16489	299	26	only	only	ADJ
ihlr-16489	299	27	benefit	benefit	NOUN
ihlr-16489	299	28	accruing	accrue	VERB
ihlr-16489	299	29	to	to	ADP
ihlr-16489	299	30	health	health	NOUN
ihlr-16489	299	31	insurers	insurer	NOUN
ihlr-16489	299	32	.	.	PUNCT
ihlr-16489	300	1	'o49	'o49	PROPN
ihlr-16489	300	2	as	as	ADP
ihlr-16489	300	3	with	with	ADP
ihlr-16489	300	4	any	any	DET
ihlr-16489	300	5	health	health	NOUN
ihlr-16489	300	6	care	care	NOUN
ihlr-16489	300	7	system	system	NOUN
ihlr-16489	300	8	that	that	PRON
ihlr-16489	300	9	employs	employ	VERB
ihlr-16489	300	10	top	top	ADJ
ihlr-16489	300	11	-	-	PUNCT
ihlr-16489	300	12	down	down	ADP
ihlr-16489	300	13	planning	planning	NOUN
ihlr-16489	300	14	to	to	PART
ihlr-16489	300	15	ration	ration	VERB
ihlr-16489	300	16	health	health	NOUN
ihlr-16489	300	17	care	care	NOUN
ihlr-16489	300	18	,	,	PUNCT
ihlr-16489	300	19	the	the	DET
ihlr-16489	300	20	ultimate	ultimate	ADJ
ihlr-16489	300	21	effect	effect	NOUN
ihlr-16489	300	22	will	will	AUX
ihlr-16489	300	23	be	be	AUX
ihlr-16489	300	24	to	to	PART
ihlr-16489	300	25	limit	limit	VERB
ihlr-16489	300	26	access	access	NOUN
ihlr-16489	300	27	to	to	ADP
ihlr-16489	300	28	appropriate	appropriate	ADJ
ihlr-16489	300	29	health	health	NOUN
ihlr-16489	300	30	care	care	NOUN
ihlr-16489	300	31	services	service	NOUN
ihlr-16489	300	32	according	accord	VERB
ihlr-16489	300	33	to	to	ADP
ihlr-16489	300	34	priorities	priority	NOUN
ihlr-16489	300	35	imposed	impose	VERB
ihlr-16489	300	36	by	by	ADP
ihlr-16489	300	37	a	a	DET
ihlr-16489	300	38	centralized	centralized	ADJ
ihlr-16489	300	39	bureaucracy	bureaucracy	NOUN
ihlr-16489	300	40	.	.	PUNCT
ihlr-16489	301	1	this	this	PRON
ihlr-16489	301	2	should	should	AUX
ihlr-16489	301	3	be	be	AUX
ihlr-16489	301	4	considered	consider	VERB
ihlr-16489	301	5	in	in	ADP
ihlr-16489	301	6	the	the	DET
ihlr-16489	301	7	context	context	NOUN
ihlr-16489	301	8	of	of	ADP
ihlr-16489	301	9	medical	medical	ADJ
ihlr-16489	301	10	malpractice	malpractice	NOUN
ihlr-16489	301	11	.	.	PUNCT
ihlr-16489	302	1	it	it	PRON
ihlr-16489	302	2	is	be	AUX
ihlr-16489	302	3	bad	bad	ADJ
ihlr-16489	302	4	policy	policy	NOUN
ihlr-16489	302	5	to	to	PART
ihlr-16489	302	6	empower	empower	VERB
ihlr-16489	302	7	a	a	DET
ihlr-16489	302	8	centralized	centralized	ADJ
ihlr-16489	302	9	bureaucracy	bureaucracy	NOUN
ihlr-16489	302	10	to	to	PART
ihlr-16489	302	11	construct	construct	VERB
ihlr-16489	302	12	and	and	CCONJ
ihlr-16489	302	13	determine	determine	VERB
ihlr-16489	302	14	which	which	PRON
ihlr-16489	302	15	clinical	clinical	ADJ
ihlr-16489	302	16	algorithms	algorithm	NOUN
ihlr-16489	302	17	are	be	AUX
ihlr-16489	302	18	to	to	PART
ihlr-16489	302	19	be	be	AUX
ihlr-16489	302	20	used	use	VERB
ihlr-16489	302	21	and	and	CCONJ
ihlr-16489	302	22	which	which	DET
ihlr-16489	302	23	practices	practice	NOUN
ihlr-16489	302	24	are	be	AUX
ihlr-16489	302	25	"	"	PUNCT
ihlr-16489	302	26	best	good	ADJ
ihlr-16489	302	27	"	"	PUNCT
ihlr-16489	302	28	while	while	SCONJ
ihlr-16489	302	29	also	also	ADV
ihlr-16489	302	30	excusing	excuse	VERB
ihlr-16489	302	31	it	it	PRON
ihlr-16489	302	32	from	from	ADP
ihlr-16489	302	33	any	any	DET
ihlr-16489	302	34	"	"	PUNCT
ihlr-16489	302	35	responsibility	responsibility	NOUN
ihlr-16489	302	36	for	for	ADP
ihlr-16489	302	37	the	the	DET
ihlr-16489	302	38	clinical	clinical	ADJ
ihlr-16489	302	39	consequences	consequence	NOUN
ihlr-16489	302	40	.	.	PUNCT
ihlr-16489	303	1	"50	"50	PROPN
ihlr-16489	303	2	in	in	ADP
ihlr-16489	303	3	reality	reality	NOUN
ihlr-16489	303	4	,	,	PUNCT
ihlr-16489	303	5	the	the	DET
ihlr-16489	303	6	ultimate	ultimate	ADJ
ihlr-16489	303	7	responsibility	responsibility	NOUN
ihlr-16489	303	8	remains	remain	VERB
ihlr-16489	303	9	with	with	ADP
ihlr-16489	303	10	the	the	DET
ihlr-16489	303	11	treating	treat	VERB
ihlr-16489	303	12	physician	physician	NOUN
ihlr-16489	303	13	,	,	PUNCT
ihlr-16489	303	14	whose	whose	DET
ihlr-16489	303	15	best	good	ADJ
ihlr-16489	303	16	medical	medical	ADJ
ihlr-16489	303	17	judgment	judgment	NOUN
ihlr-16489	303	18	may	may	AUX
ihlr-16489	303	19	dictate	dictate	VERB
ihlr-16489	303	20	proceeding	proceed	VERB
ihlr-16489	303	21	in	in	ADP
ihlr-16489	303	22	one	one	NUM
ihlr-16489	303	23	direction	direction	NOUN
ihlr-16489	303	24	while	while	SCONJ
ihlr-16489	303	25	the	the	DET
ihlr-16489	303	26	third­	third­	PROPN
ihlr-16489	303	27	party	party	NOUN
ihlr-16489	303	28	algorithm	algorithm	NOUN
ihlr-16489	303	29	forces	force	VERB
ihlr-16489	303	30	the	the	DET
ihlr-16489	303	31	physician	physician	NOUN
ihlr-16489	303	32	to	to	PART
ihlr-16489	303	33	go	go	VERB
ihlr-16489	303	34	in	in	ADP
ihlr-16489	303	35	another	another	PRON
ihlr-16489	303	36	.	.	PUNCT
ihlr-16489	304	1	this	this	PRON
ihlr-16489	304	2	could	could	AUX
ihlr-16489	304	3	produce	produce	VERB
ihlr-16489	304	4	adverse	adverse	ADJ
ihlr-16489	304	5	results	result	NOUN
ihlr-16489	304	6	for	for	ADP
ihlr-16489	304	7	the	the	DET
ihlr-16489	304	8	patient	patient	NOUN
ihlr-16489	304	9	,	,	PUNCT
ihlr-16489	304	10	and	and	CCONJ
ihlr-16489	304	11	it	it	PRON
ihlr-16489	304	12	would	would	AUX
ihlr-16489	304	13	further	far	ADV
ihlr-16489	304	14	complicate	complicate	VERB
ihlr-16489	304	15	the	the	DET
ihlr-16489	304	16	medical	medical	ADJ
ihlr-16489	304	17	malpractice	malpractice	NOUN
ihlr-16489	304	18	crisis	crisis	NOUN
ihlr-16489	304	19	that	that	PRON
ihlr-16489	304	20	is	be	AUX
ihlr-16489	304	21	deepening	deepen	VERB
ihlr-16489	304	22	in	in	ADP
ihlr-16489	304	23	many	many	ADJ
ihlr-16489	304	24	states	state	NOUN
ihlr-16489	304	25	of	of	ADP
ihlr-16489	304	26	the	the	DET
ihlr-16489	304	27	union	union	NOUN
ihlr-16489	304	28	.	.	PUNCT
ihlr-16489	305	1	c.	c.	PROPN
ihlr-16489	305	2	problem	problem	PROPN
ihlr-16489	305	3	#	#	SYM
ihlr-16489	305	4	3	3	NUM
ihlr-16489	305	5	:	:	PUNCT
ihlr-16489	305	6	underminingofpersonalized	underminingofpersonalized	ADJ
ihlr-16489	305	7	care	care	NOUN
ihlr-16489	305	8	by	by	ADP
ihlr-16489	305	9	population	population	NOUN
ihlr-16489	305	10	-	-	PUNCT
ihlr-16489	305	11	based	base	VERB
ihlr-16489	305	12	medicine	medicine	NOUN
ihlr-16489	305	13	health	health	NOUN
ihlr-16489	305	14	care	care	NOUN
ihlr-16489	305	15	providers	provider	NOUN
ihlr-16489	305	16	treat	treat	VERB
ihlr-16489	305	17	individual	individual	ADJ
ihlr-16489	305	18	patients	patient	NOUN
ihlr-16489	305	19	,	,	PUNCT
ihlr-16489	305	20	not	not	PART
ihlr-16489	305	21	statistically	statistically	ADV
ihlr-16489	305	22	significant	significant	ADJ
ihlr-16489	305	23	groups	group	NOUN
ihlr-16489	305	24	.	.	PUNCT
ihlr-16489	306	1	what	what	PRON
ihlr-16489	306	2	may	may	AUX
ihlr-16489	306	3	be	be	AUX
ihlr-16489	306	4	the	the	DET
ihlr-16489	306	5	best	good	ADJ
ihlr-16489	306	6	treatment	treatment	NOUN
ihlr-16489	306	7	for	for	ADP
ihlr-16489	306	8	the	the	DET
ihlr-16489	306	9	group	group	NOUN
ihlr-16489	306	10	on	on	ADP
ihlr-16489	306	11	average	average	ADJ
ihlr-16489	306	12	might	might	AUX
ihlr-16489	306	13	not	not	PART
ihlr-16489	306	14	necessarily	necessarily	ADV
ihlr-16489	306	15	be	be	AUX
ihlr-16489	306	16	the	the	DET
ihlr-16489	306	17	appropriate	appropriate	ADJ
ihlr-16489	306	18	treatment	treatment	NOUN
ihlr-16489	306	19	for	for	ADP
ihlr-16489	306	20	an	an	DET
ihlr-16489	306	21	individual	individual	ADJ
ihlr-16489	306	22	patient	patient	NOUN
ihlr-16489	306	23	.	.	PUNCT
ihlr-16489	307	1	enforcing	enforce	VERB
ihlr-16489	307	2	uniform	uniform	ADJ
ihlr-16489	307	3	clinical	clinical	ADJ
ihlr-16489	307	4	guidelines	guideline	NOUN
ihlr-16489	307	5	on	on	ADP
ihlr-16489	307	6	patients	patient	NOUN
ihlr-16489	307	7	whose	whose	DET
ihlr-16489	307	8	conditions	condition	NOUN
ihlr-16489	307	9	and	and	CCONJ
ihlr-16489	307	10	values	value	NOUN
ihlr-16489	307	11	are	be	AUX
ihlr-16489	307	12	anything	anything	PRON
ihlr-16489	307	13	but	but	CCONJ
ihlr-16489	307	14	uniform	uniform	NOUN
ihlr-16489	307	15	is	be	AUX
ihlr-16489	307	16	like	like	ADP
ihlr-16489	307	17	trying	try	VERB
ihlr-16489	307	18	to	to	PART
ihlr-16489	307	19	dress	dress	VERB
ihlr-16489	307	20	everyone	everyone	PRON
ihlr-16489	307	21	in	in	ADP
ihlr-16489	307	22	average	average	ADJ
ihlr-16489	307	23	-	-	PUNCT
ihlr-16489	307	24	sized	sized	ADJ
ihlr-16489	307	25	clothes	clothe	NOUN
ihlr-16489	307	26	regardless	regardless	ADV
ihlr-16489	307	27	of	of	ADP
ihlr-16489	307	28	their	their	PRON
ihlr-16489	307	29	particular	particular	ADJ
ihlr-16489	307	30	sizes	size	NOUN
ihlr-16489	307	31	and	and	CCONJ
ihlr-16489	307	32	preferences	preference	NOUN
ihlr-16489	307	33	.	.	PUNCT
ihlr-16489	308	1	medical	medical	ADJ
ihlr-16489	308	2	treatment	treatment	NOUN
ihlr-16489	308	3	decisions	decision	NOUN
ihlr-16489	308	4	depend	depend	VERB
ihlr-16489	308	5	on	on	ADP
ihlr-16489	308	6	a	a	DET
ihlr-16489	308	7	combination	combination	NOUN
ihlr-16489	308	8	of	of	ADP
ihlr-16489	308	9	factors	factor	NOUN
ihlr-16489	308	10	--	--	PUNCT
ihlr-16489	308	11	such	such	ADJ
ihlr-16489	308	12	as	as	ADP
ihlr-16489	308	13	age	age	NOUN
ihlr-16489	308	14	,	,	PUNCT
ihlr-16489	308	15	ethnicity	ethnicity	NOUN
ihlr-16489	308	16	,	,	PUNCT
ihlr-16489	308	17	genetic	genetic	ADJ
ihlr-16489	308	18	background	background	NOUN
ihlr-16489	308	19	,	,	PUNCT
ihlr-16489	308	20	severity	severity	NOUN
ihlr-16489	308	21	of	of	ADP
ihlr-16489	308	22	disease	disease	NOUN
ihlr-16489	308	23	,	,	PUNCT
ihlr-16489	308	24	comorbitidies,51	comorbitidies,51	NOUN
ihlr-16489	308	25	and	and	CCONJ
ihlr-16489	308	26	patient	patient	ADJ
ihlr-16489	308	27	values	value	NOUN
ihlr-16489	308	28	-	-	PUNCT
ihlr-16489	308	29	which	which	PRON
ihlr-16489	308	30	physicians	physician	NOUN
ihlr-16489	308	31	must	must	AUX
ihlr-16489	308	32	incorporate	incorporate	VERB
ihlr-16489	308	33	into	into	ADP
ihlr-16489	308	34	their	their	PRON
ihlr-16489	308	35	evaluation	evaluation	NOUN
ihlr-16489	308	36	of	of	ADP
ihlr-16489	308	37	a	a	DET
ihlr-16489	308	38	patient	patient	NOUN
ihlr-16489	308	39	's	's	PART
ihlr-16489	308	40	treatment	treatment	NOUN
ihlr-16489	308	41	options	option	NOUN
ihlr-16489	308	42	.	.	PUNCT
ihlr-16489	309	1	the	the	DET
ihlr-16489	309	2	medicare	medicare	PROPN
ihlr-16489	309	3	population	population	NOUN
ihlr-16489	309	4	is	be	AUX
ihlr-16489	309	5	especially	especially	ADV
ihlr-16489	309	6	heterogeneous	heterogeneous	ADJ
ihlr-16489	309	7	because	because	SCONJ
ihlr-16489	309	8	of	of	ADP
ihlr-16489	309	9	the	the	DET
ihlr-16489	309	10	prevalence	prevalence	NOUN
ihlr-16489	309	11	of	of	ADP
ihlr-16489	309	12	multiple	multiple	ADJ
ihlr-16489	309	13	illnesses	illness	NOUN
ihlr-16489	309	14	in	in	ADP
ihlr-16489	309	15	the	the	DET
ihlr-16489	309	16	elderly	elderly	ADJ
ihlr-16489	309	17	.	.	PUNCT
ihlr-16489	310	1	twenty	twenty	NUM
ihlr-16489	310	2	percent	percent	NOUN
ihlr-16489	310	3	of	of	ADP
ihlr-16489	310	4	medicare	medicare	PROPN
ihlr-16489	310	5	beneficiaries	beneficiary	NOUN
ihlr-16489	310	6	have	have	VERB
ihlr-16489	310	7	five	five	NUM
ihlr-16489	310	8	or	or	CCONJ
ihlr-16489	310	9	more	more	ADJ
ihlr-16489	310	10	chronic	chronic	ADJ
ihlr-16489	310	11	conditions	condition	NOUN
ihlr-16489	310	12	,	,	PUNCT
ihlr-16489	310	13	and	and	CCONJ
ihlr-16489	310	14	fifty	fifty	NUM
ihlr-16489	310	15	percent	percent	NOUN
ihlr-16489	310	16	are	be	AUX
ihlr-16489	310	17	receiving	receive	VERB
ihlr-16489	310	18	five	five	NUM
ihlr-16489	310	19	or	or	CCONJ
ihlr-16489	310	20	more	more	ADJ
ihlr-16489	310	21	medications	medication	NOUN
ihlr-16489	310	22	.	.	PUNCT
ihlr-16489	311	1	52	52	NUM
ihlr-16489	311	2	accordingly	accordingly	ADV
ihlr-16489	311	3	,	,	PUNCT
ihlr-16489	311	4	congress	congress	PROPN
ihlr-16489	311	5	should	should	AUX
ihlr-16489	311	6	question	question	VERB
ihlr-16489	311	7	the	the	DET
ihlr-16489	311	8	appropriateness	appropriateness	NOUN
ihlr-16489	311	9	of	of	ADP
ihlr-16489	311	10	using	use	VERB
ihlr-16489	311	11	financial	financial	ADJ
ihlr-16489	311	12	incentives	incentive	NOUN
ihlr-16489	311	13	to	to	PART
ihlr-16489	311	14	impose	impose	VERB
ihlr-16489	311	15	population	population	NOUN
ihlr-16489	311	16	-	-	PUNCT
ihlr-16489	311	17	based	base	VERB
ihlr-16489	311	18	clinical	clinical	ADJ
ihlr-16489	311	19	results	result	NOUN
ihlr-16489	311	20	on	on	ADP
ihlr-16489	311	21	individual	individual	ADJ
ihlr-16489	311	22	48	48	NUM
ihlr-16489	311	23	.	.	PUNCT
ihlr-16489	312	1	mark	mark	PROPN
ihlr-16489	312	2	moran	moran	PROPN
ihlr-16489	312	3	.	.	PUNCT
ihlr-16489	313	1	pay	pay	VERB
ihlr-16489	313	2	for	for	ADP
ihlr-16489	313	3	performance	performance	NOUN
ihlr-16489	313	4	must	must	AUX
ihlr-16489	313	5	be	be	AUX
ihlr-16489	313	6	quality	quality	NOUN
ihlr-16489	313	7	issue	issue	NOUN
ihlr-16489	313	8	,	,	PUNCT
ihlr-16489	313	9	ama	ama	PROPN
ihlr-16489	313	10	says	say	VERB
ihlr-16489	313	11	,	,	PUNCT
ihlr-16489	313	12	40	40	NUM
ihlr-16489	313	13	psychiatric	psychiatric	ADJ
ihlr-16489	313	14	news	news	NOUN
ihlr-16489	313	15	9	9	NUM
ihlr-16489	313	16	,	,	PUNCT
ihlr-16489	313	17	9	9	NUM
ihlr-16489	313	18	(	(	PUNCT
ihlr-16489	313	19	2005	2005	NUM
ihlr-16489	313	20	)	)	PUNCT
ihlr-16489	313	21	.	.	PUNCT
ihlr-16489	314	1	49	49	NUM
ihlr-16489	314	2	.	.	PUNCT
ihlr-16489	315	1	ld	ld	PROPN
ihlr-16489	315	2	.	.	PROPN
ihlr-16489	315	3	50	50	NUM
ihlr-16489	315	4	.	.	PUNCT
ihlr-16489	316	1	brase	brase	NOUN
ihlr-16489	316	2	,	,	PUNCT
ihlr-16489	316	3	supra	supra	PROPN
ihlr-16489	316	4	note	note	NOUN
ihlr-16489	316	5	46	46	NUM
ihlr-16489	316	6	,	,	PUNCT
ihlr-16489	316	7	at	at	ADP
ihlr-16489	316	8	2	2	NUM
ihlr-16489	316	9	.	.	NUM
ihlr-16489	316	10	51	51	NUM
ihlr-16489	316	11	.	.	PUNCT
ihlr-16489	317	1	comorbidities	comorbiditie	NOUN
ihlr-16489	317	2	are	be	AUX
ihlr-16489	317	3	defined	define	VERB
ihlr-16489	317	4	as	as	ADP
ihlr-16489	317	5	concurrent	concurrent	ADJ
ihlr-16489	317	6	but	but	CCONJ
ihlr-16489	317	7	unrelated	unrelated	ADJ
ihlr-16489	317	8	medical	medical	ADJ
ihlr-16489	317	9	conditions	condition	NOUN
ihlr-16489	317	10	.	.	PUNCT
ihlr-16489	318	1	stedman	stedman	PROPN
ihlr-16489	318	2	's	's	PART
ihlr-16489	318	3	medical	medical	ADJ
ihlr-16489	318	4	dictionary	dictionary	NOUN
ihlr-16489	318	5	(	(	PUNCT
ihlr-16489	318	6	28th	28th	ADJ
ihlr-16489	318	7	ed	ed	NOUN
ihlr-16489	318	8	.	.	PUNCT
ihlr-16489	318	9	2006	2006	NUM
ihlr-16489	318	10	)	)	PUNCT
ihlr-16489	318	11	.	.	PUNCT
ihlr-16489	319	1	52	52	NUM
ihlr-16489	319	2	.	.	X
ihlr-16489	320	1	tinnetti	tinnetti	ADJ
ihlr-16489	320	2	,	,	PUNCT
ihlr-16489	320	3	supra	supra	PROPN
ihlr-16489	320	4	note	note	NOUN
ihlr-16489	320	5	35	35	NUM
ihlr-16489	320	6	,	,	PUNCT
ihlr-16489	320	7	at	at	ADP
ihlr-16489	320	8	2870	2870	NUM
ihlr-16489	320	9	.	.	PUNCT
ihlr-16489	321	1	2006	2006	NUM
ihlr-16489	321	2	]	]	PUNCT
ihlr-16489	321	3	pay	pay	VERB
ihlr-16489	321	4	for	for	ADP
ihlr-16489	321	5	performance	performance	NOUN
ihlr-16489	321	6	or	or	CCONJ
ihlr-16489	321	7	compuance	compuance	NOUN
ihlr-16489	321	8	?	?	PUNCT
ihlr-16489	322	1	411	411	NUM
ihlr-16489	322	2	patient	patient	ADJ
ihlr-16489	322	3	care	care	NOUN
ihlr-16489	322	4	.	.	PUNCT
ihlr-16489	323	1	one	one	NUM
ihlr-16489	323	2	study	study	NOUN
ihlr-16489	323	3	of	of	ADP
ihlr-16489	323	4	1	1	NUM
ihlr-16489	323	5	,	,	PUNCT
ihlr-16489	323	6	755	755	NUM
ihlr-16489	323	7	type	type	NOUN
ihlr-16489	323	8	2	2	NUM
ihlr-16489	323	9	diabetics	diabetic	NOUN
ihlr-16489	323	10	found	find	VERB
ihlr-16489	323	11	a	a	DET
ihlr-16489	323	12	twenty	twenty	NUM
ihlr-16489	323	13	-	-	PUNCT
ihlr-16489	323	14	four	four	NUM
ihlr-16489	323	15	percent	percent	NOUN
ihlr-16489	323	16	rate	rate	NOUN
ihlr-16489	323	17	of	of	ADP
ihlr-16489	323	18	noncompliance	noncompliance	NOUN
ihlr-16489	323	19	with	with	ADP
ihlr-16489	323	20	clinical	clinical	ADJ
ihlr-16489	323	21	guidelines	guideline	NOUN
ihlr-16489	323	22	by	by	ADP
ihlr-16489	323	23	internists	internist	NOUN
ihlr-16489	323	24	.	.	PUNCT
ihlr-16489	324	1	far	far	ADV
ihlr-16489	324	2	from	from	ADP
ihlr-16489	324	3	finding	find	VERB
ihlr-16489	324	4	a	a	DET
ihlr-16489	324	5	deficiency	deficiency	NOUN
ihlr-16489	324	6	in	in	ADP
ihlr-16489	324	7	quality	quality	NOUN
ihlr-16489	324	8	,	,	PUNCT
ihlr-16489	324	9	the	the	DET
ihlr-16489	324	10	researchers	researcher	NOUN
ihlr-16489	324	11	found	find	VERB
ihlr-16489	324	12	instead	instead	ADV
ihlr-16489	324	13	"	"	PUNCT
ihlr-16489	324	14	a	a	DET
ihlr-16489	324	15	deficiency	deficiency	NOUN
ihlr-16489	324	16	in	in	ADP
ihlr-16489	324	17	the	the	DET
ihlr-16489	324	18	definition	definition	NOUN
ihlr-16489	324	19	of	of	ADP
ihlr-16489	324	20	what	what	PRON
ihlr-16489	324	21	constitutes	constitute	VERB
ihlr-16489	324	22	best	good	ADJ
ihlr-16489	324	23	practices	practice	NOUN
ihlr-16489	324	24	.	.	PUNCT
ihlr-16489	325	1	"53	"53	PUNCT
ihlr-16489	326	1	among	among	ADP
ihlr-16489	326	2	the	the	DET
ihlr-16489	326	3	clinical	clinical	ADJ
ihlr-16489	326	4	guidelines	guideline	NOUN
ihlr-16489	326	5	were	be	AUX
ihlr-16489	326	6	periodic	periodic	ADJ
ihlr-16489	326	7	retinal	retinal	ADJ
ihlr-16489	326	8	eye	eye	NOUN
ihlr-16489	326	9	exams	exam	NOUN
ihlr-16489	326	10	and	and	CCONJ
ihlr-16489	326	11	urine	urine	NOUN
ihlr-16489	326	12	protein	protein	NOUN
ihlr-16489	326	13	screens	screen	NOUN
ihlr-16489	326	14	for	for	ADP
ihlr-16489	326	15	microal­	microal­	PRON
ihlr-16489	326	16	buminuria	buminuria	NOUN
ihlr-16489	326	17	.	.	PUNCT
ihlr-16489	327	1	many	many	ADJ
ihlr-16489	327	2	physicians	physician	NOUN
ihlr-16489	327	3	questioned	question	VERB
ihlr-16489	327	4	the	the	DET
ihlr-16489	327	5	usefulness	usefulness	NOUN
ihlr-16489	327	6	of	of	ADP
ihlr-16489	327	7	the	the	DET
ihlr-16489	327	8	urine	urine	NOUN
ihlr-16489	327	9	screen	screen	NOUN
ihlr-16489	327	10	for	for	ADP
ihlr-16489	327	11	patients	patient	NOUN
ihlr-16489	327	12	already	already	ADV
ihlr-16489	327	13	receiving	receive	VERB
ihlr-16489	327	14	ace	ace	NOUN
ihlr-16489	327	15	inhibitors	inhibitor	NOUN
ihlr-16489	327	16	,	,	PUNCT
ihlr-16489	327	17	the	the	DET
ihlr-16489	327	18	indicated	indicate	VERB
ihlr-16489	327	19	therapy	therapy	NOUN
ihlr-16489	327	20	for	for	ADP
ihlr-16489	327	21	microal­	microal­	PRON
ihlr-16489	327	22	buminuria	buminuria	NOUN
ihlr-16489	327	23	.	.	PUNCT
ihlr-16489	328	1	in	in	ADP
ihlr-16489	328	2	another	another	DET
ihlr-16489	328	3	example	example	NOUN
ihlr-16489	328	4	of	of	ADP
ihlr-16489	328	5	"	"	PUNCT
ihlr-16489	328	6	noncompliance	noncompliance	NOUN
ihlr-16489	328	7	,	,	PUNCT
ihlr-16489	328	8	"	"	PUNCT
ihlr-16489	328	9	some	some	DET
ihlr-16489	328	10	patients	patient	NOUN
ihlr-16489	328	11	did	do	AUX
ihlr-16489	328	12	not	not	PART
ihlr-16489	328	13	receive	receive	VERB
ihlr-16489	328	14	eye	eye	NOUN
ihlr-16489	328	15	exams	exam	NOUN
ihlr-16489	328	16	because	because	SCONJ
ihlr-16489	328	17	they	they	PRON
ihlr-16489	328	18	were	be	AUX
ihlr-16489	328	19	blind	blind	ADJ
ihlr-16489	328	20	.	.	PUNCT
ihlr-16489	329	1	the	the	DET
ihlr-16489	329	2	authors	author	NOUN
ihlr-16489	329	3	concluded	conclude	VERB
ihlr-16489	329	4	:	:	PUNCT
ihlr-16489	329	5	"	"	PUNCT
ihlr-16489	329	6	our	our	PRON
ihlr-16489	329	7	data	datum	NOUN
ihlr-16489	329	8	suggest	suggest	VERB
ihlr-16489	329	9	that	that	SCONJ
ihlr-16489	329	10	failure	failure	NOUN
ihlr-16489	329	11	to	to	PART
ihlr-16489	329	12	follow	follow	VERB
ihlr-16489	329	13	guidelines	guideline	NOUN
ihlr-16489	329	14	is	be	AUX
ihlr-16489	329	15	not	not	PART
ihlr-16489	329	16	necessarily	necessarily	ADV
ihlr-16489	329	17	explained	explain	VERB
ihlr-16489	329	18	by	by	ADP
ihlr-16489	329	19	'	'	PUNCT
ihlr-16489	329	20	bad	bad	ADJ
ihlr-16489	329	21	doctors	doctor	NOUN
ihlr-16489	329	22	'	'	PART
ihlr-16489	329	23	or	or	CCONJ
ihlr-16489	329	24	forgetfulness	forgetfulness	NOUN
ihlr-16489	329	25	;	;	PUNCT
ihlr-16489	329	26	rather	rather	ADV
ihlr-16489	329	27	,	,	PUNCT
ihlr-16489	329	28	noncompliance	noncompliance	NOUN
ihlr-16489	329	29	may	may	AUX
ihlr-16489	329	30	reflect	reflect	VERB
ihlr-16489	329	31	valid	valid	ADJ
ihlr-16489	329	32	questions	question	NOUN
ihlr-16489	329	33	about	about	ADP
ihlr-16489	329	34	the	the	DET
ihlr-16489	329	35	usefulness	usefulness	NOUN
ihlr-16489	329	36	and	and	CCONJ
ihlr-16489	329	37	applicability	applicability	NOUN
ihlr-16489	329	38	of	of	ADP
ihlr-16489	329	39	a	a	DET
ihlr-16489	329	40	best	good	ADJ
ihlr-16489	329	41	practice	practice	NOUN
ihlr-16489	329	42	to	to	ADP
ihlr-16489	329	43	an	an	DET
ihlr-16489	329	44	individual	individual	ADJ
ihlr-16489	329	45	patient	patient	NOUN
ihlr-16489	329	46	.	.	PUNCT
ihlr-16489	330	1	"	"	PUNCT
ihlr-16489	330	2	54	54	NUM
ihlr-16489	330	3	in	in	ADP
ihlr-16489	330	4	addition	addition	NOUN
ihlr-16489	330	5	to	to	ADP
ihlr-16489	330	6	limiting	limit	VERB
ihlr-16489	330	7	a	a	DET
ihlr-16489	330	8	doctor	doctor	NOUN
ihlr-16489	330	9	's	's	PART
ihlr-16489	330	10	ability	ability	NOUN
ihlr-16489	330	11	to	to	PART
ihlr-16489	330	12	act	act	VERB
ihlr-16489	330	13	in	in	ADP
ihlr-16489	330	14	the	the	DET
ihlr-16489	330	15	best	good	ADJ
ihlr-16489	330	16	medical	medical	ADJ
ihlr-16489	330	17	interest	interest	NOUN
ihlr-16489	330	18	of	of	ADP
ihlr-16489	330	19	an	an	DET
ihlr-16489	330	20	individual	individual	ADJ
ihlr-16489	330	21	patient	patient	NOUN
ihlr-16489	330	22	,	,	PUNCT
ihlr-16489	330	23	one	one	NUM
ihlr-16489	330	24	-	-	PUNCT
ihlr-16489	330	25	size	size	NOUN
ihlr-16489	330	26	-	-	PUNCT
ihlr-16489	330	27	fits	fit	VERB
ihlr-16489	330	28	-	-	PUNCT
ihlr-16489	330	29	all	all	DET
ihlr-16489	330	30	clinical	clinical	ADJ
ihlr-16489	330	31	guidelines	guideline	NOUN
ihlr-16489	330	32	ignore	ignore	VERB
ihlr-16489	330	33	the	the	DET
ihlr-16489	330	34	role	role	NOUN
ihlr-16489	330	35	of	of	ADP
ihlr-16489	330	36	patient	patient	ADJ
ihlr-16489	330	37	preferences	preference	NOUN
ihlr-16489	330	38	and	and	CCONJ
ihlr-16489	330	39	values	value	NOUN
ihlr-16489	330	40	in	in	ADP
ihlr-16489	330	41	health	health	NOUN
ihlr-16489	330	42	care	care	NOUN
ihlr-16489	330	43	decisions	decision	NOUN
ihlr-16489	330	44	.	.	PUNCT
ihlr-16489	331	1	this	this	PRON
ihlr-16489	331	2	is	be	AUX
ihlr-16489	331	3	especially	especially	ADV
ihlr-16489	331	4	relevant	relevant	ADJ
ihlr-16489	331	5	to	to	ADP
ihlr-16489	331	6	the	the	DET
ihlr-16489	331	7	medicare	medicare	PROPN
ihlr-16489	331	8	population	population	NOUN
ihlr-16489	331	9	.	.	PUNCT
ihlr-16489	332	1	evidence	evidence	NOUN
ihlr-16489	332	2	shows	show	VERB
ihlr-16489	332	3	that	that	SCONJ
ihlr-16489	332	4	elderly	elderly	ADJ
ihlr-16489	332	5	patients	patient	NOUN
ihlr-16489	332	6	with	with	ADP
ihlr-16489	332	7	multiple	multiple	ADJ
ihlr-16489	332	8	conditions	condition	NOUN
ihlr-16489	332	9	vary	vary	VERB
ihlr-16489	332	10	widely	widely	ADV
ihlr-16489	332	11	in	in	ADP
ihlr-16489	332	12	their	their	PRON
ihlr-16489	332	13	preferences	preference	NOUN
ihlr-16489	332	14	regarding	regard	VERB
ihlr-16489	332	15	longer	long	ADJ
ihlr-16489	332	16	survival	survival	NOUN
ihlr-16489	332	17	,	,	PUNCT
ihlr-16489	332	18	disease	disease	NOUN
ihlr-16489	332	19	prevention	prevention	NOUN
ihlr-16489	332	20	,	,	PUNCT
ihlr-16489	332	21	quality	quality	NOUN
ihlr-16489	332	22	of	of	ADP
ihlr-16489	332	23	mental	mental	ADJ
ihlr-16489	332	24	and	and	CCONJ
ihlr-16489	332	25	physical	physical	ADJ
ihlr-16489	332	26	functioning	functioning	NOUN
ihlr-16489	332	27	,	,	PUNCT
ihlr-16489	332	28	level	level	NOUN
ihlr-16489	332	29	of	of	ADP
ihlr-16489	332	30	inconvenience	inconvenience	NOUN
ihlr-16489	332	31	and	and	CCONJ
ihlr-16489	332	32	pain	pain	NOUN
ihlr-16489	332	33	,	,	PUNCT
ihlr-16489	332	34	and	and	CCONJ
ihlr-16489	332	35	risk	risk	NOUN
ihlr-16489	332	36	of	of	ADP
ihlr-16489	332	37	complication	complication	NOUN
ihlr-16489	332	38	.	.	PUNCT
ihlr-16489	333	1	55	55	NUM
ihlr-16489	333	2	a	a	DET
ihlr-16489	333	3	system	system	NOUN
ihlr-16489	333	4	of	of	ADP
ihlr-16489	333	5	standardized	standardized	ADJ
ihlr-16489	333	6	treatment	treatment	NOUN
ihlr-16489	333	7	decisions	decision	NOUN
ihlr-16489	333	8	is	be	AUX
ihlr-16489	333	9	simply	simply	ADV
ihlr-16489	333	10	incompatible	incompatible	ADJ
ihlr-16489	333	11	with	with	ADP
ihlr-16489	333	12	the	the	DET
ihlr-16489	333	13	variability	variability	NOUN
ihlr-16489	333	14	found	find	VERB
ihlr-16489	333	15	in	in	ADP
ihlr-16489	333	16	medicine	medicine	NOUN
ihlr-16489	333	17	.	.	PUNCT
ihlr-16489	334	1	even	even	ADV
ihlr-16489	334	2	if	if	SCONJ
ihlr-16489	334	3	it	it	PRON
ihlr-16489	334	4	were	be	AUX
ihlr-16489	334	5	possible	possible	ADJ
ihlr-16489	334	6	to	to	PART
ihlr-16489	334	7	create	create	VERB
ihlr-16489	334	8	evidence	evidence	NOUN
ihlr-16489	334	9	-	-	PUNCT
ihlr-16489	334	10	based	base	VERB
ihlr-16489	334	11	rules	rule	NOUN
ihlr-16489	334	12	for	for	ADP
ihlr-16489	334	13	every	every	DET
ihlr-16489	334	14	possible	possible	ADJ
ihlr-16489	334	15	variation	variation	NOUN
ihlr-16489	334	16	of	of	ADP
ihlr-16489	334	17	patient	patient	ADJ
ihlr-16489	334	18	characteristics	characteristic	NOUN
ihlr-16489	334	19	and	and	CCONJ
ihlr-16489	334	20	conditions	condition	NOUN
ihlr-16489	334	21	,	,	PUNCT
ihlr-16489	334	22	the	the	DET
ihlr-16489	334	23	sheer	sheer	ADJ
ihlr-16489	334	24	number	number	NOUN
ihlr-16489	334	25	of	of	ADP
ihlr-16489	334	26	guidelines	guideline	NOUN
ihlr-16489	334	27	would	would	AUX
ihlr-16489	334	28	be	be	AUX
ihlr-16489	334	29	overwhelming	overwhelming	ADJ
ihlr-16489	334	30	and	and	CCONJ
ihlr-16489	334	31	impossible	impossible	ADJ
ihlr-16489	334	32	to	to	PART
ihlr-16489	334	33	implement	implement	VERB
ihlr-16489	334	34	.	.	PUNCT
ihlr-16489	335	1	medical	medical	ADJ
ihlr-16489	335	2	studies	study	NOUN
ihlr-16489	335	3	provide	provide	VERB
ihlr-16489	335	4	useful	useful	ADJ
ihlr-16489	335	5	information	information	NOUN
ihlr-16489	335	6	about	about	ADP
ihlr-16489	335	7	treatment	treatment	NOUN
ihlr-16489	335	8	options	option	NOUN
ihlr-16489	335	9	that	that	PRON
ihlr-16489	335	10	may	may	AUX
ihlr-16489	335	11	or	or	CCONJ
ihlr-16489	335	12	may	may	AUX
ihlr-16489	335	13	not	not	PART
ihlr-16489	335	14	work	work	VERB
ihlr-16489	335	15	in	in	ADP
ihlr-16489	335	16	a	a	DET
ihlr-16489	335	17	given	give	VERB
ihlr-16489	335	18	situation	situation	NOUN
ihlr-16489	335	19	,	,	PUNCT
ihlr-16489	335	20	depending	depend	VERB
ihlr-16489	335	21	on	on	ADP
ihlr-16489	335	22	the	the	DET
ihlr-16489	335	23	unique	unique	ADJ
ihlr-16489	335	24	combination	combination	NOUN
ihlr-16489	335	25	of	of	ADP
ihlr-16489	335	26	circumstances	circumstance	NOUN
ihlr-16489	335	27	involving	involve	VERB
ihlr-16489	335	28	the	the	DET
ihlr-16489	335	29	individual	individual	ADJ
ihlr-16489	335	30	patient	patient	NOUN
ihlr-16489	335	31	.	.	PUNCT
ihlr-16489	336	1	however	however	ADV
ihlr-16489	336	2	,	,	PUNCT
ihlr-16489	336	3	the	the	DET
ihlr-16489	336	4	very	very	ADJ
ihlr-16489	336	5	nature	nature	NOUN
ihlr-16489	336	6	of	of	ADP
ihlr-16489	336	7	the	the	DET
ihlr-16489	336	8	statistical	statistical	ADJ
ihlr-16489	336	9	process	process	NOUN
ihlr-16489	336	10	,	,	PUNCT
ihlr-16489	336	11	which	which	PRON
ihlr-16489	336	12	minimizes	minimize	VERB
ihlr-16489	336	13	bias	bias	NOUN
ihlr-16489	336	14	and	and	CCONJ
ihlr-16489	336	15	seeks	seek	VERB
ihlr-16489	336	16	mean	mean	ADJ
ihlr-16489	336	17	tendencies	tendency	NOUN
ihlr-16489	336	18	,	,	PUNCT
ihlr-16489	336	19	makes	make	VERB
ihlr-16489	336	20	it	it	PRON
ihlr-16489	336	21	insufficient	insufficient	ADJ
ihlr-16489	336	22	to	to	PART
ihlr-16489	336	23	make	make	VERB
ihlr-16489	336	24	the	the	DET
ihlr-16489	336	25	fmal	fmal	ADJ
ihlr-16489	336	26	decision	decision	NOUN
ihlr-16489	336	27	for	for	ADP
ihlr-16489	336	28	53	53	NUM
ihlr-16489	336	29	.	.	PUNCT
ihlr-16489	336	30	national	national	ADJ
ihlr-16489	336	31	center	center	NOUN
ihlr-16489	336	32	for	for	ADP
ihlr-16489	336	33	policy	policy	NOUN
ihlr-16489	336	34	analysis	analysis	NOUN
ihlr-16489	336	35	,	,	PUNCT
ihlr-16489	336	36	are	be	AUX
ihlr-16489	336	37	"	"	PUNCT
ihlr-16489	336	38	best	good	ADJ
ihlr-16489	336	39	practices	practice	NOUN
ihlr-16489	336	40	"	"	PUNCT
ihlr-16489	336	41	always	always	ADV
ihlr-16489	336	42	best	good	ADJ
ihlr-16489	336	43	?	?	PUNCT
ihlr-16489	336	44	,	,	PUNCT
ihlr-16489	336	45	http://www.ncpa.org/isslhea/pdl2060lc.html	http://www.ncpa.org/isslhea/pdl2060lc.html	PROPN
ihlr-16489	336	46	(	(	PUNCT
ihlr-16489	336	47	last	last	ADJ
ihlr-16489	336	48	visited	visit	VERB
ihlr-16489	336	49	may	may	AUX
ihlr-16489	336	50	20	20	NUM
ihlr-16489	336	51	,	,	PUNCT
ihlr-16489	336	52	2006	2006	NUM
ihlr-16489	336	53	)	)	PUNCT
ihlr-16489	336	54	.	.	PUNCT
ihlr-16489	337	1	54	54	NUM
ihlr-16489	337	2	.	.	PUNCT
ihlr-16489	338	1	christel	christel	PROPN
ihlr-16489	338	2	mottur	mottur	PROPN
ihlr-16489	338	3	-	-	PUNCT
ihlr-16489	338	4	pilson	pilson	NOUN
ihlr-16489	338	5	et	et	PROPN
ihlr-16489	338	6	al	al	PROPN
ihlr-16489	338	7	.	.	PROPN
ihlr-16489	338	8	,	,	PUNCT
ihlr-16489	338	9	physician	physician	NOUN
ihlr-16489	338	10	explanations	explanation	NOUN
ihlr-16489	338	11	for	for	ADP
ihlr-16489	338	12	failing	fail	VERB
ihlr-16489	338	13	to	to	PART
ihlr-16489	338	14	comply	comply	VERB
ihlr-16489	338	15	with	with	ADP
ihlr-16489	338	16	"	"	PUNCT
ihlr-16489	338	17	best	good	ADJ
ihlr-16489	338	18	practices	practice	NOUN
ihlr-16489	338	19	"	"	PUNCT
ihlr-16489	338	20	,	,	PUNCT
ihlr-16489	338	21	4	4	NUM
ihlr-16489	338	22	effective	effective	ADJ
ihlr-16489	338	23	clinical	clinical	ADJ
ihlr-16489	338	24	prac	prac	PROPN
ihlr-16489	338	25	.	.	PROPN
ihlr-16489	338	26	207	207	NUM
ihlr-16489	338	27	,	,	PUNCT
ihlr-16489	338	28	212	212	NUM
ihlr-16489	338	29	(	(	PUNCT
ihlr-16489	338	30	2001	2001	NUM
ihlr-16489	338	31	)	)	PUNCT
ihlr-16489	338	32	,	,	PUNCT
ihlr-16489	338	33	available	available	ADJ
ihlr-16489	338	34	at	at	ADP
ihlr-16489	338	35	http://www.acponline.org/joumals/ecp/sepoctollpilson.pdf	http://www.acponline.org/joumals/ecp/sepoctollpilson.pdf	PROPN
ihlr-16489	338	36	(	(	PUNCT
ihlr-16489	338	37	last	last	ADJ
ihlr-16489	338	38	visited	visit	VERB
ihlr-16489	338	39	may	may	AUX
ihlr-16489	338	40	20	20	NUM
ihlr-16489	338	41	,	,	PUNCT
ihlr-16489	338	42	2006	2006	NUM
ihlr-16489	338	43	)	)	PUNCT
ihlr-16489	338	44	.	.	PUNCT
ihlr-16489	339	1	for	for	ADP
ihlr-16489	339	2	another	another	DET
ihlr-16489	339	3	illustration	illustration	NOUN
ihlr-16489	339	4	of	of	ADP
ihlr-16489	339	5	the	the	DET
ihlr-16489	339	6	incompatibility	incompatibility	NOUN
ihlr-16489	339	7	of	of	ADP
ihlr-16489	339	8	population	population	NOUN
ihlr-16489	339	9	-	-	PUNCT
ihlr-16489	339	10	based	base	VERB
ihlr-16489	339	11	guidelines	guideline	NOUN
ihlr-16489	339	12	with	with	ADP
ihlr-16489	339	13	high	high	ADJ
ihlr-16489	339	14	-	-	PUNCT
ihlr-16489	339	15	quality	quality	NOUN
ihlr-16489	339	16	individualized	individualized	ADJ
ihlr-16489	339	17	care	care	NOUN
ihlr-16489	339	18	involving	involve	VERB
ihlr-16489	339	19	an	an	DET
ihlr-16489	339	20	example	example	NOUN
ihlr-16489	339	21	of	of	ADP
ihlr-16489	339	22	colorectal	colorectal	ADJ
ihlr-16489	339	23	cancer	cancer	NOUN
ihlr-16489	339	24	screening	screening	NOUN
ihlr-16489	339	25	within	within	ADP
ihlr-16489	339	26	the	the	DET
ihlr-16489	339	27	veterans	veterans	PROPN
ihlr-16489	339	28	administration	administration	PROPN
ihlr-16489	339	29	,	,	PUNCT
ihlr-16489	339	30	see	see	VERB
ihlr-16489	339	31	louise	louise	PROPN
ihlr-16489	339	32	c.	c.	PROPN
ihlr-16489	339	33	walter	walter	PROPN
ihlr-16489	339	34	et	et	PROPN
ihlr-16489	339	35	al	al	PROPN
ihlr-16489	339	36	.	.	PROPN
ihlr-16489	339	37	,	,	PUNCT
ihlr-16489	339	38	pitfalls	pitfall	NOUN
ihlr-16489	339	39	of	of	ADP
ihlr-16489	339	40	converting	convert	VERB
ihlr-16489	339	41	practice	practice	NOUN
ihlr-16489	339	42	guidelines	guideline	NOUN
ihlr-16489	339	43	into	into	ADP
ihlr-16489	339	44	quality	quality	NOUN
ihlr-16489	339	45	measures	measure	NOUN
ihlr-16489	339	46	,	,	PUNCT
ihlr-16489	339	47	291	291	NUM
ihlr-16489	339	48	jama	jama	NOUN
ihlr-16489	339	49	2466	2466	NUM
ihlr-16489	339	50	,	,	PUNCT
ihlr-16489	339	51	2466	2466	NUM
ihlr-16489	339	52	(	(	PUNCT
ihlr-16489	339	53	2004	2004	NUM
ihlr-16489	339	54	)	)	PUNCT
ihlr-16489	339	55	.	.	PUNCT
ihlr-16489	340	1	55	55	NUM
ihlr-16489	340	2	.	.	X
ihlr-16489	341	1	tinnetti	tinnetti	ADJ
ihlr-16489	341	2	,	,	PUNCT
ihlr-16489	341	3	supra	supra	PROPN
ihlr-16489	341	4	note	note	NOUN
ihlr-16489	341	5	35	35	NUM
ihlr-16489	341	6	,	,	PUNCT
ihlr-16489	341	7	at	at	ADP
ihlr-16489	341	8	2871	2871	NUM
ihlr-16489	341	9	.	.	PUNCT
ihlr-16489	342	1	one	one	NUM
ihlr-16489	342	2	study	study	NOUN
ihlr-16489	342	3	of	of	ADP
ihlr-16489	342	4	414	414	NUM
ihlr-16489	342	5	hospitalized	hospitalize	VERB
ihlr-16489	342	6	patients	patient	NOUN
ihlr-16489	342	7	eighty	eighty	NUM
ihlr-16489	342	8	years	year	NOUN
ihlr-16489	342	9	old	old	ADJ
ihlr-16489	342	10	or	or	CCONJ
ihlr-16489	342	11	older	old	ADJ
ihlr-16489	342	12	at	at	ADP
ihlr-16489	342	13	four	four	NUM
ihlr-16489	342	14	academic	academic	ADJ
ihlr-16489	342	15	medical	medical	ADJ
ihlr-16489	342	16	centers	center	NOUN
ihlr-16489	342	17	specifically	specifically	ADV
ihlr-16489	342	18	measured	measure	VERB
ihlr-16489	342	19	health	health	NOUN
ihlr-16489	342	20	values	value	NOUN
ihlr-16489	342	21	of	of	ADP
ihlr-16489	342	22	the	the	DET
ihlr-16489	342	23	elderly	elderly	ADJ
ihlr-16489	342	24	with	with	ADP
ihlr-16489	342	25	respect	respect	NOUN
ihlr-16489	342	26	to	to	ADP
ihlr-16489	342	27	quantity	quantity	NOUN
ihlr-16489	342	28	vs.	vs.	ADP
ihlr-16489	342	29	quality	quality	NOUN
ihlr-16489	342	30	oflife	oflife	NOUN
ihlr-16489	342	31	and	and	CCONJ
ihlr-16489	342	32	other	other	ADJ
ihlr-16489	342	33	factors	factor	NOUN
ihlr-16489	342	34	.	.	PUNCT
ihlr-16489	343	1	the	the	DET
ihlr-16489	343	2	authors	author	NOUN
ihlr-16489	343	3	found	find	VERB
ihlr-16489	343	4	that	that	SCONJ
ihlr-16489	343	5	"	"	PUNCT
ihlr-16489	343	6	preferences	preference	NOUN
ihlr-16489	343	7	varied	varied	ADJ
ihlr-16489	343	8	greatly	greatly	ADV
ihlr-16489	343	9	''	''	PUNCT
ihlr-16489	343	10	and	and	CCONJ
ihlr-16489	343	11	recommended	recommend	VERB
ihlr-16489	343	12	:	:	PUNCT
ihlr-16489	343	13	"	"	PUNCT
ihlr-16489	343	14	because	because	SCONJ
ihlr-16489	343	15	proxies	proxy	NOUN
ihlr-16489	343	16	and	and	CCONJ
ihlr-16489	343	17	multivariable	multivariable	ADJ
ihlr-16489	343	18	analyses	analysis	NOUN
ihlr-16489	343	19	can	can	AUX
ihlr-16489	343	20	not	not	PART
ihlr-16489	343	21	gauge	gauge	VERB
ihlr-16489	343	22	health	health	NOUN
ihlr-16489	343	23	values	value	NOUN
ihlr-16489	343	24	of	of	ADP
ihlr-16489	343	25	elderly	elderly	ADJ
ihlr-16489	343	26	hospitalized	hospitalize	VERB
ihlr-16489	343	27	patients	patient	NOUN
ihlr-16489	343	28	accurately	accurately	ADV
ihlr-16489	343	29	,	,	PUNCT
ihlr-16489	343	30	health	health	NOUN
ihlr-16489	343	31	values	value	NOUN
ihlr-16489	343	32	of	of	ADP
ihlr-16489	343	33	the	the	DET
ihlr-16489	343	34	very	very	ADV
ihlr-16489	343	35	old	old	ADJ
ihlr-16489	343	36	should	should	AUX
ihlr-16489	343	37	be	be	AUX
ihlr-16489	343	38	elicited	elicit	VERB
ihlr-16489	343	39	directly	directly	ADV
ihlr-16489	343	40	from	from	ADP
ihlr-16489	343	41	the	the	DET
ihlr-16489	343	42	patient	patient	NOUN
ihlr-16489	343	43	.	.	PUNCT
ihlr-16489	343	44	"	"	PUNCT
ihlr-16489	344	1	joel	joel	PROPN
ihlr-16489	344	2	tsevat	tsevat	VERB
ihlr-16489	344	3	et	et	PROPN
ihlr-16489	344	4	al	al	PROPN
ihlr-16489	344	5	.	.	PROPN
ihlr-16489	344	6	,	,	PUNCT
ihlr-16489	344	7	health	health	NOUN
ihlr-16489	344	8	values	value	NOUN
ihlr-16489	344	9	of	of	ADP
ihlr-16489	344	10	hospitalized	hospitalize	VERB
ihlr-16489	344	11	patients	patient	NOUN
ihlr-16489	344	12	80	80	NUM
ihlr-16489	344	13	years	year	NOUN
ihlr-16489	344	14	or	or	CCONJ
ihlr-16489	344	15	older	old	ADJ
ihlr-16489	344	16	,	,	PUNCT
ihlr-16489	344	17	219	219	NUM
ihlr-16489	344	18	jama371	jama371	PROPN
ihlr-16489	344	19	,	,	PUNCT
ihlr-16489	344	20	371	371	NUM
ihlr-16489	344	21	(	(	PUNCT
ihlr-16489	344	22	1998	1998	NUM
ihlr-16489	344	23	)	)	PUNCT
ihlr-16489	344	24	.	.	PUNCT
ihlr-16489	345	1	412	412	NUM
ihlr-16489	345	2	indiana	indiana	PROPN
ihlr-16489	345	3	health	health	PROPN
ihlr-16489	345	4	law	law	PROPN
ihlr-16489	345	5	review	review	NOUN
ihlr-16489	345	6	[	[	X
ihlr-16489	345	7	vol	vol	NOUN
ihlr-16489	345	8	.	.	PUNCT
ihlr-16489	346	1	3:391	3:391	NUM
ihlr-16489	346	2	every	every	DET
ihlr-16489	346	3	patient	patient	NOUN
ihlr-16489	346	4	.	.	PUNCT
ihlr-16489	347	1	mathematical	mathematical	ADJ
ihlr-16489	347	2	models	model	NOUN
ihlr-16489	347	3	or	or	CCONJ
ihlr-16489	347	4	algorithms	algorithm	NOUN
ihlr-16489	347	5	can	can	AUX
ihlr-16489	347	6	not	not	PART
ihlr-16489	347	7	capture	capture	VERB
ihlr-16489	347	8	that	that	DET
ihlr-16489	347	9	precise	precise	ADJ
ihlr-16489	347	10	moment	moment	NOUN
ihlr-16489	347	11	of	of	ADP
ihlr-16489	347	12	human	human	ADJ
ihlr-16489	347	13	choice	choice	NOUN
ihlr-16489	347	14	that	that	PRON
ihlr-16489	347	15	is	be	AUX
ihlr-16489	347	16	the	the	DET
ihlr-16489	347	17	essence	essence	NOUN
ihlr-16489	347	18	of	of	ADP
ihlr-16489	347	19	medical	medical	ADJ
ihlr-16489	347	20	judgment	judgment	NOUN
ihlr-16489	347	21	.	.	PUNCT
ihlr-16489	348	1	physicians	physician	NOUN
ihlr-16489	348	2	must	must	AUX
ihlr-16489	348	3	be	be	AUX
ihlr-16489	348	4	free	free	ADJ
ihlr-16489	348	5	to	to	PART
ihlr-16489	348	6	use	use	VERB
ihlr-16489	348	7	their	their	PRON
ihlr-16489	348	8	best	good	ADJ
ihlr-16489	348	9	medical	medical	ADJ
ihlr-16489	348	10	judgment	judgment	NOUN
ihlr-16489	348	11	to	to	PART
ihlr-16489	348	12	make	make	VERB
ihlr-16489	348	13	clinical	clinical	ADJ
ihlr-16489	348	14	decisions	decision	NOUN
ihlr-16489	348	15	that	that	PRON
ihlr-16489	348	16	incorporate	incorporate	VERB
ihlr-16489	348	17	all	all	DET
ihlr-16489	348	18	relevant	relevant	ADJ
ihlr-16489	348	19	factors	factor	NOUN
ihlr-16489	348	20	and	and	CCONJ
ihlr-16489	348	21	available	available	ADJ
ihlr-16489	348	22	evidence	evidence	NOUN
ihlr-16489	348	23	.	.	PUNCT
ihlr-16489	349	1	appropriate	appropriate	ADJ
ihlr-16489	349	2	medical	medical	ADJ
ihlr-16489	349	3	decisions	decision	NOUN
ihlr-16489	349	4	can	can	AUX
ihlr-16489	349	5	not	not	PART
ihlr-16489	349	6	be	be	AUX
ihlr-16489	349	7	made	make	VERB
ihlr-16489	349	8	using	use	VERB
ihlr-16489	349	9	an	an	DET
ihlr-16489	349	10	assembly	assembly	NOUN
ihlr-16489	349	11	-	-	PUNCT
ihlr-16489	349	12	line	line	NOUN
ihlr-16489	349	13	mentality	mentality	NOUN
ihlr-16489	349	14	that	that	PRON
ihlr-16489	349	15	treats	treat	VERB
ihlr-16489	349	16	every	every	DET
ihlr-16489	349	17	patient	patient	NOUN
ihlr-16489	349	18	like	like	ADP
ihlr-16489	349	19	a	a	DET
ihlr-16489	349	20	generic	generic	ADJ
ihlr-16489	349	21	commodity	commodity	NOUN
ihlr-16489	349	22	traveling	travel	VERB
ihlr-16489	349	23	down	down	ADP
ihlr-16489	349	24	a	a	DET
ihlr-16489	349	25	conveyer	conveyer	NOUN
ihlr-16489	349	26	belt	belt	NOUN
ihlr-16489	349	27	.	.	PUNCT
ihlr-16489	350	1	as	as	SCONJ
ihlr-16489	350	2	expressed	express	VERB
ihlr-16489	350	3	by	by	ADP
ihlr-16489	350	4	dan	dan	PROPN
ihlr-16489	350	5	mendelson	mendelson	PROPN
ihlr-16489	350	6	,	,	PUNCT
ihlr-16489	350	7	president	president	NOUN
ihlr-16489	350	8	of	of	ADP
ihlr-16489	350	9	the	the	DET
ihlr-16489	350	10	health	health	NOUN
ihlr-16489	350	11	strategies	strategy	NOUN
ihlr-16489	350	12	consultancy	consultancy	NOUN
ihlr-16489	350	13	in	in	ADP
ihlr-16489	350	14	washington	washington	PROPN
ihlr-16489	350	15	,	,	PUNCT
ihlr-16489	350	16	d.c	d.c	PROPN
ihlr-16489	350	17	.	.	PROPN
ihlr-16489	350	18	,	,	PUNCT
ihlr-16489	350	19	"	"	PUNCT
ihlr-16489	350	20	patients	patient	NOUN
ihlr-16489	350	21	expect	expect	VERB
ihlr-16489	350	22	their	their	PRON
ihlr-16489	350	23	doctor	doctor	NOUN
ihlr-16489	350	24	to	to	PART
ihlr-16489	350	25	tailor	tailor	VERB
ihlr-16489	350	26	care	care	NOUN
ihlr-16489	350	27	to	to	ADP
ihlr-16489	350	28	their	their	PRON
ihlr-16489	350	29	individual	individual	ADJ
ihlr-16489	350	30	condition	condition	NOUN
ihlr-16489	350	31	,	,	PUNCT
ihlr-16489	350	32	incorporating	incorporate	VERB
ihlr-16489	350	33	their	their	PRON
ihlr-16489	350	34	medical	medical	ADJ
ihlr-16489	350	35	history	history	NOUN
ihlr-16489	350	36	and	and	CCONJ
ihlr-16489	350	37	preferences	preference	NOUN
ihlr-16489	350	38	,	,	PUNCT
ihlr-16489	350	39	the	the	DET
ihlr-16489	350	40	doctor	doctor	NOUN
ihlr-16489	350	41	's	's	PART
ihlr-16489	350	42	experience	experience	NOUN
ihlr-16489	350	43	with	with	ADP
ihlr-16489	350	44	similar	similar	ADJ
ihlr-16489	350	45	patients	patient	NOUN
ihlr-16489	350	46	,	,	PUNCT
ihlr-16489	350	47	the	the	DET
ihlr-16489	350	48	most	most	ADV
ihlr-16489	350	49	current	current	ADJ
ihlr-16489	350	50	research	research	NOUN
ihlr-16489	350	51	,	,	PUNCT
ihlr-16489	350	52	and	and	CCONJ
ihlr-16489	350	53	alternative	alternative	ADJ
ihlr-16489	350	54	therapies	therapy	NOUN
ihlr-16489	350	55	.	.	PUNCT
ihlr-16489	351	1	"56	"56	PROPN
ihlr-16489	351	2	to	to	PART
ihlr-16489	351	3	do	do	VERB
ihlr-16489	351	4	otherwise	otherwise	ADV
ihlr-16489	351	5	not	not	PART
ihlr-16489	351	6	only	only	ADV
ihlr-16489	351	7	does	do	VERB
ihlr-16489	351	8	a	a	DET
ihlr-16489	351	9	disservice	disservice	NOUN
ihlr-16489	351	10	to	to	ADP
ihlr-16489	351	11	the	the	DET
ihlr-16489	351	12	patient	patient	NOUN
ihlr-16489	351	13	,	,	PUNCT
ihlr-16489	351	14	but	but	CCONJ
ihlr-16489	351	15	also	also	ADV
ihlr-16489	351	16	can	can	AUX
ihlr-16489	351	17	ultimately	ultimately	ADV
ihlr-16489	351	18	increase	increase	VERB
ihlr-16489	351	19	morbidity	morbidity	NOUN
ihlr-16489	351	20	and	and	CCONJ
ihlr-16489	351	21	mortality	mortality	NOUN
ihlr-16489	351	22	,	,	PUNCT
ihlr-16489	351	23	which	which	PRON
ihlr-16489	351	24	in	in	ADP
ihlr-16489	351	25	tum	tum	PROPN
ihlr-16489	351	26	can	can	AUX
ihlr-16489	351	27	increase	increase	VERB
ihlr-16489	351	28	the	the	DET
ihlr-16489	351	29	cost	cost	NOUN
ihlr-16489	351	30	of	of	ADP
ihlr-16489	351	31	medicare	medicare	PROPN
ihlr-16489	351	32	.	.	PUNCT
ihlr-16489	352	1	d.	d.	PROPN
ihlr-16489	352	2	problem	problem	PROPN
ihlr-16489	352	3	#	#	SYM
ihlr-16489	352	4	4	4	NUM
ihlr-16489	352	5	:	:	PUNCT
ihlr-16489	352	6	deterioration	deterioration	NOUN
ihlr-16489	352	7	of	of	ADP
ihlr-16489	352	8	clinical	clinical	ADJ
ihlr-16489	352	9	judgment	judgment	NOUN
ihlr-16489	352	10	and	and	CCONJ
ihlr-16489	352	11	medical	medical	ADJ
ihlr-16489	352	12	innovation	innovation	NOUN
ihlr-16489	352	13	the	the	DET
ihlr-16489	352	14	fourth	fourth	ADJ
ihlr-16489	352	15	problem	problem	NOUN
ihlr-16489	352	16	with	with	ADP
ihlr-16489	352	17	a	a	DET
ihlr-16489	352	18	pay	pay	VERB
ihlr-16489	352	19	-	-	PUNCT
ihlr-16489	352	20	for	for	ADP
ihlr-16489	352	21	-	-	PUNCT
ihlr-16489	352	22	compliance	compliance	NOUN
ihlr-16489	352	23	health	health	NOUN
ihlr-16489	352	24	care	care	NOUN
ihlr-16489	352	25	system	system	NOUN
ihlr-16489	352	26	is	be	AUX
ihlr-16489	352	27	the	the	DET
ihlr-16489	352	28	deterioration	deterioration	NOUN
ihlr-16489	352	29	of	of	ADP
ihlr-16489	352	30	creativity	creativity	NOUN
ihlr-16489	352	31	,	,	PUNCT
ihlr-16489	352	32	innovative	innovative	ADJ
ihlr-16489	352	33	ability	ability	NOUN
ihlr-16489	352	34	,	,	PUNCT
ihlr-16489	352	35	and	and	CCONJ
ihlr-16489	352	36	medical	medical	ADJ
ihlr-16489	352	37	judgment	judgment	NOUN
ihlr-16489	352	38	that	that	PRON
ihlr-16489	352	39	will	will	AUX
ihlr-16489	352	40	occur	occur	VERB
ihlr-16489	352	41	in	in	ADP
ihlr-16489	352	42	an	an	DET
ihlr-16489	352	43	environment	environment	NOUN
ihlr-16489	352	44	that	that	PRON
ihlr-16489	352	45	devalues	devalue	VERB
ihlr-16489	352	46	such	such	ADJ
ihlr-16489	352	47	qualities	quality	NOUN
ihlr-16489	352	48	.	.	PUNCT
ihlr-16489	353	1	with	with	ADP
ihlr-16489	353	2	compensation	compensation	NOUN
ihlr-16489	353	3	hinging	hinge	VERB
ihlr-16489	353	4	on	on	ADP
ihlr-16489	353	5	adherence	adherence	NOUN
ihlr-16489	353	6	to	to	ADP
ihlr-16489	353	7	guidelines	guideline	NOUN
ihlr-16489	353	8	,	,	PUNCT
ihlr-16489	353	9	providers	provider	NOUN
ihlr-16489	353	10	will	will	AUX
ihlr-16489	353	11	become	become	VERB
ihlr-16489	353	12	highly	highly	ADV
ihlr-16489	353	13	skilled	skilled	ADJ
ihlr-16489	353	14	at	at	ADP
ihlr-16489	353	15	adhering	adhere	VERB
ihlr-16489	353	16	to	to	ADP
ihlr-16489	353	17	guidelines	guideline	NOUN
ihlr-16489	353	18	.	.	PUNCT
ihlr-16489	354	1	in	in	ADP
ihlr-16489	354	2	anticipation	anticipation	NOUN
ihlr-16489	354	3	of	of	ADP
ihlr-16489	354	4	a	a	DET
ihlr-16489	354	5	medicare	medicare	PROPN
ihlr-16489	354	6	pay	pay	VERB
ihlr-16489	354	7	-	-	PUNCT
ihlr-16489	354	8	for	for	ADP
ihlr-16489	354	9	-	-	PUNCT
ihlr-16489	354	10	performance	performance	NOUN
ihlr-16489	354	11	shift	shift	NOUN
ihlr-16489	354	12	,	,	PUNCT
ihlr-16489	354	13	the	the	DET
ihlr-16489	354	14	growing	grow	VERB
ihlr-16489	354	15	"	"	PUNCT
ihlr-16489	354	16	medicare	medicare	PROPN
ihlr-16489	354	17	industrial	industrial	ADJ
ihlr-16489	354	18	complex	complex	NOUN
ihlr-16489	354	19	"	"	PUNCT
ihlr-16489	354	20	of	of	ADP
ihlr-16489	354	21	lobbyists	lobbyist	NOUN
ihlr-16489	354	22	,	,	PUNCT
ihlr-16489	354	23	lawyers	lawyer	NOUN
ihlr-16489	354	24	,	,	PUNCT
ihlr-16489	354	25	consultants	consultant	NOUN
ihlr-16489	354	26	,	,	PUNCT
ihlr-16489	354	27	and	and	CCONJ
ihlr-16489	354	28	professional	professional	ADJ
ihlr-16489	354	29	"	"	PUNCT
ihlr-16489	354	30	experts	expert	NOUN
ihlr-16489	354	31	"	"	PUNCT
ihlr-16489	354	32	who	who	PRON
ihlr-16489	354	33	make	make	VERB
ihlr-16489	354	34	a	a	DET
ihlr-16489	354	35	living	live	VERB
ihlr-16489	354	36	deciphering	decipher	VERB
ihlr-16489	354	37	and	and	CCONJ
ihlr-16489	354	38	explaining	explain	VERB
ihlr-16489	354	39	the	the	DET
ihlr-16489	354	40	medicare	medicare	PROPN
ihlr-16489	354	41	bureaucratese	bureaucratese	PROPN
ihlr-16489	354	42	have	have	AUX
ihlr-16489	354	43	already	already	ADV
ihlr-16489	354	44	swung	swing	VERB
ihlr-16489	354	45	into	into	ADP
ihlr-16489	354	46	action	action	NOUN
ihlr-16489	354	47	.	.	PUNCT
ihlr-16489	355	1	companies	company	NOUN
ihlr-16489	355	2	are	be	AUX
ihlr-16489	355	3	already	already	ADV
ihlr-16489	355	4	advertising	advertise	VERB
ihlr-16489	355	5	"	"	PUNCT
ihlr-16489	355	6	pay	pay	VERB
ihlr-16489	355	7	-	-	PUNCT
ihlr-16489	355	8	for	for	ADP
ihlr-16489	355	9	-	-	PUNCT
ihlr-16489	355	10	performance	performance	NOUN
ihlr-16489	355	11	prep	prep	NOUN
ihlr-16489	355	12	guides	guide	NOUN
ihlr-16489	355	13	,	,	PUNCT
ihlr-16489	355	14	"	"	PUNCT
ihlr-16489	355	15	containing	contain	VERB
ihlr-16489	355	16	400	400	NUM
ihlr-16489	355	17	pages	page	NOUN
ihlr-16489	355	18	of	of	ADP
ihlr-16489	355	19	strategies	strategy	NOUN
ihlr-16489	355	20	to	to	PART
ihlr-16489	355	21	"	"	PUNCT
ihlr-16489	355	22	ensure	ensure	VERB
ihlr-16489	355	23	[	[	X
ihlr-16489	355	24	that	that	SCONJ
ihlr-16489	355	25	]	]	X
ihlr-16489	355	26	your	your	PRON
ihlr-16489	355	27	practice	practice	NOUN
ihlr-16489	355	28	/	/	SYM
ihlr-16489	355	29	organization	organization	NOUN
ihlr-16489	355	30	succeeds	succeed	VERB
ihlr-16489	355	31	with	with	ADP
ihlr-16489	355	32	p4p	p4p	PROPN
ihlr-16489	356	1	[	[	X
ihlr-16489	356	2	pay	pay	VERB
ihlr-16489	356	3	for	for	ADP
ihlr-16489	356	4	performance]."57	performance]."57	PROPN
ihlr-16489	356	5	as	as	SCONJ
ihlr-16489	356	6	doctors	doctor	NOUN
ihlr-16489	356	7	treat	treat	VERB
ihlr-16489	356	8	the	the	DET
ihlr-16489	356	9	practice	practice	NOUN
ihlr-16489	356	10	of	of	ADP
ihlr-16489	356	11	medicine	medicine	NOUN
ihlr-16489	356	12	as	as	SCONJ
ihlr-16489	356	13	if	if	SCONJ
ihlr-16489	356	14	it	it	PRON
ihlr-16489	356	15	were	be	AUX
ihlr-16489	356	16	an	an	DET
ihlr-16489	356	17	sat	sat	ADJ
ihlr-16489	356	18	exam	exam	NOUN
ihlr-16489	356	19	,	,	PUNCT
ihlr-16489	356	20	with	with	ADP
ihlr-16489	356	21	right	right	ADJ
ihlr-16489	356	22	and	and	CCONJ
ihlr-16489	356	23	wrong	wrong	ADJ
ihlr-16489	356	24	answers	answer	NOUN
ihlr-16489	356	25	and	and	CCONJ
ihlr-16489	356	26	grades	grade	NOUN
ihlr-16489	356	27	handed	hand	VERB
ihlr-16489	356	28	out	out	ADP
ihlr-16489	356	29	by	by	ADP
ihlr-16489	356	30	the	the	DET
ihlr-16489	356	31	government	government	NOUN
ihlr-16489	356	32	,	,	PUNCT
ihlr-16489	356	33	their	their	PRON
ihlr-16489	356	34	ability	ability	NOUN
ihlr-16489	356	35	to	to	PART
ihlr-16489	356	36	be	be	AUX
ihlr-16489	356	37	flexible	flexible	ADJ
ihlr-16489	356	38	,	,	PUNCT
ihlr-16489	356	39	innovative	innovative	ADJ
ihlr-16489	356	40	,	,	PUNCT
ihlr-16489	356	41	and	and	CCONJ
ihlr-16489	356	42	discerning	discern	VERB
ihlr-16489	356	43	in	in	ADP
ihlr-16489	356	44	patient	patient	ADJ
ihlr-16489	356	45	care	care	NOUN
ihlr-16489	356	46	will	will	AUX
ihlr-16489	356	47	suffer	suffer	VERB
ihlr-16489	356	48	.	.	PUNCT
ihlr-16489	357	1	focused	focus	VERB
ihlr-16489	357	2	on	on	ADP
ihlr-16489	357	3	the	the	DET
ihlr-16489	357	4	specific	specific	ADJ
ihlr-16489	357	5	tasks	task	NOUN
ihlr-16489	357	6	that	that	PRON
ihlr-16489	357	7	are	be	AUX
ihlr-16489	357	8	linked	link	VERB
ihlr-16489	357	9	to	to	ADP
ihlr-16489	357	10	fmancial	fmancial	ADJ
ihlr-16489	357	11	rewards	reward	NOUN
ihlr-16489	357	12	,	,	PUNCT
ihlr-16489	357	13	automatic	automatic	ADJ
ihlr-16489	357	14	practitioners	practitioner	NOUN
ihlr-16489	357	15	of	of	ADP
ihlr-16489	357	16	government	government	NOUN
ihlr-16489	357	17	-	-	PUNCT
ihlr-16489	357	18	prescribed	prescribe	VERB
ihlr-16489	357	19	behaviors	behavior	NOUN
ihlr-16489	357	20	will	will	AUX
ihlr-16489	357	21	replace	replace	VERB
ihlr-16489	357	22	doctors	doctor	NOUN
ihlr-16489	357	23	who	who	PRON
ihlr-16489	357	24	are	be	AUX
ihlr-16489	357	25	skilled	skilled	ADJ
ihlr-16489	357	26	in	in	ADP
ihlr-16489	357	27	combining	combine	VERB
ihlr-16489	357	28	multiple	multiple	ADJ
ihlr-16489	357	29	sources	source	NOUN
ihlr-16489	357	30	of	of	ADP
ihlr-16489	357	31	knowledge	knowledge	NOUN
ihlr-16489	357	32	with	with	ADP
ihlr-16489	357	33	their	their	PRON
ihlr-16489	357	34	best	good	ADJ
ihlr-16489	357	35	medical	medical	ADJ
ihlr-16489	357	36	judgment	judgment	NOUN
ihlr-16489	357	37	in	in	ADP
ihlr-16489	357	38	providing	provide	VERB
ihlr-16489	357	39	patient	patient	ADJ
ihlr-16489	357	40	care	care	NOUN
ihlr-16489	357	41	.	.	PUNCT
ihlr-16489	358	1	medical	medical	ADJ
ihlr-16489	358	2	students	student	NOUN
ihlr-16489	358	3	,	,	PUNCT
ihlr-16489	358	4	interns	intern	NOUN
ihlr-16489	358	5	,	,	PUNCT
ihlr-16489	358	6	and	and	CCONJ
ihlr-16489	358	7	residents	resident	NOUN
ihlr-16489	358	8	will	will	AUX
ihlr-16489	358	9	become	become	VERB
ihlr-16489	358	10	trained	train	VERB
ihlr-16489	358	11	in	in	ADP
ihlr-16489	358	12	applying	apply	VERB
ihlr-16489	358	13	the	the	DET
ihlr-16489	358	14	third	third	ADJ
ihlr-16489	358	15	-	-	PUNCT
ihlr-16489	358	16	party	party	NOUN
ihlr-16489	358	17	rules	rule	NOUN
ihlr-16489	358	18	that	that	PRON
ihlr-16489	358	19	govern	govern	VERB
ihlr-16489	358	20	their	their	PRON
ihlr-16489	358	21	clinical	clinical	ADJ
ihlr-16489	358	22	decisions	decision	NOUN
ihlr-16489	358	23	instead	instead	ADV
ihlr-16489	358	24	of	of	ADP
ihlr-16489	358	25	developing	develop	VERB
ihlr-16489	358	26	keen	keen	ADJ
ihlr-16489	358	27	clinical	clinical	ADJ
ihlr-16489	358	28	judgment	judgment	NOUN
ihlr-16489	358	29	and	and	CCONJ
ihlr-16489	358	30	learning	learn	VERB
ihlr-16489	358	31	to	to	PART
ihlr-16489	358	32	constantly	constantly	ADV
ihlr-16489	358	33	seek	seek	VERB
ihlr-16489	358	34	better	well	ADJ
ihlr-16489	358	35	ways	way	NOUN
ihlr-16489	358	36	to	to	PART
ihlr-16489	358	37	treat	treat	VERB
ihlr-16489	358	38	56	56	NUM
ihlr-16489	358	39	.	.	PUNCT
ihlr-16489	359	1	dan	dan	PROPN
ihlr-16489	359	2	mendelson	mendelson	PROPN
ihlr-16489	359	3	&	&	CCONJ
ihlr-16489	359	4	tanisha	tanisha	PROPN
ihlr-16489	359	5	v.	v.	PROPN
ihlr-16489	359	6	carino	carino	PROPN
ihlr-16489	359	7	,	,	PUNCT
ihlr-16489	359	8	evidence	evidence	NOUN
ihlr-16489	359	9	-	-	PUNCT
ihlr-16489	359	10	based	base	VERB
ihlr-16489	359	11	medicine	medicine	NOUN
ihlr-16489	359	12	in	in	ADP
ihlr-16489	359	13	the	the	DET
ihlr-16489	359	14	united	united	PROPN
ihlr-16489	359	15	states	states	PROPN
ihlr-16489	359	16	-de	-de	ADP
ihlr-16489	359	17	rigueur	rigueur	X
ihlr-16489	359	18	or	or	CCONJ
ihlr-16489	359	19	dream	dream	NOUN
ihlr-16489	359	20	preferred	prefer	VERB
ihlr-16489	359	21	?	?	PUNCT
ihlr-16489	359	22	,	,	PUNCT
ihlr-16489	359	23	24(1	24(1	NUM
ihlr-16489	359	24	)	)	PUNCT
ihlr-16489	359	25	health	health	NOUN
ihlr-16489	359	26	aff	aff	PROPN
ihlr-16489	359	27	.	.	PUNCT
ihlr-16489	360	1	133	133	NUM
ihlr-16489	360	2	,	,	PUNCT
ihlr-16489	360	3	134	134	NUM
ihlr-16489	360	4	(	(	PUNCT
ihlr-16489	360	5	2005	2005	NUM
ihlr-16489	360	6	)	)	PUNCT
ihlr-16489	360	7	.	.	PUNCT
ihlr-16489	361	1	57	57	NUM
ihlr-16489	361	2	.	.	PUNCT
ihlr-16489	361	3	part	part	NOUN
ihlr-16489	361	4	b	b	PROPN
ihlr-16489	361	5	news	news	NOUN
ihlr-16489	361	6	and	and	CCONJ
ihlr-16489	361	7	decisionhealth	decisionhealth	NOUN
ihlr-16489	361	8	,	,	PUNCT
ihlr-16489	361	9	pay	pay	NOUN
ihlr-16489	361	10	-	-	PUNCT
ihlr-16489	361	11	for	for	ADP
ihlr-16489	361	12	-	-	PUNCT
ihlr-16489	361	13	performance	performance	NOUN
ihlr-16489	361	14	prep	prep	NOUN
ihlr-16489	361	15	guide	guide	NOUN
ihlr-16489	361	16	,	,	PUNCT
ihlr-16489	361	17	http://www.partbnews.com/tools/p4p/	http://www.partbnews.com/tools/p4p/	PROPN
ihlr-16489	361	18	(	(	PUNCT
ihlr-16489	361	19	last	last	ADJ
ihlr-16489	361	20	visited	visit	VERB
ihlr-16489	361	21	may	may	AUX
ihlr-16489	361	22	20	20	NUM
ihlr-16489	361	23	,	,	PUNCT
ihlr-16489	361	24	2006	2006	NUM
ihlr-16489	361	25	)	)	PUNCT
ihlr-16489	361	26	.	.	PUNCT
ihlr-16489	362	1	2006	2006	NUM
ihlr-16489	362	2	]	]	PUNCT
ihlr-16489	362	3	pay	pay	VERB
ihlr-16489	362	4	for	for	ADP
ihlr-16489	362	5	performance	performance	NOUN
ihlr-16489	362	6	or	or	CCONJ
ihlr-16489	362	7	compuance	compuance	NOUN
ihlr-16489	362	8	?	?	PUNCT
ihlr-16489	363	1	413	413	NUM
ihlr-16489	363	2	patients	patient	NOUN
ihlr-16489	363	3	.	.	PUNCT
ihlr-16489	364	1	58	58	NUM
ihlr-16489	364	2	proponents	proponent	NOUN
ihlr-16489	364	3	claim	claim	VERB
ihlr-16489	364	4	that	that	SCONJ
ihlr-16489	364	5	this	this	PRON
ihlr-16489	364	6	will	will	AUX
ihlr-16489	364	7	"	"	PUNCT
ihlr-16489	364	8	structure	structure	VERB
ihlr-16489	364	9	the	the	DET
ihlr-16489	364	10	environment	environment	NOUN
ihlr-16489	364	11	in	in	ADP
ihlr-16489	364	12	which	which	PRON
ihlr-16489	364	13	care	care	NOUN
ihlr-16489	364	14	is	be	AUX
ihlr-16489	364	15	delivered	deliver	VERB
ihlr-16489	364	16	so	so	SCONJ
ihlr-16489	364	17	that	that	SCONJ
ihlr-16489	364	18	'	'	AUX
ihlr-16489	364	19	doing	do	VERB
ihlr-16489	364	20	the	the	DET
ihlr-16489	364	21	right	right	ADJ
ihlr-16489	364	22	thing	thing	NOUN
ihlr-16489	364	23	'	'	PUNCT
ihlr-16489	364	24	becomes	become	VERB
ihlr-16489	364	25	automatic!'59	automatic!'59	VERB
ihlr-16489	364	26	however	however	ADV
ihlr-16489	364	27	,	,	PUNCT
ihlr-16489	364	28	the	the	DET
ihlr-16489	364	29	''	''	PUNCT
ihlr-16489	364	30	right	right	ADJ
ihlr-16489	364	31	thing	thing	NOUN
ihlr-16489	364	32	"	"	PUNCT
ihlr-16489	364	33	can	can	AUX
ihlr-16489	364	34	differ	differ	VERB
ihlr-16489	364	35	from	from	ADP
ihlr-16489	364	36	patient	patient	NOUN
ihlr-16489	364	37	to	to	AUX
ihlr-16489	364	38	patient	patient	VERB
ihlr-16489	364	39	and	and	CCONJ
ihlr-16489	364	40	often	often	ADV
ihlr-16489	364	41	changes	change	VERB
ihlr-16489	364	42	over	over	ADP
ihlr-16489	364	43	time	time	NOUN
ihlr-16489	364	44	.	.	PUNCT
ihlr-16489	365	1	a	a	DET
ihlr-16489	365	2	2001	2001	NUM
ihlr-16489	365	3	study	study	NOUN
ihlr-16489	365	4	published	publish	VERB
ihlr-16489	365	5	in	in	ADP
ihlr-16489	365	6	the	the	DET
ihlr-16489	365	7	journal	journal	NOUN
ihlr-16489	365	8	of	of	ADP
ihlr-16489	365	9	the	the	DET
ihlr-16489	365	10	american	american	PROPN
ihlr-16489	365	11	medical	medical	PROPN
ihlr-16489	365	12	association	association	PROPN
ihlr-16489	365	13	found	find	VERB
ihlr-16489	365	14	that	that	SCONJ
ihlr-16489	365	15	of	of	ADP
ihlr-16489	365	16	seventeen	seventeen	NUM
ihlr-16489	365	17	clinical	clinical	ADJ
ihlr-16489	365	18	practice	practice	NOUN
ihlr-16489	365	19	guidelines	guideline	NOUN
ihlr-16489	365	20	published	publish	VERB
ihlr-16489	365	21	by	by	ADP
ihlr-16489	365	22	the	the	DET
ihlr-16489	365	23	agency	agency	NOUN
ihlr-16489	365	24	for	for	ADP
ihlr-16489	365	25	healthcare	healthcare	PROPN
ihlr-16489	365	26	research	research	NOUN
ihlr-16489	365	27	and	and	CCONJ
ihlr-16489	365	28	quality	quality	NOUN
ihlr-16489	365	29	and	and	CCONJ
ihlr-16489	365	30	still	still	ADV
ihlr-16489	365	31	in	in	ADP
ihlr-16489	365	32	circulation	circulation	NOUN
ihlr-16489	365	33	at	at	ADP
ihlr-16489	365	34	the	the	DET
ihlr-16489	365	35	time	time	NOUN
ihlr-16489	365	36	,	,	PUNCT
ihlr-16489	365	37	seven	seven	NUM
ihlr-16489	365	38	were	be	AUX
ihlr-16489	365	39	in	in	ADP
ihlr-16489	365	40	need	need	NOUN
ihlr-16489	365	41	of	of	ADP
ihlr-16489	365	42	a	a	DET
ihlr-16489	365	43	major	major	ADJ
ihlr-16489	365	44	update	update	NOUN
ihlr-16489	365	45	,	,	PUNCT
ihlr-16489	365	46	six	six	NUM
ihlr-16489	365	47	required	require	VERB
ihlr-16489	365	48	a	a	DET
ihlr-16489	365	49	minor	minor	ADJ
ihlr-16489	365	50	update	update	NOUN
ihlr-16489	365	51	,	,	PUNCT
ihlr-16489	365	52	and	and	CCONJ
ihlr-16489	365	53	only	only	ADV
ihlr-16489	365	54	three	three	NUM
ihlr-16489	365	55	were	be	AUX
ihlr-16489	365	56	determined	determine	VERB
ihlr-16489	365	57	to	to	PART
ihlr-16489	365	58	be	be	AUX
ihlr-16489	365	59	valid	valid	ADJ
ihlr-16489	365	60	.	.	PUNCT
ihlr-16489	366	1	no	no	DET
ihlr-16489	366	2	conclusion	conclusion	NOUN
ihlr-16489	366	3	was	be	AUX
ihlr-16489	366	4	reached	reach	VERB
ihlr-16489	366	5	for	for	ADP
ihlr-16489	366	6	the	the	DET
ihlr-16489	366	7	remaining	remain	VERB
ihlr-16489	366	8	guideline	guideline	NOUN
ihlr-16489	366	9	.	.	PUNCT
ihlr-16489	367	1	using	use	VERB
ihlr-16489	367	2	survival	survival	NOUN
ihlr-16489	367	3	analysis	analysis	NOUN
ihlr-16489	367	4	,	,	PUNCT
ihlr-16489	367	5	the	the	DET
ihlr-16489	367	6	researchers	researcher	NOUN
ihlr-16489	367	7	found	find	VERB
ihlr-16489	367	8	that	that	SCONJ
ihlr-16489	367	9	about	about	ADV
ihlr-16489	367	10	half	half	NOUN
ihlr-16489	367	11	of	of	ADP
ihlr-16489	367	12	the	the	DET
ihlr-16489	367	13	guidelines	guideline	NOUN
ihlr-16489	367	14	were	be	AUX
ihlr-16489	367	15	outdated	outdate	VERB
ihlr-16489	367	16	in	in	ADP
ihlr-16489	367	17	5.8	5.8	NUM
ihlr-16489	367	18	years.60	years.60	PROPN
ihlr-16489	367	19	a	a	DET
ihlr-16489	367	20	health	health	NOUN
ihlr-16489	367	21	care	care	NOUN
ihlr-16489	367	22	system	system	NOUN
ihlr-16489	367	23	that	that	PRON
ihlr-16489	367	24	ties	tie	VERB
ihlr-16489	367	25	reimbursement	reimbursement	NOUN
ihlr-16489	367	26	to	to	ADP
ihlr-16489	367	27	sometimes	sometimes	ADV
ihlr-16489	367	28	outdated	outdated	ADJ
ihlr-16489	367	29	or	or	CCONJ
ihlr-16489	367	30	low	low	ADJ
ihlr-16489	367	31	-	-	PUNCT
ihlr-16489	367	32	quality	quality	NOUN
ihlr-16489	367	33	guidelines	guideline	NOUN
ihlr-16489	367	34	would	would	AUX
ihlr-16489	367	35	,	,	PUNCT
ihlr-16489	367	36	at	at	ADP
ihlr-16489	367	37	least	least	ADJ
ihlr-16489	367	38	occasionally	occasionally	ADV
ihlr-16489	367	39	,	,	PUNCT
ihlr-16489	367	40	force	force	NOUN
ihlr-16489	367	41	providers	provider	NOUN
ihlr-16489	367	42	to	to	PART
ihlr-16489	367	43	choose	choose	VERB
ihlr-16489	367	44	between	between	ADP
ihlr-16489	367	45	financial	financial	ADJ
ihlr-16489	367	46	compensation	compensation	NOUN
ihlr-16489	367	47	and	and	CCONJ
ihlr-16489	367	48	their	their	PRON
ihlr-16489	367	49	ethical	ethical	ADJ
ihlr-16489	367	50	duty	duty	NOUN
ihlr-16489	367	51	to	to	PART
ihlr-16489	367	52	provide	provide	VERB
ihlr-16489	367	53	high	high	ADJ
ihlr-16489	367	54	-	-	PUNCT
ihlr-16489	367	55	quality	quality	NOUN
ihlr-16489	367	56	care	care	NOUN
ihlr-16489	367	57	.	.	PUNCT
ihlr-16489	368	1	even	even	ADV
ihlr-16489	368	2	worse	bad	ADJ
ihlr-16489	368	3	,	,	PUNCT
ihlr-16489	368	4	it	it	PRON
ihlr-16489	368	5	could	could	AUX
ihlr-16489	368	6	produce	produce	VERB
ihlr-16489	368	7	physicians	physician	NOUN
ihlr-16489	368	8	who	who	PRON
ihlr-16489	368	9	do	do	AUX
ihlr-16489	368	10	not	not	PART
ihlr-16489	368	11	know	know	VERB
ihlr-16489	368	12	the	the	DET
ihlr-16489	368	13	difference	difference	NOUN
ihlr-16489	368	14	.	.	PUNCT
ihlr-16489	369	1	doctors	doctor	NOUN
ihlr-16489	369	2	reimbursed	reimburse	VERB
ihlr-16489	369	3	according	accord	VERB
ihlr-16489	369	4	to	to	ADP
ihlr-16489	369	5	compliance	compliance	NOUN
ihlr-16489	369	6	will	will	AUX
ihlr-16489	369	7	also	also	ADV
ihlr-16489	369	8	lose	lose	VERB
ihlr-16489	369	9	the	the	DET
ihlr-16489	369	10	incentive	incentive	NOUN
ihlr-16489	369	11	and	and	CCONJ
ihlr-16489	369	12	ability	ability	NOUN
ihlr-16489	369	13	to	to	PART
ihlr-16489	369	14	innovate	innovate	VERB
ihlr-16489	369	15	that	that	PRON
ihlr-16489	369	16	has	have	AUX
ihlr-16489	369	17	produced	produce	VERB
ihlr-16489	369	18	so	so	ADV
ihlr-16489	369	19	many	many	ADJ
ihlr-16489	369	20	important	important	ADJ
ihlr-16489	369	21	medical	medical	ADJ
ihlr-16489	369	22	advances	advance	NOUN
ihlr-16489	369	23	.	.	PUNCT
ihlr-16489	370	1	in	in	ADP
ihlr-16489	370	2	the	the	DET
ihlr-16489	370	3	late	late	ADJ
ihlr-16489	370	4	1960s	1960	NOUN
ihlr-16489	370	5	and	and	CCONJ
ihlr-16489	370	6	1970s	1970	NOUN
ihlr-16489	370	7	,	,	PUNCT
ihlr-16489	370	8	dr	dr	PROPN
ihlr-16489	370	9	.	.	PROPN
ihlr-16489	370	10	charles	charles	PROPN
ihlr-16489	370	11	kelman	kelman	PROPN
ihlr-16489	370	12	,	,	PUNCT
ihlr-16489	370	13	an	an	DET
ihlr-16489	370	14	innovative	innovative	ADJ
ihlr-16489	370	15	ophthalmo­	ophthalmo­	NOUN
ihlr-16489	370	16	logist	logist	NOUN
ihlr-16489	370	17	,	,	PUNCT
ihlr-16489	370	18	challenged	challenge	VERB
ihlr-16489	370	19	the	the	DET
ihlr-16489	370	20	entrenched	entrenched	ADJ
ihlr-16489	370	21	''	''	PUNCT
ihlr-16489	370	22	best	good	ADJ
ihlr-16489	370	23	practices	practice	NOUN
ihlr-16489	370	24	"	"	PUNCT
ihlr-16489	370	25	of	of	ADP
ihlr-16489	370	26	his	his	PRON
ihlr-16489	370	27	day	day	NOUN
ihlr-16489	370	28	and	and	CCONJ
ihlr-16489	370	29	pioneered	pioneer	VERB
ihlr-16489	370	30	groundbreaking	groundbreake	VERB
ihlr-16489	370	31	new	new	ADJ
ihlr-16489	370	32	methods	method	NOUN
ihlr-16489	370	33	of	of	ADP
ihlr-16489	370	34	cataract	cataract	NOUN
ihlr-16489	370	35	surgery	surgery	NOUN
ihlr-16489	370	36	despite	despite	SCONJ
ihlr-16489	370	37	severe	severe	ADJ
ihlr-16489	370	38	derision	derision	NOUN
ihlr-16489	370	39	from	from	ADP
ihlr-16489	370	40	colleagues	colleague	NOUN
ihlr-16489	370	41	.	.	PUNCT
ihlr-16489	371	1	dr	dr	PROPN
ihlr-16489	371	2	.	.	PROPN
ihlr-16489	371	3	kelman	kelman	PROPN
ihlr-16489	371	4	's	's	PART
ihlr-16489	371	5	innovative	innovative	ADJ
ihlr-16489	371	6	techniques	technique	NOUN
ihlr-16489	371	7	revolutionized	revolutionize	VERB
ihlr-16489	371	8	the	the	DET
ihlr-16489	371	9	field	field	NOUN
ihlr-16489	371	10	of	of	ADP
ihlr-16489	371	11	cataract	cataract	NOUN
ihlr-16489	371	12	removal	removal	NOUN
ihlr-16489	371	13	and	and	CCONJ
ihlr-16489	371	14	ultimately	ultimately	ADV
ihlr-16489	371	15	became	become	VERB
ihlr-16489	371	16	the	the	DET
ihlr-16489	371	17	standard	standard	NOUN
ihlr-16489	371	18	by	by	ADP
ihlr-16489	371	19	which	which	PRON
ihlr-16489	371	20	all	all	DET
ihlr-16489	371	21	cataract	cataract	NOUN
ihlr-16489	371	22	surgeries	surgery	NOUN
ihlr-16489	371	23	are	be	AUX
ihlr-16489	371	24	performed	perform	VERB
ihlr-16489	371	25	today	today	NOUN
ihlr-16489	371	26	.	.	PUNCT
ihlr-16489	372	1	in	in	ADP
ihlr-16489	372	2	fact	fact	NOUN
ihlr-16489	372	3	,	,	PUNCT
ihlr-16489	372	4	many	many	ADJ
ihlr-16489	372	5	consider	consider	VERB
ihlr-16489	372	6	him	he	PRON
ihlr-16489	372	7	to	to	PART
ihlr-16489	372	8	be	be	AUX
ihlr-16489	372	9	one	one	NUM
ihlr-16489	372	10	of	of	ADP
ihlr-16489	372	11	the	the	DET
ihlr-16489	372	12	greatest	great	ADJ
ihlr-16489	372	13	medical	medical	ADJ
ihlr-16489	372	14	innovators	innovator	NOUN
ihlr-16489	372	15	because	because	SCONJ
ihlr-16489	372	16	of	of	ADP
ihlr-16489	372	17	the	the	DET
ihlr-16489	372	18	miracle	miracle	NOUN
ihlr-16489	372	19	that	that	SCONJ
ihlr-16489	372	20	he	he	PRON
ihlr-16489	372	21	wrought	work	VERB
ihlr-16489	372	22	with	with	ADP
ihlr-16489	372	23	cataract	cataract	NOUN
ihlr-16489	372	24	surgery	surgery	NOUN
ihlr-16489	372	25	and	and	CCONJ
ihlr-16489	372	26	the	the	DET
ihlr-16489	372	27	millions	million	NOUN
ihlr-16489	372	28	of	of	ADP
ihlr-16489	372	29	patients	patient	NOUN
ihlr-16489	372	30	who	who	PRON
ihlr-16489	372	31	have	have	AUX
ihlr-16489	372	32	benefited	benefit	VERB
ihlr-16489	372	33	from	from	ADP
ihlr-16489	372	34	it	it	PRON
ihlr-16489	372	35	.	.	PUNCT
ihlr-16489	373	1	61	61	NUM
ihlr-16489	373	2	if	if	SCONJ
ihlr-16489	373	3	government	government	NOUN
ihlr-16489	373	4	-	-	PUNCT
ihlr-16489	373	5	instituted	institute	VERB
ihlr-16489	373	6	compliance	compliance	NOUN
ihlr-16489	373	7	mechanisms	mechanism	NOUN
ihlr-16489	373	8	had	have	AUX
ihlr-16489	373	9	been	be	AUX
ihlr-16489	373	10	in	in	ADP
ihlr-16489	373	11	place	place	NOUN
ihlr-16489	373	12	in	in	ADP
ihlr-16489	373	13	the	the	DET
ihlr-16489	373	14	1960s	1960	NOUN
ihlr-16489	373	15	and	and	CCONJ
ihlr-16489	373	16	1970s	1970	NOUN
ihlr-16489	373	17	,	,	PUNCT
ihlr-16489	373	18	however	however	ADV
ihlr-16489	373	19	,	,	PUNCT
ihlr-16489	373	20	dr	dr	PROPN
ihlr-16489	373	21	.	.	PROPN
ihlr-16489	373	22	kelman	kelman	PROPN
ihlr-16489	373	23	would	would	AUX
ihlr-16489	373	24	have	have	AUX
ihlr-16489	373	25	dared	dare	VERB
ihlr-16489	373	26	such	such	ADJ
ihlr-16489	373	27	innovation	innovation	NOUN
ihlr-16489	373	28	only	only	ADV
ihlr-16489	373	29	at	at	ADP
ihlr-16489	373	30	his	his	PRON
ihlr-16489	373	31	own	own	ADJ
ihlr-16489	373	32	financial	financial	ADJ
ihlr-16489	373	33	peril	peril	NOUN
ihlr-16489	373	34	,	,	PUNCT
ihlr-16489	373	35	because	because	SCONJ
ihlr-16489	373	36	any	any	DET
ihlr-16489	373	37	deviation	deviation	NOUN
ihlr-16489	373	38	from	from	ADP
ihlr-16489	373	39	the	the	DET
ihlr-16489	373	40	guidelines	guideline	NOUN
ihlr-16489	373	41	would	would	AUX
ihlr-16489	373	42	have	have	AUX
ihlr-16489	373	43	lowered	lower	VERB
ihlr-16489	373	44	his	his	PRON
ihlr-16489	373	45	pay	pay	VERB
ihlr-16489	373	46	-	-	PUNCT
ihlr-16489	373	47	for	for	ADP
ihlr-16489	373	48	-	-	PUNCT
ihlr-16489	373	49	performance	performance	NOUN
ihlr-16489	373	50	.	.	PUNCT
ihlr-16489	374	1	scores	score	NOUN
ihlr-16489	374	2	.	.	PUNCT
ihlr-16489	375	1	unless	unless	SCONJ
ihlr-16489	375	2	we	we	PRON
ihlr-16489	375	3	believe	believe	VERB
ihlr-16489	375	4	that	that	SCONJ
ihlr-16489	375	5	today	today	NOUN
ihlr-16489	375	6	's	's	PART
ihlr-16489	375	7	medical	medical	ADJ
ihlr-16489	375	8	practice	practice	NOUN
ihlr-16489	375	9	has	have	AUX
ihlr-16489	375	10	reached	reach	VERB
ihlr-16489	375	11	a	a	DET
ihlr-16489	375	12	state	state	NOUN
ihlr-16489	375	13	of	of	ADP
ihlr-16489	375	14	perfection	perfection	NOUN
ihlr-16489	375	15	and	and	CCONJ
ihlr-16489	375	16	is	be	AUX
ihlr-16489	375	17	unlikely	unlikely	ADJ
ihlr-16489	375	18	to	to	PART
ihlr-16489	375	19	be	be	AUX
ihlr-16489	375	20	improved	improve	VERB
ihlr-16489	375	21	,	,	PUNCT
ihlr-16489	375	22	it	it	PRON
ihlr-16489	375	23	seems	seem	VERB
ihlr-16489	375	24	shortsighted	shortsighted	ADJ
ihlr-16489	375	25	to	to	PART
ihlr-16489	375	26	discourage	discourage	VERB
ihlr-16489	375	27	similar	similar	ADJ
ihlr-16489	375	28	advances	advance	NOUN
ihlr-16489	375	29	in	in	ADP
ihlr-16489	375	30	the	the	DET
ihlr-16489	375	31	future	future	NOUN
ihlr-16489	375	32	.	.	PUNCT
ihlr-16489	376	1	in	in	ADP
ihlr-16489	376	2	the	the	DET
ihlr-16489	376	3	long	long	ADJ
ihlr-16489	376	4	run	run	NOUN
ihlr-16489	376	5	,	,	PUNCT
ihlr-16489	376	6	automatic	automatic	ADJ
ihlr-16489	376	7	adherence	adherence	NOUN
ihlr-16489	376	8	to	to	ADP
ihlr-16489	376	9	protocols	protocol	NOUN
ihlr-16489	376	10	is	be	AUX
ihlr-16489	376	11	counterproductive	counterproductive	ADJ
ihlr-16489	376	12	.	.	PUNCT
ihlr-16489	377	1	physicians	physician	NOUN
ihlr-16489	377	2	·	·	PUNCT
ihlr-16489	377	3	need	need	VERB
ihlr-16489	377	4	to	to	PART
ihlr-16489	377	5	respond	respond	VERB
ihlr-16489	377	6	effectively	effectively	ADV
ihlr-16489	377	7	to	to	ADP
ihlr-16489	377	8	a	a	DET
ihlr-16489	377	9	changing	change	VERB
ihlr-16489	377	10	medical	medical	ADJ
ihlr-16489	377	11	world	world	NOUN
ihlr-16489	377	12	and	and	CCONJ
ihlr-16489	377	13	unique	unique	ADJ
ihlr-16489	377	14	patient	patient	ADJ
ihlr-16489	377	15	challenges	challenge	NOUN
ihlr-16489	377	16	,	,	PUNCT
ihlr-16489	377	17	but	but	CCONJ
ihlr-16489	377	18	compliance	compliance	NOUN
ihlr-16489	377	19	-	-	PUNCT
ihlr-16489	377	20	based	base	VERB
ihlr-16489	377	21	payment	payment	NOUN
ihlr-16489	377	22	systems	system	NOUN
ihlr-16489	377	23	would	would	AUX
ihlr-16489	377	24	deprive	deprive	VERB
ihlr-16489	377	25	them	they	PRON
ihlr-16489	377	26	of	of	ADP
ihlr-16489	377	27	the	the	DET
ihlr-16489	377	28	very	very	ADJ
ihlr-16489	377	29	ability	ability	NOUN
ihlr-16489	377	30	to	to	PART
ihlr-16489	377	31	judge	judge	VERB
ihlr-16489	377	32	appropriate	appropriate	ADJ
ihlr-16489	377	33	care	care	NOUN
ihlr-16489	377	34	and	and	CCONJ
ihlr-16489	377	35	adapt	adapt	VERB
ihlr-16489	377	36	with	with	ADP
ihlr-16489	377	37	innovative	innovative	ADJ
ihlr-16489	377	38	methods	method	NOUN
ihlr-16489	377	39	of	of	ADP
ihlr-16489	377	40	treating	treat	VERB
ihlr-16489	377	41	illness	illness	NOUN
ihlr-16489	377	42	.	.	PUNCT
ihlr-16489	378	1	ultimately	ultimately	ADV
ihlr-16489	378	2	,	,	PUNCT
ihlr-16489	378	3	the	the	DET
ihlr-16489	378	4	political	political	ADJ
ihlr-16489	378	5	negotiations	negotiation	NOUN
ihlr-16489	378	6	58	58	NUM
ihlr-16489	378	7	.	.	PUNCT
ihlr-16489	379	1	alan	alan	PROPN
ihlr-16489	379	2	muney	muney	PROPN
ihlr-16489	379	3	,	,	PUNCT
ihlr-16489	379	4	oxford	oxford	ADJ
ihlr-16489	379	5	health	health	NOUN
ihlr-16489	379	6	plans	plan	NOUN
ihlr-16489	379	7	.	.	PUNCT
ihlr-16489	380	1	explains	explain	VERB
ihlr-16489	380	2	,	,	PUNCT
ihlr-16489	380	3	"	"	PUNCT
ihlr-16489	380	4	the	the	DET
ihlr-16489	380	5	pwpose	pwpose	NOUN
ihlr-16489	380	6	..	..	PUNCT
ihlr-16489	380	7	•	•	X
ihlr-16489	381	1	[	[	X
ihlr-16489	381	2	of	of	ADP
ihlr-16489	381	3	evidence	evidence	NOUN
ihlr-16489	381	4	-	-	PUNCT
ihlr-16489	381	5	based	base	VERB
ihlr-16489	381	6	education	education	NOUN
ihlr-16489	381	7	]	]	PUNCT
ihlr-16489	381	8	is	be	AUX
ihlr-16489	381	9	to	to	PART
ihlr-16489	381	10	drive	drive	VERB
ihlr-16489	381	11	lifelong	lifelong	ADJ
ihlr-16489	381	12	adherence	adherence	NOUN
ihlr-16489	381	13	to	to	ADP
ihlr-16489	381	14	clinical	clinical	ADJ
ihlr-16489	381	15	~ce	~ce	NOUN
ihlr-16489	381	16	guidelines	guideline	NOUN
ihlr-16489	381	17	resulting	result	VERB
ihlr-16489	381	18	in	in	ADP
ihlr-16489	381	19	improvement	improvement	NOUN
ihlr-16489	381	20	in	in	ADP
ihlr-16489	381	21	the	the	DET
ihlr-16489	381	22	value	value	NOUN
ihlr-16489	381	23	ofhealthcare	ofhealthcare	NOUN
ihlr-16489	381	24	expenditures	expenditure	NOUN
ihlr-16489	381	25	.	.	PUNCT
ihlr-16489	381	26	"	"	PUNCT
ihlr-16489	382	1	brase	brase	NOUN
ihlr-16489	382	2	,	,	PUNCT
ihlr-16489	382	3	supra	supra	PROPN
ihlr-16489	382	4	note	note	NOUN
ihlr-16489	382	5	46	46	NUM
ihlr-16489	382	6	,	,	PUNCT
ihlr-16489	382	7	at	at	ADP
ihlr-16489	382	8	3	3	NUM
ihlr-16489	382	9	.	.	PROPN
ihlr-16489	382	10	59	59	NUM
ihlr-16489	382	11	.	.	PUNCT
ihlr-16489	383	1	kim	kim	PROPN
ihlr-16489	383	2	a.	a.	PROPN
ihlr-16489	383	3	eagle	eagle	PROPN
ihlr-16489	383	4	et	et	PROPN
ihlr-16489	383	5	al	al	PROPN
ihlr-16489	383	6	.	.	PROPN
ihlr-16489	383	7	,	,	PUNCT
ihlr-16489	383	8	closing	close	VERB
ihlr-16489	383	9	the	the	DET
ihlr-16489	383	10	gap	gap	NOUN
ihlr-16489	383	11	between	between	ADP
ihlr-16489	383	12	science	science	NOUN
ihlr-16489	383	13	and	and	CCONJ
ihlr-16489	383	14	practice	practice	NOUN
ihlr-16489	383	15	:	:	PUNCT
ihlr-16489	383	16	the	the	DET
ihlr-16489	383	17	need	need	NOUN
ihlr-16489	383	18	for	for	ADP
ihlr-16489	383	19	professional	professional	ADJ
ihlr-16489	383	20	leadership	leadership	NOUN
ihlr-16489	383	21	,	,	PUNCT
ihlr-16489	383	22	22(2	22(2	NUM
ihlr-16489	383	23	)	)	PUNCT
ihlr-16489	383	24	healthaff	healthaff	NOUN
ihlr-16489	383	25	.	.	PUNCT
ihlr-16489	384	1	196	196	NUM
ihlr-16489	384	2	,	,	PUNCT
ihlr-16489	384	3	199	199	NUM
ihlr-16489	384	4	(	(	PUNCT
ihlr-16489	384	5	2003	2003	NUM
ihlr-16489	384	6	)	)	PUNCT
ihlr-16489	384	7	.	.	PUNCT
ihlr-16489	385	1	60	60	NUM
ihlr-16489	385	2	.	.	PUNCT
ihlr-16489	386	1	paul	paul	PROPN
ihlr-16489	386	2	g.	g.	PROPN
ihlr-16489	386	3	shekelle	shekelle	PROPN
ihlr-16489	386	4	et	et	PROPN
ihlr-16489	386	5	al	al	PROPN
ihlr-16489	386	6	.	.	PROPN
ihlr-16489	386	7	,	,	PUNCT
ihlr-16489	386	8	y	y	PROPN
ihlr-16489	386	9	alidity	alidity	NOUN
ihlr-16489	386	10	of	of	ADP
ihlr-16489	386	11	the	the	DET
ihlr-16489	386	12	agency	agency	NOUN
ihlr-16489	386	13	for	for	ADP
ihlr-16489	386	14	healthcare	healthcare	PROPN
ihlr-16489	386	15	research	research	NOUN
ihlr-16489	386	16	and	and	CCONJ
ihlr-16489	386	17	quality	quality	NOUN
ihlr-16489	386	18	clinical	clinical	ADJ
ihlr-16489	386	19	practice	practice	NOUN
ihlr-16489	386	20	guidelines	guideline	NOUN
ihlr-16489	386	21	:	:	PUNCT
ihlr-16489	386	22	how	how	SCONJ
ihlr-16489	386	23	quickly	quickly	ADV
ihlr-16489	386	24	do	do	VERB
ihlr-16489	386	25	guidelines	guideline	NOUN
ihlr-16489	386	26	become	become	VERB
ihlr-16489	386	27	outdated	outdated	ADJ
ihlr-16489	386	28	?	?	PUNCT
ihlr-16489	386	29	,	,	PUNCT
ihlr-16489	386	30	286	286	NUM
ihlr-16489	386	31	jama	jama	NOUN
ihlr-16489	386	32	1461	1461	NUM
ihlr-16489	386	33	,	,	PUNCT
ihlr-16489	386	34	1461	1461	NUM
ihlr-16489	386	35	(	(	PUNCT
ihlr-16489	386	36	2001	2001	NUM
ihlr-16489	386	37	)	)	PUNCT
ihlr-16489	386	38	.	.	PUNCT
ihlr-16489	387	1	61	61	NUM
ihlr-16489	387	2	.	.	PUNCT
ihlr-16489	388	1	robert	robert	PROPN
ihlr-16489	388	2	p.	p.	PROPN
ihlr-16489	388	3	gervais	gervais	PROPN
ihlr-16489	388	4	,	,	PUNCT
ihlr-16489	388	5	cataract	cataract	NOUN
ihlr-16489	388	6	surgery	surgery	NOUN
ihlr-16489	388	7	:	:	PUNCT
ihlr-16489	388	8	a	a	DET
ihlr-16489	388	9	lesson	lesson	NOUN
ihlr-16489	388	10	on	on	ADP
ihlr-16489	388	11	"	"	PUNCT
ihlr-16489	388	12	best	good	ADJ
ihlr-16489	388	13	practices	practice	NOUN
ihlr-16489	388	14	,	,	PUNCT
ihlr-16489	388	15	"	"	PUNCT
ihlr-16489	388	16	15	15	NUM
ihlr-16489	388	17	azmeoicine	azmeoicine	NOUN
ihlr-16489	388	18	21	21	NUM
ihlr-16489	388	19	,	,	PUNCT
ihlr-16489	388	20	25	25	NUM
ihlr-16489	388	21	(	(	PUNCT
ihlr-16489	388	22	2004	2004	NUM
ihlr-16489	388	23	)	)	PUNCT
ihlr-16489	388	24	.	.	PUNCT
ihlr-16489	389	1	414	414	NUM
ihlr-16489	389	2	indiana	indiana	PROPN
ihlr-16489	389	3	health	health	PROPN
ihlr-16489	389	4	law	law	PROPN
ihlr-16489	389	5	review	review	NOUN
ihlr-16489	389	6	[	[	X
ihlr-16489	389	7	vol	vol	NOUN
ihlr-16489	389	8	.	.	PUNCT
ihlr-16489	390	1	3:391	3:391	NUM
ihlr-16489	390	2	of	of	ADP
ihlr-16489	390	3	bureaucrats	bureaucrat	NOUN
ihlr-16489	390	4	and	and	CCONJ
ihlr-16489	390	5	statisticians	statistician	NOUN
ihlr-16489	390	6	would	would	AUX
ihlr-16489	390	7	replace	replace	VERB
ihlr-16489	390	8	the	the	DET
ihlr-16489	390	9	medical	medical	ADJ
ihlr-16489	390	10	judgment	judgment	NOUN
ihlr-16489	390	11	of	of	ADP
ihlr-16489	390	12	individual	individual	ADJ
ihlr-16489	390	13	doctors	doctor	NOUN
ihlr-16489	390	14	and	and	CCONJ
ihlr-16489	390	15	remove	remove	VERB
ihlr-16489	390	16	their	their	PRON
ihlr-16489	390	17	incentive	incentive	NOUN
ihlr-16489	390	18	to	to	PART
ihlr-16489	390	19	do	do	AUX
ihlr-16489	390	20	anything	anything	PRON
ihlr-16489	390	21	more	more	ADJ
ihlr-16489	390	22	than	than	ADP
ihlr-16489	390	23	what	what	PRON
ihlr-16489	390	24	is	be	AUX
ihlr-16489	390	25	expressly	expressly	ADV
ihlr-16489	390	26	required	require	VERB
ihlr-16489	390	27	to	to	PART
ihlr-16489	390	28	earn	earn	VERB
ihlr-16489	390	29	their	their	PRON
ihlr-16489	390	30	reward	reward	NOUN
ihlr-16489	390	31	.	.	PUNCT
ihlr-16489	391	1	e.	e.	PROPN
ihlr-16489	391	2	problem	problem	PROPN
ihlr-16489	391	3	#	#	SYM
ihlr-16489	391	4	5	5	NUM
ihlr-16489	391	5	:	:	PUNCT
ihlr-16489	391	6	poor	poor	ADJ
ihlr-16489	391	7	quality	quality	NOUN
ihlr-16489	391	8	because	because	SCONJ
ihlr-16489	391	9	of	of	ADP
ihlr-16489	391	10	unproductive	unproductive	ADJ
ihlr-16489	391	11	gaming	gaming	NOUN
ihlr-16489	391	12	behavior	behavior	NOUN
ihlr-16489	391	13	in	in	ADP
ihlr-16489	391	14	a	a	DET
ihlr-16489	391	15	letter	letter	NOUN
ihlr-16489	391	16	published	publish	VERB
ihlr-16489	391	17	in	in	ADP
ihlr-16489	391	18	the	the	DET
ihlr-16489	391	19	new	new	PROPN
ihlr-16489	391	20	england	england	PROPN
ihlr-16489	391	21	journal	journal	PROPN
ihlr-16489	391	22	of	of	ADP
ihlr-16489	391	23	medicine	medicine	NOUN
ihlr-16489	391	24	,	,	PUNCT
ihlr-16489	391	25	roy	roy	PROPN
ihlr-16489	391	26	b.	b.	PROPN
ihlr-16489	391	27	verdery	verdery	PROPN
ihlr-16489	391	28	,	,	PUNCT
ihlr-16489	391	29	ph.d	ph.d	PROPN
ihlr-16489	391	30	.	.	PROPN
ihlr-16489	391	31	,	,	PUNCT
ihlr-16489	391	32	m.d	m.d	PROPN
ihlr-16489	391	33	.	.	PROPN
ihlr-16489	391	34	,	,	PUNCT
ihlr-16489	391	35	claimed	claim	VERB
ihlr-16489	391	36	,	,	PUNCT
ihlr-16489	391	37	"	"	PUNCT
ihlr-16489	391	38	economic	economic	ADJ
ihlr-16489	391	39	incentives	incentive	NOUN
ihlr-16489	391	40	are	be	AUX
ihlr-16489	391	41	always	always	ADV
ihlr-16489	391	42	subject	subject	ADJ
ihlr-16489	391	43	to	to	ADP
ihlr-16489	391	44	'	'	PUNCT
ihlr-16489	391	45	gaming	gaming	NOUN
ihlr-16489	391	46	,	,	PUNCT
ihlr-16489	391	47	'	'	PUNCT
ihlr-16489	391	48	inappropriate	inappropriate	ADJ
ihlr-16489	391	49	manipulation	manipulation	NOUN
ihlr-16489	391	50	of	of	ADP
ihlr-16489	391	51	data	datum	NOUN
ihlr-16489	391	52	,	,	PUNCT
ihlr-16489	391	53	and	and	CCONJ
ihlr-16489	391	54	'	'	PUNCT
ihlr-16489	391	55	cherry	cherry	NOUN
ihlr-16489	391	56	-	-	PUNCT
ihlr-16489	391	57	picking	picking	NOUN
ihlr-16489	391	58	'	'	PUNCT
ihlr-16489	391	59	of	of	ADP
ihlr-16489	391	60	patients	patient	NOUN
ihlr-16489	391	61	....	....	PUNCT
ihlr-16489	392	1	most	most	ADJ
ihlr-16489	392	2	physicians	physician	NOUN
ihlr-16489	392	3	(	(	PUNCT
ihlr-16489	392	4	and	and	CCONJ
ihlr-16489	392	5	.other	.other	NUM
ihlr-16489	392	6	professionals	professional	NOUN
ihlr-16489	392	7	)	)	PUNCT
ihlr-16489	392	8	work	work	NOUN
ihlr-16489	392	9	for	for	ADP
ihlr-16489	392	10	rewards	reward	NOUN
ihlr-16489	392	11	that	that	PRON
ihlr-16489	392	12	are	be	AUX
ihlr-16489	392	13	more	more	ADV
ihlr-16489	392	14	important	important	ADJ
ihlr-16489	392	15	than	than	ADP
ihlr-16489	392	16	money	money	NOUN
ihlr-16489	392	17	,	,	PUNCT
ihlr-16489	392	18	including	include	VERB
ihlr-16489	392	19	the	the	DET
ihlr-16489	392	20	respect	respect	NOUN
ihlr-16489	392	21	of	of	ADP
ihlr-16489	392	22	their	their	PRON
ihlr-16489	392	23	patients	patient	NOUN
ihlr-16489	392	24	and	and	CCONJ
ihlr-16489	392	25	peers	peer	NOUN
ihlr-16489	392	26	and	and	CCONJ
ihlr-16489	392	27	the	the	DET
ihlr-16489	392	28	personal	personal	ADJ
ihlr-16489	392	29	satisfaction	satisfaction	NOUN
ihlr-16489	392	30	of	of	ADP
ihlr-16489	392	31	a	a	DET
ihlr-16489	392	32	job	job	NOUN
ihlr-16489	392	33	well	well	ADV
ihlr-16489	392	34	done	do	VERB
ihlr-16489	392	35	.	.	PUNCT
ihlr-16489	392	36	"62	"62	VERB
ihlr-16489	392	37	by	by	ADP
ihlr-16489	392	38	diverting	divert	VERB
ihlr-16489	392	39	the	the	DET
ihlr-16489	392	40	focus	focus	NOUN
ihlr-16489	392	41	of	of	ADP
ihlr-16489	392	42	doctors	doctor	NOUN
ihlr-16489	392	43	and	and	CCONJ
ihlr-16489	392	44	other	other	ADJ
ihlr-16489	392	45	medical	medical	ADJ
ihlr-16489	392	46	professionals	professional	NOUN
ihlr-16489	392	47	from	from	ADP
ihlr-16489	392	48	appropriate	appropriate	ADJ
ihlr-16489	392	49	patient	patient	NOUN
ihlr-16489	392	50	-	-	PUNCT
ihlr-16489	392	51	centered	center	VERB
ihlr-16489	392	52	medical	medical	ADJ
ihlr-16489	392	53	care	care	NOUN
ihlr-16489	392	54	to	to	ADP
ihlr-16489	392	55	superficial	superficial	ADJ
ihlr-16489	392	56	financial	financial	ADJ
ihlr-16489	392	57	rewards	reward	NOUN
ihlr-16489	392	58	,	,	PUNCT
ihlr-16489	392	59	pay	pay	VERB
ihlr-16489	392	60	for	for	ADP
ihlr-16489	392	61	performance	performance	NOUN
ihlr-16489	392	62	will	will	AUX
ihlr-16489	392	63	likely	likely	ADV
ihlr-16489	392	64	create	create	VERB
ihlr-16489	392	65	incentives	incentive	NOUN
ihlr-16489	392	66	to	to	PART
ihlr-16489	392	67	game	game	VERB
ihlr-16489	392	68	the	the	DET
ihlr-16489	392	69	system	system	NOUN
ihlr-16489	392	70	in	in	ADP
ihlr-16489	392	71	several	several	ADJ
ihlr-16489	392	72	detrimental	detrimental	ADJ
ihlr-16489	392	73	ways	way	NOUN
ihlr-16489	392	74	that	that	PRON
ihlr-16489	392	75	may	may	AUX
ihlr-16489	392	76	cause	cause	VERB
ihlr-16489	392	77	real	real	ADJ
ihlr-16489	392	78	quality	quality	NOUN
ihlr-16489	392	79	to	to	PART
ihlr-16489	392	80	decline	decline	VERB
ihlr-16489	392	81	even	even	ADV
ihlr-16489	392	82	while	while	SCONJ
ihlr-16489	392	83	measured	measured	ADJ
ihlr-16489	392	84	indicators	indicator	NOUN
ihlr-16489	392	85	are	be	AUX
ihlr-16489	392	86	improving	improve	VERB
ihlr-16489	392	87	.	.	PUNCT
ihlr-16489	393	1	first	first	ADV
ihlr-16489	393	2	,	,	PUNCT
ihlr-16489	393	3	basing	base	VERB
ihlr-16489	393	4	financial	financial	ADJ
ihlr-16489	393	5	compensation	compensation	NOUN
ihlr-16489	393	6	on	on	ADP
ihlr-16489	393	7	specific	specific	ADJ
ihlr-16489	393	8	indicators	indicator	NOUN
ihlr-16489	393	9	leads	lead	VERB
ihlr-16489	393	10	to	to	ADP
ihlr-16489	393	11	adverse	adverse	ADJ
ihlr-16489	393	12	selection	selection	NOUN
ihlr-16489	393	13	.	.	PUNCT
ihlr-16489	394	1	in	in	ADP
ihlr-16489	394	2	other	other	ADJ
ihlr-16489	394	3	words	word	NOUN
ihlr-16489	394	4	,	,	PUNCT
ihlr-16489	394	5	providers	provider	NOUN
ihlr-16489	394	6	will	will	AUX
ihlr-16489	394	7	tend	tend	VERB
ihlr-16489	394	8	to	to	PART
ihlr-16489	394	9	select	select	VERB
ihlr-16489	394	10	relatively	relatively	ADV
ihlr-16489	394	11	healthier	healthy	ADJ
ihlr-16489	394	12	patients	patient	NOUN
ihlr-16489	394	13	who	who	PRON
ihlr-16489	394	14	have	have	VERB
ihlr-16489	394	15	a	a	DET
ihlr-16489	394	16	higher	high	ADJ
ihlr-16489	394	17	probability	probability	NOUN
ihlr-16489	394	18	of	of	ADP
ihlr-16489	394	19	complying	comply	VERB
ihlr-16489	394	20	with	with	ADP
ihlr-16489	394	21	physician	physician	NOUN
ihlr-16489	394	22	orders	order	NOUN
ihlr-16489	394	23	,	,	PUNCT
ihlr-16489	394	24	achieving	achieve	VERB
ihlr-16489	394	25	better	well	ADJ
ihlr-16489	394	26	outcomes	outcome	NOUN
ihlr-16489	394	27	,	,	PUNCT
ihlr-16489	394	28	and	and	CCONJ
ihlr-16489	394	29	thus	thus	ADV
ihlr-16489	394	30	improving	improve	VERB
ihlr-16489	394	31	the	the	DET
ihlr-16489	394	32	provider	provider	NOUN
ihlr-16489	394	33	's	's	PART
ihlr-16489	394	34	bottom	bottom	ADJ
ihlr-16489	394	35	line	line	NOUN
ihlr-16489	394	36	.	.	PUNCT
ihlr-16489	395	1	two	two	NUM
ihlr-16489	395	2	recent	recent	ADJ
ihlr-16489	395	3	studies	study	NOUN
ihlr-16489	395	4	on	on	ADP
ihlr-16489	395	5	cardiologist	cardiologist	ADJ
ihlr-16489	395	6	report	report	NOUN
ihlr-16489	395	7	cards	card	NOUN
ihlr-16489	395	8	in	in	ADP
ihlr-16489	395	9	new	new	PROPN
ihlr-16489	395	10	york	york	PROPN
ihlr-16489	395	11	illustrate	illustrate	VERB
ihlr-16489	395	12	this	this	DET
ihlr-16489	395	13	concem.63	concem.63	NOUN
ihlr-16489	395	14	the	the	DET
ihlr-16489	395	15	first	first	ADJ
ihlr-16489	395	16	study	study	NOUN
ihlr-16489	395	17	looked	look	VERB
ihlr-16489	395	18	at	at	ADP
ihlr-16489	395	19	more	more	ADJ
ihlr-16489	395	20	than	than	ADP
ihlr-16489	395	21	80,000	80,000	NUM
ihlr-16489	395	22	patients	patient	NOUN
ihlr-16489	395	23	from	from	ADP
ihlr-16489	395	24	new	new	PROPN
ihlr-16489	395	25	york	york	PROPN
ihlr-16489	395	26	and	and	CCONJ
ihlr-16489	395	27	michigan	michigan	PROPN
ihlr-16489	395	28	and	and	CCONJ
ihlr-16489	395	29	found	find	VERB
ihlr-16489	395	30	that	that	SCONJ
ihlr-16489	395	31	doctors	doctor	NOUN
ihlr-16489	395	32	in	in	ADP
ihlr-16489	395	33	michigan	michigan	PROPN
ihlr-16489	395	34	,	,	PUNCT
ihlr-16489	395	35	which	which	PRON
ihlr-16489	395	36	does	do	AUX
ihlr-16489	395	37	not	not	PART
ihlr-16489	395	38	issue	issue	VERB
ihlr-16489	395	39	report	report	NOUN
ihlr-16489	395	40	cards	card	NOUN
ihlr-16489	395	41	,	,	PUNCT
ihlr-16489	395	42	were	be	AUX
ihlr-16489	395	43	more	more	ADV
ihlr-16489	395	44	likely	likely	ADJ
ihlr-16489	395	45	to	to	PART
ihlr-16489	395	46	perform	perform	VERB
ihlr-16489	395	47	angioplasties	angioplasty	NOUN
ihlr-16489	395	48	on	on	ADP
ihlr-16489	395	49	very	very	ADV
ihlr-16489	395	50	sick	sick	ADJ
ihlr-16489	395	51	patients	patient	NOUN
ihlr-16489	395	52	.	.	PUNCT
ihlr-16489	396	1	the	the	DET
ihlr-16489	396	2	second	second	ADJ
ihlr-16489	396	3	,	,	PUNCT
ihlr-16489	396	4	published	publish	VERB
ihlr-16489	396	5	in	in	ADP
ihlr-16489	396	6	archives	archive	NOUN
ihlr-16489	396	7	of	of	ADP
ihlr-16489	396	8	internal	internal	ADJ
ihlr-16489	396	9	medicine	medicine	NOUN
ihlr-16489	396	10	,	,	PUNCT
ihlr-16489	396	11	found	find	VERB
ihlr-16489	396	12	that	that	SCONJ
ihlr-16489	396	13	approximately	approximately	ADV
ihlr-16489	396	14	eighty	eighty	NUM
ihlr-16489	396	15	percent	percent	NOUN
ihlr-16489	396	16	ofnew	ofnew	PROPN
ihlr-16489	396	17	york	york	PROPN
ihlr-16489	396	18	cardiologists	cardiologist	NOUN
ihlr-16489	396	19	said	say	VERB
ihlr-16489	396	20	that	that	SCONJ
ihlr-16489	396	21	the	the	DET
ihlr-16489	396	22	system	system	NOUN
ihlr-16489	396	23	made	make	VERB
ihlr-16489	396	24	them	they	PRON
ihlr-16489	396	25	less	less	ADV
ihlr-16489	396	26	likely	likely	ADJ
ihlr-16489	396	27	to	to	PART
ihlr-16489	396	28	treat	treat	VERB
ihlr-16489	396	29	severely	severely	ADV
ihlr-16489	396	30	ill	ill	ADJ
ihlr-16489	396	31	patients.64	patients.64	NOUN
ihlr-16489	396	32	if	if	SCONJ
ihlr-16489	396	33	selection	selection	NOUN
ihlr-16489	396	34	is	be	AUX
ihlr-16489	396	35	such	such	DET
ihlr-16489	396	36	a	a	DET
ihlr-16489	396	37	significant	significant	ADJ
ihlr-16489	396	38	concern	concern	NOUN
ihlr-16489	396	39	when	when	SCONJ
ihlr-16489	396	40	information	information	NOUN
ihlr-16489	396	41	about	about	ADP
ihlr-16489	396	42	physician	physician	NOUN
ihlr-16489	396	43	performance	performance	NOUN
ihlr-16489	396	44	is	be	AUX
ihlr-16489	396	45	merely	merely	ADV
ihlr-16489	396	46	reported	report	VERB
ihlr-16489	396	47	,	,	PUNCT
ihlr-16489	396	48	one	one	PRON
ihlr-16489	396	49	can	can	AUX
ihlr-16489	396	50	imagine	imagine	VERB
ihlr-16489	396	51	the	the	DET
ihlr-16489	396	52	impact	impact	NOUN
ihlr-16489	396	53	when	when	SCONJ
ihlr-16489	396	54	it	it	PRON
ihlr-16489	396	55	is	be	AUX
ihlr-16489	396	56	directly	directly	ADV
ihlr-16489	396	57	tied	tie	VERB
ihlr-16489	396	58	to	to	ADP
ihlr-16489	396	59	compensation	compensation	NOUN
ihlr-16489	396	60	.	.	PUNCT
ihlr-16489	397	1	compliance	compliance	NOUN
ihlr-16489	397	2	-	-	PUNCT
ihlr-16489	397	3	based	base	VERB
ihlr-16489	397	4	compensation	compensation	NOUN
ihlr-16489	397	5	could	could	AUX
ihlr-16489	397	6	also	also	ADV
ihlr-16489	397	7	encourage	encourage	VERB
ihlr-16489	397	8	providers	provider	NOUN
ihlr-16489	397	9	to	to	PART
ihlr-16489	397	10	falsify	falsify	VERB
ihlr-16489	397	11	records	record	NOUN
ihlr-16489	397	12	to	to	PART
ihlr-16489	397	13	circumvent	circumvent	VERB
ihlr-16489	397	14	the	the	DET
ihlr-16489	397	15	system	system	NOUN
ihlr-16489	397	16	and	and	CCONJ
ihlr-16489	397	17	provide	provide	VERB
ihlr-16489	397	18	needed	needed	ADJ
ihlr-16489	397	19	care	care	NOUN
ihlr-16489	397	20	.	.	PUNCT
ihlr-16489	398	1	one	one	NUM
ihlr-16489	398	2	study	study	NOUN
ihlr-16489	398	3	found	find	VERB
ihlr-16489	398	4	that	that	SCONJ
ihlr-16489	398	5	thirty	thirty	NUM
ihlr-16489	398	6	-	-	PUNCT
ihlr-16489	398	7	nine	nine	NUM
ihlr-16489	398	8	percent	percent	NOUN
ihlr-16489	398	9	of	of	ADP
ihlr-16489	398	10	physicians	physician	NOUN
ihlr-16489	398	11	already	already	ADV
ihlr-16489	398	12	falsify	falsify	VERB
ihlr-16489	398	13	insurance	insurance	NOUN
ihlr-16489	398	14	records	record	NOUN
ihlr-16489	398	15	to	to	PART
ihlr-16489	398	16	secure	secure	VERB
ihlr-16489	398	17	needed	need	VERB
ihlr-16489	398	18	services	service	NOUN
ihlr-16489	398	19	for	for	ADP
ihlr-16489	398	20	patients.65	patients.65	PROPN
ihlr-16489	398	21	government	government	NOUN
ihlr-16489	398	22	-	-	PUNCT
ihlr-16489	398	23	endorsed	endorse	VERB
ihlr-16489	398	24	,	,	PUNCT
ihlr-16489	398	25	standardized	standardized	ADJ
ihlr-16489	398	26	medicine	medicine	NOUN
ihlr-16489	398	27	would	would	AUX
ihlr-16489	398	28	magnify	magnify	VERB
ihlr-16489	398	29	this	this	DET
ihlr-16489	398	30	problem	problem	NOUN
ihlr-16489	398	31	.	.	PUNCT
ihlr-16489	399	1	finally	finally	ADV
ihlr-16489	399	2	,	,	PUNCT
ihlr-16489	399	3	if	if	SCONJ
ihlr-16489	399	4	congress	congress	PROPN
ihlr-16489	399	5	ties	tie	VERB
ihlr-16489	399	6	money	money	NOUN
ihlr-16489	399	7	to	to	ADP
ihlr-16489	399	8	specific	specific	ADJ
ihlr-16489	399	9	medical	medical	ADJ
ihlr-16489	399	10	interventions	intervention	NOUN
ihlr-16489	399	11	,	,	PUNCT
ihlr-16489	399	12	doctors	doctor	NOUN
ihlr-16489	399	13	and	and	CCONJ
ihlr-16489	399	14	other	other	ADJ
ihlr-16489	399	15	medical	medical	ADJ
ihlr-16489	399	16	professionals	professional	NOUN
ihlr-16489	399	17	will	will	AUX
ihlr-16489	399	18	be	be	AUX
ihlr-16489	399	19	pressured	pressure	VERB
ihlr-16489	399	20	to	to	PART
ihlr-16489	399	21	focus	focus	VERB
ihlr-16489	399	22	on	on	ADP
ihlr-16489	399	23	those	those	DET
ihlr-16489	399	24	62	62	NUM
ihlr-16489	399	25	.	.	PUNCT
ihlr-16489	400	1	roy	roy	PROPN
ihlr-16489	400	2	b.	b.	PROPN
ihlr-16489	400	3	verdery	verdery	PROPN
ihlr-16489	400	4	,	,	PUNCT
ihlr-16489	400	5	paying	pay	VERB
ihlr-16489	400	6	physicians	physician	NOUN
ihlr-16489	400	7	for	for	ADP
ihlr-16489	400	8	high	high	ADJ
ihlr-16489	400	9	-	-	PUNCT
ihlr-16489	400	10	quality	quality	NOUN
ihlr-16489	400	11	care	care	NOUN
ihlr-16489	400	12	,	,	PUNCT
ihlr-16489	400	13	350	350	NUM
ihlr-16489	400	14	new	new	ADJ
ihlr-16489	400	15	eng	eng	PROPN
ihlr-16489	400	16	.	.	PUNCT
ihlr-16489	401	1	j.	j.	PROPN
ihlr-16489	401	2	med	med	PROPN
ihlr-16489	401	3	.	.	PUNCT
ihlr-16489	401	4	1910	1910	NUM
ihlr-16489	401	5	,	,	PUNCT
ihlr-16489	401	6	1910	1910	NUM
ihlr-16489	401	7	-	-	SYM
ihlr-16489	401	8	11	11	NUM
ihlr-16489	401	9	(	(	PUNCT
ihlr-16489	401	10	2004	2004	NUM
ihlr-16489	401	11	)	)	PUNCT
ihlr-16489	401	12	.	.	PUNCT
ihlr-16489	402	1	63	63	NUM
ihlr-16489	402	2	.	.	PUNCT
ihlr-16489	403	1	daniel	daniel	PROPN
ihlr-16489	403	2	costello	costello	PROPN
ihlr-16489	403	3	,	,	PUNCT
ihlr-16489	403	4	rating	rating	NOUN
ihlr-16489	403	5	doctors	doctor	NOUN
ihlr-16489	403	6	:	:	PUNCT
ihlr-16489	403	7	who	who	PRON
ihlr-16489	403	8	benefits	benefit	VERB
ihlr-16489	403	9	?	?	PUNCT
ihlr-16489	403	10	,	,	PUNCT
ihlr-16489	403	11	l.a	l.a	PROPN
ihlr-16489	403	12	times	times	PROPN
ihlr-16489	403	13	,	,	PUNCT
ihlr-16489	403	14	june	june	PROPN
ihlr-16489	403	15	13	13	NUM
ihlr-16489	403	16	,	,	PUNCT
ihlr-16489	403	17	2005	2005	NUM
ihlr-16489	403	18	,	,	PUNCT
ihlr-16489	403	19	at	at	ADP
ihlr-16489	403	20	fl	fl	PROPN
ihlr-16489	403	21	.	.	PROPN
ihlr-16489	403	22	64	64	NUM
ihlr-16489	403	23	.	.	PUNCT
ihlr-16489	404	1	craigr	craigr	VERB
ihlr-16489	404	2	narins	narin	NOUN
ihlr-16489	404	3	etal	etal	VERB
ihlr-16489	404	4	.	.	PUNCT
ihlr-16489	404	5	,	,	PUNCT
ihlr-16489	404	6	thelnjluenceofpublicreportingofoutcomedata	thelnjluenceofpublicreportingofoutcomedata	NOUN
ihlr-16489	404	7	on	on	ADP
ihlr-16489	404	8	medical	medical	ADJ
ihlr-16489	404	9	decision	decision	NOUN
ihlr-16489	404	10	making	make	VERB
ihlr-16489	404	11	by	by	ADP
ihlr-16489	404	12	physicians~	physicians~	PROPN
ihlr-16489	404	13	165	165	NUM
ihlr-16489	404	14	.archives	.archive	NOUN
ihlr-16489	404	15	internal	internal	ADJ
ihlr-16489	404	16	men	man	NOUN
ihlr-16489	404	17	.	.	PUNCT
ihlr-16489	405	1	83	83	NUM
ihlr-16489	405	2	;	;	PUNCT
ihlr-16489	405	3	83	83	NUM
ihlr-16489	405	4	-	-	SYM
ihlr-16489	405	5	87	87	NUM
ihlr-16489	405	6	(	(	PUNCT
ihlr-16489	405	7	2005	2005	NUM
ihlr-16489	405	8	)	)	PUNCT
ihlr-16489	405	9	.	.	PUNCT
ihlr-16489	406	1	65	65	NUM
ihlr-16489	406	2	.	.	PUNCT
ihlr-16489	406	3	aspden	aspden	PROPN
ihlr-16489	406	4	,	,	PUNCT
ihlr-16489	406	5	supra	supra	PROPN
ihlr-16489	406	6	note	note	NOUN
ihlr-16489	406	7	43	43	NUM
ihlr-16489	406	8	,	,	PUNCT
ihlr-16489	406	9	at	at	ADP
ihlr-16489	406	10	267	267	NUM
ihlr-16489	406	11	.	.	PUNCT
ihlr-16489	406	12	2006	2006	NUM
ihlr-16489	406	13	]	]	PUNCT
ihlr-16489	406	14	pay	pay	VERB
ihlr-16489	406	15	for	for	ADP
ihlr-16489	406	16	performance	performance	NOUN
ihlr-16489	406	17	or	or	CCONJ
ihlr-16489	406	18	compliance	compliance	NOUN
ihlr-16489	406	19	?	?	PUNCT
ihlr-16489	407	1	415	415	NUM
ihlr-16489	407	2	interventions	intervention	NOUN
ihlr-16489	407	3	to	to	ADP
ihlr-16489	407	4	the	the	DET
ihlr-16489	407	5	detriment	detriment	NOUN
ihlr-16489	407	6	of	of	ADP
ihlr-16489	407	7	other	other	ADJ
ihlr-16489	407	8	important	important	ADJ
ihlr-16489	407	9	areas	area	NOUN
ihlr-16489	407	10	of	of	ADP
ihlr-16489	407	11	medicine	medicine	NOUN
ihlr-16489	407	12	.	.	PUNCT
ihlr-16489	408	1	pay	pay	VERB
ihlr-16489	408	2	for	for	ADP
ihlr-16489	408	3	performance	performance	NOUN
ihlr-16489	408	4	's	's	PART
ihlr-16489	408	5	very	very	ADJ
ihlr-16489	408	6	premise	premise	NOUN
ihlr-16489	408	7	is	be	AUX
ihlr-16489	408	8	that	that	SCONJ
ihlr-16489	408	9	financial	financial	ADJ
ihlr-16489	408	10	incentives	incentive	NOUN
ihlr-16489	408	11	alter	alter	VERB
ihlr-16489	408	12	behavior	behavior	PROPN
ihlr-16489	408	13	.	.	PUNCT
ihlr-16489	409	1	while	while	SCONJ
ihlr-16489	409	2	very	very	ADV
ihlr-16489	409	3	few	few	ADJ
ihlr-16489	409	4	doctors	doctor	NOUN
ihlr-16489	409	5	will	will	AUX
ihlr-16489	409	6	allow	allow	VERB
ihlr-16489	409	7	them	they	PRON
ihlr-16489	409	8	to	to	PART
ihlr-16489	409	9	completely	completely	ADV
ihlr-16489	409	10	consume	consume	VERB
ihlr-16489	409	11	their	their	PRON
ihlr-16489	409	12	behavior	behavior	NOUN
ihlr-16489	409	13	,	,	PUNCT
ihlr-16489	409	14	the	the	DET
ihlr-16489	409	15	nature	nature	NOUN
ihlr-16489	409	16	of	of	ADP
ihlr-16489	409	17	financial	financial	ADJ
ihlr-16489	409	18	incentives	incentive	NOUN
ihlr-16489	409	19	will	will	AUX
ihlr-16489	409	20	push	push	VERB
ihlr-16489	409	21	them	they	PRON
ihlr-16489	409	22	in	in	ADP
ihlr-16489	409	23	certain	certain	ADJ
ihlr-16489	409	24	directions	direction	NOUN
ihlr-16489	409	25	.	.	PUNCT
ihlr-16489	410	1	as	as	ADP
ihlr-16489	410	2	a	a	DET
ihlr-16489	410	3	result	result	NOUN
ihlr-16489	410	4	,	,	PUNCT
ihlr-16489	410	5	some	some	DET
ihlr-16489	410	6	conditions	condition	NOUN
ihlr-16489	410	7	and	and	CCONJ
ihlr-16489	410	8	some	some	DET
ihlr-16489	410	9	procedures	procedure	NOUN
ihlr-16489	410	10	will	will	AUX
ihlr-16489	410	11	receive	receive	VERB
ihlr-16489	410	12	less	less	ADJ
ihlr-16489	410	13	than	than	ADP
ihlr-16489	410	14	adequate	adequate	ADJ
ihlr-16489	410	15	attention	attention	NOUN
ihlr-16489	410	16	.	.	PUNCT
ihlr-16489	411	1	"	"	PUNCT
ihlr-16489	411	2	inevitably	inevitably	ADV
ihlr-16489	411	3	...	...	PUNCT
ihlr-16489	411	4	the	the	DET
ihlr-16489	411	5	dimensions	dimension	NOUN
ihlr-16489	411	6	of	of	ADP
ihlr-16489	411	7	care	care	NOUN
ihlr-16489	411	8	that	that	PRON
ihlr-16489	411	9	will	will	AUX
ihlr-16489	411	10	receive	receive	VERB
ihlr-16489	411	11	the	the	DET
ihlr-16489	411	12	most	most	ADJ
ihlr-16489	411	13	attention	attention	NOUN
ihlr-16489	411	14	will	will	AUX
ihlr-16489	411	15	be	be	AUX
ihlr-16489	411	16	those	those	PRON
ihlr-16489	411	17	that	that	PRON
ihlr-16489	411	18	are	be	AUX
ihlr-16489	411	19	most	most	ADV
ihlr-16489	411	20	easily	easily	ADV
ihlr-16489	411	21	measured	measure	VERB
ihlr-16489	411	22	and	and	CCONJ
ihlr-16489	411	23	not	not	PART
ihlr-16489	411	24	necessarily	necessarily	ADV
ihlr-16489	411	25	those	those	PRON
ihlr-16489	411	26	that	that	PRON
ihlr-16489	411	27	are	be	AUX
ihlr-16489	411	28	most	most	ADV
ihlr-16489	411	29	valued	value	VERB
ihlr-16489	411	30	,	,	PUNCT
ihlr-16489	411	31	"	"	PUNCT
ihlr-16489	411	32	according	accord	VERB
ihlr-16489	411	33	to	to	ADP
ihlr-16489	411	34	a	a	DET
ihlr-16489	411	35	recent	recent	ADJ
ihlr-16489	411	36	study	study	NOUN
ihlr-16489	411	37	in	in	ADP
ihlr-16489	411	38	health	health	NOUN
ihlr-16489	411	39	affairs	affair	NOUN
ihlr-16489	411	40	on	on	ADP
ihlr-16489	411	41	provider	provider	NOUN
ihlr-16489	411	42	incentives.66	incentives.66	NOUN
ihlr-16489	411	43	mitigating	mitigate	VERB
ihlr-16489	411	44	this	this	DET
ihlr-16489	411	45	problem	problem	NOUN
ihlr-16489	411	46	would	would	AUX
ihlr-16489	411	47	require	require	VERB
ihlr-16489	411	48	increasing	increase	VERB
ihlr-16489	411	49	the	the	DET
ihlr-16489	411	50	number	number	NOUN
ihlr-16489	411	51	of	of	ADP
ihlr-16489	411	52	required	require	VERB
ihlr-16489	411	53	measurements	measurement	NOUN
ihlr-16489	411	54	,	,	PUNCT
ihlr-16489	411	55	which	which	PRON
ihlr-16489	411	56	would	would	AUX
ihlr-16489	411	57	soon	soon	ADV
ihlr-16489	411	58	become	become	VERB
ihlr-16489	411	59	overwhelming	overwhelming	ADJ
ihlr-16489	411	60	and	and	CCONJ
ihlr-16489	411	61	counterproductive	counterproductive	ADJ
ihlr-16489	411	62	,	,	PUNCT
ihlr-16489	411	63	even	even	ADV
ihlr-16489	411	64	if	if	SCONJ
ihlr-16489	411	65	there	there	PRON
ihlr-16489	411	66	existed	exist	VERB
ihlr-16489	411	67	the	the	DET
ihlr-16489	411	68	possibility	possibility	NOUN
ihlr-16489	411	69	of	of	ADP
ihlr-16489	411	70	doing	do	VERB
ihlr-16489	411	71	so	so	ADV
ihlr-16489	411	72	adequately	adequately	ADV
ihlr-16489	411	73	.	.	PUNCT
ihlr-16489	412	1	thus	thus	ADV
ihlr-16489	412	2	,	,	PUNCT
ihlr-16489	412	3	while	while	SCONJ
ihlr-16489	412	4	adherence	adherence	NOUN
ihlr-16489	412	5	to	to	ADP
ihlr-16489	412	6	measured	measure	VERB
ihlr-16489	412	7	indicators	indicator	NOUN
ihlr-16489	412	8	might	might	AUX
ihlr-16489	412	9	show	show	VERB
ihlr-16489	412	10	improvement	improvement	NOUN
ihlr-16489	412	11	,	,	PUNCT
ihlr-16489	412	12	overall	overall	ADJ
ihlr-16489	412	13	quality	quality	NOUN
ihlr-16489	412	14	might	might	AUX
ihlr-16489	412	15	become	become	VERB
ihlr-16489	412	16	worse	bad	ADJ
ihlr-16489	412	17	.	.	PUNCT
ihlr-16489	413	1	instead	instead	ADV
ihlr-16489	413	2	of	of	ADP
ihlr-16489	413	3	adjusting	adjust	VERB
ihlr-16489	413	4	their	their	PRON
ihlr-16489	413	5	behavior	behavior	NOUN
ihlr-16489	413	6	to	to	ADP
ihlr-16489	413	7	a	a	DET
ihlr-16489	413	8	set	set	NOUN
ihlr-16489	413	9	of	of	ADP
ihlr-16489	413	10	standard	standard	ADJ
ihlr-16489	413	11	rules	rule	NOUN
ihlr-16489	413	12	and	and	CCONJ
ihlr-16489	413	13	guidelines	guideline	NOUN
ihlr-16489	413	14	,	,	PUNCT
ihlr-16489	413	15	health	health	NOUN
ihlr-16489	413	16	care	care	NOUN
ihlr-16489	413	17	providers	provider	NOUN
ihlr-16489	413	18	should	should	AUX
ihlr-16489	413	19	be	be	AUX
ihlr-16489	413	20	encouraged	encourage	VERB
ihlr-16489	413	21	to	to	PART
ihlr-16489	413	22	meet	meet	VERB
ihlr-16489	413	23	their	their	PRON
ihlr-16489	413	24	patients	patient	NOUN
ihlr-16489	413	25	'	'	PART
ihlr-16489	413	26	needs	need	NOUN
ihlr-16489	413	27	and	and	CCONJ
ihlr-16489	413	28	preferences	preference	NOUN
ihlr-16489	413	29	in	in	ADP
ihlr-16489	413	30	a	a	DET
ihlr-16489	413	31	comprehensive	comprehensive	ADJ
ihlr-16489	413	32	way	way	NOUN
ihlr-16489	413	33	.	.	PUNCT
ihlr-16489	414	1	this	this	PRON
ihlr-16489	414	2	can	can	AUX
ihlr-16489	414	3	not	not	PART
ihlr-16489	414	4	be	be	AUX
ihlr-16489	414	5	accomplished	accomplish	VERB
ihlr-16489	414	6	in	in	ADP
ihlr-16489	414	7	an	an	DET
ihlr-16489	414	8	arbitrary	arbitrary	ADJ
ihlr-16489	414	9	system	system	NOUN
ihlr-16489	414	10	of	of	ADP
ihlr-16489	414	11	compliance	compliance	NOUN
ihlr-16489	414	12	-	-	PUNCT
ihlr-16489	414	13	based	base	VERB
ihlr-16489	414	14	incentives	incentive	NOUN
ihlr-16489	414	15	that	that	PRON
ihlr-16489	414	16	encourages	encourage	VERB
ihlr-16489	414	17	providers	provider	NOUN
ihlr-16489	414	18	to	to	PART
ihlr-16489	414	19	manipulate	manipulate	VERB
ihlr-16489	414	20	the	the	DET
ihlr-16489	414	21	"	"	PUNCT
ihlr-16489	414	22	game	game	NOUN
ihlr-16489	414	23	"	"	PUNCT
ihlr-16489	414	24	to	to	ADP
ihlr-16489	414	25	their	their	PRON
ihlr-16489	414	26	fmancial	fmancial	ADJ
ihlr-16489	414	27	advantage	advantage	NOUN
ihlr-16489	414	28	.	.	PUNCT
ihlr-16489	415	1	f.	f.	PROPN
ihlr-16489	415	2	problem	problem	PROPN
ihlr-16489	415	3	#	#	SYM
ihlr-16489	415	4	6	6	NUM
ihlr-16489	415	5	:	:	PUNCT
ihlr-16489	415	6	further	far	ADV
ihlr-16489	415	7	weakening	weakening	NOUN
ihlr-16489	415	8	of	of	ADP
ihlr-16489	415	9	the	the	DET
ihlr-16489	415	10	doctor	doctor	NOUN
ihlr-16489	415	11	-	-	PUNCT
ihlr-16489	415	12	patient	patient	NOUN
ihlr-16489	415	13	relationship	relationship	NOUN
ihlr-16489	415	14	"	"	PUNCT
ihlr-16489	415	15	one	one	NUM
ihlr-16489	415	16	major	major	ADJ
ihlr-16489	415	17	barrier	barrier	NOUN
ihlr-16489	415	18	to	to	ADP
ihlr-16489	415	19	the	the	DET
ihlr-16489	415	20	adoption	adoption	NOUN
ihlr-16489	415	21	of	of	ADP
ihlr-16489	415	22	ebm	ebm	NOUN
ihlr-16489	415	23	,	,	PUNCT
ihlr-16489	415	24	"	"	PUNCT
ihlr-16489	415	25	according	accord	VERB
ihlr-16489	415	26	to	to	ADP
ihlr-16489	415	27	analysts	analyst	NOUN
ihlr-16489	415	28	writing	write	VERB
ihlr-16489	415	29	in	in	ADP
ihlr-16489	415	30	health	health	NOUN
ihlr-16489	415	31	affairs	affair	NOUN
ihlr-16489	415	32	,	,	PUNCT
ihlr-16489	415	33	"	"	PUNCT
ihlr-16489	415	34	is	be	AUX
ihlr-16489	415	35	the	the	DET
ihlr-16489	415	36	overwhelming	overwhelming	ADJ
ihlr-16489	415	37	support	support	NOUN
ihlr-16489	415	38	for	for	ADP
ihlr-16489	415	39	preserving	preserve	VERB
ihlr-16489	415	40	the	the	DET
ihlr-16489	415	41	physician	physician	ADJ
ihlr-16489	415	42	-	-	PUNCT
ihlr-16489	415	43	patient	patient	NOUN
ihlr-16489	415	44	relationship	relationship	NOUN
ihlr-16489	415	45	.	.	PUNCT
ihlr-16489	416	1	"67	"67	PROPN
ihlr-16489	417	1	a	a	DET
ihlr-16489	417	2	medicare	medicare	PROPN
ihlr-16489	417	3	pay	pay	VERB
ihlr-16489	417	4	-	-	PUNCT
ihlr-16489	417	5	for	for	ADP
ihlr-16489	417	6	-	-	PUNCT
ihlr-16489	417	7	performance	performance	NOUN
ihlr-16489	417	8	system	system	NOUN
ihlr-16489	417	9	would	would	AUX
ihlr-16489	417	10	lead	lead	VERB
ihlr-16489	417	11	to	to	ADP
ihlr-16489	417	12	a	a	DET
ihlr-16489	417	13	decline	decline	NOUN
ihlr-16489	417	14	in	in	ADP
ihlr-16489	417	15	this	this	DET
ihlr-16489	417	16	relationship	relationship	NOUN
ihlr-16489	417	17	.	.	PUNCT
ihlr-16489	418	1	when	when	SCONJ
ihlr-16489	418	2	patients	patient	NOUN
ihlr-16489	418	3	understand	understand	VERB
ihlr-16489	418	4	that	that	SCONJ
ihlr-16489	418	5	their	their	PRON
ihlr-16489	418	6	physicians	physician	NOUN
ihlr-16489	418	7	are	be	AUX
ihlr-16489	418	8	being	be	AUX
ihlr-16489	418	9	pressured	pressure	VERB
ihlr-16489	418	10	to	to	PART
ihlr-16489	418	11	meet	meet	VERB
ihlr-16489	418	12	standardized	standardized	ADJ
ihlr-16489	418	13	treatment	treatment	NOUN
ihlr-16489	418	14	directives	directive	NOUN
ihlr-16489	418	15	rather	rather	ADV
ihlr-16489	418	16	than	than	ADP
ihlr-16489	418	17	to	to	PART
ihlr-16489	418	18	provide	provide	VERB
ihlr-16489	418	19	them	they	PRON
ihlr-16489	418	20	with	with	ADP
ihlr-16489	418	21	customized	customized	ADJ
ihlr-16489	418	22	care	care	NOUN
ihlr-16489	418	23	based	base	VERB
ihlr-16489	418	24	on	on	ADP
ihlr-16489	418	25	their	their	PRON
ihlr-16489	418	26	unique	unique	ADJ
ihlr-16489	418	27	conditions	condition	NOUN
ihlr-16489	418	28	and	and	CCONJ
ihlr-16489	418	29	preferences	preference	NOUN
ihlr-16489	418	30	,	,	PUNCT
ihlr-16489	418	31	trust	trust	NOUN
ihlr-16489	418	32	in	in	ADP
ihlr-16489	418	33	their	their	PRON
ihlr-16489	418	34	physicians	physician	NOUN
ihlr-16489	418	35	will	will	AUX
ihlr-16489	418	36	be	be	AUX
ihlr-16489	418	37	compromised­	compromised­	PROPN
ihlr-16489	418	38	and	and	CCONJ
ihlr-16489	418	39	for	for	ADP
ihlr-16489	418	40	good	good	ADJ
ihlr-16489	418	41	reason	reason	NOUN
ihlr-16489	418	42	.	.	PUNCT
ihlr-16489	419	1	a	a	DET
ihlr-16489	419	2	2003	2003	NUM
ihlr-16489	419	3	study	study	NOUN
ihlr-16489	419	4	published	publish	VERB
ihlr-16489	419	5	in	in	ADP
ihlr-16489	419	6	the	the	DET
ihlr-16489	419	7	journal	journal	NOUN
ihlr-16489	419	8	of	of	ADP
ihlr-16489	419	9	ambulatory	ambulatory	ADJ
ihlr-16489	419	10	care	care	NOUN
ihlr-16489	419	11	management	management	NOUN
ihlr-16489	419	12	showed	show	VERB
ihlr-16489	419	13	that	that	SCONJ
ihlr-16489	419	14	physicians	physician	NOUN
ihlr-16489	419	15	operating	operate	VERB
ihlr-16489	419	16	under	under	ADP
ihlr-16489	419	17	imposed	impose	VERB
ihlr-16489	419	18	financial	financial	ADJ
ihlr-16489	419	19	incentives	incentive	NOUN
ihlr-16489	419	20	are	be	AUX
ihlr-16489	419	21	much	much	ADV
ihlr-16489	419	22	less	less	ADV
ihlr-16489	419	23	likely	likely	ADJ
ihlr-16489	419	24	to	to	PART
ihlr-16489	419	25	feel	feel	VERB
ihlr-16489	419	26	strongly	strongly	ADV
ihlr-16489	419	27	that	that	SCONJ
ihlr-16489	419	28	they	they	PRON
ihlr-16489	419	29	can	can	AUX
ihlr-16489	419	30	make	make	VERB
ihlr-16489	419	31	clinical	clinical	ADJ
ihlr-16489	419	32	decisions	decision	NOUN
ihlr-16489	419	33	in	in	ADP
ihlr-16489	419	34	their	their	PRON
ihlr-16489	419	35	patients	patient	NOUN
ihlr-16489	419	36	'	'	PART
ihlr-16489	419	37	best	good	ADJ
ihlr-16489	419	38	interests	interest	NOUN
ihlr-16489	419	39	without	without	ADP
ihlr-16489	419	40	adverse	adverse	ADJ
ihlr-16489	419	41	financial	financial	ADJ
ihlr-16489	419	42	consequences	consequence	NOUN
ihlr-16489	419	43	.	.	PUNCT
ihlr-16489	420	1	because	because	SCONJ
ihlr-16489	420	2	of	of	ADP
ihlr-16489	420	3	misaligned	misaligned	ADJ
ihlr-16489	420	4	incentives	incentive	NOUN
ihlr-16489	420	5	,	,	PUNCT
ihlr-16489	420	6	these	these	DET
ihlr-16489	420	7	physicians	physician	NOUN
ihlr-16489	420	8	also	also	ADV
ihlr-16489	420	9	feel	feel	VERB
ihlr-16489	420	10	less	less	ADV
ihlr-16489	420	11	able	able	ADJ
ihlr-16489	420	12	to	to	PART
ihlr-16489	420	13	obtain	obtain	VERB
ihlr-16489	420	14	medically	medically	ADV
ihlr-16489	420	15	necessary	necessary	ADJ
ihlr-16489	420	16	services	service	NOUN
ihlr-16489	420	17	for	for	ADP
ihlr-16489	420	18	their	their	PRON
ihlr-16489	420	19	patients.68	patients.68	ADJ
ihlr-16489	420	20	various	various	ADJ
ihlr-16489	420	21	studies	study	NOUN
ihlr-16489	420	22	have	have	AUX
ihlr-16489	420	23	shown	show	VERB
ihlr-16489	420	24	that	that	SCONJ
ihlr-16489	420	25	such	such	ADJ
ihlr-16489	420	26	66	66	NUM
ihlr-16489	420	27	.	.	PUNCT
ihlr-16489	421	1	meredith	meredith	PROPN
ihlr-16489	421	2	b.	b.	PROPN
ihlr-16489	421	3	rosenthal	rosenthal	PROPN
ihlr-16489	421	4	et	et	PROPN
ihlr-16489	421	5	al	al	PROPN
ihlr-16489	421	6	.	.	PROPN
ihlr-16489	421	7	,	,	PUNCT
ihlr-16489	421	8	paying	pay	VERB
ihlr-16489	421	9	for	for	ADP
ihlr-16489	421	10	quality	quality	NOUN
ihlr-16489	421	11	:	:	PUNCT
ihlr-16489	421	12	providers	provider	NOUN
ihlr-16489	421	13	'	'	PART
ihlr-16489	421	14	incentives	incentive	NOUN
ihlr-16489	421	15	for	for	ADP
ihlr-16489	421	16	quality	quality	NOUN
ihlr-16489	421	17	improvement	improvement	NOUN
ihlr-16489	421	18	,	,	PUNCT
ihlr-16489	421	19	23(2	23(2	NUM
ihlr-16489	421	20	)	)	PUNCT
ihlr-16489	421	21	health	health	NOUN
ihlr-16489	421	22	aff	aff	PROPN
ihlr-16489	421	23	.	.	PUNCT
ihlr-16489	422	1	127	127	NUM
ihlr-16489	422	2	,	,	PUNCT
ihlr-16489	422	3	139	139	NUM
ihlr-16489	422	4	(	(	PUNCT
ihlr-16489	422	5	2004	2004	NUM
ihlr-16489	422	6	)	)	PUNCT
ihlr-16489	422	7	.	.	PUNCT
ihlr-16489	423	1	67	67	NUM
ihlr-16489	423	2	.	.	PUNCT
ihlr-16489	424	1	mendelson	mendelson	PROPN
ihlr-16489	424	2	&	&	CCONJ
ihlr-16489	424	3	carino	carino	PROPN
ihlr-16489	424	4	,	,	PUNCT
ihlr-16489	424	5	supra	supra	PROPN
ihlr-16489	424	6	note	note	NOUN
ihlr-16489	424	7	56	56	NUM
ihlr-16489	424	8	,	,	PUNCT
ihlr-16489	424	9	at	at	ADP
ihlr-16489	424	10	134	134	NUM
ihlr-16489	424	11	.	.	PUNCT
ihlr-16489	424	12	68	68	NUM
ihlr-16489	424	13	.	.	PUNCT
ihlr-16489	425	1	jeffrey	jeffrey	PROPN
ihlr-16489	425	2	j.	j.	PROPN
ihlr-16489	425	3	stoddard	stoddard	PROPN
ihlr-16489	425	4	et	et	PROPN
ihlr-16489	425	5	al	al	PROPN
ihlr-16489	425	6	.	.	PROPN
ihlr-16489	425	7	,	,	PUNCT
ihlr-16489	425	8	financiallncentives	financiallncentive	NOUN
ihlr-16489	425	9	and	and	CCONJ
ihlr-16489	425	10	physicians	physician	NOUN
ihlr-16489	425	11	'	'	PART
ihlr-16489	425	12	perceptions	perception	NOUN
ihlr-16489	425	13	of	of	ADP
ihlr-16489	425	14	conflict	conflict	NOUN
ihlr-16489	425	15	of	of	ADP
ihlr-16489	425	16	interest	interest	NOUN
ihlr-16489	425	17	and	and	CCONJ
ihlr-16489	425	18	ability	ability	NOUN
ihlr-16489	425	19	to	to	PART
ihlr-16489	425	20	arrange	arrange	VERB
ihlr-16489	425	21	medically	medically	ADV
ihlr-16489	425	22	necessary	necessary	ADJ
ihlr-16489	425	23	services	service	NOUN
ihlr-16489	425	24	,	,	PUNCT
ihlr-16489	425	25	26	26	NUM
ihlr-16489	425	26	j.	j.	PROPN
ihlr-16489	425	27	ambulatory	ambulatory	PROPN
ihlr-16489	425	28	care	care	NOUN
ihlr-16489	425	29	mgmt	mgmt	PROPN
ihlr-16489	425	30	.	.	PUNCT
ihlr-16489	425	31	39	39	NUM
ihlr-16489	425	32	,	,	PUNCT
ihlr-16489	425	33	45	45	NUM
ihlr-16489	425	34	(	(	PUNCT
ihlr-16489	425	35	2003	2003	NUM
ihlr-16489	425	36	)	)	PUNCT
ihlr-16489	425	37	.	.	PUNCT
ihlr-16489	426	1	416	416	NUM
ihlr-16489	426	2	indiana	indiana	PROPN
ihlr-16489	426	3	health	health	PROPN
ihlr-16489	426	4	law	law	PROPN
ihlr-16489	426	5	review	review	NOUN
ihlr-16489	426	6	[	[	X
ihlr-16489	426	7	vol.3:391	vol.3:391	PROPN
ihlr-16489	426	8	patients	patient	NOUN
ihlr-16489	426	9	understood	understand	VERB
ihlr-16489	426	10	and	and	CCONJ
ihlr-16489	426	11	internalized	internalize	VERB
ihlr-16489	426	12	the	the	DET
ihlr-16489	426	13	consequences	consequence	NOUN
ihlr-16489	426	14	of	of	ADP
ihlr-16489	426	15	alternate	alternate	ADJ
ihlr-16489	426	16	payment	payment	NOUN
ihlr-16489	426	17	methods	method	NOUN
ihlr-16489	426	18	and	and	CCONJ
ihlr-16489	426	19	that	that	SCONJ
ihlr-16489	426	20	this	this	PRON
ihlr-16489	426	21	affects	affect	VERB
ihlr-16489	426	22	their	their	PRON
ihlr-16489	426	23	level	level	NOUN
ihlr-16489	426	24	oftrust	oftrust	ADV
ihlr-16489	426	25	in	in	ADP
ihlr-16489	426	26	their	their	PRON
ihlr-16489	426	27	health	health	NOUN
ihlr-16489	426	28	care	care	NOUN
ihlr-16489	426	29	providers.69	providers.69	NOUN
ihlr-16489	426	30	from	from	ADP
ihlr-16489	426	31	the	the	DET
ihlr-16489	426	32	physician	physician	NOUN
ihlr-16489	426	33	's	's	PART
ihlr-16489	426	34	perspective	perspective	NOUN
ihlr-16489	426	35	,	,	PUNCT
ihlr-16489	426	36	the	the	DET
ihlr-16489	426	37	doctor	doctor	NOUN
ihlr-16489	426	38	-	-	PUNCT
ihlr-16489	426	39	patient	patient	NOUN
ihlr-16489	426	40	relationship	relationship	NOUN
ihlr-16489	426	41	changes	change	VERB
ihlr-16489	426	42	dramatically	dramatically	ADV
ihlr-16489	426	43	when	when	SCONJ
ihlr-16489	426	44	the	the	DET
ihlr-16489	426	45	patient	patient	NOUN
ihlr-16489	426	46	's	's	PART
ihlr-16489	426	47	actions	action	NOUN
ihlr-16489	426	48	determine	determine	VERB
ihlr-16489	426	49	the	the	DET
ihlr-16489	426	50	physician	physician	NOUN
ihlr-16489	426	51	's	's	PART
ihlr-16489	426	52	compensation	compensation	NOUN
ihlr-16489	426	53	.	.	PUNCT
ihlr-16489	427	1	if	if	SCONJ
ihlr-16489	427	2	the	the	DET
ihlr-16489	427	3	patient	patient	NOUN
ihlr-16489	427	4	does	do	AUX
ihlr-16489	427	5	not	not	PART
ihlr-16489	427	6	follow	follow	VERB
ihlr-16489	427	7	the	the	DET
ihlr-16489	427	8	physician	physician	NOUN
ihlr-16489	427	9	's	's	PART
ihlr-16489	427	10	treatment	treatment	NOUN
ihlr-16489	427	11	plan	plan	NOUN
ihlr-16489	427	12	,	,	PUNCT
ihlr-16489	427	13	does	do	AUX
ihlr-16489	427	14	not	not	PART
ihlr-16489	427	15	take	take	VERB
ihlr-16489	427	16	medication	medication	NOUN
ihlr-16489	427	17	as	as	ADP
ihlr-16489	427	18	prescribed	prescribe	VERB
ihlr-16489	427	19	,	,	PUNCT
ihlr-16489	427	20	or	or	CCONJ
ihlr-16489	427	21	continues	continue	VERB
ihlr-16489	427	22	to	to	PART
ihlr-16489	427	23	engage	engage	VERB
ihlr-16489	427	24	in	in	ADP
ihlr-16489	427	25	risky	risky	ADJ
ihlr-16489	427	26	behavior	behavior	NOUN
ihlr-16489	427	27	,	,	PUNCT
ihlr-16489	427	28	adverse	adverse	ADJ
ihlr-16489	427	29	results	result	NOUN
ihlr-16489	427	30	can	can	AUX
ihlr-16489	427	31	occur	occur	VERB
ihlr-16489	427	32	.	.	PUNCT
ihlr-16489	428	1	these	these	PRON
ihlr-16489	428	2	will	will	AUX
ihlr-16489	428	3	be	be	AUX
ihlr-16489	428	4	reflected	reflect	VERB
ihlr-16489	428	5	in	in	ADP
ihlr-16489	428	6	the	the	DET
ihlr-16489	428	7	physician	physician	NOUN
ihlr-16489	428	8	's	's	PART
ihlr-16489	428	9	rating	rating	NOUN
ihlr-16489	428	10	and	and	CCONJ
ihlr-16489	428	11	thus	thus	ADV
ihlr-16489	428	12	in	in	ADP
ihlr-16489	428	13	the	the	DET
ihlr-16489	428	14	physician	physician	NOUN
ihlr-16489	428	15	's	's	PART
ihlr-16489	428	16	pay	pay	NOUN
ihlr-16489	428	17	-	-	PUNCT
ihlr-16489	428	18	for	for	ADP
ihlr-16489	428	19	-	-	PUNCT
ihlr-16489	428	20	performance	performance	NOUN
ihlr-16489	428	21	compensation	compensation	NOUN
ihlr-16489	428	22	.	.	PUNCT
ihlr-16489	429	1	as	as	SCONJ
ihlr-16489	429	2	physicians	physician	NOUN
ihlr-16489	429	3	struggle	struggle	VERB
ihlr-16489	429	4	with	with	ADP
ihlr-16489	429	5	the	the	DET
ihlr-16489	429	6	demotivatingreality	demotivatingreality	NOUN
ihlr-16489	429	7	ofbeingheld	ofbeingheld	ADP
ihlr-16489	429	8	accountable	accountable	ADJ
ihlr-16489	429	9	for	for	ADP
ihlr-16489	429	10	another	another	DET
ihlr-16489	429	11	person	person	NOUN
ihlr-16489	429	12	's	's	PART
ihlr-16489	429	13	behavior	behavior	NOUN
ihlr-16489	429	14	,	,	PUNCT
ihlr-16489	429	15	which	which	PRON
ihlr-16489	429	16	they	they	PRON
ihlr-16489	429	17	do	do	AUX
ihlr-16489	429	18	not	not	PART
ihlr-16489	429	19	control	control	VERB
ihlr-16489	429	20	,	,	PUNCT
ihlr-16489	429	21	their	their	PRON
ihlr-16489	429	22	frustration	frustration	NOUN
ihlr-16489	429	23	levels	level	NOUN
ihlr-16489	429	24	will	will	AUX
ihlr-16489	429	25	increase	increase	VERB
ihlr-16489	429	26	substantially	substantially	ADV
ihlr-16489	429	27	,	,	PUNCT
ihlr-16489	429	28	and	and	CCONJ
ihlr-16489	429	29	they	they	PRON
ihlr-16489	429	30	will	will	AUX
ihlr-16489	429	31	come	come	VERB
ihlr-16489	429	32	to	to	PART
ihlr-16489	429	33	see	see	VERB
ihlr-16489	429	34	their	their	PRON
ihlr-16489	429	35	patients	patient	NOUN
ihlr-16489	429	36	as	as	ADP
ihlr-16489	429	37	obstacles	obstacle	NOUN
ihlr-16489	429	38	to	to	PART
ihlr-16489	429	39	overcome	overcome	VERB
ihlr-16489	429	40	rather	rather	ADV
ihlr-16489	429	41	than	than	ADP
ihlr-16489	429	42	as	as	ADP
ihlr-16489	429	43	fellow	fellow	ADJ
ihlr-16489	429	44	human	human	ADJ
ihlr-16489	429	45	beings	being	NOUN
ihlr-16489	429	46	in	in	ADP
ihlr-16489	429	47	need	need	NOUN
ihlr-16489	429	48	of	of	ADP
ihlr-16489	429	49	care	care	NOUN
ihlr-16489	429	50	.	.	PUNCT
ihlr-16489	430	1	the	the	DET
ihlr-16489	430	2	doctor	doctor	NOUN
ihlr-16489	430	3	-	-	PUNCT
ihlr-16489	430	4	patient	patient	NOUN
ihlr-16489	430	5	relationship	relationship	NOUN
ihlr-16489	430	6	is	be	AUX
ihlr-16489	430	7	crucial	crucial	ADJ
ihlr-16489	430	8	to	to	ADP
ihlr-16489	430	9	patient	patient	ADJ
ihlr-16489	430	10	care	care	NOUN
ihlr-16489	430	11	because	because	SCONJ
ihlr-16489	430	12	high­	high­	PROPN
ihlr-16489	430	13	quality	quality	PROPN
ihlr-16489	430	14	health	health	NOUN
ihlr-16489	430	15	care	care	NOUN
ihlr-16489	430	16	hinges	hinge	NOUN
ihlr-16489	430	17	on	on	ADP
ihlr-16489	430	18	personal	personal	ADJ
ihlr-16489	430	19	trust	trust	NOUN
ihlr-16489	430	20	.	.	PUNCT
ihlr-16489	431	1	medical	medical	ADJ
ihlr-16489	431	2	decisions	decision	NOUN
ihlr-16489	431	3	are	be	AUX
ihlr-16489	431	4	complex	complex	ADJ
ihlr-16489	431	5	,	,	PUNCT
ihlr-16489	431	6	and	and	CCONJ
ihlr-16489	431	7	patients	patient	NOUN
ihlr-16489	431	8	do	do	AUX
ihlr-16489	431	9	not	not	PART
ihlr-16489	431	10	have	have	VERB
ihlr-16489	431	11	the	the	DET
ihlr-16489	431	12	level	level	NOUN
ihlr-16489	431	13	.	.	PUNCT
ihlr-16489	432	1	of	of	ADP
ihlr-16489	432	2	expertise	expertise	NOUN
ihlr-16489	432	3	necessary	necessary	ADJ
ihlr-16489	432	4	to	to	PART
ihlr-16489	432	5	navigate	navigate	VERB
ihlr-16489	432	6	them	they	PRON
ihlr-16489	432	7	alone	alone	ADV
ihlr-16489	432	8	,	,	PUNCT
ihlr-16489	432	9	so	so	ADV
ihlr-16489	432	10	they	they	PRON
ihlr-16489	432	11	must	must	AUX
ihlr-16489	432	12	be	be	AUX
ihlr-16489	432	13	able	able	ADJ
ihlr-16489	432	14	to	to	PART
ihlr-16489	432	15	trust	trust	VERB
ihlr-16489	432	16	their	their	PRON
ihlr-16489	432	17	doctors	doctor	NOUN
ihlr-16489	432	18	with	with	ADP
ihlr-16489	432	19	the	the	DET
ihlr-16489	432	20	most	most	ADV
ihlr-16489	432	21	intimate	intimate	ADJ
ihlr-16489	432	22	information	information	NOUN
ihlr-16489	432	23	about	about	ADP
ihlr-16489	432	24	their	their	PRON
ihlr-16489	432	25	health	health	NOUN
ihlr-16489	432	26	condition	condition	NOUN
ihlr-16489	432	27	.	.	PUNCT
ihlr-16489	433	1	they	they	PRON
ihlr-16489	433	2	trust	trust	VERB
ihlr-16489	433	3	their	their	PRON
ihlr-16489	433	4	doctors	doctor	NOUN
ihlr-16489	433	5	to	to	PART
ihlr-16489	433	6	advise	advise	VERB
ihlr-16489	433	7	them	they	PRON
ihlr-16489	433	8	on	on	ADP
ihlr-16489	433	9	their	their	PRON
ihlr-16489	433	10	most	most	ADV
ihlr-16489	433	11	important	important	ADJ
ihlr-16489	433	12	decisions	decision	NOUN
ihlr-16489	433	13	,	,	PUNCT
ihlr-16489	433	14	matters	matter	VERB
ihlr-16489	433	15	oflife	oflife	NOUN
ihlr-16489	433	16	and	and	CCONJ
ihlr-16489	433	17	death	death	NOUN
ihlr-16489	433	18	,	,	PUNCT
ihlr-16489	433	19	sickness	sickness	NOUN
ihlr-16489	433	20	and	and	CCONJ
ihlr-16489	433	21	health	health	NOUN
ihlr-16489	433	22	.	.	PUNCT
ihlr-16489	434	1	combining	combine	VERB
ihlr-16489	434	2	full	full	ADJ
ihlr-16489	434	3	information	information	NOUN
ihlr-16489	434	4	and	and	CCONJ
ihlr-16489	434	5	patient	patient	NOUN
ihlr-16489	434	6	trust	trust	NOUN
ihlr-16489	434	7	,	,	PUNCT
ihlr-16489	434	8	physicians	physician	NOUN
ihlr-16489	434	9	can	can	AUX
ihlr-16489	434	10	provide	provide	VERB
ihlr-16489	434	11	the	the	DET
ihlr-16489	434	12	information	information	NOUN
ihlr-16489	434	13	and	and	CCONJ
ihlr-16489	434	14	guidance	guidance	NOUN
ihlr-16489	434	15	needed	need	VERB
ihlr-16489	434	16	to	to	PART
ihlr-16489	434	17	make	make	VERB
ihlr-16489	434	18	good	good	ADJ
ihlr-16489	434	19	decisions	decision	NOUN
ihlr-16489	434	20	.	.	PUNCT
ihlr-16489	435	1	however	however	ADV
ihlr-16489	435	2	,	,	PUNCT
ihlr-16489	435	3	trust	trust	NOUN
ihlr-16489	435	4	requires	require	VERB
ihlr-16489	435	5	that	that	SCONJ
ihlr-16489	435	6	patients	patient	NOUN
ihlr-16489	435	7	believe	believe	VERB
ihlr-16489	435	8	that	that	SCONJ
ihlr-16489	435	9	their	their	PRON
ihlr-16489	435	10	provider	provider	NOUN
ihlr-16489	435	11	is	be	AUX
ihlr-16489	435	12	acting	act	VERB
ihlr-16489	435	13	in	in	ADP
ihlr-16489	435	14	their	their	PRON
ihlr-16489	435	15	best	good	ADJ
ihlr-16489	435	16	interests	interest	NOUN
ihlr-16489	435	17	.	.	PUNCT
ihlr-16489	436	1	once	once	SCONJ
ihlr-16489	436	2	patients	patient	NOUN
ihlr-16489	436	3	realize	realize	VERB
ihlr-16489	436	4	that	that	SCONJ
ihlr-16489	436	5	their	their	PRON
ihlr-16489	436	6	physicians	physician	NOUN
ihlr-16489	436	7	are	be	AUX
ihlr-16489	436	8	trying	try	VERB
ihlr-16489	436	9	to	to	PART
ihlr-16489	436	10	serve	serve	VERB
ihlr-16489	436	11	two	two	NUM
ihlr-16489	436	12	masters--4he	masters--4he	ADV
ihlr-16489	436	13	patient	patient	ADJ
ihlr-16489	436	14	and	and	CCONJ
ihlr-16489	436	15	the	the	DET
ihlr-16489	436	16	third-partypayer--4h.ey	third-partypayer--4h.ey	NOUN
ihlr-16489	436	17	will	will	AUX
ihlr-16489	436	18	be	be	AUX
ihlr-16489	436	19	unable	unable	ADJ
ihlr-16489	436	20	to	to	PART
ihlr-16489	436	21	maintain	maintain	VERB
ihlr-16489	436	22	the	the	DET
ihlr-16489	436	23	same	same	ADJ
ihlr-16489	436	24	level	level	NOUN
ihlr-16489	436	25	of	of	ADP
ihlr-16489	436	26	trust	trust	NOUN
ihlr-16489	436	27	in	in	ADP
ihlr-16489	436	28	their	their	PRON
ihlr-16489	436	29	providers	provider	NOUN
ihlr-16489	436	30	.	.	PUNCT
ihlr-16489	437	1	they	they	PRON
ihlr-16489	437	2	are	be	AUX
ihlr-16489	437	3	not	not	PART
ihlr-16489	437	4	likely	likely	ADJ
ihlr-16489	437	5	to	to	PART
ihlr-16489	437	6	replace	replace	VERB
ihlr-16489	437	7	that	that	DET
ihlr-16489	437	8	trust	trust	NOUN
ihlr-16489	437	9	with	with	ADP
ihlr-16489	437	10	trust	trust	NOUN
ihlr-16489	437	11	in	in	ADP
ihlr-16489	437	12	the	the	DET
ihlr-16489	437	13	government	government	NOUN
ihlr-16489	437	14	agency	agency	NOUN
ihlr-16489	437	15	creating	create	VERB
ihlr-16489	437	16	federal	federal	ADJ
ihlr-16489	437	17	treatment	treatment	NOUN
ihlr-16489	437	18	guidelines	guideline	NOUN
ihlr-16489	437	19	.	.	PUNCT
ihlr-16489	438	1	vi	vi	X
ihlr-16489	438	2	.	.	PUNCT
ihlr-16489	439	1	what	what	PRON
ihlr-16489	439	2	congress	congress	PROPN
ihlr-16489	439	3	should	should	AUX
ihlr-16489	439	4	do	do	AUX
ihlr-16489	439	5	congress	congress	PROPN
ihlr-16489	439	6	should	should	AUX
ihlr-16489	439	7	revisit	revisit	VERB
ihlr-16489	439	8	medicare	medicare	PROPN
ihlr-16489	439	9	reimbursement	reimbursement	NOUN
ihlr-16489	439	10	in	in	ADP
ihlr-16489	439	11	the	the	DET
ihlr-16489	439	12	context	context	NOUN
ihlr-16489	439	13	of	of	ADP
ihlr-16489	439	14	enacting	enact	VERB
ihlr-16489	439	15	real	real	ADJ
ihlr-16489	439	16	medicare	medicare	PROPN
ihlr-16489	439	17	reform	reform	NOUN
ihlr-16489	439	18	,	,	PUNCT
ihlr-16489	439	19	transforming	transform	VERB
ihlr-16489	439	20	medicare	medicare	NOUN
ihlr-16489	439	21	into	into	ADP
ihlr-16489	439	22	a	a	DET
ihlr-16489	439	23	system	system	NOUN
ihlr-16489	439	24	of	of	ADP
ihlr-16489	439	25	''	''	PUNCT
ihlr-16489	439	26	premium	premium	ADJ
ihlr-16489	439	27	support	support	NOUN
ihlr-16489	439	28	"	"	PUNCT
ihlr-16489	439	29	that	that	PRON
ihlr-16489	439	30	resembles	resemble	VERB
ihlr-16489	439	31	the	the	DET
ihlr-16489	439	32	federal	federal	ADJ
ihlr-16489	439	33	employees	employee	NOUN
ihlr-16489	439	34	health	health	PROPN
ihlr-16489	439	35	benefits	benefit	NOUN
ihlr-16489	439	36	program	program	NOUN
ihlr-16489	439	37	,	,	PUNCT
ihlr-16489	439	38	as	as	SCONJ
ihlr-16489	439	39	originally	originally	ADV
ihlr-16489	439	40	recommended	recommend	VERB
ihlr-16489	439	41	in	in	ADP
ihlr-16489	439	42	1999	1999	NUM
ihlr-16489	439	43	by	by	ADP
ihlr-16489	439	44	the	the	DET
ihlr-16489	439	45	majority	majority	NOUN
ihlr-16489	439	46	of	of	ADP
ihlr-16489	439	47	the	the	DET
ihlr-16489	439	48	national	national	ADJ
ihlr-16489	439	49	bipartisan	bipartisan	ADJ
ihlr-16489	439	50	commission	commission	NOUN
ihlr-16489	439	51	on	on	ADP
ihlr-16489	439	52	the	the	DET
ihlr-16489	439	53	future	future	NOUN
ihlr-16489	439	54	of	of	ADP
ihlr-16489	439	55	medicare	medicare	PROPN
ihlr-16489	439	56	.	.	PUNCT
ihlr-16489	440	1	with	with	ADP
ihlr-16489	440	2	such	such	DET
ihlr-16489	440	3	a	a	DET
ihlr-16489	440	4	comprehensive	comprehensive	ADJ
ihlr-16489	440	5	reform	reform	NOUN
ihlr-16489	440	6	,	,	PUNCT
ihlr-16489	440	7	the	the	DET
ihlr-16489	440	8	current	current	ADJ
ihlr-16489	440	9	irrational	irrational	ADJ
ihlr-16489	440	10	national	national	ADJ
ihlr-16489	440	11	system	system	NOUN
ihlr-16489	440	12	of	of	ADP
ihlr-16489	440	13	administrative	administrative	ADJ
ihlr-16489	440	14	pricing	pricing	NOUN
ihlr-16489	440	15	,	,	PUNCT
ihlr-16489	440	16	price	price	NOUN
ihlr-16489	440	17	controls	control	NOUN
ihlr-16489	440	18	,	,	PUNCT
ihlr-16489	440	19	perverse	perverse	ADJ
ihlr-16489	440	20	incentives	incentive	NOUN
ihlr-16489	440	21	,	,	PUNCT
ihlr-16489	440	22	and	and	CCONJ
ihlr-16489	440	23	regulatory	regulatory	ADJ
ihlr-16489	440	24	overkill	overkill	NOUN
ihlr-16489	440	25	would	would	AUX
ihlr-16489	440	26	simply	simply	ADV
ihlr-16489	440	27	disappear	disappear	VERB
ihlr-16489	440	28	.	.	PUNCT
ihlr-16489	441	1	short	short	ADV
ihlr-16489	441	2	of	of	ADP
ihlr-16489	441	3	comprehensive	comprehensive	ADJ
ihlr-16489	441	4	medicare	medicare	PROPN
ihlr-16489	441	5	reform	reform	NOUN
ihlr-16489	441	6	,	,	PUNCT
ihlr-16489	441	7	congress	congress	PROPN
ihlr-16489	441	8	should	should	AUX
ihlr-16489	441	9	fix	fix	VERB
ihlr-16489	441	10	what	what	PRON
ihlr-16489	441	11	is	be	AUX
ihlr-16489	441	12	broken	break	VERB
ihlr-16489	441	13	,	,	PUNCT
ihlr-16489	441	14	not	not	PART
ihlr-16489	441	15	make	make	VERB
ihlr-16489	441	16	it	it	PRON
ihlr-16489	441	17	worse	bad	ADJ
ihlr-16489	441	18	.	.	PUNCT
ihlr-16489	442	1	instead	instead	ADV
ihlr-16489	442	2	of	of	ADP
ihlr-16489	442	3	responding	respond	VERB
ihlr-16489	442	4	to	to	ADP
ihlr-16489	442	5	the	the	DET
ihlr-16489	442	6	inefficiencies	inefficiency	NOUN
ihlr-16489	442	7	of	of	ADP
ihlr-16489	442	8	central	central	ADJ
ihlr-16489	442	9	planning	planning	NOUN
ihlr-16489	442	10	by	by	ADP
ihlr-16489	442	11	instituting	institute	VERB
ihlr-16489	442	12	even	even	ADV
ihlr-16489	442	13	more	more	ADV
ihlr-16489	442	14	intrusive	intrusive	ADJ
ihlr-16489	442	15	forms	form	NOUN
ihlr-16489	442	16	of	of	ADP
ihlr-16489	442	17	central	central	ADJ
ihlr-16489	442	18	planning	planning	NOUN
ihlr-16489	442	19	,	,	PUNCT
ihlr-16489	442	20	69	69	NUM
ihlr-16489	442	21	.	.	PUNCT
ihlr-16489	443	1	audiey	audiey	PROPN
ihlr-16489	443	2	c.	c.	PROPN
ihlr-16489	443	3	kao	kao	PROPN
ihlr-16489	443	4	et	et	PROPN
ihlr-16489	443	5	al	al	PROPN
ihlr-16489	443	6	.	.	PROPN
ihlr-16489	443	7	,	,	PUNCT
ihlr-16489	443	8	the	the	DET
ihlr-16489	443	9	relationship	relationship	NOUN
ihlr-16489	443	10	between	between	ADP
ihlr-16489	443	11	method	method	NOUN
ihlr-16489	443	12	of	of	ADP
ihlr-16489	443	13	physician	physician	NOUN
ihlr-16489	443	14	payment	payment	NOUN
ihlr-16489	443	15	and	and	CCONJ
ihlr-16489	443	16	patient	patient	NOUN
ihlr-16489	443	17	trust	trust	NOUN
ihlr-16489	443	18	,	,	PUNCT
ihlr-16489	443	19	280	280	NUM
ihlr-16489	443	20	jama	jama	NOUN
ihlr-16489	443	21	1708	1708	NUM
ihlr-16489	443	22	,	,	PUNCT
ihlr-16489	443	23	1708	1708	NUM
ihlr-16489	443	24	-	-	SYM
ihlr-16489	443	25	13	13	NUM
ihlr-16489	443	26	(	(	PUNCT
ihlr-16489	443	27	1998	1998	NUM
ihlr-16489	443	28	)	)	PUNCT
ihlr-16489	443	29	;	;	PUNCT
ihlr-16489	443	30	anne	anne	PROPN
ihlr-16489	443	31	g;pereira	g;pereira	PROPN
ihlr-16489	443	32	&	&	CCONJ
ihlr-16489	443	33	steven	steven	PROPN
ihlr-16489	443	34	d.	d.	PROPN
ihlr-16489	443	35	pearson	pearson	PROPN
ihlr-16489	443	36	,	,	PUNCT
ihlr-16489	443	37	patient	patient	ADJ
ihlr-16489	443	38	attitudes	attitude	NOUN
ihlr-16489	443	39	towardphysicianfinanciallncentives	towardphysicianfinanciallncentive	NOUN
ihlr-16489	443	40	,	,	PUNCT
ihlr-16489	443	41	l61	l61	PROPN
ihlr-16489	443	42	archm!sinternalmed.1313	archm!sinternalmed.1313	PROPN
ihlr-16489	443	43	,	,	PUNCT
ihlr-16489	443	44	1313	1313	NUM
ihlr-16489	443	45	-	-	SYM
ihlr-16489	443	46	17	17	NUM
ihlr-16489	443	47	(	(	PUNCT
ihlr-16489	443	48	2001	2001	NUM
ihlr-16489	443	49	)	)	PUNCT
ihlr-16489	443	50	.	.	PUNCT
ihlr-16489	444	1	2006	2006	NUM
ihlr-16489	444	2	]	]	PUNCT
ihlr-16489	444	3	pay	pay	VERB
ihlr-16489	444	4	for	for	ADP
ihlr-16489	444	5	performance	performance	NOUN
ihlr-16489	444	6	or	or	CCONJ
ihlr-16489	444	7	compliance	compliance	NOUN
ihlr-16489	444	8	?	?	PUNCT
ihlr-16489	445	1	417	417	NUM
ihlr-16489	445	2	congress	congress	PROPN
ihlr-16489	445	3	should	should	AUX
ihlr-16489	445	4	move	move	VERB
ihlr-16489	445	5	medicare	medicare	PROPN
ihlr-16489	445	6	reimbursement	reimbursement	NOUN
ihlr-16489	445	7	in	in	ADP
ihlr-16489	445	8	the	the	DET
ihlr-16489	445	9	opposite	opposite	ADJ
ihlr-16489	445	10	direction	direction	NOUN
ihlr-16489	445	11	by	by	ADP
ihlr-16489	445	12	removing	remove	VERB
ihlr-16489	445	13	barriers	barrier	NOUN
ihlr-16489	445	14	to	to	ADP
ihlr-16489	445	15	a	a	DET
ihlr-16489	445	16	freely	freely	ADV
ihlr-16489	445	17	functioning	function	VERB
ihlr-16489	445	18	,	,	PUNCT
ihlr-16489	445	19	consumer	consumer	NOUN
ihlr-16489	445	20	-	-	PUNCT
ihlr-16489	445	21	driven	drive	VERB
ihlr-16489	445	22	health	health	NOUN
ihlr-16489	445	23	care	care	NOUN
ihlr-16489	445	24	market	market	NOUN
ihlr-16489	445	25	.	.	PUNCT
ihlr-16489	446	1	the	the	DET
ihlr-16489	446	2	key	key	ADJ
ihlr-16489	446	3	driver	driver	NOUN
ihlr-16489	446	4	of	of	ADP
ihlr-16489	446	5	value	value	NOUN
ihlr-16489	446	6	in	in	ADP
ihlr-16489	446	7	a	a	DET
ihlr-16489	446	8	free	free	ADJ
ihlr-16489	446	9	market	market	NOUN
ihlr-16489	446	10	is	be	AUX
ihlr-16489	446	11	competition	competition	NOUN
ihlr-16489	446	12	to	to	PART
ihlr-16489	446	13	meet	meet	VERB
ihlr-16489	446	14	consumer	consumer	NOUN
ihlr-16489	446	15	demand	demand	NOUN
ihlr-16489	446	16	.	.	PUNCT
ihlr-16489	447	1	consumers	consumer	NOUN
ihlr-16489	447	2	must	must	AUX
ihlr-16489	447	3	have	have	VERB
ihlr-16489	447	4	access	access	NOUN
ihlr-16489	447	5	to	to	ADP
ihlr-16489	447	6	full	full	ADJ
ihlr-16489	447	7	information	information	NOUN
ihlr-16489	447	8	about	about	ADP
ihlr-16489	447	9	services	service	NOUN
ihlr-16489	447	10	and	and	CCONJ
ihlr-16489	447	11	must	must	AUX
ihlr-16489	447	12	be	be	AUX
ihlr-16489	447	13	free	free	ADJ
ihlr-16489	447	14	to	to	PART
ihlr-16489	447	15	choose	choose	VERB
ihlr-16489	447	16	those	those	DET
ihlr-16489	447	17	services	service	NOUN
ihlr-16489	447	18	from	from	ADP
ihlr-16489	447	19	doctors	doctor	NOUN
ihlr-16489	447	20	of	of	ADP
ihlr-16489	447	21	their	their	PRON
ihlr-16489	447	22	choice	choice	NOUN
ihlr-16489	447	23	.	.	PUNCT
ihlr-16489	448	1	doctors	doctor	NOUN
ihlr-16489	448	2	must	must	AUX
ihlr-16489	448	3	be	be	AUX
ihlr-16489	448	4	free	free	ADJ
ihlr-16489	448	5	to	to	PART
ihlr-16489	448	6	adjust	adjust	VERB
ihlr-16489	448	7	the	the	DET
ihlr-16489	448	8	prices	price	NOUN
ihlr-16489	448	9	of	of	ADP
ihlr-16489	448	10	the	the	DET
ihlr-16489	448	11	services	service	NOUN
ihlr-16489	448	12	that	that	PRON
ihlr-16489	448	13	they	they	PRON
ihlr-16489	448	14	offer	offer	VERB
ihlr-16489	448	15	.	.	PUNCT
ihlr-16489	449	1	to	to	PART
ihlr-16489	449	2	create	create	VERB
ihlr-16489	449	3	a	a	DET
ihlr-16489	449	4	market	market	NOUN
ihlr-16489	449	5	that	that	PRON
ihlr-16489	449	6	improves	improve	VERB
ihlr-16489	449	7	quality	quality	NOUN
ihlr-16489	449	8	and	and	CCONJ
ihlr-16489	449	9	value	value	NOUN
ihlr-16489	449	10	within	within	ADP
ihlr-16489	449	11	the	the	DET
ihlr-16489	449	12	medicare	medicare	PROPN
ihlr-16489	449	13	system	system	NOUN
ihlr-16489	449	14	,	,	PUNCT
ihlr-16489	449	15	congress	congress	PROPN
ihlr-16489	449	16	should	should	AUX
ihlr-16489	449	17	take	take	VERB
ihlr-16489	449	18	the	the	DET
ihlr-16489	449	19	following	following	ADJ
ihlr-16489	449	20	actions	action	NOUN
ihlr-16489	449	21	:	:	PUNCT
ihlr-16489	449	22	1	1	X
ihlr-16489	449	23	.	.	X
ihlr-16489	449	24	reject	reject	VERB
ihlr-16489	449	25	pay	pay	NOUN
ihlr-16489	449	26	-	-	PUNCT
ihlr-16489	449	27	for	for	ADP
ihlr-16489	449	28	-	-	PUNCT
ihlr-16489	449	29	performance	performance	NOUN
ihlr-16489	449	30	reimbursement	reimbursement	NOUN
ihlr-16489	449	31	proposals	proposal	NOUN
ihlr-16489	449	32	.	.	PUNCT
ihlr-16489	450	1	medicare	medicare	PROPN
ihlr-16489	450	2	pay	pay	VERB
ihlr-16489	450	3	for	for	ADP
ihlr-16489	450	4	performance	performance	NOUN
ihlr-16489	450	5	would	would	AUX
ihlr-16489	450	6	do	do	VERB
ihlr-16489	450	7	more	more	ADJ
ihlr-16489	450	8	to	to	PART
ihlr-16489	450	9	mandate	mandate	VERB
ihlr-16489	450	10	compliance	compliance	NOUN
ihlr-16489	450	11	with	with	ADP
ihlr-16489	450	12	centrally	centrally	ADV
ihlr-16489	450	13	determined	determined	ADJ
ihlr-16489	450	14	treatment	treatment	NOUN
ihlr-16489	450	15	processes	process	NOUN
ihlr-16489	450	16	than	than	SCONJ
ihlr-16489	450	17	it	it	PRON
ihlr-16489	450	18	would	would	AUX
ihlr-16489	450	19	to	to	PART
ihlr-16489	450	20	improve	improve	VERB
ihlr-16489	450	21	the	the	DET
ihlr-16489	450	22	quality	quality	NOUN
ihlr-16489	450	23	of	of	ADP
ihlr-16489	450	24	care	care	NOUN
ihlr-16489	450	25	delivered	deliver	VERB
ihlr-16489	450	26	to	to	ADP
ihlr-16489	450	27	medicare	medicare	PROPN
ihlr-16489	450	28	beneficiaries	beneficiary	NOUN
ihlr-16489	450	29	.	.	PUNCT
ihlr-16489	451	1	further	far	ADV
ihlr-16489	451	2	separating	separate	VERB
ihlr-16489	451	3	patients	patient	NOUN
ihlr-16489	451	4	'	'	PART
ihlr-16489	451	5	needs	need	NOUN
ihlr-16489	451	6	and	and	CCONJ
ihlr-16489	451	7	personal	personal	ADJ
ihlr-16489	451	8	preferences	preference	NOUN
ihlr-16489	451	9	from	from	ADP
ihlr-16489	451	10	the	the	DET
ihlr-16489	451	11	medical	medical	ADJ
ihlr-16489	451	12	care	care	NOUN
ihlr-16489	451	13	that	that	SCONJ
ihlr-16489	451	14	they	they	PRON
ihlr-16489	451	15	receive	receive	VERB
ihlr-16489	451	16	would	would	AUX
ihlr-16489	451	17	only	only	ADV
ihlr-16489	451	18	exacerbate	exacerbate	VERB
ihlr-16489	451	19	the	the	DET
ihlr-16489	451	20	long­	long­	ADJ
ihlr-16489	451	21	term	term	NOUN
ihlr-16489	451	22	budget	budget	NOUN
ihlr-16489	451	23	crisis	crisis	NOUN
ihlr-16489	451	24	.	.	PUNCT
ihlr-16489	452	1	congress	congress	PROPN
ihlr-16489	452	2	should	should	AUX
ihlr-16489	452	3	halt	halt	VERB
ihlr-16489	452	4	attempts	attempt	NOUN
ihlr-16489	452	5	to	to	PART
ihlr-16489	452	6	push	push	VERB
ihlr-16489	452	7	medicare	medicare	PROPN
ihlr-16489	452	8	into	into	ADP
ihlr-16489	452	9	compliance	compliance	NOUN
ihlr-16489	452	10	-	-	PUNCT
ihlr-16489	452	11	based	base	VERB
ihlr-16489	452	12	compensation	compensation	NOUN
ihlr-16489	452	13	programs	program	NOUN
ihlr-16489	452	14	and	and	CCONJ
ihlr-16489	452	15	instead	instead	ADV
ihlr-16489	452	16	act	act	VERB
ihlr-16489	452	17	to	to	PART
ihlr-16489	452	18	implement	implement	VERB
ihlr-16489	452	19	a	a	DET
ihlr-16489	452	20	market	market	NOUN
ihlr-16489	452	21	-	-	PUNCT
ihlr-16489	452	22	oriented	orient	VERB
ihlr-16489	452	23	payment	payment	NOUN
ihlr-16489	452	24	system	system	NOUN
ihlr-16489	452	25	that	that	PRON
ihlr-16489	452	26	drives	drive	VERB
ihlr-16489	452	27	value	value	NOUN
ihlr-16489	452	28	according	accord	VERB
ihlr-16489	452	29	to	to	ADP
ihlr-16489	452	30	the	the	DET
ihlr-16489	452	31	demands	demand	NOUN
ihlr-16489	452	32	of	of	ADP
ihlr-16489	452	33	the	the	DET
ihlr-16489	452	34	consumer	consumer	NOUN
ihlr-16489	452	35	.	.	PUNCT
ihlr-16489	453	1	2	2	X
ihlr-16489	453	2	.	.	X
ihlr-16489	453	3	jettison	jettison	VERB
ihlr-16489	453	4	the	the	DET
ihlr-16489	453	5	sgr	sgr	PROPN
ihlr-16489	453	6	and	and	CCONJ
ihlr-16489	453	7	the	the	DET
ihlr-16489	453	8	medicare	medicare	PROPN
ihlr-16489	453	9	fee	fee	NOUN
ihlr-16489	453	10	schedule	schedule	NOUN
ihlr-16489	453	11	and	and	CCONJ
ihlr-16489	453	12	substitute	substitute	ADJ
ihlr-16489	453	13	annual	annual	ADJ
ihlr-16489	453	14	physician	physician	NOUN
ihlr-16489	453	15	payment	payment	NOUN
ihlr-16489	453	16	updates	update	NOUN
ihlr-16489	453	17	and	and	CCONJ
ihlr-16489	453	18	medp	medp	VERB
ihlr-16489	453	19	ac	ac	PROPN
ihlr-16489	453	20	adjustments	adjustment	NOUN
ihlr-16489	453	21	.	.	PUNCT
ihlr-16489	454	1	the	the	DET
ihlr-16489	454	2	complex	complex	ADJ
ihlr-16489	454	3	program	program	NOUN
ihlr-16489	454	4	of	of	ADP
ihlr-16489	454	5	price	price	NOUN
ihlr-16489	454	6	controls	control	NOUN
ihlr-16489	454	7	and	and	CCONJ
ihlr-16489	454	8	central	central	ADJ
ihlr-16489	454	9	planning	planning	NOUN
ihlr-16489	454	10	that	that	PRON
ihlr-16489	454	11	governs	govern	VERB
ihlr-16489	454	12	medicare	medicare	PROPN
ihlr-16489	454	13	reimbursement	reimbursement	NOUN
ihlr-16489	454	14	is	be	AUX
ihlr-16489	454	15	a	a	DET
ihlr-16489	454	16	conceptually	conceptually	ADV
ihlr-16489	454	17	flawed	flawed	ADJ
ihlr-16489	454	18	system	system	NOUN
ihlr-16489	454	19	that	that	PRON
ihlr-16489	454	20	burdens	burden	VERB
ihlr-16489	454	21	doctors	doctor	NOUN
ihlr-16489	454	22	with	with	ADP
ihlr-16489	454	23	unnecessary	unnecessary	ADJ
ihlr-16489	454	24	bureaucratic	bureaucratic	ADJ
ihlr-16489	454	25	obstacles	obstacle	NOUN
ihlr-16489	454	26	,	,	PUNCT
ihlr-16489	454	27	fails	fail	VERB
ihlr-16489	454	28	to	to	PART
ihlr-16489	454	29	control	control	VERB
ihlr-16489	454	30	costs	cost	NOUN
ihlr-16489	454	31	,	,	PUNCT
ihlr-16489	454	32	and	and	CCONJ
ihlr-16489	454	33	threatens	threaten	VERB
ihlr-16489	454	34	seniors	senior	NOUN
ihlr-16489	454	35	'	'	PART
ihlr-16489	454	36	access	access	NOUN
ihlr-16489	454	37	to	to	ADP
ihlr-16489	454	38	high	high	ADJ
ihlr-16489	454	39	-	-	PUNCT
ihlr-16489	454	40	quality	quality	NOUN
ihlr-16489	454	41	health	health	NOUN
ihlr-16489	454	42	care	care	NOUN
ihlr-16489	454	43	.	.	PUNCT
ihlr-16489	455	1	70	70	NUM
ihlr-16489	455	2	this	this	DET
ihlr-16489	455	3	command	command	NOUN
ihlr-16489	455	4	-	-	PUNCT
ihlr-16489	455	5	and	and	CCONJ
ihlr-16489	455	6	-	-	PUNCT
ihlr-16489	455	7	control	control	NOUN
ihlr-16489	455	8	approach	approach	NOUN
ihlr-16489	455	9	to	to	ADP
ihlr-16489	455	10	paying	pay	VERB
ihlr-16489	455	11	for	for	ADP
ihlr-16489	455	12	health	health	NOUN
ihlr-16489	455	13	care	care	NOUN
ihlr-16489	455	14	should	should	AUX
ihlr-16489	455	15	be	be	AUX
ihlr-16489	455	16	replaced	replace	VERB
ihlr-16489	455	17	by	by	ADP
ihlr-16489	455	18	a	a	DET
ihlr-16489	455	19	payment	payment	NOUN
ihlr-16489	455	20	system	system	NOUN
ihlr-16489	455	21	that	that	PRON
ihlr-16489	455	22	is	be	AUX
ihlr-16489	455	23	both	both	CCONJ
ihlr-16489	455	24	predictable	predictable	ADJ
ihlr-16489	455	25	and	and	CCONJ
ihlr-16489	455	26	reflects	reflect	VERB
ihlr-16489	455	27	market	market	NOUN
ihlr-16489	455	28	forces	force	NOUN
ihlr-16489	455	29	.	.	PUNCT
ihlr-16489	456	1	in	in	ADP
ihlr-16489	456	2	addition	addition	NOUN
ihlr-16489	456	3	,	,	PUNCT
ihlr-16489	456	4	as	as	SCONJ
ihlr-16489	456	5	representative	representative	PROPN
ihlr-16489	456	6	nancy	nancy	PROPN
ihlr-16489	456	7	johnson	johnson	PROPN
ihlr-16489	456	8	has	have	AUX
ihlr-16489	456	9	proposed	propose	VERB
ihlr-16489	456	10	,	,	PUNCT
ihlr-16489	456	11	the	the	DET
ihlr-16489	456	12	sgr	sgr	PROPN
ihlr-16489	456	13	payment	payment	NOUN
ihlr-16489	456	14	update	update	NOUN
ihlr-16489	456	15	formula	formula	NOUN
ihlr-16489	456	16	should	should	AUX
ihlr-16489	456	17	be	be	AUX
ihlr-16489	456	18	scrapped	scrap	VERB
ihlr-16489	456	19	in	in	ADP
ihlr-16489	456	20	favor	favor	NOUN
ihlr-16489	456	21	of	of	ADP
ihlr-16489	456	22	an	an	DET
ihlr-16489	456	23	annual	annual	ADJ
ihlr-16489	456	24	update	update	NOUN
ihlr-16489	456	25	.	.	PUNCT
ihlr-16489	457	1	this	this	DET
ihlr-16489	457	2	update	update	NOUN
ihlr-16489	457	3	could	could	AUX
ihlr-16489	457	4	be	be	AUX
ihlr-16489	457	5	based	base	VERB
ihlr-16489	457	6	on	on	ADP
ihlr-16489	457	7	the	the	DET
ihlr-16489	457	8	consumer	consumer	NOUN
ihlr-16489	457	9	price	price	NOUN
ihlr-16489	457	10	index	index	NOUN
ihlr-16489	457	11	or	or	CCONJ
ihlr-16489	457	12	the	the	DET
ihlr-16489	457	13	medicare	medicare	PROPN
ihlr-16489	457	14	economic	economic	PROPN
ihlr-16489	457	15	index	index	PROPN
ihlr-16489	457	16	,	,	PUNCT
ihlr-16489	457	17	which	which	PRON
ihlr-16489	457	18	tracks	track	VERB
ihlr-16489	457	19	changes	change	NOUN
ihlr-16489	457	20	in	in	ADP
ihlr-16489	457	21	the	the	DET
ihlr-16489	457	22	costs	cost	NOUN
ihlr-16489	457	23	of	of	ADP
ihlr-16489	457	24	medical	medical	ADJ
ihlr-16489	457	25	care	care	NOUN
ihlr-16489	457	26	.	.	PUNCT
ihlr-16489	458	1	either	either	DET
ihlr-16489	458	2	index	index	NOUN
ihlr-16489	458	3	would	would	AUX
ihlr-16489	458	4	be	be	AUX
ihlr-16489	458	5	a	a	DET
ihlr-16489	458	6	much	much	ADV
ihlr-16489	458	7	more	more	ADV
ihlr-16489	458	8	rational	rational	ADJ
ihlr-16489	458	9	benchmark	benchmark	NOUN
ihlr-16489	458	10	for	for	ADP
ihlr-16489	458	11	physician	physician	NOUN
ihlr-16489	458	12	reimbursement	reimbursement	NOUN
ihlr-16489	458	13	and	and	CCONJ
ihlr-16489	458	14	would	would	AUX
ihlr-16489	458	15	prevent	prevent	VERB
ihlr-16489	458	16	the	the	DET
ihlr-16489	458	17	absurd	absurd	ADJ
ihlr-16489	458	18	predicaments	predicament	NOUN
ihlr-16489	458	19	of	of	ADP
ihlr-16489	458	20	the	the	DET
ihlr-16489	458	21	past	past	ADJ
ihlr-16489	458	22	several	several	ADJ
ihlr-16489	458	23	years	year	NOUN
ihlr-16489	458	24	in	in	ADP
ihlr-16489	458	25	which	which	PRON
ihlr-16489	458	26	congress	congress	PROPN
ihlr-16489	458	27	has	have	AUX
ihlr-16489	458	28	intervened	intervene	VERB
ihlr-16489	458	29	at	at	ADP
ihlr-16489	458	30	the	the	DET
ihlr-16489	458	31	last	last	ADJ
ihlr-16489	458	32	minute	minute	NOUN
ihlr-16489	458	33	to	to	PART
ihlr-16489	458	34	save	save	VERB
ihlr-16489	458	35	physicians	physician	NOUN
ihlr-16489	458	36	from	from	ADP
ihlr-16489	458	37	payment	payment	NOUN
ihlr-16489	458	38	rate	rate	NOUN
ihlr-16489	458	39	decreases	decrease	NOUN
ihlr-16489	458	40	.	.	PUNCT
ihlr-16489	459	1	to	to	PART
ihlr-16489	459	2	correct	correct	VERB
ihlr-16489	459	3	for	for	ADP
ihlr-16489	459	4	imbalances	imbalance	NOUN
ihlr-16489	459	5	among	among	ADP
ihlr-16489	459	6	specialties	specialty	NOUN
ihlr-16489	459	7	that	that	PRON
ihlr-16489	459	8	may	may	AUX
ihlr-16489	459	9	occur	occur	VERB
ihlr-16489	459	10	under	under	ADP
ihlr-16489	459	11	an	an	DET
ihlr-16489	459	12	annual	annual	ADJ
ihlr-16489	459	13	update	update	NOUN
ihlr-16489	459	14	,	,	PUNCT
ihlr-16489	459	15	congress	congress	PROPN
ihlr-16489	459	16	could	could	AUX
ihlr-16489	459	17	commission	commission	VERB
ihlr-16489	459	18	70	70	NUM
ihlr-16489	459	19	.	.	PUNCT
ihlr-16489	460	1	for	for	ADP
ihlr-16489	460	2	additional	additional	ADJ
ihlr-16489	460	3	details	detail	NOUN
ihlr-16489	460	4	on	on	ADP
ihlr-16489	460	5	the	the	DET
ihlr-16489	460	6	conceptual	conceptual	ADJ
ihlr-16489	460	7	flaws	flaw	NOUN
ihlr-16489	460	8	of	of	ADP
ihlr-16489	460	9	the	the	DET
ihlr-16489	460	10	current	current	ADJ
ihlr-16489	460	11	medicare	medicare	PROPN
ihlr-16489	460	12	fee	fee	NOUN
ihlr-16489	460	13	schedule	schedule	NOUN
ihlr-16489	460	14	,	,	PUNCT
ihlr-16489	460	15	see	see	VERB
ihlr-16489	460	16	robert	robert	PROPN
ihlr-16489	460	17	e.	e.	PROPN
ihlr-16489	460	18	moffit	moffit	PROPN
ihlr-16489	460	19	,	,	PUNCT
ihlr-16489	460	20	comparable	comparable	ADJ
ihlr-16489	460	21	worth	worth	ADJ
ihlr-16489	460	22	for	for	ADP
ihlr-16489	460	23	doctors	doctor	NOUN
ihlr-16489	460	24	:	:	PUNCT
ihlr-16489	460	25	a	a	DET
ihlr-16489	460	26	severe	severe	ADJ
ihlr-16489	460	27	case	case	NOUN
ihlr-16489	460	28	of	of	ADP
ihlr-16489	460	29	government	government	NOUN
ihlr-16489	460	30	malpractice	malpractice	NOUN
ihlr-16489	460	31	,	,	PUNCT
ihlr-16489	460	32	heritage	heritage	NOUN
ihlr-16489	460	33	found	find	VERB
ihlr-16489	460	34	.	.	PUNCT
ihlr-16489	461	1	backgrounder	backgrounder	NOUN
ihlr-16489	461	2	no	no	INTJ
ihlr-16489	461	3	.	.	PROPN
ihlr-16489	461	4	855	855	NUM
ihlr-16489	461	5	,	,	PUNCT
ihlr-16489	461	6	sept	sept	PROPN
ihlr-16489	461	7	.	.	PROPN
ihlr-16489	461	8	23	23	NUM
ihlr-16489	461	9	,	,	PUNCT
ihlr-16489	461	10	1991	1991	NUM
ihlr-16489	461	11	,	,	PUNCT
ihlr-16489	461	12	available	available	ADJ
ihlr-16489	461	13	at	at	ADP
ihlr-16489	461	14	http:/jwww.heritage.orgfr.esearch!healthcare!bg855.c	http:/jwww.heritage.orgfr.esearch!healthcare!bg855.c	PROPN
ihlr-16489	461	15	:	:	PUNCT
ihlr-16489	461	16	fin	fin	NOUN
ihlr-16489	461	17	(	(	PUNCT
ihlr-16489	461	18	last	last	ADJ
ihlr-16489	461	19	visited	visit	VERB
ihlr-16489	461	20	may	may	AUX
ihlr-16489	461	21	20	20	NUM
ihlr-16489	461	22	,	,	PUNCT
ihlr-16489	461	23	2006	2006	NUM
ihlr-16489	461	24	)	)	PUNCT
ihlr-16489	461	25	;	;	PUNCT
ihlr-16489	461	26	h.e	h.e	PROPN
ihlr-16489	461	27	.	.	PROPN
ihlr-16489	461	28	frech	frech	PROPN
ihlr-16489	461	29	iii	iii	PROPN
ihlr-16489	461	30	,	,	PUNCT
ihlr-16489	461	31	overview	overview	NOUN
ihlr-16489	461	32	of	of	ADP
ihlr-16489	461	33	policy	policy	NOUN
ihlr-16489	461	34	issues	issue	NOUN
ihlr-16489	461	35	,	,	PUNCT
ihlr-16489	461	36	in	in	ADP
ihlr-16489	461	37	regulating	regulate	VERB
ihlr-16489	461	38	doctors	doctor	NOUN
ihlr-16489	461	39	'	'	PART
ihlr-16489	461	40	fees	fee	NOUN
ihlr-16489	461	41	:	:	PUNCT
ihlr-16489	461	42	compensation	compensation	NOUN
ihlr-16489	461	43	,	,	PUNCT
ihlr-16489	461	44	benefits	benefit	NOUN
ihlr-16489	461	45	,	,	PUNCT
ihlr-16489	461	46	and	and	CCONJ
ihlr-16489	461	47	controls	control	NOUN
ihlr-16489	461	48	under	under	ADP
ihlr-16489	461	49	medicare	medicare	PROPN
ihlr-16489	461	50	(	(	PUNCT
ihlr-16489	461	51	h.e	h.e	PROPN
ihlr-16489	461	52	.	.	PROPN
ihlr-16489	461	53	frech	frech	PROPN
ihlr-16489	461	54	iii	iii	PROPN
ihlr-16489	462	1	ed	ed	NOUN
ihlr-16489	462	2	.	.	PROPN
ihlr-16489	462	3	,	,	PUNCT
ihlr-16489	462	4	1991	1991	NUM
ihlr-16489	462	5	)	)	PUNCT
ihlr-16489	462	6	.	.	PUNCT
ihlr-16489	463	1	418	418	NUM
ihlr-16489	463	2	indiana	indiana	PROPN
ihlr-16489	463	3	health	health	PROPN
ihlr-16489	463	4	law	law	PROPN
ihlr-16489	463	5	review	review	NOUN
ihlr-16489	463	6	[	[	X
ihlr-16489	463	7	vol	vol	NOUN
ihlr-16489	463	8	.	.	PUNCT
ihlr-16489	464	1	3:391	3:391	NUM
ihlr-16489	464	2	med.p	med.p	PROPN
ihlr-16489	464	3	ac	ac	PROPN
ihlr-16489	464	4	to	to	PART
ihlr-16489	464	5	recommend	recommend	VERB
ihlr-16489	464	6	adjustments	adjustment	NOUN
ihlr-16489	464	7	on	on	ADP
ihlr-16489	464	8	the	the	DET
ihlr-16489	464	9	basis	basis	NOUN
ihlr-16489	464	10	of	of	ADP
ihlr-16489	464	11	market	market	NOUN
ihlr-16489	464	12	surveys	survey	NOUN
ihlr-16489	464	13	in	in	ADP
ihlr-16489	464	14	order	order	NOUN
ihlr-16489	464	15	to	to	PART
ihlr-16489	464	16	reflect	reflect	VERB
ihlr-16489	464	17	real	real	ADJ
ihlr-16489	464	18	changes	change	NOUN
ihlr-16489	464	19	in	in	ADP
ihlr-16489	464	20	supply	supply	NOUN
ihlr-16489	464	21	and	and	CCONJ
ihlr-16489	464	22	demand	demand	NOUN
ihlr-16489	464	23	in	in	ADP
ihlr-16489	464	24	the	the	DET
ihlr-16489	464	25	medical	medical	ADJ
ihlr-16489	464	26	market	market	NOUN
ihlr-16489	464	27	.	.	PUNCT
ihlr-16489	465	1	3	3	X
ihlr-16489	465	2	.	.	X
ihlr-16489	465	3	remove	remove	VERB
ihlr-16489	465	4	medicare	medicare	PROPN
ihlr-16489	465	5	restrictions	restriction	NOUN
ihlr-16489	465	6	on	on	ADP
ihlr-16489	465	7	balance	balance	NOUN
ihlr-16489	465	8	billing	billing	NOUN
ihlr-16489	465	9	and	and	CCONJ
ihlr-16489	465	10	private	private	ADJ
ihlr-16489	465	11	contracting	contracting	NOUN
ihlr-16489	465	12	.	.	PUNCT
ihlr-16489	466	1	prices	price	NOUN
ihlr-16489	466	2	for	for	ADP
ihlr-16489	466	3	health	health	NOUN
ihlr-16489	466	4	care	care	NOUN
ihlr-16489	466	5	services	service	NOUN
ihlr-16489	466	6	delivered	deliver	VERB
ihlr-16489	466	7	to	to	ADP
ihlr-16489	466	8	medicare	medicare	PROPN
ihlr-16489	466	9	recipients	recipient	NOUN
ihlr-16489	466	10	are	be	AUX
ihlr-16489	466	11	currently	currently	ADV
ihlr-16489	466	12	fixed	fix	VERB
ihlr-16489	466	13	by	by	ADP
ihlr-16489	466	14	balance	balance	NOUN
ihlr-16489	466	15	-	-	PUNCT
ihlr-16489	466	16	billing	billing	NOUN
ihlr-16489	466	17	restrictions	restriction	NOUN
ihlr-16489	466	18	.	.	PUNCT
ihlr-16489	467	1	beyond	beyond	ADP
ihlr-16489	467	2	these	these	DET
ihlr-16489	467	3	conventional	conventional	ADJ
ihlr-16489	467	4	medicare	medicare	PROPN
ihlr-16489	467	5	billing	billing	NOUN
ihlr-16489	467	6	limitations	limitation	NOUN
ihlr-16489	467	7	,	,	PUNCT
ihlr-16489	467	8	even	even	ADV
ihlr-16489	467	9	if	if	SCONJ
ihlr-16489	467	10	a	a	DET
ihlr-16489	467	11	medicare	medicare	PROPN
ihlr-16489	467	12	enrollee	enrollee	PROPN
ihlr-16489	467	13	wanted	want	VERB
ihlr-16489	467	14	to	to	PART
ihlr-16489	467	15	pay	pay	VERB
ihlr-16489	467	16	out	out	ADP
ihlr-16489	467	17	of	of	ADP
ihlr-16489	467	18	pocket	pocket	NOUN
ihlr-16489	467	19	to	to	PART
ihlr-16489	467	20	receive	receive	VERB
ihlr-16489	467	21	more	more	ADJ
ihlr-16489	467	22	of	of	ADP
ihlr-16489	467	23	a	a	DET
ihlr-16489	467	24	given	give	VERB
ihlr-16489	467	25	service	service	NOUN
ihlr-16489	467	26	than	than	ADP
ihlr-16489	467	27	medicare	medicare	PROPN
ihlr-16489	467	28	allows	allow	VERB
ihlr-16489	467	29	(	(	PUNCT
ihlr-16489	467	30	e.g.	e.g.	ADV
ihlr-16489	467	31	,	,	PUNCT
ihlr-16489	467	32	a	a	DET
ihlr-16489	467	33	greater	great	ADJ
ihlr-16489	467	34	number	number	NOUN
ihlr-16489	467	35	of	of	ADP
ihlr-16489	467	36	physician	physician	NOUN
ihlr-16489	467	37	visits	visit	NOUN
ihlr-16489	467	38	to	to	ADP
ihlr-16489	467	39	a	a	DET
ihlr-16489	467	40	nursing	nursing	NOUN
ihlr-16489	467	41	home	home	NOUN
ihlr-16489	467	42	)	)	PUNCT
ihlr-16489	467	43	,	,	PUNCT
ihlr-16489	467	44	he	he	PRON
ihlr-16489	467	45	or	or	CCONJ
ihlr-16489	467	46	she	she	PRON
ihlr-16489	467	47	could	could	AUX
ihlr-16489	467	48	not	not	PART
ihlr-16489	467	49	do	do	VERB
ihlr-16489	467	50	so	so	ADV
ihlr-16489	467	51	without	without	ADP
ihlr-16489	467	52	encountering	encounter	VERB
ihlr-16489	467	53	other	other	ADJ
ihlr-16489	467	54	legal	legal	ADJ
ihlr-16489	467	55	restrictions	restriction	NOUN
ihlr-16489	467	56	.	.	PUNCT
ihlr-16489	468	1	71	71	NUM
ihlr-16489	468	2	the	the	DET
ihlr-16489	468	3	most	most	ADV
ihlr-16489	468	4	important	important	ADJ
ihlr-16489	468	5	is	be	AUX
ihlr-16489	468	6	a	a	DET
ihlr-16489	468	7	legal	legal	ADJ
ihlr-16489	468	8	obstacle	obstacle	NOUN
ihlr-16489	468	9	to	to	ADP
ihlr-16489	468	10	private	private	ADJ
ihlr-16489	468	11	contracts	contract	NOUN
ihlr-16489	468	12	in	in	ADP
ihlr-16489	468	13	medicare	medicare	PROPN
ihlr-16489	468	14	,	,	PUNCT
ihlr-16489	468	15	coincidentally	coincidentally	ADV
ihlr-16489	468	16	the	the	DET
ihlr-16489	468	17	feature	feature	NOUN
ihlr-16489	468	18	of	of	ADP
ihlr-16489	468	19	canada	canada	PROPN
ihlr-16489	468	20	's	's	PART
ihlr-16489	468	21	single	single	ADJ
ihlr-16489	468	22	-	-	PUNCT
ihlr-16489	468	23	payer	payer	NOUN
ihlr-16489	468	24	system	system	NOUN
ihlr-16489	468	25	that	that	PRON
ihlr-16489	468	26	was	be	AUX
ihlr-16489	468	27	recently	recently	ADV
ihlr-16489	468	28	declared	declare	VERB
ihlr-16489	468	29	unconstitutional	unconstitutional	ADJ
ihlr-16489	468	30	by	by	ADP
ihlr-16489	468	31	the	the	DET
ihlr-16489	468	32	canadian	canadian	PROPN
ihlr-16489	468	33	supreme	supreme	PROPN
ihlr-16489	468	34	court	court	PROPN
ihlr-16489	468	35	because	because	SCONJ
ihlr-16489	468	36	it	it	PRON
ihlr-16489	468	37	can	can	AUX
ihlr-16489	468	38	result	result	VERB
ihlr-16489	468	39	in	in	ADP
ihlr-16489	468	40	increased	increase	VERB
ihlr-16489	468	41	patient	patient	ADJ
ihlr-16489	468	42	suffering	suffering	NOUN
ihlr-16489	468	43	.	.	PUNCT
ihlr-16489	469	1	72	72	NUM
ihlr-16489	469	2	medicare	medicare	PROPN
ihlr-16489	469	3	's	's	PART
ihlr-16489	469	4	restrictions	restriction	NOUN
ihlr-16489	469	5	on	on	ADP
ihlr-16489	469	6	private	private	ADJ
ihlr-16489	469	7	contracts	contract	NOUN
ihlr-16489	469	8	should	should	AUX
ihlr-16489	469	9	be	be	AUX
ihlr-16489	469	10	lifted	lift	VERB
ihlr-16489	469	11	,	,	PUNCT
ihlr-16489	469	12	subject	subject	ADJ
ihlr-16489	469	13	to	to	ADP
ihlr-16489	469	14	a	a	DET
ihlr-16489	469	15	means	means	NOUN
ihlr-16489	469	16	test	test	NOUN
ihlr-16489	469	17	to	to	PART
ihlr-16489	469	18	protect	protect	VERB
ihlr-16489	469	19	the	the	DET
ihlr-16489	469	20	wlnerable	wlnerable	NOUN
ihlr-16489	469	21	,	,	PUNCT
ihlr-16489	469	22	and	and	CCONJ
ihlr-16489	469	23	provider	provider	NOUN
ihlr-16489	469	24	prices	price	NOUN
ihlr-16489	469	25	should	should	AUX
ihlr-16489	469	26	be	be	AUX
ihlr-16489	469	27	allowed	allow	VERB
ihlr-16489	469	28	to	to	PART
ihlr-16489	469	29	fluctuate	fluctuate	VERB
ihlr-16489	469	30	with	with	ADP
ihlr-16489	469	31	positive	positive	ADJ
ihlr-16489	469	32	or	or	CCONJ
ihlr-16489	469	33	negative	negative	ADJ
ihlr-16489	469	34	balance	balance	NOUN
ihlr-16489	469	35	billings	billing	NOUN
ihlr-16489	469	36	,	,	PUNCT
ihlr-16489	469	37	even	even	ADV
ihlr-16489	469	38	if	if	SCONJ
ihlr-16489	469	39	the	the	DET
ihlr-16489	469	40	government	government	NOUN
ihlr-16489	469	41	's	's	PART
ihlr-16489	469	42	share	share	NOUN
ihlr-16489	469	43	is	be	AUX
ihlr-16489	469	44	fixed	fix	VERB
ihlr-16489	469	45	through	through	ADP
ihlr-16489	469	46	prospective	prospective	ADJ
ihlr-16489	469	47	payment	payment	NOUN
ihlr-16489	469	48	.	.	PUNCT
ihlr-16489	470	1	the	the	DET
ihlr-16489	470	2	medicare	medicare	PROPN
ihlr-16489	470	3	beneficiary	beneficiary	NOUN
ihlr-16489	470	4	freedom	freedom	NOUN
ihlr-16489	470	5	to	to	PART
ihlr-16489	470	6	contract	contract	VERB
ihlr-16489	470	7	act	act	PROPN
ihlr-16489	470	8	(	(	PUNCT
ihlr-16489	470	9	h.r	h.r	PROPN
ihlr-16489	470	10	.	.	PROPN
ihlr-16489	470	11	709	709	NUM
ihlr-16489	470	12	)	)	PUNCT
ihlr-16489	470	13	,	,	PUNCT
ihlr-16489	470	14	73	73	NUM
ihlr-16489	470	15	introduced	introduce	VERB
ihlr-16489	470	16	by	by	ADP
ihlr-16489	470	17	representative	representative	ADJ
ihlr-16489	470	18	sam	sam	PROPN
ihlr-16489	470	19	johnson	johnson	PROPN
ihlr-16489	470	20	(	(	PUNCT
ihlr-16489	470	21	r	r	NOUN
ihlr-16489	470	22	-	-	PUNCT
ihlr-16489	470	23	tx	tx	NOUN
ihlr-16489	470	24	)	)	PUNCT
ihlr-16489	470	25	,	,	PUNCT
ihlr-16489	470	26	would	would	AUX
ihlr-16489	470	27	remove	remove	VERB
ihlr-16489	470	28	all	all	DET
ihlr-16489	470	29	restrictions	restriction	NOUN
ihlr-16489	470	30	on	on	ADP
ihlr-16489	470	31	private	private	ADJ
ihlr-16489	470	32	contracts	contract	NOUN
ihlr-16489	470	33	between	between	ADP
ihlr-16489	470	34	medicare	medicare	PROPN
ihlr-16489	470	35	beneficiaries	beneficiary	NOUN
ihlr-16489	470	36	and	and	CCONJ
ihlr-16489	470	37	health	health	NOUN
ihlr-16489	470	38	care	care	NOUN
ihlr-16489	470	39	practitioners	practitioner	NOUN
ihlr-16489	470	40	.	.	PUNCT
ihlr-16489	471	1	4	4	X
ihlr-16489	471	2	.	.	X
ihlr-16489	471	3	require	require	VERB
ihlr-16489	471	4	price	price	NOUN
ihlr-16489	471	5	transparency	transparency	NOUN
ihlr-16489	471	6	of	of	ADP
ihlr-16489	471	7	medicare	medicare	PROPN
ihlr-16489	471	8	-	-	PUNCT
ihlr-16489	471	9	reimbursed	reimburse	VERB
ihlr-16489	471	10	services	service	NOUN
ihlr-16489	471	11	.	.	PUNCT
ihlr-16489	472	1	price	price	NOUN
ihlr-16489	472	2	is	be	AUX
ihlr-16489	472	3	the	the	DET
ihlr-16489	472	4	mechanism	mechanism	NOUN
ihlr-16489	472	5	by	by	ADP
ihlr-16489	472	6	which	which	PRON
ihlr-16489	472	7	buyers	buyer	NOUN
ihlr-16489	472	8	and	and	CCONJ
ihlr-16489	472	9	sellers	seller	NOUN
ihlr-16489	472	10	communicate	communicate	VERB
ihlr-16489	472	11	in	in	ADP
ihlr-16489	472	12	the	the	DET
ihlr-16489	472	13	marketplace	marketplace	NOUN
ihlr-16489	472	14	.	.	PUNCT
ihlr-16489	473	1	vigorous	vigorous	ADJ
ihlr-16489	473	2	competition	competition	NOUN
ihlr-16489	473	3	to	to	PART
ihlr-16489	473	4	provide	provide	VERB
ihlr-16489	473	5	the	the	DET
ihlr-16489	473	6	best	good	ADJ
ihlr-16489	473	7	quality	quality	NOUN
ihlr-16489	473	8	at	at	ADP
ihlr-16489	473	9	the	the	DET
ihlr-16489	473	10	best	good	ADJ
ihlr-16489	473	11	price	price	NOUN
ihlr-16489	473	12	drives	drive	VERB
ihlr-16489	473	13	superior	superior	ADJ
ihlr-16489	473	14	performance	performance	NOUN
ihlr-16489	473	15	.	.	PUNCT
ihlr-16489	474	1	despite	despite	SCONJ
ihlr-16489	474	2	the	the	DET
ihlr-16489	474	3	importance	importance	NOUN
ihlr-16489	474	4	of	of	ADP
ihlr-16489	474	5	price	price	NOUN
ihlr-16489	474	6	,	,	PUNCT
ihlr-16489	474	7	health	health	NOUN
ihlr-16489	474	8	care	care	NOUN
ihlr-16489	474	9	consumers	consumer	NOUN
ihlr-16489	474	10	currently	currently	ADV
ihlr-16489	474	11	find	find	VERB
ihlr-16489	474	12	it	it	PRON
ihlr-16489	474	13	very	very	ADV
ihlr-16489	474	14	difficult	difficult	ADJ
ihlr-16489	474	15	to	to	PART
ihlr-16489	474	16	acquire	acquire	VERB
ihlr-16489	474	17	pricing	pricing	NOUN
ihlr-16489	474	18	information	information	NOUN
ihlr-16489	474	19	from	from	ADP
ihlr-16489	474	20	providers	provider	NOUN
ihlr-16489	474	21	,	,	PUNCT
ihlr-16489	474	22	even	even	ADV
ihlr-16489	474	23	when	when	SCONJ
ihlr-16489	474	24	they	they	PRON
ihlr-16489	474	25	make	make	VERB
ihlr-16489	474	26	a	a	DET
ihlr-16489	474	27	concerted	concerted	ADJ
ihlr-16489	474	28	effort	effort	NOUN
ihlr-16489	474	29	to	to	PART
ihlr-16489	474	30	do	do	AUX
ihlr-16489	474	31	so	so	ADV
ihlr-16489	474	32	.	.	PUNCT
ihlr-16489	475	1	a	a	DET
ihlr-16489	475	2	recent	recent	ADJ
ihlr-16489	475	3	survey	survey	NOUN
ihlr-16489	475	4	by	by	ADP
ihlr-16489	475	5	towers	tower	NOUN
ihlr-16489	475	6	perrin	perrin	NOUN
ihlr-16489	475	7	of	of	ADP
ihlr-16489	475	8	1,400	1,400	NUM
ihlr-16489	475	9	employees	employee	NOUN
ihlr-16489	475	10	in	in	ADP
ihlr-16489	475	11	various	various	ADJ
ihlr-16489	475	12	health	health	NOUN
ihlr-16489	475	13	plans	plan	NOUN
ihlr-16489	475	14	found	find	VERB
ihlr-16489	475	15	that	that	SCONJ
ihlr-16489	475	16	eight	eight	NUM
ihlr-16489	475	17	-	-	PUNCT
ihlr-16489	475	18	five	five	NUM
ihlr-16489	475	19	percent	percent	NOUN
ihlr-16489	475	20	felt	feel	VERB
ihlr-16489	475	21	that	that	SCONJ
ihlr-16489	475	22	they	they	PRON
ihlr-16489	475	23	needed	need	VERB
ihlr-16489	475	24	more	more	ADJ
ihlr-16489	475	25	information	information	NOUN
ihlr-16489	475	26	to	to	PART
ihlr-16489	475	27	make	make	VERB
ihlr-16489	475	28	good	good	ADJ
ihlr-16489	475	29	health	health	NOUN
ihlr-16489	475	30	care	care	NOUN
ihlr-16489	475	31	decisions	decision	NOUN
ihlr-16489	475	32	,	,	PUNCT
ihlr-16489	475	33	specifically	specifically	ADV
ihlr-16489	475	34	information	information	NOUN
ihlr-16489	475	35	about	about	ADP
ihlr-16489	475	36	price	price	NOUN
ihlr-16489	475	37	and	and	CCONJ
ihlr-16489	475	38	quality.74	quality.74	ADJ
ihlr-16489	475	39	physicians	physician	NOUN
ihlr-16489	475	40	and	and	CCONJ
ihlr-16489	475	41	other	other	ADJ
ihlr-16489	475	42	health	health	NOUN
ihlr-16489	475	43	care	care	NOUN
ihlr-16489	475	44	providers	provider	NOUN
ihlr-16489	475	45	in	in	ADP
ihlr-16489	475	46	71	71	NUM
ihlr-16489	475	47	.	.	PUNCT
ihlr-16489	476	1	as	as	SCONJ
ihlr-16489	476	2	cited	cite	VERB
ihlr-16489	476	3	earlier	early	ADV
ihlr-16489	476	4	,	,	PUNCT
ihlr-16489	476	5	under	under	ADP
ihlr-16489	476	6	medicare	medicare	PROPN
ihlr-16489	476	7	law	law	NOUN
ihlr-16489	476	8	,	,	PUNCT
ihlr-16489	476	9	with	with	ADP
ihlr-16489	476	10	certain	certain	ADJ
ihlr-16489	476	11	regulatory	regulatory	ADJ
ihlr-16489	476	12	exceptions	exception	NOUN
ihlr-16489	476	13	,	,	PUNCT
ihlr-16489	476	14	any	any	DET
ihlr-16489	476	15	physician	physician	NOUN
ihlr-16489	476	16	who	who	PRON
ihlr-16489	476	17	establishes	establish	VERB
ihlr-16489	476	18	a	a	DET
ihlr-16489	476	19	private	private	ADJ
ihlr-16489	476	20	contract	contract	NOUN
ihlr-16489	476	21	to	to	PART
ihlr-16489	476	22	treat	treat	VERB
ihlr-16489	476	23	a	a	DET
ihlr-16489	476	24	medicare	medicare	PROPN
ihlr-16489	476	25	patient	patient	NOUN
ihlr-16489	476	26	is	be	AUX
ihlr-16489	476	27	prohibited	prohibit	VERB
ihlr-16489	476	28	from	from	ADP
ihlr-16489	476	29	billing	billing	NOUN
ihlr-16489	476	30	medicare	medicare	NOUN
ihlr-16489	476	31	for	for	ADP
ihlr-16489	476	32	any	any	DET
ihlr-16489	476	33	patients	patient	NOUN
ihlr-16489	476	34	for	for	ADP
ihlr-16489	476	35	two	two	NUM
ihlr-16489	476	36	years	year	NOUN
ihlr-16489	476	37	.	.	PUNCT
ihlr-16489	477	1	supra	supra	PROPN
ihlr-16489	477	2	note	note	PROPN
ihlr-16489	477	3	16	16	NUM
ihlr-16489	477	4	.	.	PUNCT
ihlr-16489	478	1	72	72	NUM
ihlr-16489	478	2	.	.	PUNCT
ihlr-16489	479	1	jacques	jacques	PROPN
ihlr-16489	479	2	cbaoulli	cbaoulli	PROPN
ihlr-16489	479	3	,	,	PUNCT
ihlr-16489	479	4	lecture	lecture	NOUN
ihlr-16489	479	5	at	at	ADP
ihlr-16489	479	6	the	the	DET
ihlr-16489	479	7	heritage	heritage	NOUN
ihlr-16489	479	8	foundation	foundation	PROPN
ihlr-16489	479	9	(	(	PUNCT
ihlr-16489	479	10	july	july	PROPN
ihlr-16489	479	11	22	22	NUM
ihlr-16489	479	12	,	,	PUNCT
ihlr-16489	479	13	2005	2005	NUM
ihlr-16489	479	14	)	)	PUNCT
ihlr-16489	479	15	(	(	PUNCT
ihlr-16489	479	16	transcript	transcript	NOUN
ihlr-16489	479	17	available	available	ADJ
ihlr-16489	479	18	at	at	ADP
ihlr-16489	479	19	http://www.heritage.orgiresearch/healthcarelhl892.cftn	http://www.heritage.orgiresearch/healthcarelhl892.cftn	ADJ
ihlr-16489	479	20	(	(	PUNCT
ihlr-16489	479	21	last	last	ADJ
ihlr-16489	479	22	visited	visit	VERB
ihlr-16489	479	23	may	may	AUX
ihlr-16489	479	24	20	20	NUM
ihlr-16489	479	25	,	,	PUNCT
ihlr-16489	479	26	2006	2006	NUM
ihlr-16489	479	27	)	)	PUNCT
ihlr-16489	479	28	)	)	PUNCT
ihlr-16489	479	29	.	.	PUNCT
ihlr-16489	480	1	73	73	NUM
ihlr-16489	480	2	.	.	PUNCT
ihlr-16489	481	1	h.r	h.r	PROPN
ihlr-16489	481	2	.	.	PROPN
ihlr-16489	481	3	709	709	NUM
ihlr-16489	481	4	,	,	PUNCT
ihlr-16489	481	5	109th	109th	ADJ
ihlr-16489	481	6	cong~	cong~	NOUN
ihlr-16489	481	7	(	(	PUNCT
ihlr-16489	481	8	2005	2005	NUM
ihlr-16489	481	9	)	)	PUNCT
ihlr-16489	481	10	.	.	PUNCT
ihlr-16489	482	1	74	74	NUM
ihlr-16489	482	2	.	.	PUNCT
ihlr-16489	483	1	vanessa	vanessa	NOUN
ihlr-16489	483	2	fuhrmans	fuhrman	NOUN
ihlr-16489	483	3	,	,	PUNCT
ihlr-16489	483	4	patients	patient	NOUN
ihlr-16489	483	5	give	give	VERB
ihlr-16489	483	6	new	new	ADJ
ihlr-16489	483	7	insurance	insurance	NOUN
ihlr-16489	483	8	mrxed	mrxe	VERB
ihlr-16489	483	9	reviews	review	NOUN
ihlr-16489	483	10	,	,	PUNCT
ihlr-16489	483	11	w	w	PROPN
ihlr-16489	483	12	au	au	PROPN
ihlr-16489	483	13	.	.	PROPN
ihlr-16489	483	14	st	st	PROPN
ihlr-16489	483	15	.	.	PROPN
ihlr-16489	483	16	j.	j.	PROPN
ihlr-16489	483	17	,	,	PUNCT
ihlr-16489	483	18	june	june	PROPN
ihlr-16489	483	19	14	14	NUM
ihlr-16489	483	20	,	,	PUNCT
ihlr-16489	483	21	2005	2005	NUM
ihlr-16489	483	22	,	,	PUNCT
ihlr-16489	483	23	at	at	ADP
ihlr-16489	483	24	dl	dl	PROPN
ihlr-16489	483	25	.	.	PROPN
ihlr-16489	483	26	2006	2006	NUM
ihlr-16489	483	27	]	]	PUNCT
ihlr-16489	483	28	pay	pay	VERB
ihlr-16489	483	29	for	for	ADP
ihlr-16489	483	30	performance	performance	NOUN
ihlr-16489	483	31	or	or	CCONJ
ihlr-16489	483	32	compliance	compliance	NOUN
ihlr-16489	483	33	?	?	PUNCT
ihlr-16489	484	1	419	419	NUM
ihlr-16489	484	2	medicare	medicare	NOUN
ihlr-16489	484	3	should	should	AUX
ihlr-16489	484	4	be	be	AUX
ihlr-16489	484	5	obligated	obligate	VERB
ihlr-16489	484	6	to	to	PART
ihlr-16489	484	7	publish	publish	VERB
ihlr-16489	484	8	prices	price	NOUN
ihlr-16489	484	9	and	and	CCONJ
ihlr-16489	484	10	make	make	VERB
ihlr-16489	484	11	them	they	PRON
ihlr-16489	484	12	available	available	ADJ
ihlr-16489	484	13	,	,	PUNCT
ihlr-16489	484	14	when	when	SCONJ
ihlr-16489	484	15	possible	possible	ADJ
ihlr-16489	484	16	,	,	PUNCT
ihlr-16489	484	17	to	to	ADP
ihlr-16489	484	18	patients	patient	NOUN
ihlr-16489	484	19	before	before	SCONJ
ihlr-16489	484	20	procedures	procedure	NOUN
ihlr-16489	484	21	are	be	AUX
ihlr-16489	484	22	performed	perform	VERB
ihlr-16489	484	23	.	.	PUNCT
ihlr-16489	485	1	5	5	X
ihlr-16489	485	2	.	.	X
ihlr-16489	485	3	encourage	encourage	VERB
ihlr-16489	485	4	private	private	ADJ
ihlr-16489	485	5	-	-	PUNCT
ihlr-16489	485	6	sector	sector	NOUN
ihlr-16489	485	7	development	development	NOUN
ihlr-16489	485	8	of	of	ADP
ihlr-16489	485	9	quality	quality	NOUN
ihlr-16489	485	10	information	information	NOUN
ihlr-16489	485	11	.	.	PUNCT
ihlr-16489	486	1	the	the	DET
ihlr-16489	486	2	universal	universal	ADJ
ihlr-16489	486	3	disclosure	disclosure	NOUN
ihlr-16489	486	4	of	of	ADP
ihlr-16489	486	5	prices	price	NOUN
ihlr-16489	486	6	will	will	AUX
ihlr-16489	486	7	generate	generate	VERB
ihlr-16489	486	8	patient	patient	ADJ
ihlr-16489	486	9	demand	demand	NOUN
ihlr-16489	486	10	for	for	ADP
ihlr-16489	486	11	better	well	ADJ
ihlr-16489	486	12	information	information	NOUN
ihlr-16489	486	13	about	about	ADP
ihlr-16489	486	14	quality	quality	NOUN
ihlr-16489	486	15	of	of	ADP
ihlr-16489	486	16	care	care	NOUN
ihlr-16489	486	17	.	.	PUNCT
ihlr-16489	487	1	if	if	SCONJ
ihlr-16489	487	2	consumers	consumer	NOUN
ihlr-16489	487	3	,	,	PUNCT
ihlr-16489	487	4	with	with	ADP
ihlr-16489	487	5	the	the	DET
ihlr-16489	487	6	help	help	NOUN
ihlr-16489	487	7	ofhealth	ofhealth	PROPN
ihlr-16489	487	8	care	care	PROPN
ihlr-16489	487	9	professionals	professional	NOUN
ihlr-16489	487	10	,	,	PUNCT
ihlr-16489	487	11	decide	decide	VERB
ihlr-16489	487	12	which	which	DET
ihlr-16489	487	13	criteria	criterion	NOUN
ihlr-16489	487	14	they	they	PRON
ihlr-16489	487	15	value	value	VERB
ihlr-16489	487	16	and	and	CCONJ
ihlr-16489	487	17	which	which	DET
ihlr-16489	487	18	sources	source	NOUN
ihlr-16489	487	19	of	of	ADP
ihlr-16489	487	20	information	information	NOUN
ihlr-16489	487	21	they	they	PRON
ihlr-16489	487	22	wish	wish	VERB
ihlr-16489	487	23	to	to	PART
ihlr-16489	487	24	rely	rely	VERB
ihlr-16489	487	25	upon	upon	SCONJ
ihlr-16489	487	26	in	in	ADP
ihlr-16489	487	27	making	make	VERB
ihlr-16489	487	28	their	their	PRON
ihlr-16489	487	29	decisions	decision	NOUN
ihlr-16489	487	30	,	,	PUNCT
ihlr-16489	487	31	the	the	DET
ihlr-16489	487	32	private	private	ADJ
ihlr-16489	487	33	sector	sector	NOUN
ihlr-16489	487	34	will	will	AUX
ihlr-16489	487	35	respond	respond	VERB
ihlr-16489	487	36	with	with	ADP
ihlr-16489	487	37	patient	patient	NOUN
ihlr-16489	487	38	-	-	PUNCT
ihlr-16489	487	39	empowering	empower	VERB
ihlr-16489	487	40	tools	tool	NOUN
ihlr-16489	487	41	that	that	PRON
ihlr-16489	487	42	increase	increase	VERB
ihlr-16489	487	43	the	the	DET
ihlr-16489	487	44	capacity	capacity	NOUN
ihlr-16489	487	45	to	to	PART
ihlr-16489	487	46	make	make	VERB
ihlr-16489	487	47	personal	personal	ADJ
ihlr-16489	487	48	medical	medical	ADJ
ihlr-16489	487	49	decisions	decision	NOUN
ihlr-16489	487	50	.	.	PUNCT
ihlr-16489	488	1	combined	combine	VERB
ihlr-16489	488	2	with	with	ADP
ihlr-16489	488	3	knowledge	knowledge	NOUN
ihlr-16489	488	4	about	about	ADP
ihlr-16489	488	5	price	price	NOUN
ihlr-16489	488	6	,	,	PUNCT
ihlr-16489	488	7	these	these	DET
ihlr-16489	488	8	tools	tool	NOUN
ihlr-16489	488	9	will	will	AUX
ihlr-16489	488	10	enable	enable	VERB
ihlr-16489	488	11	medicare	medicare	PROPN
ihlr-16489	488	12	beneficiaries	beneficiary	NOUN
ihlr-16489	488	13	to	to	PART
ihlr-16489	488	14	make	make	VERB
ihlr-16489	488	15	choices	choice	NOUN
ihlr-16489	488	16	that	that	PRON
ihlr-16489	488	17	drive	drive	VERB
ihlr-16489	488	18	providers	provider	NOUN
ihlr-16489	488	19	to	to	PART
ihlr-16489	488	20	compete	compete	VERB
ihlr-16489	488	21	for	for	ADP
ihlr-16489	488	22	patients	patient	NOUN
ihlr-16489	488	23	by	by	ADP
ihlr-16489	488	24	using	use	VERB
ihlr-16489	488	25	all	all	DET
ihlr-16489	488	26	available	available	ADJ
ihlr-16489	488	27	components	component	NOUN
ihlr-16489	488	28	of	of	ADP
ihlr-16489	488	29	appropriate	appropriate	ADJ
ihlr-16489	488	30	medical	medical	ADJ
ihlr-16489	488	31	care	care	NOUN
ihlr-16489	488	32	,	,	PUNCT
ihlr-16489	488	33	thus	thus	ADV
ihlr-16489	488	34	pushing	push	VERB
ihlr-16489	488	35	health	health	NOUN
ihlr-16489	488	36	care	care	NOUN
ihlr-16489	488	37	to	to	ADP
ihlr-16489	488	38	higher	high	ADJ
ihlr-16489	488	39	levels	level	NOUN
ihlr-16489	488	40	of	of	ADP
ihlr-16489	488	41	quality	quality	NOUN
ihlr-16489	488	42	and	and	CCONJ
ihlr-16489	488	43	value	value	NOUN
ihlr-16489	488	44	.	.	PUNCT
ihlr-16489	489	1	vii	vii	PROPN
ihlr-16489	489	2	.	.	PROPN
ihlr-16489	489	3	conclusion	conclusion	NOUN
ihlr-16489	489	4	the	the	DET
ihlr-16489	489	5	current	current	ADJ
ihlr-16489	489	6	effort	effort	NOUN
ihlr-16489	489	7	to	to	PART
ihlr-16489	489	8	change	change	VERB
ihlr-16489	489	9	the	the	DET
ihlr-16489	489	10	payment	payment	NOUN
ihlr-16489	489	11	system	system	NOUN
ihlr-16489	489	12	is	be	AUX
ihlr-16489	489	13	well	well	ADV
ihlr-16489	489	14	intentioned	intentione	VERB
ihlr-16489	489	15	.	.	PUNCT
ihlr-16489	490	1	moreover	moreover	ADV
ihlr-16489	490	2	,	,	PUNCT
ihlr-16489	490	3	the	the	DET
ihlr-16489	490	4	rhetoric	rhetoric	NOUN
ihlr-16489	490	5	of"quality	of"quality	NOUN
ihlr-16489	490	6	-	-	PUNCT
ihlr-16489	490	7	based	base	VERB
ihlr-16489	490	8	purchasing	purchasing	NOUN
ihlr-16489	490	9	"	"	PUNCT
ihlr-16489	490	10	advocates	advocate	NOUN
ihlr-16489	490	11	,	,	PUNCT
ihlr-16489	490	12	including	include	VERB
ihlr-16489	490	13	a	a	DET
ihlr-16489	490	14	reliance	reliance	NOUN
ihlr-16489	490	15	on	on	ADP
ihlr-16489	490	16	evidence	evidence	NOUN
ihlr-16489	490	17	-	-	PUNCT
ihlr-16489	490	18	based	base	VERB
ihlr-16489	490	19	medicine	medicine	NOUN
ihlr-16489	490	20	,	,	PUNCT
ihlr-16489	490	21	best	good	ADJ
ihlr-16489	490	22	practices	practice	NOUN
ihlr-16489	490	23	,	,	PUNCT
ihlr-16489	490	24	and	and	CCONJ
ihlr-16489	490	25	pay	pay	VERB
ihlr-16489	490	26	for	for	ADP
ihlr-16489	490	27	performance	performance	NOUN
ihlr-16489	490	28	as	as	ADP
ihlr-16489	490	29	methods	method	NOUN
ihlr-16489	490	30	to	to	PART
ihlr-16489	490	31	improve	improve	VERB
ihlr-16489	490	32	health	health	NOUN
ihlr-16489	490	33	care	care	NOUN
ihlr-16489	490	34	quality	quality	NOUN
ihlr-16489	490	35	,	,	PUNCT
ihlr-16489	490	36	is	be	AUX
ihlr-16489	490	37	appealing	appeal	VERB
ihlr-16489	490	38	.	.	PUNCT
ihlr-16489	491	1	in	in	ADP
ihlr-16489	491	2	reality	reality	NOUN
ihlr-16489	491	3	,	,	PUNCT
ihlr-16489	491	4	however	however	ADV
ihlr-16489	491	5	,	,	PUNCT
ihlr-16489	491	6	they	they	PRON
ihlr-16489	491	7	would	would	AUX
ihlr-16489	491	8	further	far	ADV
ihlr-16489	491	9	bureaucratize	bureaucratize	VERB
ihlr-16489	491	10	health	health	NOUN
ihlr-16489	491	11	care	care	NOUN
ihlr-16489	491	12	.	.	PUNCT
ihlr-16489	492	1	members	member	NOUN
ihlr-16489	492	2	of	of	ADP
ihlr-16489	492	3	congress	congress	PROPN
ihlr-16489	492	4	need	need	VERB
ihlr-16489	492	5	to	to	PART
ihlr-16489	492	6	ask	ask	VERB
ihlr-16489	492	7	themselves	themselves	PRON
ihlr-16489	492	8	whether	whether	SCONJ
ihlr-16489	492	9	they	they	PRON
ihlr-16489	492	10	want	want	VERB
ihlr-16489	492	11	the	the	DET
ihlr-16489	492	12	government	government	NOUN
ihlr-16489	492	13	to	to	PART
ihlr-16489	492	14	interfere	interfere	VERB
ihlr-16489	492	15	with	with	ADP
ihlr-16489	492	16	the	the	DET
ihlr-16489	492	17	practice	practice	NOUN
ihlr-16489	492	18	of	of	ADP
ihlr-16489	492	19	medicine	medicine	NOUN
ihlr-16489	492	20	--	--	PUNCT
ihlr-16489	492	21	an	an	DET
ihlr-16489	492	22	intervention	intervention	NOUN
ihlr-16489	492	23	that	that	SCONJ
ihlr-16489	492	24	they	they	PRON
ihlr-16489	492	25	statutorily	statutorily	ADV
ihlr-16489	492	26	prohibited	prohibit	VERB
ihlr-16489	492	27	when	when	SCONJ
ihlr-16489	492	28	they	they	PRON
ihlr-16489	492	29	enacted	enact	VERB
ihlr-16489	492	30	medicare	medicare	NOUN
ihlr-16489	492	31	in	in	ADP
ihlr-16489	492	32	1965	1965	NUM
ihlr-16489	492	33	.	.	PUNCT
ihlr-16489	493	1	they	they	PRON
ihlr-16489	493	2	also	also	ADV
ihlr-16489	493	3	need	need	VERB
ihlr-16489	493	4	to	to	PART
ihlr-16489	493	5	determine	determine	VERB
ihlr-16489	493	6	whether	whether	SCONJ
ihlr-16489	493	7	more	more	ADJ
ihlr-16489	493	8	central	central	ADJ
ihlr-16489	493	9	planning	planning	NOUN
ihlr-16489	493	10	is	be	AUX
ihlr-16489	493	11	real	real	ADJ
ihlr-16489	493	12	reform	reform	NOUN
ihlr-16489	493	13	,	,	PUNCT
ihlr-16489	493	14	or	or	CCONJ
ihlr-16489	493	15	whether	whether	SCONJ
ihlr-16489	493	16	such	such	DET
ihlr-16489	493	17	an	an	DET
ihlr-16489	493	18	approach	approach	NOUN
ihlr-16489	493	19	will	will	AUX
ihlr-16489	493	20	only	only	ADV
ihlr-16489	493	21	further	far	ADV
ihlr-16489	493	22	distort	distort	VERB
ihlr-16489	493	23	an	an	DET
ihlr-16489	493	24	already	already	ADV
ihlr-16489	493	25	dysfunctional	dysfunctional	ADJ
ihlr-16489	493	26	system	system	NOUN
ihlr-16489	493	27	,	,	PUNCT
ihlr-16489	493	28	resulting	result	VERB
ihlr-16489	493	29	in	in	ADP
ihlr-16489	493	30	even	even	ADV
ihlr-16489	493	31	greater	great	ADJ
ihlr-16489	493	32	difficulties	difficulty	NOUN
ihlr-16489	493	33	for	for	ADP
ihlr-16489	493	34	american	american	ADJ
ihlr-16489	493	35	seniors	senior	NOUN
ihlr-16489	493	36	.	.	PUNCT
ihlr-16489	494	1	the	the	DET
ihlr-16489	494	2	negative	negative	ADJ
ihlr-16489	494	3	impact	impact	NOUN
ihlr-16489	494	4	of	of	ADP
ihlr-16489	494	5	a	a	DET
ihlr-16489	494	6	payment	payment	NOUN
ihlr-16489	494	7	system	system	NOUN
ihlr-16489	494	8	that	that	PRON
ihlr-16489	494	9	demands	demand	VERB
ihlr-16489	494	10	compliance	compliance	NOUN
ihlr-16489	494	11	with	with	ADP
ihlr-16489	494	12	standardized	standardized	ADJ
ihlr-16489	494	13	processes	process	NOUN
ihlr-16489	494	14	is	be	AUX
ihlr-16489	494	15	predictable	predictable	ADJ
ihlr-16489	494	16	and	and	CCONJ
ihlr-16489	494	17	significant	significant	ADJ
ihlr-16489	494	18	.	.	PUNCT
ihlr-16489	495	1	americans	american	NOUN
ihlr-16489	495	2	not	not	PART
ihlr-16489	495	3	only	only	ADV
ihlr-16489	495	4	would	would	AUX
ihlr-16489	495	5	find	find	VERB
ihlr-16489	495	6	themselves	themselves	PRON
ihlr-16489	495	7	in	in	ADP
ihlr-16489	495	8	the	the	DET
ihlr-16489	495	9	type	type	NOUN
ihlr-16489	495	10	of	of	ADP
ihlr-16489	495	11	government	government	NOUN
ihlr-16489	495	12	-	-	PUNCT
ihlr-16489	495	13	controlled	control	VERB
ihlr-16489	495	14	health	health	NOUN
ihlr-16489	495	15	care	care	NOUN
ihlr-16489	495	16	system	system	NOUN
ihlr-16489	495	17	that	that	PRON
ihlr-16489	495	18	they	they	PRON
ihlr-16489	495	19	·	·	PUNCT
ihlr-16489	495	20	have	have	AUX
ihlr-16489	495	21	perpetually	perpetually	ADV
ihlr-16489	495	22	rejected	reject	VERB
ihlr-16489	495	23	,	,	PUNCT
ihlr-16489	495	24	but	but	CCONJ
ihlr-16489	495	25	also	also	ADV
ihlr-16489	495	26	would	would	AUX
ihlr-16489	495	27	see	see	VERB
ihlr-16489	495	28	population­	population­	NOUN
ihlr-16489	495	29	based	base	VERB
ihlr-16489	495	30	study	study	NOUN
ihlr-16489	495	31	results	result	NOUN
ihlr-16489	495	32	applied	apply	VERB
ihlr-16489	495	33	to	to	ADP
ihlr-16489	495	34	their	their	PRON
ihlr-16489	495	35	individual	individual	ADJ
ihlr-16489	495	36	situations	situation	NOUN
ihlr-16489	495	37	despite	despite	SCONJ
ihlr-16489	495	38	their	their	PRON
ihlr-16489	495	39	unique	unique	ADJ
ihlr-16489	495	40	health	health	NOUN
ihlr-16489	495	41	conditions	condition	NOUN
ihlr-16489	495	42	,	,	PUNCT
ihlr-16489	495	43	their	their	PRON
ihlr-16489	495	44	personal	personal	ADJ
ihlr-16489	495	45	values	value	NOUN
ihlr-16489	495	46	,	,	PUNCT
ihlr-16489	495	47	and	and	CCONJ
ihlr-16489	495	48	their	their	PRON
ihlr-16489	495	49	doctors	doctor	NOUN
ihlr-16489	495	50	'	'	PART
ihlr-16489	495	51	experience	experience	NOUN
ihlr-16489	495	52	.	.	PUNCT
ihlr-16489	496	1	they	they	PRON
ihlr-16489	496	2	would	would	AUX
ihlr-16489	496	3	find	find	VERB
ihlr-16489	496	4	themselves	themselves	PRON
ihlr-16489	496	5	under	under	ADP
ihlr-16489	496	6	the	the	DET
ihlr-16489	496	7	care	care	NOUN
ihlr-16489	496	8	of	of	ADP
ihlr-16489	496	9	physicians	physician	NOUN
ihlr-16489	496	10	restricted	restrict	VERB
ihlr-16489	496	11	in	in	ADP
ihlr-16489	496	12	their	their	PRON
ihlr-16489	496	13	ability	ability	NOUN
ihlr-16489	496	14	to	to	PART
ihlr-16489	496	15	exercise	exercise	VERB
ihlr-16489	496	16	their	their	PRON
ihlr-16489	496	17	best	good	ADJ
ihlr-16489	496	18	medicaljudgmentto	medicaljudgmentto	ADJ
ihlr-16489	496	19	tailor	tailor	NOUN
ihlr-16489	496	20	care	care	NOUN
ihlr-16489	496	21	to	to	ADP
ihlr-16489	496	22	their	their	PRON
ihlr-16489	496	23	patients	patient	NOUN
ihlr-16489	496	24	'	'	PART
ihlr-16489	496	25	specific	specific	ADJ
ihlr-16489	496	26	situations	situation	NOUN
ihlr-16489	496	27	and	and	CCONJ
ihlr-16489	496	28	preferences	preference	NOUN
ihlr-16489	496	29	.	.	PUNCT
ihlr-16489	497	1	these	these	DET
ihlr-16489	497	2	physicians	physician	NOUN
ihlr-16489	497	3	would	would	AUX
ihlr-16489	497	4	have	have	VERB
ihlr-16489	497	5	more	more	ADJ
ihlr-16489	497	6	incentive	incentive	NOUN
ihlr-16489	497	7	to	to	PART
ihlr-16489	497	8	check	check	VERB
ihlr-16489	497	9	the	the	DET
ihlr-16489	497	10	boxes	box	NOUN
ihlr-16489	497	11	on	on	ADP
ihlr-16489	497	12	the	the	DET
ihlr-16489	497	13	automatic	automatic	ADJ
ihlr-16489	497	14	protocol	protocol	NOUN
ihlr-16489	497	15	lists	list	NOUN
ihlr-16489	497	16	that	that	PRON
ihlr-16489	497	17	generate	generate	VERB
ihlr-16489	497	18	compensation	compensation	NOUN
ihlr-16489	497	19	than	than	SCONJ
ihlr-16489	497	20	they	they	PRON
ihlr-16489	497	21	would	would	AUX
ihlr-16489	497	22	to	to	PART
ihlr-16489	497	23	act	act	VERB
ihlr-16489	497	24	in	in	ADP
ihlr-16489	497	25	the	the	DET
ihlr-16489	497	26	best	good	ADJ
ihlr-16489	497	27	interests	interest	NOUN
ihlr-16489	497	28	of	of	ADP
ihlr-16489	497	29	their	their	PRON
ihlr-16489	497	30	patients	patient	NOUN
ihlr-16489	497	31	.	.	PUNCT
ihlr-16489	498	1	this	this	PRON
ihlr-16489	498	2	would	would	AUX
ihlr-16489	498	3	undoubtedly	undoubtedly	ADV
ihlr-16489	498	4	decrease	decrease	VERB
ihlr-16489	498	5	the	the	DET
ihlr-16489	498	6	level	level	NOUN
ihlr-16489	498	7	of	of	ADP
ihlr-16489	498	8	medical	medical	ADJ
ihlr-16489	498	9	innovation	innovation	NOUN
ihlr-16489	498	10	and	and	CCONJ
ihlr-16489	498	11	weaken	weaken	VERB
ihlr-16489	498	12	the	the	DET
ihlr-16489	498	13	doctor	doctor	NOUN
ihlr-16489	498	14	-	-	PUNCT
ihlr-16489	498	15	patient	patient	NOUN
ihlr-16489	498	16	relationship	relationship	NOUN
ihlr-16489	498	17	.	.	PUNCT
ihlr-16489	499	1	a	a	DET
ihlr-16489	499	2	new	new	ADJ
ihlr-16489	499	3	medicare	medicare	PROPN
ihlr-16489	499	4	payment	payment	NOUN
ihlr-16489	499	5	system	system	NOUN
ihlr-16489	499	6	should	should	AUX
ihlr-16489	499	7	differentially	differentially	ADV
ihlr-16489	499	8	reward	reward	VERB
ihlr-16489	499	9	providers	provider	NOUN
ihlr-16489	499	10	who	who	PRON
ihlr-16489	499	11	do	do	VERB
ihlr-16489	499	12	a	a	DET
ihlr-16489	499	13	better	well	ADJ
ihlr-16489	499	14	job	job	NOUN
ihlr-16489	499	15	of	of	ADP
ihlr-16489	499	16	satisfying	satisfy	VERB
ihlr-16489	499	17	the	the	DET
ihlr-16489	499	18	needs	need	NOUN
ihlr-16489	499	19	,	,	PUNCT
ihlr-16489	499	20	preferences	preference	NOUN
ihlr-16489	499	21	,	,	PUNCT
ihlr-16489	499	22	and	and	CCONJ
ihlr-16489	499	23	values	value	NOUN
ihlr-16489	499	24	of	of	ADP
ihlr-16489	499	25	patients	patient	NOUN
ihlr-16489	499	26	.	.	PUNCT
ihlr-16489	500	1	however	however	ADV
ihlr-16489	500	2	,	,	PUNCT
ihlr-16489	500	3	if	if	SCONJ
ihlr-16489	500	4	it	it	PRON
ihlr-16489	500	5	rewards	reward	VERB
ihlr-16489	500	6	providers	provider	NOUN
ihlr-16489	500	7	for	for	ADP
ihlr-16489	500	8	submitting	submit	VERB
ihlr-16489	500	9	to	to	AUX
ihlr-16489	500	10	directive	directive	VERB
ihlr-16489	500	11	protocols	protocol	NOUN
ihlr-16489	500	12	that	that	SCONJ
ihlr-16489	500	13	420	420	NUM
ihlr-16489	500	14	indiana	indiana	PROPN
ihlr-16489	500	15	health	health	PROPN
ihlr-16489	500	16	law	law	NOUN
ihlr-16489	500	17	review	review	NOUN
ihlr-16489	500	18	[	[	X
ihlr-16489	500	19	vol	vol	NOUN
ihlr-16489	500	20	.	.	PUNCT
ihlr-16489	501	1	3:391	3:391	NUM
ihlr-16489	501	2	reflect	reflect	VERB
ihlr-16489	501	3	the	the	DET
ihlr-16489	501	4	financial	financial	ADJ
ihlr-16489	501	5	and	and	CCONJ
ihlr-16489	501	6	political	political	ADJ
ihlr-16489	501	7	incentives	incentive	NOUN
ihlr-16489	501	8	of	of	ADP
ihlr-16489	501	9	third	third	ADJ
ihlr-16489	501	10	-	-	PUNCT
ihlr-16489	501	11	party	party	NOUN
ihlr-16489	501	12	bureaucrats	bureaucrat	NOUN
ihlr-16489	501	13	,	,	PUNCT
ihlr-16489	501	14	it	it	PRON
ihlr-16489	501	15	is	be	AUX
ihlr-16489	501	16	merely	merely	ADV
ihlr-16489	501	17	paying	pay	VERB
ihlr-16489	501	18	for	for	ADP
ihlr-16489	501	19	compliance	compliance	NOUN
ihlr-16489	501	20	.	.	PUNCT
ihlr-16489	502	1	the	the	DET
ihlr-16489	502	2	result	result	NOUN
ihlr-16489	502	3	will	will	AUX
ihlr-16489	502	4	be	be	AUX
ihlr-16489	502	5	greater	great	ADJ
ihlr-16489	502	6	distortions	distortion	NOUN
ihlr-16489	502	7	and	and	CCONJ
ihlr-16489	502	8	inefficiencies	inefficiency	NOUN
ihlr-16489	502	9	in	in	ADP
ihlr-16489	502	10	medicare	medicare	PROPN
ihlr-16489	502	11	,	,	PUNCT
ihlr-16489	502	12	further	far	ADV
ihlr-16489	502	13	compromising	compromise	VERB
ihlr-16489	502	14	quality	quality	NOUN
ihlr-16489	502	15	,	,	PUNCT
ihlr-16489	502	16	cost	cost	NOUN
ihlr-16489	502	17	savings	saving	NOUN
ihlr-16489	502	18	,	,	PUNCT
ihlr-16489	502	19	and	and	CCONJ
ihlr-16489	502	20	seniors	senior	NOUN
ihlr-16489	502	21	'	'	PART
ihlr-16489	502	22	access	access	NOUN
ihlr-16489	502	23	to	to	ADP
ihlr-16489	502	24	care	care	NOUN
ihlr-16489	502	25	.	.	PUNCT
ihlr-16489	503	1	rather	rather	ADV
ihlr-16489	503	2	than	than	SCONJ
ihlr-16489	503	3	follow	follow	VERB
ihlr-16489	503	4	this	this	DET
ihlr-16489	503	5	course	course	NOUN
ihlr-16489	503	6	of	of	ADP
ihlr-16489	503	7	top	top	ADJ
ihlr-16489	503	8	-	-	PUNCT
ihlr-16489	503	9	down	down	ADP
ihlr-16489	503	10	micromanagement	micromanagement	NOUN
ihlr-16489	503	11	and	and	CCONJ
ihlr-16489	503	12	artificial	artificial	ADJ
ihlr-16489	503	13	competition	competition	NOUN
ihlr-16489	503	14	,	,	PUNCT
ihlr-16489	503	15	congress	congress	PROPN
ihlr-16489	503	16	should	should	AUX
ihlr-16489	503	17	base	base	VERB
ihlr-16489	503	18	medicare	medicare	PROPN
ihlr-16489	503	19	reimbursement	reimbursement	NOUN
ihlr-16489	503	20	reform	reform	NOUN
ihlr-16489	503	21	on	on	ADP
ihlr-16489	503	22	the	the	DET
ihlr-16489	503	23	free	free	ADJ
ihlr-16489	503	24	-	-	PUNCT
ihlr-16489	503	25	market	market	NOUN
ihlr-16489	503	26	principles	principle	NOUN
ihlr-16489	503	27	of	of	ADP
ihlr-16489	503	28	price	price	NOUN
ihlr-16489	503	29	transparency	transparency	NOUN
ihlr-16489	503	30	,	,	PUNCT
ihlr-16489	503	31	private	private	ADJ
ihlr-16489	503	32	contracting	contracting	NOUN
ihlr-16489	503	33	,	,	PUNCT
ihlr-16489	503	34	and	and	CCONJ
ihlr-16489	503	35	consumer	consumer	NOUN
ihlr-16489	503	36	choice	choice	NOUN
ihlr-16489	503	37	,	,	PUNCT
ihlr-16489	503	38	thus	thus	ADV
ihlr-16489	503	39	removing	remove	VERB
ihlr-16489	503	40	baniers	banier	NOUN
ihlr-16489	503	41	to	to	ADP
ihlr-16489	503	42	real	real	ADJ
ihlr-16489	503	43	competition	competition	NOUN
ihlr-16489	503	44	and	and	CCONJ
ihlr-16489	503	45	promoting	promote	VERB
ihlr-16489	503	46	high	high	ADJ
ihlr-16489	503	47	-	-	PUNCT
ihlr-16489	503	48	quality	quality	NOUN
ihlr-16489	503	49	and	and	CCONJ
ihlr-16489	503	50	high	high	ADJ
ihlr-16489	503	51	-	-	PUNCT
ihlr-16489	503	52	value	value	NOUN
ihlr-16489	503	53	patient	patient	NOUN
ihlr-16489	503	54	-	-	PUNCT
ihlr-16489	503	55	centered	center	VERB
ihlr-16489	503	56	health	health	NOUN
ihlr-16489	503	57	care	care	NOUN
ihlr-16489	503	58	.	.	PUNCT