id	sid	tid	token	lemma	pos
ihlr-16567	1	1	the	the	DET
ihlr-16567	1	2	"	"	PUNCT
ihlr-16567	1	3	shared	shared	ADJ
ihlr-16567	1	4	accountability	accountability	NOUN
ihlr-16567	1	5	"	"	PUNCT
ihlr-16567	1	6	approach	approach	NOUN
ihlr-16567	1	7	to	to	ADP
ihlr-16567	1	8	physician	physician	NOUN
ihlr-16567	1	9	payment	payment	NOUN
ihlr-16567	1	10	:	:	PUNCT
ihlr-16567	1	11	four	four	NUM
ihlr-16567	1	12	options	option	NOUN
ihlr-16567	1	13	for	for	ADP
ihlr-16567	1	14	developing	develop	VERB
ihlr-16567	1	15	accountable	accountable	ADJ
ihlr-16567	1	16	care	care	NOUN
ihlr-16567	1	17	organizations	organizations	PROPN
ihlr-16567	1	18	jackson	jackson	PROPN
ihlr-16567	1	19	williams	williams	PROPN
ihlr-16567	1	20	,	,	PUNCT
ihlr-16567	1	21	j.d	j.d	PROPN
ihlr-16567	1	22	.	.	PROPN
ihlr-16567	1	23	,	,	PUNCT
ihlr-16567	1	24	m.p.a	m.p.a	NOUN
ihlr-16567	1	25	.	.	PUNCT
ihlr-16567	2	1	*	*	PUNCT
ihlr-16567	2	2	i.	i.	PROPN
ihlr-16567	2	3	introduction	introduction	NOUN
ihlr-16567	2	4	...............................................................................	...............................................................................	PUNCT
ihlr-16567	2	5	186	186	NUM
ihlr-16567	2	6	ii	ii	NOUN
ihlr-16567	2	7	.	.	PUNCT
ihlr-16567	3	1	background	background	NOUN
ihlr-16567	3	2	................................................................................	................................................................................	PUNCT
ihlr-16567	4	1	187	187	NUM
ihlr-16567	4	2	ill	ill	ADJ
ihlr-16567	4	3	.	.	PUNCT
ihlr-16567	4	4	performance	performance	NOUN
ihlr-16567	4	5	criteria	criterion	NOUN
ihlr-16567	4	6	and	and	CCONJ
ihlr-16567	4	7	evaluation	evaluation	NOUN
ihlr-16567	4	8	.................................	.................................	PUNCT
ihlr-16567	4	9	192	192	NUM
ihlr-16567	4	10	iv	iv	NOUN
ihlr-16567	4	11	.	.	PUNCT
ihlr-16567	5	1	making	make	VERB
ihlr-16567	5	2	the	the	DET
ihlr-16567	5	3	system	system	NOUN
ihlr-16567	5	4	work	work	NOUN
ihlr-16567	5	5	:	:	PUNCT
ihlr-16567	5	6	tools	tool	NOUN
ihlr-16567	5	7	at	at	ADP
ihlr-16567	5	8	doctors	doctor	NOUN
ihlr-16567	5	9	'	'	PART
ihlr-16567	5	10	disposal	disposal	NOUN
ihlr-16567	5	11	....	....	PUNCT
ihlr-16567	6	1	197	197	NUM
ihlr-16567	6	2	v.	v.	CCONJ
ihlr-16567	6	3	four	four	NUM
ihlr-16567	6	4	models	model	NOUN
ihlr-16567	6	5	of	of	ADP
ihlr-16567	6	6	shared	shared	ADJ
ihlr-16567	6	7	accountabilit¥	accountabilit¥	NOUN
ihlr-16567	6	8	...............................	...............................	PUNCT
ihlr-16567	6	9	203	203	NUM
ihlr-16567	6	10	a.	a.	NOUN
ihlr-16567	6	11	state	state	NOUN
ihlr-16567	6	12	level	level	NOUN
ihlr-16567	6	13	...............................................................................	...............................................................................	PUNCT
ihlr-16567	6	14	204	204	NUM
ihlr-16567	6	15	b.	b.	PROPN
ihlr-16567	6	16	local	local	ADJ
ihlr-16567	6	17	level	level	NOUN
ihlr-16567	6	18	:	:	PUNCT
ihlr-16567	6	19	extended	extended	ADJ
ihlr-16567	6	20	hospital	hospital	NOUN
ihlr-16567	6	21	medial	medial	ADJ
ihlr-16567	6	22	staff	staff	NOUN
ihlr-16567	6	23	!	!	PUNCT
ihlr-16567	7	1	multi	multi	ADJ
ihlr-16567	7	2	-	-	ADJ
ihlr-16567	7	3	specialty	specialty	ADJ
ihlr-16567	7	4	group	group	NOUN
ihlr-16567	7	5	practice	practice	NOUN
ihlr-16567	7	6	........................................................................	........................................................................	PUNCT
ihlr-16567	7	7	206	206	NUM
ihlr-16567	7	8	c.	c.	PROPN
ihlr-16567	7	9	insurer	insurer	NOUN
ihlr-16567	7	10	-	-	PUNCT
ihlr-16567	7	11	convened	convene	VERB
ihlr-16567	7	12	aco	aco	PROPN
ihlr-16567	7	13	...........................................................	...........................................................	PUNCT
ihlr-16567	7	14	210	210	NUM
ihlr-16567	7	15	d.	d.	NOUN
ihlr-16567	7	16	a	a	DET
ihlr-16567	7	17	"	"	PUNCT
ihlr-16567	7	18	competitive	competitive	ADJ
ihlr-16567	7	19	dynamic	dynamic	ADJ
ihlr-16567	7	20	"	"	PUNCT
ihlr-16567	7	21	approach	approach	NOUN
ihlr-16567	7	22	to	to	ADP
ihlr-16567	7	23	updates	update	NOUN
ihlr-16567	7	24	....................	....................	PUNCT
ihlr-16567	7	25	211	211	NUM
ihlr-16567	7	26	vi	vi	NOUN
ihlr-16567	7	27	.	.	PUNCT
ihlr-16567	8	1	conflicts	conflict	NOUN
ihlr-16567	8	2	likely	likely	ADJ
ihlr-16567	8	3	to	to	PART
ihlr-16567	8	4	arise	arise	VERB
ihlr-16567	8	5	in	in	ADP
ihlr-16567	8	6	a	a	DET
ihlr-16567	8	7	shared	share	VERB
ihlr-16567	8	8	accountability	accountability	NOUN
ihlr-16567	8	9	regime	regime	NOUN
ihlr-16567	8	10	...........................................................................................	...........................................................................................	PUNCT
ihlr-16567	9	1	217	217	NUM
ihlr-16567	9	2	vii	vii	PROPN
ihlr-16567	9	3	.	.	PUNCT
ihlr-16567	9	4	conclusion	conclusion	NOUN
ihlr-16567	9	5	..................................................................................	..................................................................................	PUNCT
ihlr-16567	9	6	221	221	NUM
ihlr-16567	9	7	abstract	abstract	NOUN
ihlr-16567	9	8	as	as	SCONJ
ihlr-16567	9	9	policymakers	policymaker	NOUN
ihlr-16567	9	10	confront	confront	VERB
ihlr-16567	9	11	the	the	DET
ihlr-16567	9	12	failure	failure	NOUN
ihlr-16567	9	13	of	of	ADP
ihlr-16567	9	14	fee	fee	NOUN
ihlr-16567	9	15	-	-	PUNCT
ihlr-16567	9	16	for	for	ADP
ihlr-16567	9	17	-	-	PUNCT
ihlr-16567	9	18	service	service	NOUN
ihlr-16567	9	19	medicine	medicine	NOUN
ihlr-16567	9	20	to	to	PART
ihlr-16567	9	21	properly	properly	ADV
ihlr-16567	9	22	align	align	VERB
ihlr-16567	9	23	incentives	incentive	NOUN
ihlr-16567	9	24	for	for	ADP
ihlr-16567	9	25	quality	quality	NOUN
ihlr-16567	9	26	and	and	CCONJ
ihlr-16567	9	27	efficiency	efficiency	NOUN
ihlr-16567	9	28	,	,	PUNCT
ihlr-16567	9	29	a	a	DET
ihlr-16567	9	30	"	"	PUNCT
ihlr-16567	9	31	shared	share	VERB
ihlr-16567	9	32	accountabili­	accountabili­	PROPN
ihlr-16567	9	33	ty	ty	NOUN
ihlr-16567	9	34	"	"	PUNCT
ihlr-16567	9	35	approach	approach	NOUN
ihlr-16567	9	36	to	to	ADP
ihlr-16567	9	37	physician	physician	NOUN
ihlr-16567	9	38	payment	payment	NOUN
ihlr-16567	9	39	has	have	AUX
ihlr-16567	9	40	emerged	emerge	VERB
ihlr-16567	9	41	.	.	PUNCT
ihlr-16567	10	1	the	the	DET
ihlr-16567	10	2	newly	newly	ADV
ihlr-16567	10	3	conceived	conceive	VERB
ihlr-16567	10	4	"	"	PUNCT
ihlr-16567	10	5	accountable	accountable	ADJ
ihlr-16567	10	6	care	care	NOUN
ihlr-16567	10	7	organization	organization	NOUN
ihlr-16567	10	8	"	"	PUNCT
ihlr-16567	10	9	would	would	AUX
ihlr-16567	10	10	create	create	VERB
ihlr-16567	10	11	"	"	PUNCT
ihlr-16567	10	12	virtual	virtual	ADJ
ihlr-16567	10	13	"	"	PUNCT
ihlr-16567	10	14	integrated	integrated	ADJ
ihlr-16567	10	15	delivery	delivery	NOUN
ihlr-16567	10	16	systems	system	NOUN
ihlr-16567	10	17	,	,	PUNCT
ihlr-16567	10	18	while	while	SCONJ
ihlr-16567	10	19	maintaining	maintain	VERB
ihlr-16567	10	20	the	the	DET
ihlr-16567	10	21	fee	fee	NOUN
ihlr-16567	10	22	-	-	PUNCT
ihlr-16567	10	23	for	for	ADP
ihlr-16567	10	24	-	-	PUNCT
ihlr-16567	10	25	service	service	NOUN
ihlr-16567	10	26	(	(	PUNCT
ihlr-16567	10	27	ffs	ffs	NOUN
ihlr-16567	10	28	)	)	PUNCT
ihlr-16567	10	29	system	system	NOUN
ihlr-16567	10	30	.	.	PUNCT
ihlr-16567	11	1	this	this	PRON
ihlr-16567	11	2	would	would	AUX
ihlr-16567	11	3	be	be	AUX
ihlr-16567	11	4	accomplished	accomplish	VERB
ihlr-16567	11	5	by	by	ADP
ihlr-16567	11	6	grouping	group	VERB
ihlr-16567	11	7	doctors	doctor	NOUN
ihlr-16567	11	8	and	and	CCONJ
ihlr-16567	11	9	hospitals	hospital	NOUN
ihlr-16567	11	10	together	together	ADV
ihlr-16567	11	11	into	into	ADP
ihlr-16567	11	12	discrete	discrete	ADJ
ihlr-16567	11	13	pay­	pay­	NOUN
ihlr-16567	11	14	ment	ment	NOUN
ihlr-16567	11	15	pools	pool	NOUN
ihlr-16567	11	16	,	,	PUNCT
ihlr-16567	11	17	through	through	ADP
ihlr-16567	11	18	which	which	PRON
ihlr-16567	11	19	collective	collective	ADJ
ihlr-16567	11	20	performance	performance	NOUN
ihlr-16567	11	21	could	could	AUX
ihlr-16567	11	22	be	be	AUX
ihlr-16567	11	23	measured	measure	VERB
ihlr-16567	11	24	and	and	CCONJ
ihlr-16567	11	25	rewarded	reward	VERB
ihlr-16567	11	26	as	as	ADP
ihlr-16567	11	27	a	a	DET
ihlr-16567	11	28	unit	unit	NOUN
ihlr-16567	11	29	.	.	PUNCT
ihlr-16567	12	1	this	this	DET
ihlr-16567	12	2	paper	paper	NOUN
ihlr-16567	12	3	explores	explore	VERB
ihlr-16567	12	4	the	the	DET
ihlr-16567	12	5	concept	concept	NOUN
ihlr-16567	12	6	of	of	ADP
ihlr-16567	12	7	shared	share	VERB
ihlr-16567	12	8	accountability	accountability	NOUN
ihlr-16567	12	9	in	in	ADP
ihlr-16567	12	10	depth	depth	NOUN
ihlr-16567	12	11	by	by	ADP
ihlr-16567	12	12	attempting	attempt	VERB
ihlr-16567	12	13	to	to	PART
ihlr-16567	12	14	flesh	flesh	VERB
ihlr-16567	12	15	out	out	ADP
ihlr-16567	12	16	possible	possible	ADJ
ihlr-16567	12	17	mechanisms	mechanism	NOUN
ihlr-16567	12	18	by	by	ADP
ihlr-16567	12	19	which	which	PRON
ihlr-16567	12	20	it	it	PRON
ihlr-16567	12	21	could	could	AUX
ihlr-16567	12	22	operate	operate	VERB
ihlr-16567	12	23	within	within	ADP
ihlr-16567	12	24	the	the	DET
ihlr-16567	12	25	medicare	medicare	PROPN
ihlr-16567	12	26	program	program	NOUN
ihlr-16567	12	27	and	and	CCONJ
ihlr-16567	12	28	how	how	SCONJ
ihlr-16567	12	29	provider	provider	NOUN
ihlr-16567	12	30	incentives	incentive	NOUN
ihlr-16567	12	31	might	might	AUX
ihlr-16567	12	32	be	be	AUX
ihlr-16567	12	33	altered	alter	VERB
ihlr-16567	12	34	to	to	PART
ihlr-16567	12	35	encourage	encourage	VERB
ihlr-16567	12	36	efficiency	efficiency	NOUN
ihlr-16567	12	37	and	and	CCONJ
ihlr-16567	12	38	quality	quality	NOUN
ihlr-16567	12	39	.	.	PUNCT
ihlr-16567	13	1	it	it	PRON
ihlr-16567	13	2	presents	present	VERB
ihlr-16567	13	3	four	four	NUM
ihlr-16567	13	4	possible	possible	ADJ
ihlr-16567	13	5	policy	policy	NOUN
ihlr-16567	13	6	options	option	NOUN
ihlr-16567	13	7	for	for	ADP
ihlr-16567	13	8	medicare	medicare	PROPN
ihlr-16567	13	9	.	.	PUNCT
ihlr-16567	14	1	it	it	PRON
ihlr-16567	14	2	forecasts	forecast	VERB
ihlr-16567	14	3	the	the	DET
ihlr-16567	14	4	conflicts	conflict	NOUN
ihlr-16567	14	5	and	and	CCONJ
ihlr-16567	14	6	challenges	challenge	NOUN
ihlr-16567	14	7	likely	likely	ADJ
ihlr-16567	14	8	to	to	PART
ihlr-16567	14	9	emerge	emerge	VERB
ihlr-16567	14	10	in	in	ADP
ihlr-16567	14	11	a	a	DET
ihlr-16567	14	12	shared	share	VERB
ihlr-16567	14	13	accountability	accountability	NOUN
ihlr-16567	14	14	regime	regime	NOUN
ihlr-16567	14	15	.	.	PUNCT
ihlr-16567	15	1	the	the	DET
ihlr-16567	15	2	concluding	conclude	VERB
ihlr-16567	15	3	comments	comment	NOUN
ihlr-16567	15	4	assess	assess	VERB
ihlr-16567	15	5	how	how	SCONJ
ihlr-16567	15	6	the	the	DET
ihlr-16567	15	7	accountable	accountable	ADJ
ihlr-16567	15	8	care	care	NOUN
ihlr-16567	15	9	organization	organization	NOUN
ihlr-16567	15	10	concept	concept	NOUN
ihlr-16567	15	11	addresses	address	VERB
ihlr-16567	15	12	some	some	DET
ihlr-16567	15	13	major	major	ADJ
ihlr-16567	15	14	crit­	crit­	NOUN
ihlr-16567	15	15	icisms	icism	NOUN
ihlr-16567	15	16	of	of	ADP
ihlr-16567	15	17	the	the	DET
ihlr-16567	15	18	medicare	medicare	PROPN
ihlr-16567	15	19	program	program	NOUN
ihlr-16567	15	20	.	.	PUNCT
ihlr-16567	16	1	*	*	PUNCT
ihlr-16567	16	2	j.d	j.d	PROPN
ihlr-16567	16	3	.	.	PROPN
ihlr-16567	16	4	,	,	PUNCT
ihlr-16567	16	5	loyola	loyola	PROPN
ihlr-16567	16	6	university	university	PROPN
ihlr-16567	16	7	of	of	ADP
ihlr-16567	16	8	chicago	chicago	PROPN
ihlr-16567	16	9	school	school	PROPN
ihlr-16567	16	10	of	of	ADP
ihlr-16567	16	11	law	law	NOUN
ihlr-16567	16	12	;	;	PUNCT
ihlr-16567	16	13	m.p.a	m.p.a	NOUN
ihlr-16567	16	14	.	.	PUNCT
ihlr-16567	16	15	,	,	PUNCT
ihlr-16567	16	16	governors	governor	NOUN
ihlr-16567	16	17	state	state	NOUN
ihlr-16567	16	18	uni	uni	ADJ
ihlr-16567	16	19	"	"	PUNCT
ihlr-16567	16	20	versity	versity	NOUN
ihlr-16567	16	21	;	;	PUNCT
ihlr-16567	16	22	b.a	b.a	PROPN
ihlr-16567	16	23	.	.	PROPN
ihlr-16567	16	24	,	,	PUNCT
ihlr-16567	16	25	university	university	PROPN
ihlr-16567	16	26	of	of	ADP
ihlr-16567	16	27	illinois	illinois	PROPN
ihlr-16567	16	28	.	.	PUNCT
ihlr-16567	17	1	the	the	DET
ihlr-16567	17	2	author	author	NOUN
ihlr-16567	17	3	has	have	AUX
ihlr-16567	17	4	worked	work	VERB
ihlr-16567	17	5	on	on	ADP
ihlr-16567	17	6	health	health	NOUN
ihlr-16567	17	7	care	care	NOUN
ihlr-16567	17	8	issues	issue	NOUN
ihlr-16567	17	9	for	for	ADP
ihlr-16567	17	10	public	public	ADJ
ihlr-16567	17	11	citizen	citizen	NOUN
ihlr-16567	17	12	and	and	CCONJ
ihlr-16567	17	13	aarp	aarp	NOUN
ihlr-16567	17	14	,	,	PUNCT
ihlr-16567	17	15	and	and	CCONJ
ihlr-16567	17	16	he	he	PRON
ihlr-16567	17	17	served	serve	VERB
ihlr-16567	17	18	as	as	ADP
ihlr-16567	17	19	one	one	NUM
ihlr-16567	17	20	of	of	ADP
ihlr-16567	17	21	the	the	DET
ihlr-16567	17	22	national	national	PROPN
ihlr-16567	17	23	association	association	PROPN
ihlr-16567	17	24	commissioners	commissioner	NOUN
ihlr-16567	17	25	'	'	PART
ihlr-16567	17	26	funded	fund	VERB
ihlr-16567	17	27	consumer	consumer	NOUN
ihlr-16567	17	28	representatives	representative	NOUN
ihlr-16567	17	29	.	.	PUNCT
ihlr-16567	18	1	186	186	NUM
ihlr-16567	18	2	indiana	indiana	PROPN
ihlr-16567	18	3	health	health	PROPN
ihlr-16567	18	4	law	law	NOUN
ihlr-16567	18	5	review	review	NOUN
ihlr-16567	18	6	[	[	X
ihlr-16567	18	7	vol	vol	NOUN
ihlr-16567	18	8	.	.	PUNCT
ihlr-16567	19	1	7:185	7:185	NUM
ihlr-16567	19	2	i.	i.	NOUN
ihlr-16567	19	3	introduction	introduction	NOUN
ihlr-16567	19	4	few	few	ADJ
ihlr-16567	19	5	problems	problem	NOUN
ihlr-16567	19	6	vex	vex	VERB
ihlr-16567	19	7	health	health	NOUN
ihlr-16567	19	8	care	care	NOUN
ihlr-16567	19	9	policymakers	policymaker	NOUN
ihlr-16567	19	10	more	more	ADJ
ihlr-16567	19	11	than	than	ADP
ihlr-16567	19	12	the	the	DET
ihlr-16567	19	13	failure	failure	NOUN
ihlr-16567	19	14	of	of	ADP
ihlr-16567	19	15	fee	fee	NOUN
ihlr-16567	19	16	-	-	PUNCT
ihlr-16567	19	17	for	for	ADP
ihlr-16567	19	18	-	-	PUNCT
ihlr-16567	19	19	service	service	NOUN
ihlr-16567	19	20	medicine	medicine	NOUN
ihlr-16567	19	21	to	to	PART
ihlr-16567	19	22	properly	properly	ADV
ihlr-16567	19	23	align	align	VERB
ihlr-16567	19	24	incentives	incentive	NOUN
ihlr-16567	19	25	for	for	ADP
ihlr-16567	19	26	quality	quality	NOUN
ihlr-16567	19	27	and	and	CCONJ
ihlr-16567	19	28	effi­	effi­	NOUN
ihlr-16567	19	29	ciency	ciency	NOUN
ihlr-16567	19	30	.	.	PUNCT
ihlr-16567	20	1	at	at	ADP
ihlr-16567	20	2	one	one	NUM
ihlr-16567	20	3	time	time	NOUN
ihlr-16567	20	4	,	,	PUNCT
ihlr-16567	20	5	many	many	ADJ
ihlr-16567	20	6	pinned	pin	VERB
ihlr-16567	20	7	their	their	PRON
ihlr-16567	20	8	hopes	hope	NOUN
ihlr-16567	20	9	on	on	ADP
ihlr-16567	20	10	a	a	DET
ihlr-16567	20	11	system	system	NOUN
ihlr-16567	20	12	of	of	ADP
ihlr-16567	20	13	"	"	PUNCT
ihlr-16567	20	14	managed	manage	VERB
ihlr-16567	20	15	competition	competition	NOUN
ihlr-16567	20	16	"	"	PUNCT
ihlr-16567	20	17	in	in	ADP
ihlr-16567	20	18	which	which	PRON
ihlr-16567	20	19	health	health	NOUN
ihlr-16567	20	20	plans	plan	NOUN
ihlr-16567	20	21	-	-	PUNCT
ihlr-16567	20	22	ideally	ideally	ADV
ihlr-16567	20	23	,	,	PUNCT
ihlr-16567	20	24	integrated	integrated	ADJ
ihlr-16567	20	25	delivery	delivery	NOUN
ihlr-16567	20	26	systems­	systems­	VERB
ihlr-16567	20	27	would	would	AUX
ihlr-16567	20	28	be	be	AUX
ihlr-16567	20	29	held	hold	VERB
ihlr-16567	20	30	accountable	accountable	ADJ
ihlr-16567	20	31	for	for	ADP
ihlr-16567	20	32	care.1	care.1	PROPN
ihlr-16567	20	33	following	follow	VERB
ihlr-16567	20	34	the	the	DET
ihlr-16567	20	35	managed	manage	VERB
ihlr-16567	20	36	care	care	NOUN
ihlr-16567	20	37	backlash	backlash	NOUN
ihlr-16567	20	38	,	,	PUNCT
ihlr-16567	20	39	policymakers	policymaker	NOUN
ihlr-16567	20	40	began	begin	VERB
ihlr-16567	20	41	exploring	explore	VERB
ihlr-16567	20	42	rudimentary	rudimentary	ADJ
ihlr-16567	20	43	forms	form	NOUN
ihlr-16567	20	44	of	of	ADP
ihlr-16567	20	45	"	"	PUNCT
ihlr-16567	20	46	pay	pay	NOUN
ihlr-16567	20	47	-	-	PUNCT
ihlr-16567	20	48	for­	for­	NOUN
ihlr-16567	20	49	performance	performance	NOUN
ihlr-16567	20	50	,	,	PUNCT
ihlr-16567	20	51	"	"	PUNCT
ihlr-16567	20	52	in	in	ADP
ihlr-16567	20	53	which	which	PRON
ihlr-16567	20	54	individual	individual	ADJ
ihlr-16567	20	55	providers	provider	NOUN
ihlr-16567	20	56	earn	earn	VERB
ihlr-16567	20	57	bonuses	bonus	NOUN
ihlr-16567	20	58	for	for	ADP
ihlr-16567	20	59	achieving	achieve	VERB
ihlr-16567	20	60	,	,	PUNCT
ihlr-16567	20	61	or	or	CCONJ
ihlr-16567	20	62	at	at	ADP
ihlr-16567	20	63	least	least	ADJ
ihlr-16567	20	64	reporting	report	VERB
ihlr-16567	20	65	,	,	PUNCT
ihlr-16567	20	66	certain	certain	ADJ
ihlr-16567	20	67	quality	quality	NOUN
ihlr-16567	20	68	measures.2	measures.2	PROPN
ihlr-16567	20	69	now	now	ADV
ihlr-16567	20	70	,	,	PUNCT
ihlr-16567	20	71	a	a	DET
ihlr-16567	20	72	third	third	ADJ
ihlr-16567	20	73	-	-	PUNCT
ihlr-16567	20	74	wave	wave	NOUN
ihlr-16567	20	75	approach	approach	NOUN
ihlr-16567	20	76	has	have	AUX
ihlr-16567	20	77	emerged	emerge	VERB
ihlr-16567	20	78	,	,	PUNCT
ihlr-16567	20	79	advanced	advance	VERB
ihlr-16567	20	80	by	by	ADP
ihlr-16567	20	81	dartmouth	dartmouth	PROPN
ihlr-16567	20	82	researchers	researcher	NOUN
ihlr-16567	20	83	,	,	PUNCT
ihlr-16567	20	84	an	an	DET
ihlr-16567	20	85	institute	institute	NOUN
ihlr-16567	20	86	of	of	ADP
ihlr-16567	20	87	medicine	medicine	PROPN
ihlr-16567	20	88	committee	committee	NOUN
ihlr-16567	20	89	,	,	PUNCT
ihlr-16567	20	90	and	and	CCONJ
ihlr-16567	20	91	several	several	ADJ
ihlr-16567	20	92	medicare	medicare	PROPN
ihlr-16567	20	93	payment	payment	NOUN
ihlr-16567	20	94	advisory	advisory	ADJ
ihlr-16567	20	95	commission	commission	NOUN
ihlr-16567	20	96	members	member	NOUN
ihlr-16567	20	97	.	.	PUNCT
ihlr-16567	21	1	this	this	DET
ihlr-16567	21	2	"	"	PUNCT
ihlr-16567	21	3	shared	shared	ADJ
ihlr-16567	21	4	accountability	accountability	NOUN
ihlr-16567	21	5	"	"	PUNCT
ihlr-16567	21	6	approach	approach	NOUN
ihlr-16567	21	7	would	would	AUX
ihlr-16567	21	8	create	create	VERB
ihlr-16567	21	9	"	"	PUNCT
ihlr-16567	21	10	virtual	virtual	ADJ
ihlr-16567	21	11	"	"	PUNCT
ihlr-16567	21	12	integrated	integrated	ADJ
ihlr-16567	21	13	delivery	delivery	NOUN
ihlr-16567	21	14	systems	system	NOUN
ihlr-16567	21	15	,	,	PUNCT
ihlr-16567	21	16	while	while	SCONJ
ihlr-16567	21	17	maintaining	maintain	VERB
ihlr-16567	21	18	the	the	DET
ihlr-16567	21	19	fee	fee	NOUN
ihlr-16567	21	20	-	-	PUNCT
ihlr-16567	21	21	for	for	ADP
ihlr-16567	21	22	-	-	PUNCT
ihlr-16567	21	23	service	service	NOUN
ihlr-16567	21	24	(	(	PUNCT
ihlr-16567	21	25	ffs	ffs	NOUN
ihlr-16567	21	26	)	)	PUNCT
ihlr-16567	21	27	system	system	NOUN
ihlr-16567	21	28	.	.	PUNCT
ihlr-16567	22	1	this	this	PRON
ihlr-16567	22	2	would	would	AUX
ihlr-16567	22	3	be	be	AUX
ihlr-16567	22	4	accomplished	accomplish	VERB
ihlr-16567	22	5	by	by	ADP
ihlr-16567	22	6	grouping	group	VERB
ihlr-16567	22	7	doctors	doctor	NOUN
ihlr-16567	22	8	and	and	CCONJ
ihlr-16567	22	9	hospitals	hospital	NOUN
ihlr-16567	22	10	together	together	ADV
ihlr-16567	22	11	into	into	ADP
ihlr-16567	22	12	dis­	dis­	ADJ
ihlr-16567	22	13	crete	crete	ADJ
ihlr-16567	22	14	payment	payment	NOUN
ihlr-16567	22	15	pools	pool	NOUN
ihlr-16567	22	16	,	,	PUNCT
ihlr-16567	22	17	through	through	ADP
ihlr-16567	22	18	which	which	PRON
ihlr-16567	22	19	collective	collective	ADJ
ihlr-16567	22	20	performance	performance	NOUN
ihlr-16567	22	21	could	could	AUX
ihlr-16567	22	22	be	be	AUX
ihlr-16567	22	23	re­	re­	PROPN
ihlr-16567	22	24	warded	ward	VERB
ihlr-16567	22	25	as	as	ADP
ihlr-16567	22	26	a	a	DET
ihlr-16567	22	27	unit	unit	NOUN
ihlr-16567	22	28	.	.	PUNCT
ihlr-16567	23	1	this	this	DET
ihlr-16567	23	2	paper	paper	NOUN
ihlr-16567	23	3	explores	explore	VERB
ihlr-16567	23	4	the	the	DET
ihlr-16567	23	5	concept	concept	NOUN
ihlr-16567	23	6	of	of	ADP
ihlr-16567	23	7	shared	share	VERB
ihlr-16567	23	8	accountability	accountability	NOUN
ihlr-16567	23	9	in	in	ADP
ihlr-16567	23	10	depth	depth	NOUN
ihlr-16567	23	11	by	by	ADP
ihlr-16567	23	12	attempting	attempt	VERB
ihlr-16567	23	13	to	to	PART
ihlr-16567	23	14	flesh	flesh	VERB
ihlr-16567	23	15	out	out	ADP
ihlr-16567	23	16	possible	possible	ADJ
ihlr-16567	23	17	mechanisms	mechanism	NOUN
ihlr-16567	23	18	by	by	ADP
ihlr-16567	23	19	which	which	PRON
ihlr-16567	23	20	it	it	PRON
ihlr-16567	23	21	could	could	AUX
ihlr-16567	23	22	operate	operate	VERB
ihlr-16567	23	23	with­	with­	PROPN
ihlr-16567	23	24	in	in	ADP
ihlr-16567	23	25	the	the	DET
ihlr-16567	23	26	medicare	medicare	PROPN
ihlr-16567	23	27	program	program	NOUN
ihlr-16567	23	28	,	,	PUNCT
ihlr-16567	23	29	and	and	CCONJ
ihlr-16567	23	30	how	how	SCONJ
ihlr-16567	23	31	provider	provider	NOUN
ihlr-16567	23	32	incentives	incentive	NOUN
ihlr-16567	23	33	might	might	AUX
ihlr-16567	23	34	be	be	AUX
ihlr-16567	23	35	altered	alter	VERB
ihlr-16567	23	36	to	to	PART
ihlr-16567	23	37	encourage	encourage	VERB
ihlr-16567	23	38	efficiency	efficiency	NOUN
ihlr-16567	23	39	and	and	CCONJ
ihlr-16567	23	40	quality	quality	NOUN
ihlr-16567	23	41	.	.	PUNCT
ihlr-16567	24	1	part	part	NOUN
ihlr-16567	24	2	ii	ii	PROPN
ihlr-16567	24	3	of	of	ADP
ihlr-16567	24	4	the	the	DET
ihlr-16567	24	5	paper	paper	NOUN
ihlr-16567	24	6	reviews	review	VERB
ihlr-16567	24	7	the	the	DET
ihlr-16567	24	8	literature	literature	NOUN
ihlr-16567	24	9	in	in	ADP
ihlr-16567	24	10	which	which	PRON
ihlr-16567	24	11	the	the	DET
ihlr-16567	24	12	shared	share	VERB
ihlr-16567	24	13	accountability	accountability	NOUN
ihlr-16567	24	14	concept	concept	NOUN
ihlr-16567	24	15	was	be	AUX
ihlr-16567	24	16	first	first	ADV
ihlr-16567	24	17	articulated	articulated	ADJ
ihlr-16567	24	18	.	.	PUNCT
ihlr-16567	25	1	part	part	NOUN
ihlr-16567	25	2	iii	iii	NOUN
ihlr-16567	25	3	discusses	discuss	VERB
ihlr-16567	25	4	possible	possible	ADJ
ihlr-16567	25	5	performance	performance	NOUN
ihlr-16567	25	6	goals	goal	NOUN
ihlr-16567	25	7	that	that	PRON
ihlr-16567	25	8	could	could	AUX
ihlr-16567	25	9	be	be	AUX
ihlr-16567	25	10	rewarded	reward	VERB
ihlr-16567	25	11	in	in	ADP
ihlr-16567	25	12	such	such	DET
ihlr-16567	25	13	a	a	DET
ihlr-16567	25	14	sys­	sys­	ADJ
ihlr-16567	25	15	tem	tem	PROPN
ihlr-16567	25	16	.	.	PUNCT
ihlr-16567	26	1	part	part	NOUN
ihlr-16567	27	1	n	n	PROPN
ihlr-16567	27	2	discusses	discuss	VERB
ihlr-16567	27	3	the	the	DET
ihlr-16567	27	4	techniques	technique	NOUN
ihlr-16567	27	5	that	that	PRON
ihlr-16567	27	6	doctors	doctor	NOUN
ihlr-16567	27	7	could	could	AUX
ihlr-16567	27	8	use	use	VERB
ihlr-16567	27	9	to	to	PART
ihlr-16567	27	10	achieve	achieve	VERB
ihlr-16567	27	11	those	those	DET
ihlr-16567	27	12	goals	goal	NOUN
ihlr-16567	27	13	when	when	SCONJ
ihlr-16567	27	14	grouped	group	VERB
ihlr-16567	27	15	into	into	ADP
ihlr-16567	27	16	an	an	DET
ihlr-16567	27	17	accountable	accountable	ADJ
ihlr-16567	27	18	care	care	NOUN
ihlr-16567	27	19	organization	organization	NOUN
ihlr-16567	27	20	.	.	PUNCT
ihlr-16567	28	1	part	part	NOUN
ihlr-16567	28	2	v	v	NUM
ihlr-16567	28	3	looks	look	VERB
ihlr-16567	28	4	at	at	ADP
ihlr-16567	28	5	four	four	NUM
ihlr-16567	28	6	possible	possible	ADJ
ihlr-16567	28	7	permutations	permutation	NOUN
ihlr-16567	28	8	of	of	ADP
ihlr-16567	28	9	a	a	DET
ihlr-16567	28	10	shared	share	VERB
ihlr-16567	28	11	accountability	accountability	NOUN
ihlr-16567	28	12	regime	regime	NOUN
ihlr-16567	28	13	in	in	ADP
ihlr-16567	28	14	medicare	medicare	PROPN
ihlr-16567	28	15	.	.	PUNCT
ihlr-16567	29	1	the	the	DET
ihlr-16567	29	2	first	first	ADJ
ihlr-16567	29	3	two	two	NUM
ihlr-16567	29	4	envision	envision	NOUN
ihlr-16567	29	5	a	a	DET
ihlr-16567	29	6	congressional	congressional	ADJ
ihlr-16567	29	7	mandate	mandate	NOUN
ihlr-16567	29	8	as­	as­	NOUN
ihlr-16567	29	9	signing	sign	VERB
ihlr-16567	29	10	doctors	doctor	NOUN
ihlr-16567	29	11	to	to	ADP
ihlr-16567	29	12	some	some	DET
ihlr-16567	29	13	type	type	NOUN
ihlr-16567	29	14	of	of	ADP
ihlr-16567	29	15	accountable	accountable	ADJ
ihlr-16567	29	16	care	care	NOUN
ihlr-16567	29	17	organization	organization	NOUN
ihlr-16567	29	18	(	(	PUNCT
ihlr-16567	29	19	"	"	PUNCT
ihlr-16567	29	20	aco	aco	PROPN
ihlr-16567	29	21	"	"	PUNCT
ihlr-16567	29	22	)	)	PUNCT
ihlr-16567	29	23	at	at	ADP
ihlr-16567	29	24	either	either	CCONJ
ihlr-16567	29	25	the	the	DET
ihlr-16567	29	26	(	(	PUNCT
ihlr-16567	29	27	1	1	NUM
ihlr-16567	29	28	)	)	PUNCT
ihlr-16567	29	29	state	state	NOUN
ihlr-16567	29	30	or	or	CCONJ
ihlr-16567	29	31	(	(	PUNCT
ihlr-16567	29	32	2	2	NUM
ihlr-16567	29	33	)	)	PUNCT
ihlr-16567	29	34	local	local	ADJ
ihlr-16567	29	35	level	level	NOUN
ihlr-16567	29	36	,	,	PUNCT
ihlr-16567	29	37	enforced	enforce	VERB
ihlr-16567	29	38	by	by	ADP
ihlr-16567	29	39	target	target	NOUN
ihlr-16567	29	40	pool	pool	NOUN
ihlr-16567	29	41	mechanisms	mechanism	NOUN
ihlr-16567	29	42	similar	similar	ADJ
ihlr-16567	29	43	to	to	ADP
ihlr-16567	29	44	the	the	DET
ihlr-16567	29	45	sustainable	sustainable	ADJ
ihlr-16567	29	46	growth	growth	NOUN
ihlr-16567	29	47	rate	rate	NOUN
ihlr-16567	29	48	(	(	PUNCT
ihlr-16567	29	49	sgr	sgr	PROPN
ihlr-16567	29	50	)	)	PUNCT
ihlr-16567	29	51	system.3	system.3	NOUN
ihlr-16567	29	52	the	the	DET
ihlr-16567	29	53	idea	idea	NOUN
ihlr-16567	29	54	of	of	ADP
ihlr-16567	29	55	local	local	ADJ
ihlr-16567	29	56	a	a	DET
ihlr-16567	29	57	cos	cos	PROPN
ihlr-16567	29	58	contemplates	contemplate	VERB
ihlr-16567	29	59	an	an	DET
ihlr-16567	29	60	initial	initial	ADJ
ihlr-16567	29	61	assignment	assignment	NOUN
ihlr-16567	29	62	of	of	ADP
ihlr-16567	29	63	physicians	physician	NOUN
ihlr-16567	29	64	that	that	PRON
ihlr-16567	29	65	assumes	assume	VERB
ihlr-16567	29	66	they	they	PRON
ihlr-16567	29	67	are	be	AUX
ihlr-16567	29	68	members	member	NOUN
ihlr-16567	29	69	of	of	ADP
ihlr-16567	29	70	an	an	DET
ihlr-16567	29	71	"	"	PUNCT
ihlr-16567	29	72	extended	extended	ADJ
ihlr-16567	29	73	hospital	hospital	NOUN
ihlr-16567	29	74	medical	medical	ADJ
ihlr-16567	29	75	staff	staff	NOUN
ihlr-16567	29	76	,	,	PUNCT
ihlr-16567	29	77	"	"	PUNCT
ihlr-16567	29	78	but	but	CCONJ
ihlr-16567	29	79	would	would	AUX
ihlr-16567	29	80	permit	permit	VERB
ihlr-16567	29	81	doc­	doc­	NOUN
ihlr-16567	29	82	tors	tor	NOUN
ihlr-16567	29	83	to	to	PART
ihlr-16567	29	84	choose	choose	VERB
ihlr-16567	29	85	a	a	DET
ihlr-16567	29	86	different	different	ADJ
ihlr-16567	29	87	aco	aco	NOUN
ihlr-16567	29	88	,	,	PUNCT
ihlr-16567	29	89	either	either	CCONJ
ihlr-16567	29	90	at	at	ADP
ihlr-16567	29	91	a	a	DET
ihlr-16567	29	92	different	different	ADJ
ihlr-16567	29	93	hospital	hospital	NOUN
ihlr-16567	29	94	or	or	CCONJ
ihlr-16567	29	95	a	a	DET
ihlr-16567	29	96	free­	free­	PROPN
ihlr-16567	29	97	standing	stand	VERB
ihlr-16567	29	98	aco	aco	PROPN
ihlr-16567	29	99	resembling	resemble	VERB
ihlr-16567	29	100	a	a	DET
ihlr-16567	29	101	multi	multi	ADJ
ihlr-16567	29	102	-	-	ADJ
ihlr-16567	29	103	specialty	specialty	ADJ
ihlr-16567	29	104	group	group	NOUN
ihlr-16567	29	105	practice	practice	NOUN
ihlr-16567	29	106	.	.	PUNCT
ihlr-16567	30	1	a	a	DET
ihlr-16567	30	2	third	third	ADJ
ihlr-16567	30	3	model	model	NOUN
ihlr-16567	30	4	1	1	NUM
ihlr-16567	30	5	.	.	PUNCT
ihlr-16567	30	6	alain	alain	PROPN
ihlr-16567	30	7	c.	c.	PROPN
ihlr-16567	30	8	enthoven	enthoven	PROPN
ihlr-16567	30	9	,	,	PUNCT
ihlr-16567	30	10	market	market	NOUN
ihlr-16567	30	11	forces	force	NOUN
ihlr-16567	30	12	and	and	CCONJ
ihlr-16567	30	13	efficient	efficient	ADJ
ihlr-16567	30	14	health	health	NOUN
ihlr-16567	30	15	care	care	NOUN
ihlr-16567	30	16	systems	system	NOUN
ihlr-16567	30	17	,	,	PUNCT
ihlr-16567	30	18	23	23	NUM
ihlr-16567	30	19	health	health	NOUN
ihlr-16567	30	20	affairs	affair	NOUN
ihlr-16567	30	21	25	25	NUM
ihlr-16567	30	22	,	,	PUNCT
ihlr-16567	30	23	26	26	NUM
ihlr-16567	30	24	(	(	PUNCT
ihlr-16567	30	25	2004	2004	NUM
ihlr-16567	30	26	)	)	PUNCT
ihlr-16567	30	27	(	(	PUNCT
ihlr-16567	30	28	citing	cite	VERB
ihlr-16567	30	29	alain	alain	PROPN
ihlr-16567	30	30	c.	c.	PROPN
ihlr-16567	30	31	enthoven	enthoven	PROPN
ihlr-16567	30	32	,	,	PUNCT
ihlr-16567	30	33	the	the	DET
ihlr-16567	30	34	history	history	NOUN
ihlr-16567	30	35	and	and	CCONJ
ihlr-16567	30	36	principles	principle	NOUN
ihlr-16567	30	37	of	of	ADP
ihlr-16567	30	38	managed	manage	VERB
ihlr-16567	30	39	competition	competition	NOUN
ihlr-16567	30	40	,	,	PUNCT
ihlr-16567	30	41	1993	1993	NUM
ihlr-16567	30	42	health	health	NOUN
ihlr-16567	30	43	affairs	affair	NOUN
ihlr-16567	30	44	supp	supp	NOUN
ihlr-16567	30	45	.	.	PUNCT
ihlr-16567	31	1	24	24	NUM
ihlr-16567	31	2	-	-	SYM
ihlr-16567	31	3	48	48	NUM
ihlr-16567	31	4	)	)	PUNCT
ihlr-16567	31	5	.	.	PUNCT
ihlr-16567	32	1	2	2	X
ihlr-16567	32	2	.	.	X
ihlr-16567	32	3	meredith	meredith	PROPN
ihlr-16567	32	4	b.	b.	PROPN
ihlr-16567	32	5	rosenthal	rosenthal	PROPN
ihlr-16567	32	6	&	&	CCONJ
ihlr-16567	32	7	r.	r.	PROPN
ihlr-16567	32	8	adams	adams	PROPN
ihlr-16567	32	9	dudley	dudley	PROPN
ihlr-16567	32	10	,	,	PUNCT
ihlr-16567	32	11	pay	pay	NOUN
ihlr-16567	32	12	-	-	PUNCT
ihlr-16567	32	13	for	for	ADP
ihlr-16567	32	14	-	-	PUNCT
ihlr-16567	32	15	performance	performance	NOUN
ihlr-16567	32	16	:	:	PUNCT
ihlr-16567	32	17	will	will	AUX
ihlr-16567	32	18	the	the	DET
ihlr-16567	32	19	latest	late	ADJ
ihlr-16567	32	20	payment	payment	NOUN
ihlr-16567	32	21	trend	trend	NOUN
ihlr-16567	32	22	improve	improve	VERB
ihlr-16567	32	23	care	care	NOUN
ihlr-16567	32	24	?	?	PUNCT
ihlr-16567	33	1	297	297	NUM
ihlr-16567	33	2	jama	jama	NOUN
ihlr-16567	33	3	740	740	NUM
ihlr-16567	33	4	,	,	PUNCT
ihlr-16567	33	5	740	740	NUM
ihlr-16567	33	6	(	(	PUNCT
ihlr-16567	33	7	2007	2007	NUM
ihlr-16567	33	8	)	)	PUNCT
ihlr-16567	33	9	.	.	PUNCT
ihlr-16567	34	1	3	3	X
ihlr-16567	34	2	.	.	X
ihlr-16567	34	3	42	42	NUM
ihlr-16567	34	4	uos.c	uos.c	PROPN
ihlr-16567	34	5	.	.	PUNCT
ihlr-16567	35	1	§	§	PROPN
ihlr-16567	35	2	1395w-4	1395w-4	NUM
ihlr-16567	35	3	(	(	PUNCT
ihlr-16567	35	4	2009	2009	NUM
ihlr-16567	35	5	)	)	PUNCT
ihlr-16567	35	6	(	(	PUNCT
ihlr-16567	35	7	establishing	establish	VERB
ihlr-16567	35	8	the	the	DET
ihlr-16567	35	9	sgr	sgr	PROPN
ihlr-16567	35	10	,	,	PUNCT
ihlr-16567	35	11	which	which	PRON
ihlr-16567	35	12	sets	set	VERB
ihlr-16567	35	13	a	a	DET
ihlr-16567	35	14	target	target	NOUN
ihlr-16567	35	15	for	for	ADP
ihlr-16567	35	16	physi­	physi­	PROPN
ihlr-16567	35	17	cian	cian	NOUN
ihlr-16567	35	18	expenditures	expenditure	NOUN
ihlr-16567	35	19	permitted	permit	VERB
ihlr-16567	35	20	to	to	PART
ihlr-16567	35	21	grow	grow	VERB
ihlr-16567	35	22	with	with	ADP
ihlr-16567	35	23	national	national	ADJ
ihlr-16567	35	24	income	income	NOUN
ihlr-16567	35	25	and	and	CCONJ
ihlr-16567	35	26	expansion	expansion	NOUN
ihlr-16567	35	27	of	of	ADP
ihlr-16567	35	28	services	service	NOUN
ihlr-16567	35	29	to	to	PART
ihlr-16567	35	30	bene­	bene­	VERB
ihlr-16567	35	31	ficiaries	ficiarie	NOUN
ihlr-16567	35	32	.	.	PUNCT
ihlr-16567	36	1	in	in	ADP
ihlr-16567	36	2	the	the	DET
ihlr-16567	36	3	event	event	NOUN
ihlr-16567	36	4	that	that	SCONJ
ihlr-16567	36	5	expenditures	expenditure	NOUN
ihlr-16567	36	6	exceed	exceed	VERB
ihlr-16567	36	7	the	the	DET
ihlr-16567	36	8	target	target	NOUN
ihlr-16567	36	9	,	,	PUNCT
ihlr-16567	36	10	the	the	DET
ihlr-16567	36	11	conversion	conversion	NOUN
ihlr-16567	36	12	factor	factor	NOUN
ihlr-16567	36	13	used	use	VERB
ihlr-16567	36	14	to	to	PART
ihlr-16567	36	15	calculate	calculate	VERB
ihlr-16567	36	16	physician	physician	NOUN
ihlr-16567	36	17	reimbursements	reimbursement	NOUN
ihlr-16567	36	18	under	under	ADP
ihlr-16567	36	19	the	the	DET
ihlr-16567	36	20	fee	fee	NOUN
ihlr-16567	36	21	schedule	schedule	NOUN
ihlr-16567	36	22	is	be	AUX
ihlr-16567	36	23	reduced	reduce	VERB
ihlr-16567	36	24	.	.	PUNCT
ihlr-16567	37	1	if	if	SCONJ
ihlr-16567	37	2	expenditures	expenditure	NOUN
ihlr-16567	37	3	are	be	AUX
ihlr-16567	37	4	below	below	ADP
ihlr-16567	37	5	the	the	DET
ihlr-16567	37	6	target	target	NOUN
ihlr-16567	37	7	,	,	PUNCT
ihlr-16567	37	8	the	the	DET
ihlr-16567	37	9	conversion	conversion	NOUN
ihlr-16567	37	10	factor	factor	NOUN
ihlr-16567	37	11	is	be	AUX
ihlr-16567	37	12	increased	increase	VERB
ihlr-16567	37	13	.	.	PUNCT
ihlr-16567	38	1	this	this	DET
ihlr-16567	38	2	paper	paper	NOUN
ihlr-16567	38	3	will	will	AUX
ihlr-16567	38	4	make	make	VERB
ihlr-16567	38	5	reference	reference	NOUN
ihlr-16567	38	6	to	to	ADP
ihlr-16567	38	7	this	this	DET
ihlr-16567	38	8	method	method	NOUN
ihlr-16567	38	9	of	of	ADP
ihlr-16567	38	10	updating	update	VERB
ihlr-16567	38	11	fees	fee	NOUN
ihlr-16567	38	12	in	in	ADP
ihlr-16567	38	13	the	the	DET
ihlr-16567	38	14	ensuing	ensue	VERB
ihlr-16567	38	15	discussion	discussion	NOUN
ihlr-16567	38	16	of	of	ADP
ihlr-16567	38	17	policy	policy	NOUN
ihlr-16567	38	18	options	option	NOUN
ihlr-16567	38	19	)	)	PUNCT
ihlr-16567	38	20	.	.	PUNCT
ihlr-16567	39	1	2010	2010	NUM
ihlr-16567	39	2	]	]	PUNCT
ihlr-16567	39	3	"	"	PUNCT
ihlr-16567	39	4	shared	share	VERB
ihlr-16567	39	5	accountabit	accountabit	NOUN
ihlr-16567	39	6	..	..	PUNCT
ihlr-16567	39	7	ity	ity	PROPN
ihlr-16567	39	8	.	.	PROPN
ihlr-16567	39	9	,	,	PUNCT
ihlr-16567	39	10	approach	approach	VERB
ihlr-16567	39	11	187	187	NUM
ihlr-16567	39	12	envisions	envision	VERB
ihlr-16567	39	13	voluntary	voluntary	ADJ
ihlr-16567	39	14	acos	aco	NOUN
ihlr-16567	39	15	being	be	AUX
ihlr-16567	39	16	convened	convene	VERB
ihlr-16567	39	17	by	by	ADP
ihlr-16567	39	18	insurers	insurer	NOUN
ihlr-16567	39	19	,	,	PUNCT
ihlr-16567	39	20	a	a	DET
ihlr-16567	39	21	possibility	possibility	NOUN
ihlr-16567	39	22	sug­	sug­	NOUN
ihlr-16567	39	23	gested	geste	VERB
ihlr-16567	39	24	in	in	ADP
ihlr-16567	39	25	the	the	DET
ihlr-16567	39	26	institute	institute	NOUN
ihlr-16567	39	27	of	of	ADP
ihlr-16567	39	28	medicine	medicine	NOUN
ihlr-16567	39	29	's	's	PART
ihlr-16567	39	30	pay	pay	NOUN
ihlr-16567	39	31	for	for	ADP
ihlr-16567	39	32	performance	performance	NOUN
ihlr-16567	39	33	report.4	report.4	PROPN
ihlr-16567	39	34	a	a	DET
ihlr-16567	39	35	final	final	ADJ
ihlr-16567	39	36	set	set	NOUN
ihlr-16567	39	37	of	of	ADP
ihlr-16567	39	38	models	model	NOUN
ihlr-16567	39	39	envisions	envision	VERB
ihlr-16567	39	40	milder	mild	ADJ
ihlr-16567	39	41	,	,	PUNCT
ihlr-16567	39	42	incremental	incremental	ADJ
ihlr-16567	39	43	versions	version	NOUN
ihlr-16567	39	44	in	in	ADP
ihlr-16567	39	45	which	which	PRON
ihlr-16567	39	46	doctors	doctor	NOUN
ihlr-16567	39	47	might	might	AUX
ihlr-16567	39	48	be	be	AUX
ihlr-16567	39	49	encouraged	encourage	VERB
ihlr-16567	39	50	to	to	PART
ihlr-16567	39	51	collectively	collectively	ADV
ihlr-16567	39	52	pursue	pursue	VERB
ihlr-16567	39	53	efficiency	efficiency	NOUN
ihlr-16567	39	54	and	and	CCONJ
ihlr-16567	39	55	quality	quality	NOUN
ihlr-16567	39	56	measures	measure	NOUN
ihlr-16567	39	57	with­	with­	VERB
ihlr-16567	39	58	out	out	ADP
ihlr-16567	39	59	the	the	DET
ihlr-16567	39	60	imposition	imposition	NOUN
ihlr-16567	39	61	of	of	ADP
ihlr-16567	39	62	any	any	DET
ihlr-16567	39	63	formal	formal	ADJ
ihlr-16567	39	64	framework	framework	NOUN
ihlr-16567	39	65	.	.	PUNCT
ihlr-16567	40	1	this	this	DET
ihlr-16567	40	2	section	section	NOUN
ihlr-16567	40	3	includes	include	VERB
ihlr-16567	40	4	discus­	discus­	PROPN
ihlr-16567	40	5	sion	sion	NOUN
ihlr-16567	40	6	of	of	ADP
ihlr-16567	40	7	two	two	NUM
ihlr-16567	40	8	new	new	ADJ
ihlr-16567	40	9	obama	obama	PROPN
ihlr-16567	40	10	administration	administration	NOUN
ihlr-16567	40	11	initiatives	initiative	NOUN
ihlr-16567	40	12	that	that	PRON
ihlr-16567	40	13	may	may	AUX
ihlr-16567	40	14	nudge	nudge	VERB
ihlr-16567	40	15	physicians	physician	NOUN
ihlr-16567	40	16	toward	toward	ADP
ihlr-16567	40	17	shared	share	VERB
ihlr-16567	40	18	accountability	accountability	NOUN
ihlr-16567	40	19	arrangements	arrangement	NOUN
ihlr-16567	40	20	.	.	PUNCT
ihlr-16567	41	1	part	part	NOUN
ihlr-16567	41	2	vi	vi	PROPN
ihlr-16567	41	3	discusses	discuss	VERB
ihlr-16567	41	4	the	the	DET
ihlr-16567	41	5	conflicts	conflict	NOUN
ihlr-16567	41	6	and	and	CCONJ
ihlr-16567	41	7	challenges	challenge	NOUN
ihlr-16567	41	8	likely	likely	ADJ
ihlr-16567	41	9	to	to	PART
ihlr-16567	41	10	emerge	emerge	VERB
ihlr-16567	41	11	in	in	ADP
ihlr-16567	41	12	a	a	DET
ihlr-16567	41	13	shared	share	VERB
ihlr-16567	41	14	accountability	accountability	NOUN
ihlr-16567	41	15	regime	regime	NOUN
ihlr-16567	41	16	.	.	PUNCT
ihlr-16567	42	1	the	the	DET
ihlr-16567	42	2	concluding	conclude	VERB
ihlr-16567	42	3	comments	comment	NOUN
ihlr-16567	42	4	assess	assess	VERB
ihlr-16567	42	5	how	how	SCONJ
ihlr-16567	42	6	shared	shared	ADJ
ihlr-16567	42	7	accountability	accountability	NOUN
ihlr-16567	42	8	proposals	proposal	NOUN
ihlr-16567	42	9	address	address	VERB
ihlr-16567	42	10	some	some	DET
ihlr-16567	42	11	major	major	ADJ
ihlr-16567	42	12	criticisms	criticism	NOUN
ihlr-16567	42	13	of	of	ADP
ihlr-16567	42	14	the	the	DET
ihlr-16567	42	15	medicare	medicare	PROPN
ihlr-16567	42	16	program	program	PROPN
ihlr-16567	42	17	.	.	PUNCT
ihlr-16567	43	1	fl	fl	PROPN
ihlr-16567	43	2	.	.	PUNCT
ihlr-16567	43	3	background	background	NOUN
ihlr-16567	43	4	the	the	DET
ihlr-16567	43	5	rationale	rationale	NOUN
ihlr-16567	43	6	for	for	ADP
ihlr-16567	43	7	pursuing	pursue	VERB
ihlr-16567	43	8	a	a	DET
ihlr-16567	43	9	shared	share	VERB
ihlr-16567	43	10	accountability	accountability	NOUN
ihlr-16567	43	11	approach	approach	NOUN
ihlr-16567	43	12	is	be	AUX
ihlr-16567	43	13	well	well	ADV
ihlr-16567	43	14	stated	state	VERB
ihlr-16567	43	15	by	by	ADP
ihlr-16567	43	16	the	the	DET
ihlr-16567	43	17	institute	institute	NOUN
ihlr-16567	43	18	of	of	ADP
ihlr-16567	43	19	medicine	medicine	NOUN
ihlr-16567	43	20	in	in	ADP
ihlr-16567	43	21	the	the	DET
ihlr-16567	43	22	introduction	introduction	NOUN
ihlr-16567	43	23	to	to	ADP
ihlr-16567	43	24	its	its	PRON
ihlr-16567	43	25	report	report	NOUN
ihlr-16567	43	26	on	on	ADP
ihlr-16567	43	27	pay­	pay­	NOUN
ihlr-16567	43	28	for	for	ADP
ihlr-16567	43	29	-	-	PUNCT
ihlr-16567	43	30	performance	performance	NOUN
ihlr-16567	43	31	,	,	PUNCT
ihlr-16567	43	32	rewarding	rewarding	ADJ
ihlr-16567	43	33	provider	provider	NOUN
ihlr-16567	43	34	performance	performance	NOUN
ihlr-16567	43	35	:	:	PUNCT
ihlr-16567	43	36	realigning	realign	VERB
ihlr-16567	43	37	incentives	incentive	NOUN
ihlr-16567	43	38	in	in	ADP
ihlr-16567	43	39	medicare	medicare	PROPN
ihlr-16567	43	40	:	:	PUNCT
ihlr-16567	43	41	the	the	DET
ihlr-16567	43	42	current	current	ADJ
ihlr-16567	43	43	medicare	medicare	PROPN
ihlr-16567	43	44	fee	fee	NOUN
ihlr-16567	43	45	-	-	PUNCT
ihlr-16567	43	46	for	for	ADP
ihlr-16567	43	47	-	-	PUNCT
ihlr-16567	43	48	service	service	NOUN
ihlr-16567	43	49	payment	payment	NOUN
ihlr-16567	43	50	system	system	NOUN
ihlr-16567	43	51	is	be	AUX
ihlr-16567	43	52	unlikely	unlikely	ADJ
ihlr-16567	43	53	to	to	PART
ihlr-16567	43	54	promote	promote	VERB
ihlr-16567	43	55	quality	quality	NOUN
ihlr-16567	43	56	improvement	improvement	NOUN
ihlr-16567	43	57	because	because	SCONJ
ihlr-16567	43	58	it	it	PRON
ihlr-16567	43	59	tends	tend	VERB
ihlr-16567	43	60	to	to	PART
ihlr-16567	43	61	reward	reward	VERB
ihlr-16567	43	62	excessive	excessive	ADJ
ihlr-16567	43	63	use	use	NOUN
ihlr-16567	43	64	of	of	ADP
ihlr-16567	43	65	services	service	NOUN
ihlr-16567	43	66	;	;	PUNCT
ihlr-16567	44	1	high	high	ADJ
ihlr-16567	44	2	-	-	PUNCT
ihlr-16567	44	3	cost	cost	NOUN
ihlr-16567	44	4	,	,	PUNCT
ihlr-16567	44	5	complex	complex	ADJ
ihlr-16567	44	6	.	.	PUNCT
ihlr-16567	44	7	procedures	procedure	NOUN
ihlr-16567	44	8	;	;	PUNCT
ihlr-16567	44	9	and	and	CCONJ
ihlr-16567	44	10	lower	low	ADJ
ihlr-16567	44	11	-	-	PUNCT
ihlr-16567	44	12	quality	quality	NOUN
ihlr-16567	44	13	care	care	NOUN
ihlr-16567	44	14	.	.	PUNCT
ihlr-16567	45	1	through	through	ADP
ihlr-16567	45	2	bundled	bundle	VERB
ihlr-16567	45	3	and	and	CCONJ
ihlr-16567	45	4	prospective	prospective	ADJ
ihlr-16567	45	5	payment	payment	NOUN
ihlr-16567	45	6	arrangements	arrangement	NOUN
ihlr-16567	45	7	for	for	ADP
ihlr-16567	45	8	institutions	institution	NOUN
ihlr-16567	45	9	,	,	PUNCT
ihlr-16567	45	10	medicare	medicare	PROPN
ihlr-16567	45	11	has	have	AUX
ihlr-16567	45	12	attempted	attempt	VERB
ihlr-16567	45	13	to	to	PART
ihlr-16567	45	14	create	create	VERB
ihlr-16567	45	15	incen­	incen­	PART
ihlr-16567	45	16	tives	tive	NOUN
ihlr-16567	45	17	for	for	ADP
ihlr-16567	45	18	efficiencies	efficiency	NOUN
ihlr-16567	45	19	,	,	PUNCT
ihlr-16567	45	20	but	but	CCONJ
ihlr-16567	45	21	significant	significant	ADJ
ihlr-16567	45	22	price	price	NOUN
ihlr-16567	45	23	and	and	CCONJ
ihlr-16567	45	24	pay­	pay­	ADJ
ihlr-16567	45	25	ment	ment	NOUN
ihlr-16567	45	26	distortions	distortion	NOUN
ihlr-16567	45	27	persist	persist	VERB
ihlr-16567	45	28	.	.	PUNCT
ihlr-16567	46	1	services	service	NOUN
ihlr-16567	46	2	that	that	PRON
ihlr-16567	46	3	contribute	contribute	VERB
ihlr-16567	46	4	greatly	greatly	ADV
ihlr-16567	46	5	to	to	ADP
ihlr-16567	46	6	high	high	ADJ
ihlr-16567	46	7	-	-	PUNCT
ihlr-16567	46	8	quality	quality	NOUN
ihlr-16567	46	9	care	care	NOUN
ihlr-16567	46	10	that	that	PRON
ihlr-16567	46	11	are	be	AUX
ihlr-16567	46	12	laboror	laboror	NOUN
ihlr-16567	46	13	time	time	NOUN
ihlr-16567	46	14	-	-	PUNCT
ihlr-16567	46	15	intensive	intensive	ADJ
ihlr-16567	46	16	and	and	CCONJ
ihlr-16567	46	17	rely	rely	VERB
ihlr-16567	46	18	less	less	ADV
ihlr-16567	46	19	on	on	ADP
ihlr-16567	46	20	tech­	tech­	ADJ
ihlr-16567	46	21	nical	nical	ADJ
ihlr-16567	46	22	resources	resource	NOUN
ihlr-16567	46	23	,	,	PUNCT
ihlr-16567	46	24	such	such	ADJ
ihlr-16567	46	25	as	as	ADP
ihlr-16567	46	26	patient	patient	ADJ
ihlr-16567	46	27	education	education	NOUN
ihlr-16567	46	28	in	in	ADP
ihlr-16567	46	29	self­	self­	NOUN
ihlr-16567	46	30	management	management	NOUN
ihlr-16567	46	31	of	of	ADP
ihlr-16567	46	32	chronic	chronic	ADJ
ihlr-16567	46	33	conditions	condition	NOUN
ihlr-16567	46	34	and	and	CCONJ
ihlr-16567	46	35	care	care	VERB
ihlr-16567	46	36	coordina­	coordina­	NOUN
ihlr-16567	46	37	tion	tion	NOUN
ihlr-16567	46	38	,	,	PUNCT
ihlr-16567	46	39	tend	tend	VERB
ihlr-16567	46	40	to	to	PART
ihlr-16567	46	41	be	be	AUX
ihlr-16567	46	42	undervalued	undervalue	VERB
ihlr-16567	46	43	and	and	CCONJ
ihlr-16567	46	44	are	be	AUX
ihlr-16567	46	45	not	not	PART
ihlr-16567	46	46	adequately	adequately	ADV
ihlr-16567	46	47	reflected	reflect	VERB
ihlr-16567	46	48	in	in	ADP
ihlr-16567	46	49	current	current	ADJ
ihlr-16567	46	50	payment	payment	NOUN
ihlr-16567	46	51	arrangements	arrangement	NOUN
ihlr-16567	46	52	.	.	PUNCT
ihlr-16567	47	1	little	little	ADJ
ihlr-16567	47	2	em­	em­	NOUN
ihlr-16567	47	3	phasis	phasis	NOUN
ihlr-16567	47	4	is	be	AUX
ihlr-16567	47	5	placed	place	VERB
ihlr-16567	47	6	on	on	ADP
ihlr-16567	47	7	efficiency	efficiency	NOUN
ihlr-16567	47	8	(	(	PUNCT
ihlr-16567	47	9	achieving	achieve	VERB
ihlr-16567	47	10	high	high	ADJ
ihlr-16567	47	11	clinical	clinical	ADJ
ihlr-16567	47	12	quality	quality	NOUN
ihlr-16567	47	13	with	with	ADP
ihlr-16567	47	14	a	a	DET
ihlr-16567	47	15	given	give	VERB
ihlr-16567	47	16	amount	amount	NOUN
ihlr-16567	47	17	of	of	ADP
ihlr-16567	47	18	resources	resource	NOUN
ihlr-16567	47	19	)	)	PUNCT
ihlr-16567	47	20	.	.	PUNCT
ihlr-16567	48	1	the	the	DET
ihlr-16567	48	2	lack	lack	NOUN
ihlr-16567	48	3	of	of	ADP
ihlr-16567	48	4	incentives	incentive	NOUN
ihlr-16567	48	5	for	for	ADP
ihlr-16567	48	6	comprehensive	comprehensive	ADJ
ihlr-16567	48	7	,	,	PUNCT
ihlr-16567	48	8	coordinated	coordinated	ADJ
ihlr-16567	48	9	care	care	NOUN
ihlr-16567	48	10	dis­	dis­	ADJ
ihlr-16567	48	11	courages	courage	NOUN
ihlr-16567	48	12	services	service	NOUN
ihlr-16567	48	13	targeting	target	VERB
ihlr-16567	48	14	early	early	ADJ
ihlr-16567	48	15	intervention	intervention	NOUN
ihlr-16567	48	16	and	and	CCONJ
ihlr-16567	48	17	prevention	prevention	NOUN
ihlr-16567	48	18	that	that	PRON
ihlr-16567	48	19	can	can	AUX
ihlr-16567	48	20	ultimately	ultimately	ADV
ihlr-16567	48	21	reduce	reduce	VERB
ihlr-16567	48	22	the	the	DET
ihlr-16567	48	23	use	use	NOUN
ihlr-16567	48	24	of	of	ADP
ihlr-16567	48	25	ex­	ex­	NOUN
ihlr-16567	48	26	pensive	pensive	ADJ
ihlr-16567	48	27	services	service	NOUN
ihlr-16567	48	28	,	,	PUNCT
ihlr-16567	48	29	such	such	ADJ
ihlr-16567	48	30	as	as	ADP
ihlr-16567	48	31	avoidable	avoidable	ADJ
ihlr-16567	48	32	hospitalizations	hospitalization	NOUN
ihlr-16567	48	33	.	.	PUNCT
ihlr-16567	49	1	providers	provider	NOUN
ihlr-16567	49	2	often	often	ADV
ihlr-16567	49	3	miss	miss	VERB
ihlr-16567	49	4	opportunities	opportunity	NOUN
ihlr-16567	49	5	for	for	ADP
ihlr-16567	49	6	collaboration	collaboration	NOUN
ihlr-16567	49	7	4	4	NUM
ihlr-16567	49	8	.	.	PUNCT
ihlr-16567	49	9	institute	institute	PROPN
ihlr-16567	49	10	of	of	ADP
ihlr-16567	49	11	medicine	medicine	NOUN
ihlr-16567	49	12	,	,	PUNCT
ihlr-16567	49	13	rewarding	rewarding	ADJ
ihlr-16567	49	14	provider	provider	NOUN
ihlr-16567	49	15	performance	performance	NOUN
ihlr-16567	49	16	:	:	PUNCT
ihlr-16567	49	17	aligning	align	VERB
ihlr-16567	49	18	incentives	incentive	NOUN
ihlr-16567	49	19	in	in	ADP
ihlr-16567	49	20	medicare	medicare	PROPN
ihlr-16567	49	21	(	(	PUNCT
ihlr-16567	49	22	national	national	ADJ
ihlr-16567	49	23	academies	academy	NOUN
ihlr-16567	49	24	press	press	VERB
ihlr-16567	49	25	2007	2007	NUM
ihlr-16567	49	26	)	)	PUNCT
ihlr-16567	49	27	.	.	PUNCT
ihlr-16567	50	1	188	188	NUM
ihlr-16567	50	2	indiana	indiana	PROPN
ihlr-16567	50	3	healm	healm	PROPN
ihlr-16567	50	4	law	law	PROPN
ihlr-16567	50	5	review	review	NOUN
ihlr-16567	50	6	since	since	SCONJ
ihlr-16567	50	7	the	the	DET
ihlr-16567	50	8	payment	payment	NOUN
ihlr-16567	50	9	system	system	NOUN
ihlr-16567	50	10	rewards	reward	VERB
ihlr-16567	50	11	neither	neither	DET
ihlr-16567	50	12	team	team	NOUN
ihlr-16567	50	13	man­	man­	VERB
ihlr-16567	50	14	agement	agement	NOUN
ihlr-16567	50	15	nor	nor	CCONJ
ihlr-16567	50	16	the	the	DET
ihlr-16567	50	17	integration	integration	NOUN
ihlr-16567	50	18	of	of	ADP
ihlr-16567	50	19	services	service	NOUN
ihlr-16567	50	20	,	,	PUNCT
ihlr-16567	50	21	across	across	ADP
ihlr-16567	50	22	care	care	NOUN
ihlr-16567	50	23	•	•	NOUN
ihlr-16567	50	24	5	5	NUM
ihlr-16567	50	25	settmgs	settmgs	NOUN
ihlr-16567	50	26	.	.	PUNCT
ihlr-16567	50	27	.	.	PUNCT
ihlr-16567	51	1	[	[	X
ihlr-16567	51	2	vol	vol	NOUN
ihlr-16567	51	3	.	.	PUNCT
ihlr-16567	52	1	7:185	7:185	NOUN
ihlr-16567	52	2	over	over	ADP
ihlr-16567	52	3	the	the	DET
ihlr-16567	52	4	past	past	ADJ
ihlr-16567	52	5	two	two	NUM
ihlr-16567	52	6	years	year	NOUN
ihlr-16567	52	7	,	,	PUNCT
ihlr-16567	52	8	an	an	DET
ihlr-16567	52	9	increasing	increase	VERB
ihlr-16567	52	10	number	number	NOUN
ihlr-16567	52	11	of	of	ADP
ihlr-16567	52	12	health	health	NOUN
ihlr-16567	52	13	policy	policy	NOUN
ihlr-16567	52	14	experts	expert	NOUN
ihlr-16567	52	15	have	have	AUX
ihlr-16567	52	16	called	call	VERB
ihlr-16567	52	17	for	for	ADP
ihlr-16567	52	18	providers	provider	NOUN
ihlr-16567	52	19	'	'	PART
ihlr-16567	52	20	"	"	PUNCT
ihlr-16567	52	21	assum[ption	assum[ption	NOUN
ihlr-16567	52	22	of	of	ADP
ihlr-16567	52	23	]	]	PUNCT
ihlr-16567	52	24	'	'	PUNCT
ihlr-16567	52	25	shared	share	VERB
ihlr-16567	52	26	accountability;".c	accountability;".c	X
ihlr-16567	52	27	>	>	X
ihlr-16567	52	28	"	"	PUNCT
ihlr-16567	52	29	band[ing	band[ing	NOUN
ihlr-16567	52	30	]	]	PUNCT
ihlr-16567	52	31	together	together	ADV
ihlr-16567	52	32	into	into	ADP
ihlr-16567	52	33	organizations	organization	NOUN
ihlr-16567	52	34	-	-	PUNCT
ihlr-16567	52	35	whether	whether	SCONJ
ihlr-16567	52	36	traditional	traditional	ADJ
ihlr-16567	52	37	or	or	CCONJ
ihlr-16567	52	38	virtual;"7	virtual;"7	NOUN
ihlr-16567	52	39	"	"	PUNCT
ihlr-16567	52	40	develop[ment	develop[ment	NOUN
ihlr-16567	52	41	of	of	ADP
ihlr-16567	52	42	]	]	PUNCT
ihlr-16567	52	43	integrated	integrated	ADJ
ihlr-16567	52	44	care	care	NOUN
ihlr-16567	52	45	networks;'.s	networks;'.	NOUN
ihlr-16567	52	46	or	or	CCONJ
ihlr-16567	52	47	other	other	ADJ
ihlr-16567	52	48	mechanisms	mechanism	NOUN
ihlr-16567	52	49	impos­	impos­	PRON
ihlr-16567	52	50	ing	ing	ADJ
ihlr-16567	52	51	accountability	accountability	NOUN
ihlr-16567	52	52	for	for	ADP
ihlr-16567	52	53	hand	hand	NOUN
ihlr-16567	52	54	-	-	PUNCT
ihlr-16567	52	55	offs	off	NOUN
ihlr-16567	52	56	,	,	PUNCT
ihlr-16567	52	57	care	care	NOUN
ihlr-16567	52	58	transitions	transition	NOUN
ihlr-16567	52	59	,	,	PUNCT
ihlr-16567	52	60	referrals	referral	NOUN
ihlr-16567	52	61	to	to	ADP
ihlr-16567	52	62	other	other	ADJ
ihlr-16567	52	63	provid­	provid­	NOUN
ihlr-16567	52	64	ers	er	NOUN
ihlr-16567	52	65	,	,	PUNCT
ihlr-16567	52	66	and	and	CCONJ
ihlr-16567	52	67	the	the	DET
ihlr-16567	52	68	long	long	ADJ
ihlr-16567	52	69	-	-	PUNCT
ihlr-16567	52	70	term	term	NOUN
ihlr-16567	52	71	health	health	NOUN
ihlr-16567	52	72	status	status	NOUN
ihlr-16567	52	73	of	of	ADP
ihlr-16567	52	74	patients	patient	NOUN
ihlr-16567	52	75	,	,	PUNCT
ihlr-16567	52	76	not	not	PART
ihlr-16567	52	77	simply	simply	ADV
ihlr-16567	52	78	for	for	ADP
ihlr-16567	52	79	the	the	DET
ihlr-16567	52	80	care	care	NOUN
ihlr-16567	52	81	that	that	SCONJ
ihlr-16567	52	82	an	an	DET
ihlr-16567	52	83	individual	individual	ADJ
ihlr-16567	52	84	professional	professional	ADJ
ihlr-16567	52	85	delivers	deliver	NOUN
ihlr-16567	52	86	during	during	ADP
ihlr-16567	52	87	a	a	DET
ihlr-16567	52	88	particular	particular	ADJ
ihlr-16567	52	89	episode	episode	NOUN
ihlr-16567	52	90	of	of	ADP
ihlr-16567	52	91	illness	illness	NOUN
ihlr-16567	52	92	.	.	PUNCT
ihlr-16567	53	1	all	all	PRON
ihlr-16567	53	2	of	of	ADP
ihlr-16567	53	3	these	these	DET
ihlr-16567	53	4	commentators	commentator	NOUN
ihlr-16567	53	5	contemplate	contemplate	VERB
ihlr-16567	53	6	joint	joint	ADJ
ihlr-16567	53	7	accountability	accountability	NOUN
ihlr-16567	53	8	between	between	ADP
ihlr-16567	53	9	physi­	physi­	PROPN
ihlr-16567	53	10	cians	cian	NOUN
ihlr-16567	53	11	and	and	CCONJ
ihlr-16567	53	12	hospitals	hospital	NOUN
ihlr-16567	53	13	,	,	PUNCT
ihlr-16567	53	14	despite	despite	SCONJ
ihlr-16567	53	15	the	the	DET
ihlr-16567	53	16	fact	fact	NOUN
ihlr-16567	53	17	that	that	SCONJ
ihlr-16567	53	18	fee	fee	NOUN
ihlr-16567	53	19	-	-	PUNCT
ihlr-16567	53	20	for	for	ADP
ihlr-16567	53	21	-	-	PUNCT
ihlr-16567	53	22	service	service	NOUN
ihlr-16567	53	23	medicare	medicare	PROPN
ihlr-16567	53	24	program	program	NOUN
ihlr-16567	53	25	separates	separate	VERB
ihlr-16567	53	26	these	these	PRON
ihlr-16567	53	27	,	,	PUNCT
ihlr-16567	53	28	two	two	NUM
ihlr-16567	53	29	parties	party	NOUN
ihlr-16567	53	30	into	into	ADP
ihlr-16567	53	31	separate	separate	ADJ
ihlr-16567	53	32	payment	payment	NOUN
ihlr-16567	53	33	"	"	PUNCT
ihlr-16567	53	34	silos	silo	NOUN
ihlr-16567	53	35	.	.	PUNCT
ihlr-16567	53	36	"	"	PUNCT
ihlr-16567	54	1	the	the	DET
ihlr-16567	54	2	foundation	foundation	NOUN
ihlr-16567	54	3	for	for	ADP
ihlr-16567	54	4	the	the	DET
ihlr-16567	54	5	shared	share	VERB
ihlr-16567	54	6	accountability	accountability	NOUN
ihlr-16567	54	7	approach	approach	NOUN
ihlr-16567	54	8	emerged	emerge	VERB
ihlr-16567	54	9	almost	almost	ADV
ihlr-16567	54	10	simultaneously	simultaneously	ADV
ihlr-16567	54	11	from	from	ADP
ihlr-16567	54	12	three	three	NUM
ihlr-16567	54	13	sources	source	NOUN
ihlr-16567	54	14	:	:	PUNCT
ihlr-16567	54	15	•	•	NOUN
ihlr-16567	54	16	in	in	ADP
ihlr-16567	54	17	its	its	PRON
ihlr-16567	54	18	august	august	PROPN
ihlr-16567	54	19	2006	2006	NUM
ihlr-16567	54	20	report	report	NOUN
ihlr-16567	54	21	,	,	PUNCT
ihlr-16567	54	22	the	the	DET
ihlr-16567	54	23	institute	institute	NOUN
ihlr-16567	54	24	of	of	ADP
ihlr-16567	54	25	medicine	medicine	PROPN
ihlr-16567	54	26	acknowledged	acknowledge	VERB
ihlr-16567	54	27	that	that	SCONJ
ihlr-16567	54	28	early	early	ADJ
ihlr-16567	54	29	pay	pay	NOUN
ihlr-16567	54	30	-	-	PUNCT
ihlr-16567	54	31	for	for	ADP
ihlr-16567	54	32	-	-	PUNCT
ihlr-16567	54	33	performance	performance	NOUN
ihlr-16567	54	34	efforts	effort	NOUN
ihlr-16567	54	35	would	would	AUX
ihlr-16567	54	36	be	be	AUX
ihlr-16567	54	37	provider	provider	NOUN
ihlr-16567	54	38	-	-	PUNCT
ihlr-16567	54	39	specific	specific	ADJ
ihlr-16567	54	40	,	,	PUNCT
ihlr-16567	54	41	but	but	CCONJ
ihlr-16567	54	42	stressed	stress	VERB
ihlr-16567	54	43	that	that	SCONJ
ihlr-16567	54	44	eventually	eventually	ADV
ihlr-16567	54	45	,	,	PUNCT
ihlr-16567	54	46	payment	payment	NOUN
ihlr-16567	54	47	incentives	incentive	NOUN
ihlr-16567	54	48	sho	sho	VERB
ihlr-16567	54	49	~	~	SYM
ihlr-16567	54	50	ld	ld	NOUN
ihlr-16567	54	51	be	be	AUX
ihlr-16567	54	52	struc­	struc­	PRON
ihlr-16567	54	53	tured	ture	VERB
ihlr-16567	54	54	to	to	PART
ihlr-16567	54	55	"	"	PUNCT
ihlr-16567	54	56	stimulate	stimulate	VERB
ihlr-16567	54	57	collaboration	collaboration	NOUN
ihlr-16567	54	58	and	and	CCONJ
ihlr-16567	54	59	shared	share	VERB
ihlr-16567	54	60	ac(x)untability	ac(x)untability	NOUN
ihlr-16567	54	61	among	among	ADP
ihlr-16567	54	62	providers	provider	NOUN
ihlr-16567	54	63	across	across	ADP
ihlr-16567	54	64	care	care	NOUN
ihlr-16567	54	65	settings	setting	NOUN
ihlr-16567	54	66	for	for	ADP
ihlr-16567	54	67	better	well	ADJ
ihlr-16567	54	68	patient	patient	NOUN
ihlr-16567	54	69	-	-	PUNCT
ihlr-16567	54	70	centered	center	VERB
ihlr-16567	54	71	health	health	NOUN
ihlr-16567	54	72	out­	out­	NOUN
ihlr-16567	54	73	comes	come	VERB
ihlr-16567	54	74	.	.	PUNCT
ihlr-16567	55	1	"9	"9	PROPN
ihlr-16567	55	2	it	it	PRON
ihlr-16567	55	3	went	go	VERB
ihlr-16567	55	4	on	on	ADP
ihlr-16567	55	5	to	to	PART
ihlr-16567	55	6	call	call	VERB
ihlr-16567	55	7	for	for	ADP
ihlr-16567	55	8	"	"	PUNCT
ihlr-16567	55	9	longitudinal	longitudinal	ADJ
ihlr-16567	55	10	,	,	PUNCT
ihlr-16567	55	11	population	population	NOUN
ihlr-16567	55	12	-	-	PUNCT
ihlr-16567	55	13	based	base	VERB
ihlr-16567	55	14	measures	measure	NOUN
ihlr-16567	55	15	that	that	PRON
ihlr-16567	55	16	foster	foster	VERB
ihlr-16567	55	17	shared	share	VERB
ihlr-16567	55	18	accountability	accountability	NOUN
ihlr-16567	55	19	of	of	ADP
ihlr-16567	55	20	providers	provider	NOUN
ihlr-16567	55	21	.	.	PUNCT
ihlr-16567	56	1	"10	"10	PROPN
ihlr-16567	56	2	noting	note	VERB
ihlr-16567	56	3	the	the	DET
ihlr-16567	56	4	difficulty	difficulty	NOUN
ihlr-16567	56	5	of	of	ADP
ihlr-16567	56	6	measuring	measure	VERB
ihlr-16567	56	7	an	an	DET
ihlr-16567	56	8	individual	individual	ADJ
ihlr-16567	56	9	physician	physician	NOUN
ihlr-16567	56	10	's	's	PART
ihlr-16567	56	11	performance	performance	NOUN
ihlr-16567	56	12	,	,	PUNCT
ihlr-16567	56	13	.	.	PUNCT
ihlr-16567	57	1	it	it	PRON
ihlr-16567	57	2	proposed	propose	VERB
ihlr-16567	57	3	exploration	exploration	NOUN
ihlr-16567	57	4	of	of	ADP
ihlr-16567	57	5	what	what	PRON
ihlr-16567	57	6	it	it	PRON
ihlr-16567	57	7	called	call	VERB
ihlr-16567	57	8	"	"	PUNCT
ihlr-16567	57	9	virtual	virtual	ADJ
ihlr-16567	57	10	groups~'11	groups~'11	NOUN
ihlr-16567	57	11	as	as	SCONJ
ihlr-16567	57	12	the	the	DET
ihlr-16567	57	13	unit	unit	NOUN
ihlr-16567	57	14	to	to	PART
ihlr-16567	57	15	be	be	AUX
ihlr-16567	57	16	measured	measure	VERB
ihlr-16567	57	17	.	.	PUNCT
ihlr-16567	58	1	•	•	NUM
ihlr-16567	58	2	in	in	ADP
ihlr-16567	58	3	a	a	DET
ihlr-16567	58	4	january	january	PROPN
ihlr-16567	58	5	2007	2007	NUM
ihlr-16567	58	6	health	health	PROPN
ihlr-16567	58	7	affairs	affair	NOUN
ihlr-16567	58	8	article	article	PROPN
ihlr-16567	58	9	,	,	PUNCT
ihlr-16567	58	10	elliott	elliott	PROPN
ihlr-16567	58	11	fisher	fisher	PROPN
ihlr-16567	58	12	and	and	CCONJ
ihlr-16567	58	13	colleagues	colleague	NOUN
ihlr-16567	58	14	argued	argue	VERB
ihlr-16567	58	15	that	that	SCONJ
ihlr-16567	58	16	medicare	medicare	PROPN
ihlr-16567	58	17	beneficiaries	beneficiary	NOUN
ihlr-16567	58	18	receive	receive	VERB
ihlr-16567	58	19	most	most	ADJ
ihlr-16567	58	20	of	of	ADP
ihlr-16567	58	21	their	their	PRON
ihlr-16567	58	22	care	care	NOUN
ihlr-16567	58	23	from	from	ADP
ihlr-16567	58	24	relatively	relatively	ADV
ihlr-16567	58	25	coherent	coherent	ADJ
ihlr-16567	58	26	local	local	ADJ
ihlr-16567	58	27	delivery	delivery	NOUN
ihlr-16567	58	28	systems	system	NOUN
ihlr-16567	58	29	comprising	comprise	VERB
ihlr-16567	58	30	physicians	physician	NOUN
ihlr-16567	58	31	and	and	CCONJ
ihlr-16567	58	32	the	the	DET
ihlr-16567	58	33	hospitals	hospital	NOUN
ihlr-16567	58	34	where	where	SCONJ
ihlr-16567	58	35	they	they	PRON
ihlr-16567	58	36	work	work	VERB
ihlr-16567	58	37	or	or	CCONJ
ihlr-16567	58	38	.	.	PUNCT
ihlr-16567	59	1	ad­	ad­	PROPN
ihlr-16567	59	2	mit	mit	VERB
ihlr-16567	59	3	their	their	PRON
ihlr-16567	59	4	patients	patient	NOUN
ihlr-16567	59	5	.	.	PUNCT
ihlr-16567	60	1	efforts	effort	NOUN
ihlr-16567	60	2	to	to	PART
ihlr-16567	60	3	create	create	VERB
ihlr-16567	60	4	accountable	accountable	ADJ
ihlr-16567	60	5	care	care	NOUN
ihlr-16567	60	6	organizations	organization	NOUN
ihlr-16567	60	7	at	at	ADP
ihlr-16567	60	8	this	this	DET
ihlr-16567	60	9	level	level	NOUN
ihlr-16567	60	10	-	-	PUNCT
ihlr-16567	60	11	the	the	DET
ihlr-16567	60	12	extended	extended	ADJ
ihlr-16567	60	13	hospital	hospital	NOUN
ihlr-16567	60	14	5	5	NUM
ihlr-16567	60	15	.	.	PUNCT
ihlr-16567	61	1	i	i	PRON
ihlr-16567	61	2	d.	d.	PROPN
ihlr-16567	61	3	at4	at4	PROPN
ihlr-16567	61	4	.	.	PROPN
ihlr-16567	62	1	6	6	NUM
ihlr-16567	62	2	.	.	PUNCT
ihlr-16567	62	3	national	national	ADJ
ihlr-16567	62	4	commiti'ee	commiti'ee	NOUN
ihlr-16567	62	5	for	for	ADP
ihlr-16567	62	6	quality	quality	NOUN
ihlr-16567	62	7	healthcare	healthcare	PROPN
ihlr-16567	62	8	,	,	PUNCT
ihlr-16567	62	9	ceo	ceo	NOUN
ihlr-16567	62	10	survival	survival	NOUN
ihlr-16567	62	11	guide	guide	NOUN
ihlr-16567	62	12	:	:	PUNCT
ihlr-16567	62	13	pay	pay	VERB
ihlr-16567	62	14	for	for	ADP
ihlr-16567	62	15	performance43	performance43	NOUN
ihlr-16567	62	16	(	(	PUNCT
ihlr-16567	62	17	2006	2006	NUM
ihlr-16567	62	18	ed	ed	NOUN
ihlr-16567	62	19	.	.	PUNCT
ihlr-16567	62	20	)	)	PUNCT
ihlr-16567	62	21	,	,	PUNCT
ihlr-16567	62	22	available	available	ADJ
ihlr-16567	62	23	at	at	ADP
ihlr-16567	62	24	http://www.leapfroggroup.org/media/filel	http://www.leapfroggroup.org/media/filel	ADJ
ihlr-16567	62	25	hospitalceoguideto	hospitalceoguideto	NOUN
ihlr-16567	62	26	p4p.pdf(last	p4p.pdf(last	ADV
ihlr-16567	62	27	visited	visit	VERB
ihlr-16567	62	28	may	may	PROPN
ihlr-16567	62	29	15	15	NUM
ihlr-16567	62	30	,	,	PUNCT
ihlr-16567	62	31	2010	2010	NUM
ihlr-16567	62	32	)	)	PUNCT
ihlr-16567	62	33	.	.	PUNCT
ihlr-16567	63	1	7	7	X
ihlr-16567	63	2	.	.	X
ihlr-16567	63	3	a	a	DET
ihlr-16567	63	4	high	high	ADJ
ihlr-16567	63	5	peiformance	peiformance	NOUN
ihlr-16567	63	6	hemth	hemth	NOUN
ihlr-16567	63	7	system	system	NOUN
ihlr-16567	63	8	for	for	ADP
ihlr-16567	63	9	the	the	DET
ihlr-16567	63	10	united	united	PROPN
ihlr-16567	63	11	states	states	PROPN
ihlr-16567	63	12	:	:	PUNCT
ihlr-16567	63	13	an	an	DET
ihlr-16567	63	14	ambitious	ambitious	ADJ
ihlr-16567	63	15	agenda	agenda	NOUN
ihlr-16567	63	16	for	for	ADP
ihlr-16567	63	17	the	the	DET
ihlr-16567	63	18	next	next	ADJ
ihlr-16567	63	19	president	president	NOUN
ihlr-16567	63	20	.	.	PUNCT
ihlr-16567	64	1	the	the	DET
ihlr-16567	64	2	common	common	ADJ
ihlr-16567	64	3	fund	fund	NOUN
ihlr-16567	64	4	.	.	PUNCT
ihlr-16567	65	1	nov	nov	PROPN
ihlr-16567	65	2	.	.	PROPN
ihlr-16567	65	3	2007	2007	NUM
ihlr-16567	65	4	.	.	PUNCT
ihlr-16567	66	1	at	at	ADP
ihlr-16567	66	2	19	19	NUM
ihlr-16567	66	3	.	.	NOUN
ihlr-16567	66	4	8	8	NUM
ihlr-16567	66	5	.	.	PUNCT
ihlr-16567	66	6	hoangmai	hoangmai	PROPN
ihlr-16567	66	7	h	h	PROPN
ihlr-16567	66	8	..	..	PUNCT
ihlr-16567	67	1	pham	pham	PROPN
ihlr-16567	67	2	&	&	CCONJ
ihlr-16567	67	3	paul	paul	PROPN
ihlr-16567	67	4	b.	b.	PROPN
ihlr-16567	67	5	ginsburg	ginsburg	PROPN
ihlr-16567	67	6	,	,	PUNCT
ihlr-16567	67	7	unhealthy	unhealthy	ADJ
ihlr-16567	67	8	trends	trend	NOUN
ihlr-16567	67	9	:	:	PUNCT
ihlr-16567	67	10	the	the	DET
ihlr-16567	67	11	future	future	NOUN
ihlr-16567	67	12	of	of	ADP
ihlr-16567	67	13	physi­	physi­	PROPN
ihlr-16567	67	14	cian	cian	PROPN
ihlr-16567	67	15	services,26	services,26	PROPN
ihlr-16567	67	16	health	health	PROPN
ihlr-16567	67	17	affairs	affair	NOUN
ihlr-16567	67	18	1586,1596	1586,1596	NUM
ihlr-16567	67	19	(	(	PUNCT
ihlr-16567	67	20	2007	2007	NUM
ihlr-16567	67	21	)	)	PUNCT
ihlr-16567	67	22	.	.	PUNCT
ihlr-16567	68	1	9	9	NUM
ihlr-16567	68	2	.	.	NUM
ihlr-16567	68	3	insti1ute	insti1ute	ADP
ihlr-16567	68	4	of	of	ADP
ihlr-16567	68	5	medicine	medicine	NOUN
ihlr-16567	68	6	,	,	PUNCT
ihlr-16567	68	7	supra	supra	PROPN
ihlr-16567	68	8	note	note	NOUN
ihlr-16567	68	9	4	4	NUM
ihlr-16567	68	10	,	,	PUNCT
ihlr-16567	68	11	at	at	ADP
ihlr-16567	68	12	8	8	NUM
ihlr-16567	68	13	.	.	PUNCT
ihlr-16567	68	14	10	10	NUM
ihlr-16567	68	15	.	.	PUNCT
ihlr-16567	69	1	/d	/d	INTJ
ihlr-16567	69	2	.	.	PUNCT
ihlr-16567	70	1	at	at	ADP
ihlr-16567	70	2	18	18	NUM
ihlr-16567	70	3	.	.	PUNCT
ihlr-16567	70	4	ii	ii	PROPN
ihlr-16567	70	5	.	.	PUNCT
ihlr-16567	71	1	i	i	PRON
ihlr-16567	71	2	d.	d.	PROPN
ihlr-16567	71	3	at	at	ADP
ihlr-16567	71	4	lis	lis	PROPN
ihlr-16567	71	5	.	.	PUNCT
ihlr-16567	71	6	2010	2010	NUM
ihlr-16567	71	7	]	]	PUNCT
ihlr-16567	71	8	"	"	PUNCT
ihlr-16567	71	9	shared	share	VERB
ihlr-16567	71	10	accountability	accountability	NOUN
ihlr-16567	71	11	"	"	PUNCT
ihlr-16567	71	12	approach	approach	NOUN
ihlr-16567	71	13	medical	medical	ADJ
ihlr-16567	71	14	staff	staff	NOUN
ihlr-16567	71	15	..	..	PUNCT
ihlr-16567	71	16	:	:	PUNCT
ihlr-16567	71	17	....	....	PUNCT
ihlr-16567	71	18	ooserve	ooserve	VERB
ihlr-16567	71	19	consideration	consideration	NOUN
ihlr-16567	71	20	as	as	ADP
ihlr-16567	71	21	a	a	DET
ihlr-16567	71	22	potential	potential	ADJ
ihlr-16567	71	23	means	mean	NOUN
ihlr-16567	71	24	of	of	ADP
ihlr-16567	71	25	improving	improve	VERB
ihlr-16567	71	26	the	the	DET
ihlr-16567	71	27	quality	quality	NOUN
ihlr-16567	71	28	and	and	CCONJ
ihlr-16567	71	29	lowering	lower	VERB
ihlr-16567	71	30	the	the	DET
ihlr-16567	71	31	cost	cost	NOUN
ihlr-16567	71	32	ofcare.12	ofcare.12	PROPN
ihlr-16567	71	33	189	189	NUM
ihlr-16567	71	34	·	·	PUNCT
ihlr-16567	71	35	the	the	DET
ihlr-16567	71	36	article	article	NOUN
ihlr-16567	71	37	argued	argue	VERB
ihlr-16567	71	38	that	that	SCONJ
ihlr-16567	71	39	creation	creation	NOUN
ihlr-16567	71	40	of	of	ADP
ihlr-16567	71	41	acos	acos	PROPN
ihlr-16567	71	42	would	would	AUX
ihlr-16567	71	43	allow	allow	VERB
ihlr-16567	71	44	better	well	ADJ
ihlr-16567	71	45	per­	per­	NOUN
ihlr-16567	71	46	formance	formance	NOUN
ihlr-16567	71	47	measurement	measurement	NOUN
ihlr-16567	71	48	,	,	PUNCT
ihlr-16567	71	49	encourage	encourage	VERB
ihlr-16567	71	50	reduction	reduction	NOUN
ihlr-16567	71	51	of	of	ADP
ihlr-16567	71	52	excess	excess	ADJ
ihlr-16567	71	53	capacity	capacity	NOUN
ihlr-16567	71	54	,	,	PUNCT
ihlr-16567	71	55	and	and	CCONJ
ihlr-16567	71	56	aggregate	aggregate	VERB
ihlr-16567	71	57	providers	provider	NOUN
ihlr-16567	71	58	into	into	ADP
ihlr-16567	71	59	units	unit	NOUN
ihlr-16567	71	60	with	with	ADP
ihlr-16567	71	61	the	the	DET
ihlr-16567	71	62	financial	financial	ADJ
ihlr-16567	71	63	wherewithal	wherewithal	NOUN
ihlr-16567	71	64	to	to	PART
ihlr-16567	71	65	invest	invest	VERB
ihlr-16567	71	66	in	in	ADP
ihlr-16567	71	67	health	health	NOUN
ihlr-16567	71	68	information	information	NOUN
ihlr-16567	71	69	technology	technology	NOUN
ihlr-16567	71	70	or	or	CCONJ
ihlr-16567	71	71	other	other	ADJ
ihlr-16567	71	72	quality	quality	NOUN
ihlr-16567	71	73	initiatives	initiative	NOUN
ihlr-16567	71	74	.	.	PUNCT
ihlr-16567	72	1	•	•	NOUN
ihlr-16567	72	2	in	in	ADP
ihlr-16567	72	3	a	a	DET
ihlr-16567	72	4	march	march	NOUN
ihlr-16567	72	5	2007	2007	NUM
ihlr-16567	72	6	report	report	NOUN
ihlr-16567	72	7	to	to	ADP
ihlr-16567	72	8	congress	congress	PROPN
ihlr-16567	72	9	,	,	PUNCT
ihlr-16567	72	10	the	the	DET
ihlr-16567	72	11	medicare	medicare	PROPN
ihlr-16567	72	12	payment	payment	NOUN
ihlr-16567	72	13	advi­	advi­	CCONJ
ihlr-16567	72	14	sory	sory	ADJ
ihlr-16567	72	15	committee	committee	NOUN
ihlr-16567	72	16	sketched	sketch	VERB
ihlr-16567	72	17	out	out	ADP
ihlr-16567	72	18	an	an	DET
ihlr-16567	72	19	"	"	PUNCT
ihlr-16567	72	20	alternate	alternate	ADJ
ihlr-16567	72	21	path	path	NOUN
ihlr-16567	72	22	"	"	PUNCT
ihlr-16567	72	23	to	to	PART
ihlr-16567	72	24	physician	physician	VERB
ihlr-16567	72	25	pay­	pay­	PROPN
ihlr-16567	72	26	ment	ment	NOUN
ihlr-16567	72	27	,	,	PUNCT
ihlr-16567	72	28	one	one	NUM
ihlr-16567	72	29	that	that	PRON
ihlr-16567	72	30	·	·	PUNCT
ihlr-16567	72	31	respects	respect	VERB
ihlr-16567	72	32	the	the	DET
ihlr-16567	72	33	diversity	diversity	NOUN
ihlr-16567	72	34	of	of	ADP
ihlr-16567	72	35	the	the	DET
ihlr-16567	72	36	nation	nation	NOUN
ihlr-16567	72	37	and	and	CCONJ
ihlr-16567	72	38	its	its	PRON
ihlr-16567	72	39	health	health	NOUN
ihlr-16567	72	40	care	care	NOUN
ihlr-16567	72	41	system	system	NOUN
ihlr-16567	72	42	,	,	PUNCT
ihlr-16567	72	43	[	[	X
ihlr-16567	72	44	that	that	PRON
ihlr-16567	72	45	would	would	AUX
ihlr-16567	72	46	]	]	PART
ihlr-16567	72	47	involve	involve	VERB
ihlr-16567	72	48	[	[	X
ihlr-16567	72	49	]	]	X
ihlr-16567	72	50	setting	set	VERB
ihlr-16567	72	51	tar­	tar­	NOUN
ihlr-16567	72	52	gets	get	VERB
ihlr-16567	72	53	for	for	ADP
ihlr-16567	72	54	geographic	geographic	ADJ
ihlr-16567	72	55	units	unit	NOUN
ihlr-16567	72	56	and	and	CCONJ
ihlr-16567	72	57	then	then	ADV
ihlr-16567	72	58	permitting	permit	VERB
ihlr-16567	72	59	the	the	DET
ihlr-16567	72	60	ful­	ful­	NOUN
ihlr-16567	72	61	lest	lest	ADP
ihlr-16567	72	62	possible	possible	ADJ
ihlr-16567	72	63	array	array	NOUN
ihlr-16567	72	64	of	of	ADP
ihlr-16567	72	65	·	·	PUNCT
ihlr-16567	72	66	alternative	alternative	ADJ
ihlr-16567	72	67	-	-	PUNCT
ihlr-16567	72	68	and	and	CCONJ
ihlr-16567	72	69	voluntary­	voluntary­	PRON
ihlr-16567	72	70	organizational	organizational	ADJ
ihlr-16567	72	71	approaches	approach	NOUN
ihlr-16567	72	72	within	within	ADP
ihlr-16567	72	73	that	that	DET
ihlr-16567	72	74	geographic	geographic	ADJ
ihlr-16567	72	75	framework	framework	NOUN
ihlr-16567	72	76	.	.	PUNCT
ihlr-16567	73	1	in	in	ADP
ihlr-16567	73	2	some	some	DET
ihlr-16567	73	3	geographic	geographic	ADJ
ihlr-16567	73	4	areas	area	NOUN
ihlr-16567	73	5	,	,	PUNCT
ihlr-16567	73	6	acos	acos	PROPN
ihlr-16567	73	7	may	may	AUX
ihlr-16567	73	8	take	take	VERB
ihlr-16567	73	9	the	the	DET
ihlr-16567	73	10	lead	lead	NOUN
ihlr-16567	73	11	in	in	ADP
ihlr-16567	73	12	organizing	organize	VERB
ihlr-16567	73	13	the	the	DET
ihlr-16567	73	14	effort	effort	NOUN
ihlr-16567	73	15	to	to	PART
ihlr-16567	73	16	lower	lower	VERB
ihlr-16567	73	17	costs	cost	NOUN
ihlr-16567	73	18	and	and	CCONJ
ihlr-16567	73	19	improve	improve	VERB
ihlr-16567	73	20	quality	quality	NOUN
ihlr-16567	73	21	...	...	PUNCT
ihlr-16567	73	22	in	in	ADP
ihlr-16567	73	23	some	some	DET
ihlr-16567	73	24	cases	case	NOUN
ihlr-16567	73	25	,	,	PUNCT
ihlr-16567	73	26	state	state	NOUN
ihlr-16567	73	27	or	or	CCONJ
ihlr-16567	73	28	local	local	ADJ
ihlr-16567	73	29	governments	government	NOUN
ihlr-16567	73	30	,	,	PUNCT
ihlr-16567	73	31	medical	medical	ADJ
ihlr-16567	73	32	societies	society	NOUN
ihlr-16567	73	33	,	,	PUNCT
ihlr-16567	73	34	or	or	CCONJ
ihlr-16567	73	35	others	other	NOUN
ihlr-16567	73	36	may	may	AUX
ihlr-16567	73	37	play	play	VERB
ihlr-16567	73	38	a	a	DET
ihlr-16567	73	39	role.13	role.13	NOUN
ihlr-16567	73	40	this	this	DET
ihlr-16567	73	41	report	report	NOUN
ihlr-16567	73	42	emphasized	emphasize	VERB
ihlr-16567	73	43	"	"	PUNCT
ihlr-16567	73	44	shared	shared	ADJ
ihlr-16567	73	45	savings"-warding	savings"-warde	VERB
ihlr-16567	73	46	physicians	physician	NOUN
ihlr-16567	73	47	bo­	bo­	PROPN
ihlr-16567	73	48	nuses	nuse	NOUN
ihlr-16567	73	49	when	when	SCONJ
ihlr-16567	73	50	good	good	ADJ
ihlr-16567	73	51	preventive	preventive	ADJ
ihlr-16567	73	52	care	care	NOUN
ihlr-16567	73	53	averts	avert	VERB
ihlr-16567	73	54	more	more	ADV
ihlr-16567	73	55	expensive	expensive	ADJ
ihlr-16567	73	56	acute	acute	ADJ
ihlr-16567	73	57	care	care	NOUN
ihlr-16567	73	58	downstream	downstream	ADJ
ihlr-16567	73	59	--	--	PUNCT
ihlr-16567	73	60	as	as	ADP
ihlr-16567	73	61	driving	drive	VERB
ihlr-16567	73	62	re	re	VERB
ihlr-16567	73	63	-	-	ADJ
ihlr-16567	73	64	aligned	aligned	ADJ
ihlr-16567	73	65	incentives	incentive	NOUN
ihlr-16567	73	66	for	for	ADP
ihlr-16567	73	67	efficiency	efficiency	NOUN
ihlr-16567	73	68	.	.	PUNCT
ihlr-16567	74	1	one	one	NUM
ihlr-16567	74	2	common	common	ADJ
ihlr-16567	74	3	thread	thread	NOUN
ihlr-16567	74	4	linking	link	VERB
ihlr-16567	74	5	these	these	DET
ihlr-16567	74	6	three	three	NUM
ihlr-16567	74	7	sources	source	NOUN
ihlr-16567	74	8	is	be	AUX
ihlr-16567	74	9	fisher	fisher	PROPN
ihlr-16567	74	10	,	,	PUNCT
ihlr-16567	74	11	who	who	PRON
ihlr-16567	74	12	ad­	ad­	PUNCT
ihlr-16567	74	13	dressed	dress	VERB
ihlr-16567	74	14	the	the	DET
ihlr-16567	74	15	medp	medp	PROPN
ihlr-16567	74	16	ac	ac	PROPN
ihlr-16567	74	17	meeting	meet	VERB
ihlr-16567	74	18	at	at	ADP
ihlr-16567	74	19	which	which	PRON
ihlr-16567	74	20	the	the	DET
ihlr-16567	74	21	term	term	NOUN
ihlr-16567	74	22	"	"	PUNCT
ihlr-16567	74	23	accountable	accountable	ADJ
ihlr-16567	74	24	care	care	NOUN
ihlr-16567	74	25	organi­	organi­	PROPN
ihlr-16567	74	26	zation	zation	PROPN
ihlr-16567	74	27	"	"	PUNCT
ihlr-16567	74	28	was	be	AUX
ihlr-16567	74	29	coined	coin	VERB
ihlr-16567	74	30	and	and	CCONJ
ihlr-16567	74	31	who	who	PRON
ihlr-16567	74	32	served	serve	VERB
ihlr-16567	74	33	as	as	ADP
ihlr-16567	74	34	a	a	DET
ihlr-16567	74	35	member	member	NOUN
ihlr-16567	74	36	of	of	ADP
ihlr-16567	74	37	and	and	CCONJ
ihlr-16567	74	38	spokesperson	spokesperson	NOUN
ihlr-16567	74	39	for	for	ADP
ihlr-16567	74	40	the	the	DET
ihlr-16567	74	41	institute	institute	PROPN
ihlr-16567	74	42	of	of	ADP
ihlr-16567	74	43	medicine	medicine	NOUN
ihlr-16567	74	44	's	's	PART
ihlr-16567	74	45	advisory	advisory	ADJ
ihlr-16567	74	46	subcommittee	subcommittee	NOUN
ihlr-16567	74	47	on	on	ADP
ihlr-16567	74	48	pay	pay	NOUN
ihlr-16567	74	49	for	for	ADP
ihlr-16567	74	50	perfor­	perfor­	NOUN
ihlr-16567	74	51	mance	mance	NOUN
ihlr-16567	74	52	.	.	PUNCT
ihlr-16567	75	1	fisher	fisher	PROPN
ihlr-16567	75	2	is	be	AUX
ihlr-16567	75	3	associated	associate	VERB
ihlr-16567	75	4	with	with	ADP
ihlr-16567	75	5	the	the	DET
ihlr-16567	75	6	dartmouth	dartmouth	PROPN
ihlr-16567	75	7	atlas	atlas	PROPN
ihlr-16567	75	8	project	project	PROPN
ihlr-16567	75	9	and	and	CCONJ
ihlr-16567	75	10	that	that	PRON
ihlr-16567	75	11	work	work	VERB
ihlr-16567	75	12	very	very	ADV
ihlr-16567	75	13	much	much	ADV
ihlr-16567	75	14	informs	inform	VERB
ihlr-16567	75	15	the	the	DET
ihlr-16567	75	16	rationale	rationale	NOUN
ihlr-16567	75	17	for	for	ADP
ihlr-16567	75	18	the	the	DET
ihlr-16567	75	19	shared	share	VERB
ihlr-16567	75	20	accountability	accountability	NOUN
ihlr-16567	75	21	approach	approach	NOUN
ihlr-16567	75	22	.	.	PUNCT
ihlr-16567	76	1	re­	re­	PROPN
ihlr-16567	76	2	searchers	searcher	NOUN
ihlr-16567	76	3	at	at	ADP
ihlr-16567	76	4	dartmouth	dartmouth	PROPN
ihlr-16567	76	5	have	have	AUX
ihlr-16567	76	6	documented	document	VERB
ihlr-16567	76	7	wide	wide	ADJ
ihlr-16567	76	8	geographic	geographic	ADJ
ihlr-16567	76	9	variations	variation	NOUN
ihlr-16567	76	10	in	in	ADP
ihlr-16567	76	11	the	the	DET
ihlr-16567	76	12	quality	quality	NOUN
ihlr-16567	76	13	and	and	CCONJ
ihlr-16567	76	14	efficiency	efficiency	NOUN
ihlr-16567	76	15	of	of	ADP
ihlr-16567	76	16	american	american	ADJ
ihlr-16567	76	17	health	health	NOUN
ihlr-16567	76	18	care.14	care.14	PROPN
ihlr-16567	76	19	they	they	PRON
ihlr-16567	76	20	have	have	AUX
ihlr-16567	76	21	shown	show	VERB
ihlr-16567	76	22	that	that	SCONJ
ihlr-16567	76	23	12	12	NUM
ihlr-16567	76	24	.	.	PUNCT
ihlr-16567	77	1	elliott	elliott	PROPN
ihlr-16567	77	2	s.	s.	PROPN
ihlr-16567	77	3	fisher	fisher	PROPN
ihlr-16567	77	4	,	,	PUNCT
ihlr-16567	77	5	et	et	PROPN
ihlr-16567	77	6	al	al	PROPN
ihlr-16567	77	7	.	.	PROPN
ihlr-16567	77	8	,	,	PUNCT
ihlr-16567	77	9	creating	create	VERB
ihlr-16567	77	10	accountable	accountable	ADJ
ihlr-16567	77	11	care	care	NOUN
ihlr-16567	77	12	organizations	organization	NOUN
ihlr-16567	77	13	:	:	PUNCT
ihlr-16567	77	14	the	the	DET
ihlr-16567	77	15	extended	extended	ADJ
ihlr-16567	77	16	hospital	hospital	NOUN
ihlr-16567	77	17	medical	medical	ADJ
ihlr-16567	77	18	staff	staff	NOUN
ihlr-16567	77	19	,	,	PUNCT
ihlr-16567	77	20	26	26	NUM
ihlr-16567	77	21	healm	healm	NOUN
ihlr-16567	77	22	:	:	PUNCT
ihlr-16567	77	23	affairs	affair	NOUN
ihlr-16567	77	24	w44	w44	PROPN
ihlr-16567	77	25	,	,	PUNCT
ihlr-16567	77	26	w44	w44	PROPN
ihlr-16567	77	27	(	(	PUNCT
ihlr-16567	77	28	2007	2007	NUM
ihlr-16567	77	29	)	)	PUNCT
ihlr-16567	78	1	[	[	X
ihlr-16567	78	2	hereinafter	hereinafter	NOUN
ihlr-16567	78	3	fisher	fisher	NOUN
ihlr-16567	78	4	,	,	PUNCT
ihlr-16567	78	5	et	et	PROPN
ihlr-16567	78	6	al	al	PROPN
ihlr-16567	78	7	.	.	PROPN
ihlr-16567	78	8	,	,	PUNCT
ihlr-16567	78	9	creating	create	VERB
ihlr-16567	78	10	accountable	accountable	ADJ
ihlr-16567	78	11	care	care	NOUN
ihlr-16567	78	12	organizations	organization	NOUN
ihlr-16567	78	13	]	]	PUNCT
ihlr-16567	78	14	.	.	PUNCT
ihlr-16567	79	1	13	13	NUM
ihlr-16567	79	2	.	.	PUNCT
ihlr-16567	80	1	medicare	medicare	PROPN
ihlr-16567	80	2	payment	payment	PROPN
ihlr-16567	80	3	advisory	advisory	PROPN
ihlr-16567	80	4	commission	commission	NOUN
ihlr-16567	80	5	,	,	PUNCT
ihlr-16567	80	6	report	report	NOUN
ihlr-16567	80	7	to	to	PART
ihlr-16567	80	8	tile	tile	VERB
ihlr-16567	80	9	congress	congress	PROPN
ihlr-16567	80	10	:	:	PUNCT
ihlr-16567	80	11	assessing	assess	VERB
ihlr-16567	80	12	alternatives	alternative	NOUN
ihlr-16567	80	13	to	to	ADP
ihlr-16567	80	14	the	the	DET
ihlr-16567	80	15	sustainable	sustainable	ADJ
ihlr-16567	80	16	growm	growm	NOUN
ihlr-16567	80	17	:	:	PUNCT
ihlr-16567	80	18	rate	rate	NOUN
ihlr-16567	80	19	system	system	NOUN
ihlr-16567	80	20	188	188	NUM
ihlr-16567	80	21	(	(	PUNCT
ihlr-16567	80	22	march	march	PROPN
ihlr-16567	80	23	2007	2007	NUM
ihlr-16567	80	24	)	)	PUNCT
ihlr-16567	80	25	,	,	PUNCT
ihlr-16567	80	26	available	available	ADJ
ihlr-16567	80	27	at	at	ADP
ihlr-16567	80	28	http://www.medpac.gov/d~ts/mal07	http://www.medpac.gov/d~ts/mal07	X
ihlr-16567	80	29	_	_	PRON
ihlr-16567	80	30	sgr_maridated	sgr_maridate	VERB
ihlr-16567	80	31	_	_	DET
ihlr-16567	80	32	report	report	NOUN
ihlr-16567	80	33	.	.	PUNCT
ihlr-16567	81	1	pdf	pdf	NOUN
ihlr-16567	81	2	(	(	PUNCT
ihlr-16567	81	3	last	last	ADJ
ihlr-16567	81	4	visited	visit	VERB
ihlr-16567	81	5	may	may	PROPN
ihlr-16567	81	6	15	15	NUM
ihlr-16567	81	7	,	,	PUNCT
ihlr-16567	81	8	2010	2010	NUM
ihlr-16567	81	9	)	)	PUNCT
ihlr-16567	82	1	[	[	X
ihlr-16567	82	2	hereinafter	hereinafter	NOUN
ihlr-16567	82	3	medicare	medicare	PROPN
ihlr-16567	82	4	payment	payment	PROPN
ihlr-16567	82	5	advisory	advisory	PROPN
ihlr-16567	82	6	commission	commission	NOUN
ihlr-16567	82	7	,	,	PUNCT
ihlr-16567	82	8	assessing	assess	VERB
ihlr-16567	82	9	alternatives	alternative	NOUN
ihlr-16567	82	10	]	]	PUNCT
ihlr-16567	82	11	.	.	PUNCT
ihlr-16567	83	1	14	14	NUM
ihlr-16567	83	2	.	.	PUNCT
ihlr-16567	84	1	see	see	PROPN
ihlr-16567	84	2	elliott	elliott	PROPN
ihlr-16567	84	3	fisher	fisher	PROPN
ihlr-16567	84	4	&	&	CCONJ
ihlr-16567	84	5	david	david	PROPN
ihlr-16567	84	6	wennberg	wennberg	PROPN
ihlr-16567	84	7	,	,	PUNCT
ihlr-16567	84	8	variations	variation	NOUN
ihlr-16567	84	9	in	in	ADP
ihlr-16567	84	10	the	the	DET
ihlr-16567	84	11	longitudinal	longitudinal	ADJ
ihlr-16567	84	12	efficiency	efficiency	NOUN
ihlr-16567	84	13	of	of	ADP
ihlr-16567	84	14	academic	academic	ADJ
ihlr-16567	84	15	medical	medical	ADJ
ihlr-16567	84	16	centers	center	NOUN
ihlr-16567	84	17	2004	2004	NUM
ihlr-16567	84	18	healm	healm	PROPN
ihlr-16567	84	19	:	:	PUNCT
ihlr-16567	85	1	affairs	affair	NOUN
ihlr-16567	85	2	suppl	suppl	PROPN
ihlr-16567	85	3	.	.	PUNCT
ihlr-16567	85	4	web	web	NOUN
ihlr-16567	85	5	exclusives	exclusive	VERB
ihlr-16567	85	6	var19	var19	PROPN
ihlr-16567	85	7	-	-	PUNCT
ihlr-16567	85	8	32	32	NUM
ihlr-16567	85	9	,	,	PUNCT
ihlr-16567	85	10	190	190	NUM
ihlr-16567	85	11	indianahealtii	indianahealtii	NOUN
ihlr-16567	85	12	law	law	NOUN
ihlr-16567	85	13	review	review	NOUN
ihlr-16567	85	14	·	·	PUNCT
ihlr-16567	86	1	[	[	X
ihlr-16567	86	2	vol	vol	NOUN
ihlr-16567	86	3	.	.	PUNCT
ihlr-16567	87	1	7:185	7:185	ADJ
ihlr-16567	87	2	fee	fee	NOUN
ihlr-16567	87	3	-	-	PUNCT
ihlr-16567	87	4	for	for	ADP
ihlr-16567	87	5	-	-	PUNCT
ihlr-16567	87	6	service	service	NOUN
ihlr-16567	87	7	medicine	medicine	NOUN
ihlr-16567	87	8	can	can	AUX
ihlr-16567	87	9	and	and	CCONJ
ihlr-16567	87	10	does	do	AUX
ihlr-16567	87	11	produce	produce	VERB
ihlr-16567	87	12	high	high	ADJ
ihlr-16567	87	13	-	-	PUNCT
ihlr-16567	87	14	quality	quality	NOUN
ihlr-16567	87	15	,	,	PUNCT
ihlr-16567	87	16	highly	highly	ADV
ihlr-16567	87	17	efficient	efficient	ADJ
ihlr-16567	87	18	health	health	NOUN
ihlr-16567	87	19	care	care	NOUN
ihlr-16567	87	20	in	in	ADP
ihlr-16567	87	21	certain	certain	ADJ
ihlr-16567	87	22	regions	region	NOUN
ihlr-16567	87	23	;	;	PUNCT
ihlr-16567	87	24	but	but	CCONJ
ihlr-16567	87	25	also	also	ADV
ihlr-16567	87	26	tha	tha	ADJ
ihlr-16567	87	27	!	!	PUNCT
ihlr-16567	87	28	;	;	PUNCT
ihlr-16567	87	29	in	in	ADP
ihlr-16567	87	30	most	most	ADJ
ihlr-16567	87	31	regions	region	NOUN
ihlr-16567	87	32	,	,	PUNCT
ihlr-16567	87	33	that	that	DET
ihlr-16567	87	34	level	level	NOUN
ihlr-16567	87	35	of	of	ADP
ihlr-16567	87	36	care	care	NOUN
ihlr-16567	87	37	does	do	AUX
ihlr-16567	87	38	not	not	PART
ihlr-16567	87	39	prevail	prevail	VERB
ihlr-16567	87	40	.	.	PUNCT
ihlr-16567	88	1	15	15	NUM
ihlr-16567	88	2	·	·	PUNCT
ihlr-16567	88	3	another	another	DET
ihlr-16567	88	4	common	common	ADJ
ihlr-16567	88	5	thread	thread	NOUN
ihlr-16567	88	6	is	be	AUX
ihlr-16567	88	7	the	the	DET
ihlr-16567	88	8	opinion	opinion	NOUN
ihlr-16567	88	9	shared	share	VERB
ihlr-16567	88	10	by	by	ADP
ihlr-16567	88	11	many	many	ADJ
ihlr-16567	88	12	health	health	NOUN
ihlr-16567	88	13	policy	policy	NOUN
ihlr-16567	88	14	experts	expert	NOUN
ihlr-16567	88	15	that	that	PRON
ihlr-16567	88	16	integrated	integrate	VERB
ihlr-16567	88	17	delivery	delivery	NOUN
ihlr-16567	88	18	systems	system	NOUN
ihlr-16567	88	19	--	--	PUNCT
ihlr-16567	88	20	comprised	comprise	VERB
ihlr-16567	88	21	of	of	ADP
ihlr-16567	88	22	hospitals	hospital	NOUN
ihlr-16567	88	23	and	and	CCONJ
ihlr-16567	88	24	multi­	multi­	NOUN
ihlr-16567	88	25	specialty	specialty	NOUN
ihlr-16567	88	26	group	group	NOUN
ihlr-16567	88	27	physician	physician	NOUN
ihlr-16567	88	28	practices	practice	NOUN
ihlr-16567	88	29	--	--	PUNCT
ihlr-16567	88	30	deliver	deliver	VERB
ihlr-16567	88	31	better	well	ADJ
ihlr-16567	88	32	,	,	PUNCT
ihlr-16567	88	33	more	more	ADV
ihlr-16567	88	34	efficient	efficient	ADJ
ihlr-16567	88	35	care/6	care/6	PROPN
ihlr-16567	88	36	and	and	CCONJ
ihlr-16567	88	37	that	that	SCONJ
ihlr-16567	88	38	the	the	DET
ihlr-16567	88	39	dynamics	dynamic	NOUN
ihlr-16567	88	40	prevailing	prevail	VERB
ihlr-16567	88	41	in	in	ADP
ihlr-16567	88	42	such	such	ADJ
ihlr-16567	88	43	organizations	organization	NOUN
ihlr-16567	88	44	might	might	AUX
ihlr-16567	88	45	be	be	AUX
ihlr-16567	88	46	replicated	replicate	VERB
ihlr-16567	88	47	on	on	ADP
ihlr-16567	88	48	a	a	DET
ihlr-16567	88	49	''	''	PUNCT
ihlr-16567	88	50	virtual	virtual	ADJ
ihlr-16567	88	51	"	"	PUNCT
ihlr-16567	88	52	basis	basis	NOUN
ihlr-16567	88	53	.	.	PUNCT
ihlr-16567	89	1	the	the	DET
ihlr-16567	89	2	accountable	accountable	ADJ
ihlr-16567	89	3	care	care	NOUN
ihlr-16567	89	4	organization	organization	NOUN
ihlr-16567	89	5	superficially	superficially	ADV
ihlr-16567	89	6	resembles	resemble	VERB
ihlr-16567	89	7	indepen­	indepen­	PART
ihlr-16567	89	8	dent	dent	NOUN
ihlr-16567	89	9	practice	practice	NOUN
ihlr-16567	89	10	associations	association	NOUN
ihlr-16567	89	11	and	and	CCONJ
ihlr-16567	89	12	physician	physician	NOUN
ihlr-16567	89	13	hospital	hospital	NOUN
ihlr-16567	89	14	organizations	organization	NOUN
ihlr-16567	89	15	,	,	PUNCT
ihlr-16567	89	16	entities	entity	NOUN
ihlr-16567	89	17	that	that	PRON
ihlr-16567	89	18	sprang	spring	VERB
ihlr-16567	89	19	into	into	ADP
ihlr-16567	89	20	being	be	AUX
ihlr-16567	89	21	during	during	ADP
ihlr-16567	89	22	the	the	DET
ihlr-16567	89	23	heyday	heyday	NOUN
ihlr-16567	89	24	of	of	ADP
ihlr-16567	89	25	managed	manage	VERB
ihlr-16567	89	26	care.17	care.17	PROPN
ihlr-16567	89	27	the	the	DET
ihlr-16567	89	28	aco	aco	PROPN
ihlr-16567	89	29	is	be	AUX
ihlr-16567	89	30	seen	see	VERB
ihlr-16567	89	31	as	as	ADP
ihlr-16567	89	32	having	have	VERB
ihlr-16567	89	33	the	the	DET
ihlr-16567	89	34	potential	potential	NOUN
ihlr-16567	89	35	to	to	PART
ihlr-16567	89	36	harness	harness	NOUN
ihlr-16567	89	37	some	some	PRON
ihlr-16567	89	38	of	of	ADP
ihlr-16567	89	39	the	the	DET
ihlr-16567	89	40	positive	positive	ADJ
ihlr-16567	89	41	characteristics	characteristic	NOUN
ihlr-16567	89	42	of	of	ADP
ihlr-16567	89	43	managed	manage	VERB
ihlr-16567	89	44	care	care	NOUN
ihlr-16567	89	45	-	-	PUNCT
ihlr-16567	89	46	such	such	ADJ
ihlr-16567	89	47	as	as	ADP
ihlr-16567	89	48	a	a	DET
ihlr-16567	89	49	measure	measure	NOUN
ihlr-16567	89	50	of	of	ADP
ihlr-16567	89	51	financial	financial	ADJ
ihlr-16567	89	52	risk	risk	NOUN
ihlr-16567	89	53	assumed	assume	VERB
ihlr-16567	89	54	by	by	ADP
ihlr-16567	89	55	physi­	physi­	PROPN
ihlr-16567	89	56	cians	cian	NOUN
ihlr-16567	89	57	,	,	PUNCT
ihlr-16567	89	58	the	the	DET
ihlr-16567	89	59	ability	ability	NOUN
ihlr-16567	89	60	to	to	PART
ihlr-16567	89	61	coordinate	coordinate	VERB
ihlr-16567	89	62	care	care	NOUN
ihlr-16567	89	63	,	,	PUNCT
ihlr-16567	89	64	and	and	CCONJ
ihlr-16567	89	65	the	the	DET
ihlr-16567	89	66	infrastructure	infrastructure	NOUN
ihlr-16567	89	67	of	of	ADP
ihlr-16567	89	68	an	an	DET
ihlr-16567	89	69	integrated	integrate	VERB
ihlr-16567	89	70	delivery	delivery	NOUN
ihlr-16567	89	71	system	system	NOUN
ihlr-16567	89	72	-	-	PUNCT
ihlr-16567	89	73	without	without	ADP
ihlr-16567	89	74	the	the	DET
ihlr-16567	89	75	negative	negative	ADJ
ihlr-16567	89	76	characteristics	characteristic	NOUN
ihlr-16567	89	77	,	,	PUNCT
ihlr-16567	89	78	such	such	ADJ
ihlr-16567	89	79	as	as	ADP
ihlr-16567	89	80	a	a	DET
ihlr-16567	89	81	loss	loss	NOUN
ihlr-16567	89	82	of	of	ADP
ihlr-16567	89	83	physician	physician	NOUN
ihlr-16567	89	84	autonomy	autonomy	NOUN
ihlr-16567	89	85	,	,	PUNCT
ihlr-16567	89	86	potentially	potentially	ADV
ihlr-16567	89	87	harmful	harmful	ADJ
ihlr-16567	89	88	financial	financial	ADJ
ihlr-16567	89	89	risk	risk	NOUN
ihlr-16567	89	90	to	to	ADP
ihlr-16567	89	91	physicians	physician	NOUN
ihlr-16567	89	92	,	,	PUNCT
ihlr-16567	89	93	or	or	CCONJ
ihlr-16567	89	94	in­	in­	PROPN
ihlr-16567	89	95	centives	centive	NOUN
ihlr-16567	89	96	to	to	PART
ihlr-16567	89	97	stint	stint	VERB
ihlr-16567	89	98	on	on	ADP
ihlr-16567	89	99	care.18	care.18	PROPN
ihlr-16567	89	100	this	this	PRON
ihlr-16567	89	101	is	be	AUX
ihlr-16567	89	102	because	because	SCONJ
ihlr-16567	89	103	it	it	PRON
ihlr-16567	89	104	remains	remain	VERB
ihlr-16567	89	105	a	a	DET
ihlr-16567	89	106	fee	fee	NOUN
ihlr-16567	89	107	-	-	PUNCT
ihlr-16567	89	108	for	for	ADP
ihlr-16567	89	109	-	-	PUNCT
ihlr-16567	89	110	service	service	NOUN
ihlr-16567	89	111	sys­	sys­	PROPN
ihlr-16567	89	112	tem	tem	PROPN
ihlr-16567	89	113	,	,	PUNCT
ihlr-16567	89	114	retaining	retain	VERB
ihlr-16567	89	115	independent	independent	ADJ
ihlr-16567	89	116	proprietorships	proprietorship	NOUN
ihlr-16567	89	117	,	,	PUNCT
ihlr-16567	89	118	and	and	CCONJ
ihlr-16567	89	119	any	any	DET
ihlr-16567	89	120	financial	financial	ADJ
ihlr-16567	89	121	incentives	incentive	NOUN
ihlr-16567	89	122	to	to	PART
ihlr-16567	89	123	stint	stint	VERB
ihlr-16567	89	124	on	on	ADP
ihlr-16567	89	125	care	care	NOUN
ihlr-16567	89	126	can	can	AUX
ihlr-16567	89	127	be	be	AUX
ihlr-16567	89	128	counterbalanced	counterbalance	VERB
ihlr-16567	89	129	,	,	PUNCT
ihlr-16567	89	130	or	or	CCONJ
ihlr-16567	89	131	outweighed	outweigh	VERB
ihlr-16567	89	132	,	,	PUNCT
ihlr-16567	89	133	by	by	ADP
ihlr-16567	89	134	incentives	incentive	NOUN
ihlr-16567	89	135	to	to	PART
ihlr-16567	89	136	im­	im­	AUX
ihlr-16567	89	137	prove	prove	VERB
ihlr-16567	89	138	patient	patient	ADJ
ihlr-16567	89	139	outcomes	outcome	NOUN
ihlr-16567	89	140	.	.	PUNCT
ihlr-16567	90	1	unlike	unlike	ADP
ihlr-16567	90	2	the	the	DET
ihlr-16567	90	3	ip	ip	NOUN
ihlr-16567	90	4	a	a	PRON
ihlr-16567	90	5	and	and	CCONJ
ihlr-16567	90	6	pho	pho	NOUN
ihlr-16567	90	7	,	,	PUNCT
ihlr-16567	90	8	the	the	DET
ihlr-16567	90	9	aco	aco	PROPN
ihlr-16567	90	10	need	need	AUX
ihlr-16567	90	11	not	not	PART
ihlr-16567	90	12	be	be	AUX
ihlr-16567	90	13	a	a	DET
ihlr-16567	90	14	formal	formal	ADJ
ihlr-16567	90	15	partnership	partnership	NOUN
ihlr-16567	90	16	or	or	CCONJ
ihlr-16567	90	17	corporate	corporate	ADJ
ihlr-16567	90	18	entity	entity	NOUN
ihlr-16567	90	19	;	;	PUNCT
ihlr-16567	90	20	all	all	PRON
ihlr-16567	90	21	that	that	PRON
ihlr-16567	90	22	is	be	AUX
ihlr-16567	90	23	necessary	necessary	ADJ
ihlr-16567	90	24	is	be	AUX
ihlr-16567	90	25	that	that	SCONJ
ihlr-16567	90	26	a	a	DET
ihlr-16567	90	27	pool	pool	NOUN
ihlr-16567	90	28	be	be	AUX
ihlr-16567	90	29	delineated	delineate	VERB
ihlr-16567	90	30	in	in	ADP
ihlr-16567	90	31	medi­	medi­	PROPN
ihlr-16567	90	32	care	care	NOUN
ihlr-16567	90	33	's	's	PART
ihlr-16567	90	34	administrative	administrative	ADJ
ihlr-16567	90	35	structure	structure	NOUN
ihlr-16567	90	36	that	that	PRON
ihlr-16567	90	37	allows	allow	VERB
ihlr-16567	90	38	savings	saving	NOUN
ihlr-16567	90	39	based	base	VERB
ihlr-16567	90	40	upon	upon	SCONJ
ihlr-16567	90	41	efficiency	efficiency	NOUN
ihlr-16567	90	42	or	or	CCONJ
ihlr-16567	90	43	higher	high	ADJ
ihlr-16567	90	44	-	-	PUNCT
ihlr-16567	90	45	quality	quality	NOUN
ihlr-16567	90	46	care	care	NOUN
ihlr-16567	90	47	to	to	PART
ihlr-16567	90	48	be	be	AUX
ihlr-16567	90	49	shared	share	VERB
ihlr-16567	90	50	by	by	ADP
ihlr-16567	90	51	the	the	DET
ihlr-16567	90	52	accountable	accountable	ADJ
ihlr-16567	90	53	physicians	physician	NOUN
ihlr-16567	90	54	,	,	PUNCT
ihlr-16567	90	55	or	or	CCONJ
ihlr-16567	90	56	that	that	SCONJ
ihlr-16567	90	57	per­	per­	NOUN
ihlr-16567	90	58	mits	mit	NOUN
ihlr-16567	90	59	bonuses	bonus	NOUN
ihlr-16567	90	60	to	to	PART
ihlr-16567	90	61	be	be	AUX
ihlr-16567	90	62	added	add	VERB
ihlr-16567	90	63	to	to	ADP
ihlr-16567	90	64	the	the	DET
ihlr-16567	90	65	pool	pool	NOUN
ihlr-16567	90	66	.	.	PUNCT
ihlr-16567	91	1	the	the	DET
ihlr-16567	91	2	table	table	NOUN
ihlr-16567	91	3	below	below	ADP
ihlr-16567	91	4	shows	show	NOUN
ihlr-16567	91	5	bow	bow	VERB
ihlr-16567	91	6	the	the	DET
ihlr-16567	91	7	shared	share	VERB
ihlr-16567	91	8	accountability	accountability	NOUN
ihlr-16567	91	9	paradigm	paradigm	NOUN
ihlr-16567	91	10	is	be	AUX
ihlr-16567	91	11	in­	in­	PROPN
ihlr-16567	91	12	tended	tend	VERB
ihlr-16567	91	13	to	to	PART
ihlr-16567	91	14	occupy	occupy	VERB
ihlr-16567	91	15	a	a	DET
ihlr-16567	91	16	middle	middle	ADJ
ihlr-16567	91	17	ground	ground	NOUN
ihlr-16567	91	18	between	between	ADP
ihlr-16567	91	19	the	the	DET
ihlr-16567	91	20	unbridled	unbridled	ADJ
ihlr-16567	91	21	autonomy	autonomy	NOUN
ihlr-16567	91	22	of	of	ADP
ihlr-16567	91	23	fee­	fee­	NOUN
ihlr-16567	91	24	for	for	ADP
ihlr-16567	91	25	-	-	PUNCT
ihlr-16567	91	26	service	service	NOUN
ihlr-16567	91	27	medicine	medicine	NOUN
ihlr-16567	91	28	and	and	CCONJ
ihlr-16567	91	29	the	the	DET
ihlr-16567	91	30	strictures	stricture	NOUN
ihlr-16567	91	31	of	of	ADP
ihlr-16567	91	32	managed	manage	VERB
ihlr-16567	91	33	care	care	NOUN
ihlr-16567	91	34	:	:	PUNCT
ihlr-16567	91	35	http://content.healthaffairs.org/cgilcontent/abstractlhlthaff.var.l9vl	http://content.healthaffairs.org/cgilcontent/abstractlhlthaff.var.l9vl	X
ihlr-16567	91	36	.	.	PUNCT
ihlr-16567	92	1	15	15	NUM
ihlr-16567	92	2	.	.	PUNCT
ihlr-16567	93	1	i	i	PRON
ihlr-16567	93	2	d.	d.	PROPN
ihlr-16567	93	3	at	at	ADP
ihlr-16567	93	4	v	v	ADP
ihlr-16567	93	5	ar25	ar25	PROPN
ihlr-16567	93	6	.	.	PROPN
ihlr-16567	94	1	16	16	NUM
ihlr-16567	94	2	.	.	PUNCT
ihlr-16567	95	1	see	see	VERB
ihlr-16567	95	2	,	,	PUNCT
ihlr-16567	95	3	e.g.	e.g.	ADV
ihlr-16567	95	4	,	,	PUNCT
ihlr-16567	95	5	laura	laura	NOUN
ihlr-16567	95	6	tollen	tollen	PROPN
ihlr-16567	95	7	,	,	PUNCT
ihlr-16567	95	8	physician	physician	NOUN
ihlr-16567	95	9	organization	organization	NOUN
ihlr-16567	95	10	in	in	ADP
ihlr-16567	95	11	relation	relation	NOUN
ihlr-16567	95	12	to	to	ADP
ihlr-16567	95	13	quali'ly	quali'ly	NOUN
ihlr-16567	95	14	and	and	CCONJ
ihlr-16567	95	15	efficiency	efficiency	NOUN
ihlr-16567	95	16	of	of	ADP
ihlr-16567	95	17	care	care	NOUN
ihlr-16567	95	18	:	:	PUNCT
ihlr-16567	95	19	a	a	DET
ihlr-16567	95	20	syntliesis	syntliesis	NOUN
ihlr-16567	95	21	of	of	ADP
ihlr-16567	95	22	recent	recent	ADJ
ihlr-16567	95	23	literature	literature	NOUN
ihlr-16567	95	24	,	,	PUNCT
ihlr-16567	95	25	the	the	DET
ihlr-16567	95	26	commonwealth	commonwealth	PROPN
ihlr-16567	95	27	fund	fund	PROPN
ihlr-16567	95	28	(	(	PUNCT
ihlr-16567	95	29	2008	2008	NUM
ihlr-16567	95	30	)	)	PUNCT
ihlr-16567	95	31	,	,	PUNCT
ihlr-16567	95	32	available	available	ADJ
ihlr-16567	95	33	at	at	ADP
ihlr-16567	95	34	http://www.commonwealthfund.org/-/media!files/publications/fund%	http://www.commonwealthfund.org/-/media!files/publications/fund%	PROPN
ihlr-16567	95	35	20report/2008	20report/2008	NUM
ihlr-16567	95	36	/	/	SYM
ihlr-16567	95	37	apr/	apr/	NOUN
ihlr-16567	95	38	.	.	PUNCT
ihlr-16567	96	1	physiciano	physiciano	VERB
ihlr-16567	96	2	/	/	SYM
ihlr-16567	96	3	o200rganization%20in%20relation%20too	o200rganization%20in%20relation%20too	PROPN
ihlr-16567	96	4	/	/	SYM
ihlr-16567	96	5	o20quality%20	o20quality%20	NOUN
ihlr-16567	96	6	and%20e	and%20e	NOUN
ihlr-16567	96	7	:	:	PUNCT
ihlr-16567	96	8	fficiencyc'/o20of%20	fficiencyc'/o20of%20	PROPN
ihlr-16567	96	9	care%200	care%200	PROPN
ihlr-16567	96	10	/	/	SYM
ihlr-16567	96	11	o20a%20synthesis%20of%20recent%20literatu	o20a%20synthesis%20of%20recent%20literatu	PROPN
ihlr-16567	96	12	/tollen_physician_org_quality	/tollen_physician_org_quality	NOUN
ihlr-16567	96	13	_	_	PUNCT
ihlr-16567	97	1	e	e	NOUN
ihlr-16567	97	2	:	:	PUNCT
ihlr-16567	97	3	fficiency_l121%20pdf.pdf(last	fficiency_l121%20pdf.pdf(last	PROPN
ihlr-16567	97	4	visited	visit	VERB
ihlr-16567	97	5	may	may	PROPN
ihlr-16567	97	6	15	15	NUM
ihlr-16567	97	7	,	,	PUNCT
ihlr-16567	97	8	2010	2010	NUM
ihlr-16567	97	9	)	)	PUNCT
ihlr-16567	97	10	.	.	PUNCT
ihlr-16567	98	1	17	17	NUM
ihlr-16567	98	2	.	.	X
ihlr-16567	98	3	stephen	stephen	PROPN
ihlr-16567	98	4	m.	m.	PROPN
ihlr-16567	98	5	shortell	shortell	PROPN
ihlr-16567	98	6	&	&	CCONJ
ihlr-16567	98	7	lawrence	lawrence	PROPN
ihlr-16567	98	8	p.	p.	PROPN
ihlr-16567	98	9	casalino	casalino	PROPN
ihlr-16567	98	10	,	,	PUNCT
ihlr-16567	98	11	health	health	NOUN
ihlr-16567	98	12	care	care	NOUN
ihlr-16567	98	13	reform	reform	NOUN
ihlr-16567	98	14	requires	require	VERB
ihlr-16567	98	15	ac­	ac­	ADJ
ihlr-16567	98	16	countable	countable	ADJ
ihlr-16567	98	17	care	care	NOUN
ihlr-16567	98	18	system	system	NOUN
ihlr-16567	98	19	,	,	PUNCT
ihlr-16567	98	20	300	300	NUM
ihlr-16567	98	21	jama	jama	NOUN
ihlr-16567	98	22	95	95	NUM
ihlr-16567	98	23	(	(	PUNCT
ihlr-16567	98	24	2008	2008	NUM
ihlr-16567	98	25	)	)	PUNCT
ihlr-16567	98	26	.	.	PUNCT
ihlr-16567	99	1	arguably	arguably	ADV
ihlr-16567	99	2	,	,	PUNCT
ihlr-16567	99	3	the	the	DET
ihlr-16567	99	4	aco	aco	PROPN
ihlr-16567	99	5	concept	concept	NOUN
ihlr-16567	99	6	also	also	ADV
ihlr-16567	99	7	encom­	encom­	PROPN
ihlr-16567	99	8	passes	pass	VERB
ihlr-16567	99	9	multi	multi	ADJ
ihlr-16567	99	10	-	-	ADJ
ihlr-16567	99	11	specialty	specialty	ADJ
ihlr-16567	99	12	group	group	NOUN
ihlr-16567	99	13	physician	physician	NOUN
ihlr-16567	99	14	practices	practice	NOUN
ihlr-16567	99	15	contracting	contract	VERB
ihlr-16567	99	16	with	with	ADP
ihlr-16567	99	17	blue	blue	ADJ
ihlr-16567	99	18	cross	cross	ADJ
ihlr-16567	99	19	/	/	SYM
ihlr-16567	99	20	blue	blue	ADJ
ihlr-16567	99	21	shield	shield	NOUN
ihlr-16567	99	22	of	of	ADP
ihlr-16567	99	23	massachusetts	massachusetts	PROPN
ihlr-16567	99	24	pursuant	pursuant	PROPN
ihlr-16567	99	25	to	to	ADP
ihlr-16567	99	26	its	its	PRON
ihlr-16567	99	27	"	"	PUNCT
ihlr-16567	99	28	alternative	alternative	ADJ
ihlr-16567	99	29	quality	quality	NOUN
ihlr-16567	99	30	contract	contract	NOUN
ihlr-16567	99	31	"	"	PUNCT
ihlr-16567	99	32	program	program	NOUN
ihlr-16567	99	33	,	,	PUNCT
ihlr-16567	99	34	which	which	PRON
ihlr-16567	99	35	combines	combine	VERB
ihlr-16567	99	36	a	a	DET
ihlr-16567	99	37	"	"	PUNCT
ihlr-16567	99	38	global	global	ADJ
ihlr-16567	99	39	payment	payment	NOUN
ihlr-16567	99	40	structure	structure	NOUN
ihlr-16567	99	41	"	"	PUNCT
ihlr-16567	99	42	with	with	ADP
ihlr-16567	99	43	"	"	PUNCT
ihlr-16567	99	44	incentive	incentive	NOUN
ihlr-16567	99	45	payouts	payout	NOUN
ihlr-16567	99	46	"	"	PUNCT
ihlr-16567	99	47	for	for	ADP
ihlr-16567	99	48	surpassing	surpass	VERB
ihlr-16567	99	49	quality	quality	NOUN
ihlr-16567	99	50	thresholds	threshold	NOUN
ihlr-16567	99	51	.	.	PUNCT
ihlr-16567	100	1	see	see	VERB
ihlr-16567	100	2	bluecross	bluecross	PROPN
ihlr-16567	100	3	blueshield	blueshield	PROPN
ihlr-16567	100	4	association	association	PROPN
ihlr-16567	100	5	,	,	PUNCT
ihlr-16567	100	6	changing	change	VERB
ihlr-16567	100	7	incentives	incentive	NOUN
ihlr-16567	100	8	to	to	PART
ihlr-16567	100	9	promote	promote	VERB
ihlr-16567	100	10	better	well	ADJ
ihlr-16567	100	11	care	care	NOUN
ihlr-16567	100	12	,	,	PUNCT
ihlr-16567	100	13	http://www.bcbs.com/issues/	http://www.bcbs.com/issues/	X
ihlr-16567	100	14	uninsuredlblue-cross-blue-shield-of-mass.html?templatename	uninsuredlblue-cross-blue-shield-of-mass.html?templatename	NOUN
ihlr-16567	101	1	=	=	NOUN
ihlr-16567	101	2	template:.28719196&print	template:.28719196&print	NOUN
ihlr-16567	101	3	=	=	SYM
ihlr-16567	101	4	t	t	X
ihlr-16567	101	5	(	(	PUNCT
ihlr-16567	101	6	last	last	ADV
ihlr-16567	101	7	visited	visit	VERB
ihlr-16567	101	8	july	july	PROPN
ihlr-16567	101	9	30	30	NUM
ihlr-16567	101	10	,	,	PUNCT
ihlr-16567	101	11	2008	2008	NUM
ihlr-16567	101	12	)	)	PUNCT
ihlr-16567	101	13	.	.	PUNCT
ihlr-16567	102	1	18	18	NUM
ihlr-16567	102	2	.	.	X
ihlr-16567	102	3	allan	allan	PROPN
ihlr-16567	102	4	h.	h.	PROPN
ihlr-16567	102	5	goroll	goroll	PROPN
ihlr-16567	102	6	,	,	PUNCT
ihlr-16567	102	7	et	et	PROPN
ihlr-16567	102	8	al	al	PROPN
ihlr-16567	102	9	.	.	PROPN
ihlr-16567	102	10	,	,	PUNCT
ihlr-16567	102	11	fundamental	fundamental	ADJ
ihlr-16567	102	12	reform	reform	NOUN
ihlr-16567	102	13	of	of	ADP
ihlr-16567	102	14	payment	payment	NOUN
ihlr-16567	102	15	for	for	ADP
ihlr-16567	102	16	adult	adult	NOUN
ihlr-16567	102	17	primary	primary	ADJ
ihlr-16567	102	18	care	care	NOUN
ihlr-16567	102	19	:	:	PUNCT
ihlr-16567	102	20	comprehensive	comprehensive	ADJ
ihlr-16567	102	21	payment	payment	NOUN
ihlr-16567	102	22	for	for	ADP
ihlr-16567	102	23	comprehensive	comprehensive	ADJ
ihlr-16567	102	24	care	care	NOUN
ihlr-16567	102	25	.	.	PUNCT
ihlr-16567	103	1	22	22	NUM
ihlr-16567	103	2	j.	j.	PROPN
ihlr-16567	103	3	of	of	ADP
ihlr-16567	103	4	gen	gen	PROPN
ihlr-16567	103	5	.	.	PROPN
ihlr-16567	103	6	internal	internal	PROPN
ihlr-16567	103	7	med	med	PROPN
ihlr-16567	103	8	.	.	PROPN
ihlr-16567	103	9	410	410	NUM
ihlr-16567	103	10	,	,	PUNCT
ihlr-16567	103	11	41314(2007	41314(2007	NOUN
ihlr-16567	103	12	)	)	PUNCT
ihlr-16567	103	13	.	.	PUNCT
ihlr-16567	104	1	2010	2010	NUM
ihlr-16567	104	2	]	]	PUNCT
ihlr-16567	104	3	"	"	PUNCT
ihlr-16567	104	4	shared	share	VERB
ihlr-16567	104	5	accountability	accountability	NOUN
ihlr-16567	104	6	"	"	PUNCT
ihlr-16567	104	7	approach	approach	NOUN
ihlr-16567	104	8	191	191	NUM
ihlr-16567	104	9	characteristics	characteristic	NOUN
ihlr-16567	104	10	of	of	ADP
ihlr-16567	104	11	physician	physician	NOUN
ihlr-16567	104	12	payment	payment	NOUN
ihlr-16567	104	13	systems	system	NOUN
ihlr-16567	104	14	dimension	dimension	NOUN
ihlr-16567	104	15	fee	fee	NOUN
ihlr-16567	104	16	for	for	ADP
ihlr-16567	104	17	shared	share	VERB
ihlr-16567	104	18	managed	manage	VERB
ihlr-16567	104	19	care	care	NOUN
ihlr-16567	104	20	service	service	NOUN
ihlr-16567	104	21	accountability	accountability	NOUN
ihlr-16567	104	22	doctors	doctor	NOUN
ihlr-16567	104	23	'	'	PART
ihlr-16567	104	24	minimal	minimal	ADJ
ihlr-16567	104	25	possible	possible	ADJ
ihlr-16567	104	26	possible	possible	ADJ
ihlr-16567	104	27	loss	loss	NOUN
ihlr-16567	104	28	of	of	ADP
ihlr-16567	104	29	financial	financial	ADJ
ihlr-16567	104	30	risk	risk	NOUN
ihlr-16567	104	31	negative	negative	ADJ
ihlr-16567	104	32	update	update	NOUN
ihlr-16567	104	33	withheld	withhold	VERB
ihlr-16567	104	34	for	for	ADP
ihlr-16567	104	35	quality	quality	NOUN
ihlr-16567	104	36	and	and	CCONJ
ihlr-16567	104	37	to	to	ADP
ihlr-16567	104	38	reimbursement	reimbursement	NOUN
ihlr-16567	104	39	efficiency	efficiency	NOUN
ihlr-16567	104	40	of	of	ADP
ihlr-16567	104	41	reimbursement	reimbursement	NOUN
ihlr-16567	104	42	care	care	NOUN
ihlr-16567	104	43	schedule	schedule	NOUN
ihlr-16567	104	44	doctor	doctor	NOUN
ihlr-16567	104	45	minimal	minimal	ADJ
ihlr-16567	104	46	constraint	constraint	NOUN
ihlr-16567	104	47	by	by	ADP
ihlr-16567	104	48	constraint	constraint	NOUN
ihlr-16567	104	49	by	by	ADP
ihlr-16567	104	50	autonomy	autonomy	NOUN
ihlr-16567	104	51	constraint	constraint	NOUN
ihlr-16567	104	52	,	,	PUNCT
ihlr-16567	104	53	peer	peer	NOUN
ihlr-16567	104	54	pressure	pressure	NOUN
ihlr-16567	104	55	utilization	utilization	NOUN
ihlr-16567	104	56	review	review	NOUN
ihlr-16567	104	57	although	although	SCONJ
ihlr-16567	104	58	(	(	PUNCT
ihlr-16567	104	59	and	and	CCONJ
ihlr-16567	104	60	by	by	ADP
ihlr-16567	104	61	superiors	superior	NOUN
ihlr-16567	104	62	in	in	ADP
ihlr-16567	104	63	tiering	tiering	NOUN
ihlr-16567	104	64	and	and	CCONJ
ihlr-16567	104	65	staff	staff	NOUN
ihlr-16567	104	66	model	model	NOUN
ihlr-16567	104	67	hmo	hmo	PROPN
ihlr-16567	104	68	)	)	PUNCT
ihlr-16567	104	69	profiling	profiling	NOUN
ihlr-16567	104	70	are	be	AUX
ihlr-16567	104	71	potential	potential	ADJ
ihlr-16567	104	72	checks	check	NOUN
ihlr-16567	104	73	doctor	doctor	NOUN
ihlr-16567	104	74	's	's	PART
ihlr-16567	104	75	greater	great	ADJ
ihlr-16567	104	76	efficient	efficient	ADJ
ihlr-16567	104	77	lower	low	ADJ
ihlr-16567	104	78	utilization	utilization	NOUN
ihlr-16567	104	79	,	,	PUNCT
ihlr-16567	104	80	financial	financial	ADJ
ihlr-16567	104	81	utilization	utilization	NOUN
ihlr-16567	104	82	,	,	PUNCT
ihlr-16567	104	83	utilization	utilization	NOUN
ihlr-16567	104	84	with	with	ADP
ihlr-16567	104	85	potential	potential	NOUN
ihlr-16567	104	86	for	for	ADP
ihlr-16567	104	87	incentive	incentive	NOUN
ihlr-16567	104	88	with	with	ADP
ihlr-16567	104	89	potential	potential	ADJ
ihlr-16567	104	90	stinting	stinting	NOUN
ihlr-16567	104	91	on	on	ADP
ihlr-16567	104	92	care	care	NOUN
ihlr-16567	104	93	for	for	ADP
ihlr-16567	104	94	over	over	ADP
ihlr-16567	104	95	-	-	PUNCT
ihlr-16567	104	96	use	use	NOUN
ihlr-16567	104	97	objective	objective	NOUN
ihlr-16567	104	98	of	of	ADP
ihlr-16567	104	99	to	to	PART
ihlr-16567	104	100	earn	earn	VERB
ihlr-16567	104	101	target	target	NOUN
ihlr-16567	104	102	to	to	PART
ihlr-16567	104	103	replicate	replicate	VERB
ihlr-16567	104	104	the	the	PRON
ihlr-16567	104	105	to	to	PART
ihlr-16567	104	106	manage	manage	VERB
ihlr-16567	104	107	care	care	NOUN
ihlr-16567	104	108	in	in	ADP
ihlr-16567	104	109	organizing	organize	VERB
ihlr-16567	104	110	income	income	NOUN
ihlr-16567	104	111	quality	quality	NOUN
ihlr-16567	104	112	and	and	CCONJ
ihlr-16567	104	113	accordance	accordance	NOUN
ihlr-16567	104	114	with	with	ADP
ihlr-16567	104	115	delivery	delivery	NOUN
ihlr-16567	104	116	efficiency	efficiency	NOUN
ihlr-16567	104	117	organization	organization	NOUN
ihlr-16567	104	118	's	's	PART
ihlr-16567	104	119	system	system	NOUN
ihlr-16567	104	120	prevailing	prevail	VERB
ihlr-16567	104	121	in	in	ADP
ihlr-16567	104	122	principles	principle	NOUN
ihlr-16567	104	123	ffs	ffs	PROPN
ihlr-16567	104	124	medicine	medicine	NOUN
ihlr-16567	104	125	high	high	ADV
ihlr-16567	104	126	-	-	PUNCT
ihlr-16567	104	127	performing	perform	VERB
ihlr-16567	104	128	regions	region	NOUN
ihlr-16567	104	129	locus	locus	NOUN
ihlr-16567	104	130	of	of	ADP
ihlr-16567	104	131	individual	individual	ADJ
ihlr-16567	104	132	accountable	accountable	ADJ
ihlr-16567	104	133	health	health	NOUN
ihlr-16567	104	134	plan	plan	NOUN
ihlr-16567	104	135	accountability	accountability	NOUN
ihlr-16567	104	136	provider	provider	NOUN
ihlr-16567	104	137	care	care	NOUN
ihlr-16567	104	138	organization	organization	NOUN
ihlr-16567	104	139	to	to	PART
ihlr-16567	104	140	succeed	succeed	VERB
ihlr-16567	104	141	in	in	ADP
ihlr-16567	104	142	providing	provide	VERB
ihlr-16567	104	143	appropriate	appropriate	ADJ
ihlr-16567	104	144	care	care	NOUN
ihlr-16567	104	145	to	to	ADP
ihlr-16567	104	146	beneficiaries	beneficiary	NOUN
ihlr-16567	104	147	,	,	PUNCT
ihlr-16567	104	148	a	a	DET
ihlr-16567	104	149	shared	share	VERB
ihlr-16567	104	150	ac­	ac­	PROPN
ihlr-16567	104	151	countability	countability	NOUN
ihlr-16567	104	152	regime	regime	NOUN
ihlr-16567	104	153	must	must	AUX
ihlr-16567	104	154	be	be	AUX
ihlr-16567	104	155	precisely	precisely	ADV
ihlr-16567	104	156	calibrated	calibrate	VERB
ihlr-16567	104	157	to	to	PART
ihlr-16567	104	158	achieve	achieve	VERB
ihlr-16567	104	159	efficiency	efficiency	NOUN
ihlr-16567	104	160	,	,	PUNCT
ihlr-16567	104	161	not	not	PART
ihlr-16567	104	162	stinginess	stinginess	NOUN
ihlr-16567	104	163	;	;	PUNCT
ihlr-16567	104	164	to	to	PART
ihlr-16567	104	165	produce	produce	VERB
ihlr-16567	104	166	quality	quality	NOUN
ihlr-16567	104	167	outcomes	outcome	NOUN
ihlr-16567	104	168	,	,	PUNCT
ihlr-16567	104	169	not	not	PART
ihlr-16567	104	170	gaming	game	VERB
ihlr-16567	104	171	;	;	PUNCT
ihlr-16567	104	172	to	to	PART
ihlr-16567	104	173	be	be	AUX
ihlr-16567	104	174	cooperative	cooperative	ADJ
ihlr-16567	104	175	without	without	ADP
ihlr-16567	104	176	being	be	AUX
ihlr-16567	104	177	exclusive	exclusive	ADJ
ihlr-16567	104	178	;	;	PUNCT
ihlr-16567	104	179	and	and	CCONJ
ihlr-16567	104	180	above	above	ADP
ihlr-16567	104	181	all	all	PRON
ihlr-16567	104	182	,	,	PUNCT
ihlr-16567	104	183	to	to	PART
ihlr-16567	104	184	be	be	AUX
ihlr-16567	104	185	perceived	perceive	VERB
ihlr-16567	104	186	as	as	ADP
ihlr-16567	104	187	fair	fair	ADJ
ihlr-16567	104	188	by	by	ADP
ihlr-16567	104	189	both	both	DET
ihlr-16567	104	190	pa­	pa­	ADJ
ihlr-16567	104	191	tients	tient	NOUN
ihlr-16567	104	192	and	and	CCONJ
ihlr-16567	104	193	providers	provider	NOUN
ihlr-16567	104	194	.	.	PUNCT
ihlr-16567	105	1	sufficient	sufficient	ADJ
ihlr-16567	105	2	financial	financial	ADJ
ihlr-16567	105	3	rewards	reward	NOUN
ihlr-16567	105	4	must	must	AUX
ihlr-16567	105	5	be	be	AUX
ihlr-16567	105	6	available	available	ADJ
ihlr-16567	105	7	to	to	PART
ihlr-16567	105	8	spur	spur	VERB
ihlr-16567	105	9	investments	investment	NOUN
ihlr-16567	105	10	of	of	ADP
ihlr-16567	105	11	doctors	doctor	NOUN
ihlr-16567	105	12	'	'	PART
ihlr-16567	105	13	time	time	NOUN
ihlr-16567	105	14	and	and	CCONJ
ihlr-16567	105	15	money	money	NOUN
ihlr-16567	105	16	and	and	CCONJ
ihlr-16567	105	17	to	to	PART
ihlr-16567	105	18	provoke	provoke	VERB
ihlr-16567	105	19	collaboration	collaboration	NOUN
ihlr-16567	105	20	with	with	ADP
ihlr-16567	105	21	colleagues	colleague	NOUN
ihlr-16567	105	22	-	-	PUNCT
ihlr-16567	105	23	and	and	CCONJ
ihlr-16567	105	24	uncomfortable	uncomfortable	ADJ
ihlr-16567	105	25	confrontations	confrontation	NOUN
ihlr-16567	105	26	when	when	SCONJ
ihlr-16567	105	27	necessary	necessary	ADJ
ihlr-16567	105	28	.	.	PUNCT
ihlr-16567	106	1	the	the	DET
ihlr-16567	106	2	possi­	possi­	PROPN
ihlr-16567	106	3	bility	bility	NOUN
ihlr-16567	106	4	of	of	ADP
ihlr-16567	106	5	unintended	unintended	ADJ
ihlr-16567	106	6	consequences	consequence	NOUN
ihlr-16567	106	7	would	would	AUX
ihlr-16567	106	8	be	be	AUX
ihlr-16567	106	9	daunting	daunt	VERB
ihlr-16567	106	10	if	if	SCONJ
ihlr-16567	106	11	not	not	PART
ihlr-16567	106	12	for	for	ADP
ihlr-16567	106	13	the	the	DET
ihlr-16567	106	14	unac­	unac­	PROPN
ihlr-16567	106	15	ceptably	ceptably	ADV
ihlr-16567	106	16	poor	poor	ADJ
ihlr-16567	106	17	performance	performance	NOUN
ihlr-16567	106	18	of	of	ADP
ihlr-16567	106	19	the	the	DET
ihlr-16567	106	20	current	current	ADJ
ihlr-16567	106	21	fee	fee	NOUN
ihlr-16567	106	22	-	-	PUNCT
ihlr-16567	106	23	for	for	ADP
ihlr-16567	106	24	-	-	PUNCT
ihlr-16567	106	25	service	service	NOUN
ihlr-16567	106	26	system	system	NOUN
ihlr-16567	106	27	and	and	CCONJ
ihlr-16567	106	28	the	the	DET
ihlr-16567	106	29	largely	largely	ADV
ihlr-16567	106	30	unsatisfactory	unsatisfactory	ADJ
ihlr-16567	106	31	experience	experience	NOUN
ihlr-16567	106	32	with	with	ADP
ihlr-16567	106	33	its	its	PRON
ihlr-16567	106	34	polar	polar	ADJ
ihlr-16567	106	35	opposite	opposite	NOUN
ihlr-16567	106	36	,	,	PUNCT
ihlr-16567	106	37	capitation.19	capitation.19	NOUN
ihlr-16567	106	38	19	19	NUM
ihlr-16567	106	39	.	.	PUNCT
ihlr-16567	107	1	see	see	VERB
ihlr-16567	107	2	,	,	PUNCT
ihlr-16567	107	3	e.g.	e.g.	ADV
ihlr-16567	107	4	,	,	PUNCT
ihlr-16567	107	5	toby	toby	PROPN
ihlr-16567	107	6	gosden	gosden	PROPN
ihlr-16567	107	7	,	,	PUNCT
ihlr-16567	107	8	et	et	PROPN
ihlr-16567	107	9	al	al	PROPN
ihlr-16567	107	10	,	,	PUNCT
ihlr-16567	107	11	capitation	capitation	NOUN
ihlr-16567	107	12	,	,	PUNCT
ihlr-16567	107	13	salary	salary	NOUN
ihlr-16567	107	14	,	,	PUNCT
ihlr-16567	107	15	fee	fee	NOUN
ihlr-16567	107	16	-	-	PUNCT
ihlr-16567	107	17	for	for	ADP
ihlr-16567	107	18	-	-	PUNCT
ihlr-16567	107	19	service	service	NOUN
ihlr-16567	107	20	and	and	CCONJ
ihlr-16567	107	21	m1xed	m1xe	VERB
ihlr-16567	107	22	systems	system	NOUN
ihlr-16567	107	23	of	of	ADP
ihlr-16567	107	24	payment	payment	NOUN
ihlr-16567	107	25	:	:	PUNCT
ihlr-16567	107	26	effects	effect	NOUN
ihlr-16567	107	27	on	on	ADP
ihlr-16567	107	28	the	the	DET
ihlr-16567	107	29	behaviour	behaviour	NOUN
ihlr-16567	107	30	of	of	ADP
ihlr-16567	107	31	prlmary	prlmary	ADJ
ihlr-16567	107	32	care	care	NOUN
ihlr-16567	107	33	physicians	physician	NOUN
ihlr-16567	107	34	,	,	PUNCT
ihlr-16567	107	35	(	(	PUNCT
ihlr-16567	107	36	the	the	DET
ihlr-16567	107	37	cochrane	cochrane	PROPN
ihlr-16567	107	38	collaboration	collaboration	NOUN
ihlr-16567	107	39	ed	ed	NOUN
ihlr-16567	107	40	.	.	PROPN
ihlr-16567	107	41	,	,	PUNCT
ihlr-16567	107	42	john	john	PROPN
ihlr-16567	107	43	wiley	wiley	PROPN
ihlr-16567	107	44	&	&	CCONJ
ihlr-16567	107	45	sons	sons	PROPN
ihlr-16567	107	46	,	,	PUNCT
ihlr-16567	107	47	ltd	ltd	PROPN
ihlr-16567	107	48	.	.	PROPN
ihlr-16567	107	49	2006	2006	NUM
ihlr-16567	107	50	)	)	PUNCT
ihlr-16567	107	51	(	(	PUNCT
ihlr-16567	107	52	2006	2006	NUM
ihlr-16567	107	53	)	)	PUNCT
ihlr-16567	107	54	,	,	PUNCT
ihlr-16567	107	55	available	available	ADJ
ihlr-16567	107	56	at	at	ADP
ihlr-16567	107	57	http://	http://	PROPN
ihlr-16567	107	58	192	192	NUM
ihlr-16567	107	59	indiana	indiana	PROPN
ihlr-16567	107	60	health	health	PROPN
ihlr-16567	107	61	law	law	NOUN
ihlr-16567	107	62	review	review	NOUN
ihlr-16567	108	1	[	[	X
ihlr-16567	108	2	vol	vol	NOUN
ihlr-16567	108	3	.	.	PUNCT
ihlr-16567	109	1	7:185	7:185	NUM
ihlr-16567	109	2	beyond	beyond	ADP
ihlr-16567	109	3	addressing	address	VERB
ihlr-16567	109	4	the	the	DET
ihlr-16567	109	5	deficiencies	deficiency	NOUN
ihlr-16567	109	6	of	of	ADP
ihlr-16567	109	7	fee	fee	NOUN
ihlr-16567	109	8	-	-	PUNCT
ihlr-16567	109	9	jor	jor	NOUN
ihlr-16567	109	10	-	-	PUNCT
ihlr-16567	109	11	service	service	NOUN
ihlr-16567	109	12	and	and	CCONJ
ihlr-16567	109	13	capitated	capitate	VERB
ihlr-16567	109	14	medical	medical	ADJ
ihlr-16567	109	15	practice	practice	NOUN
ihlr-16567	109	16	,	,	PUNCT
ihlr-16567	109	17	the	the	DET
ihlr-16567	109	18	accountable	accountable	ADJ
ihlr-16567	109	19	care	care	NOUN
ihlr-16567	109	20	organization	organization	NOUN
ihlr-16567	109	21	also	also	ADV
ihlr-16567	109	22	holds	hold	VERB
ihlr-16567	109	23	promise	promise	NOUN
ihlr-16567	109	24	for	for	ADP
ihlr-16567	109	25	achieving	achieve	VERB
ihlr-16567	109	26	larger	large	ADJ
ihlr-16567	109	27	goals	goal	NOUN
ihlr-16567	109	28	,	,	PUNCT
ihlr-16567	109	29	such	such	ADJ
ihlr-16567	109	30	as	as	ADP
ihlr-16567	109	31	improving	improve	VERB
ihlr-16567	109	32	the	the	DET
ihlr-16567	109	33	health	health	NOUN
ihlr-16567	109	34	of	of	ADP
ihlr-16567	109	35	populations	population	NOUN
ihlr-16567	109	36	,	,	PUNCT
ihlr-16567	109	37	as	as	SCONJ
ihlr-16567	109	38	op­	op­	PROPN
ihlr-16567	109	39	posed	pose	VERB
ihlr-16567	109	40	to	to	ADP
ihlr-16567	109	41	just	just	ADV
ihlr-16567	109	42	individual	individual	ADJ
ihlr-16567	109	43	patients20	patients20	NOUN
ihlr-16567	109	44	and	and	CCONJ
ihlr-16567	109	45	promoting	promote	VERB
ihlr-16567	109	46	better	well	ADJ
ihlr-16567	109	47	management	management	NOUN
ihlr-16567	109	48	of	of	ADP
ihlr-16567	109	49	medical	medical	ADJ
ihlr-16567	109	50	resources	resource	NOUN
ihlr-16567	109	51	in	in	ADP
ihlr-16567	109	52	a	a	DET
ihlr-16567	109	53	health	health	NOUN
ihlr-16567	109	54	care	care	NOUN
ihlr-16567	109	55	system	system	NOUN
ihlr-16567	109	56	thought	think	VERB
ihlr-16567	109	57	to	to	PART
ihlr-16567	109	58	be	be	AUX
ihlr-16567	109	59	inefficient	inefficient	ADJ
ihlr-16567	109	60	and	and	CCONJ
ihlr-16567	109	61	wasteful.21	wasteful.21	PROPN
ihlr-16567	109	62	ill	ill	PROPN
ihlr-16567	109	63	.	.	PUNCT
ihlr-16567	110	1	performance	performance	NOUN
ihlr-16567	110	2	criteria	criterion	NOUN
ihlr-16567	110	3	and	and	CCONJ
ihlr-16567	110	4	evaluation	evaluation	NOUN
ihlr-16567	110	5	the	the	DET
ihlr-16567	110	6	idea	idea	NOUN
ihlr-16567	110	7	of	of	ADP
ihlr-16567	110	8	an	an	DET
ihlr-16567	110	9	accountable	accountable	ADJ
ihlr-16567	110	10	care	care	NOUN
ihlr-16567	110	11	organization	organization	NOUN
ihlr-16567	110	12	begs	beg	VERB
ihlr-16567	110	13	two	two	NUM
ihlr-16567	110	14	threshold	threshold	NOUN
ihlr-16567	110	15	questions	question	NOUN
ihlr-16567	110	16	:	:	PUNCT
ihlr-16567	110	17	accountable	accountable	ADJ
ihlr-16567	110	18	for	for	ADP
ihlr-16567	110	19	what	what	PRON
ihlr-16567	110	20	and	and	CCONJ
ihlr-16567	110	21	accountable	accountable	ADJ
ihlr-16567	110	22	to	to	ADP
ihlr-16567	110	23	whom	whom	PRON
ihlr-16567	110	24	?	?	PUNCT
ihlr-16567	111	1	the	the	DET
ihlr-16567	111	2	three	three	NUM
ihlr-16567	111	3	pay­	pay­	NOUN
ihlr-16567	111	4	for	for	ADP
ihlr-16567	111	5	-	-	PUNCT
ihlr-16567	111	6	performance	performance	NOUN
ihlr-16567	111	7	goals	goal	NOUN
ihlr-16567	111	8	identified	identify	VERB
ihlr-16567	111	9	by	by	ADP
ihlr-16567	111	10	the	the	DET
ihlr-16567	111	11	institute	institute	PROPN
ihlr-16567	111	12	of	of	ADP
ihlr-16567	111	13	medicin	medicin	PROPN
ihlr-16567	111	14	~	~	SYM
ihlr-16567	111	15	fficiency	fficiency	NOUN
ihlr-16567	111	16	,	,	PUNCT
ihlr-16567	111	17	clinical	clinical	ADJ
ihlr-16567	111	18	quality	quality	NOUN
ihlr-16567	111	19	,	,	PUNCT
ihlr-16567	111	20	and	and	CCONJ
ihlr-16567	111	21	patient	patient	NOUN
ihlr-16567	111	22	-	-	PUNCT
ihlr-16567	111	23	centerednessprovide	centerednessprovide	NOUN
ihlr-16567	111	24	a	a	DET
ihlr-16567	111	25	good	good	ADJ
ihlr-16567	111	26	starting	starting	NOUN
ihlr-16567	111	27	point	point	NOUN
ihlr-16567	111	28	for	for	ADP
ihlr-16567	111	29	discussion	discussion	NOUN
ihlr-16567	111	30	of	of	ADP
ihlr-16567	111	31	what	what	PRON
ihlr-16567	111	32	a	a	DET
ihlr-16567	111	33	unit	unit	NOUN
ihlr-16567	111	34	would	would	AUX
ihlr-16567	111	35	be	be	AUX
ihlr-16567	111	36	accountable	accountable	ADJ
ihlr-16567	111	37	for	for	ADP
ihlr-16567	111	38	(	(	PUNCT
ihlr-16567	111	39	discussion	discussion	NOUN
ihlr-16567	111	40	of	of	ADP
ihlr-16567	111	41	to	to	PART
ihlr-16567	111	42	whom	whom	PRON
ihlr-16567	111	43	the	the	DET
ihlr-16567	111	44	unit	unit	NOUN
ihlr-16567	111	45	is	be	AUX
ihlr-16567	111	46	accountable	accountable	ADJ
ihlr-16567	111	47	is	be	AUX
ihlr-16567	111	48	saved	save	VERB
ihlr-16567	111	49	for	for	ADP
ihlr-16567	111	50	later	later	ADV
ihlr-16567	111	51	)	)	PUNCT
ihlr-16567	111	52	.	.	PUNCT
ihlr-16567	112	1	a	a	DET
ihlr-16567	112	2	shared	share	VERB
ihlr-16567	112	3	accountability	accountability	NOUN
ihlr-16567	112	4	regime	regime	NOUN
ihlr-16567	112	5	envisions	envision	VERB
ihlr-16567	112	6	a	a	DET
ihlr-16567	112	7	population	population	NOUN
ihlr-16567	112	8	of	of	ADP
ihlr-16567	112	9	medicare	medicare	PROPN
ihlr-16567	112	10	beneficiaries	beneficiary	NOUN
ihlr-16567	112	11	as	as	ADP
ihlr-16567	112	12	the	the	DET
ihlr-16567	112	13	unit	unit	NOUN
ihlr-16567	112	14	of	of	ADP
ihlr-16567	112	15	anal­	anal­	DET
ihlr-16567	112	16	ysis	ysis	NOUN
ihlr-16567	112	17	for	for	ADP
ihlr-16567	112	18	assessing	assess	VERB
ihlr-16567	112	19	performance	performance	NOUN
ihlr-16567	112	20	on	on	ADP
ihlr-16567	112	21	the	the	DET
ihlr-16567	112	22	three	three	NUM
ihlr-16567	112	23	dimensions	dimension	NOUN
ihlr-16567	112	24	.	.	PUNCT
ihlr-16567	113	1	using	use	VERB
ihlr-16567	113	2	a	a	DET
ihlr-16567	113	3	population	population	NOUN
ihlr-16567	113	4	as	as	ADP
ihlr-16567	113	5	the	the	DET
ihlr-16567	113	6	unit	unit	NOUN
ihlr-16567	113	7	of	of	ADP
ihlr-16567	113	8	analysis	analysis	NOUN
ihlr-16567	113	9	provides	provide	VERB
ihlr-16567	113	10	a	a	DET
ihlr-16567	113	11	much	much	ADV
ihlr-16567	113	12	richer	rich	ADJ
ihlr-16567	113	13	basis	basis	NOUN
ihlr-16567	113	14	for	for	ADP
ihlr-16567	113	15	measuring	measure	VERB
ihlr-16567	113	16	perfor­	perfor­	NOUN
ihlr-16567	113	17	mance	mance	NOUN
ihlr-16567	113	18	than	than	ADP
ihlr-16567	113	19	the	the	DET
ihlr-16567	113	20	individual	individual	ADJ
ihlr-16567	113	21	provider	provider	NOUN
ihlr-16567	113	22	or	or	CCONJ
ihlr-16567	113	23	patient	patient	NOUN
ihlr-16567	113	24	.	.	PUNCT
ihlr-16567	114	1	population	population	NOUN
ihlr-16567	114	2	-	-	PUNCT
ihlr-16567	114	3	level	level	NOUN
ihlr-16567	114	4	quality	quality	NOUN
ihlr-16567	114	5	measures	measure	NOUN
ihlr-16567	114	6	may	may	AUX
ihlr-16567	114	7	include	include	VERB
ihlr-16567	114	8	outcome	outcome	NOUN
ihlr-16567	114	9	measures	measure	NOUN
ihlr-16567	114	10	,	,	PUNCT
ihlr-16567	114	11	where	where	SCONJ
ihlr-16567	114	12	outcomes	outcome	NOUN
ihlr-16567	114	13	,	,	PUNCT
ihlr-16567	114	14	not	not	PART
ihlr-16567	114	15	process	process	NOUN
ihlr-16567	114	16	compliance	compliance	NOUN
ihlr-16567	114	17	,	,	PUNCT
ihlr-16567	114	18	constitute	constitute	VERB
ihlr-16567	114	19	the	the	DET
ihlr-16567	114	20	value	value	NOUN
ihlr-16567	114	21	sought	seek	VERB
ihlr-16567	114	22	by	by	ADP
ihlr-16567	114	23	the	the	DET
ihlr-16567	114	24	medicare	medicare	PROPN
ihlr-16567	114	25	program	program	NOUN
ihlr-16567	114	26	and	and	CCONJ
ihlr-16567	114	27	its	its	PRON
ihlr-16567	114	28	beneficiaries	beneficiary	NOUN
ihlr-16567	114	29	.	.	PUNCT
ihlr-16567	115	1	outcome	outcome	NOUN
ihlr-16567	115	2	measures	measure	NOUN
ihlr-16567	115	3	at	at	ADP
ihlr-16567	115	4	the	the	DET
ihlr-16567	115	5	level	level	NOUN
ihlr-16567	115	6	of	of	ADP
ihlr-16567	115	7	the	the	DET
ihlr-16567	115	8	individual	individual	ADJ
ihlr-16567	115	9	physician	physician	NOUN
ihlr-16567	115	10	are	be	AUX
ihlr-16567	115	11	for	for	ADP
ihlr-16567	115	12	the	the	DET
ihlr-16567	115	13	most	most	ADJ
ihlr-16567	115	14	part	part	NOUN
ihlr-16567	115	15	impracticable	impracticable	ADJ
ihlr-16567	115	16	,	,	PUNCT
ihlr-16567	115	17	due	due	ADP
ihlr-16567	115	18	to	to	ADP
ihlr-16567	115	19	the	the	DET
ihlr-16567	115	20	small	small	ADJ
ihlr-16567	115	21	number	number	NOUN
ihlr-16567	115	22	of	of	ADP
ihlr-16567	115	23	cases	case	NOUN
ihlr-16567	115	24	involved	involve	VERB
ihlr-16567	115	25	.	.	PUNCT
ihlr-16567	116	1	at	at	ADP
ihlr-16567	116	2	the	the	DET
ihlr-16567	116	3	population	population	NOUN
ihlr-16567	116	4	level	level	NOUN
ihlr-16567	116	5	,	,	PUNCT
ihlr-16567	116	6	however	however	ADV
ihlr-16567	116	7	,	,	PUNCT
ihlr-16567	116	8	outcome	outcome	NOUN
ihlr-16567	116	9	measures	measure	NOUN
ihlr-16567	116	10	can	can	AUX
ihlr-16567	116	11	be	be	AUX
ihlr-16567	116	12	scientifically	scientifically	ADV
ihlr-16567	116	13	valid	valid	ADJ
ihlr-16567	116	14	and	and	CCONJ
ihlr-16567	116	15	fair	fair	ADJ
ihlr-16567	116	16	when	when	SCONJ
ihlr-16567	116	17	the	the	DET
ihlr-16567	116	18	unit	unit	NOUN
ihlr-16567	116	19	being	be	AUX
ihlr-16567	116	20	measured	measure	VERB
ihlr-16567	116	21	has	have	VERB
ihlr-16567	116	22	the	the	DET
ihlr-16567	116	23	ability	ability	NOUN
ihlr-16567	116	24	to	to	PART
ihlr-16567	116	25	act	act	VERB
ihlr-16567	116	26	collectively	collectively	ADV
ihlr-16567	116	27	to	to	PART
ihlr-16567	116	28	im­	im­	AUX
ihlr-16567	116	29	prove	prove	VERB
ihlr-16567	116	30	performance	performance	NOUN
ihlr-16567	116	31	.	.	PUNCT
ihlr-16567	117	1	as	as	SCONJ
ihlr-16567	117	2	fisher	fisher	PROPN
ihlr-16567	117	3	and	and	CCONJ
ihlr-16567	117	4	colleagues	colleague	NOUN
ihlr-16567	117	5	note	note	VERB
ihlr-16567	117	6	,	,	PUNCT
ihlr-16567	117	7	"	"	PUNCT
ihlr-16567	117	8	implementation	implementation	NOUN
ihlr-16567	117	9	of	of	ADP
ihlr-16567	117	10	per­	per­	NOUN
ihlr-16567	117	11	formance	formance	NOUN
ihlr-16567	117	12	measurement	measurement	NOUN
ihlr-16567	117	13	at	at	ADP
ihlr-16567	117	14	this	this	DET
ihlr-16567	117	15	level	level	NOUN
ihlr-16567	117	16	could	could	AUX
ihlr-16567	117	17	begin	begin	VERB
ihlr-16567	117	18	nationwide	nationwide	ADV
ihlr-16567	117	19	in	in	ADP
ihlr-16567	117	20	relatively	relatively	ADV
ihlr-16567	117	21	short	short	ADJ
ihlr-16567	117	22	order	order	NOUN
ihlr-16567	117	23	,	,	PUNCT
ihlr-16567	117	24	especially	especially	ADV
ihlr-16567	117	25	when	when	SCONJ
ihlr-16567	117	26	compared	compare	VERB
ihlr-16567	117	27	with	with	ADP
ihlr-16567	117	28	the	the	DET
ihlr-16567	117	29	challenges	challenge	NOUN
ihlr-16567	117	30	of	of	ADP
ihlr-16567	117	31	measurement	measurement	NOUN
ihlr-16567	117	32	within	within	ADP
ihlr-16567	117	33	physicians	physician	NOUN
ihlr-16567	117	34	'	'	PART
ihlr-16567	117	35	offices	office	NOUN
ihlr-16567	117	36	.	.	PUNCT
ihlr-16567	118	1	"'22	"'22	NOUN
ihlr-16567	118	2	this	this	PRON
ihlr-16567	118	3	is	be	AUX
ihlr-16567	118	4	because	because	SCONJ
ihlr-16567	118	5	a	a	DET
ihlr-16567	118	6	wealth	wealth	NOUN
ihlr-16567	118	7	of	of	ADP
ihlr-16567	118	8	populationand	populationand	NOUN
ihlr-16567	118	9	institution	institution	NOUN
ihlr-16567	118	10	-	-	PUNCT
ihlr-16567	118	11	level	level	NOUN
ihlr-16567	118	12	candidate	candidate	NOUN
ihlr-16567	118	13	measures	measure	NOUN
ihlr-16567	118	14	already	already	ADV
ihlr-16567	118	15	exists	exist	VERB
ihlr-16567	118	16	.	.	PUNCT
ihlr-16567	119	1	inferences	inference	NOUN
ihlr-16567	119	2	about	about	ADP
ihlr-16567	119	3	quality	quality	NOUN
ihlr-16567	119	4	of	of	ADP
ihlr-16567	119	5	care	care	NOUN
ihlr-16567	119	6	can	can	AUX
ihlr-16567	119	7	be	be	AUX
ihlr-16567	119	8	made	make	VERB
ihlr-16567	119	9	by	by	ADP
ihlr-16567	119	10	three	three	NUM
ihlr-16567	119	11	sets	set	NOUN
ihlr-16567	119	12	of	of	ADP
ihlr-16567	119	13	outcome	outcome	NOUN
ihlr-16567	119	14	measures	measure	NOUN
ihlr-16567	119	15	using	use	VERB
ihlr-16567	119	16	administrative	administrative	ADJ
ihlr-16567	119	17	claims	claim	NOUN
ihlr-16567	119	18	data	datum	NOUN
ihlr-16567	119	19	:	:	PUNCT
ihlr-16567	120	1	1	1	X
ihlr-16567	120	2	.	.	X
ihlr-16567	120	3	inpatient	inpatient	NOUN
ihlr-16567	120	4	quality	quality	NOUN
ihlr-16567	120	5	indicators	indicator	NOUN
ihlr-16567	120	6	(	(	PUNCT
ihlr-16567	120	7	iqis)23	iqis)23	PROPN
ihlr-16567	120	8	www	www	X
ihlr-16567	120	9	.hpm.org	.hpm.org	PUNCT
ihlr-16567	120	10	/	/	SYM
ihlr-16567	120	11	downloads	download	NOUN
ihlr-16567	120	12	/	/	SYM
ihlr-16567	120	13	bellagicyarticlesicapitation	bellagicyarticlesicapitation	NOUN
ihlr-16567	120	14	_	_	NOUN
ihlr-16567	120	15	salary	salary	NOUN
ihlr-16567	120	16	_	_	PUNCT
ihlr-16567	120	17	fee	fee	NOUN
ihlr-16567	120	18	-	-	PUNCT
ihlr-16567	120	19	for	for	ADP
ihlr-16567	120	20	-	-	PUNCT
ihlr-16567	120	21	service	service	NOUN
ihlr-16567	120	22	_	_	PUNCT
ihlr-16567	120	23	cochreview.pdf	cochreview.pdf	NOUN
ihlr-16567	120	24	(	(	PUNCT
ihlr-16567	120	25	last	last	ADJ
ihlr-16567	120	26	visited	visit	VERB
ihlr-16567	120	27	may	may	PROPN
ihlr-16567	120	28	15	15	NUM
ihlr-16567	120	29	,	,	PUNCT
ihlr-16567	120	30	2010	2010	NUM
ihlr-16567	120	31	)	)	PUNCT
ihlr-16567	120	32	.	.	PUNCT
ihlr-16567	121	1	20	20	NUM
ihlr-16567	121	2	.	.	PUNCT
ihlr-16567	122	1	david	david	PROPN
ihlr-16567	122	2	m.	m.	PROPN
ihlr-16567	122	3	lawrence	lawrence	PROPN
ihlr-16567	122	4	.	.	PUNCT
ihlr-16567	123	1	a	a	DET
ihlr-16567	123	2	comparison	comparison	NOUN
ihlr-16567	123	3	of	of	ADP
ihlr-16567	123	4	organized	organized	ADJ
ihlr-16567	123	5	and	and	CCONJ
ihlr-16567	123	6	traditional	traditional	ADJ
ihlr-16567	123	7	health	health	NOUN
ihlr-16567	123	8	care	care	NOUN
ihlr-16567	123	9	:	:	PUNCT
ihlr-16567	123	10	implications	implication	NOUN
ihlr-16567	123	11	for	for	ADP
ihlr-16567	123	12	health	health	NOUN
ihlr-16567	123	13	promotion	promotion	NOUN
ihlr-16567	123	14	and	and	CCONJ
ihlr-16567	123	15	prospective	prospective	ADJ
ihlr-16567	123	16	mmedicine	mmedicine	ADJ
ihlr-16567	123	17	.	.	PUNCT
ihlr-16567	124	1	44	44	NUM
ihlr-16567	124	2	methods	method	NOUN
ihlr-16567	124	3	inf	inf	PROPN
ihlr-16567	124	4	.	.	PUNCT
ihlr-16567	124	5	med	med	PROPN
ihlr-16567	124	6	.	.	PROPN
ihlr-16567	125	1	273	273	NUM
ihlr-16567	125	2	,	,	PUNCT
ihlr-16567	125	3	275	275	NUM
ihlr-16567	125	4	(	(	PUNCT
ihlr-16567	125	5	2005	2005	NUM
ihlr-16567	125	6	)	)	PUNCT
ihlr-16567	125	7	.	.	PUNCT
ihlr-16567	126	1	21	21	NUM
ihlr-16567	126	2	.	.	PUNCT
ihlr-16567	127	1	christine	christine	PROPN
ihlr-16567	127	2	k.	k.	PROPN
ihlr-16567	127	3	cassel	cassel	PROPN
ihlr-16567	127	4	&	&	CCONJ
ihlr-16567	127	5	troyen	troyen	PROPN
ihlr-16567	127	6	e.	e.	PROPN
ihlr-16567	127	7	brennan	brennan	PROPN
ihlr-16567	127	8	,	,	PUNCT
ihlr-16567	127	9	managing	manage	VERB
ihlr-16567	127	10	medical	medical	ADJ
ihlr-16567	127	11	resources	resource	NOUN
ihlr-16567	127	12	:	:	PUNCT
ihlr-16567	127	13	retum	retum	NOUN
ihlr-16567	127	14	to	to	ADP
ihlr-16567	127	15	the	the	DET
ihlr-16567	127	16	commons	common	NOUN
ihlr-16567	127	17	?	?	PUNCT
ihlr-16567	127	18	291	291	NUM
ihlr-16567	127	19	jama	jama	NOUN
ihlr-16567	127	20	2518,2518	2518,2518	PROPN
ihlr-16567	127	21	(	(	PUNCT
ihlr-16567	127	22	2007	2007	NUM
ihlr-16567	127	23	)	)	PUNCT
ihlr-16567	127	24	.	.	PUNCT
ihlr-16567	128	1	22	22	NUM
ihlr-16567	128	2	.	.	X
ihlr-16567	129	1	fisher	fisher	PROPN
ihlr-16567	129	2	et	et	PROPN
ihlr-16567	129	3	al	al	PROPN
ihlr-16567	129	4	.	.	PROPN
ihlr-16567	129	5	,.supra	,.supra	PUNCT
ihlr-16567	129	6	note	note	VERB
ihlr-16567	129	7	12	12	NUM
ihlr-16567	129	8	,	,	PUNCT
ihlr-16567	129	9	at	at	ADP
ihlr-16567	129	10	w5s	w5	NOUN
ihlr-16567	129	11	.	.	PROPN
ihlr-16567	130	1	23	23	NUM
ihlr-16567	130	2	.	.	PUNCT
ihlr-16567	131	1	the	the	DET
ihlr-16567	131	2	inpatient	inpatient	PROPN
ihlr-16567	131	3	quality	quality	NOUN
ihlr-16567	131	4	indicators	indicator	NOUN
ihlr-16567	131	5	(	(	PUNCT
ihlr-16567	131	6	lqis	lqi	NOUN
ihlr-16567	131	7	)	)	PUNCT
ihlr-16567	131	8	are	be	AUX
ihlr-16567	131	9	a	a	DET
ihlr-16567	131	10	set	set	NOUN
ihlr-16567	131	11	of	of	ADP
ihlr-16567	131	12	measures	measure	NOUN
ihlr-16567	131	13	that	that	PRON
ihlr-16567	131	14	provide	provide	VERB
ihlr-16567	131	15	a	a	DET
ihlr-16567	131	16	perspective	perspective	NOUN
ihlr-16567	131	17	on	on	ADP
ihlr-16567	131	18	hospital	hospital	NOUN
ihlr-16567	131	19	quality	quality	NOUN
ihlr-16567	131	20	of	of	ADP
ihlr-16567	131	21	care	care	NOUN
ihlr-16567	131	22	using	use	VERB
ihlr-16567	131	23	hospital	hospital	NOUN
ihlr-16567	131	24	administrative	administrative	ADJ
ihlr-16567	131	25	da2010	da2010	PROPN
ihlr-16567	131	26	]	]	PUNCT
ihlr-16567	131	27	"	"	PUNCT
ihlr-16567	131	28	shared	share	VERB
ihlr-16567	131	29	accountability	accountability	NOUN
ihlr-16567	131	30	"	"	PUNCT
ihlr-16567	131	31	approach	approach	NOUN
ihlr-16567	131	32	193	193	NUM
ihlr-16567	131	33	2	2	NUM
ihlr-16567	131	34	.	.	PUNCT
ihlr-16567	131	35	patient	patient	ADJ
ihlr-16567	131	36	safety	safety	NOUN
ihlr-16567	131	37	indicators	indicator	NOUN
ihlr-16567	131	38	(	(	PUNCT
ihlr-16567	131	39	psis	psis	NOUN
ihlr-16567	131	40	)	)	PUNCT
ihlr-16567	131	41	24	24	NUM
ihlr-16567	131	42	3	3	NUM
ihlr-16567	131	43	.	.	PUNCT
ihlr-16567	132	1	medicare	medicare	PROPN
ihlr-16567	132	2	ambulatory	ambulatory	ADJ
ihlr-16567	132	3	care	care	NOUN
ihlr-16567	132	4	indicators	indicator	NOUN
ihlr-16567	132	5	for	for	ADP
ihlr-16567	132	6	the	the	DET
ihlr-16567	132	7	elderly	elderly	ADJ
ihlr-16567	132	8	(	(	PUNCT
ihlr-16567	132	9	macies)25	macies)25	PROPN
ihlr-16567	132	10	most	most	ADJ
ihlr-16567	132	11	performance	performance	NOUN
ihlr-16567	132	12	measures	measure	NOUN
ihlr-16567	132	13	currently	currently	ADV
ihlr-16567	132	14	in	in	ADP
ihlr-16567	132	15	use	use	NOUN
ihlr-16567	132	16	are	be	AUX
ihlr-16567	132	17	process	process	NOUN
ihlr-16567	132	18	measures	measure	NOUN
ihlr-16567	132	19	.	.	PUNCT
ihlr-16567	133	1	for	for	ADP
ihlr-16567	133	2	example	example	NOUN
ihlr-16567	133	3	,	,	PUNCT
ihlr-16567	133	4	the	the	DET
ihlr-16567	133	5	hospitalcompare	hospitalcompare	NOUN
ihlr-16567	133	6	program	program	NOUN
ihlr-16567	133	7	abstracts	abstract	VERB
ihlr-16567	133	8	samples	sample	NOUN
ihlr-16567	133	9	of	of	ADP
ihlr-16567	133	10	hospital	hospital	NOUN
ihlr-16567	133	11	medical	medical	ADJ
ihlr-16567	133	12	records	record	NOUN
ihlr-16567	133	13	to	to	PART
ihlr-16567	133	14	infer	infer	VERB
ihlr-16567	133	15	hospital	hospital	NOUN
ihlr-16567	133	16	quality.26	quality.26	ADJ
ihlr-16567	133	17	an	an	DET
ihlr-16567	133	18	example	example	NOUN
ihlr-16567	133	19	seen	see	VERB
ihlr-16567	133	20	in	in	ADP
ihlr-16567	133	21	the	the	DET
ihlr-16567	133	22	table	table	NOUN
ihlr-16567	133	23	below	below	ADV
ihlr-16567	133	24	is	be	AUX
ihlr-16567	133	25	"	"	PUNCT
ihlr-16567	133	26	pci	pci	ADJ
ihlr-16567	133	27	[	[	PUNCT
ihlr-16567	133	28	percutaneous	percutaneous	ADJ
ihlr-16567	133	29	coronary	coronary	ADJ
ihlr-16567	133	30	intervention	intervention	NOUN
ihlr-16567	133	31	]	]	PUNCT
ihlr-16567	133	32	received	receive	VERB
ihlr-16567	133	33	within	within	ADP
ihlr-16567	133	34	120	120	NUM
ihlr-16567	133	35	minutes	minute	NOUN
ihlr-16567	133	36	of	of	ADP
ihlr-16567	133	37	hospital	hospital	NOUN
ihlr-16567	133	38	arrival	arrival	NOUN
ihlr-16567	133	39	,	,	PUNCT
ihlr-16567	133	40	"	"	PUNCT
ihlr-16567	133	41	the	the	DET
ihlr-16567	133	42	time	time	NOUN
ihlr-16567	133	43	to	to	PART
ihlr-16567	133	44	remove	remove	VERB
ihlr-16567	133	45	a	a	DET
ihlr-16567	133	46	blood	blood	NOUN
ihlr-16567	133	47	clot	clot	NOUN
ihlr-16567	133	48	this	this	PRON
ihlr-16567	133	49	is	be	AUX
ihlr-16567	133	50	use­	use­	ADJ
ihlr-16567	133	51	ful	ful	NOUN
ihlr-16567	133	52	information	information	NOUN
ihlr-16567	133	53	but	but	CCONJ
ihlr-16567	133	54	patients	patient	NOUN
ihlr-16567	133	55	are	be	AUX
ihlr-16567	133	56	more	more	ADV
ihlr-16567	133	57	interested	interested	ADJ
ihlr-16567	133	58	in	in	ADP
ihlr-16567	133	59	their	their	PRON
ihlr-16567	133	60	chance	chance	NOUN
ihlr-16567	133	61	of	of	ADP
ihlr-16567	133	62	survival	survival	NOUN
ihlr-16567	133	63	.	.	PUNCT
ihlr-16567	134	1	such	such	DET
ihlr-16567	134	2	an	an	DET
ihlr-16567	134	3	outcome	outcome	NOUN
ihlr-16567	134	4	measure	measure	NOUN
ihlr-16567	134	5	is	be	AUX
ihlr-16567	134	6	seen	see	VERB
ihlr-16567	134	7	immediately	immediately	ADV
ihlr-16567	134	8	below	below	ADV
ihlr-16567	134	9	on	on	ADP
ihlr-16567	134	10	the	the	DET
ihlr-16567	134	11	table	table	NOUN
ihlr-16567	134	12	as	as	ADP
ihlr-16567	134	13	"	"	PUNCT
ihlr-16567	134	14	30day	30day	NOUN
ihlr-16567	134	15	mortality	mortality	NOUN
ihlr-16567	134	16	for	for	ADP
ihlr-16567	134	17	acute	acute	ADJ
ihlr-16567	134	18	myocardial	myocardial	ADJ
ihlr-16567	134	19	infarction	infarction	NOUN
ihlr-16567	134	20	,	,	PUNCT
ihlr-16567	134	21	"	"	PUNCT
ihlr-16567	134	22	which	which	PRON
ihlr-16567	134	23	is	be	AUX
ihlr-16567	134	24	an	an	DET
ihlr-16567	134	25	inpatient	inpatient	NOUN
ihlr-16567	134	26	quality	quality	NOUN
ihlr-16567	134	27	indicator	indicator	NOUN
ihlr-16567	134	28	.	.	PUNCT
ihlr-16567	135	1	another	another	DET
ihlr-16567	135	2	source	source	NOUN
ihlr-16567	135	3	of	of	ADP
ihlr-16567	135	4	measurements	measurement	NOUN
ihlr-16567	135	5	is	be	AUX
ihlr-16567	135	6	patient	patient	ADJ
ihlr-16567	135	7	survey	survey	NOUN
ihlr-16567	135	8	data	datum	NOUN
ihlr-16567	135	9	.	.	PUNCT
ihlr-16567	136	1	self	self	NOUN
ihlr-16567	136	2	-	-	PUNCT
ihlr-16567	136	3	reported	report	VERB
ihlr-16567	136	4	health	health	NOUN
ihlr-16567	136	5	may	may	AUX
ihlr-16567	136	6	be	be	AUX
ihlr-16567	136	7	a	a	DET
ihlr-16567	136	8	good	good	ADJ
ihlr-16567	136	9	indicator	indicator	NOUN
ihlr-16567	136	10	of	of	ADP
ihlr-16567	136	11	health	health	NOUN
ihlr-16567	136	12	care	care	NOUN
ihlr-16567	136	13	quality	quality	NOUN
ihlr-16567	136	14	.	.	PUNCT
ihlr-16567	137	1	consumer	consumer	NOUN
ihlr-16567	137	2	assess­	assess­	NUM
ihlr-16567	137	3	ment	ment	NOUN
ihlr-16567	137	4	of	of	ADP
ihlr-16567	137	5	health	health	NOUN
ihlr-16567	137	6	plans	plan	NOUN
ihlr-16567	137	7	(	(	PUNCT
ihlr-16567	137	8	cahps	cahps	NOUN
ihlr-16567	137	9	)	)	PUNCT
ihlr-16567	137	10	surveys27	surveys27	NOUN
ihlr-16567	137	11	measure	measure	NOUN
ihlr-16567	137	12	this	this	DET
ihlr-16567	137	13	indicator	indicator	NOUN
ihlr-16567	137	14	but	but	CCONJ
ihlr-16567	137	15	primar­	primar­	PROPN
ihlr-16567	137	16	ily	ily	ADV
ihlr-16567	137	17	provide	provide	VERB
ihlr-16567	137	18	trenchant	trenchant	ADJ
ihlr-16567	137	19	data	datum	NOUN
ihlr-16567	137	20	on	on	ADP
ihlr-16567	137	21	the	the	DET
ihlr-16567	137	22	patient	patient	NOUN
ihlr-16567	137	23	-	-	PUNCT
ihlr-16567	137	24	centeredness	centeredness	NOUN
ihlr-16567	137	25	dimension	dimension	NOUN
ihlr-16567	137	26	of	of	ADP
ihlr-16567	137	27	care	care	NOUN
ihlr-16567	137	28	.	.	PUNCT
ihlr-16567	138	1	a	a	DET
ihlr-16567	138	2	third	third	ADJ
ihlr-16567	138	3	dimension	dimension	NOUN
ihlr-16567	138	4	of	of	ADP
ihlr-16567	138	5	care	care	NOUN
ihlr-16567	138	6	,	,	PUNCT
ihlr-16567	138	7	efficiency	efficiency	NOUN
ihlr-16567	138	8	,	,	PUNCT
ihlr-16567	138	9	remains	remain	VERB
ihlr-16567	138	10	devoid	devoid	ADJ
ihlr-16567	138	11	of	of	ADP
ihlr-16567	138	12	any	any	DET
ihlr-16567	138	13	generally	generally	ADV
ihlr-16567	138	14	accepted	accept	VERB
ihlr-16567	138	15	measures	measure	NOUN
ihlr-16567	138	16	.	.	PUNCT
ihlr-16567	139	1	this	this	PRON
ihlr-16567	139	2	may	may	AUX
ihlr-16567	139	3	not	not	PART
ihlr-16567	139	4	be	be	AUX
ihlr-16567	139	5	a	a	DET
ihlr-16567	139	6	problem	problem	NOUN
ihlr-16567	139	7	to	to	ADP
ihlr-16567	139	8	the	the	DET
ihlr-16567	139	9	extent	extent	NOUN
ihlr-16567	139	10	that	that	PRON
ihlr-16567	139	11	shared	share	VERB
ihlr-16567	139	12	sav­	sav­	NOUN
ihlr-16567	139	13	ings	ing	NOUN
ihlr-16567	139	14	is	be	AUX
ihlr-16567	139	15	the	the	DET
ihlr-16567	139	16	basis	basis	NOUN
ihlr-16567	139	17	of	of	ADP
ihlr-16567	139	18	performance	performance	NOUN
ihlr-16567	139	19	awards	award	NOUN
ihlr-16567	139	20	.	.	PUNCT
ihlr-16567	140	1	this	this	PRON
ihlr-16567	140	2	is	be	AUX
ihlr-16567	140	3	because	because	SCONJ
ihlr-16567	140	4	many	many	ADJ
ihlr-16567	140	5	quality	quality	NOUN
ihlr-16567	140	6	measures	measure	NOUN
ihlr-16567	140	7	are	be	AUX
ihlr-16567	140	8	based	base	VERB
ihlr-16567	140	9	upon	upon	SCONJ
ihlr-16567	140	10	"	"	PUNCT
ihlr-16567	140	11	avoidable	avoidable	ADJ
ihlr-16567	140	12	hospitalizations	hospitalization	NOUN
ihlr-16567	140	13	,	,	PUNCT
ihlr-16567	140	14	"	"	PUNCT
ihlr-16567	140	15	and	and	CCONJ
ihlr-16567	140	16	it	it	PRON
ihlr-16567	140	17	is	be	AUX
ihlr-16567	140	18	the	the	DET
ihlr-16567	140	19	avoided	avoided	ADJ
ihlr-16567	140	20	ta	ta	X
ihlr-16567	140	21	.	.	PUNCT
ihlr-16567	141	1	these	these	DET
ihlr-16567	141	2	indicators	indicator	NOUN
ihlr-16567	141	3	reflect	reflect	VERB
ihlr-16567	141	4	quality	quality	NOUN
ihlr-16567	141	5	of	of	ADP
ihlr-16567	141	6	care	care	NOUN
ihlr-16567	141	7	inside	inside	ADP
ihlr-16567	141	8	hospitals	hospital	NOUN
ihlr-16567	141	9	and	and	CCONJ
ihlr-16567	141	10	include	include	VERB
ihlr-16567	141	11	inpatient	inpatient	NOUN
ihlr-16567	141	12	mortality	mortality	NOUN
ihlr-16567	141	13	for	for	ADP
ihlr-16567	141	14	certain	certain	ADJ
ihlr-16567	141	15	procedures	procedure	NOUN
ihlr-16567	141	16	and	and	CCONJ
ihlr-16567	141	17	medical	medical	ADJ
ihlr-16567	141	18	conditions	condition	NOUN
ihlr-16567	141	19	;	;	PUNCT
ihlr-16567	141	20	utiliza­	utiliza­	X
ihlr-16567	141	21	tion	tion	NOUN
ihlr-16567	141	22	of	of	ADP
ihlr-16567	141	23	procedures	procedure	NOUN
ihlr-16567	141	24	for	for	ADP
ihlr-16567	141	25	which	which	PRON
ihlr-16567	141	26	there	there	PRON
ihlr-16567	141	27	are	be	VERB
ihlr-16567	141	28	questions	question	NOUN
ihlr-16567	141	29	of	of	ADP
ihlr-16567	141	30	overuse	overuse	NOUN
ihlr-16567	141	31	,	,	PUNCT
ihlr-16567	141	32	underuse	underuse	NOUN
ihlr-16567	141	33	,	,	PUNCT
ihlr-16567	141	34	and	and	CCONJ
ihlr-16567	141	35	misuse	misuse	NOUN
ihlr-16567	141	36	;	;	PUNCT
ihlr-16567	141	37	and	and	CCONJ
ihlr-16567	141	38	volume	volume	NOUN
ihlr-16567	141	39	of	of	ADP
ihlr-16567	141	40	procedures	procedure	NOUN
ihlr-16567	141	41	for	for	ADP
ihlr-16567	141	42	which	which	PRON
ihlr-16567	141	43	there	there	PRON
ihlr-16567	141	44	is	be	VERB
ihlr-16567	141	45	some	some	DET
ihlr-16567	141	46	evidence	evidence	NOUN
ihlr-16567	141	47	that	that	SCONJ
ihlr-16567	141	48	a	a	DET
ihlr-16567	141	49	higher	high	ADJ
ihlr-16567	141	50	volume	volume	NOUN
ihlr-16567	141	51	of	of	ADP
ihlr-16567	141	52	procedures	procedure	NOUN
ihlr-16567	141	53	is	be	AUX
ihlr-16567	141	54	associated	associate	VERB
ihlr-16567	141	55	with	with	ADP
ihlr-16567	141	56	lower	low	ADJ
ihlr-16567	141	57	mortality	mortality	NOUN
ihlr-16567	141	58	.	.	PUNCT
ihlr-16567	142	1	agency	agency	PROPN
ihlr-16567	142	2	for	for	ADP
ihlr-16567	142	3	healthcare	healthcare	PROPN
ihlr-16567	142	4	research	research	NOUN
ihlr-16567	142	5	and	and	CCONJ
ihlr-16567	142	6	quality	quality	NOUN
ihlr-16567	142	7	,	,	PUNCT
ihlr-16567	142	8	inpatient	inpatient	NOUN
ihlr-16567	142	9	quality	quality	NOUN
ihlr-16567	142	10	indicators	indicator	NOUN
ihlr-16567	142	11	overview	overview	VERB
ihlr-16567	142	12	,	,	PUNCT
ihlr-16567	142	13	http://www.qualityindicators.ahrq.gov/iqi	http://www.qualityindicators.ahrq.gov/iqi	VERB
ihlr-16567	142	14	_	_	NOUN
ihlr-16567	143	1	overview.htm	overview.htm	X
ihlr-16567	143	2	(	(	PUNCT
ihlr-16567	143	3	last	last	ADV
ihlr-16567	143	4	visited	visit	VERB
ihlr-16567	143	5	july	july	PROPN
ihlr-16567	143	6	30	30	NUM
ihlr-16567	143	7	,	,	PUNCT
ihlr-16567	143	8	2008	2008	NUM
ihlr-16567	143	9	)	)	PUNCT
ihlr-16567	143	10	.	.	PUNCT
ihlr-16567	144	1	24	24	NUM
ihlr-16567	144	2	.	.	PUNCT
ihlr-16567	145	1	"	"	PUNCT
ihlr-16567	145	2	the	the	DET
ihlr-16567	145	3	patient	patient	ADJ
ihlr-16567	145	4	safety	safety	NOUN
ihlr-16567	145	5	indicators	indicator	NOUN
ihlr-16567	145	6	(	(	PUNCT
ihlr-16567	145	7	psis	psis	NOUN
ihlr-16567	145	8	)	)	PUNCT
ihlr-16567	145	9	are	be	AUX
ihlr-16567	145	10	a	a	DET
ihlr-16567	145	11	tool	tool	NOUN
ihlr-16567	145	12	to	to	PART
ihlr-16567	145	13	help	help	VERB
ihlr-16567	145	14	health	health	NOUN
ihlr-16567	145	15	system	system	NOUN
ihlr-16567	145	16	leaders	leader	NOUN
ihlr-16567	145	17	identify	identify	VERB
ihlr-16567	145	18	potential	potential	ADJ
ihlr-16567	145	19	adverse	adverse	ADJ
ihlr-16567	145	20	events	event	NOUN
ihlr-16567	145	21	occlllting	occlllte	VERB
ihlr-16567	145	22	during	during	ADP
ihlr-16567	145	23	hospitalization	hospitalization	NOUN
ihlr-16567	145	24	.	.	PUNCT
ihlr-16567	145	25	"	"	PUNCT
ihlr-16567	146	1	agency	agency	NOUN
ihlr-16567	146	2	for	for	ADP
ihlr-16567	146	3	healthcare	healthcare	PROPN
ihlr-16567	146	4	research	research	NOUN
ihlr-16567	146	5	and	and	CCONJ
ihlr-16567	146	6	quality	quality	NOUN
ihlr-16567	146	7	,	,	PUNCT
ihlr-16567	146	8	patient	patient	ADJ
ihlr-16567	146	9	sqfety	sqfety	ADJ
ihlr-16567	146	10	indicators	indicator	NOUN
ihlr-16567	146	11	overview	overview	VERB
ihlr-16567	146	12	,	,	PUNCT
ihlr-16567	146	13	htlp	htlp	NOUN
ihlr-16567	146	14	:	:	PUNCT
ihlr-16567	147	1	llwww.qualityindicators.ahrq.gov	llwww.qualityindicators.ahrq.gov	NOUN
ihlr-16567	147	2	/psi	/psi	NOUN
ihlr-16567	147	3	_	_	PRON
ihlr-16567	148	1	overview.htm	overview.htm	X
ihlr-16567	148	2	qast	qast	PROPN
ihlr-16567	148	3	visited	visit	VERB
ihlr-16567	148	4	july	july	PROPN
ihlr-16567	148	5	30	30	NUM
ihlr-16567	148	6	,	,	PUNCT
ihlr-16567	148	7	2008	2008	NUM
ihlr-16567	148	8	)	)	PUNCT
ihlr-16567	148	9	.	.	PUNCT
ihlr-16567	149	1	25	25	NUM
ihlr-16567	149	2	.	.	X
ihlr-16567	149	3	edward	edward	PROPN
ihlr-16567	149	4	westrick	westrick	PROPN
ihlr-16567	149	5	&	&	CCONJ
ihlr-16567	149	6	stephen	stephen	PROPN
ihlr-16567	149	7	koour	koour	PROPN
ihlr-16567	149	8	,	,	PUNCT
ihlr-16567	149	9	medicare	medicare	PROPN
ihlr-16567	149	10	payment	payment	PROPN
ihlr-16567	149	11	advisory	advisory	PROPN
ihlr-16567	149	12	commission	commission	NOUN
ihlr-16567	149	13	,	,	PUNCT
ihlr-16567	149	14	medicare	medicare	PROPN
ihlr-16567	149	15	ambulatory	ambulatory	ADJ
ihlr-16567	149	16	care	care	NOUN
ihlr-16567	149	17	indicators	indicator	NOUN
ihlr-16567	149	18	for	for	ADP
ihlr-16567	149	19	the	the	DET
ihlr-16567	149	20	elderly	elderly	ADJ
ihlr-16567	149	21	:	:	PUNCT
ihlr-16567	149	22	refinement	refinement	NOUN
ihlr-16567	149	23	of	of	ADP
ihlr-16567	149	24	the	the	DET
ihlr-16567	149	25	access	access	NOUN
ihlr-16567	149	26	to	to	PART
ihlr-16567	149	27	care	care	VERB
ihlr-16567	149	28	for	for	ADP
ihlr-16567	149	29	the	the	DET
ihlr-16567	149	30	elderly	elderly	ADJ
ihlr-16567	149	31	project	project	NOUN
ihlr-16567	149	32	indicators	indicator	NOUN
ihlr-16567	149	33	2	2	NUM
ihlr-16567	149	34	(	(	PUNCT
ihlr-16567	149	35	2006	2006	NUM
ihlr-16567	149	36	)	)	PUNCT
ihlr-16567	149	37	.	.	PUNCT
ihlr-16567	150	1	26	26	NUM
ihlr-16567	150	2	.	.	X
ihlr-16567	150	3	see	see	VERB
ihlr-16567	150	4	hospital	hospital	NOUN
ihlr-16567	150	5	quality	quality	PROPN
ihlr-16567	150	6	alliance	alliance	NOUN
ihlr-16567	150	7	,	,	PUNCT
ihlr-16567	150	8	improving	improve	VERB
ihlr-16567	150	9	care	care	NOUN
ihlr-16567	150	10	through	through	ADP
ihlr-16567	150	11	ltiformation	ltiformation	NOUN
ihlr-16567	150	12	overview	overview	NOUN
ihlr-16567	150	13	:	:	PUNCT
ihlr-16567	150	14	data	data	NOUN
ihlr-16567	150	15	collection	collection	NOUN
ihlr-16567	150	16	,	,	PUNCT
ihlr-16567	150	17	transmission	transmission	NOUN
ihlr-16567	150	18	&	&	CCONJ
ihlr-16567	150	19	reporting	reporting	NOUN
ihlr-16567	150	20	,	,	PUNCT
ihlr-16567	150	21	apr	apr	PROPN
ihlr-16567	150	22	.	.	PROPN
ihlr-16567	150	23	16	16	NUM
ihlr-16567	150	24	,	,	PUNCT
ihlr-16567	150	25	2008	2008	NUM
ihlr-16567	150	26	,	,	PUNCT
ihlr-16567	150	27	,	,	PUNCT
ihlr-16567	150	28	http://www.qualitynet.org/dcs/	http://www.qualitynet.org/dcs/	PROPN
ihlr-16567	150	29	contentserver?cid=	contentserver?cid=	NOUN
ihlr-16567	150	30	1121785350618&pagename	1121785350618&pagename	NUM
ihlr-16567	150	31	=	=	SYM
ihlr-16567	150	32	qnetpublic%2fpage%2fqnettier2	qnetpublic%2fpage%2fqnettier2	PROPN
ihlr-16567	150	33	&	&	CCONJ
ihlr-16567	150	34	c	c	NOUN
ihlr-16567	150	35	=	=	NOUN
ihlr-16567	150	36	page	page	NOUN
ihlr-16567	150	37	(	(	PUNCT
ihlr-16567	150	38	last	last	ADV
ihlr-16567	150	39	visited	visit	VERB
ihlr-16567	150	40	july	july	PROPN
ihlr-16567	150	41	30	30	NUM
ihlr-16567	150	42	,	,	PUNCT
ihlr-16567	150	43	2008	2008	NUM
ihlr-16567	150	44	)	)	PUNCT
ihlr-16567	150	45	.	.	PUNCT
ihlr-16567	151	1	27	27	NUM
ihlr-16567	151	2	.	.	PUNCT
ihlr-16567	152	1	the	the	DET
ihlr-16567	152	2	consumer	consumer	NOUN
ihlr-16567	152	3	assessment	assessment	NOUN
ihlr-16567	152	4	of	of	ADP
ihlr-16567	152	5	healthcare	healthcare	NOUN
ihlr-16567	152	6	providers	provider	NOUN
ihlr-16567	152	7	and	and	CCONJ
ihlr-16567	152	8	systems	system	NOUN
ihlr-16567	152	9	(	(	PUNCT
ihlr-16567	152	10	cahps	cahps	NOUN
ihlr-16567	152	11	)	)	PUNCT
ihlr-16567	152	12	program	program	NOUN
ihlr-16567	152	13	is	be	AUX
ihlr-16567	152	14	a	a	DET
ihlr-16567	152	15	multi	multi	ADJ
ihlr-16567	152	16	-	-	ADJ
ihlr-16567	152	17	year	year	ADJ
ihlr-16567	152	18	initiative	initiative	NOUN
ihlr-16567	152	19	of	of	ADP
ihlr-16567	152	20	the	the	DET
ihlr-16567	152	21	agency	agency	NOUN
ihlr-16567	152	22	for	for	ADP
ihlr-16567	152	23	healthcare	healthcare	PROPN
ihlr-16567	152	24	research	research	NOUN
ihlr-16567	152	25	and	and	CCONJ
ihlr-16567	152	26	quality	quality	NOUN
ihlr-16567	152	27	(	(	PUNCT
ihlr-16567	152	28	ahrq	ahrq	PROPN
ihlr-16567	152	29	)	)	PUNCT
ihlr-16567	152	30	to	to	PART
ihlr-16567	152	31	support	support	VERB
ihlr-16567	152	32	the	the	DET
ihlr-16567	152	33	assessment	assessment	NOUN
ihlr-16567	152	34	of	of	ADP
ihlr-16567	152	35	consumers	consumer	NOUN
ihlr-16567	152	36	'	'	PART
ihlr-16567	152	37	experiences	experience	NOUN
ihlr-16567	152	38	with	with	ADP
ihlr-16567	152	39	health	health	NOUN
ihlr-16567	152	40	care	care	NOUN
ihlr-16567	152	41	.	.	PUNCT
ihlr-16567	153	1	the	the	DET
ihlr-16567	153	2	goals	goal	NOUN
ihlr-16567	153	3	of	of	ADP
ihlr-16567	153	4	the	the	DET
ihlr-16567	153	5	cahps	cahps	NOUN
ihlr-16567	153	6	program	program	NOUN
ihlr-16567	153	7	are	be	AUX
ihlr-16567	153	8	two­	two­	NOUN
ihlr-16567	153	9	fold	fold	ADV
ihlr-16567	153	10	:	:	PUNCT
ihlr-16567	153	11	develop	develop	VERB
ihlr-16567	153	12	standardized	standardized	ADJ
ihlr-16567	153	13	patient	patient	ADJ
ihlr-16567	153	14	questionnaires	questionnaire	NOUN
ihlr-16567	153	15	that	that	PRON
ihlr-16567	153	16	can	can	AUX
ihlr-16567	153	17	be	be	AUX
ihlr-16567	153	18	used	use	VERB
ihlr-16567	153	19	to	to	PART
ihlr-16567	153	20	compare	compare	VERB
ihlr-16567	153	21	results	result	NOUN
ihlr-16567	153	22	across	across	ADP
ihlr-16567	153	23	sponsors	sponsor	NOUN
ihlr-16567	153	24	and	and	CCONJ
ihlr-16567	153	25	over	over	ADP
ihlr-16567	153	26	time	time	NOUN
ihlr-16567	153	27	;	;	PUNCT
ihlr-16567	153	28	and	and	CCONJ
ihlr-16567	153	29	generate	generate	VERB
ihlr-16567	153	30	tools	tool	NOUN
ihlr-16567	153	31	and	and	CCONJ
ihlr-16567	153	32	resources	resource	NOUN
ihlr-16567	153	33	that	that	PRON
ihlr-16567	153	34	sponsors	sponsor	NOUN
ihlr-16567	153	35	can	can	AUX
ihlr-16567	153	36	use	use	VERB
ihlr-16567	153	37	to	to	PART
ihlr-16567	153	38	produce	produce	VERB
ihlr-16567	153	39	understandable	understandable	ADJ
ihlr-16567	153	40	and	and	CCONJ
ihlr-16567	153	41	usable	usable	ADJ
ihlr-16567	153	42	comparative	comparative	ADJ
ihlr-16567	153	43	information	information	NOUN
ihlr-16567	153	44	for	for	ADP
ihlr-16567	153	45	both	both	DET
ihlr-16567	153	46	consumers	consumer	NOUN
ihlr-16567	153	47	and	and	CCONJ
ihlr-16567	153	48	health	health	NOUN
ihlr-16567	153	49	care	care	NOUN
ihlr-16567	153	50	providers	provider	NOUN
ihlr-16567	153	51	.	.	PUNCT
ihlr-16567	154	1	agency	agency	NOUN
ihlr-16567	154	2	for	for	ADP
ihlr-16567	154	3	healthcare	healthcare	PROPN
ihlr-16567	154	4	research	research	NOUN
ihlr-16567	154	5	and	and	CCONJ
ihlr-16567	154	6	quality	quality	NOUN
ihlr-16567	154	7	,	,	PUNCT
ihlr-16567	154	8	the	the	DET
ihlr-16567	154	9	cahps	cahps	NOUN
ihlr-16567	154	10	program	program	NOUN
ihlr-16567	154	11	.	.	PUNCT
ihlr-16567	155	1	http://	http://	PROPN
ihlr-16567	156	1	www.cahps.ahrq.gov/content/cahpsoverview/over	www.cahps.ahrq.gov/content/cahpsoverview/over	PROPN
ihlr-16567	156	2	_	_	PUNCT
ihlr-16567	157	1	program.asp?p=	program.asp?p=	ADV
ihlr-16567	157	2	i	i	PRON
ihlr-16567	157	3	0	0	X
ihlr-16567	158	1	i	i	PRON
ihlr-16567	158	2	&	&	CCONJ
ihlr-16567	158	3	s=	s=	PROPN
ihlr-16567	158	4	12	12	NUM
ihlr-16567	158	5	(	(	PUNCT
ihlr-16567	158	6	last	last	ADJ
ihlr-16567	158	7	vi­	vi­	NOUN
ihlr-16567	158	8	sited	site	VERB
ihlr-16567	158	9	july	july	PROPN
ihlr-16567	158	10	30	30	NUM
ihlr-16567	158	11	,	,	PUNCT
ihlr-16567	158	12	2008	2008	NUM
ihlr-16567	158	13	)	)	PUNCT
ihlr-16567	158	14	194	194	NUM
ihlr-16567	158	15	·	·	PUNCT
ihlr-16567	158	16	·	·	PUNCT
ihlr-16567	158	17	indiana	indiana	PROPN
ihlr-16567	158	18	health	health	PROPN
ihlr-16567	158	19	law	law	PROPN
ihlr-16567	158	20	review	review	NOUN
ihlr-16567	158	21	[	[	X
ihlr-16567	158	22	vol	vol	NOUN
ihlr-16567	158	23	.	.	PUNCT
ihlr-16567	159	1	7:185	7:185	NUM
ihlr-16567	159	2	hospitalizations	hospitalization	NOUN
ihlr-16567	159	3	themselves	themselves	PRON
ihlr-16567	159	4	that	that	PRON
ihlr-16567	159	5	.	.	PUNCT
ihlr-16567	160	1	generate	generate	VERB
ihlr-16567	160	2	the	the	DET
ihlr-16567	160	3	physician	physician	NOUN
ihlr-16567	160	4	bonuses	bonus	NOUN
ihlr-16567	160	5	in	in	ADP
ihlr-16567	160	6	a	a	DET
ihlr-16567	160	7	shared	share	VERB
ihlr-16567	160	8	savings	saving	NOUN
ihlr-16567	160	9	regime	regime	NOUN
ihlr-16567	160	10	.	.	PUNCT
ihlr-16567	161	1	an	an	DET
ihlr-16567	161	2	example	example	NOUN
ihlr-16567	161	3	is	be	AUX
ihlr-16567	161	4	one	one	NUM
ihlr-16567	161	5	of	of	ADP
ihlr-16567	161	6	the	the	DET
ihlr-16567	161	7	·	·	SYM
ihlr-16567	161	8	macies	macie	NOUN
ihlr-16567	161	9	,	,	PUNCT
ihlr-16567	161	10	"	"	PUNCT
ihlr-16567	161	11	serious	serious	ADJ
ihlr-16567	161	12	short	short	ADJ
ihlr-16567	161	13	term	term	NOUN
ihlr-16567	161	14	complications	complication	NOUN
ihlr-16567	161	15	of	of	ADP
ihlr-16567	161	16	diabetes	diabetes	NOUN
ihlr-16567	161	17	mellitus	mellitus	NOUN
ihlr-16567	161	18	.	.	PUNCT
ihlr-16567	161	19	"	"	PUNCT
ihlr-16567	162	1	the	the	DET
ihlr-16567	162	2	more	more	ADV
ihlr-16567	162	3	pressing	pressing	ADJ
ihlr-16567	162	4	imperative	imperative	NOUN
ihlr-16567	162	5	is	be	AUX
ihlr-16567	162	6	to	to	PART
ihlr-16567	162	7	ensure	ensure	VERB
ihlr-16567	162	8	that	that	SCONJ
ihlr-16567	162	9	avoided	avoid	VERB
ihlr-16567	162	10	hospitalizations	hospitalization	NOUN
ihlr-16567	162	11	result	result	VERB
ihlr-16567	162	12	from	from	ADP
ihlr-16567	162	13	the	the	DET
ihlr-16567	162	14	provision	provision	NOUN
ihlr-16567	162	15	of	of	ADP
ihlr-16567	162	16	appropriate	appropriate	ADJ
ihlr-16567	162	17	ambulatory	ambulatory	ADJ
ihlr-16567	162	18	care	care	NOUN
ihlr-16567	162	19	and	and	CCONJ
ihlr-16567	162	20	not	not	PART
ihlr-16567	162	21	from	from	ADP
ihlr-16567	162	22	stinting	stint	VERB
ihlr-16567	162	23	or	or	CCONJ
ihlr-16567	162	24	gaming	gaming	NOUN
ihlr-16567	162	25	.	.	PUNCT
ihlr-16567	163	1	the	the	DET
ihlr-16567	163	2	following	follow	VERB
ihlr-16567	163	3	discussion	discussion	NOUN
ihlr-16567	163	4	references	reference	NOUN
ihlr-16567	163	5	measures	measure	NOUN
ihlr-16567	163	6	that	that	PRON
ihlr-16567	163	7	could	could	AUX
ihlr-16567	163	8	be	be	AUX
ihlr-16567	163	9	examined	examine	VERB
ihlr-16567	163	10	if	if	SCONJ
ihlr-16567	163	11	states	state	NOUN
ihlr-16567	163	12	were	be	AUX
ihlr-16567	163	13	to	to	PART
ihlr-16567	163	14	be	be	AUX
ihlr-16567	163	15	the	the	DET
ihlr-16567	163	16	level	level	NOUN
ihlr-16567	163	17	of	of	ADP
ihlr-16567	163	18	accountability	accountability	NOUN
ihlr-16567	163	19	.	.	PUNCT
ihlr-16567	164	1	it	it	PRON
ihlr-16567	164	2	should	should	AUX
ihlr-16567	164	3	be	be	AUX
ihlr-16567	164	4	emphasized	emphasize	VERB
ihlr-16567	164	5	that	that	SCONJ
ihlr-16567	164	6	these	these	PRON
ihlr-16567	164	7	are	be	AUX
ihlr-16567	164	8	cited	cite	VERB
ihlr-16567	164	9	for	for	ADP
ihlr-16567	164	10	illustration	illustration	NOUN
ihlr-16567	164	11	only	only	ADV
ihlr-16567	164	12	,	,	PUNCT
ihlr-16567	164	13	as	as	SCONJ
ihlr-16567	164	14	no	no	DET
ihlr-16567	164	15	group	group	NOUN
ihlr-16567	164	16	of	of	ADP
ihlr-16567	164	17	measurements	measurement	NOUN
ihlr-16567	164	18	stands	stand	VERB
ihlr-16567	164	19	out	out	ADP
ihlr-16567	164	20	as	as	ADP
ihlr-16567	164	21	obvious	obvious	ADJ
ihlr-16567	164	22	criteria	criterion	NOUN
ihlr-16567	164	23	for	for	ADP
ihlr-16567	164	24	rewards	reward	NOUN
ihlr-16567	164	25	.	.	PUNCT
ihlr-16567	165	1	it	it	PRON
ihlr-16567	165	2	is	be	AUX
ihlr-16567	165	3	also	also	ADV
ihlr-16567	165	4	important	important	ADJ
ihlr-16567	165	5	to	to	PART
ihlr-16567	165	6	note	note	VERB
ihlr-16567	165	7	that	that	SCONJ
ihlr-16567	165	8	these	these	DET
ihlr-16567	165	9	meas­	meas­	NOUN
ihlr-16567	165	10	ures	ure	NOUN
ihlr-16567	165	11	have	have	AUX
ihlr-16567	165	12	not	not	PART
ihlr-16567	165	13	in	in	ADP
ihlr-16567	165	14	the	the	DET
ihlr-16567	165	15	past	past	NOUN
ihlr-16567	165	16	been	be	AUX
ihlr-16567	165	17	applied	apply	VERB
ihlr-16567	165	18	to	to	ADP
ihlr-16567	165	19	physicians	physician	NOUN
ihlr-16567	165	20	-	-	PUNCT
ihlr-16567	165	21	iqis	iqi	NOUN
ihlr-16567	165	22	and	and	CCONJ
ihlr-16567	165	23	psis	psis	NOUN
ihlr-16567	165	24	use	use	VERB
ihlr-16567	165	25	hospitals	hospital	NOUN
ihlr-16567	165	26	as	as	ADP
ihlr-16567	165	27	the	the	DET
ihlr-16567	165	28	unit	unit	NOUN
ihlr-16567	165	29	of	of	ADP
ihlr-16567	165	30	analysis	analysis	NOUN
ihlr-16567	165	31	;	;	PUNCT
ihlr-16567	165	32	macies	macie	NOUN
ihlr-16567	165	33	and	and	CCONJ
ihlr-16567	165	34	carps	carps	PROPN
ihlr-16567	165	35	are	be	AUX
ihlr-16567	165	36	population	population	NOUN
ihlr-16567	165	37	-	-	PUNCT
ihlr-16567	165	38	level	level	NOUN
ihlr-16567	165	39	measures	measure	NOUN
ihlr-16567	165	40	.	.	PUNCT
ihlr-16567	166	1	the	the	DET
ihlr-16567	166	2	aco	aco	PROPN
ihlr-16567	166	3	,	,	PUNCT
ihlr-16567	166	4	by	by	ADP
ihlr-16567	166	5	charging	charge	VERB
ihlr-16567	166	6	both	both	DET
ihlr-16567	166	7	hospitals	hospital	NOUN
ihlr-16567	166	8	and	and	CCONJ
ihlr-16567	166	9	their	their	PRON
ihlr-16567	166	10	affiliated	affiliate	VERB
ihlr-16567	166	11	physi­	physi­	PROPN
ihlr-16567	166	12	cians	cian	NOUN
ihlr-16567	166	13	with	with	ADP
ihlr-16567	166	14	responsibility	responsibility	NOUN
ihlr-16567	166	15	for	for	ADP
ihlr-16567	166	16	the	the	DET
ihlr-16567	166	17	health	health	NOUN
ihlr-16567	166	18	of	of	ADP
ihlr-16567	166	19	the	the	DET
ihlr-16567	166	20	population	population	NOUN
ihlr-16567	166	21	they	they	PRON
ihlr-16567	166	22	serve	serve	VERB
ihlr-16567	166	23	,	,	PUNCT
ihlr-16567	166	24	applied	apply	VERB
ihlr-16567	166	25	fused	fuse	VERB
ihlr-16567	166	26	accountability	accountability	NOUN
ihlr-16567	166	27	on	on	ADP
ihlr-16567	166	28	all	all	DET
ihlr-16567	166	29	entities	entity	NOUN
ihlr-16567	166	30	involved	involve	VERB
ihlr-16567	166	31	.	.	PUNCT
ihlr-16567	167	1	:	:	PUNCT
ihlr-16567	167	2	"	"	PUNCT
ihlr-16567	167	3	•	•	X
ihlr-16567	167	4	.	.	PUNCT
ihlr-16567	167	5	'	'	PUNCT
ihlr-16567	167	6	.	.	PUNCT
ihlr-16567	168	1	2010	2010	NUM
ihlr-16567	168	2	]	]	PUNCT
ihlr-16567	168	3	"	"	PUNCT
ihlr-16567	168	4	shared	share	VERB
ihlr-16567	168	5	accountabh.jty	accountabh.jty	NOUN
ihlr-16567	168	6	,	,	PUNCT
ihlr-16567	168	7	approach	approach	NOUN
ihlr-16567	168	8	·	·	PUNCT
ihlr-16567	168	9	examples	example	NOUN
ihlr-16567	168	10	of	of	ADP
ihlr-16567	168	11	metrics	metric	NOUN
ihlr-16567	168	12	applicable	applicable	ADJ
ihlr-16567	168	13	to	to	ADP
ihlr-16567	168	14	populations	population	NOUN
ihlr-16567	168	15	of	of	ADP
ihlr-16567	168	16	medicare	medicare	PROPN
ihlr-16567	168	17	beneficiaries	beneficiary	NOUN
ihlr-16567	168	18	state	state	PROPN
ihlr-16567	168	19	/	/	SYM
ihlr-16567	168	20	local	local	ADJ
ihlr-16567	168	21	national	national	ADJ
ihlr-16567	168	22	efficiency	efficiency	NOUN
ihlr-16567	168	23	cost	cost	NOUN
ihlr-16567	168	24	per	per	ADP
ihlr-16567	168	25	medicare	medicare	PROPN
ihlr-16567	168	26	patient	patient	NOUN
ihlr-16567	168	27	:	:	PUNCT
ihlr-16567	168	28	number	number	NOUN
ihlr-16567	168	29	of	of	ADP
ihlr-16567	168	30	doctor	doctor	NOUN
ihlr-16567	168	31	visits	visit	NOUN
ihlr-16567	168	32	during	during	ADP
ihlr-16567	168	33	last	last	ADJ
ihlr-16567	168	34	6	6	NUM
ihlr-16567	168	35	months	month	NOUN
ihlr-16567	168	36	of	of	ADP
ihlr-16567	168	37	life	life	NOUN
ihlr-16567	168	38	quality	quality	NOUN
ihlr-16567	168	39	pci	pci	PROPN
ihlr-16567	168	40	received	receive	VERB
ihlr-16567	168	41	within	within	ADP
ihlr-16567	168	42	120	120	NUM
ihlr-16567	168	43	minutes	minute	NOUN
ihlr-16567	168	44	of	of	ADP
ihlr-16567	168	45	$	$	SYM
ihlr-16567	168	46	9,400	9,400	NUM
ihlr-16567	168	47	41.5	41.5	NUM
ihlr-16567	168	48	hospital	hospital	NOUN
ihlr-16567	168	49	arrival	arrival	NOUN
ihlr-16567	168	50	128	128	NUM
ihlr-16567	168	51	min	min	NOUN
ihlr-16567	168	52	30	30	NUM
ihlr-16567	168	53	-	-	PUNCT
ihlr-16567	168	54	day	day	NOUN
ihlr-16567	168	55	mortality	mortality	NOUN
ihlr-16567	168	56	for	for	ADP
ihlr-16567	168	57	acute	acute	ADJ
ihlr-16567	168	58	myocardial	myocardial	ADJ
ihlr-16567	168	59	infarction	infarction	NOUN
ihlr-16567	168	60	8.18	8.18	NUM
ihlr-16567	168	61	%	%	NOUN
ihlr-16567	168	62	death	death	NOUN
ihlr-16567	168	63	among	among	ADP
ihlr-16567	168	64	surgical	surgical	ADJ
ihlr-16567	168	65	inpatients	inpatient	NOUN
ihlr-16567	168	66	with	with	ADP
ihlr-16567	168	67	treatable	treatable	ADJ
ihlr-16567	168	68	serious	serious	ADJ
ihlr-16567	168	69	complications	complication	NOUN
ihlr-16567	168	70	(	(	PUNCT
ihlr-16567	168	71	failure	failure	NOUN
ihlr-16567	168	72	to	to	PART
ihlr-16567	168	73	rescue	rescue	VERB
ihlr-16567	168	74	)	)	PUNCT
ihlr-16567	168	75	138	138	NUM
ihlr-16567	168	76	hospitalization	hospitalization	NOUN
ihlr-16567	168	77	for	for	ADP
ihlr-16567	168	78	respiratory	respiratory	ADJ
ihlr-16567	168	79	diagnosis	diagnosis	NOUN
ihlr-16567	168	80	in	in	ADP
ihlr-16567	168	81	copd/	copd/	NUM
ihlr-16567	168	82	asthma	asthma	NOUN
ihlr-16567	168	83	71	71	NUM
ihlr-16567	168	84	serious	serious	ADJ
ihlr-16567	168	85	short	short	ADJ
ihlr-16567	168	86	term	term	NOUN
ihlr-16567	168	87	complications	complication	NOUN
ihlr-16567	168	88	of	of	ADP
ihlr-16567	168	89	diabetes	diabetes	NOUN
ihlr-16567	168	90	mellitus	mellitus	NOUN
ihlr-16567	168	91	65	65	NUM
ihlr-16567	168	92	seniors	senior	NOUN
ihlr-16567	168	93	reporting	report	VERB
ihlr-16567	168	94	good	good	ADJ
ihlr-16567	168	95	,	,	PUNCT
ihlr-16567	168	96	very	very	ADV
ihlr-16567	168	97	good	good	ADJ
ihlr-16567	168	98	or	or	CCONJ
ihlr-16567	168	99	excellent	excellent	ADJ
ihlr-16567	168	100	health	health	NOUN
ihlr-16567	168	101	70.90	70.90	NUM
ihlr-16567	168	102	/	/	SYM
ihlr-16567	168	103	o	o	NOUN
ihlr-16567	168	104	patient	patient	NOUN
ihlr-16567	168	105	-	-	PUNCT
ihlr-16567	168	106	centeredness	centeredness	NOUN
ihlr-16567	168	107	cahps	cahps	NOUN
ihlr-16567	168	108	overall	overall	ADJ
ihlr-16567	168	109	rating	rating	NOUN
ihlr-16567	168	110	of	of	ADP
ihlr-16567	168	111	health	health	NOUN
ihlr-16567	168	112	care	care	NOUN
ihlr-16567	168	113	patients	patient	NOUN
ihlr-16567	168	114	$	$	SYM
ihlr-16567	168	115	7961	7961	NUM
ihlr-16567	168	116	29	29	NUM
ihlr-16567	168	117	107min	107min	NUM
ihlr-16567	168	118	6.05	6.05	NUM
ihlr-16567	168	119	%	%	NOUN
ihlr-16567	168	120	119	119	NUM
ihlr-16567	168	121	44	44	NUM
ihlr-16567	168	122	55	55	NUM
ihlr-16567	168	123	69.3	69.3	NUM
ihlr-16567	168	124	%	%	NOUN
ihlr-16567	168	125	received	receive	VERB
ihlr-16567	168	126	8.91	8.91	NUM
ihlr-16567	168	127	8.88	8.88	NUM
ihlr-16567	168	128	patients	patient	NOUN
ihlr-16567	168	129	who	who	PRON
ihlr-16567	168	130	always	always	ADV
ihlr-16567	168	131	got	get	VERB
ihlr-16567	168	132	appointmentas	appointmenta	NOUN
ihlr-16567	168	133	soon	soon	ADV
ihlr-16567	168	134	as	as	SCONJ
ihlr-16567	168	135	they	they	PRON
ihlr-16567	168	136	wanted	want	VERB
ihlr-16567	168	137	70.2	70.2	NUM
ihlr-16567	168	138	72.1	72.1	NUM
ihlr-16567	168	139	note	note	NOUN
ihlr-16567	168	140	:	:	PUNCT
ihlr-16567	168	141	values	value	NOUN
ihlr-16567	168	142	are	be	AUX
ihlr-16567	168	143	h	h	PRON
ihlr-16567	168	144	othetical	othetical	ADJ
ihlr-16567	168	145	195	195	NUM
ihlr-16567	168	146	it	it	PRON
ihlr-16567	168	147	is	be	AUX
ihlr-16567	168	148	important	important	ADJ
ihlr-16567	168	149	to	to	PART
ihlr-16567	168	150	note	note	VERB
ihlr-16567	168	151	that	that	SCONJ
ihlr-16567	168	152	aco	aco	PROPN
ihlr-16567	168	153	goals	goal	NOUN
ihlr-16567	168	154	must	must	AUX
ihlr-16567	168	155	be	be	AUX
ihlr-16567	168	156	se~	se~	PROPN
ihlr-16567	168	157	so	so	ADV
ihlr-16567	168	158	tha~	tha~	NOUN
ihlr-16567	168	159	performance	performance	NOUN
ihlr-16567	168	160	is	be	AUX
ihlr-16567	168	161	rewarded	reward	VERB
ihlr-16567	168	162	based	base	VERB
ihlr-16567	168	163	upon	upon	SCONJ
ihlr-16567	168	164	all	all	DET
ihlr-16567	168	165	three	three	NUM
ihlr-16567	168	166	dimensions	dimension	NOUN
ihlr-16567	168	167	.	.	PUNCT
ihlr-16567	169	1	because	because	SCONJ
ihlr-16567	169	2	cost	cost	NOUN
ihlr-16567	169	3	can	can	AUX
ihlr-16567	169	4	trade	trade	VERB
ihlr-16567	169	5	off	off	ADP
ihlr-16567	169	6	against	against	ADP
ihlr-16567	169	7	quality	quality	NOUN
ihlr-16567	169	8	and	and	CCONJ
ihlr-16567	169	9	access	access	NOUN
ihlr-16567	169	10	,	,	PUNCT
ihlr-16567	169	11	crude	crude	ADJ
ihlr-16567	169	12	measures	measure	NOUN
ihlr-16567	169	13	of	of	ADP
ihlr-16567	169	14	efficiency	efficiency	NOUN
ihlr-16567	169	15	(	(	PUNCT
ihlr-16567	169	16	e.g.	e.g.	ADV
ihlr-16567	169	17	,	,	PUNCT
ihlr-16567	169	18	cost	cost	NOUN
ihlr-16567	169	19	alone	alone	ADV
ihlr-16567	169	20	)	)	PUNCT
ihlr-16567	169	21	could	could	AUX
ihlr-16567	169	22	encourage	encourage	VERB
ihlr-16567	169	23	stinting	stint	VERB
ihlr-16567	169	24	in	in	ADP
ihlr-16567	169	25	the	the	DET
ihlr-16567	169	26	other	other	ADJ
ihlr-16567	169	27	areas	area	NOUN
ihlr-16567	169	28	.	.	PUNCT
ihlr-16567	170	1	precisely	precisely	ADV
ihlr-16567	170	2	how	how	SCONJ
ihlr-16567	170	3	doctors	doctor	NOUN
ihlr-16567	170	4	would	would	AUX
ihlr-16567	170	5	be	be	AUX
ihlr-16567	170	6	rewarded	reward	VERB
ihlr-16567	170	7	for	for	ADP
ihlr-16567	170	8	improvements	improvement	NOUN
ihlr-16567	170	9	is	be	AUX
ihlr-16567	170	10	beyond	beyond	ADP
ihlr-16567	170	11	the	the	DET
ihlr-16567	170	12	scope	scope	NOUN
ihlr-16567	170	13	of	of	ADP
ihlr-16567	170	14	this	this	DET
ihlr-16567	170	15	paper	paper	NOUN
ihlr-16567	170	16	,	,	PUNCT
ihlr-16567	170	17	but	but	CCONJ
ihlr-16567	170	18	it	it	PRON
ihlr-16567	170	19	would	would	AUX
ihlr-16567	170	20	.	.	PUNCT
ihlr-16567	171	1	suffice	suffice	VERB
ihlr-16567	171	2	to	to	PART
ihlr-16567	171	3	say	say	VERB
ihlr-16567	171	4	that	that	SCONJ
ihlr-16567	171	5	rewards	reward	NOUN
ihlr-16567	171	6	should	should	AUX
ihlr-16567	171	7	be	be	AUX
ihlr-16567	171	8	structured	structure	VERB
ihlr-16567	171	9	so	so	SCONJ
ihlr-16567	171	10	that	that	SCONJ
ihlr-16567	171	11	doctors	doctor	NOUN
ihlr-16567	171	12	could	could	AUX
ihlr-16567	171	13	share	share	VERB
ihlr-16567	171	14	in	in	ADP
ihlr-16567	171	15	any	any	DET
ihlr-16567	171	16	savings	saving	NOUN
ihlr-16567	171	17	resulting	result	VERB
ihlr-16567	171	18	from	from	ADP
ihlr-16567	171	19	improved	improved	ADJ
ihlr-16567	171	20	efficiency	efficiency	NOUN
ihlr-16567	171	21	,	,	PUNCT
ihlr-16567	171	22	so	so	ADV
ihlr-16567	171	23	long	long	ADV
ihlr-16567	171	24	as	as	SCONJ
ihlr-16567	171	25	metrics	metric	NOUN
ihlr-16567	171	26	for	for	ADP
ihlr-16567	171	27	quality	quality	NOUN
ihlr-16567	171	28	and	and	CCONJ
ihlr-16567	171	29	patient	patient	NOUN
ihlr-16567	171	30	-	-	PUNCT
ihlr-16567	171	31	centeredness	centeredness	NOUN
ihlr-16567	171	32	are	be	AUX
ihlr-16567	171	33	no	no	ADV
ihlr-16567	171	34	worse	bad	ADJ
ihlr-16567	171	35	.	.	PUNCT
ihlr-16567	172	1	further	far	ADV
ihlr-16567	172	2	,	,	PUNCT
ihlr-16567	172	3	doctors	doctor	NOUN
ihlr-16567	172	4	should	should	AUX
ihlr-16567	172	5	,	,	PUNCT
ihlr-16567	172	6	if	if	SCONJ
ihlr-16567	172	7	possible	possible	ADJ
ihlr-16567	172	8	given	give	VERB
ihlr-16567	172	9	resource	resource	NOUN
ihlr-16567	172	10	restraints	restraint	NOUN
ihlr-16567	172	11	,	,	PUNCT
ihlr-16567	172	12	receive	receive	VERB
ihlr-16567	172	13	additional	additional	ADJ
ihlr-16567	172	14	money	money	NOUN
ihlr-16567	172	15	if	if	SCONJ
ihlr-16567	172	16	efficiency	efficiency	NOUN
ihlr-16567	172	17	is	be	AUX
ihlr-16567	172	18	no	no	ADV
ihlr-16567	172	19	worse	bad	ADJ
ihlr-16567	172	20	than	than	ADP
ihlr-16567	172	21	the	the	DET
ihlr-16567	172	22	target	target	NOUN
ihlr-16567	172	23	but	but	CCONJ
ihlr-16567	172	24	quality	quality	NOUN
ihlr-16567	172	25	and	and	CCONJ
ihlr-16567	172	26	patient	patient	NOUN
ihlr-16567	172	27	-	-	PUNCT
ihlr-16567	172	28	centeredness	centeredness	NOUN
ihlr-16567	172	29	scores	score	NOUN
ihlr-16567	172	30	are	be	AUX
ihlr-16567	172	31	im­	im­	NOUN
ihlr-16567	172	32	proved	prove	VERB
ihlr-16567	172	33	.	.	PUNCT
ihlr-16567	173	1	suppose	suppose	VERB
ihlr-16567	173	2	that	that	SCONJ
ihlr-16567	173	3	:	:	PUNCT
ihlr-16567	173	4	(	(	PUNCT
ihlr-16567	173	5	a	a	X
ihlr-16567	173	6	)	)	PUNCT
ihlr-16567	173	7	the	the	DET
ihlr-16567	173	8	devolved	devolve	VERB
ihlr-16567	173	9	sgr	sgr	PROPN
ihlr-16567	173	10	target	target	PROPN
ihlr-16567	173	11	pool	pool	NOUN
ihlr-16567	173	12	provides	provide	VERB
ihlr-16567	173	13	a	a	DET
ihlr-16567	173	14	model	model	NOUN
ihlr-16567	173	15	for	for	ADP
ihlr-16567	173	16	196	196	NUM
ihlr-16567	173	17	indiana	indiana	PROPN
ihlr-16567	173	18	health	health	PROPN
ihlr-16567	173	19	law	law	PROPN
ihlr-16567	173	20	review	review	NOUN
ihlr-16567	174	1	[	[	X
ihlr-16567	174	2	vol	vol	NOUN
ihlr-16567	174	3	.	.	PUNCT
ihlr-16567	175	1	7:185	7:185	NUM
ihlr-16567	175	2	baseline	baseline	VERB
ihlr-16567	175	3	efficiency;·(b	efficiency;·(b	NOUN
ihlr-16567	175	4	)	)	PUNCT
ihlr-16567	175	5	medicare	medicare	PROPN
ihlr-16567	175	6	's	's	PART
ihlr-16567	175	7	physician	physician	NOUN
ihlr-16567	175	8	group	group	NOUN
ihlr-16567	175	9	practice	practice	NOUN
ihlr-16567	175	10	(	(	PUNCT
ihlr-16567	175	11	pgp	pgp	NOUN
ihlr-16567	175	12	)	)	PUNCT
ihlr-16567	175	13	demon­	demon­	PROPN
ihlr-16567	175	14	stration28	stration28	X
ihlr-16567	175	15	provides	provide	VERB
ihlr-16567	175	16	a	a	DET
ihlr-16567	175	17	model	model	NOUN
ihlr-16567	175	18	for	for	ADP
ihlr-16567	175	19	awarding	award	VERB
ihlr-16567	175	20	an	an	DET
ihlr-16567	175	21	accountable	accountable	ADJ
ihlr-16567	175	22	organization	organization	NOUN
ihlr-16567	175	23	shared	share	VERB
ihlr-16567	175	24	savings	saving	NOUN
ihlr-16567	175	25	;	;	PUNCT
ihlr-16567	175	26	and	and	CCONJ
ihlr-16567	175	27	(	(	PUNCT
ihlr-16567	175	28	c	c	X
ihlr-16567	175	29	)	)	PUNCT
ihlr-16567	175	30	the	the	DET
ihlr-16567	175	31	integrated	integrate	VERB
ihlr-16567	175	32	healthcare	healthcare	PROPN
ihlr-16567	175	33	association	association	PROPN
ihlr-16567	175	34	(	(	PUNCT
ihlr-16567	175	35	rna	rna	NOUN
ihlr-16567	175	36	)	)	PUNCT
ihlr-16567	175	37	provides	provide	VERB
ihlr-16567	175	38	a	a	DET
ihlr-16567	175	39	model	model	NOUN
ihlr-16567	175	40	for	for	ADP
ihlr-16567	175	41	awarding	award	VERB
ihlr-16567	175	42	bonuses	bonus	NOUN
ihlr-16567	175	43	based	base	VERB
ihlr-16567	175	44	uj	uj	PROPN
ihlr-16567	175	45	>	>	X
ihlr-16567	175	46	on	on	ADP
ihlr-16567	175	47	quality	quality	NOUN
ihlr-16567	175	48	and	and	CCONJ
ihlr-16567	175	49	patient	patient	ADJ
ihlr-16567	175	50	experience	experience	NOUN
ihlr-16567	175	51	measures	measure	NOUN
ihlr-16567	175	52	.	.	PUNCT
ihlr-16567	175	53	·	·	PUNCT
ihlr-16567	175	54	to	to	PART
ihlr-16567	175	55	take	take	VERB
ihlr-16567	175	56	the	the	DET
ihlr-16567	175	57	example	example	NOUN
ihlr-16567	175	58	of	of	ADP
ihlr-16567	175	59	an	an	DET
ihlr-16567	175	60	aco	aco	NOUN
ihlr-16567	175	61	comprising	comprise	VERB
ihlr-16567	175	62	all	all	PRON
ihlr-16567	175	63	of	of	ADP
ihlr-16567	175	64	new	new	PROPN
ihlr-16567	175	65	jersey	jersey	PROPN
ihlr-16567	175	66	physicians	physician	NOUN
ihlr-16567	175	67	,	,	PUNCT
ihlr-16567	175	68	a	a	DET
ihlr-16567	175	69	baseline	baseline	ADJ
ihlr-16567	175	70	pool	pool	NOUN
ihlr-16567	175	71	of	of	ADP
ihlr-16567	175	72	$	$	SYM
ihlr-16567	175	73	10.8	10.8	NUM
ihlr-16567	175	74	billion	billion	NUM
ihlr-16567	175	75	would	would	AUX
ihlr-16567	175	76	be	be	AUX
ihlr-16567	175	77	established	establish	VERB
ihlr-16567	175	78	.	.	PUNCT
ihlr-16567	176	1	imagine	imagine	VERB
ihlr-16567	176	2	that	that	SCONJ
ihlr-16567	176	3	after	after	ADP
ihlr-16567	176	4	the	the	DET
ihlr-16567	176	5	first	first	ADJ
ihlr-16567	176	6	year	year	NOUN
ihlr-16567	176	7	of	of	ADP
ihlr-16567	176	8	implementation	implementation	NOUN
ihlr-16567	176	9	,	,	PUNCT
ihlr-16567	176	10	new	new	PROPN
ihlr-16567	176	11	jersey	jersey	PROPN
ihlr-16567	176	12	physicians	physician	NOUN
ihlr-16567	176	13	have	have	AUX
ihlr-16567	176	14	lo­	lo­	AUX
ihlr-16567	176	15	wered	were	VERB
ihlr-16567	176	16	costs	cost	NOUN
ihlr-16567	176	17	by	by	ADP
ihlr-16567	176	18	five	five	NUM
ihlr-16567	176	19	percent	percent	NOUN
ihlr-16567	176	20	,	,	PUNCT
ihlr-16567	176	21	or	or	CCONJ
ihlr-16567	176	22	$	$	SYM
ihlr-16567	176	23	540	540	NUM
ihlr-16567	176	24	million	million	NUM
ihlr-16567	176	25	,	,	PUNCT
ihlr-16567	176	26	while	while	SCONJ
ihlr-16567	176	27	maintaining	maintain	VERB
ihlr-16567	176	28	the	the	DET
ihlr-16567	176	29	pre­	pre­	NOUN
ihlr-16567	176	30	vious	vious	ADJ
ihlr-16567	176	31	year	year	NOUN
ihlr-16567	176	32	's	's	PART
ihlr-16567	176	33	performance	performance	NOUN
ihlr-16567	176	34	on	on	ADP
ihlr-16567	176	35	process	process	NOUN
ihlr-16567	176	36	measures	measure	NOUN
ihlr-16567	176	37	such	such	ADJ
ihlr-16567	176	38	as	as	ADP
ihlr-16567	176	39	time	time	NOUN
ihlr-16567	176	40	to	to	ADP
ihlr-16567	176	41	reperfusion	reperfusion	NOUN
ihlr-16567	176	42	,	,	PUNCT
ihlr-16567	176	43	outcome	outcome	NOUN
ihlr-16567	176	44	measures	measure	NOUN
ihlr-16567	176	45	such	such	ADJ
ihlr-16567	176	46	as	as	ADP
ihlr-16567	176	47	hospital	hospital	NOUN
ihlr-16567	176	48	mortality	mortality	NOUN
ihlr-16567	176	49	,	,	PUNCT
ihlr-16567	176	50	and	and	CCONJ
ihlr-16567	176	51	cahps	cahps	NOUN
ihlr-16567	176	52	scores	score	NOUN
ihlr-16567	176	53	relating	relate	VERB
ihlr-16567	176	54	to	to	ADP
ihlr-16567	176	55	access	access	NOUN
ihlr-16567	176	56	and	and	CCONJ
ihlr-16567	176	57	experience	experience	NOUN
ihlr-16567	176	58	.	.	PUNCT
ihlr-16567	177	1	as	as	ADP
ihlr-16567	177	2	in	in	ADP
ihlr-16567	177	3	the	the	DET
ihlr-16567	177	4	pgp	pgp	NOUN
ihlr-16567	177	5	demonstration	demonstration	NOUN
ihlr-16567	177	6	,	,	PUNCT
ihlr-16567	177	7	doctors	doctor	NOUN
ihlr-16567	177	8	would	would	AUX
ihlr-16567	177	9	be	be	AUX
ihlr-16567	177	10	awarded	award	VERB
ihlr-16567	177	11	eighty	eighty	NUM
ihlr-16567	177	12	percent	percent	NOUN
ihlr-16567	177	13	of	of	ADP
ihlr-16567	177	14	the	the	DET
ihlr-16567	177	15	shared	share	VERB
ihlr-16567	177	16	savings	saving	NOUN
ihlr-16567	177	17	.	.	PUNCT
ihlr-16567	178	1	alternatively	alternatively	ADV
ihlr-16567	178	2	,	,	PUNCT
ihlr-16567	178	3	suppose	suppose	VERB
ihlr-16567	178	4	that	that	SCONJ
ihlr-16567	178	5	medicare	medicare	PROPN
ihlr-16567	178	6	expenditures	expenditure	NOUN
ihlr-16567	178	7	remained	remain	VERB
ihlr-16567	178	8	constant	constant	ADJ
ihlr-16567	178	9	,	,	PUNCT
ihlr-16567	178	10	but	but	CCONJ
ihlr-16567	178	11	quality	quality	NOUN
ihlr-16567	178	12	and	and	CCONJ
ihlr-16567	178	13	patient	patient	ADJ
ihlr-16567	178	14	expe­	expe­	NOUN
ihlr-16567	178	15	rience	rience	NOUN
ihlr-16567	178	16	measures	measure	NOUN
ihlr-16567	178	17	improved	improve	VERB
ihlr-16567	178	18	.	.	PUNCT
ihlr-16567	179	1	doctors	doctor	NOUN
ihlr-16567	179	2	could	could	AUX
ihlr-16567	179	3	be	be	AUX
ihlr-16567	179	4	awarded	award	VERB
ihlr-16567	179	5	·	·	PUNCT
ihlr-16567	179	6	per	per	ADP
ihlr-16567	179	7	-	-	PUNCT
ihlr-16567	179	8	patient	patient	NOUN
ihlr-16567	179	9	,	,	PUNCT
ihlr-16567	179	10	per­	per­	NOUN
ihlr-16567	179	11	month	month	NOUN
ihlr-16567	179	12	bonuses	bonus	NOUN
ihlr-16567	179	13	according	accord	VERB
ihlr-16567	179	14	to	to	ADP
ihlr-16567	179	15	a	a	DET
ihlr-16567	179	16	formula	formula	NOUN
ihlr-16567	179	17	as	as	ADP
ihlr-16567	179	18	in	in	ADP
ihlr-16567	179	19	the	the	DET
ihlr-16567	179	20	rna	rna	NOUN
ihlr-16567	179	21	program	program	NOUN
ihlr-16567	179	22	.	.	PUNCT
ihlr-16567	180	1	over	over	ADP
ihlr-16567	180	2	time	time	NOUN
ihlr-16567	180	3	,	,	PUNCT
ihlr-16567	180	4	expectations	expectation	NOUN
ihlr-16567	180	5	for	for	ADP
ihlr-16567	180	6	quality	quality	NOUN
ihlr-16567	180	7	and	and	CCONJ
ihlr-16567	180	8	patient	patient	NOUN
ihlr-16567	180	9	-	-	PUNCT
ihlr-16567	180	10	centeredness	centeredness	NOUN
ihlr-16567	180	11	might	might	AUX
ihlr-16567	180	12	be	be	AUX
ihlr-16567	180	13	raised	raise	VERB
ihlr-16567	180	14	:	:	PUNCT
ihlr-16567	180	15	if	if	SCONJ
ihlr-16567	180	16	some	some	DET
ihlr-16567	180	17	units	unit	NOUN
ihlr-16567	180	18	dramatically	dramatically	ADV
ihlr-16567	180	19	improved	improve	VERB
ihlr-16567	180	20	on	on	ADP
ihlr-16567	180	21	those	those	DET
ihlr-16567	180	22	measures	measure	NOUN
ihlr-16567	180	23	,	,	PUNCT
ihlr-16567	180	24	states	state	NOUN
ihlr-16567	180	25	with	with	ADP
ihlr-16567	180	26	similar	similar	ADJ
ihlr-16567	180	27	demographics	demographic	NOUN
ihlr-16567	180	28	and	and	CCONJ
ihlr-16567	180	29	resources	resource	NOUN
ihlr-16567	180	30	might	might	AUX
ihlr-16567	180	31	be	be	AUX
ihlr-16567	180	32	expected	expect	VERB
ihlr-16567	180	33	to	to	PART
ihlr-16567	180	34	improve	improve	VERB
ihlr-16567	180	35	as	as	ADV
ihlr-16567	180	36	well	well	ADV
ihlr-16567	180	37	.	.	PUNCT
ihlr-16567	181	1	similarly	similarly	ADV
ihlr-16567	181	2	,	,	PUNCT
ihlr-16567	181	3	expectations	expectation	NOUN
ihlr-16567	181	4	for	for	ADP
ihlr-16567	181	5	efficiency	efficiency	NOUN
ihlr-16567	181	6	might	might	AUX
ihlr-16567	181	7	be	be	AUX
ihlr-16567	181	8	raised	raise	VERB
ihlr-16567	181	9	.	.	PUNCT
ihlr-16567	182	1	many	many	ADJ
ihlr-16567	182	2	commentators	commentator	NOUN
ihlr-16567	182	3	speak	speak	VERB
ihlr-16567	182	4	of	of	ADP
ihlr-16567	182	5	about	about	ADV
ihlr-16567	182	6	thirty	thirty	NUM
ihlr-16567	182	7	percent	percent	NOUN
ihlr-16567	182	8	of	of	ADP
ihlr-16567	182	9	health	health	NOUN
ihlr-16567	182	10	care	care	NOUN
ihlr-16567	182	11	costs	cost	NOUN
ihlr-16567	182	12	being	be	AUX
ihlr-16567	182	13	wasted;29	wasted;29	NOUN
ihlr-16567	182	14	achieving	achieve	VERB
ihlr-16567	182	15	a	a	DET
ihlr-16567	182	16	goal	goal	NOUN
ihlr-16567	182	17	of	of	ADP
ihlr-16567	182	18	cutting	cut	VERB
ihlr-16567	182	19	this	this	DET
ihlr-16567	182	20	thirty	thirty	NUM
ihlr-16567	182	21	percent	percent	NOUN
ihlr-16567	182	22	would	would	AUX
ihlr-16567	182	23	require	require	VERB
ihlr-16567	182	24	that	that	SCONJ
ihlr-16567	182	25	all	all	DET
ihlr-16567	182	26	acos	aco	NOUN
ihlr-16567	182	27	operate	operate	VERB
ihlr-16567	182	28	with	with	ADP
ihlr-16567	182	29	the	the	DET
ihlr-16567	182	30	efficiency	efficiency	NOUN
ihlr-16567	182	31	of	of	ADP
ihlr-16567	182	32	top	top	ADV
ihlr-16567	182	33	-	-	PUNCT
ihlr-16567	182	34	performing	perform	VERB
ihlr-16567	182	35	regions	region	NOUN
ihlr-16567	182	36	.	.	PUNCT
ihlr-16567	183	1	the	the	DET
ihlr-16567	183	2	three	three	NUM
ihlr-16567	183	3	dimensions	dimension	NOUN
ihlr-16567	183	4	cited	cite	VERB
ihlr-16567	183	5	by	by	ADP
ihlr-16567	183	6	the	the	DET
ihlr-16567	183	7	1om	1om	NOUN
ihlr-16567	183	8	are	be	AUX
ihlr-16567	183	9	not	not	PART
ihlr-16567	183	10	exhaustive	exhaustive	ADJ
ihlr-16567	183	11	.	.	PUNCT
ihlr-16567	184	1	perfor­	perfor­	NOUN
ihlr-16567	184	2	mance	mance	NOUN
ihlr-16567	184	3	goals	goal	NOUN
ihlr-16567	184	4	could	could	AUX
ihlr-16567	184	5	integrate	integrate	VERB
ihlr-16567	184	6	public	public	ADJ
ihlr-16567	184	7	health	health	NOUN
ihlr-16567	184	8	.	.	PUNCT
ihlr-16567	185	1	kindig	kindig	PROPN
ihlr-16567	185	2	argues	argue	VERB
ihlr-16567	185	3	that	that	SCONJ
ihlr-16567	185	4	physician	physician	NOUN
ihlr-16567	185	5	pay	pay	NOUN
ihlr-16567	185	6	should	should	AUX
ihlr-16567	185	7	include	include	VERB
ihlr-16567	185	8	a	a	DET
ihlr-16567	185	9	'	'	PUNCT
ihlr-16567	185	10	"	"	PUNCT
ihlr-16567	185	11	pay	pay	VERB
ihlr-16567	185	12	-	-	PUNCT
ihlr-16567	185	13	for	for	ADP
ihlr-16567	185	14	-	-	PUNCT
ihlr-16567	185	15	population	population	NOUN
ihlr-16567	185	16	health	health	NOUN
ihlr-16567	185	17	performance	performance	NOUN
ihlr-16567	185	18	system	system	NOUN
ihlr-16567	185	19	'	'	PUNCT
ihlr-16567	185	20	that	that	PRON
ihlr-16567	185	21	would	would	AUX
ihlr-16567	185	22	go	go	VERB
ihlr-16567	185	23	beyond	beyond	ADP
ihlr-16567	185	24	medical	medical	ADJ
ihlr-16567	185	25	care	care	NOUN
ihlr-16567	185	26	to	to	PART
ihlr-16567	185	27	include	include	VERB
ihlr-16567	185	28	financial	financial	ADJ
ihlr-16567	185	29	incentives	incentive	NOUN
ihlr-16567	185	30	for	for	ADP
ihlr-16567	185	31	the	the	DET
ihlr-16567	185	32	equal­	equal­	PUNCT
ihlr-16567	185	33	ly	ly	ADP
ihlr-16567	185	34	essential	essential	ADJ
ihlr-16567	185	35	nonmedical	nonmedical	ADJ
ihlr-16567	185	36	care	care	NOUN
ihlr-16567	185	37	determinants	determinant	NOUN
ihlr-16567	185	38	of	of	ADP
ihlr-16567	185	39	population	population	NOUN
ihlr-16567	185	40	health	health	NOUN
ihlr-16567	185	41	.	.	PUNCT
ihlr-16567	186	1	''	''	PUNCT
ihlr-16567	186	2	30	30	NUM
ihlr-16567	186	3	kindig	kindig	NOUN
ihlr-16567	186	4	does	do	AUX
ihlr-16567	186	5	not	not	PART
ihlr-16567	186	6	propose	propose	VERB
ihlr-16567	186	7	a	a	DET
ihlr-16567	186	8	unit	unit	NOUN
ihlr-16567	186	9	of	of	ADP
ihlr-16567	186	10	accountability	accountability	NOUN
ihlr-16567	186	11	for	for	ADP
ihlr-16567	186	12	such	such	DET
ihlr-16567	186	13	a	a	DET
ihlr-16567	186	14	program	program	NOUN
ihlr-16567	186	15	,	,	PUNCT
ihlr-16567	186	16	yet	yet	CCONJ
ihlr-16567	186	17	a	a	DET
ihlr-16567	186	18	state­	state­	PROPN
ihlr-16567	186	19	level	level	NOUN
ihlr-16567	186	20	aco	aco	PROPN
ihlr-16567	186	21	would	would	AUX
ihlr-16567	186	22	seem	seem	VERB
ihlr-16567	186	23	to	to	PART
ihlr-16567	186	24	fit	fit	VERB
ihlr-16567	186	25	naturally	naturally	ADV
ihlr-16567	186	26	with	with	ADP
ihlr-16567	186	27	this	this	DET
ihlr-16567	186	28	concept	concept	NOUN
ihlr-16567	186	29	.	.	PUNCT
ihlr-16567	187	1	an	an	DET
ihlr-16567	187	2	example	example	NOUN
ihlr-16567	187	3	of	of	ADP
ihlr-16567	187	4	a	a	DET
ihlr-16567	187	5	public	public	ADJ
ihlr-16567	187	6	health	health	NOUN
ihlr-16567	187	7	indicator	indicator	NOUN
ihlr-16567	187	8	might	might	AUX
ihlr-16567	187	9	be	be	AUX
ihlr-16567	187	10	a	a	DET
ihlr-16567	187	11	decrease	decrease	NOUN
ihlr-16567	187	12	in	in	ADP
ihlr-16567	187	13	standardized	standardized	ADJ
ihlr-16567	187	14	mortality	mortality	NOUN
ihlr-16567	187	15	rates	rate	NOUN
ihlr-16567	187	16	.	.	PUNCT
ihlr-16567	188	1	rosenthal	rosenthal	PROPN
ihlr-16567	188	2	and	and	CCONJ
ihlr-16567	188	3	dudley	dudley	PROPN
ihlr-16567	188	4	suggest	suggest	VERB
ihlr-16567	188	5	that	that	SCONJ
ihlr-16567	188	6	a	a	DET
ihlr-16567	188	7	pay	pay	VERB
ihlr-16567	188	8	-	-	PUNCT
ihlr-16567	188	9	for	for	ADP
ihlr-16567	188	10	-	-	PUNCT
ihlr-16567	188	11	performance	performance	NOUN
ihlr-16567	188	12	scheme	scheme	NOUN
ihlr-16567	188	13	could	could	AUX
ihlr-16567	188	14	include	include	VERB
ihlr-16567	188	15	rewards	reward	NOUN
ihlr-16567	188	16	for	for	ADP
ihlr-16567	188	17	reducing	reduce	VERB
ihlr-16567	188	18	disparities	disparity	NOUN
ihlr-16567	188	19	among	among	ADP
ihlr-16567	188	20	underserved	underserved	ADJ
ihlr-16567	188	21	populations.31	populations.31	NOUN
ihlr-16567	188	22	evaluating	evaluate	VERB
ihlr-16567	188	23	performance	performance	NOUN
ihlr-16567	188	24	within	within	ADP
ihlr-16567	188	25	a	a	DET
ihlr-16567	188	26	system	system	NOUN
ihlr-16567	188	27	of	of	ADP
ihlr-16567	188	28	local	local	ADJ
ihlr-16567	188	29	acos	aco	NOUN
ihlr-16567	188	30	would	would	AUX
ihlr-16567	188	31	not	not	PART
ihlr-16567	188	32	be	be	AUX
ihlr-16567	188	33	as	as	ADV
ihlr-16567	188	34	straightforward	straightforward	ADJ
ihlr-16567	188	35	as	as	ADP
ihlr-16567	188	36	doing	do	VERB
ihlr-16567	188	37	so	so	ADV
ihlr-16567	188	38	on	on	ADP
ihlr-16567	188	39	the	the	DET
ihlr-16567	188	40	state	state	NOUN
ihlr-16567	188	41	level	level	NOUN
ihlr-16567	188	42	.	.	PUNCT
ihlr-16567	189	1	the	the	DET
ihlr-16567	189	2	sparse	sparse	ADJ
ihlr-16567	189	3	level	level	NOUN
ihlr-16567	189	4	of	of	ADP
ihlr-16567	189	5	sam28	sam28	NOUN
ihlr-16567	189	6	.	.	PUNCT
ihlr-16567	190	1	42	42	NUM
ihlr-16567	190	2	u.s.c	u.s.c	ADJ
ihlr-16567	190	3	.	.	PUNCT
ihlr-16567	191	1	§	§	PROPN
ihlr-16567	191	2	1395cc-1	1395cc-1	NUM
ihlr-16567	191	3	(	(	PUNCT
ihlr-16567	191	4	2009	2009	NUM
ihlr-16567	191	5	)	)	PUNCT
ihlr-16567	191	6	.	.	PUNCT
ihlr-16567	192	1	29	29	NUM
ihlr-16567	192	2	.	.	X
ihlr-16567	193	1	see	see	VERB
ihlr-16567	193	2	,	,	PUNCT
ihlr-16567	193	3	e.g.	e.g.	ADV
ihlr-16567	193	4	,	,	PUNCT
ihlr-16567	193	5	midwest	midwest	PROPN
ihlr-16567	193	6	business	business	NOUN
ihlr-16567	193	7	group	group	NOUN
ihlr-16567	193	8	on	on	ADP
ihlr-16567	193	9	health	health	NOUN
ihlr-16567	193	10	,	,	PUNCT
ihlr-16567	193	11	reducing	reduce	VERB
ihlr-16567	193	12	the	the	DET
ihlr-16567	193	13	cost	cost	NOUN
ihlr-16567	193	14	of	of	ADP
ihlr-16567	193	15	poor	poor	ADJ
ihlr-16567	193	16	quality	quality	NOUN
ihlr-16567	193	17	health	health	NOUN
ihlr-16567	193	18	care	care	NOUN
ihlr-16567	193	19	through	through	ADP
ihlr-16567	193	20	responsffile	responsffile	NOUN
ihlr-16567	193	21	purchasing	purchasing	NOUN
ihlr-16567	193	22	leadership	leadership	NOUN
ihlr-16567	193	23	i	i	PRON
ihlr-16567	193	24	(	(	PUNCT
ihlr-16567	193	25	2003	2003	NUM
ihlr-16567	193	26	)	)	PUNCT
ihlr-16567	193	27	;	;	PUNCT
ihlr-16567	194	1	john	john	PROPN
ihlr-16567	194	2	e.	e.	PROPN
ihlr-16567	194	3	wennberg	wennberg	PROPN
ihlr-16567	194	4	,	,	PUNCT
ihlr-16567	194	5	elliott	elliott	PROPN
ihlr-16567	194	6	s.	s.	PROPN
ihlr-16567	194	7	fisher	fisher	PROPN
ihlr-16567	194	8	&	&	CCONJ
ihlr-16567	194	9	jonathan	jonathan	PROPN
ihlr-16567	194	10	s.	s.	PROPN
ihlr-16567	194	11	skinner	skinner	PROPN
ihlr-16567	194	12	,	,	PUNCT
ihlr-16567	194	13	geography	geography	NOUN
ihlr-16567	194	14	and	and	CCONJ
ihlr-16567	194	15	the	the	DET
ihlr-16567	194	16	debate	debate	NOUN
ihlr-16567	194	17	over	over	ADP
ihlr-16567	194	18	medi­	medi­	PROPN
ihlr-16567	194	19	care	care	NOUN
ihlr-16567	194	20	reform	reform	NOUN
ihlr-16567	194	21	,	,	PUNCT
ihlr-16567	194	22	2002	2002	NUM
ihlr-16567	194	23	health	health	NOUN
ihlr-16567	194	24	affairs	affairs	PROPN
ihlr-16567	194	25	web	web	NOUN
ihlr-16567	194	26	exclusive	exclusive	ADJ
ihlr-16567	194	27	w96	w96	NOUN
ihlr-16567	194	28	,	,	PUNCT
ihlr-16567	194	29	w97	w97	NOUN
ihlr-16567	194	30	-	-	PUNCT
ihlr-16567	194	31	w98	w98	NOUN
ihlr-16567	194	32	.	.	PUNCT
ihlr-16567	194	33	30	30	NUM
ihlr-16567	194	34	.	.	PUNCT
ihlr-16567	195	1	david	david	PROPN
ihlr-16567	195	2	a.	a.	PROPN
ihlr-16567	195	3	kindig	kindig	PROPN
ihlr-16567	195	4	,	,	PUNCT
ihlr-16567	195	5	a	a	DET
ihlr-16567	195	6	pay	pay	NOUN
ihlr-16567	195	7	-	-	PUNCT
ihlr-16567	195	8	forppopulation	forppopulation	NOUN
ihlr-16567	195	9	health	health	NOUN
ihlr-16567	195	10	performance	performance	NOUN
ihlr-16567	195	11	system	system	NOUN
ihlr-16567	195	12	.	.	PUNCT
ihlr-16567	196	1	296	296	NUM
ihlr-16567	196	2	jama	jama	NOUN
ihlr-16567	196	3	2611	2611	NUM
ihlr-16567	196	4	,	,	PUNCT
ihlr-16567	196	5	2611	2611	NUM
ihlr-16567	196	6	(	(	PUNCT
ihlr-16567	196	7	2006	2006	NUM
ihlr-16567	196	8	)	)	PUNCT
ihlr-16567	196	9	.	.	PUNCT
ihlr-16567	197	1	see	see	VERB
ihlr-16567	197	2	also	also	ADV
ihlr-16567	197	3	michael	michael	PROPN
ihlr-16567	197	4	mcginnis	mcginnis	PROPN
ihlr-16567	197	5	,	,	PUNCT
ihlr-16567	197	6	institute	institute	PROPN
ihlr-16567	197	7	of	of	ADP
ihlr-16567	197	8	medicine	medicine	NOUN
ihlr-16567	197	9	,	,	PUNCT
ihlr-16567	197	10	special	special	ADJ
ihlr-16567	197	11	remarks	remark	NOUN
ihlr-16567	197	12	at	at	ADP
ihlr-16567	197	13	the	the	DET
ihlr-16567	197	14	american	american	PROPN
ihlr-16567	197	15	enterprise	enterprise	PROPN
ihlr-16567	197	16	institute	institute	PROPN
ihlr-16567	197	17	for	for	ADP
ihlr-16567	197	18	public	public	ADJ
ihlr-16567	197	19	policy	policy	NOUN
ihlr-16567	197	20	research	research	NOUN
ihlr-16567	197	21	conference	conference	NOUN
ihlr-16567	197	22	:	:	PUNCT
ihlr-16567	197	23	determinants	determinant	NOUN
ihlr-16567	197	24	of	of	ADP
ihlr-16567	197	25	avoidable	avoidable	ADJ
ihlr-16567	197	26	mortality	mortality	NOUN
ihlr-16567	197	27	,	,	PUNCT
ihlr-16567	197	28	investment	investment	NOUN
ihlr-16567	197	29	in	in	ADP
ihlr-16567	197	30	health	health	NOUN
ihlr-16567	197	31	promotion	promotion	NOUN
ihlr-16567	197	32	and	and	CCONJ
ihlr-16567	197	33	disease	disease	NOUN
ihlr-16567	197	34	prevention	prevention	NOUN
ihlr-16567	197	35	(	(	PUNCT
ihlr-16567	197	36	july	july	PROPN
ihlr-16567	197	37	23	23	NUM
ihlr-16567	197	38	,	,	PUNCT
ihlr-16567	197	39	2008	2008	NUM
ihlr-16567	197	40	)	)	PUNCT
ihlr-16567	197	41	.	.	PUNCT
ihlr-16567	198	1	31	31	NUM
ihlr-16567	198	2	.	.	PUNCT
ihlr-16567	199	1	rosenthal	rosenthal	PROPN
ihlr-16567	199	2	&	&	CCONJ
ihlr-16567	199	3	dudley	dudley	PROPN
ihlr-16567	199	4	,	,	PUNCT
ihlr-16567	199	5	supra	supra	PROPN
ihlr-16567	199	6	note	note	NOUN
ihlr-16567	199	7	2	2	NUM
ihlr-16567	199	8	,	,	PUNCT
ihlr-16567	199	9	at	at	ADP
ihlr-16567	199	10	743	743	NUM
ihlr-16567	199	11	.	.	PUNCT
ihlr-16567	199	12	2010	2010	NUM
ihlr-16567	199	13	]	]	PUNCT
ihlr-16567	199	14	"	"	PUNCT
ihlr-16567	199	15	shared	share	VERB
ihlr-16567	199	16	accountability	accountability	NOUN
ihlr-16567	199	17	''	''	PUNCT
ihlr-16567	199	18	approach	approach	NOUN
ihlr-16567	199	19	197	197	NUM
ihlr-16567	199	20	piing	piing	NOUN
ihlr-16567	199	21	required	require	VERB
ihlr-16567	199	22	for	for	ADP
ihlr-16567	199	23	statewide	statewide	ADJ
ihlr-16567	199	24	measurement	measurement	NOUN
ihlr-16567	199	25	would	would	AUX
ihlr-16567	199	26	not	not	PART
ihlr-16567	199	27	be	be	AUX
ihlr-16567	199	28	sufficient	sufficient	ADJ
ihlr-16567	199	29	for	for	ADP
ihlr-16567	199	30	small­	small­	NOUN
ihlr-16567	199	31	er	er	INTJ
ihlr-16567	199	32	populations	population	NOUN
ihlr-16567	199	33	,	,	PUNCT
ihlr-16567	199	34	requiring	require	VERB
ihlr-16567	199	35	wider	wide	ADJ
ihlr-16567	199	36	use	use	NOUN
ihlr-16567	199	37	of	of	ADP
ihlr-16567	199	38	instruments	instrument	NOUN
ihlr-16567	199	39	such	such	ADJ
ihlr-16567	199	40	as	as	ADP
ihlr-16567	199	41	cahps	cahps	NOUN
ihlr-16567	199	42	surveys	survey	NOUN
ihlr-16567	199	43	or	or	CCONJ
ihlr-16567	199	44	the	the	DET
ihlr-16567	199	45	medicare	medicare	PROPN
ihlr-16567	199	46	health	health	PROPN
ihlr-16567	199	47	outcomes	outcome	NOUN
ihlr-16567	199	48	survey	survey	VERB
ihlr-16567	199	49	.	.	PUNCT
ihlr-16567	200	1	iv	iv	X
ihlr-16567	200	2	.	.	PUNCT
ihlr-16567	201	1	making	make	VERB
ihlr-16567	201	2	the	the	DET
ihlr-16567	201	3	system	system	NOUN
ihlr-16567	201	4	work	work	NOUN
ihlr-16567	201	5	:	:	PUNCT
ihlr-16567	201	6	tools	tool	NOUN
ihlr-16567	201	7	at	at	ADP
ihlr-16567	201	8	doctors	doctor	NOUN
ihlr-16567	201	9	'	'	PART
ihlr-16567	201	10	disposal	disposal	NOUN
ihlr-16567	201	11	a	a	DET
ihlr-16567	201	12	shared	share	VERB
ihlr-16567	201	13	accountability	accountability	NOUN
ihlr-16567	201	14	regime	regime	NOUN
ihlr-16567	201	15	assumes	assume	VERB
ihlr-16567	201	16	that	that	SCONJ
ihlr-16567	201	17	doctors	doctor	NOUN
ihlr-16567	201	18	would	would	AUX
ihlr-16567	201	19	apply	apply	VERB
ihlr-16567	201	20	col­	col­	NOUN
ihlr-16567	201	21	lective	lective	ADJ
ihlr-16567	201	22	action	action	NOUN
ihlr-16567	201	23	to	to	PART
ihlr-16567	201	24	improve	improve	VERB
ihlr-16567	201	25	quality	quality	NOUN
ihlr-16567	201	26	and	and	CCONJ
ihlr-16567	201	27	efficiency	efficiency	NOUN
ihlr-16567	201	28	.	.	PUNCT
ihlr-16567	202	1	the	the	DET
ihlr-16567	202	2	sgr	sgr	PROPN
ihlr-16567	202	3	system	system	NOUN
ihlr-16567	202	4	was	be	AUX
ihlr-16567	202	5	in­	in­	PROPN
ihlr-16567	202	6	tended	tend	VERB
ihlr-16567	202	7	to	to	PART
ihlr-16567	202	8	impose	impose	VERB
ihlr-16567	202	9	a	a	DET
ihlr-16567	202	10	global	global	ADJ
ihlr-16567	202	11	budget	budget	NOUN
ihlr-16567	202	12	on	on	ADP
ihlr-16567	202	13	physician	physician	NOUN
ihlr-16567	202	14	services	service	NOUN
ihlr-16567	202	15	,	,	PUNCT
ihlr-16567	202	16	by	by	ADP
ihlr-16567	202	17	automatically	automatically	ADV
ihlr-16567	202	18	cutting	cut	VERB
ihlr-16567	202	19	reimbursements	reimbursement	NOUN
ihlr-16567	202	20	when	when	SCONJ
ihlr-16567	202	21	expenditures	expenditure	NOUN
ihlr-16567	202	22	exceed	exceed	VERB
ihlr-16567	202	23	the	the	DET
ihlr-16567	202	24	target	target	NOUN
ihlr-16567	202	25	amount	amount	NOUN
ihlr-16567	202	26	.	.	PUNCT
ihlr-16567	203	1	in	in	ADP
ihlr-16567	203	2	the	the	DET
ihlr-16567	203	3	aggregate	aggregate	NOUN
ihlr-16567	203	4	this	this	DET
ihlr-16567	203	5	mechanism	mechanism	NOUN
ihlr-16567	203	6	should	should	AUX
ihlr-16567	203	7	have	have	AUX
ihlr-16567	203	8	created	create	VERB
ihlr-16567	203	9	an	an	DET
ihlr-16567	203	10	incentive	incentive	NOUN
ihlr-16567	203	11	for	for	SCONJ
ihlr-16567	203	12	doctors	doctor	NOUN
ihlr-16567	203	13	to	to	PART
ihlr-16567	203	14	reduce	reduce	VERB
ihlr-16567	203	15	growth	growth	NOUN
ihlr-16567	203	16	in	in	ADP
ihlr-16567	203	17	expenditures	expenditure	NOUN
ihlr-16567	203	18	,	,	PUNCT
ihlr-16567	203	19	but	but	CCONJ
ihlr-16567	203	20	in	in	ADP
ihlr-16567	203	21	practice	practice	NOUN
ihlr-16567	203	22	,	,	PUNCT
ihlr-16567	203	23	with	with	SCONJ
ihlr-16567	203	24	individual	individual	ADJ
ihlr-16567	203	25	doctors	doctor	NOUN
ihlr-16567	203	26	act­	act­	VERB
ihlr-16567	203	27	ing	e	VERB
ihlr-16567	203	28	in	in	ADP
ihlr-16567	203	29	their	their	PRON
ihlr-16567	203	30	own	own	ADJ
ihlr-16567	203	31	interest	interest	NOUN
ihlr-16567	203	32	,	,	PUNCT
ihlr-16567	203	33	the	the	DET
ihlr-16567	203	34	system	system	NOUN
ihlr-16567	203	35	could	could	AUX
ihlr-16567	203	36	not	not	PART
ihlr-16567	203	37	work	work	VERB
ihlr-16567	203	38	.	.	PUNCT
ihlr-16567	204	1	as	as	SCONJ
ihlr-16567	204	2	med.p	med.p	PROPN
ihlr-16567	204	3	ac	ac	PROPN
ihlr-16567	204	4	has	have	AUX
ihlr-16567	204	5	observed	observe	VERB
ihlr-16567	204	6	,	,	PUNCT
ihlr-16567	204	7	"	"	PUNCT
ihlr-16567	204	8	the	the	DET
ihlr-16567	204	9	sgr	sgr	PROPN
ihlr-16567	204	10	system	system	NOUN
ihlr-16567	204	11	has	have	VERB
ihlr-16567	204	12	several	several	ADJ
ihlr-16567	204	13	flaws	flaw	NOUN
ihlr-16567	204	14	.	.	PUNCT
ihlr-16567	205	1	'.32	'.32	PROPN
ihlr-16567	206	1	one	one	NUM
ihlr-16567	206	2	,	,	PUNCT
ihlr-16567	206	3	medpac	medpac	PROPN
ihlr-16567	206	4	notes	note	NOUN
ihlr-16567	206	5	,	,	PUNCT
ihlr-16567	206	6	is	be	AUX
ihlr-16567	206	7	the	the	DET
ihlr-16567	206	8	sgr	sgr	PROPN
ihlr-16567	206	9	's	's	PART
ihlr-16567	206	10	failure	failure	NOUN
ihlr-16567	206	11	to	to	PART
ihlr-16567	206	12	address	address	VERB
ihlr-16567	206	13	"	"	PUNCT
ihlr-16567	206	14	inherent	inherent	ADJ
ihlr-16567	206	15	inflationary	inflationary	ADJ
ihlr-16567	206	16	incentives	incentive	NOUN
ihlr-16567	206	17	"	"	PUNCT
ihlr-16567	206	18	built	build	VERB
ihlr-16567	206	19	into	into	ADP
ihlr-16567	206	20	fee	fee	NOUN
ihlr-16567	206	21	-	-	PUNCT
ihlr-16567	206	22	for	for	ADP
ihlr-16567	206	23	-	-	PUNCT
ihlr-16567	206	24	service	service	NOUN
ihlr-16567	206	25	payment	payment	NOUN
ihlr-16567	206	26	:	:	PUNCT
ihlr-16567	206	27	medicare	medicare	PROPN
ihlr-16567	206	28	's	's	PART
ihlr-16567	206	29	fee	fee	NOUN
ihlr-16567	206	30	schedule	schedule	NOUN
ihlr-16567	206	31	pays	pay	VERB
ihlr-16567	206	32	for	for	ADP
ihlr-16567	206	33	the	the	DET
ihlr-16567	206	34	discrete	discrete	ADJ
ihlr-16567	206	35	services	service	NOUN
ihlr-16567	206	36	a	a	DET
ihlr-16567	206	37	physician	physician	NOUN
ihlr-16567	206	38	fwnishes	fwnishe	NOUN
ihlr-16567	206	39	-	-	PUNCT
ihlr-16567	206	40	visits	visit	NOUN
ihlr-16567	206	41	,	,	PUNCT
ihlr-16567	206	42	imaging	imaging	NOUN
ihlr-16567	206	43	studies	study	NOUN
ihlr-16567	206	44	,	,	PUNCT
ihlr-16567	206	45	laboratory	laboratory	NOUN
ihlr-16567	206	46	and	and	CCONJ
ihlr-16567	206	47	other	other	ADJ
ihlr-16567	206	48	diagnostic	diagnostic	ADJ
ihlr-16567	206	49	tests	test	NOUN
ihlr-16567	206	50	,	,	PUNCT
ihlr-16567	206	51	and	and	CCONJ
ihlr-16567	206	52	procedures	procedure	NOUN
ihlr-16567	206	53	.	.	PUNCT
ihlr-16567	207	1	such	such	DET
ihlr-16567	207	2	a	a	DET
ihlr-16567	207	3	small	small	ADJ
ihlr-16567	207	4	unit	unit	NOUN
ihlr-16567	207	5	of	of	ADP
ihlr-16567	207	6	payment	payment	NOUN
ihlr-16567	207	7	gives	give	VERB
ihlr-16567	207	8	physicians	physician	NOUN
ihlr-16567	207	9	a	a	DET
ihlr-16567	207	10	financial	financial	ADJ
ihlr-16567	207	11	incentive	incentive	NOUN
ihlr-16567	207	12	to	to	PART
ihlr-16567	207	13	increase	increase	VERB
ihlr-16567	207	14	the	the	DET
ihlr-16567	207	15	vo­	vo­	NOUN
ihlr-16567	207	16	lume	lume	NOUN
ihlr-16567	207	17	of	of	ADP
ihlr-16567	207	18	services	service	NOUN
ihlr-16567	207	19	they	they	PRON
ihlr-16567	207	20	finnish	finnish	VERB
ihlr-16567	207	21	.	.	PUNCT
ihlr-16567	208	1	most	most	ADJ
ihlr-16567	208	2	beneficiaries	beneficiary	NOUN
ihlr-16567	208	3	have	have	VERB
ihlr-16567	208	4	supplemental	supplemental	ADJ
ihlr-16567	208	5	coverage	coverage	NOUN
ihlr-16567	208	6	that	that	PRON
ihlr-16567	208	7	shields	shield	VERB
ihlr-16567	208	8	them	they	PRON
ihlr-16567	208	9	from	from	ADP
ihlr-16567	208	10	the	the	DET
ihlr-16567	208	11	costs	cost	NOUN
ihlr-16567	208	12	of	of	ADP
ihlr-16567	208	13	services	service	NOUN
ihlr-16567	208	14	,	,	PUNCT
ihlr-16567	208	15	which	which	PRON
ihlr-16567	208	16	contributes	contribute	VERB
ihlr-16567	208	17	to	to	ADP
ihlr-16567	208	18	the	the	DET
ihlr-16567	208	19	problem	problem	NOUN
ihlr-16567	208	20	.	.	PUNCT
ihlr-16567	209	1	33	33	NUM
ihlr-16567	209	2	studies	study	NOUN
ihlr-16567	209	3	have	have	AUX
ihlr-16567	209	4	shown	show	VERB
ihlr-16567	209	5	that	that	SCONJ
ihlr-16567	209	6	physicians	physician	NOUN
ihlr-16567	209	7	do	do	VERB
ihlr-16567	209	8	in	in	ADP
ihlr-16567	209	9	fact	fact	NOUN
ihlr-16567	209	10	act·upon	act·upon	ADP
ihlr-16567	209	11	this	this	DET
ihlr-16567	209	12	incentive	incentive	NOUN
ihlr-16567	209	13	,	,	PUNCT
ihlr-16567	209	14	and	and	CCONJ
ihlr-16567	209	15	that	that	SCONJ
ihlr-16567	209	16	''	''	PUNCT
ihlr-16567	209	17	reduced	reduced	ADJ
ihlr-16567	209	18	fees	fee	NOUN
ihlr-16567	209	19	are	be	AUX
ihlr-16567	209	20	likely	likely	ADJ
ihlr-16567	209	21	to	to	PART
ihlr-16567	209	22	be	be	AUX
ihlr-16567	209	23	met	meet	VERB
ihlr-16567	209	24	by	by	ADP
ihlr-16567	209	25	a	a	DET
ihlr-16567	209	26	combination	combination	NOUN
ihlr-16567	209	27	of	of	ADP
ihlr-16567	209	28	an	an	DET
ihlr-16567	209	29	increase	increase	NOUN
ihlr-16567	209	30	in	in	ADP
ihlr-16567	209	31	volume	volume	NOUN
ihlr-16567	209	32	and	and	CCONJ
ihlr-16567	209	33	a	a	DET
ihlr-16567	209	34	shift	shift	NOUN
ihlr-16567	209	35	in	in	ADP
ihlr-16567	209	36	the	the	DET
ihlr-16567	209	37	mix	mix	NOUN
ihlr-16567	209	38	or	or	CCONJ
ihlr-16567	209	39	intensity	intensity	NOUN
ihlr-16567	209	40	of	of	ADP
ihlr-16567	209	41	services	service	NOUN
ihlr-16567	209	42	fwnished	fwnishe	VERB
ihlr-16567	209	43	to	to	ADP
ihlr-16567	209	44	medi­	medi­	PROPN
ihlr-16567	209	45	care	care	NOUN
ihlr-16567	209	46	beneficiaries'.34	beneficiaries'.34	NOUN
ihlr-16567	209	47	as	as	SCONJ
ihlr-16567	209	48	physicians	physician	NOUN
ihlr-16567	209	49	seek	seek	VERB
ihlr-16567	209	50	to	to	PART
ihlr-16567	209	51	maintain	maintain	VERB
ihlr-16567	209	52	a	a	DET
ihlr-16567	209	53	target	target	NOUN
ihlr-16567	209	54	income	income	NOUN
ihlr-16567	209	55	--	--	PUNCT
ihlr-16567	209	56	the	the	DET
ihlr-16567	209	57	so	so	ADV
ihlr-16567	209	58	called	call	VERB
ihlr-16567	209	59	"	"	PUNCT
ihlr-16567	209	60	income	income	NOUN
ihlr-16567	209	61	effect	effect	NOUN
ihlr-16567	209	62	.	.	PUNCT
ihlr-16567	209	63	"	"	PUNCT
ihlr-16567	210	1	the	the	DET
ihlr-16567	210	2	other	other	ADJ
ihlr-16567	210	3	flaw	flaw	NOUN
ihlr-16567	210	4	identified	identify	VERB
ihlr-16567	210	5	by	by	ADP
ihlr-16567	210	6	medpac	medpac	PROPN
ihlr-16567	210	7	is	be	AUX
ihlr-16567	210	8	the	the	DET
ihlr-16567	210	9	sgr	sgr	PROPN
ihlr-16567	210	10	's	's	PART
ihlr-16567	210	11	"	"	PUNCT
ihlr-16567	210	12	lack	lack	NOUN
ihlr-16567	210	13	ofdifferen-	ofdifferen-	X
ihlr-16567	210	14	·	·	SYM
ihlr-16567	210	15	tiation	tiation	NOUN
ihlr-16567	210	16	"	"	PUNCT
ihlr-16567	210	17	among	among	ADP
ihlr-16567	210	18	physicians	physician	NOUN
ihlr-16567	210	19	.	.	PUNCT
ihlr-16567	211	1	the	the	DET
ihlr-16567	211	2	sgr	sgr	PROPN
ihlr-16567	211	3	treats	treat	VERB
ihlr-16567	211	4	all	all	DET
ihlr-16567	211	5	physicians	physician	NOUN
ihlr-16567	211	6	-	-	PUNCT
ihlr-16567	211	7	regardless	regardless	ADV
ihlr-16567	211	8	of	of	ADP
ihlr-16567	211	9	their	their	PRON
ihlr-16567	211	10	in­	in­	ADJ
ihlr-16567	211	11	dividual	dividual	ADJ
ihlr-16567	211	12	volume	volume	NOUN
ihlr-16567	211	13	-	-	PUNCT
ihlr-16567	211	14	inducing	induce	VERB
ihlr-16567	211	15	behavior	behavior	NOUN
ihlr-16567	211	16	-	-	PUNCT
ihlr-16567	211	17	and	and	CCONJ
ihlr-16567	211	18	regions	region	NOUN
ihlr-16567	211	19	of	of	ADP
ihlr-16567	211	20	the	the	DET
ihlr-16567	211	21	country	country	NOUN
ihlr-16567	211	22	alike	alike	ADV
ihlr-16567	211	23	.	.	PUNCT
ihlr-16567	212	1	across	across	ADP
ihlr-16567	212	2	-	-	PUNCT
ihlr-16567	212	3	the	the	DET
ihlr-16567	212	4	-	-	PUNCT
ihlr-16567	212	5	board	board	NOUN
ihlr-16567	212	6	cuts	cut	NOUN
ihlr-16567	212	7	fall	fall	VERB
ihlr-16567	212	8	particu32	particu32	NOUN
ihlr-16567	212	9	.	.	PUNCT
ihlr-16567	213	1	medicare	medicare	PROPN
ihlr-16567	213	2	payment	payment	PROPN
ihlr-16567	213	3	advisory	advisory	PROPN
ihlr-16567	213	4	commission	commission	NOUN
ihlr-16567	213	5	,	,	PUNCT
ihlr-16567	213	6	assessing	assess	VERB
ihlr-16567	213	7	alternatives	alternative	NOUN
ihlr-16567	213	8	,	,	PUNCT
ihlr-16567	213	9	supra	supra	PROPN
ihlr-16567	213	10	note	note	NOUN
ihlr-16567	213	11	13	13	NUM
ihlr-16567	213	12	,	,	PUNCT
ihlr-16567	213	13	at	at	ADP
ihlr-16567	213	14	13	13	NUM
ihlr-16567	213	15	.	.	PUNCT
ihlr-16567	213	16	33	33	NUM
ihlr-16567	213	17	.	.	PUNCT
ihlr-16567	214	1	/d	/d	INTJ
ihlr-16567	214	2	.	.	PUNCT
ihlr-16567	215	1	at	at	ADP
ihlr-16567	215	2	14	14	NUM
ihlr-16567	215	3	.	.	PUNCT
ihlr-16567	216	1	34	34	NUM
ihlr-16567	216	2	.	.	PUNCT
ihlr-16567	216	3	memorandum	memorandum	NOUN
ihlr-16567	216	4	from	from	ADP
ihlr-16567	216	5	volume	volume	NOUN
ihlr-16567	216	6	-	-	PUNCT
ihlr-16567	216	7	and	and	CCONJ
ihlr-16567	216	8	-	-	PUNCT
ihlr-16567	216	9	intensity	intensity	NOUN
ihlr-16567	216	10	response	response	NOUN
ihlr-16567	216	11	team	team	NOUN
ihlr-16567	216	12	,	,	PUNCT
ihlr-16567	216	13	office	office	NOUN
ihlr-16567	216	14	of	of	ADP
ihlr-16567	216	15	the	the	DET
ihlr-16567	216	16	actuary	actuary	NOUN
ihlr-16567	216	17	,	,	PUNCT
ihlr-16567	216	18	health	health	NOUN
ihlr-16567	216	19	care	care	NOUN
ihlr-16567	216	20	financing	financing	NOUN
ihlr-16567	216	21	admin	admin	ADJ
ihlr-16567	216	22	.	.	PROPN
ihlr-16567	216	23	,	,	PUNCT
ihlr-16567	216	24	to	to	ADP
ihlr-16567	216	25	richards	richard	NOUN
ihlr-16567	216	26	.	.	PUNCT
ihlr-16567	217	1	foster	foster	PROPN
ihlr-16567	217	2	,	,	PUNCT
ihlr-16567	217	3	chief	chief	ADJ
ihlr-16567	217	4	actuary	actuary	NOUN
ihlr-16567	217	5	(	(	PUNCT
ihlr-16567	217	6	aug	aug	PROPN
ihlr-16567	217	7	.	.	PROPN
ihlr-16567	217	8	13	13	NUM
ihlr-16567	217	9	,	,	PUNCT
ihlr-16567	217	10	1998	1998	NUM
ihlr-16567	217	11	)	)	PUNCT
ihlr-16567	217	12	(	(	PUNCT
ihlr-16567	217	13	on	on	ADP
ihlr-16567	217	14	file	file	NOUN
ihlr-16567	217	15	with	with	ADP
ihlr-16567	217	16	the	the	DET
ihlr-16567	217	17	indiana	indiana	PROPN
ihlr-16567	217	18	health	health	PROPN
ihlr-16567	217	19	law	law	PROPN
ihlr-16567	217	20	review	review	PROPN
ihlr-16567	217	21	)	)	PUNCT
ihlr-16567	217	22	,	,	PUNCT
ihlr-16567	217	23	available	available	ADJ
ihlr-16567	217	24	at	at	ADP
ihlr-16567	217	25	ht1p:/lwww.cms.hhs.gov/	ht1p:/lwww.cms.hhs.gov/	PROPN
ihlr-16567	217	26	actuarialstu­	actuarialstu­	PROPN
ihlr-16567	217	27	diesldownloads	diesldownload	NOUN
ihlr-16567	217	28	/	/	SYM
ihlr-16567	217	29	physicianresponse.pdf(last	physicianresponse.pdf(last	PRON
ihlr-16567	217	30	visited	visit	VERB
ihlr-16567	217	31	may	may	PROPN
ihlr-16567	217	32	15	15	NUM
ihlr-16567	217	33	,	,	PUNCT
ihlr-16567	217	34	2010	2010	NUM
ihlr-16567	217	35	)	)	PUNCT
ihlr-16567	218	1	[	[	X
ihlr-16567	218	2	hereinafter	hereinafter	NOUN
ihlr-16567	218	3	memo	memo	NOUN
ihlr-16567	218	4	from	from	ADP
ihlr-16567	218	5	volume	volume	NOUN
ihlr-16567	218	6	-	-	PUNCT
ihlr-16567	218	7	and	and	CCONJ
ihlr-16567	218	8	-	-	PUNCT
ihlr-16567	218	9	intensity	intensity	NOUN
ihlr-16567	218	10	response	response	NOUN
ihlr-16567	218	11	team	team	NOUN
ihlr-16567	218	12	]	]	PUNCT
ihlr-16567	218	13	.	.	PUNCT
ihlr-16567	219	1	198	198	NUM
ihlr-16567	219	2	indiana	indiana	PROPN
ihlr-16567	219	3	health	health	PROPN
ihlr-16567	219	4	law	law	PROPN
ihlr-16567	219	5	review	review	NOUN
ihlr-16567	219	6	lady	lady	NOUN
ihlr-16567	219	7	hard	hard	ADV
ihlr-16567	219	8	on	on	ADP
ihlr-16567	219	9	specialties	specialty	NOUN
ihlr-16567	219	10	that	that	PRON
ihlr-16567	219	11	have	have	VERB
ihlr-16567	219	12	less	less	ADJ
ihlr-16567	219	13	opportunity	opportunity	NOUN
ihlr-16567	219	14	to	to	PART
ihlr-16567	219	15	inflate	inflate	VERB
ihlr-16567	219	16	the	the	DET
ihlr-16567	219	17	volume	volume	NOUN
ihlr-16567	219	18	and	and	CCONJ
ihlr-16567	219	19	intensity	intensity	NOUN
ihlr-16567	219	20	of	of	ADP
ihlr-16567	219	21	the	the	DET
ihlr-16567	219	22	services	service	NOUN
ihlr-16567	219	23	they	they	PRON
ihlr-16567	219	24	·	·	PUNCT
ihlr-16567	219	25	·	·	PUNCT
ihlr-16567	219	26	provide	provide	VERB
ihlr-16567	219	27	and	and	CCONJ
ihlr-16567	219	28	on	on	ADP
ihlr-16567	219	29	regions	region	NOUN
ihlr-16567	219	30	of	of	ADP
ihlr-16567	219	31	the	the	DET
ihlr-16567	219	32	country	country	NOUN
ihlr-16567	219	33	that	that	PRON
ihlr-16567	219	34	have	have	VERB
ihlr-16567	219	35	dem­	dem­	NOUN
ihlr-16567	219	36	onstrated	onstrate	VERB
ihlr-16567	219	37	more	more	ADV
ihlr-16567	219	38	efficient	efficient	ADJ
ihlr-16567	219	39	practice	practice	NOUN
ihlr-16567	219	40	patterns	pattern	NOUN
ihlr-16567	219	41	...	...	PUNCT
ihlr-16567	219	42	at	at	ADP
ihlr-16567	219	43	the	the	DET
ihlr-16567	219	44	same	same	ADJ
ihlr-16567	219	45	time	time	NOUN
ihlr-16567	219	46	,	,	PUNCT
ihlr-16567	219	47	the	the	DET
ihlr-16567	219	48	sgr	sgr	PROPN
ihlr-16567	219	49	treats	treat	VERB
ihlr-16567	219	50	all	all	DET
ihlr-16567	219	51	volume	volume	NOUN
ihlr-16567	219	52	increases	increase	VERB
ihlr-16567	219	53	the	the	DET
ihlr-16567	219	54	same	same	ADJ
ihlr-16567	219	55	,	,	PUNCT
ihlr-16567	219	56	even	even	ADV
ihlr-16567	219	57	though	though	SCONJ
ihlr-16567	219	58	some	some	PRON
ihlr-16567	219	59	may	may	AUX
ihlr-16567	219	60	be	be	AUX
ihlr-16567	219	61	desirable	desirable	ADJ
ihlr-16567	219	62	,	,	PUNCT
ihlr-16567	219	63	such	such	ADJ
ihlr-16567	219	64	as	as	ADP
ihlr-16567	219	65	those	those	PRON
ihlr-16567	219	66	that	that	PRON
ihlr-16567	219	67	improve	improve	VERB
ihlr-16567	219	68	quality	quality	NOUN
ihlr-16567	219	69	or	or	CCONJ
ihlr-16567	219	70	that	that	DET
ihlr-16567	219	71	substitute	substitute	NOUN
ihlr-16567	219	72	for	for	ADP
ihlr-16567	219	73	more	more	ADV
ihlr-16567	219	74	expensive	expensive	ADJ
ihlr-16567	219	75	nonphysician	nonphysician	ADJ
ihlr-16567	219	76	services.35	services.35	NOUN
ihlr-16567	219	77	[	[	X
ihlr-16567	219	78	vol	vol	NOUN
ihlr-16567	219	79	.	.	PUNCT
ihlr-16567	220	1	7:185	7:185	NUM
ihlr-16567	220	2	"	"	PUNCT
ihlr-16567	220	3	ideally	ideally	ADV
ihlr-16567	220	4	,	,	PUNCT
ihlr-16567	220	5	an	an	DET
ihlr-16567	220	6	expenditure	expenditure	NOUN
ihlr-16567	220	7	target	target	NOUN
ihlr-16567	220	8	would	would	AUX
ihlr-16567	220	9	provide	provide	VERB
ihlr-16567	220	10	individual	individual	ADJ
ihlr-16567	220	11	physicians	physician	NOUN
ihlr-16567	220	12	with	with	ADP
ihlr-16567	220	13	an	an	DET
ihlr-16567	220	14	incentive	incentive	NOUN
ihlr-16567	220	15	to	to	PART
ihlr-16567	220	16	control	control	VERB
ihlr-16567	220	17	the	the	DET
ihlr-16567	220	18	volume	volume	NOUN
ihlr-16567	220	19	of	of	ADP
ihlr-16567	220	20	services,'.j6	services,'.j6	PROPN
ihlr-16567	220	21	medp	medp	PROPN
ihlr-16567	220	22	ac	ac	PROPN
ihlr-16567	220	23	notes	note	NOUN
ihlr-16567	220	24	.	.	PUNCT
ihlr-16567	221	1	"	"	PUNCT
ihlr-16567	221	2	but	but	CCONJ
ihlr-16567	221	3	under	under	ADP
ihlr-16567	221	4	the	the	DET
ihlr-16567	221	5	sgr	sgr	PROPN
ihlr-16567	221	6	,	,	PUNCT
ihlr-16567	221	7	an	an	DET
ihlr-16567	221	8	efficient	efficient	ADJ
ihlr-16567	221	9	physician	physician	NOUN
ihlr-16567	221	10	who	who	PRON
ihlr-16567	221	11	reduces	reduce	VERB
ihlr-16567	221	12	volume	volume	NOUN
ihlr-16567	221	13	does	do	AUX
ihlr-16567	221	14	not	not	PART
ihlr-16567	221	15	realize	realize	VERB
ihlr-16567	221	16	a	a	DET
ihlr-16567	221	17	proportional	proportional	ADJ
ihlr-16567	221	18	increase	increase	NOUN
ihlr-16567	221	19	in	in	ADP
ihlr-16567	221	20	payments	payment	NOUN
ihlr-16567	221	21	.	.	PUNCT
ihlr-16567	222	1	in	in	ADP
ihlr-16567	222	2	fact	fact	NOUN
ihlr-16567	222	3	,	,	PUNCT
ihlr-16567	222	4	that	that	DET
ihlr-16567	222	5	physician	physician	NOUN
ihlr-16567	222	6	loses	lose	VERB
ihlr-16567	222	7	twice­	twice­	PROPN
ihlr-16567	222	8	once	once	ADV
ihlr-16567	222	9	by	by	ADP
ihlr-16567	222	10	reducing	reduce	VERB
ihlr-16567	222	11	billed	bill	VERB
ihlr-16567	222	12	services	service	NOUN
ihlr-16567	222	13	and	and	CCONJ
ihlr-16567	222	14	once	once	ADV
ihlr-16567	222	15	through	through	ADP
ihlr-16567	222	16	reduced	reduce	VERB
ihlr-16567	222	17	future	future	ADJ
ihlr-16567	222	18	fees	fee	NOUN
ihlr-16567	222	19	.	.	PUNCT
ihlr-16567	223	1	"37	"37	VERB
ihlr-16567	223	2	under	under	ADP
ihlr-16567	223	3	a	a	DET
ihlr-16567	223	4	shared	share	VERB
ihlr-16567	223	5	accountability	accountability	NOUN
ihlr-16567	223	6	system	system	NOUN
ihlr-16567	223	7	,	,	PUNCT
ihlr-16567	223	8	ideally	ideally	ADV
ihlr-16567	223	9	these	these	DET
ihlr-16567	223	10	incentives	incentive	NOUN
ihlr-16567	223	11	should	should	AUX
ihlr-16567	223	12	be	be	AUX
ihlr-16567	223	13	reversed	reverse	VERB
ihlr-16567	223	14	.	.	PUNCT
ihlr-16567	224	1	the	the	DET
ihlr-16567	224	2	overarching	overarching	ADJ
ihlr-16567	224	3	incentive	incentive	NOUN
ihlr-16567	224	4	created	create	VERB
ihlr-16567	224	5	by	by	ADP
ihlr-16567	224	6	the	the	DET
ihlr-16567	224	7	aco	aco	PROPN
ihlr-16567	224	8	regime	regime	NOUN
ihlr-16567	224	9	is	be	AUX
ihlr-16567	224	10	for	for	SCONJ
ihlr-16567	224	11	doctors	doctor	NOUN
ihlr-16567	224	12	to	to	PART
ihlr-16567	224	13	cooperate	cooperate	VERB
ihlr-16567	224	14	among	among	ADP
ihlr-16567	224	15	themselves	themselves	PRON
ihlr-16567	224	16	and	and	CCONJ
ihlr-16567	224	17	with	with	ADP
ihlr-16567	224	18	other	other	ADJ
ihlr-16567	224	19	providers	provider	NOUN
ihlr-16567	224	20	to	to	PART
ihlr-16567	224	21	generate	generate	VERB
ihlr-16567	224	22	a	a	DET
ihlr-16567	224	23	positive	positive	ADJ
ihlr-16567	224	24	update	update	NOUN
ihlr-16567	224	25	.	.	PUNCT
ihlr-16567	225	1	the	the	DET
ihlr-16567	225	2	localized	localized	PROPN
ihlr-16567	225	3	aco	aco	PROPN
ihlr-16567	225	4	gives	give	VERB
ihlr-16567	225	5	doctors	doctor	NOUN
ihlr-16567	225	6	a	a	DET
ihlr-16567	225	7	realistic	realistic	ADJ
ihlr-16567	225	8	opportunity	opportunity	NOUN
ihlr-16567	225	9	to	to	PART
ihlr-16567	225	10	cooperate	cooperate	VERB
ihlr-16567	225	11	in	in	ADP
ihlr-16567	225	12	quality	quality	NOUN
ihlr-16567	225	13	and	and	CCONJ
ihlr-16567	225	14	efficiency	efficiency	NOUN
ihlr-16567	225	15	efforts	effort	NOUN
ihlr-16567	225	16	because	because	SCONJ
ihlr-16567	225	17	of	of	ADP
ihlr-16567	225	18	the	the	DET
ihlr-16567	225	19	small	small	ADJ
ihlr-16567	225	20	number	number	NOUN
ihlr-16567	225	21	of	of	ADP
ihlr-16567	225	22	physicians	physician	NOUN
ihlr-16567	225	23	and	and	CCONJ
ihlr-16567	225	24	other	other	ADJ
ihlr-16567	225	25	providers	provider	NOUN
ihlr-16567	225	26	in	in	ADP
ihlr-16567	225	27	the	the	DET
ihlr-16567	225	28	pool.38	pool.38	PROPN
ihlr-16567	225	29	cooperative	cooperative	ADJ
ihlr-16567	225	30	efforts	effort	NOUN
ihlr-16567	225	31	must	must	AUX
ihlr-16567	225	32	be	be	AUX
ihlr-16567	225	33	organized	organize	VERB
ihlr-16567	225	34	.	.	PUNCT
ihlr-16567	226	1	legislation	legislation	NOUN
ihlr-16567	226	2	establishing	establish	VERB
ihlr-16567	226	3	the	the	DET
ihlr-16567	226	4	aco	aco	PROPN
ihlr-16567	226	5	regime	regime	NOUN
ihlr-16567	226	6	could	could	AUX
ihlr-16567	226	7	provide	provide	VERB
ihlr-16567	226	8	for	for	ADP
ihlr-16567	226	9	creation	creation	NOUN
ihlr-16567	226	10	of	of	ADP
ihlr-16567	226	11	a	a	DET
ihlr-16567	226	12	convening	convene	VERB
ihlr-16567	226	13	entity	entity	NOUN
ihlr-16567	226	14	for	for	ADP
ihlr-16567	226	15	each	each	DET
ihlr-16567	226	16	aco	aco	PROPN
ihlr-16567	226	17	,	,	PUNCT
ihlr-16567	226	18	or	or	CCONJ
ihlr-16567	226	19	leave	leave	VERB
ihlr-16567	226	20	it	it	PRON
ihlr-16567	226	21	to	to	ADP
ihlr-16567	226	22	the	the	DET
ihlr-16567	226	23	hospitals	hospital	NOUN
ihlr-16567	226	24	and	and	CCONJ
ihlr-16567	226	25	physicians	physician	NOUN
ihlr-16567	226	26	involved	involve	VERB
ihlr-16567	226	27	to	to	PART
ihlr-16567	226	28	decide	decide	VERB
ihlr-16567	226	29	on	on	ADP
ihlr-16567	226	30	their	their	PRON
ihlr-16567	226	31	own	own	ADJ
ihlr-16567	226	32	whether	whether	SCONJ
ihlr-16567	226	33	or	or	CCONJ
ihlr-16567	226	34	how	how	SCONJ
ihlr-16567	226	35	to	to	PART
ihlr-16567	226	36	coordinate	coordinate	VERB
ihlr-16567	226	37	their	their	PRON
ihlr-16567	226	38	activities	activity	NOUN
ihlr-16567	226	39	.	.	PUNCT
ihlr-16567	227	1	for	for	ADP
ihlr-16567	227	2	the	the	DET
ihlr-16567	227	3	latter	latter	ADJ
ihlr-16567	227	4	approach	approach	NOUN
ihlr-16567	227	5	,	,	PUNCT
ihlr-16567	227	6	congress	congress	PROPN
ihlr-16567	227	7	could	could	AUX
ihlr-16567	227	8	simply	simply	ADV
ihlr-16567	227	9	devolve	devolve	VERB
ihlr-16567	227	10	the	the	DET
ihlr-16567	227	11	sgr	sgr	PROPN
ihlr-16567	227	12	structure	structure	NOUN
ihlr-16567	227	13	to	to	ADP
ihlr-16567	227	14	a	a	DET
ihlr-16567	227	15	lower	low	ADJ
ihlr-16567	227	16	level	level	NOUN
ihlr-16567	227	17	,	,	PUNCT
ihlr-16567	227	18	and	and	CCONJ
ihlr-16567	227	19	couple	couple	VERB
ihlr-16567	227	20	it	it	PRON
ihlr-16567	227	21	with	with	ADP
ihlr-16567	227	22	incentive	incentive	NOUN
ihlr-16567	227	23	pools	pool	NOUN
ihlr-16567	227	24	.	.	PUNCT
ihlr-16567	228	1	in	in	ADP
ihlr-16567	228	2	the	the	DET
ihlr-16567	228	3	pop	pop	NOUN
ihlr-16567	228	4	demonstration	demonstration	NOUN
ihlr-16567	228	5	,	,	PUNCT
ihlr-16567	228	6	it	it	PRON
ihlr-16567	228	7	was	be	AUX
ihlr-16567	228	8	not	not	PART
ihlr-16567	228	9	neces­	neces­	ADJ
ihlr-16567	228	10	sary	sary	NOUN
ihlr-16567	228	11	for	for	ADP
ihlr-16567	228	12	legislation	legislation	NOUN
ihlr-16567	228	13	to	to	PART
ihlr-16567	228	14	establish	establish	VERB
ihlr-16567	228	15	governing	govern	VERB
ihlr-16567	228	16	structures	structure	NOUN
ihlr-16567	228	17	for	for	ADP
ihlr-16567	228	18	the	the	DET
ihlr-16567	228	19	accountable	accountable	NOUN
ihlr-16567	228	20	or­	or­	PUNCT
ihlr-16567	228	21	ganizations	ganization	NOUN
ihlr-16567	228	22	-	-	PUNCT
ihlr-16567	228	23	it	it	PRON
ihlr-16567	228	24	simply	simply	ADV
ihlr-16567	228	25	set	set	VERB
ihlr-16567	228	26	the	the	DET
ihlr-16567	228	27	ground	ground	NOUN
ihlr-16567	228	28	rules	rule	NOUN
ihlr-16567	228	29	for	for	ADP
ihlr-16567	228	30	payment	payment	NOUN
ihlr-16567	228	31	.	.	PUNCT
ihlr-16567	229	1	in	in	ADP
ihlr-16567	229	2	one	one	NUM
ihlr-16567	229	3	case	case	NOUN
ihlr-16567	229	4	,	,	PUNCT
ihlr-16567	229	5	a	a	DET
ihlr-16567	229	6	group	group	NOUN
ihlr-16567	229	7	of	of	ADP
ihlr-16567	229	8	doctors	doctor	NOUN
ihlr-16567	229	9	constituted	constitute	VERB
ihlr-16567	229	10	themselves	themselves	PRON
ihlr-16567	229	11	on	on	ADP
ihlr-16567	229	12	their	their	PRON
ihlr-16567	229	13	own	own	ADJ
ihlr-16567	229	14	initiative	initiative	NOUN
ihlr-16567	229	15	(	(	PUNCT
ihlr-16567	229	16	the	the	DET
ihlr-16567	229	17	middle­	middle­	PROPN
ihlr-16567	229	18	sex	sex	NOUN
ihlr-16567	229	19	health	health	NOUN
ihlr-16567	229	20	system	system	NOUN
ihlr-16567	229	21	)	)	PUNCT
ihlr-16567	229	22	and	and	CCONJ
ihlr-16567	229	23	went	go	VERB
ihlr-16567	229	24	to	to	ADP
ihlr-16567	229	25	work	work	NOUN
ihlr-16567	229	26	.	.	PUNCT
ihlr-16567	230	1	39	39	NUM
ihlr-16567	230	2	in	in	ADP
ihlr-16567	230	3	other	other	ADJ
ihlr-16567	230	4	cases	case	NOUN
ihlr-16567	230	5	,	,	PUNCT
ihlr-16567	230	6	existing	exist	VERB
ihlr-16567	230	7	group	group	NOUN
ihlr-16567	230	8	prac­	prac­	PROPN
ihlr-16567	230	9	tices	tice	NOUN
ihlr-16567	230	10	joined	join	VERB
ihlr-16567	230	11	the	the	DET
ihlr-16567	230	12	project	project	NOUN
ihlr-16567	230	13	;	;	PUNCT
ihlr-16567	230	14	but	but	CCONJ
ihlr-16567	230	15	in	in	ADP
ihlr-16567	230	16	all	all	DET
ihlr-16567	230	17	cases	case	NOUN
ihlr-16567	230	18	,	,	PUNCT
ihlr-16567	230	19	each	each	DET
ihlr-16567	230	20	doctor	doctor	NOUN
ihlr-16567	230	21	group	group	NOUN
ihlr-16567	230	22	organized	organize	VERB
ihlr-16567	230	23	its	its	PRON
ihlr-16567	230	24	own	own	ADJ
ihlr-16567	230	25	care	care	NOUN
ihlr-16567	230	26	coordination	coordination	NOUN
ihlr-16567	230	27	processes	process	NOUN
ihlr-16567	230	28	.	.	PUNCT
ihlr-16567	231	1	to	to	ADP
ihlr-16567	231	2	the	the	DET
ihlr-16567	231	3	extent	extent	NOUN
ihlr-16567	231	4	that	that	SCONJ
ihlr-16567	231	5	the	the	DET
ihlr-16567	231	6	payment	payment	NOUN
ihlr-16567	231	7	structure	structure	NOUN
ihlr-16567	231	8	applies	apply	VERB
ihlr-16567	231	9	parallel	parallel	ADJ
ihlr-16567	231	10	efficiency	efficiency	NOUN
ihlr-16567	231	11	and	and	CCONJ
ihlr-16567	231	12	quality	quality	NOUN
ihlr-16567	231	13	standards	standard	NOUN
ihlr-16567	231	14	,	,	PUNCT
ihlr-16567	231	15	and	and	CCONJ
ihlr-16567	231	16	rewards	reward	NOUN
ihlr-16567	231	17	,	,	PUNCT
ihlr-16567	231	18	to	to	ADP
ihlr-16567	231	19	both	both	CCONJ
ihlr-16567	231	20	the	the	DET
ihlr-16567	231	21	hospital	hospital	NOUN
ihlr-16567	231	22	and	and	CCONJ
ihlr-16567	231	23	the	the	DET
ihlr-16567	231	24	extended	extended	ADJ
ihlr-16567	231	25	medical	medical	ADJ
ihlr-16567	231	26	staff	staff	NOUN
ihlr-16567	231	27	,	,	PUNCT
ihlr-16567	231	28	these	these	DET
ihlr-16567	231	29	sometimes	sometimes	ADV
ihlr-16567	231	30	antagonistic	antagonistic	ADJ
ihlr-16567	231	31	par­	par­	NOUN
ihlr-16567	231	32	ties	tie	NOUN
ihlr-16567	231	33	should	should	AUX
ihlr-16567	231	34	be	be	AUX
ihlr-16567	231	35	able	able	ADJ
ihlr-16567	231	36	to	to	PART
ihlr-16567	231	37	act	act	VERB
ihlr-16567	231	38	in	in	ADP
ihlr-16567	231	39	concert	concert	NOUN
ihlr-16567	231	40	.	.	PUNCT
ihlr-16567	232	1	any	any	DET
ihlr-16567	232	2	legislation	legislation	NOUN
ihlr-16567	232	3	.	.	PUNCT
ihlr-16567	233	1	requiring	require	VERB
ihlr-16567	233	2	or	or	CCONJ
ihlr-16567	233	3	permitting	permit	VERB
ihlr-16567	233	4	a	a	DET
ihlr-16567	233	5	cos	cos	NOUN
ihlr-16567	233	6	would	would	AUX
ihlr-16567	233	7	need	need	VERB
ihlr-16567	233	8	to	to	PART
ihlr-16567	233	9	provide	provide	VERB
ihlr-16567	233	10	35	35	NUM
ihlr-16567	233	11	.	.	PUNCT
ihlr-16567	234	1	medicare	medicare	PROPN
ihlr-16567	234	2	payment	payment	PROPN
ihlr-16567	234	3	advisory	advisory	PROPN
ihlr-16567	234	4	commission	commission	NOUN
ihlr-16567	234	5	,	,	PUNCT
ihlr-16567	234	6	assessing	assess	VERB
ihlr-16567	234	7	alternatives	alternative	NOUN
ihlr-16567	234	8	,	,	PUNCT
ihlr-16567	234	9	supra	supra	PROPN
ihlr-16567	234	10	note	note	NOUN
ihlr-16567	234	11	13	13	NUM
ihlr-16567	234	12	,	,	PUNCT
ihlr-16567	234	13	at	at	ADP
ihlr-16567	234	14	14	14	NUM
ihlr-16567	234	15	.	.	PUNCT
ihlr-16567	235	1	36	36	NUM
ihlr-16567	235	2	.	.	PUNCT
ihlr-16567	236	1	/d	/d	INTJ
ihlr-16567	236	2	.	.	PUNCT
ihlr-16567	237	1	37	37	NUM
ihlr-16567	237	2	.	.	PUNCT
ihlr-16567	238	1	/d	/d	PUNCT
ihlr-16567	238	2	.	.	PUNCT
ihlr-16567	239	1	38~	38~	NUM
ihlr-16567	239	2	see	see	VERB
ihlr-16567	239	3	mancur	mancur	PROPN
ihlr-16567	239	4	olson	olson	PROPN
ihlr-16567	239	5	,	,	PUNCT
ihlr-16567	239	6	the	the	DET
ihlr-16567	239	7	logic	logic	NOUN
ihlr-16567	239	8	of	of	ADP
ihlr-16567	239	9	collective	collective	ADJ
ihlr-16567	239	10	action	action	NOUN
ihlr-16567	239	11	:	:	PUNCT
ihlr-16567	239	12	pubuc	pubuc	NOUN
ihlr-16567	239	13	goods	good	NOUN
ihlr-16567	239	14	and	and	CCONJ
ihlr-16567	239	15	the	the	DET
ihlr-16567	239	16	theory	theory	NOUN
ihlr-16567	239	17	of	of	ADP
ihlr-16567	239	18	groups	group	NOUN
ihlr-16567	239	19	33	33	NUM
ihlr-16567	239	20	-	-	SYM
ihlr-16567	239	21	36	36	NUM
ihlr-16567	239	22	(	(	PUNCT
ihlr-16567	239	23	harvard	harvard	PROPN
ihlr-16567	239	24	university	university	PROPN
ihlr-16567	239	25	press	press	PROPN
ihlr-16567	239	26	1971	1971	NUM
ihlr-16567	239	27	)	)	PUNCT
ihlr-16567	239	28	.	.	PUNCT
ihlr-16567	240	1	39	39	NUM
ihlr-16567	240	2	.	.	PUNCT
ihlr-16567	241	1	michael	michael	PROPN
ihlr-16567	241	2	trisolini	trisolini	PROPN
ihlr-16567	241	3	et	et	PROPN
ihlr-16567	241	4	al	al	PROPN
ihlr-16567	241	5	.	.	PROPN
ihlr-16567	241	6	,	,	PUNCT
ihlr-16567	241	7	medicare	medicare	PROPN
ihlr-16567	241	8	physician	physician	NOUN
ihlr-16567	241	9	group	group	NOUN
ihlr-16567	241	10	practices	practice	NOUN
ihlr-16567	241	11	:	:	PUNCT
ihlr-16567	241	12	innovations	innovation	NOUN
ihlr-16567	241	13	in	in	ADP
ihlr-16567	241	14	quality	quality	NOUN
ihlr-16567	241	15	and	and	CCONJ
ihlr-16567	241	16	ej!iciency	ej!iciency	NOUN
ihlr-16567	241	17	,	,	PUNCT
ihlr-16567	241	18	41	41	NUM
ihlr-16567	241	19	the	the	DET
ihlr-16567	241	20	commonweal	commonweal	ADJ
ihlr-16567	241	21	til	til	NOUN
ihlr-16567	241	22	fund	fund	NOUN
ihlr-16567	241	23	report	report	NOUN
ihlr-16567	241	24	viii	viii	PROPN
ihlr-16567	241	25	(	(	PUNCT
ihlr-16567	241	26	2006	2006	NUM
ihlr-16567	241	27	)	)	PUNCT
ihlr-16567	241	28	.	.	PUNCT
ihlr-16567	242	1	2010	2010	NUM
ihlr-16567	242	2	]	]	PUNCT
ihlr-16567	242	3	"	"	PUNCT
ihlr-16567	242	4	shared	shared	ADJ
ihlr-16567	242	5	accountabll	accountabll	NOUN
ihlr-16567	242	6	..	..	PROPN
ihlr-16567	242	7	ity	ity	PROPN
ihlr-16567	242	8	"	"	PUNCT
ihlr-16567	242	9	approach	approach	NOUN
ihlr-16567	242	10	199	199	NUM
ihlr-16567	242	11	for	for	ADP
ihlr-16567	242	12	exemptions	exemption	NOUN
ihlr-16567	242	13	from	from	ADP
ihlr-16567	242	14	regulations	regulation	NOUN
ihlr-16567	242	15	for	for	ADP
ihlr-16567	242	16	cooperative	cooperative	ADJ
ihlr-16567	242	17	activity	activity	NOUN
ihlr-16567	242	18	consistent	consistent	ADJ
ihlr-16567	242	19	with	with	ADP
ihlr-16567	242	20	the	the	DET
ihlr-16567	242	21	purpose	purpose	NOUN
ihlr-16567	242	22	of	of	ADP
ihlr-16567	242	23	a	a	DET
ihlr-16567	242	24	shared	share	VERB
ihlr-16567	242	25	accountability	accountability	NOUN
ihlr-16567	242	26	regime	regime	NOUN
ihlr-16567	242	27	.	.	PUNCT
ihlr-16567	243	1	arguably	arguably	ADV
ihlr-16567	243	2	,	,	PUNCT
ihlr-16567	243	3	the	the	DET
ihlr-16567	243	4	sharing	sharing	NOUN
ihlr-16567	243	5	of	of	ADP
ihlr-16567	243	6	savings	saving	NOUN
ihlr-16567	243	7	could	could	AUX
ihlr-16567	243	8	violate	violate	VERB
ihlr-16567	243	9	the	the	DET
ihlr-16567	243	10	anti	anti	ADJ
ihlr-16567	243	11	-	-	ADJ
ihlr-16567	243	12	kickback	kickback	ADJ
ihlr-16567	243	13	statute40	statute40	ADV
ihlr-16567	243	14	or	or	CCONJ
ihlr-16567	243	15	the	the	DET
ihlr-16567	243	16	civil	civil	ADJ
ihlr-16567	243	17	monetary	monetary	ADJ
ihlr-16567	243	18	penalty	penalty	NOUN
ihlr-16567	243	19	sta­	sta­	NOUN
ihlr-16567	243	20	tute;41	tute;41	PROPN
ihlr-16567	243	21	and	and	CCONJ
ihlr-16567	243	22	sharing	sharing	NOUN
ihlr-16567	243	23	of	of	ADP
ihlr-16567	243	24	resources	resource	NOUN
ihlr-16567	243	25	such	such	ADJ
ihlr-16567	243	26	as	as	ADP
ihlr-16567	243	27	-	-	PUNCT
ihlr-16567	243	28	electronic	electronic	ADJ
ihlr-16567	243	29	medical	medical	ADJ
ihlr-16567	243	30	records	record	NOUN
ihlr-16567	243	31	between	between	ADP
ihlr-16567	243	32	a	a	DET
ihlr-16567	243	33	hospital	hospital	NOUN
ihlr-16567	243	34	and	and	CCONJ
ihlr-16567	243	35	physicians	physician	NOUN
ihlr-16567	243	36	could	could	AUX
ihlr-16567	243	37	violate	violate	VERB
ihlr-16567	243	38	the	the	DET
ihlr-16567	243	39	physician	physician	NOUN
ihlr-16567	243	40	self	self	NOUN
ihlr-16567	243	41	-	-	PUNCT
ihlr-16567	243	42	referral	referral	NOUN
ihlr-16567	243	43	law	law	NOUN
ihlr-16567	243	44	(	(	PUNCT
ihlr-16567	243	45	known	know	VERB
ihlr-16567	243	46	as	as	ADP
ihlr-16567	243	47	the	the	DET
ihlr-16567	243	48	"	"	PUNCT
ihlr-16567	243	49	stark	stark	ADJ
ihlr-16567	243	50	law	law	NOUN
ihlr-16567	243	51	"	"	PUNCT
ihlr-16567	243	52	)	)	PUNCT
ihlr-16567	243	53	.	.	PUNCT
ihlr-16567	244	1	42	42	NUM
ihlr-16567	244	2	it	it	PRON
ihlr-16567	244	3	should	should	AUX
ihlr-16567	244	4	be	be	AUX
ihlr-16567	244	5	noted	note	VERB
ihlr-16567	244	6	,	,	PUNCT
ihlr-16567	244	7	however	however	ADV
ihlr-16567	244	8	,	,	PUNCT
ihlr-16567	244	9	that	that	SCONJ
ihlr-16567	244	10	the	the	DET
ihlr-16567	244	11	hhs	hhs	PROPN
ihlr-16567	244	12	inspector	inspector	NOUN
ihlr-16567	244	13	general	general	NOUN
ihlr-16567	244	14	has	have	AUX
ihlr-16567	244	15	approved	approve	VERB
ihlr-16567	244	16	such	such	ADJ
ihlr-16567	244	17	arrangements	arrangement	NOUN
ihlr-16567	244	18	when	when	SCONJ
ihlr-16567	244	19	they	they	PRON
ihlr-16567	244	20	are	be	AUX
ihlr-16567	244	21	made	make	VERB
ihlr-16567	244	22	in	in	ADP
ihlr-16567	244	23	the	the	DET
ihlr-16567	244	24	spirit	spirit	NOUN
ihlr-16567	244	25	of	of	ADP
ihlr-16567	244	26	improving	improve	VERB
ihlr-16567	244	27	the	the	DET
ihlr-16567	244	28	quality	quality	NOUN
ihlr-16567	244	29	and	and	CCONJ
ihlr-16567	244	30	efficiency	efficiency	NOUN
ihlr-16567	244	31	of	of	ADP
ihlr-16567	244	32	care.43	care.43	NOUN
ihlr-16567	244	33	the	the	DET
ihlr-16567	244	34	tools	tool	NOUN
ihlr-16567	244	35	available	available	ADJ
ihlr-16567	244	36	to	to	ADP
ihlr-16567	244	37	doctors	doctor	NOUN
ihlr-16567	244	38	would	would	AUX
ihlr-16567	244	39	fall	fall	VERB
ihlr-16567	244	40	roughly	roughly	ADV
ihlr-16567	244	41	into	into	ADP
ihlr-16567	244	42	two	two	NUM
ihlr-16567	244	43	categories	category	NOUN
ihlr-16567	244	44	,	,	PUNCT
ihlr-16567	244	45	regulatory	regulatory	ADJ
ihlr-16567	244	46	and	and	CCONJ
ihlr-16567	244	47	clinical	clinical	ADJ
ihlr-16567	244	48	,	,	PUNCT
ihlr-16567	244	49	although	although	SCONJ
ihlr-16567	244	50	the	the	DET
ihlr-16567	244	51	self	self	NOUN
ihlr-16567	244	52	-	-	PUNCT
ihlr-16567	244	53	regulatory	regulatory	ADJ
ihlr-16567	244	54	nature	nature	NOUN
ihlr-16567	244	55	of	of	ADP
ihlr-16567	244	56	much	much	ADJ
ihlr-16567	244	57	of	of	ADP
ihlr-16567	244	58	the	the	DET
ihlr-16567	244	59	health	health	NOUN
ihlr-16567	244	60	care	care	NOUN
ihlr-16567	244	61	system	system	NOUN
ihlr-16567	244	62	tends	tend	VERB
ihlr-16567	244	63	to	to	ADP
ihlr-16567	244	64	blur·the	blur·the	PROPN
ihlr-16567	244	65	lines	line	NOUN
ihlr-16567	244	66	between	between	ADP
ihlr-16567	244	67	the	the	DET
ihlr-16567	244	68	two	two	NUM
ihlr-16567	244	69	.	.	PUNCT
ihlr-16567	245	1	by	by	ADP
ihlr-16567	245	2	regulatory	regulatory	ADJ
ihlr-16567	245	3	approaches	approach	NOUN
ihlr-16567	245	4	,	,	PUNCT
ihlr-16567	245	5	we	we	PRON
ihlr-16567	245	6	mean	mean	VERB
ihlr-16567	245	7	that	that	SCONJ
ihlr-16567	245	8	doctors	doctor	NOUN
ihlr-16567	245	9	could	could	AUX
ihlr-16567	245	10	influence	influence	VERB
ihlr-16567	245	11	poli~	poli~	PROPN
ihlr-16567	245	12	cymaking	cymaking	NOUN
ihlr-16567	245	13	that	that	PRON
ihlr-16567	245	14	would	would	AUX
ihlr-16567	245	15	tend	tend	VERB
ihlr-16567	245	16	to	to	PART
ihlr-16567	245	17	improve	improve	VERB
ihlr-16567	245	18	quality	quality	NOUN
ihlr-16567	245	19	and	and	CCONJ
ihlr-16567	245	20	efficiency	efficiency	NOUN
ihlr-16567	245	21	.	.	PUNCT
ihlr-16567	245	22	.	.	PUNCT
ihlr-16567	246	1	essentially	essentially	ADV
ihlr-16567	246	2	these	these	PRON
ihlr-16567	246	3	involve	involve	VERB
ihlr-16567	246	4	doctors	doctor	NOUN
ihlr-16567	246	5	lobbying	lobby	VERB
ihlr-16567	246	6	state	state	NOUN
ihlr-16567	246	7	policymakers	policymaker	NOUN
ihlr-16567	246	8	to	to	PART
ihlr-16567	246	9	institute	institute	VERB
ihlr-16567	246	10	reforms	reform	NOUN
ihlr-16567	246	11	,	,	PUNCT
ihlr-16567	246	12	three	three	NUM
ihlr-16567	246	13	such	such	ADJ
ihlr-16567	246	14	approaches	approach	NOUN
ihlr-16567	246	15	come	come	VERB
ihlr-16567	246	16	to	to	PART
ihlr-16567	246	17	mind	mind	NOUN
ihlr-16567	246	18	:	:	PUNCT
ihlr-16567	246	19	•	•	ADV
ihlr-16567	246	20	limiting	limit	VERB
ihlr-16567	246	21	system	system	NOUN
ihlr-16567	246	22	capacity	capacity	NOUN
ihlr-16567	246	23	.	.	PUNCT
ihlr-16567	247	1	because	because	SCONJ
ihlr-16567	247	2	heath	heath	PROPN
ihlr-16567	247	3	care	care	PROPN
ihlr-16567	247	4	costs	cost	NOUN
ihlr-16567	247	5	rise	rise	VERB
ihlr-16567	247	6	with	with	ADP
ihlr-16567	247	7	in~.	in~.	PROPN
ihlr-16567	247	8	creased	creased	ADJ
ihlr-16567	247	9	capacity	capacity	NOUN
ihlr-16567	247	10	,	,	PUNCT
ihlr-16567	247	11	the	the	DET
ihlr-16567	247	12	quickest	quick	ADJ
ihlr-16567	247	13	and	and	CCONJ
ihlr-16567	247	14	easiest	easy	ADJ
ihlr-16567	247	15	way	way	NOUN
ihlr-16567	247	16	to	to	ADP
ihlr-16567	247	17	lower	low	ADJ
ihlr-16567	247	18	-	-	PUNCT
ihlr-16567	247	19	costs	cost	NOUN
ihlr-16567	247	20	is	be	AUX
ihlr-16567	247	21	to	to	PART
ihlr-16567	247	22	lower	lower	VERB
ihlr-16567	247	23	capacity	capacity	NOUN
ihlr-16567	247	24	when	when	SCONJ
ihlr-16567	247	25	resources	resource	NOUN
ihlr-16567	247	26	exceed	exceed	VERB
ihlr-16567	247	27	the	the	DET
ihlr-16567	247	28	level	level	NOUN
ihlr-16567	247	29	necessary	necessary	ADJ
ihlr-16567	247	30	to	to	PART
ihlr-16567	247	31	safely	safely	ADV
ihlr-16567	247	32	provide	provide	VERB
ihlr-16567	247	33	medical	medical	ADJ
ihlr-16567	247	34	care.44	care.44	NOUN
ihlr-16567	247	35	possible	possible	ADJ
ihlr-16567	247	36	reference	reference	NOUN
ihlr-16567	247	37	points	point	NOUN
ihlr-16567	247	38	for	for	ADP
ihlr-16567	247	39	the	the	DET
ihlr-16567	247	40	appropri	appropri	NOUN
ihlr-16567	247	41	...	...	PUNCT
ihlr-16567	247	42	ate	eat	VERB
ihlr-16567	247	43	resource	resource	NOUN
ihlr-16567	247	44	level	level	NOUN
ihlr-16567	247	45	would	would	AUX
ihlr-16567	247	46	include	include	VERB
ihlr-16567	247	47	those	those	PRON
ihlr-16567	247	48	of	of	ADP
ihlr-16567	247	49	the	the	DET
ihlr-16567	247	50	dartmouth	dartmouth	NOUN
ihlr-16567	247	51	-	-	PUNCT
ihlr-16567	247	52	identified	identify	VERB
ihlr-16567	247	53	"	"	PUNCT
ihlr-16567	247	54	benchmark	benchmark	ADJ
ihlr-16567	247	55	"	"	PUNCT
ihlr-16567	247	56	regions	region	NOUN
ihlr-16567	247	57	and	and	CCONJ
ihlr-16567	247	58	of	of	ADP
ihlr-16567	247	59	an	an	DET
ihlr-16567	247	60	integrated	integrate	VERB
ihlr-16567	247	61	delivery	delivery	NOUN
ihlr-16567	247	62	system	system	NOUN
ihlr-16567	247	63	,	,	PUNCT
ihlr-16567	247	64	such	such	ADJ
ihlr-16567	247	65	as	as	ADP
ihlr-16567	247	66	kaiser	kaiser	PROPN
ihlr-16567	247	67	permanente.45	permanente.45	PROPN
ihlr-16567	247	68	two	two	NUM
ihlr-16567	247	69	regulatory	regulatory	ADJ
ihlr-16567	247	70	strategies	strategy	NOUN
ihlr-16567	247	71	·	·	PUNCT
ihlr-16567	247	72	suggest	suggest	VERB
ihlr-16567	247	73	them­	them­	NUM
ihlr-16567	247	74	selves	self	NOUN
ihlr-16567	247	75	:	:	PUNCT
ihlr-16567	247	76	(	(	PUNCT
ihlr-16567	247	77	1	1	X
ihlr-16567	247	78	)	)	PUNCT
ihlr-16567	247	79	urging	urge	VERB
ihlr-16567	247	80	state	state	NOUN
ihlr-16567	247	81	health	health	NOUN
ihlr-16567	247	82	planning	planning	NOUN
ihlr-16567	247	83	agencies	agency	NOUN
ihlr-16567	247	84	to	to	PART
ihlr-16567	247	85	restrict	restrict	VERB
ihlr-16567	247	86	,	,	PUNCT
ihlr-16567	247	87	or	or	CCONJ
ihlr-16567	247	88	limit	limit	VERB
ihlr-16567	247	89	growth	growth	NOUN
ihlr-16567	247	90	of	of	ADP
ihlr-16567	247	91	,	,	PUNCT
ihlr-16567	247	92	facilities	facility	NOUN
ihlr-16567	247	93	within	within	ADP
ihlr-16567	247	94	their	their	PRON
ihlr-16567	247	95	jurisdiction	jurisdiction	NOUN
ihlr-16567	247	96	;	;	PUNCT
ihlr-16567	247	97	.	.	PUNCT
ihlr-16567	248	1	or	or	CCONJ
ihlr-16567	248	2	,	,	PUNCT
ihlr-16567	248	3	in	in	ADP
ihlr-16567	248	4	states	state	NOUN
ihlr-16567	248	5	without	without	ADP
ihlr-16567	248	6	certificate	certificate	NOUN
ihlr-16567	248	7	-	-	PUNCT
ihlr-16567	248	8	of	of	ADP
ihlr-16567	248	9	-	-	PUNCT
ihlr-16567	248	10	need	need	NOUN
ihlr-16567	248	11	laws	law	NOUN
ihlr-16567	248	12	,	,	PUNCT
ihlr-16567	248	13	urging	urge	VERB
ihlr-16567	248	14	legislatures	legislature	NOUN
ihlr-16567	248	15	to	to	PART
ihlr-16567	248	16	enact	enact	VERB
ihlr-16567	248	17	thj;lm	thj;lm	ADV
ihlr-16567	248	18	..	..	PUNCT
ihlr-16567	249	1	(	(	PUNCT
ihlr-16567	249	2	2	2	X
ihlr-16567	249	3	)	)	PUNCT
ihlr-16567	249	4	urging	urge	VERB
ihlr-16567	249	5	state	state	NOUN
ihlr-16567	249	6	officials	official	NOUN
ihlr-16567	249	7	to	to	PART
ihlr-16567	249	8	limit	limit	VERB
ihlr-16567	249	9	capacity	capacity	NOUN
ihlr-16567	249	10	in	in	ADP
ihlr-16567	249	11	state	state	NOUN
ihlr-16567	249	12	-	-	PUNCT
ihlr-16567	249	13	owned	own	VERB
ihlr-16567	249	14	or	or	CCONJ
ihlr-16567	249	15	funded	funded	ADJ
ihlr-16567	249	16	facilities	facility	NOUN
ihlr-16567	249	17	;	;	PUNCT
ihlr-16567	249	18	for	for	ADP
ihlr-16567	249	19	example	example	NOUN
ihlr-16567	249	20	,	,	PUNCT
ihlr-16567	249	21	to	to	PART
ihlr-16567	249	22	reduce	reduce	VERB
ihlr-16567	249	23	bed	bed	NOUN
ihlr-16567	249	24	capacity	capacity	NOUN
ihlr-16567	249	25	in	in	ADP
ihlr-16567	249	26	public	public	ADJ
ihlr-16567	249	27	hospitals	hospital	NOUN
ihlr-16567	249	28	,	,	PUNCT
ihlr-16567	249	29	or	or	CCONJ
ihlr-16567	249	30	to	to	PART
ihlr-16567	249	31	cut	cut	VERB
ihlr-16567	249	32	back	back	ADP
ihlr-16567	249	33	non	non	ADJ
ihlr-16567	249	34	-	-	ADJ
ihlr-16567	249	35	essential	essential	ADJ
ihlr-16567	249	36	residency	residency	NOUN
ihlr-16567	249	37	programs	program	NOUN
ihlr-16567	249	38	at	at	ADP
ihlr-16567	249	39	state	state	PROPN
ihlr-16567	249	40	university	university	NOUN
ihlr-16567	249	41	medical	medical	ADJ
ihlr-16567	249	42	centers	center	NOUN
ihlr-16567	249	43	.	.	PUNCT
ihlr-16567	250	1	•	•	NUM
ihlr-16567	250	2	stricter	strict	ADJ
ihlr-16567	250	3	quality	quality	NOUN
ihlr-16567	250	4	enforcement	enforcement	NOUN
ihlr-16567	250	5	.	.	PUNCT
ihlr-16567	251	1	where	where	SCONJ
ihlr-16567	251	2	there	there	PRON
ihlr-16567	251	3	is	be	VERB
ihlr-16567	251	4	no	no	DET
ihlr-16567	251	5	collective	collective	ADJ
ihlr-16567	251	6	accoun­	accoun­	NOUN
ihlr-16567	251	7	tability	tability	NOUN
ihlr-16567	251	8	for	for	ADP
ihlr-16567	251	9	quality	quality	NOUN
ihlr-16567	251	10	,	,	PUNCT
ihlr-16567	251	11	a	a	DET
ihlr-16567	251	12	"	"	PUNCT
ihlr-16567	251	13	code	code	NOUN
ihlr-16567	251	14	of	of	ADP
ihlr-16567	251	15	silence	silence	NOUN
ihlr-16567	251	16	"	"	PUNCT
ihlr-16567	251	17	as	as	ADP
ihlr-16567	251	18	to	to	ADP
ihlr-16567	251	19	poor	poor	ADJ
ihlr-16567	251	20	performers	performer	NOUN
ihlr-16567	251	21	can	can	AUX
ihlr-16567	251	22	·	·	PUNCT
ihlr-16567	251	23	r.	r.	VERB
ihlr-16567	251	24	'	'	PUNCT
ihlr-16567	251	25	40	40	NUM
ihlr-16567	251	26	.	.	PUNCT
ihlr-16567	252	1	42	42	NUM
ihlr-16567	252	2	u.s.c	u.s.c	ADJ
ihlr-16567	252	3	.	.	PUNCT
ihlr-16567	253	1	§	§	PROPN
ihlr-16567	253	2	1320a-7b	1320a-7b	PROPN
ihlr-16567	253	3	.	.	PROPN
ihlr-16567	253	4	41	41	NUM
ihlr-16567	253	5	.	.	PUNCT
ihlr-16567	254	1	42	42	NUM
ihlr-16567	254	2	u.s.c	u.s.c	ADJ
ihlr-16567	254	3	.	.	PUNCT
ihlr-16567	255	1	§	§	PROPN
ihlr-16567	255	2	1320a-7a	1320a-7a	PROPN
ihlr-16567	255	3	.	.	PUNCT
ihlr-16567	256	1	42	42	NUM
ihlr-16567	256	2	.	.	PUNCT
ihlr-16567	257	1	42	42	NUM
ihlr-16567	257	2	u.s.c	u.s.c	ADJ
ihlr-16567	257	3	.	.	PUNCT
ihlr-16567	258	1	§	§	PROPN
ihlr-16567	258	2	1395nn	1395nn	PROPN
ihlr-16567	258	3	.	.	PUNCT
ihlr-16567	259	1	43	43	NUM
ihlr-16567	259	2	.	.	PUNCT
ihlr-16567	260	1	see	see	VERB
ihlr-16567	260	2	,	,	PUNCT
ihlr-16567	260	3	e.g.	e.g.	ADV
ihlr-16567	260	4	,	,	PUNCT
ihlr-16567	260	5	w.	w.	PROPN
ihlr-16567	260	6	clifford	clifford	PROPN
ihlr-16567	260	7	mull	mull	PROPN
ihlr-16567	260	8	,	,	PUNCT
ihlr-16567	260	9	office	office	NOUN
ihlr-16567	260	10	of	of	ADP
ihlr-16567	260	11	inspector	inspector	NOUN
ihlr-16567	260	12	general	general	NOUN
ihlr-16567	260	13	gives	gives	AUX
ihlr-16567	260	14	gainsharing	gainshare	VERB
ihlr-16567	260	15	ar­	ar­	ADJ
ihlr-16567	260	16	rangements	rangement	NOUN
ihlr-16567	260	17	a	a	DET
ihlr-16567	260	18	yellow	yellow	ADJ
ihlr-16567	260	19	light	light	NOUN
ihlr-16567	260	20	,	,	PUNCT
ihlr-16567	260	21	http://www.walterhav.com/library/news_articles/	http://www.walterhav.com/library/news_articles/	NOUN
ihlr-16567	260	22	gainshar­	gainshar­	PROPN
ihlr-16567	260	23	in!flo20article.pdf	in!flo20article.pdf	PROPN
ihlr-16567	260	24	(	(	PUNCT
ihlr-16567	260	25	last	last	ADJ
ihlr-16567	260	26	visited	visit	VERB
ihlr-16567	260	27	nov	nov	PROPN
ihlr-16567	260	28	.	.	PROPN
ihlr-16567	260	29	16	16	NUM
ihlr-16567	260	30	,	,	PUNCT
ihlr-16567	260	31	2009	2009	NUM
ihlr-16567	260	32	)	)	PUNCT
ihlr-16567	260	33	;	;	PUNCT
ihlr-16567	260	34	nixon	nixon	PROPN
ihlr-16567	260	35	peabody	peabody	PROPN
ihlr-16567	260	36	health	health	PROPN
ihlr-16567	260	37	law	law	PROPN
ihlr-16567	260	38	alert	alert	NOUN
ihlr-16567	260	39	,	,	PUNCT
ihlr-16567	260	40	federal	federal	ADJ
ihlr-16567	260	41	government	government	NOUN
ihlr-16567	260	42	clearing	clear	VERB
ihlr-16567	260	43	the	the	DET
ihlr-16567	260	44	way	way	NOUN
ihlr-16567	260	45	fore	fore	NOUN
ihlr-16567	260	46	-	-	PUNCT
ihlr-16567	260	47	prescribing	prescribe	VERB
ihlr-16567	260	48	and	and	CCONJ
ihlr-16567	260	49	electronic	electronic	ADJ
ihlr-16567	260	50	medical	medical	ADJ
ihlr-16567	260	51	records	record	NOUN
ihlr-16567	260	52	,	,	PUNCT
ihlr-16567	260	53	nov	nov	PROPN
ihlr-16567	260	54	.	.	PROPN
ihlr-16567	260	55	1	1	NUM
ihlr-16567	260	56	,	,	PUNCT
ihlr-16567	260	57	2005	2005	NUM
ihlr-16567	260	58	,	,	PUNCT
ihlr-16567	260	59	http://www.nixonpeadbody.com/publicationslbla_ll-12-5.pdt	http://www.nixonpeadbody.com/publicationslbla_ll-12-5.pdt	NOUN
ihlr-16567	260	60	:	:	PUNCT
ihlr-16567	260	61	44	44	NUM
ihlr-16567	260	62	.	.	PUNCT
ihlr-16567	261	1	elliott	elliott	PROPN
ihlr-16567	261	2	s.	s.	PROPN
ihlr-16567	261	3	fisher	fisher	PROPN
ihlr-16567	261	4	et	et	PROPN
ihlr-16567	261	5	al	al	PROPN
ihlr-16567	261	6	.	.	PROPN
ihlr-16567	261	7	,	,	PUNCT
ihlr-16567	261	8	associations	association	NOUN
ihlr-16567	261	9	among	among	ADP
ihlr-16567	261	10	hospital	hospital	NOUN
ihlr-16567	261	11	capacity	capacity	NOUN
ihlr-16567	261	12	,	,	PUNCT
ihlr-16567	261	13	utilization	utilization	NOUN
ihlr-16567	261	14	,	,	PUNCT
ihlr-16567	261	15	and	and	CCONJ
ihlr-16567	261	16	mortality	mortality	NOUN
ihlr-16567	261	17	of	of	ADP
ihlr-16567	261	18	us	us	PROPN
ihlr-16567	261	19	medicare	medicare	PROPN
ihlr-16567	261	20	beneficiaries	beneficiary	NOUN
ihlr-16567	261	21	,	,	PUNCT
ihlr-16567	261	22	controlling	control	VERB
ihlr-16567	261	23	for	for	ADP
ihlr-16567	261	24	sociodemographic	sociodemographic	ADJ
ihlr-16567	261	25	factors	factor	NOUN
ihlr-16567	261	26	34	34	NUM
ihlr-16567	261	27	health	health	NOUN
ihlr-16567	261	28	serv	serv	NOUN
ihlr-16567	261	29	.	.	PUNCT
ihlr-16567	262	1	res	re	NOUN
ihlr-16567	262	2	.	.	PROPN
ihlr-16567	262	3	1351	1351	NUM
ihlr-16567	262	4	,	,	PUNCT
ihlr-16567	262	5	1351	1351	NUM
ihlr-16567	262	6	-	-	SYM
ihlr-16567	262	7	62	62	NUM
ihlr-16567	262	8	{	{	PUNCT
ihlr-16567	262	9	2000	2000	NUM
ihlr-16567	262	10	)	)	PUNCT
ihlr-16567	262	11	.	.	PUNCT
ihlr-16567	263	1	45	45	NUM
ihlr-16567	263	2	.	.	PUNCT
ihlr-16567	264	1	david	david	PROPN
ihlr-16567	264	2	goodman	goodman	PROPN
ihlr-16567	264	3	,	,	PUNCT
ihlr-16567	264	4	et	et	PROPN
ihlr-16567	264	5	al	al	PROPN
ihlr-16567	264	6	.	.	PROPN
ihlr-16567	264	7	,	,	PUNCT
ihlr-16567	264	8	benchmarking	benchmarke	VERB
ihlr-16567	264	9	the	the	DET
ihlr-16567	264	10	us	us	PROPN
ihlr-16567	264	11	physicifm	physicifm	PROPN
ihlr-16567	264	12	wor	wor	PROPN
ihlr-16567	264	13	/	/	SYM
ihlr-16567	264	14	iforce	iforce	PROPN
ihlr-16567	264	15	:	:	PUNCT
ihlr-16567	264	16	an	an	DET
ihlr-16567	264	17	alterna­	alterna­	PROPN
ihlr-16567	264	18	tive	tive	NOUN
ihlr-16567	264	19	to	to	ADP
ihlr-16567	264	20	needs	need	NOUN
ihlr-16567	264	21	-	-	PUNCT
ihlr-16567	264	22	based	base	VERB
ihlr-16567	264	23	or	or	CCONJ
ihlr-16567	264	24	demand	demand	NOUN
ihlr-16567	264	25	-	-	PUNCT
ihlr-16567	264	26	based	base	VERB
ihlr-16567	264	27	planning	planning	NOUN
ihlr-16567	264	28	,	,	PUNCT
ihlr-16567	264	29	276	276	NUM
ihlr-16567	264	30	jama	jama	NOUN
ihlr-16567	264	31	1811	1811	NUM
ihlr-16567	264	32	,	,	PUNCT
ihlr-16567	264	33	1811	1811	NUM
ihlr-16567	264	34	-	-	SYM
ihlr-16567	264	35	17	17	NUM
ihlr-16567	264	36	(	(	PUNCT
ihlr-16567	264	37	1996	1996	NUM
ihlr-16567	264	38	)	)	PUNCT
ihlr-16567	264	39	.	.	PUNCT
ihlr-16567	265	1	200	200	NUM
ihlr-16567	265	2	indiana	indiana	PROPN
ihlr-16567	265	3	health	health	NOUN
ihlr-16567	265	4	law	law	NOUN
ihlr-16567	265	5	review	review	NOUN
ihlr-16567	265	6	[	[	X
ihlr-16567	265	7	vol	vol	NOUN
ihlr-16567	265	8	.	.	PUNCT
ihlr-16567	266	1	7:185	7:185	ADJ
ihlr-16567	266	2	thrive.46	thrive.46	NOUN
ihlr-16567	266	3	but	but	CCONJ
ihlr-16567	266	4	when	when	SCONJ
ihlr-16567	266	5	every	every	DET
ihlr-16567	266	6	provider	provider	NOUN
ihlr-16567	266	7	's	's	PART
ihlr-16567	266	8	compensation	compensation	NOUN
ihlr-16567	266	9	is	be	AUX
ihlr-16567	266	10	dependent	dependent	ADJ
ihlr-16567	266	11	upon	upon	SCONJ
ihlr-16567	266	12	achievement	achievement	NOUN
ihlr-16567	266	13	of	of	ADP
ihlr-16567	266	14	quality	quality	NOUN
ihlr-16567	266	15	outcome	outcome	NOUN
ihlr-16567	266	16	goals	goal	NOUN
ihlr-16567	266	17	,	,	PUNCT
ihlr-16567	266	18	the	the	DET
ihlr-16567	266	19	incentive	incentive	NOUN
ihlr-16567	266	20	is	be	AUX
ihlr-16567	266	21	to	to	PART
ihlr-16567	266	22	re­	re­	AUX
ihlr-16567	266	23	move	move	VERB
ihlr-16567	266	24	poor	poor	ADJ
ihlr-16567	266	25	performers	performer	NOUN
ihlr-16567	266	26	from	from	ADP
ihlr-16567	266	27	the	the	DET
ihlr-16567	266	28	accountable	accountable	ADJ
ihlr-16567	266	29	unit	unit	NOUN
ihlr-16567	266	30	.	.	PUNCT
ihlr-16567	267	1	among	among	ADP
ihlr-16567	267	2	the	the	DET
ihlr-16567	267	3	strategies	strategy	NOUN
ihlr-16567	267	4	available	available	ADJ
ihlr-16567	267	5	are	be	AUX
ihlr-16567	267	6	:	:	PUNCT
ihlr-16567	267	7	(	(	PUNCT
ihlr-16567	267	8	1	1	X
ihlr-16567	267	9	)	)	PUNCT
ihlr-16567	267	10	more	more	ADV
ihlr-16567	267	11	rigid	rigid	ADJ
ihlr-16567	267	12	enforcement	enforcement	NOUN
ihlr-16567	267	13	of	of	ADP
ihlr-16567	267	14	hospital	hospital	NOUN
ihlr-16567	267	15	standards	standard	NOUN
ihlr-16567	267	16	by	by	ADP
ihlr-16567	267	17	state	state	NOUN
ihlr-16567	267	18	surveying	surveying	NOUN
ihlr-16567	267	19	agencies	agency	NOUN
ihlr-16567	267	20	;	;	PUNCT
ihlr-16567	267	21	(	(	PUNCT
ihlr-16567	267	22	2	2	X
ihlr-16567	267	23	)	)	PUNCT
ihlr-16567	267	24	stricter	strict	ADJ
ihlr-16567	267	25	discipline	discipline	NOUN
ihlr-16567	267	26	im­	im­	PROPN
ihlr-16567	267	27	posed	pose	VERB
ihlr-16567	267	28	upon	upon	SCONJ
ihlr-16567	267	29	doctors	doctor	NOUN
ihlr-16567	267	30	by	by	ADP
ihlr-16567	267	31	state	state	NOUN
ihlr-16567	267	32	medical	medical	ADJ
ihlr-16567	267	33	boards	board	NOUN
ihlr-16567	267	34	and	and	CCONJ
ihlr-16567	267	35	quality	quality	NOUN
ihlr-16567	267	36	improve­	improve­	ADJ
ihlr-16567	267	37	ment	ment	ADJ
ihlr-16567	267	38	organizations	organization	NOUN
ihlr-16567	267	39	;	;	PUNCT
ihlr-16567	267	40	(	(	PUNCT
ihlr-16567	267	41	3	3	X
ihlr-16567	267	42	)	)	PUNCT
ihlr-16567	267	43	tougher	tough	ADJ
ihlr-16567	267	44	maintenance	maintenance	NOUN
ihlr-16567	267	45	of	of	ADP
ihlr-16567	267	46	certification	certification	NOUN
ihlr-16567	267	47	requirements	requirement	NOUN
ihlr-16567	267	48	for	for	ADP
ihlr-16567	267	49	practicing	practice	VERB
ihlr-16567	267	50	doctors	doctor	NOUN
ihlr-16567	267	51	,	,	PUNCT
ihlr-16567	267	52	or	or	CCONJ
ihlr-16567	267	53	higher	high	ADJ
ihlr-16567	267	54	thresholds	threshold	NOUN
ihlr-16567	267	55	for	for	ADP
ihlr-16567	267	56	initial	initial	ADJ
ihlr-16567	267	57	licensure	licensure	NOUN
ihlr-16567	267	58	.	.	PUNCT
ihlr-16567	268	1	in	in	ADP
ihlr-16567	268	2	some	some	DET
ihlr-16567	268	3	cases	case	NOUN
ihlr-16567	268	4	this	this	PRON
ihlr-16567	268	5	would	would	AUX
ihlr-16567	268	6	be	be	AUX
ihlr-16567	268	7	easy	easy	ADJ
ihlr-16567	268	8	,	,	PUNCT
ihlr-16567	268	9	as	as	ADP
ihlr-16567	268	10	where	where	SCONJ
ihlr-16567	268	11	a	a	DET
ihlr-16567	268	12	doctoral­	doctoral­	NOUN
ihlr-16567	268	13	ready	ready	ADJ
ihlr-16567	268	14	has	have	AUX
ihlr-16567	268	15	a	a	DET
ihlr-16567	268	16	reputation	reputation	NOUN
ihlr-16567	268	17	for	for	ADP
ihlr-16567	268	18	impairment	impairment	NOUN
ihlr-16567	268	19	or	or	CCONJ
ihlr-16567	268	20	incompetence	incompetence	NOUN
ihlr-16567	268	21	,	,	PUNCT
ihlr-16567	268	22	and	and	CCONJ
ihlr-16567	268	23	can	can	AUX
ihlr-16567	268	24	be	be	AUX
ihlr-16567	268	25	removed	remove	VERB
ihlr-16567	268	26	from	from	ADP
ihlr-16567	268	27	the	the	DET
ihlr-16567	268	28	pool	pool	NOUN
ihlr-16567	268	29	by	by	ADP
ihlr-16567	268	30	revoking	revoke	VERB
ihlr-16567	268	31	his	his	PRON
ihlr-16567	268	32	hospital	hospital	NOUN
ihlr-16567	268	33	admitting	admit	VERB
ihlr-16567	268	34	privileg­	privileg­	PROPN
ihlr-16567	268	35	es	es	NOUN
ihlr-16567	268	36	and/or	and/or	CCONJ
ihlr-16567	268	37	instituting	institute	VERB
ihlr-16567	268	38	license	license	NOUN
ihlr-16567	268	39	revocation	revocation	NOUN
ihlr-16567	268	40	proceedings	proceeding	NOUN
ihlr-16567	268	41	.	.	PUNCT
ihlr-16567	269	1	•	•	NUM
ihlr-16567	269	2	public	public	ADJ
ihlr-16567	269	3	health	health	NOUN
ihlr-16567	269	4	approaches	approach	NOUN
ihlr-16567	269	5	.	.	PUNCT
ihlr-16567	270	1	to	to	ADP
ihlr-16567	270	2	the	the	DET
ihlr-16567	270	3	extent	extent	NOUN
ihlr-16567	270	4	that	that	SCONJ
ihlr-16567	270	5	performance	performance	NOUN
ihlr-16567	270	6	goals	goal	NOUN
ihlr-16567	270	7	in­	in­	VERB
ihlr-16567	270	8	clude	clude	NOUN
ihlr-16567	270	9	general	general	ADJ
ihlr-16567	270	10	health	health	NOUN
ihlr-16567	270	11	measures	measure	NOUN
ihlr-16567	270	12	,	,	PUNCT
ihlr-16567	270	13	and	and	CCONJ
ihlr-16567	270	14	the	the	DET
ihlr-16567	270	15	health	health	NOUN
ihlr-16567	270	16	status	status	NOUN
ihlr-16567	270	17	of	of	ADP
ihlr-16567	270	18	a	a	DET
ihlr-16567	270	19	geograph­	geograph­	NOUN
ihlr-16567	270	20	ically	ically	ADV
ihlr-16567	270	21	compact	compact	ADJ
ihlr-16567	270	22	and	and	CCONJ
ihlr-16567	270	23	cohesive	cohesive	ADJ
ihlr-16567	270	24	population	population	NOUN
ihlr-16567	270	25	is	be	AUX
ihlr-16567	270	26	being	be	AUX
ihlr-16567	270	27	measured	measure	VERB
ihlr-16567	270	28	,	,	PUNCT
ihlr-16567	270	29	doctors	doctor	NOUN
ihlr-16567	270	30	can	can	AUX
ihlr-16567	270	31	add	add	VERB
ihlr-16567	270	32	public	public	ADJ
ihlr-16567	270	33	health	health	NOUN
ihlr-16567	270	34	strategies	strategy	NOUN
ihlr-16567	270	35	to	to	ADP
ihlr-16567	270	36	their	their	PRON
ihlr-16567	270	37	lobbying	lobbying	NOUN
ihlr-16567	270	38	priorities	priority	NOUN
ihlr-16567	270	39	.	.	PUNCT
ihlr-16567	271	1	for	for	ADP
ihlr-16567	271	2	in­	in­	NOUN
ihlr-16567	271	3	stance	stance	NOUN
ihlr-16567	271	4	,	,	PUNCT
ihlr-16567	271	5	doctors	doctor	NOUN
ihlr-16567	271	6	could	could	AUX
ihlr-16567	271	7	lobby	lobby	VERB
ihlr-16567	271	8	local	local	ADJ
ihlr-16567	271	9	governments	government	NOUN
ihlr-16567	271	10	to	to	PART
ihlr-16567	271	11	increase	increase	VERB
ihlr-16567	271	12	access	access	NOUN
ihlr-16567	271	13	to	to	ADP
ihlr-16567	271	14	grocery	grocery	NOUN
ihlr-16567	271	15	stores	store	NOUN
ihlr-16567	271	16	and	and	CCONJ
ihlr-16567	271	17	decrease	decrease	VERB
ihlr-16567	271	18	access	access	NOUN
ihlr-16567	271	19	to	to	ADP
ihlr-16567	271	20	fast	fast	ADJ
ihlr-16567	271	21	food	food	NOUN
ihlr-16567	271	22	outlets	outlet	NOUN
ihlr-16567	271	23	;	;	PUNCT
ihlr-16567	271	24	to	to	PART
ihlr-16567	271	25	raise	raise	VERB
ihlr-16567	271	26	al­	al­	PROPN
ihlr-16567	271	27	cohol	cohol	NOUN
ihlr-16567	271	28	and	and	CCONJ
ihlr-16567	271	29	tobacco	tobacco	NOUN
ihlr-16567	271	30	taxes	taxis	NOUN
ihlr-16567	271	31	;	;	PUNCT
ihlr-16567	271	32	and	and	CCONJ
ihlr-16567	271	33	to	to	PART
ihlr-16567	271	34	plan	plan	VERB
ihlr-16567	271	35	walkable	walkable	ADJ
ihlr-16567	271	36	communities	community	NOUN
ihlr-16567	271	37	in	in	ADP
ihlr-16567	271	38	which	which	PRON
ihlr-16567	271	39	seniors	senior	NOUN
ihlr-16567	271	40	are	be	AUX
ihlr-16567	271	41	likely	likely	ADJ
ihlr-16567	271	42	to	to	PART
ihlr-16567	271	43	remain	remain	VERB
ihlr-16567	271	44	active	active	ADJ
ihlr-16567	271	45	.	.	PUNCT
ihlr-16567	272	1	there	there	PRON
ihlr-16567	272	2	are	be	VERB
ihlr-16567	272	3	several	several	ADJ
ihlr-16567	272	4	clinical	clinical	ADJ
ihlr-16567	272	5	approaches	approach	NOUN
ihlr-16567	272	6	by	by	ADP
ihlr-16567	272	7	which	which	PRON
ihlr-16567	272	8	doctors	doctor	NOUN
ihlr-16567	272	9	could	could	AUX
ihlr-16567	272	10	act	act	VERB
ihlr-16567	272	11	col­	col­	VERB
ihlr-16567	272	12	lectively	lectively	ADV
ihlr-16567	272	13	to	to	PART
ihlr-16567	272	14	improve	improve	VERB
ihlr-16567	272	15	quality	quality	NOUN
ihlr-16567	272	16	and	and	CCONJ
ihlr-16567	272	17	efficiency	efficiency	NOUN
ihlr-16567	272	18	.	.	PUNCT
ihlr-16567	273	1	•	•	NUM
ihlr-16567	273	2	organized	organize	VERB
ihlr-16567	273	3	forbearance	forbearance	NOUN
ihlr-16567	273	4	in	in	ADP
ihlr-16567	273	5	volume	volume	NOUN
ihlr-16567	273	6	and	and	CCONJ
ihlr-16567	273	7	intensity	intensity	NOUN
ihlr-16567	273	8	of	of	ADP
ihlr-16567	273	9	care	care	NOUN
ihlr-16567	273	10	.	.	PUNCT
ihlr-16567	274	1	the	the	DET
ihlr-16567	274	2	cor­	cor­	NOUN
ihlr-16567	274	3	nerstone	nerstone	NOUN
ihlr-16567	274	4	of	of	ADP
ihlr-16567	274	5	the	the	DET
ihlr-16567	274	6	collective	collective	ADJ
ihlr-16567	274	7	efficiency	efficiency	NOUN
ihlr-16567	274	8	effort	effort	NOUN
ihlr-16567	274	9	is	be	AUX
ihlr-16567	274	10	cooperation	cooperation	NOUN
ihlr-16567	274	11	in	in	ADP
ihlr-16567	274	12	hold­	hold­	PROPN
ihlr-16567	274	13	ing	e	VERB
ihlr-16567	274	14	down	down	ADP
ihlr-16567	274	15	utilization	utilization	NOUN
ihlr-16567	274	16	beyond	beyond	ADP
ihlr-16567	274	17	the	the	DET
ihlr-16567	274	18	point	point	NOUN
ihlr-16567	274	19	where	where	SCONJ
ihlr-16567	274	20	marginal	marginal	ADJ
ihlr-16567	274	21	expenditures	expenditure	NOUN
ihlr-16567	274	22	yield	yield	VERB
ihlr-16567	274	23	no	no	DET
ihlr-16567	274	24	further	further	ADJ
ihlr-16567	274	25	benefit	benefit	NOUN
ihlr-16567	274	26	.	.	PUNCT
ihlr-16567	275	1	some	some	DET
ihlr-16567	275	2	outlier	outlier	NOUN
ihlr-16567	275	3	doctors	doctor	NOUN
ihlr-16567	275	4	may	may	AUX
ihlr-16567	275	5	be	be	AUX
ihlr-16567	275	6	known	know	VERB
ihlr-16567	275	7	to	to	PART
ihlr-16567	275	8	perform	perform	VERB
ihlr-16567	275	9	procedures	procedure	NOUN
ihlr-16567	275	10	at	at	ADP
ihlr-16567	275	11	an	an	DET
ihlr-16567	275	12	eyebrow	eyebrow	NOUN
ihlr-16567	275	13	-	-	PUNCT
ihlr-16567	275	14	raising	raise	VERB
ihlr-16567	275	15	volume,47	volume,47	NOUN
ihlr-16567	275	16	and	and	CCONJ
ihlr-16567	275	17	their	their	PRON
ihlr-16567	275	18	im­	im­	NOUN
ihlr-16567	275	19	mediate	mediate	VERB
ihlr-16567	275	20	removal	removal	NOUN
ihlr-16567	275	21	from	from	ADP
ihlr-16567	275	22	the	the	DET
ihlr-16567	275	23	pool	pool	NOUN
ihlr-16567	275	24	could	could	AUX
ihlr-16567	275	25	be	be	AUX
ihlr-16567	275	26	a	a	DET
ihlr-16567	275	27	very	very	ADV
ihlr-16567	275	28	quick	quick	ADJ
ihlr-16567	275	29	avenue	avenue	NOUN
ihlr-16567	275	30	to	to	ADP
ihlr-16567	275	31	a	a	DET
ihlr-16567	275	32	noticeable	noticeable	ADJ
ihlr-16567	275	33	increase	increase	NOUN
ihlr-16567	275	34	in	in	ADP
ihlr-16567	275	35	the	the	DET
ihlr-16567	275	36	group	group	NOUN
ihlr-16567	275	37	's	's	PART
ihlr-16567	275	38	conversion	conversion	NOUN
ihlr-16567	275	39	factor	factor	NOUN
ihlr-16567	275	40	.	.	PUNCT
ihlr-16567	276	1	in	in	ADP
ihlr-16567	276	2	the	the	DET
ihlr-16567	276	3	ac­	ac­	ADJ
ihlr-16567	276	4	countable	countable	PROPN
ihlr-16567	276	5	care	care	NOUN
ihlr-16567	276	6	organization	organization	NOUN
ihlr-16567	276	7	,	,	PUNCT
ihlr-16567	276	8	there	there	PRON
ihlr-16567	276	9	need	need	AUX
ihlr-16567	276	10	be	be	AUX
ihlr-16567	276	11	no	no	DET
ihlr-16567	276	12	insurer	insurer	NOUN
ihlr-16567	276	13	or	or	CCONJ
ihlr-16567	276	14	utilization	utilization	NOUN
ihlr-16567	276	15	review	review	NOUN
ihlr-16567	276	16	process	process	NOUN
ihlr-16567	276	17	looking	look	VERB
ihlr-16567	276	18	over	over	ADP
ihlr-16567	276	19	doctors	doctor	NOUN
ihlr-16567	276	20	'	'	PART
ihlr-16567	276	21	shoulders	shoulder	NOUN
ihlr-16567	276	22	-	-	PUNCT
ihlr-16567	276	23	the	the	DET
ihlr-16567	276	24	doctors	doctor	NOUN
ihlr-16567	276	25	them­	them­	NUM
ihlr-16567	276	26	selves	self	NOUN
ihlr-16567	276	27	must	must	AUX
ihlr-16567	276	28	draw	draw	VERB
ihlr-16567	276	29	the	the	DET
ihlr-16567	276	30	line	line	NOUN
ihlr-16567	276	31	between	between	ADP
ihlr-16567	276	32	necessary	necessary	ADJ
ihlr-16567	276	33	and	and	CCONJ
ihlr-16567	276	34	unnecessary	unnecessary	ADJ
ihlr-16567	276	35	care	care	NOUN
ihlr-16567	276	36	.	.	PUNCT
ihlr-16567	277	1	they	they	PRON
ihlr-16567	277	2	must	must	AUX
ihlr-16567	277	3	also	also	ADV
ihlr-16567	277	4	enforce	enforce	VERB
ihlr-16567	277	5	compliance	compliance	NOUN
ihlr-16567	277	6	,	,	PUNCT
ihlr-16567	277	7	because	because	SCONJ
ihlr-16567	277	8	if	if	SCONJ
ihlr-16567	277	9	any	any	DET
ihlr-16567	277	10	doctors	doctor	NOUN
ihlr-16567	277	11	"	"	PUNCT
ihlr-16567	277	12	de­	de­	ADJ
ihlr-16567	277	13	fect	fect	NOUN
ihlr-16567	277	14	"	"	PUNCT
ihlr-16567	277	15	from	from	ADP
ihlr-16567	277	16	the	the	DET
ihlr-16567	277	17	agreement	agreement	NOUN
ihlr-16567	277	18	and	and	CCONJ
ihlr-16567	277	19	bill	bill	NOUN
ihlr-16567	277	20	for	for	ADP
ihlr-16567	277	21	more	more	ADJ
ihlr-16567	277	22	services	service	NOUN
ihlr-16567	277	23	than	than	SCONJ
ihlr-16567	277	24	are	be	AUX
ihlr-16567	277	25	neces­	neces­	ADJ
ihlr-16567	277	26	sary	sary	NOUN
ihlr-16567	277	27	,	,	PUNCT
ihlr-16567	277	28	they	they	PRON
ihlr-16567	277	29	reduce	reduce	VERB
ihlr-16567	277	30	the	the	DET
ihlr-16567	277	31	conversion	conversion	NOUN
ihlr-16567	277	32	factor	factor	NOUN
ihlr-16567	277	33	for	for	ADP
ihlr-16567	277	34	the	the	DET
ihlr-16567	277	35	unit	unit	NOUN
ihlr-16567	277	36	as	as	ADP
ihlr-16567	277	37	a	a	DET
ihlr-16567	277	38	whole	whole	NOUN
ihlr-16567	277	39	and	and	CCONJ
ihlr-16567	277	40	force	force	VERB
ihlr-16567	277	41	the	the	DET
ihlr-16567	277	42	rest	rest	NOUN
ihlr-16567	277	43	of	of	ADP
ihlr-16567	277	44	the	the	DET
ihlr-16567	277	45	doctors	doctor	NOUN
ihlr-16567	277	46	to	to	PART
ihlr-16567	277	47	follow	follow	VERB
ihlr-16567	277	48	suit	suit	NOUN
ihlr-16567	277	49	-	-	PUNCT
ihlr-16567	277	50	the	the	DET
ihlr-16567	277	51	same	same	ADJ
ihlr-16567	277	52	dynamic	dynamic	ADJ
ihlr-16567	277	53	pre46	pre46	NOUN
ihlr-16567	277	54	.	.	PUNCT
ihlr-16567	278	1	see	see	VERB
ihlr-16567	278	2	generally	generally	ADV
ihlr-16567	278	3	rosemary	rosemary	ADJ
ihlr-16567	278	4	gibson	gibson	PROPN
ihlr-16567	278	5	and	and	CCONJ
ihlr-16567	278	6	janardan	janardan	PROPN
ihlr-16567	278	7	singh	singh	PROPN
ihlr-16567	278	8	,	,	PUNCT
ihlr-16567	278	9	wall	wall	NOUN
ihlr-16567	278	10	of	of	ADP
ihlr-16567	278	11	silence	silence	NOUN
ihlr-16567	278	12	:	:	PUNCT
ihlr-16567	278	13	the	the	DET
ihlr-16567	278	14	untold	untold	ADJ
ihlr-16567	278	15	story	story	NOUN
ihlr-16567	278	16	of	of	ADP
ihlr-16567	278	17	tile	tile	NOUN
ihlr-16567	278	18	medical	medical	ADJ
ihlr-16567	278	19	mistakes	mistake	NOUN
ihlr-16567	278	20	that	that	PRON
ihlr-16567	278	21	kill	kill	VERB
ihlr-16567	278	22	and	and	CCONJ
ihlr-16567	278	23	injure	injure	VERB
ihlr-16567	278	24	millions	million	NOUN
ihlr-16567	278	25	of	of	ADP
ihlr-16567	278	26	americans	americans	PROPN
ihlr-16567	278	27	(	(	PUNCT
ihlr-16567	278	28	life	life	NOUN
ihlr-16567	278	29	line	line	NOUN
ihlr-16567	278	30	press	press	NOUN
ihlr-16567	278	31	2003	2003	NUM
ihlr-16567	278	32	)	)	PUNCT
ihlr-16567	278	33	.	.	PUNCT
ihlr-16567	279	1	47	47	NUM
ihlr-16567	279	2	.	.	PUNCT
ihlr-16567	280	1	see	see	VERB
ihlr-16567	280	2	,	,	PUNCT
ihlr-16567	280	3	e.g.	e.g.	ADV
ihlr-16567	280	4	,	,	PUNCT
ihlr-16567	280	5	deborah	deborah	PROPN
ihlr-16567	280	6	gates	gates	PROPN
ihlr-16567	280	7	,	,	PUNCT
ihlr-16567	280	8	lawsuit	lawsuit	NOUN
ihlr-16567	280	9	filed	file	VERB
ihlr-16567	280	10	in	in	ADP
ihlr-16567	280	11	stent	stent	NOUN
ihlr-16567	280	12	surgeries	surgery	NOUN
ihlr-16567	280	13	:	:	PUNCT
ihlr-16567	280	14	24	24	NUM
ihlr-16567	280	15	plaintiffs	plaintiff	NOUN
ihlr-16567	280	16	seek	seek	VERB
ihlr-16567	280	17	more	more	ADJ
ihlr-16567	280	18	than	than	ADP
ihlr-16567	280	19	$	$	SYM
ihlr-16567	280	20	30k	30k	NUM
ihlr-16567	280	21	per	per	ADP
ihlr-16567	280	22	count	count	NOUN
ihlr-16567	280	23	,	,	PUNCT
ihlr-16567	280	24	the	the	DET
ihlr-16567	280	25	daily	daily	ADJ
ihlr-16567	280	26	times	time	NOUN
ihlr-16567	280	27	(	(	PUNCT
ihlr-16567	280	28	salisbury	salisbury	PROPN
ihlr-16567	280	29	)	)	PUNCT
ihlr-16567	280	30	,	,	PUNCT
ihlr-16567	280	31	jul	jul	PROPN
ihlr-16567	280	32	.	.	PROPN
ihlr-16567	280	33	22	22	NUM
ihlr-16567	280	34	,	,	PUNCT
ihlr-16567	280	35	2008	2008	NUM
ihlr-16567	280	36	,	,	PUNCT
ihlr-16567	280	37	at	at	ADP
ihlr-16567	280	38	i	i	PRON
ihlr-16567	280	39	(	(	PUNCT
ihlr-16567	280	40	providing	provide	VERB
ihlr-16567	280	41	a	a	DET
ihlr-16567	280	42	real	real	ADJ
ihlr-16567	280	43	-	-	PUNCT
ihlr-16567	280	44	life	life	NOUN
ihlr-16567	280	45	example	example	NOUN
ihlr-16567	280	46	in	in	ADP
ihlr-16567	280	47	relation	relation	NOUN
ihlr-16567	280	48	to	to	PART
ihlr-16567	280	49	stent	stent	VERB
ihlr-16567	280	50	surgeries	surgery	NOUN
ihlr-16567	280	51	)	)	PUNCT
ihlr-16567	280	52	.	.	PUNCT
ihlr-16567	281	1	2010	2010	NUM
ihlr-16567	281	2	]	]	PUNCT
ihlr-16567	281	3	"	"	PUNCT
ihlr-16567	281	4	shared	share	VERB
ihlr-16567	281	5	accountability	accountability	NOUN
ihlr-16567	281	6	"	"	PUNCT
ihlr-16567	281	7	approach	approach	NOUN
ihlr-16567	281	8	201	201	NUM
ihlr-16567	281	9	vailing	vailing	NOUN
ihlr-16567	281	10	in	in	ADP
ihlr-16567	281	11	the	the	DET
ihlr-16567	281	12	current	current	ADJ
ihlr-16567	281	13	,	,	PUNCT
ihlr-16567	281	14	nationwide	nationwide	ADJ
ihlr-16567	281	15	sgr	sgr	PROPN
ihlr-16567	281	16	regime	regime	NOUN
ihlr-16567	281	17	.	.	PUNCT
ihlr-16567	282	1	to	to	PART
ihlr-16567	282	2	maintain	maintain	VERB
ihlr-16567	282	3	com­	com­	PROPN
ihlr-16567	282	4	pliance	pliance	NOUN
ihlr-16567	282	5	,	,	PUNCT
ihlr-16567	282	6	doctors	doctor	NOUN
ihlr-16567	282	7	in	in	ADP
ihlr-16567	282	8	the	the	DET
ihlr-16567	282	9	aco	aco	PROPN
ihlr-16567	282	10	will	will	AUX
ihlr-16567	282	11	probably	probably	ADV
ihlr-16567	282	12	want	want	VERB
ihlr-16567	282	13	to	to	PART
ihlr-16567	282	14	use	use	VERB
ihlr-16567	282	15	some	some	PRON
ihlr-16567	282	16	of	of	ADP
ihlr-16567	282	17	the	the	DET
ihlr-16567	282	18	same	same	ADJ
ihlr-16567	282	19	techniques	technique	NOUN
ihlr-16567	282	20	that	that	PRON
ihlr-16567	282	21	insurers	insurer	NOUN
ihlr-16567	282	22	use	use	VERB
ihlr-16567	282	23	to	to	ADP
ihlr-16567	282	24	identity	identity	NOUN
ihlr-16567	282	25	outlier	outlier	NOUN
ihlr-16567	282	26	doctors	doctor	NOUN
ihlr-16567	282	27	.	.	PUNCT
ihlr-16567	283	1	use	use	NOUN
ihlr-16567	283	2	of	of	ADP
ihlr-16567	283	3	such	such	ADJ
ihlr-16567	283	4	techniques	technique	NOUN
ihlr-16567	283	5	in	in	ADP
ihlr-16567	283	6	the	the	DET
ihlr-16567	283	7	aco	aco	PROPN
ihlr-16567	283	8	,	,	PUNCT
ihlr-16567	283	9	however	however	ADV
ihlr-16567	283	10	,	,	PUNCT
ihlr-16567	283	11	will	will	AUX
ihlr-16567	283	12	be	be	AUX
ihlr-16567	283	13	different	different	ADJ
ihlr-16567	283	14	in	in	ADP
ihlr-16567	283	15	that	that	DET
ihlr-16567	283	16	doctors	doctor	NOUN
ihlr-16567	283	17	themselves	themselves	PRON
ihlr-16567	283	18	must	must	AUX
ihlr-16567	283	19	be	be	AUX
ihlr-16567	283	20	satisfied	satisfied	ADJ
ihlr-16567	283	21	as	as	ADP
ihlr-16567	283	22	to	to	ADP
ihlr-16567	283	23	the	the	DET
ihlr-16567	283	24	validity	validity	NOUN
ihlr-16567	283	25	of	of	ADP
ihlr-16567	283	26	methods	method	NOUN
ihlr-16567	283	27	(	(	PUNCT
ihlr-16567	283	28	e.g.	e.g.	ADV
ihlr-16567	283	29	physician	physician	NOUN
ihlr-16567	283	30	profiling	profiling	NOUN
ihlr-16567	283	31	software	software	NOUN
ihlr-16567	283	32	)	)	PUNCT
ihlr-16567	283	33	48	48	NUM
ihlr-16567	283	34	and	and	CCONJ
ihlr-16567	283	35	the	the	DET
ihlr-16567	283	36	fairness	fairness	NOUN
ihlr-16567	283	37	of	of	ADP
ihlr-16567	283	38	any	any	DET
ihlr-16567	283	39	process	process	NOUN
ihlr-16567	283	40	used	use	VERB
ihlr-16567	283	41	to	to	ADP
ihlr-16567	283	42	identity	identity	NOUN
ihlr-16567	283	43	outlier	outlier	NOUN
ihlr-16567	283	44	colleagues	colleague	NOUN
ihlr-16567	283	45	.	.	PUNCT
ihlr-16567	284	1	•	•	NUM
ihlr-16567	284	2	clinical	clinical	ADJ
ihlr-16567	284	3	integration	integration	NOUN
ihlr-16567	284	4	.	.	PUNCT
ihlr-16567	285	1	the	the	DET
ihlr-16567	285	2	cornerstone	cornerstone	NOUN
ihlr-16567	285	3	of	of	ADP
ihlr-16567	285	4	an	an	DET
ihlr-16567	285	5	aco	aco	PROPN
ihlr-16567	285	6	's	's	PART
ihlr-16567	285	7	collective	collective	ADJ
ihlr-16567	285	8	quality	quality	NOUN
ihlr-16567	285	9	effort	effort	NOUN
ihlr-16567	285	10	would	would	AUX
ihlr-16567	285	11	be	be	AUX
ihlr-16567	285	12	clinical	clinical	ADJ
ihlr-16567	285	13	integration	integration	NOUN
ihlr-16567	285	14	,	,	PUNCT
ihlr-16567	285	15	argues	argue	VERB
ihlr-16567	285	16	thomas	thomas	PROPN
ihlr-16567	285	17	run­	run­	PROPN
ihlr-16567	285	18	dall	dall	PROPN
ihlr-16567	285	19	.	.	PUNCT
ihlr-16567	286	1	this	this	PRON
ihlr-16567	286	2	would	would	AUX
ihlr-16567	286	3	involve	involve	VERB
ihlr-16567	286	4	"	"	PUNCT
ihlr-16567	286	5	providers	provider	NOUN
ihlr-16567	286	6	working	work	VERB
ihlr-16567	286	7	together	together	ADV
ihlr-16567	286	8	in	in	ADP
ihlr-16567	286	9	an	an	DET
ihlr-16567	286	10	inter­	inter­	NUM
ihlr-16567	286	11	dependent	dependent	ADJ
ihlr-16567	286	12	fashion	fashion	NOUN
ihlr-16567	286	13	so	so	SCONJ
ihlr-16567	286	14	that	that	SCONJ
ihlr-16567	286	15	they	they	PRON
ihlr-16567	286	16	can	can	AUX
ihlr-16567	286	17	pool	pool	VERB
ihlr-16567	286	18	infrastructure	infrastructure	NOUN
ihlr-16567	286	19	and	and	CCONJ
ihlr-16567	286	20	resources	resource	NOUN
ihlr-16567	286	21	;	;	PUNCT
ihlr-16567	286	22	and	and	CCONJ
ihlr-16567	286	23	develop	develop	VERB
ihlr-16567	286	24	,	,	PUNCT
ihlr-16567	286	25	implement	implement	VERB
ihlr-16567	286	26	[	[	X
ihlr-16567	286	27	and	and	CCONJ
ihlr-16567	286	28	]	]	PUNCT
ihlr-16567	286	29	monitor	monitor	NOUN
ihlr-16567	286	30	protocols	protocol	NOUN
ihlr-16567	286	31	,	,	PUNCT
ihlr-16567	286	32	'	'	PUNCT
ihlr-16567	286	33	best	good	ADJ
ihlr-16567	286	34	practices	practice	NOUN
ihlr-16567	286	35	,	,	PUNCT
ihlr-16567	286	36	'	'	PUNCT
ihlr-16567	286	37	and	and	CCONJ
ihlr-16567	286	38	various	various	ADJ
ihlr-16567	286	39	other	other	ADJ
ihlr-16567	286	40	organized	organize	VERB
ihlr-16567	286	41	processes	process	NOUN
ihlr-16567	286	42	.	.	PUNCT
ihlr-16567	287	1	'.49	'.49	AUX
ihlr-16567	287	2	examples	example	NOUN
ihlr-16567	287	3	cited	cite	VERB
ihlr-16567	287	4	by	by	ADP
ihlr-16567	287	5	rundall	rundall	NOUN
ihlr-16567	287	6	include	include	VERB
ihlr-16567	287	7	coordination	coordination	NOUN
ihlr-16567	287	8	across	across	ADP
ihlr-16567	287	9	entities	entity	NOUN
ihlr-16567	287	10	for	for	ADP
ihlr-16567	287	11	an	an	DET
ihlr-16567	287	12	entire	entire	ADJ
ihlr-16567	287	13	episode	episode	NOUN
ihlr-16567	287	14	of	of	ADP
ihlr-16567	287	15	care	care	NOUN
ihlr-16567	287	16	,	,	PUNCT
ihlr-16567	287	17	creation	creation	NOUN
ihlr-16567	287	18	of	of	ADP
ihlr-16567	287	19	disease	disease	NOUN
ihlr-16567	287	20	registries	registry	NOUN
ihlr-16567	287	21	.	.	PUNCT
ihlr-16567	288	1	and	and	CCONJ
ihlr-16567	288	2	other	other	ADJ
ihlr-16567	288	3	chronic	chronic	ADJ
ihlr-16567	288	4	care	care	NOUN
ihlr-16567	288	5	programs	program	NOUN
ihlr-16567	288	6	,	,	PUNCT
ihlr-16567	288	7	facilitation	facilitation	NOUN
ihlr-16567	288	8	of	of	ADP
ihlr-16567	288	9	electronic	electronic	ADJ
ihlr-16567	288	10	health	health	NOUN
ihlr-16567	288	11	record	record	NOUN
ihlr-16567	288	12	(	(	PUNCT
ihlr-16567	288	13	ehr	ehr	NOUN
ihlr-16567	288	14	)	)	PUNCT
ihlr-16567	288	15	ac­	ac­	PROPN
ihlr-16567	288	16	quisition	quisition	NOUN
ihlr-16567	288	17	,	,	PUNCT
ihlr-16567	288	18	and	and	CCONJ
ihlr-16567	288	19	even	even	ADV
ihlr-16567	288	20	supply	supply	VERB
ihlr-16567	288	21	chain	chain	NOUN
ihlr-16567	288	22	management	management	NOUN
ihlr-16567	288	23	.	.	PUNCT
ihlr-16567	289	1	fisher	fisher	PROPN
ihlr-16567	289	2	and	and	CCONJ
ihlr-16567	289	3	col­	col­	PROPN
ihlr-16567	289	4	leagues	league	NOUN
ihlr-16567	289	5	note	note	VERB
ihlr-16567	289	6	that	that	SCONJ
ihlr-16567	289	7	one	one	NUM
ihlr-16567	289	8	of	of	ADP
ihlr-16567	289	9	the	the	DET
ihlr-16567	289	10	advantages	advantage	NOUN
ihlr-16567	289	11	of	of	ADP
ihlr-16567	289	12	larger	large	ADJ
ihlr-16567	289	13	organizations	organization	NOUN
ihlr-16567	289	14	relates	relate	VERB
ihlr-16567	289	15	to	to	ADP
ihlr-16567	289	16	their	their	PRON
ihlr-16567	289	17	capacity	capacity	NOUN
ihlr-16567	289	18	to	to	PART
ihlr-16567	289	19	invest	invest	VERB
ihlr-16567	289	20	in	in	ADP
ihlr-16567	289	21	improving	improve	VERB
ihlr-16567	289	22	quality	quality	NOUN
ihlr-16567	289	23	and	and	CCONJ
ihlr-16567	289	24	lowering	lower	VERB
ihlr-16567	289	25	costs	cost	NOUN
ihlr-16567	289	26	.	.	PUNCT
ihlr-16567	290	1	most	most	ADJ
ihlr-16567	290	2	physi­	physi­	PROPN
ihlr-16567	290	3	cians	cian	NOUN
ihlr-16567	290	4	remain	remain	VERB
ihlr-16567	290	5	in	in	ADP
ihlr-16567	290	6	solo	solo	NOUN
ihlr-16567	290	7	or	or	CCONJ
ihlr-16567	290	8	small	small	ADJ
ihlr-16567	290	9	group	group	NOUN
ihlr-16567	290	10	practices	practice	NOUN
ihlr-16567	290	11	and	and	CCONJ
ihlr-16567	290	12	have	have	VERB
ihlr-16567	290	13	neither	neither	CCONJ
ihlr-16567	290	14	the	the	DET
ihlr-16567	290	15	capital	capital	NOUN
ihlr-16567	290	16	nor	nor	CCONJ
ihlr-16567	290	17	organizational	organizational	ADJ
ihlr-16567	290	18	capacity	capacity	NOUN
ihlr-16567	290	19	to	to	PART
ihlr-16567	290	20	in­	in­	VERB
ihlr-16567	290	21	vest	vest	NOUN
ihlr-16567	290	22	in	in	ADP
ihlr-16567	290	23	health	health	NOUN
ihlr-16567	290	24	information	information	NOUN
ihlr-16567	290	25	systems	system	NOUN
ihlr-16567	290	26	,	,	PUNCT
ihlr-16567	290	27	the	the	DET
ihlr-16567	290	28	implementa­	implementa­	NOUN
ihlr-16567	290	29	tion	tion	NOUN
ihlr-16567	290	30	of	of	ADP
ihlr-16567	290	31	care	care	NOUN
ihlr-16567	290	32	management	management	NOUN
ihlr-16567	290	33	protocols	protocol	NOUN
ihlr-16567	290	34	,	,	PUNCT
ihlr-16567	290	35	or	or	CCONJ
ihlr-16567	290	36	ongoing	ongoing	ADJ
ihlr-16567	290	37	quality	quality	NOUN
ihlr-16567	290	38	improvement	improvement	NOUN
ihlr-16567	290	39	initiatives	initiative	NOUN
ihlr-16567	290	40	.	.	PUNCT
ihlr-16567	291	1	hospitals	hospital	NOUN
ihlr-16567	291	2	or	or	CCONJ
ihlr-16567	291	3	large	large	ADJ
ihlr-16567	291	4	medical	medical	ADJ
ihlr-16567	291	5	groups	group	NOUN
ihlr-16567	291	6	are	be	AUX
ihlr-16567	291	7	much	much	ADV
ihlr-16567	291	8	better	well	ADV
ihlr-16567	291	9	positioned	position	VERB
ihlr-16567	291	10	to	to	PART
ihlr-16567	291	11	invest	invest	VERB
ihlr-16567	291	12	in	in	ADP
ihlr-16567	291	13	such	such	ADJ
ihlr-16567	291	14	systems	system	NOUN
ihlr-16567	291	15	and	and	CCONJ
ihlr-16567	291	16	to	to	PART
ihlr-16567	291	17	provide	provide	VERB
ihlr-16567	291	18	financial	financial	ADJ
ihlr-16567	291	19	and	and	CCONJ
ihlr-16567	291	20	technical	technical	ADJ
ihlr-16567	291	21	support	support	NOUN
ihlr-16567	291	22	to	to	ADP
ihlr-16567	291	23	physicians	physician	NOUN
ihlr-16567	291	24	aligned	align	VERB
ihlr-16567	291	25	with	with	ADP
ihlr-16567	291	26	their	their	PRON
ihlr-16567	291	27	institution	institution	NOUN
ihlr-16567	291	28	.	.	PUNCT
ihlr-16567	292	1	5	5	NUM
ihlr-16567	292	2	°	°	NUM
ihlr-16567	292	3	•	•	NOUN
ihlr-16567	292	4	infrastructure	infrastructure	NOUN
ihlr-16567	292	5	development	development	NOUN
ihlr-16567	292	6	.	.	PUNCT
ihlr-16567	293	1	rundall	rundall	PROPN
ihlr-16567	293	2	also	also	ADV
ihlr-16567	293	3	argues	argue	VERB
ihlr-16567	293	4	that	that	SCONJ
ihlr-16567	293	5	the	the	DET
ihlr-16567	293	6	well­	well­	VERB
ihlr-16567	293	7	organized	organize	VERB
ihlr-16567	293	8	aco	aco	PROPN
ihlr-16567	293	9	would	would	AUX
ihlr-16567	293	10	"	"	PUNCT
ihlr-16567	293	11	develop	develop	VERB
ihlr-16567	293	12	mechanisms	mechanism	NOUN
ihlr-16567	293	13	to	to	PART
ihlr-16567	293	14	monitor	monitor	VERB
ihlr-16567	293	15	and	and	CCONJ
ihlr-16567	293	16	con­	con­	NOUN
ihlr-16567	293	17	trol	trol	NOUN
ihlr-16567	293	18	utilization	utilization	NOUN
ihlr-16567	293	19	of	of	ADP
ihlr-16567	293	20	services	service	NOUN
ihlr-16567	293	21	and	and	CCONJ
ihlr-16567	293	22	enhance	enhance	VERB
ihlr-16567	293	23	quality	quality	NOUN
ihlr-16567	293	24	and	and	CCONJ
ihlr-16567	293	25	efficiency"51	efficiency"51	VERB
ihlr-16567	293	26	in­	in­	NOUN
ihlr-16567	293	27	cluding	clude	VERB
ihlr-16567	293	28	feedback	feedback	NOUN
ihlr-16567	293	29	on	on	ADP
ihlr-16567	293	30	performance	performance	NOUN
ihlr-16567	293	31	,	,	PUNCT
ihlr-16567	293	32	peer	peer	NOUN
ihlr-16567	293	33	-	-	PUNCT
ihlr-16567	293	34	to	to	ADP
ihlr-16567	293	35	-	-	PUNCT
ihlr-16567	293	36	peer	peer	NOUN
ihlr-16567	293	37	counseling	counseling	NOUN
ihlr-16567	293	38	,	,	PUNCT
ihlr-16567	293	39	and	and	CCONJ
ihlr-16567	293	40	tools	tool	NOUN
ihlr-16567	293	41	and	and	CCONJ
ihlr-16567	293	42	processes	process	NOUN
ihlr-16567	293	43	to	to	PART
ihlr-16567	293	44	help	help	VERB
ihlr-16567	293	45	physicians	physician	NOUN
ihlr-16567	293	46	improve	improve	VERB
ihlr-16567	293	47	quality	quality	NOUN
ihlr-16567	293	48	.	.	PUNCT
ihlr-16567	294	1	the	the	DET
ihlr-16567	294	2	neces­	neces­	PROPN
ihlr-16567	294	3	sary	sary	PROPN
ihlr-16567	294	4	infrastructure	infrastructure	NOUN
ihlr-16567	294	5	to	to	PART
ihlr-16567	294	6	accomplish	accomplish	VERB
ihlr-16567	294	7	this	this	PRON
ihlr-16567	294	8	,	,	PUNCT
ihlr-16567	294	9	says	say	VERB
ihlr-16567	294	10	rundall	rundall	PROPN
ihlr-16567	294	11	,	,	PUNCT
ihlr-16567	294	12	is	be	AUX
ihlr-16567	294	13	a	a	DET
ihlr-16567	294	14	paid	pay	VERB
ihlr-16567	294	15	pro­	pro­	NOUN
ihlr-16567	294	16	fessional	fessional	ADJ
ihlr-16567	294	17	staff	staff	NOUN
ihlr-16567	294	18	led	lead	VERB
ihlr-16567	294	19	by	by	ADP
ihlr-16567	294	20	a	a	DET
ihlr-16567	294	21	medical	medical	ADJ
ihlr-16567	294	22	director	director	NOUN
ihlr-16567	294	23	that	that	PRON
ihlr-16567	294	24	could	could	AUX
ihlr-16567	294	25	collect	collect	VERB
ihlr-16567	294	26	and	and	CCONJ
ihlr-16567	294	27	48	48	NUM
ihlr-16567	294	28	.	.	PUNCT
ihlr-16567	295	1	see	see	VERB
ihlr-16567	295	2	lewis	lewis	PROPN
ihlr-16567	295	3	sandy	sandy	PROPN
ihlr-16567	295	4	,	,	PUNCT
ihlr-16567	295	5	the	the	DET
ihlr-16567	295	6	future	future	NOUN
ihlr-16567	295	7	of	of	ADP
ihlr-16567	295	8	physician	physician	NOUN
ihlr-16567	295	9	profiling	profiling	NOUN
ihlr-16567	295	10	.	.	PUNCT
ihlr-16567	296	1	22	22	NUM
ihlr-16567	296	2	j.	j.	NOUN
ihlr-16567	296	3	of	of	ADP
ihlr-16567	296	4	ambulatory	ambulatory	ADJ
ihlr-16567	296	5	care	care	NOUN
ihlr-16567	296	6	mgmt	mgmt	NOUN
ihlr-16567	296	7	.	.	PUNCT
ihlr-16567	297	1	11	11	NUM
ihlr-16567	297	2	,	,	PUNCT
ihlr-16567	297	3	11	11	NUM
ihlr-16567	297	4	(	(	PUNCT
ihlr-16567	297	5	1999	1999	NUM
ihlr-16567	297	6	)	)	PUNCT
ihlr-16567	297	7	.	.	PUNCT
ihlr-16567	298	1	49	49	NUM
ihlr-16567	298	2	.	.	PUNCT
ihlr-16567	299	1	thomas	thomas	PROPN
ihlr-16567	299	2	rundall	rundall	PROPN
ihlr-16567	299	3	,	,	PUNCT
ihlr-16567	299	4	university	university	PROPN
ihlr-16567	299	5	of	of	ADP
ihlr-16567	299	6	california	california	PROPN
ihlr-16567	299	7	,	,	PUNCT
ihlr-16567	299	8	berkeley	berkeley	PROPN
ihlr-16567	299	9	,	,	PUNCT
ihlr-16567	299	10	accountable.care	accountable.care	NOUN
ihlr-16567	299	11	organiza­	organiza­	CCONJ
ihlr-16567	299	12	tions	tion	NOUN
ihlr-16567	299	13	:	:	PUNCT
ihlr-16567	299	14	key	key	ADJ
ihlr-16567	299	15	characteristics	characteristic	NOUN
ihlr-16567	299	16	and	and	CCONJ
ihlr-16567	299	17	activities	activity	NOUN
ihlr-16567	299	18	,	,	PUNCT
ihlr-16567	299	19	presentation	presentation	NOUN
ihlr-16567	299	20	at	at	ADP
ihlr-16567	299	21	academy	academy	PROPN
ihlr-16567	299	22	health	health	PROPN
ihlr-16567	299	23	annual	annual	ADJ
ihlr-16567	299	24	research	research	NOUN
ihlr-16567	299	25	meeting	meeting	NOUN
ihlr-16567	299	26	(	(	PUNCT
ihlr-16567	299	27	jun	jun	PROPN
ihlr-16567	299	28	.	.	PROPN
ihlr-16567	299	29	4	4	NUM
ihlr-16567	299	30	,	,	PUNCT
ihlr-16567	299	31	2007	2007	NUM
ihlr-16567	299	32	)	)	PUNCT
ihlr-16567	299	33	.	.	PUNCT
ihlr-16567	300	1	50	50	NUM
ihlr-16567	300	2	.	.	X
ihlr-16567	300	3	fisher	fisher	PROPN
ihlr-16567	300	4	,	,	PUNCT
ihlr-16567	300	5	et	et	PROPN
ihlr-16567	300	6	al	al	PROPN
ihlr-16567	300	7	.	.	PROPN
ihlr-16567	300	8	,	,	PUNCT
ihlr-16567	300	9	creating	create	VERB
ihlr-16567	300	10	accountable	accountable	ADJ
ihlr-16567	300	11	care	care	NOUN
ihlr-16567	300	12	organizations	organization	NOUN
ihlr-16567	300	13	,	,	PUNCT
ihlr-16567	300	14	supra	supra	PROPN
ihlr-16567	300	15	note	note	NOUN
ihlr-16567	300	16	12	12	NUM
ihlr-16567	300	17	,	,	PUNCT
ihlr-16567	300	18	at	at	ADP
ihlr-16567	300	19	w53	w53	ADJ
ihlr-16567	300	20	.	.	PUNCT
ihlr-16567	301	1	51	51	NUM
ihlr-16567	301	2	.	.	PUNCT
ihlr-16567	301	3	rundall	rundall	PROPN
ihlr-16567	301	4	,	,	PUNCT
ihlr-16567	301	5	supra	supra	PROPN
ihlr-16567	301	6	note	note	NOUN
ihlr-16567	301	7	49	49	NUM
ihlr-16567	301	8	.	.	PUNCT
ihlr-16567	302	1	202	202	NUM
ihlr-16567	302	2	indiana	indiana	PROPN
ihlr-16567	302	3	health	health	PROPN
ihlr-16567	302	4	law	law	PROPN
ihlr-16567	302	5	review	review	NOUN
ihlr-16567	302	6	[	[	X
ihlr-16567	302	7	vol	vol	NOUN
ihlr-16567	302	8	.	.	PUNCT
ihlr-16567	303	1	7:185	7:185	NUM
ihlr-16567	303	2	analyze	analyze	NOUN
ihlr-16567	303	3	data	datum	NOUN
ihlr-16567	303	4	,	,	PUNCT
ihlr-16567	303	5	as	as	ADV
ihlr-16567	303	6	well	well	ADV
ihlr-16567	303	7	as	as	ADP
ihlr-16567	303	8	shared	share	VERB
ihlr-16567	303	9	nurse	nurse	NOUN
ihlr-16567	303	10	care	care	NOUN
ihlr-16567	303	11	managers	manager	NOUN
ihlr-16567	303	12	to	to	PART
ihlr-16567	303	13	coordinate	coordinate	VERB
ihlr-16567	303	14	the	the	DET
ihlr-16567	303	15	education	education	NOUN
ihlr-16567	303	16	and	and	CCONJ
ihlr-16567	303	17	care	care	NOUN
ihlr-16567	303	18	of	of	ADP
ihlr-16567	303	19	patients	patient	NOUN
ihlr-16567	303	20	.	.	PUNCT
ihlr-16567	304	1	•	•	NUM
ihlr-16567	304	2	exclusivity	exclusivity	NOUN
ihlr-16567	304	3	.	.	PUNCT
ihlr-16567	305	1	ultimately	ultimately	ADV
ihlr-16567	305	2	,	,	PUNCT
ihlr-16567	305	3	the	the	DET
ihlr-16567	305	4	ability	ability	NOUN
ihlr-16567	305	5	of	of	ADP
ihlr-16567	305	6	the	the	DET
ihlr-16567	305	7	aco	aco	PROPN
ihlr-16567	305	8	to	to	PART
ihlr-16567	305	9	enforce	enforce	VERB
ihlr-16567	305	10	im­	im­	NOUN
ihlr-16567	305	11	provements	provement	NOUN
ihlr-16567	305	12	relies	rely	VERB
ihlr-16567	305	13	upon	upon	SCONJ
ihlr-16567	305	14	the	the	DET
ihlr-16567	305	15	power	power	NOUN
ihlr-16567	305	16	to	to	PART
ihlr-16567	305	17	exclude	exclude	VERB
ihlr-16567	305	18	physicians	physician	NOUN
ihlr-16567	305	19	who	who	PRON
ihlr-16567	305	20	do	do	AUX
ihlr-16567	305	21	not	not	PART
ihlr-16567	305	22	act	act	VERB
ihlr-16567	305	23	in	in	ADP
ihlr-16567	305	24	the	the	DET
ihlr-16567	305	25	spirit	spirit	NOUN
ihlr-16567	305	26	of	of	ADP
ihlr-16567	305	27	the	the	DET
ihlr-16567	305	28	cooperative	cooperative	ADJ
ihlr-16567	305	29	venture	venture	NOUN
ihlr-16567	305	30	.	.	PUNCT
ihlr-16567	306	1	speaking	speak	VERB
ihlr-16567	306	2	of	of	ADP
ihlr-16567	306	3	an	an	DET
ihlr-16567	306	4	an­	an­	NOUN
ihlr-16567	306	5	tecedent	tecedent	NOUN
ihlr-16567	306	6	of	of	ADP
ihlr-16567	306	7	the	the	DET
ihlr-16567	306	8	aco	aco	PROPN
ihlr-16567	306	9	,	,	PUNCT
ihlr-16567	306	10	the	the	DET
ihlr-16567	306	11	independent	independent	ADJ
ihlr-16567	306	12	practice	practice	NOUN
ihlr-16567	306	13	association	association	NOUN
ihlr-16567	306	14	,	,	PUNCT
ihlr-16567	306	15	james	james	PROPN
ihlr-16567	306	16	robinson	robinson	PROPN
ihlr-16567	306	17	has	have	AUX
ihlr-16567	306	18	written	write	VERB
ihlr-16567	306	19	,	,	PUNCT
ihlr-16567	306	20	credentialing	credentiale	VERB
ihlr-16567	306	21	on	on	ADP
ihlr-16567	306	22	clinical	clinical	ADJ
ihlr-16567	306	23	,	,	PUNCT
ihlr-16567	306	24	cultural	cultural	ADJ
ihlr-16567	306	25	,	,	PUNCT
ihlr-16567	306	26	and	and	CCONJ
ihlr-16567	306	27	economic	economic	ADJ
ihlr-16567	306	28	grounds	ground	NOUN
ihlr-16567	306	29	seeks	seek	VERB
ihlr-16567	306	30	to	to	PART
ihlr-16567	306	31	ensure	ensure	VERB
ihlr-16567	306	32	that	that	SCONJ
ihlr-16567	306	33	the	the	DET
ihlr-16567	306	34	physicians	physician	NOUN
ihlr-16567	306	35	participat­	participat­	ADV
ihlr-16567	306	36	ing	e	VERB
ihlr-16567	306	37	in	in	ADP
ihlr-16567	306	38	the	the	DET
ihlr-16567	306	39	health	health	NOUN
ihlr-16567	306	40	plan	plan	NOUN
ihlr-16567	306	41	or	or	CCONJ
ihlr-16567	306	42	medical	medical	ADJ
ihlr-16567	306	43	group	group	NOUN
ihlr-16567	306	44	embrace	embrace	VERB
ihlr-16567	306	45	the	the	DET
ihlr-16567	306	46	organizational	organizational	ADJ
ihlr-16567	306	47	goals	goal	NOUN
ihlr-16567	306	48	of	of	ADP
ihlr-16567	306	49	appropriate	appropriate	ADJ
ihlr-16567	306	50	care	care	NOUN
ihlr-16567	306	51	,	,	PUNCT
ihlr-16567	306	52	and	and	CCONJ
ihlr-16567	306	53	hence	hence	ADV
ihlr-16567	306	54	avoid	avoid	VERB
ihlr-16567	306	55	both	both	DET
ihlr-16567	306	56	overand	overand	PROPN
ihlr-16567	306	57	undertreatment	undertreatment	NOUN
ihlr-16567	306	58	,	,	PUNCT
ihlr-16567	306	59	independent	independent	ADJ
ihlr-16567	306	60	of	of	ADP
ihlr-16567	306	61	explicit	explicit	ADJ
ihlr-16567	306	62	payment	payment	NOUN
ihlr-16567	306	63	incentives	incentive	NOUN
ihlr-16567	306	64	.	.	PUNCT
ihlr-16567	307	1	the	the	DET
ihlr-16567	307	2	creation	creation	NOUN
ihlr-16567	307	3	of	of	ADP
ihlr-16567	307	4	physi­	physi­	PROPN
ihlr-16567	307	5	cian	cian	PROPN
ihlr-16567	307	6	networks	network	NOUN
ihlr-16567	307	7	with	with	ADP
ihlr-16567	307	8	limited	limited	ADJ
ihlr-16567	307	9	participation	participation	NOUN
ihlr-16567	307	10	creates	create	VERB
ihlr-16567	307	11	a	a	DET
ihlr-16567	307	12	supplementary	supplementary	ADJ
ihlr-16567	307	13	nonprice	nonprice	NOUN
ihlr-16567	307	14	mechanism	mechanism	NOUN
ihlr-16567	307	15	through	through	ADP
ihlr-16567	307	16	the	the	DET
ihlr-16567	307	17	po­	po­	PROPN
ihlr-16567	307	18	tential	tential	ADJ
ihlr-16567	307	19	threat	threat	NOUN
ihlr-16567	307	20	of	of	ADP
ihlr-16567	307	21	termination	termination	NOUN
ihlr-16567	307	22	.	.	PUNCT
ihlr-16567	308	1	preemployment	preemployment	PROPN
ihlr-16567	308	2	screen­	screen­	NOUN
ihlr-16567	308	3	ing	ing	NOUN
ihlr-16567	308	4	and	and	CCONJ
ihlr-16567	308	5	the	the	DET
ihlr-16567	308	6	threat	threat	NOUN
ihlr-16567	308	7	of	of	ADP
ihlr-16567	308	8	termination	termination	NOUN
ihlr-16567	308	9	are	be	AUX
ihlr-16567	308	10	core	core	ADJ
ihlr-16567	308	11	principles	principle	NOUN
ihlr-16567	308	12	of	of	ADP
ihlr-16567	308	13	every	every	DET
ihlr-16567	308	14	employment	employment	NOUN
ihlr-16567	308	15	situation	situation	NOUN
ihlr-16567	308	16	and	and	CCONJ
ihlr-16567	308	17	are	be	AUX
ihlr-16567	308	18	applied	apply	VERB
ihlr-16567	308	19	in	in	ADP
ihlr-16567	308	20	a	a	DET
ihlr-16567	308	21	loos­	loos­	NUM
ihlr-16567	308	22	er	er	INTJ
ihlr-16567	308	23	fashion	fashion	NOUN
ihlr-16567	308	24	to	to	ADP
ihlr-16567	308	25	networks	network	NOUN
ihlr-16567	308	26	of	of	ADP
ihlr-16567	308	27	quasi	quasi	ADJ
ihlr-16567	308	28	-	-	ADJ
ihlr-16567	308	29	independent	independent	ADJ
ihlr-16567	308	30	practi­	practi­	PROPN
ihlr-16567	308	31	tioners.52	tioners.52	NOUN
ihlr-16567	308	32	presumably	presumably	ADV
ihlr-16567	308	33	any	any	DET
ihlr-16567	308	34	aco	aco	PROPN
ihlr-16567	308	35	must	must	AUX
ihlr-16567	308	36	have	have	VERB
ihlr-16567	308	37	the	the	DET
ihlr-16567	308	38	power	power	NOUN
ihlr-16567	308	39	to	to	PART
ihlr-16567	308	40	expel	expel	VERB
ihlr-16567	308	41	a	a	DET
ihlr-16567	308	42	doctor	doctor	NOUN
ihlr-16567	308	43	,	,	PUNCT
ihlr-16567	308	44	al­	al­	PROPN
ihlr-16567	308	45	though	though	SCONJ
ihlr-16567	308	46	the	the	DET
ihlr-16567	308	47	means	mean	NOUN
ihlr-16567	308	48	of	of	ADP
ihlr-16567	308	49	doing	do	VERB
ihlr-16567	308	50	so	so	ADV
ihlr-16567	308	51	and	and	CCONJ
ihlr-16567	308	52	the	the	DET
ihlr-16567	308	53	consequences	consequence	NOUN
ihlr-16567	308	54	for	for	ADP
ihlr-16567	308	55	the	the	DET
ihlr-16567	308	56	doc­	doc­	PROPN
ihlr-16567	308	57	tor	tor	PROPN
ihlr-16567	308	58	-	-	PUNCT
ihlr-16567	308	59	and	and	CCONJ
ihlr-16567	308	60	patients	patient	NOUN
ihlr-16567	308	61	-	-	PUNCT
ihlr-16567	308	62	must	must	AUX
ihlr-16567	308	63	be	be	AUX
ihlr-16567	308	64	carefully	carefully	ADV
ihlr-16567	308	65	considered	consider	VERB
ihlr-16567	308	66	.	.	PUNCT
ihlr-16567	309	1	due	due	ADJ
ihlr-16567	309	2	process	process	NOUN
ihlr-16567	309	3	for	for	ADP
ihlr-16567	309	4	the	the	DET
ihlr-16567	309	5	physician	physician	NOUN
ihlr-16567	309	6	is	be	AUX
ihlr-16567	309	7	a	a	DET
ihlr-16567	309	8	must	must	NOUN
ihlr-16567	309	9	.	.	PUNCT
ihlr-16567	310	1	if	if	SCONJ
ihlr-16567	310	2	a	a	DET
ihlr-16567	310	3	hospital	hospital	NOUN
ihlr-16567	310	4	is	be	AUX
ihlr-16567	310	5	the	the	DET
ihlr-16567	310	6	locus	locus	NOUN
ihlr-16567	310	7	of	of	ADP
ihlr-16567	310	8	an	an	DET
ihlr-16567	310	9	aco	aco	PROPN
ihlr-16567	310	10	,	,	PUNCT
ihlr-16567	310	11	and	and	CCONJ
ihlr-16567	310	12	admitting	admit	VERB
ihlr-16567	310	13	privileges	privilege	NOUN
ihlr-16567	310	14	are	be	AUX
ihlr-16567	310	15	revoked	revoke	VERB
ihlr-16567	310	16	,	,	PUNCT
ihlr-16567	310	17	would	would	AUX
ihlr-16567	310	18	this	this	PRON
ihlr-16567	310	19	constitute	constitute	VERB
ihlr-16567	310	20	expulsion	expulsion	NOUN
ihlr-16567	310	21	from	from	ADP
ihlr-16567	310	22	the	the	DET
ihlr-16567	310	23	aco	aco	PROPN
ihlr-16567	310	24	?	?	PUNCT
ihlr-16567	311	1	could	could	AUX
ihlr-16567	311	2	a	a	DET
ihlr-16567	311	3	doctor	doctor	NOUN
ihlr-16567	311	4	be	be	AUX
ihlr-16567	311	5	expelled	expel	VERB
ihlr-16567	311	6	from	from	ADP
ihlr-16567	311	7	the	the	DET
ihlr-16567	311	8	aco	aco	PROPN
ihlr-16567	311	9	pool	pool	NOUN
ihlr-16567	311	10	without	without	ADP
ihlr-16567	311	11	having	have	VERB
ihlr-16567	311	12	credentials	credential	NOUN
ihlr-16567	311	13	revoked	revoke	VERB
ihlr-16567	311	14	?	?	PUNCT
ihlr-16567	312	1	how	how	SCONJ
ihlr-16567	312	2	would	would	AUX
ihlr-16567	312	3	medicare	medicare	VERB
ihlr-16567	312	4	pay­	pay­	PROPN
ihlr-16567	312	5	ment	ment	PROPN
ihlr-16567	312	6	be	be	AUX
ihlr-16567	312	7	affected	affect	VERB
ihlr-16567	312	8	if	if	SCONJ
ihlr-16567	312	9	a	a	DET
ihlr-16567	312	10	doctor	doctor	NOUN
ihlr-16567	312	11	does	do	AUX
ihlr-16567	312	12	not	not	PART
ihlr-16567	312	13	belong	belong	VERB
ihlr-16567	312	14	to	to	ADP
ihlr-16567	312	15	aco	aco	PROPN
ihlr-16567	312	16	?	?	PUNCT
ihlr-16567	313	1	if	if	SCONJ
ihlr-16567	313	2	the	the	DET
ihlr-16567	313	3	doctor	doctor	NOUN
ihlr-16567	313	4	were	be	AUX
ihlr-16567	313	5	simply	simply	ADV
ihlr-16567	313	6	kicked	kick	VERB
ihlr-16567	313	7	into	into	ADP
ihlr-16567	313	8	a	a	DET
ihlr-16567	313	9	residual	residual	ADJ
ihlr-16567	313	10	pool	pool	NOUN
ihlr-16567	313	11	,	,	PUNCT
ihlr-16567	313	12	rather	rather	ADV
ihlr-16567	313	13	than	than	SCONJ
ihlr-16567	313	14	barred	bar	VERB
ihlr-16567	313	15	from	from	ADP
ihlr-16567	313	16	participating	participate	VERB
ihlr-16567	313	17	in	in	ADP
ihlr-16567	313	18	medicare	medicare	PROPN
ihlr-16567	313	19	,	,	PUNCT
ihlr-16567	313	20	the	the	DET
ihlr-16567	313	21	doctor	doctor	NOUN
ihlr-16567	313	22	presumably	presumably	ADV
ihlr-16567	313	23	would	would	AUX
ihlr-16567	313	24	be	be	AUX
ihlr-16567	313	25	paid	pay	VERB
ihlr-16567	313	26	less	less	ADJ
ihlr-16567	313	27	,	,	PUNCT
ihlr-16567	313	28	losing	lose	VERB
ihlr-16567	313	29	opportunities	opportunity	NOUN
ihlr-16567	313	30	for	for	ADP
ihlr-16567	313	31	shared	shared	ADJ
ihlr-16567	313	32	savings	saving	NOUN
ihlr-16567	313	33	or	or	CCONJ
ihlr-16567	313	34	other	other	ADJ
ihlr-16567	313	35	positive	positive	ADJ
ihlr-16567	313	36	up­	up­	NOUN
ihlr-16567	313	37	dates	date	VERB
ihlr-16567	313	38	to	to	ADP
ihlr-16567	313	39	the	the	DET
ihlr-16567	313	40	conversion	conversion	NOUN
ihlr-16567	313	41	factor	factor	NOUN
ihlr-16567	313	42	.	.	PUNCT
ihlr-16567	314	1	but	but	CCONJ
ihlr-16567	314	2	that	that	SCONJ
ihlr-16567	314	3	doctor	doctor	NOUN
ihlr-16567	314	4	's	's	PART
ihlr-16567	314	5	patients	patient	NOUN
ihlr-16567	314	6	would	would	AUX
ihlr-16567	314	7	lose	lose	VERB
ihlr-16567	314	8	the	the	DET
ihlr-16567	314	9	benefits	benefit	NOUN
ihlr-16567	314	10	of	of	ADP
ihlr-16567	314	11	clinical	clinical	ADJ
ihlr-16567	314	12	integration	integration	NOUN
ihlr-16567	314	13	that	that	PRON
ihlr-16567	314	14	the	the	DET
ihlr-16567	314	15	aco	aco	PROPN
ihlr-16567	314	16	structure	structure	NOUN
ihlr-16567	314	17	is	be	AUX
ihlr-16567	314	18	meant	mean	VERB
ihlr-16567	314	19	to	to	PART
ihlr-16567	314	20	confer	confer	VERB
ihlr-16567	314	21	on	on	ADP
ihlr-16567	314	22	patients	patient	NOUN
ihlr-16567	314	23	.	.	PUNCT
ihlr-16567	315	1	determining	determine	VERB
ihlr-16567	315	2	the	the	DET
ihlr-16567	315	3	consequences	consequence	NOUN
ihlr-16567	315	4	of	of	ADP
ihlr-16567	315	5	aco	aco	PROPN
ihlr-16567	315	6	ex­	ex­	PROPN
ihlr-16567	315	7	pulsion	pulsion	PROPN
ihlr-16567	315	8	will	will	AUX
ihlr-16567	315	9	require	require	VERB
ihlr-16567	315	10	a	a	DET
ihlr-16567	315	11	careful	careful	ADJ
ihlr-16567	315	12	balancing	balancing	NOUN
ihlr-16567	315	13	of	of	ADP
ihlr-16567	315	14	the	the	DET
ihlr-16567	315	15	doctor	doctor	NOUN
ihlr-16567	315	16	's	's	PART
ihlr-16567	315	17	right	right	NOUN
ihlr-16567	315	18	to	to	ADP
ihlr-16567	315	19	con­	con­	PROPN
ihlr-16567	315	20	tinue	tinue	NOUN
ihlr-16567	315	21	practicing	practicing	NOUN
ihlr-16567	315	22	,	,	PUNCT
ihlr-16567	315	23	the	the	DET
ihlr-16567	315	24	patient	patient	NOUN
ihlr-16567	315	25	's	's	PART
ihlr-16567	315	26	right	right	NOUN
ihlr-16567	315	27	to	to	PART
ihlr-16567	315	28	remain	remain	VERB
ihlr-16567	315	29	loyal	loyal	ADJ
ihlr-16567	315	30	to	to	ADP
ihlr-16567	315	31	the	the	DET
ihlr-16567	315	32	maverick	maverick	NOUN
ihlr-16567	315	33	doctor	doctor	NOUN
ihlr-16567	315	34	,	,	PUNCT
ihlr-16567	315	35	and	and	CCONJ
ihlr-16567	315	36	the	the	DET
ihlr-16567	315	37	need	need	NOUN
ihlr-16567	315	38	to	to	PART
ihlr-16567	315	39	keep	keep	VERB
ihlr-16567	315	40	patients	patient	NOUN
ihlr-16567	315	41	within	within	ADP
ihlr-16567	315	42	a	a	DET
ihlr-16567	315	43	care	care	NOUN
ihlr-16567	315	44	coordination	coordination	NOUN
ihlr-16567	315	45	re­	re­	PROPN
ihlr-16567	315	46	gime	gime	NOUN
ihlr-16567	315	47	.	.	PUNCT
ihlr-16567	316	1	52	52	NUM
ihlr-16567	316	2	.	.	PUNCT
ihlr-16567	317	1	james	james	PROPN
ihlr-16567	317	2	c.	c.	PROPN
ihlr-16567	317	3	robinson	robinson	PROPN
ihlr-16567	317	4	,	,	PUNCT
ihlr-16567	317	5	theory	theory	NOUN
ihlr-16567	317	6	and	and	CCONJ
ihlr-16567	317	7	practice	practice	NOUN
ihlr-16567	317	8	in	in	ADP
ihlr-16567	317	9	the	the	DET
ihlr-16567	317	10	design	design	NOUN
ihlr-16567	317	11	of	of	ADP
ihlr-16567	317	12	physician	physician	NOUN
ihlr-16567	317	13	payment	payment	NOUN
ihlr-16567	317	14	in­	in­	PROPN
ihlr-16567	317	15	centives	centive	NOUN
ihlr-16567	317	16	,	,	PUNCT
ihlr-16567	317	17	79milbankq	79milbankq	NUM
ihlr-16567	317	18	.	.	NOUN
ihlr-16567	317	19	149	149	NUM
ihlr-16567	317	20	,	,	PUNCT
ihlr-16567	317	21	165	165	NUM
ihlr-16567	317	22	(	(	PUNCT
ihlr-16567	317	23	2001	2001	NUM
ihlr-16567	317	24	)	)	PUNCT
ihlr-16567	317	25	.	.	PUNCT
ihlr-16567	318	1	2010	2010	NUM
ihlr-16567	318	2	]	]	PUNCT
ihlr-16567	318	3	"	"	PUNCT
ihlr-16567	318	4	shared	share	VERB
ihlr-16567	318	5	account	account	NOUN
ihlr-16567	318	6	ability	ability	NOUN
ihlr-16567	318	7	"	"	PUNCT
ihlr-16567	318	8	approach	approach	NOUN
ihlr-16567	318	9	203	203	NUM
ihlr-16567	318	10	it	it	PRON
ihlr-16567	318	11	could	could	AUX
ihlr-16567	318	12	be	be	AUX
ihlr-16567	318	13	stressful	stressful	ADJ
ihlr-16567	318	14	for	for	SCONJ
ihlr-16567	318	15	doctors	doctor	NOUN
ihlr-16567	318	16	to	to	PART
ihlr-16567	318	17	crack	crack	VERB
ihlr-16567	318	18	down	down	ADP
ihlr-16567	318	19	on	on	ADP
ihlr-16567	318	20	colleagues	colleague	NOUN
ihlr-16567	318	21	who	who	PRON
ihlr-16567	318	22	are	be	AUX
ihlr-16567	318	23	in	in	ADP
ihlr-16567	318	24	the	the	DET
ihlr-16567	318	25	bottom	bottom	ADJ
ihlr-16567	318	26	tier	tier	NOUN
ihlr-16567	318	27	of	of	ADP
ihlr-16567	318	28	efficiency	efficiency	NOUN
ihlr-16567	318	29	and	and	CCONJ
ihlr-16567	318	30	quality	quality	NOUN
ihlr-16567	318	31	.	.	PUNCT
ihlr-16567	319	1	but	but	CCONJ
ihlr-16567	319	2	if	if	SCONJ
ihlr-16567	319	3	certain	certain	ADJ
ihlr-16567	319	4	doctors	doctor	NOUN
ihlr-16567	319	5	would	would	AUX
ihlr-16567	319	6	be	be	AUX
ihlr-16567	319	7	a	a	DET
ihlr-16567	319	8	drag	drag	NOUN
ihlr-16567	319	9	on	on	ADP
ihlr-16567	319	10	the	the	DET
ihlr-16567	319	11	pool	pool	NOUN
ihlr-16567	319	12	's	's	PART
ihlr-16567	319	13	financial	financial	ADJ
ihlr-16567	319	14	performance	performance	NOUN
ihlr-16567	319	15	,	,	PUNCT
ihlr-16567	319	16	the	the	DET
ihlr-16567	319	17	aco	aco	PROPN
ihlr-16567	319	18	's	's	PART
ihlr-16567	319	19	physicians	physician	NOUN
ihlr-16567	319	20	will	will	AUX
ihlr-16567	319	21	have	have	VERB
ihlr-16567	319	22	to	to	PART
ihlr-16567	319	23	make	make	VERB
ihlr-16567	319	24	a	a	DET
ihlr-16567	319	25	choice	choice	NOUN
ihlr-16567	319	26	:	:	PUNCT
ihlr-16567	319	27	subsidize	subsidize	VERB
ihlr-16567	319	28	the	the	DET
ihlr-16567	319	29	poor	poor	ADJ
ihlr-16567	319	30	performers	performer	NOUN
ihlr-16567	319	31	'	'	PART
ihlr-16567	319	32	continued	continue	VERB
ihlr-16567	319	33	practice	practice	NOUN
ihlr-16567	319	34	by	by	ADP
ihlr-16567	319	35	ac­	ac­	PUNCT
ihlr-16567	319	36	cepting	cepte	VERB
ihlr-16567	319	37	a	a	DET
ihlr-16567	319	38	lower	low	ADJ
ihlr-16567	319	39	conversion	conversion	NOUN
ihlr-16567	319	40	factor	factor	NOUN
ihlr-16567	319	41	for	for	ADP
ihlr-16567	319	42	their	their	PRON
ihlr-16567	319	43	fees	fee	NOUN
ihlr-16567	319	44	,	,	PUNCT
ihlr-16567	319	45	and	and	CCONJ
ihlr-16567	319	46	explain	explain	VERB
ihlr-16567	319	47	to	to	ADP
ihlr-16567	319	48	the	the	DET
ihlr-16567	319	49	commu­	commu­	NOUN
ihlr-16567	319	50	nity	nity	NOUN
ihlr-16567	319	51	why	why	SCONJ
ihlr-16567	319	52	the	the	DET
ihlr-16567	319	53	aco	aco	PROPN
ihlr-16567	319	54	's	's	PART
ihlr-16567	319	55	quality	quality	NOUN
ihlr-16567	319	56	ratings	rating	NOUN
ihlr-16567	319	57	remain	remain	VERB
ihlr-16567	319	58	sub	sub	ADJ
ihlr-16567	319	59	-	-	NOUN
ihlr-16567	319	60	par	par	ADJ
ihlr-16567	319	61	;	;	PUNCT
ihlr-16567	319	62	or	or	CCONJ
ihlr-16567	319	63	expel	expel	VERB
ihlr-16567	319	64	the	the	DET
ihlr-16567	319	65	doctors	doctor	NOUN
ihlr-16567	319	66	,	,	PUNCT
ihlr-16567	319	67	a	a	DET
ihlr-16567	319	68	move	move	NOUN
ihlr-16567	319	69	that	that	PRON
ihlr-16567	319	70	would	would	AUX
ihlr-16567	319	71	be	be	AUX
ihlr-16567	319	72	in	in	ADP
ihlr-16567	319	73	the	the	DET
ihlr-16567	319	74	aco	aco	PROPN
ihlr-16567	319	75	's	's	PART
ihlr-16567	319	76	financial	financial	ADJ
ihlr-16567	319	77	interest	interest	NOUN
ihlr-16567	319	78	and	and	CCONJ
ihlr-16567	319	79	the	the	DET
ihlr-16567	319	80	public	public	NOUN
ihlr-16567	319	81	's	's	PART
ihlr-16567	319	82	interest	interest	NOUN
ihlr-16567	319	83	as	as	ADV
ihlr-16567	319	84	well	well	ADV
ihlr-16567	319	85	.	.	PUNCT
ihlr-16567	320	1	a	a	DET
ihlr-16567	320	2	middle	middle	ADJ
ihlr-16567	320	3	-	-	PUNCT
ihlr-16567	320	4	ground	ground	NOUN
ihlr-16567	320	5	strategy	strategy	NOUN
ihlr-16567	320	6	would	would	AUX
ihlr-16567	320	7	be	be	AUX
ihlr-16567	320	8	to	to	PART
ihlr-16567	320	9	identify	identify	VERB
ihlr-16567	320	10	poor	poor	ADJ
ihlr-16567	320	11	performers	performer	NOUN
ihlr-16567	320	12	and	and	CCONJ
ihlr-16567	320	13	allow	allow	VERB
ihlr-16567	320	14	them	they	PRON
ihlr-16567	320	15	a	a	DET
ihlr-16567	320	16	chance	chance	NOUN
ihlr-16567	320	17	to	to	PART
ihlr-16567	320	18	remediate	remediate	VERB
ihlr-16567	320	19	.	.	PUNCT
ihlr-16567	321	1	this	this	PRON
ihlr-16567	321	2	would	would	AUX
ihlr-16567	321	3	be	be	AUX
ihlr-16567	321	4	less	less	ADV
ihlr-16567	321	5	gut	gut	NOUN
ihlr-16567	321	6	-	-	PUNCT
ihlr-16567	321	7	wrenching	wrenching	NOUN
ihlr-16567	321	8	than	than	ADP
ihlr-16567	321	9	simply	simply	ADV
ihlr-16567	321	10	expelling	expel	VERB
ihlr-16567	321	11	poor	poor	ADJ
ihlr-16567	321	12	performers	performer	NOUN
ihlr-16567	321	13	,	,	PUNCT
ihlr-16567	321	14	but	but	CCONJ
ihlr-16567	321	15	would	would	AUX
ihlr-16567	321	16	require	require	VERB
ihlr-16567	321	17	the	the	DET
ihlr-16567	321	18	majority	majority	NOUN
ihlr-16567	321	19	of	of	ADP
ihlr-16567	321	20	doctors	doctor	NOUN
ihlr-16567	321	21	to	to	PART
ihlr-16567	321	22	suffer	suffer	VERB
ihlr-16567	321	23	financially	financially	ADV
ihlr-16567	321	24	for	for	ADP
ihlr-16567	321	25	a	a	DET
ihlr-16567	321	26	time	time	NOUN
ihlr-16567	321	27	in	in	ADP
ihlr-16567	321	28	the	the	DET
ihlr-16567	321	29	name	name	NOUN
ihlr-16567	321	30	of	of	ADP
ihlr-16567	321	31	group	group	NOUN
ihlr-16567	321	32	solidarity	solidarity	NOUN
ihlr-16567	321	33	.	.	PUNCT
ihlr-16567	322	1	efficiency	efficiency	NOUN
ihlr-16567	322	2	and	and	CCONJ
ihlr-16567	322	3	quality	quality	NOUN
ihlr-16567	322	4	rankings	ranking	NOUN
ihlr-16567	322	5	would	would	AUX
ihlr-16567	322	6	not	not	PART
ihlr-16567	322	7	be	be	AUX
ihlr-16567	322	8	the	the	DET
ihlr-16567	322	9	only	only	ADJ
ihlr-16567	322	10	potential	potential	ADJ
ihlr-16567	322	11	clea­	clea­	PROPN
ihlr-16567	322	12	vage	vage	NOUN
ihlr-16567	322	13	among	among	ADP
ihlr-16567	322	14	doctors	doctor	NOUN
ihlr-16567	322	15	in	in	ADP
ihlr-16567	322	16	an	an	DET
ihlr-16567	322	17	aco	aco	PROPN
ihlr-16567	322	18	.	.	PUNCT
ihlr-16567	323	1	those	those	DET
ihlr-16567	323	2	doctors	doctor	NOUN
ihlr-16567	323	3	who	who	PRON
ihlr-16567	323	4	profit	profit	VERB
ihlr-16567	323	5	from	from	ADP
ihlr-16567	323	6	ancillary	ancillary	ADJ
ihlr-16567	323	7	services	service	NOUN
ihlr-16567	323	8	or	or	CCONJ
ihlr-16567	323	9	ownership	ownership	NOUN
ihlr-16567	323	10	of	of	ADP
ihlr-16567	323	11	surgical	surgical	ADJ
ihlr-16567	323	12	facilities	facility	NOUN
ihlr-16567	323	13	could	could	AUX
ihlr-16567	323	14	also	also	ADV
ihlr-16567	323	15	be	be	AUX
ihlr-16567	323	16	seen	see	VERB
ihlr-16567	323	17	as	as	ADP
ihlr-16567	323	18	taking	take	VERB
ihlr-16567	323	19	more	more	ADJ
ihlr-16567	323	20	than	than	ADP
ihlr-16567	323	21	their	their	PRON
ihlr-16567	323	22	fair	fair	ADJ
ihlr-16567	323	23	share	share	NOUN
ihlr-16567	323	24	of	of	ADP
ihlr-16567	323	25	the	the	DET
ihlr-16567	323	26	aco	aco	PROPN
ihlr-16567	323	27	's	's	PART
ihlr-16567	323	28	sgr	sgr	PROPN
ihlr-16567	323	29	pool.53	pool.53	PROPN
ihlr-16567	323	30	doctors	doctor	NOUN
ihlr-16567	323	31	would	would	AUX
ihlr-16567	323	32	have	have	VERB
ihlr-16567	323	33	to	to	PART
ihlr-16567	323	34	carefully	carefully	ADV
ihlr-16567	323	35	scrutinize	scrutinize	VERB
ihlr-16567	323	36	these	these	DET
ihlr-16567	323	37	physician	physician	NOUN
ihlr-16567	323	38	-	-	PUNCT
ihlr-16567	323	39	owned	own	VERB
ihlr-16567	323	40	facilities	facility	NOUN
ihlr-16567	323	41	to	to	PART
ihlr-16567	323	42	determine	determine	VERB
ihlr-16567	323	43	whether	whether	SCONJ
ihlr-16567	323	44	they	they	PRON
ihlr-16567	323	45	add	add	VERB
ihlr-16567	323	46	to	to	ADP
ihlr-16567	323	47	or	or	CCONJ
ihlr-16567	323	48	subtract	subtract	VERB
ihlr-16567	323	49	from	from	ADP
ihlr-16567	323	50	the	the	DET
ihlr-16567	323	51	aco	aco	PROPN
ihlr-16567	323	52	's	's	PART
ihlr-16567	323	53	overall	overall	ADJ
ihlr-16567	323	54	quality	quality	NOUN
ihlr-16567	323	55	and	and	CCONJ
ihlr-16567	323	56	efficiency	efficiency	NOUN
ihlr-16567	323	57	scores	score	NOUN
ihlr-16567	323	58	.	.	PUNCT
ihlr-16567	324	1	doctors	doctor	NOUN
ihlr-16567	324	2	would	would	AUX
ihlr-16567	324	3	also	also	ADV
ihlr-16567	324	4	have	have	VERB
ihlr-16567	324	5	to	to	PART
ihlr-16567	324	6	scrutinize	scrutinize	VERB
ihlr-16567	324	7	the	the	DET
ihlr-16567	324	8	utilization	utilization	NOUN
ihlr-16567	324	9	patterns	pattern	NOUN
ihlr-16567	324	10	of	of	ADP
ihlr-16567	324	11	their	their	PRON
ihlr-16567	324	12	investor	investor	NOUN
ihlr-16567	324	13	-	-	PUNCT
ihlr-16567	324	14	physician	physician	NOUN
ihlr-16567	324	15	colleagues	colleague	NOUN
ihlr-16567	324	16	.	.	PUNCT
ihlr-16567	325	1	in	in	ADP
ihlr-16567	325	2	any	any	DET
ihlr-16567	325	3	event	event	NOUN
ihlr-16567	325	4	,	,	PUNCT
ihlr-16567	325	5	doctors	doctor	NOUN
ihlr-16567	325	6	would	would	AUX
ihlr-16567	325	7	enjoy	enjoy	VERB
ihlr-16567	325	8	a	a	DET
ihlr-16567	325	9	major	major	ADJ
ihlr-16567	325	10	advantage	advantage	NOUN
ihlr-16567	325	11	under	under	ADP
ihlr-16567	325	12	the	the	DET
ihlr-16567	325	13	aco	aco	PROPN
ihlr-16567	325	14	regime	regime	NOUN
ihlr-16567	325	15	relative	relative	ADJ
ihlr-16567	325	16	to	to	ADP
ihlr-16567	325	17	other	other	ADJ
ihlr-16567	325	18	cost	cost	NOUN
ihlr-16567	325	19	-	-	PUNCT
ihlr-16567	325	20	containment	containment	NOUN
ihlr-16567	325	21	regimes	regime	NOUN
ihlr-16567	325	22	:	:	PUNCT
ihlr-16567	325	23	doctors	doctor	NOUN
ihlr-16567	325	24	would	would	AUX
ihlr-16567	325	25	be	be	AUX
ihlr-16567	325	26	empo­	empo­	NOUN
ihlr-16567	325	27	wered	were	VERB
ihlr-16567	325	28	to	to	PART
ihlr-16567	325	29	choose	choose	VERB
ihlr-16567	325	30	the	the	DET
ihlr-16567	325	31	cost	cost	NOUN
ihlr-16567	325	32	containment	containment	NOUN
ihlr-16567	325	33	strategies	strategy	NOUN
ihlr-16567	325	34	themselves	themselves	PRON
ihlr-16567	325	35	.	.	PUNCT
ihlr-16567	326	1	rather	rather	ADV
ihlr-16567	326	2	than	than	ADP
ihlr-16567	326	3	an	an	DET
ihlr-16567	326	4	insurance	insurance	NOUN
ihlr-16567	326	5	carrier	carrier	NOUN
ihlr-16567	326	6	or	or	CCONJ
ihlr-16567	326	7	bureauctacy	bureauctacy	NOUN
ihlr-16567	326	8	scrutinizing	scrutinize	VERB
ihlr-16567	326	9	their	their	PRON
ihlr-16567	326	10	activities	activity	NOUN
ihlr-16567	326	11	,	,	PUNCT
ihlr-16567	326	12	doctors	doctor	NOUN
ihlr-16567	326	13	could	could	AUX
ihlr-16567	326	14	police	police	VERB
ihlr-16567	326	15	themselves	themselves	PRON
ihlr-16567	326	16	.	.	PUNCT
ihlr-16567	327	1	they	they	PRON
ihlr-16567	327	2	would	would	AUX
ihlr-16567	327	3	have	have	VERB
ihlr-16567	327	4	to	to	PART
ihlr-16567	327	5	reach	reach	VERB
ihlr-16567	327	6	consensus	consensus	NOUN
ihlr-16567	327	7	on	on	ADP
ihlr-16567	327	8	the	the	DET
ihlr-16567	327	9	validity	validity	NOUN
ihlr-16567	327	10	of	of	ADP
ihlr-16567	327	11	any	any	DET
ihlr-16567	327	12	physician	physician	NOUN
ihlr-16567	327	13	profiling	profiling	NOUN
ihlr-16567	327	14	methods	method	NOUN
ihlr-16567	327	15	,	,	PUNCT
ihlr-16567	327	16	recertification	recertification	NOUN
ihlr-16567	327	17	programs	program	NOUN
ihlr-16567	327	18	,	,	PUNCT
ihlr-16567	327	19	utilization	utilization	NOUN
ihlr-16567	327	20	re­	re­	PROPN
ihlr-16567	327	21	view	view	NOUN
ihlr-16567	327	22	processes	process	NOUN
ihlr-16567	327	23	or	or	CCONJ
ihlr-16567	327	24	other	other	ADJ
ihlr-16567	327	25	techniques	technique	NOUN
ihlr-16567	327	26	-	-	PUNCT
ihlr-16567	327	27	none	none	NOUN
ihlr-16567	327	28	would	would	AUX
ihlr-16567	327	29	be	be	AUX
ihlr-16567	327	30	imposed	impose	VERB
ihlr-16567	327	31	on	on	ADP
ihlr-16567	327	32	them	they	PRON
ihlr-16567	327	33	by	by	ADP
ihlr-16567	327	34	outsiders	outsider	NOUN
ihlr-16567	327	35	.	.	PUNCT
ihlr-16567	328	1	au	au	PROPN
ihlr-16567	328	2	that	that	PRON
ihlr-16567	328	3	would	would	AUX
ihlr-16567	328	4	be	be	AUX
ihlr-16567	328	5	imposed	impose	VERB
ihlr-16567	328	6	on	on	ADP
ihlr-16567	328	7	them	they	PRON
ihlr-16567	328	8	are	be	AUX
ihlr-16567	328	9	performance	performance	NOUN
ihlr-16567	328	10	goals	goal	NOUN
ihlr-16567	328	11	based	base	VERB
ihlr-16567	328	12	on	on	ADP
ihlr-16567	328	13	the	the	DET
ihlr-16567	328	14	experience	experience	NOUN
ihlr-16567	328	15	of	of	ADP
ihlr-16567	328	16	their	their	PRON
ihlr-16567	328	17	peers	peer	NOUN
ihlr-16567	328	18	in	in	ADP
ihlr-16567	328	19	high	high	ADV
ihlr-16567	328	20	-	-	PUNCT
ihlr-16567	328	21	performing	perform	VERB
ihlr-16567	328	22	regions	region	NOUN
ihlr-16567	328	23	;	;	PUNCT
ihlr-16567	328	24	it	it	PRON
ihlr-16567	328	25	would	would	AUX
ihlr-16567	328	26	then	then	ADV
ihlr-16567	328	27	be	be	AUX
ihlr-16567	328	28	up	up	ADP
ihlr-16567	328	29	to	to	ADP
ihlr-16567	328	30	each	each	DET
ihlr-16567	328	31	local	local	ADJ
ihlr-16567	328	32	medical	medical	ADJ
ihlr-16567	328	33	community	community	NOUN
ihlr-16567	328	34	to	to	PART
ihlr-16567	328	35	determine	determine	VERB
ihlr-16567	328	36	how	how	SCONJ
ihlr-16567	328	37	they	they	PRON
ihlr-16567	328	38	can	can	AUX
ihlr-16567	328	39	achieve	achieve	VERB
ihlr-16567	328	40	the	the	DET
ihlr-16567	328	41	benchmark	benchmark	ADJ
ihlr-16567	328	42	performance	performance	NOUN
ihlr-16567	328	43	level	level	NOUN
ihlr-16567	328	44	.	.	PUNCT
ihlr-16567	329	1	v.	v.	ADP
ihlr-16567	329	2	four	four	NUM
ihlr-16567	329	3	models	model	NOUN
ihlr-16567	329	4	of	of	ADP
ihlr-16567	329	5	shared	share	VERB
ihlr-16567	329	6	accountability	accountability	NOUN
ihlr-16567	329	7	this	this	DET
ihlr-16567	329	8	part	part	NOUN
ihlr-16567	329	9	of	of	ADP
ihlr-16567	329	10	the	the	DET
ihlr-16567	329	11	paper	paper	NOUN
ihlr-16567	329	12	posits	posit	NOUN
ihlr-16567	329	13	four	four	NUM
ihlr-16567	329	14	types	type	NOUN
ihlr-16567	329	15	of	of	ADP
ihlr-16567	329	16	shared	share	VERB
ihlr-16567	329	17	accountability	accountability	NOUN
ihlr-16567	329	18	re­	re­	NOUN
ihlr-16567	329	19	gimes	gime	NOUN
ihlr-16567	329	20	.	.	PUNCT
ihlr-16567	330	1	it	it	PRON
ihlr-16567	330	2	is	be	AUX
ihlr-16567	330	3	not	not	PART
ihlr-16567	330	4	the	the	DET
ihlr-16567	330	5	purpose	purpose	NOUN
ihlr-16567	330	6	of	of	ADP
ihlr-16567	330	7	this	this	DET
ihlr-16567	330	8	paper	paper	NOUN
ihlr-16567	330	9	to	to	PART
ihlr-16567	330	10	propose	propose	VERB
ihlr-16567	330	11	or	or	CCONJ
ihlr-16567	330	12	advocate	advocate	ADJ
ihlr-16567	330	13	models	model	NOUN
ihlr-16567	330	14	,	,	PUNCT
ihlr-16567	330	15	only	only	ADV
ihlr-16567	330	16	to	to	PART
ihlr-16567	330	17	assemble	assemble	VERB
ihlr-16567	330	18	features	feature	NOUN
ihlr-16567	330	19	of	of	ADP
ihlr-16567	330	20	existing	exist	VERB
ihlr-16567	330	21	law	law	NOUN
ihlr-16567	330	22	,	,	PUNCT
ihlr-16567	330	23	existing	exist	VERB
ihlr-16567	330	24	pay	pay	NOUN
ihlr-16567	330	25	-	-	PUNCT
ihlr-16567	330	26	for	for	ADP
ihlr-16567	330	27	-	-	PUNCT
ihlr-16567	330	28	performance	performance	NOUN
ihlr-16567	330	29	demonstration	demonstration	NOUN
ihlr-16567	330	30	projects	project	NOUN
ihlr-16567	330	31	,	,	PUNCT
ihlr-16567	330	32	and	and	CCONJ
ihlr-16567	330	33	ideas	idea	NOUN
ihlr-16567	330	34	floated	float	VERB
ihlr-16567	330	35	by	by	ADP
ihlr-16567	330	36	commentators	commentator	NOUN
ihlr-16567	330	37	into	into	ADP
ihlr-16567	330	38	somewhat	somewhat	ADV
ihlr-16567	330	39	more	more	ADJ
ihlr-16567	330	40	concrete	concrete	ADJ
ihlr-16567	330	41	descriptions	description	NOUN
ihlr-16567	330	42	of	of	ADP
ihlr-16567	330	43	possible	possible	ADJ
ihlr-16567	330	44	models	model	NOUN
ihlr-16567	330	45	,	,	PUNCT
ihlr-16567	330	46	and	and	CCONJ
ihlr-16567	330	47	then	then	ADV
ihlr-16567	330	48	speculate	speculate	VERB
ihlr-16567	330	49	how	how	SCONJ
ihlr-16567	330	50	such	such	ADJ
ihlr-16567	330	51	models	model	NOUN
ihlr-16567	330	52	might	might	AUX
ihlr-16567	330	53	operate	operate	VERB
ihlr-16567	330	54	in	in	ADP
ihlr-16567	330	55	practice	practice	NOUN
ihlr-16567	330	56	.	.	PUNCT
ihlr-16567	331	1	the	the	DET
ihlr-16567	331	2	discussion	discussion	NOUN
ihlr-16567	331	3	assumes	assume	VERB
ihlr-16567	331	4	the	the	DET
ihlr-16567	331	5	following	following	NOUN
ihlr-16567	331	6	:	:	PUNCT
ihlr-16567	331	7	53	53	X
ihlr-16567	331	8	.	.	PUNCT
ihlr-16567	332	1	see	see	VERB
ihlr-16567	332	2	,	,	PUNCT
ihlr-16567	332	3	e.g.	e.g.	ADV
ihlr-16567	332	4	,	,	PUNCT
ihlr-16567	332	5	medicare	medicare	PROPN
ihlr-16567	332	6	:	:	PUNCT
ihlr-16567	332	7	physicians	physician	NOUN
ihlr-16567	332	8	who	who	PRON
ihlr-16567	332	9	invest	invest	VERB
ihlr-16567	332	10	in	in	ADP
ihlr-16567	332	11	imaging	imaging	NOUN
ihlr-16567	332	12	center	center	NOUN
ihlr-16567	332	13	refer	refer	VERB
ihlr-16567	332	14	more	more	ADJ
ihlr-16567	332	15	patients	patient	NOUN
ihlr-16567	332	16	for	for	ADP
ihlr-16567	332	17	more	more	ADV
ihlr-16567	332	18	costly	costly	ADJ
ihlr-16567	332	19	services	service	NOUN
ihlr-16567	332	20	:	:	PUNCT
ihlr-16567	332	21	hearing	hear	VERB
ihlr-16567	332	22	before	before	ADP
ihlr-16567	332	23	the	the	DET
ihlr-16567	332	24	subcomm	subcomm	NOUN
ihlr-16567	332	25	.	.	PUNCT
ihlr-16567	333	1	on	on	ADP
ihlr-16567	333	2	health	health	NOUN
ihlr-16567	333	3	of	of	ADP
ihlr-16567	333	4	the	the	DET
ihlr-16567	333	5	h.	h.	PROPN
ihlr-16567	333	6	comm	comm	NOUN
ihlr-16567	333	7	.	.	PUNCT
ihlr-16567	334	1	on	on	ADP
ihlr-16567	334	2	the	the	DET
ihlr-16567	334	3	ways	way	NOUN
ihlr-16567	334	4	and	and	CCONJ
ihlr-16567	334	5	means	mean	NOUN
ihlr-16567	334	6	,	,	PUNCT
ihlr-16567	334	7	103rd	103rd	PROPN
ihlr-16567	334	8	cong	cong	NOUN
ihlr-16567	334	9	.	.	PUNCT
ihlr-16567	335	1	1	1	NUM
ihlr-16567	335	2	-	-	SYM
ihlr-16567	335	3	8	8	NUM
ihlr-16567	335	4	(	(	PUNCT
ihlr-16567	335	5	1993	1993	NUM
ihlr-16567	335	6	)	)	PUNCT
ihlr-16567	335	7	(	(	PUNCT
ihlr-16567	335	8	statement	statement	NOUN
ihlr-16567	335	9	of	of	ADP
ihlr-16567	335	10	janet	janet	PROPN
ihlr-16567	335	11	l.	l.	PROPN
ihlr-16567	335	12	shinkles	shinkles	PROPN
ihlr-16567	335	13	,	,	PUNCT
ihlr-16567	335	14	director	director	NOUN
ihlr-16567	335	15	,	,	PUNCT
ihlr-16567	335	16	health	health	NOUN
ihlr-16567	335	17	financing	financing	NOUN
ihlr-16567	335	18	&	&	CCONJ
ihlr-16567	335	19	policy	policy	NOUN
ihlr-16567	335	20	issues	issue	NOUN
ihlr-16567	335	21	,	,	PUNCT
ihlr-16567	335	22	human	human	ADJ
ihlr-16567	335	23	resources	resource	NOUN
ihlr-16567	335	24	division	division	NOUN
ihlr-16567	335	25	)	)	PUNCT
ihlr-16567	335	26	.	.	PUNCT
ihlr-16567	336	1	204	204	NUM
ihlr-16567	336	2	indiana	indiana	PROPN
ihlr-16567	336	3	health	health	PROPN
ihlr-16567	336	4	law	law	NOUN
ihlr-16567	336	5	review	review	NOUN
ihlr-16567	336	6	[	[	X
ihlr-16567	336	7	vol	vol	NOUN
ihlr-16567	336	8	.	.	PUNCT
ihlr-16567	337	1	7:185	7:185	NUM
ihlr-16567	337	2	that	that	SCONJ
ihlr-16567	337	3	some	some	DET
ihlr-16567	337	4	type	type	NOUN
ihlr-16567	337	5	of	of	ADP
ihlr-16567	337	6	sgr	sgr	PROPN
ihlr-16567	337	7	mechanism	mechanism	NOUN
ihlr-16567	337	8	would	would	AUX
ihlr-16567	337	9	set	set	VERB
ihlr-16567	337	10	targets	target	NOUN
ihlr-16567	337	11	for	for	ADP
ihlr-16567	337	12	global	global	ADJ
ihlr-16567	337	13	expendi­	expendi­	PROPN
ihlr-16567	337	14	tures	ture	NOUN
ihlr-16567	337	15	;	;	PUNCT
ihlr-16567	337	16	that	that	SCONJ
ihlr-16567	337	17	the	the	DET
ihlr-16567	337	18	current	current	ADJ
ihlr-16567	337	19	methods	method	NOUN
ihlr-16567	337	20	of	of	ADP
ihlr-16567	337	21	calculating	calculate	VERB
ihlr-16567	337	22	fees	fee	NOUN
ihlr-16567	337	23	would	would	AUX
ihlr-16567	337	24	remain	remain	VERB
ihlr-16567	337	25	in	in	ADP
ihlr-16567	337	26	effect	effect	NOUN
ihlr-16567	337	27	;	;	PUNCT
ihlr-16567	337	28	that	that	SCONJ
ihlr-16567	337	29	the	the	DET
ihlr-16567	337	30	accountable	accountable	ADJ
ihlr-16567	337	31	unit	unit	NOUN
ihlr-16567	337	32	would	would	AUX
ihlr-16567	337	33	share	share	VERB
ihlr-16567	337	34	in	in	ADP
ihlr-16567	337	35	savings	saving	NOUN
ihlr-16567	337	36	through	through	ADP
ihlr-16567	337	37	mechanisms	mechanism	NOUN
ihlr-16567	337	38	simi­	simi­	VERB
ihlr-16567	337	39	lar	lar	ADJ
ihlr-16567	337	40	to	to	ADP
ihlr-16567	337	41	those	those	PRON
ihlr-16567	337	42	employed	employ	VERB
ihlr-16567	337	43	in	in	ADP
ihlr-16567	337	44	the	the	DET
ihlr-16567	337	45	physician	physician	NOUN
ihlr-16567	337	46	group	group	NOUN
ihlr-16567	337	47	practice	practice	NOUN
ihlr-16567	337	48	demonstration	demonstration	NOUN
ihlr-16567	337	49	;	;	PUNCT
ihlr-16567	337	50	and	and	CCONJ
ihlr-16567	337	51	that	that	SCONJ
ihlr-16567	337	52	additional	additional	ADJ
ihlr-16567	337	53	funds	fund	NOUN
ihlr-16567	337	54	could	could	AUX
ihlr-16567	337	55	be	be	AUX
ihlr-16567	337	56	added	add	VERB
ihlr-16567	337	57	to	to	ADP
ihlr-16567	337	58	the	the	DET
ihlr-16567	337	59	accountable	accountable	ADJ
ihlr-16567	337	60	unit	unit	NOUN
ihlr-16567	337	61	's	's	PART
ihlr-16567	337	62	pool	pool	NOUN
ihlr-16567	337	63	for	for	ADP
ihlr-16567	337	64	dis­	dis­	ADJ
ihlr-16567	337	65	tribution	tribution	NOUN
ihlr-16567	337	66	to	to	PART
ihlr-16567	337	67	reward	reward	VERB
ihlr-16567	337	68	achievement	achievement	NOUN
ihlr-16567	337	69	,	,	PUNCT
ihlr-16567	337	70	based	base	VERB
ihlr-16567	337	71	upon	upon	SCONJ
ihlr-16567	337	72	currently	currently	ADV
ihlr-16567	337	73	existing	exist	VERB
ihlr-16567	337	74	outcome	outcome	NOUN
ihlr-16567	337	75	or	or	CCONJ
ihlr-16567	337	76	population	population	NOUN
ihlr-16567	337	77	health	health	NOUN
ihlr-16567	337	78	.	.	PUNCT
ihlr-16567	338	1	measures	measure	NOUN
ihlr-16567	338	2	.	.	PUNCT
ihlr-16567	339	1	it	it	PRON
ihlr-16567	339	2	should	should	AUX
ihlr-16567	339	3	be	be	AUX
ihlr-16567	339	4	noted	note	VERB
ihlr-16567	339	5	at	at	ADP
ihlr-16567	339	6	this	this	DET
ihlr-16567	339	7	point	point	NOUN
ihlr-16567	339	8	that	that	SCONJ
ihlr-16567	339	9	medicare	medicare	PROPN
ihlr-16567	339	10	's	's	PART
ihlr-16567	339	11	sgr	sgr	PROPN
ihlr-16567	339	12	does	do	AUX
ihlr-16567	339	13	not	not	PART
ihlr-16567	339	14	represent	represent	VERB
ihlr-16567	339	15	the	the	DET
ihlr-16567	339	16	only	only	ADJ
ihlr-16567	339	17	possible	possible	ADJ
ihlr-16567	339	18	model	model	NOUN
ihlr-16567	339	19	for	for	ADP
ihlr-16567	339	20	a	a	DET
ihlr-16567	339	21	global	global	ADJ
ihlr-16567	339	22	budget	budget	NOUN
ihlr-16567	339	23	under	under	ADP
ihlr-16567	339	24	which	which	PRON
ihlr-16567	339	25	an	an	DET
ihlr-16567	339	26	aco	aco	PROPN
ihlr-16567	339	27	could	could	AUX
ihlr-16567	339	28	function	function	VERB
ihlr-16567	339	29	.	.	PUNCT
ihlr-16567	340	1	for	for	ADP
ihlr-16567	340	2	instance	instance	NOUN
ihlr-16567	340	3	,	,	PUNCT
ihlr-16567	340	4	president	president	PROPN
ihlr-16567	340	5	bill	bill	PROPN
ihlr-16567	340	6	clinton	clinton	PROPN
ihlr-16567	340	7	's	's	PART
ihlr-16567	340	8	1993	1993	NUM
ihlr-16567	340	9	health	health	NOUN
ihlr-16567	340	10	care	care	NOUN
ihlr-16567	340	11	reform	reform	NOUN
ihlr-16567	340	12	package	package	NOUN
ihlr-16567	340	13	proposed	propose	VERB
ihlr-16567	340	14	all	all	DET
ihlr-16567	340	15	-	-	PUNCT
ihlr-16567	340	16	payer	payer	NOUN
ihlr-16567	340	17	global	global	ADJ
ihlr-16567	340	18	budgets	budget	NOUN
ihlr-16567	340	19	at	at	ADP
ihlr-16567	340	20	the	the	DET
ihlr-16567	340	21	state	state	NOUN
ihlr-16567	340	22	or	or	CCONJ
ihlr-16567	340	23	local	local	ADJ
ihlr-16567	340	24	lev­	lev­	PROPN
ihlr-16567	340	25	el	el	PROPN
ihlr-16567	340	26	,	,	PUNCT
ihlr-16567	340	27	54	54	NUM
ihlr-16567	340	28	and	and	CCONJ
ihlr-16567	340	29	a	a	DET
ihlr-16567	340	30	similar	similar	ADJ
ihlr-16567	340	31	model	model	NOUN
ihlr-16567	340	32	prevails	prevail	NOUN
ihlr-16567	340	33	in	in	ADP
ihlr-16567	340	34	germany	germany	PROPN
ihlr-16567	340	35	.	.	PUNCT
ihlr-16567	341	1	55	55	NUM
ihlr-16567	341	2	in	in	ADP
ihlr-16567	341	3	the	the	DET
ihlr-16567	341	4	event	event	NOUN
ihlr-16567	341	5	that	that	PRON
ihlr-16567	341	6	the	the	DET
ihlr-16567	341	7	united	united	PROPN
ihlr-16567	341	8	states	states	PROPN
ihlr-16567	341	9	adopted	adopt	VERB
ihlr-16567	341	10	such	such	ADJ
ihlr-16567	341	11	cost	cost	NOUN
ihlr-16567	341	12	containment	containment	NOUN
ihlr-16567	341	13	techniques	technique	NOUN
ihlr-16567	342	1	,	,	PUNCT
ihlr-16567	342	2	the	the	DET
ihlr-16567	342	3	aco	aco	PROPN
ihlr-16567	342	4	model	model	NOUN
ihlr-16567	342	5	would	would	AUX
ihlr-16567	342	6	provide	provide	VERB
ihlr-16567	342	7	a	a	DET
ihlr-16567	342	8	superior	superior	ADJ
ihlr-16567	342	9	method	method	NOUN
ihlr-16567	342	10	of	of	ADP
ihlr-16567	342	11	delivering	deliver	VERB
ihlr-16567	342	12	care	care	NOUN
ihlr-16567	342	13	to	to	ADP
ihlr-16567	342	14	the	the	DET
ihlr-16567	342	15	non	non	ADJ
ihlr-16567	342	16	-	-	ADJ
ihlr-16567	342	17	integrated	integrated	ADJ
ihlr-16567	342	18	bodies	body	NOUN
ihlr-16567	342	19	of	of	ADP
ihlr-16567	342	20	physicians	physician	NOUN
ihlr-16567	342	21	receiving	receive	VERB
ihlr-16567	342	22	fees	fee	NOUN
ihlr-16567	342	23	under	under	ADP
ihlr-16567	342	24	the	the	DET
ihlr-16567	342	25	1993	1993	NUM
ihlr-16567	342	26	clinton	clinton	PROPN
ihlr-16567	342	27	or	or	CCONJ
ihlr-16567	342	28	current	current	ADJ
ihlr-16567	342	29	german	german	ADJ
ihlr-16567	342	30	model	model	NOUN
ihlr-16567	342	31	.	.	PUNCT
ihlr-16567	343	1	a.	a.	NOUN
ihlr-16567	343	2	state	state	PROPN
ihlr-16567	343	3	level	level	NOUN
ihlr-16567	343	4	the	the	DET
ihlr-16567	343	5	simplest	simple	ADJ
ihlr-16567	343	6	model	model	NOUN
ihlr-16567	343	7	of	of	ADP
ihlr-16567	343	8	shared	share	VERB
ihlr-16567	343	9	accountability	accountability	NOUN
ihlr-16567	343	10	would	would	AUX
ihlr-16567	343	11	be	be	AUX
ihlr-16567	343	12	to	to	PART
ihlr-16567	343	13	devolve	devolve	VERB
ihlr-16567	343	14	the	the	DET
ihlr-16567	343	15	sgr	sgr	PROPN
ihlr-16567	343	16	pool	pool	NOUN
ihlr-16567	343	17	to	to	ADP
ihlr-16567	343	18	the	the	DET
ihlr-16567	343	19	state	state	NOUN
ihlr-16567	343	20	level	level	NOUN
ihlr-16567	343	21	.	.	PUNCT
ihlr-16567	344	1	in	in	ADP
ihlr-16567	344	2	this	this	DET
ihlr-16567	344	3	iteration	iteration	NOUN
ihlr-16567	344	4	,	,	PUNCT
ihlr-16567	344	5	the	the	DET
ihlr-16567	344	6	conversion	conversion	NOUN
ihlr-16567	344	7	rate	rate	NOUN
ihlr-16567	344	8	for	for	ADP
ihlr-16567	344	9	physi­	physi­	PROPN
ihlr-16567	344	10	cian	cian	NOUN
ihlr-16567	344	11	fees	fee	NOUN
ihlr-16567	344	12	would	would	AUX
ihlr-16567	344	13	be	be	AUX
ihlr-16567	344	14	calculated	calculate	VERB
ihlr-16567	344	15	as	as	SCONJ
ihlr-16567	344	16	they	they	PRON
ihlr-16567	344	17	are	be	AUX
ihlr-16567	344	18	under	under	ADP
ihlr-16567	344	19	current	current	ADJ
ihlr-16567	344	20	law	law	NOUN
ihlr-16567	344	21	,	,	PUNCT
ihlr-16567	344	22	but	but	CCONJ
ihlr-16567	344	23	at	at	ADP
ihlr-16567	344	24	the	the	DET
ihlr-16567	344	25	state	state	NOUN
ihlr-16567	344	26	level	level	NOUN
ihlr-16567	344	27	.	.	PUNCT
ihlr-16567	345	1	in	in	ADP
ihlr-16567	345	2	states	state	NOUN
ihlr-16567	345	3	where	where	SCONJ
ihlr-16567	345	4	expenditures	expenditure	NOUN
ihlr-16567	345	5	come	come	VERB
ihlr-16567	345	6	in	in	ADP
ihlr-16567	345	7	below	below	ADP
ihlr-16567	345	8	the	the	DET
ihlr-16567	345	9	target	target	NOUN
ihlr-16567	345	10	(	(	PUNCT
ihlr-16567	345	11	assuming	assume	VERB
ihlr-16567	345	12	steady	steady	ADJ
ihlr-16567	345	13	or	or	CCONJ
ihlr-16567	345	14	improved	improved	ADJ
ihlr-16567	345	15	performance	performance	NOUN
ihlr-16567	345	16	on	on	ADP
ihlr-16567	345	17	quality	quality	NOUN
ihlr-16567	345	18	and	and	CCONJ
ihlr-16567	345	19	patient	patient	NOUN
ihlr-16567	345	20	-	-	PUNCT
ihlr-16567	345	21	centeredness	centeredness	NOUN
ihlr-16567	345	22	meas­	meas­	NOUN
ihlr-16567	345	23	ures	ure	NOUN
ihlr-16567	345	24	)	)	PUNCT
ihlr-16567	345	25	physicians	physician	NOUN
ihlr-16567	345	26	would	would	AUX
ihlr-16567	345	27	receive	receive	VERB
ihlr-16567	345	28	a	a	DET
ihlr-16567	345	29	positive	positive	ADJ
ihlr-16567	345	30	update	update	NOUN
ihlr-16567	345	31	.	.	PUNCT
ihlr-16567	346	1	56	56	NUM
ihlr-16567	346	2	in	in	ADP
ihlr-16567	346	3	states	state	NOUN
ihlr-16567	346	4	were	be	AUX
ihlr-16567	346	5	expendi­	expendi­	NUM
ihlr-16567	346	6	tures	ture	NOUN
ihlr-16567	346	7	exceed	exceed	VERB
ihlr-16567	346	8	the	the	DET
ihlr-16567	346	9	target	target	NOUN
ihlr-16567	346	10	,	,	PUNCT
ihlr-16567	346	11	physicians	physician	NOUN
ihlr-16567	346	12	would	would	AUX
ihlr-16567	346	13	receive	receive	VERB
ihlr-16567	346	14	a	a	DET
ihlr-16567	346	15	negative	negative	ADJ
ihlr-16567	346	16	update	update	NOUN
ihlr-16567	346	17	unless	unless	SCONJ
ihlr-16567	346	18	improved	improved	ADJ
ihlr-16567	346	19	performance	performance	NOUN
ihlr-16567	346	20	on	on	ADP
ihlr-16567	346	21	the	the	DET
ihlr-16567	346	22	quality	quality	NOUN
ihlr-16567	346	23	and	and	CCONJ
ihlr-16567	346	24	patient	patient	NOUN
ihlr-16567	346	25	-	-	PUNCT
ihlr-16567	346	26	centeredness	centeredness	NOUN
ihlr-16567	346	27	dimensions	dimension	NOUN
ihlr-16567	346	28	cancelled	cancel	VERB
ihlr-16567	346	29	it	it	PRON
ihlr-16567	346	30	out	out	ADP
ihlr-16567	346	31	.	.	PUNCT
ihlr-16567	347	1	as	as	SCONJ
ihlr-16567	347	2	frank	frank	ADJ
ihlr-16567	347	3	opelka	opelka	NOUN
ihlr-16567	347	4	has	have	AUX
ihlr-16567	347	5	noted	note	VERB
ihlr-16567	347	6	,	,	PUNCT
ihlr-16567	347	7	a	a	DET
ihlr-16567	347	8	regional	regional	ADJ
ihlr-16567	347	9	spending	spending	NOUN
ihlr-16567	347	10	target	target	NOUN
ihlr-16567	347	11	will	will	AUX
ihlr-16567	347	12	face	face	VERB
ihlr-16567	347	13	technical	technical	ADJ
ihlr-16567	347	14	and	and	CCONJ
ihlr-16567	347	15	po­	po­	PROPN
ihlr-16567	347	16	litical	litical	ADJ
ihlr-16567	347	17	obstacles	obstacle	NOUN
ihlr-16567	347	18	.	.	PUNCT
ihlr-16567	348	1	regional	regional	ADJ
ihlr-16567	348	2	proposals	proposal	NOUN
ihlr-16567	348	3	.	.	PUNCT
ihlr-16567	348	4	.	.	PUNCT
ihlr-16567	349	1	.	.	PUNCT
ihlr-16567	350	1	will	will	AUX
ihlr-16567	350	2	run	run	VERB
ihlr-16567	350	3	into	into	ADP
ihlr-16567	350	4	the	the	DET
ihlr-16567	350	5	obstacle	obstacle	NOUN
ihlr-16567	350	6	that	that	PRON
ihlr-16567	350	7	most	most	ADJ
ihlr-16567	350	8	physicians	physician	NOUN
ihlr-16567	350	9	are	be	AUX
ihlr-16567	350	10	currently	currently	ADV
ihlr-16567	350	11	inde­	inde­	ADJ
ihlr-16567	350	12	pendent	pendent	ADJ
ihlr-16567	350	13	.	.	PUNCT
ihlr-16567	351	1	regional	regional	ADJ
ihlr-16567	351	2	spending	spending	NOUN
ihlr-16567	351	3	target	target	NOUN
ihlr-16567	351	4	programs	program	NOUN
ihlr-16567	351	5	will	will	AUX
ihlr-16567	351	6	have	have	VERB
ihlr-16567	351	7	major	major	ADJ
ihlr-16567	351	8	challenges	challenge	NOUN
ihlr-16567	351	9	in	in	ADP
ihlr-16567	351	10	bringing	bring	VERB
ihlr-16567	351	11	clinical	clinical	ADJ
ihlr-16567	351	12	disciplines	discipline	NOUN
ihlr-16567	351	13	to­	to­	ADV
ihlr-16567	351	14	gether	gether	NOUN
ihlr-16567	351	15	except	except	SCONJ
ihlr-16567	351	16	in	in	ADP
ihlr-16567	351	17	existing	exist	VERB
ihlr-16567	351	18	integrated	integrate	VERB
ihlr-16567	351	19	systems	system	NOUN
ihlr-16567	351	20	.	.	PUNCT
ihlr-16567	352	1	each	each	DET
ihlr-16567	352	2	re­	re­	PROPN
ihlr-16567	352	3	gion	gion	NOUN
ihlr-16567	352	4	will	will	AUX
ihlr-16567	352	5	need	need	VERB
ihlr-16567	352	6	to	to	PART
ihlr-16567	352	7	compare	compare	VERB
ihlr-16567	352	8	its	its	PRON
ihlr-16567	352	9	current	current	ADJ
ihlr-16567	352	10	performance	performance	NOUN
ihlr-16567	352	11	against	against	ADP
ihlr-16567	352	12	benchmarks	benchmark	NOUN
ihlr-16567	352	13	and	and	CCONJ
ihlr-16567	352	14	seek	seek	VERB
ihlr-16567	352	15	opportunities	opportunity	NOUN
ihlr-16567	352	16	for	for	ADP
ihlr-16567	352	17	im­	im­	NOUN
ihlr-16567	352	18	provement	provement	NOUN
ihlr-16567	352	19	...	...	PUNCT
ihlr-16567	352	20	toolkits	toolkit	NOUN
ihlr-16567	352	21	for	for	ADP
ihlr-16567	352	22	regional	regional	ADJ
ihlr-16567	352	23	entities	entity	NOUN
ihlr-16567	352	24	to	to	ADP
ihlr-16567	352	25	imple54	imple54	NOUN
ihlr-16567	352	26	.	.	PUNCT
ihlr-16567	353	1	health	health	PROPN
ihlr-16567	353	2	security	security	PROPN
ihlr-16567	353	3	act	act	PROPN
ihlr-16567	353	4	,	,	PUNCT
ihlr-16567	353	5	h.r	h.r	PROPN
ihlr-16567	353	6	.	.	PROPN
ihlr-16567	353	7	3600	3600	NUM
ihlr-16567	353	8	,	,	PUNCT
ihlr-16567	353	9	103d	103d	NUM
ihlr-16567	353	10	cong	cong	NOUN
ihlr-16567	353	11	.	.	PUNCT
ihlr-16567	354	1	(	(	PUNCT
ihlr-16567	354	2	1st	1st	ADJ
ihlr-16567	354	3	sess	sess	NOUN
ihlr-16567	354	4	.	.	PUNCT
ihlr-16567	355	1	1993	1993	NUM
ihlr-16567	355	2	)	)	PUNCT
ihlr-16567	355	3	.	.	PUNCT
ihlr-16567	356	1	55	55	NUM
ihlr-16567	356	2	.	.	PUNCT
ihlr-16567	356	3	richard	richard	PROPN
ihlr-16567	356	4	knox	knox	PROPN
ihlr-16567	356	5	,	,	PUNCT
ihlr-16567	356	6	keeping	keep	VERB
ihlr-16567	356	7	german	german	ADJ
ihlr-16567	356	8	doctors	doctor	NOUN
ihlr-16567	356	9	on	on	ADP
ihlr-16567	356	10	a	a	DET
ihlr-16567	356	11	budget	budget	NOUN
ihlr-16567	356	12	lowers	lower	VERB
ihlr-16567	356	13	costs	cost	NOUN
ihlr-16567	356	14	,	,	PUNCT
ihlr-16567	356	15	npr	npr	PROPN
ihlr-16567	356	16	,	,	PUNCT
ihlr-16567	356	17	jul	jul	PROPN
ihlr-16567	356	18	.	.	PROPN
ihlr-16567	356	19	2	2	NUM
ihlr-16567	356	20	,	,	PUNCT
ihlr-16567	356	21	2008	2008	NUM
ihlr-16567	356	22	http://www.npr.org/templates/story/story.php?storyld=91931036	http://www.npr.org/templates/story/story.php?storyld=91931036	NOUN
ihlr-16567	356	23	.	.	PUNCT
ihlr-16567	357	1	56	56	NUM
ihlr-16567	357	2	.	.	PUNCT
ihlr-16567	358	1	see	see	VERB
ihlr-16567	358	2	medicare	medicare	PROPN
ihlr-16567	358	3	payment	payment	PROPN
ihlr-16567	358	4	advisory	advisory	PROPN
ihlr-16567	358	5	commission	commission	NOUN
ihlr-16567	358	6	,	,	PUNCT
ihlr-16567	358	7	report	report	NOUN
ihlr-16567	358	8	to	to	ADP
ihlr-16567	358	9	tiie	tiie	ADJ
ihlr-16567	358	10	congress	congress	PROPN
ihlr-16567	358	11	:	:	PUNCT
ihlr-16567	358	12	medicare	medicare	PROPN
ihlr-16567	358	13	payment	payment	NOUN
ihlr-16567	358	14	policy	policy	NOUN
ihlr-16567	358	15	172	172	NUM
ihlr-16567	358	16	(	(	PUNCT
ihlr-16567	358	17	march	march	PROPN
ihlr-16567	358	18	2005	2005	NUM
ihlr-16567	358	19	)	)	PUNCT
ihlr-16567	359	1	[	[	X
ihlr-16567	359	2	hereinafter	hereinafter	NOUN
ihlr-16567	359	3	medicare	medicare	PROPN
ihlr-16567	359	4	payment	payment	PROPN
ihlr-16567	359	5	advisory	advisory	PROPN
ihlr-16567	359	6	commission	commission	PROPN
ihlr-16567	359	7	,	,	PUNCT
ihlr-16567	359	8	medicare	medicare	PROPN
ihlr-16567	359	9	payment	payment	NOUN
ihlr-16567	359	10	policy	policy	NOUN
ihlr-16567	359	11	]	]	PUNCT
ihlr-16567	359	12	.	.	PUNCT
ihlr-16567	360	1	2010	2010	NUM
ihlr-16567	360	2	)	)	PUNCT
ihlr-16567	360	3	"	"	PUNCT
ihlr-16567	360	4	shared	share	VERB
ihlr-16567	360	5	accountability	accountability	NOUN
ihlr-16567	360	6	"	"	PUNCT
ihlr-16567	360	7	approach	approach	NOUN
ihlr-16567	360	8	ment	ment	NOUN
ihlr-16567	360	9	the	the	DET
ihlr-16567	360	10	program	program	NOUN
ihlr-16567	360	11	will	will	AUX
ihlr-16567	360	12	facilitate	facilitate	VERB
ihlr-16567	360	13	the	the	DET
ihlr-16567	360	14	implementation	implementation	NOUN
ihlr-16567	360	15	and	and	CCONJ
ihlr-16567	360	16	likelihood	likelihood	NOUN
ihlr-16567	360	17	of	of	ADP
ihlr-16567	360	18	overall	overall	ADJ
ihlr-16567	360	19	success.57	success.57	PROPN
ihlr-16567	361	1	the	the	DET
ihlr-16567	361	2	following	follow	VERB
ihlr-16567	361	3	vignettes	vignette	NOUN
ihlr-16567	361	4	imagine	imagine	VERB
ihlr-16567	361	5	scenarios	scenario	NOUN
ihlr-16567	361	6	that	that	PRON
ihlr-16567	361	7	could	could	AUX
ihlr-16567	361	8	ensue	ensue	VERB
ihlr-16567	361	9	under	under	ADP
ihlr-16567	361	10	this	this	DET
ihlr-16567	361	11	model	model	NOUN
ihlr-16567	361	12	:	:	PUNCT
ihlr-16567	361	13	205	205	NUM
ihlr-16567	361	14	•	•	NOUN
ihlr-16567	361	15	east	east	PROPN
ihlr-16567	361	16	dakota	dakota	PROPN
ihlr-16567	361	17	is	be	AUX
ihlr-16567	361	18	one	one	NUM
ihlr-16567	361	19	of	of	ADP
ihlr-16567	361	20	the	the	DET
ihlr-16567	361	21	states	state	NOUN
ihlr-16567	361	22	identified	identify	VERB
ihlr-16567	361	23	by	by	ADP
ihlr-16567	361	24	dartmouth	dartmouth	PROPN
ihlr-16567	361	25	researchers	researcher	NOUN
ihlr-16567	361	26	as	as	ADP
ihlr-16567	361	27	already	already	ADV
ihlr-16567	361	28	providing	provide	VERB
ihlr-16567	361	29	high	high	ADJ
ihlr-16567	361	30	quality	quality	NOUN
ihlr-16567	361	31	care	care	NOUN
ihlr-16567	361	32	at	at	ADP
ihlr-16567	361	33	relatively	relatively	ADV
ihlr-16567	361	34	low	low	ADJ
ihlr-16567	361	35	costs	cost	NOUN
ihlr-16567	361	36	.	.	PUNCT
ihlr-16567	362	1	analysis	analysis	NOUN
ihlr-16567	362	2	of	of	ADP
ihlr-16567	362	3	medicare	medicare	PROPN
ihlr-16567	362	4	claims	claim	NOUN
ihlr-16567	362	5	data	datum	NOUN
ihlr-16567	362	6	reveals	reveal	VERB
ihlr-16567	362	7	that	that	SCONJ
ihlr-16567	362	8	east	east	PROPN
ihlr-16567	362	9	dakota	dakota	PROPN
ihlr-16567	362	10	already	already	ADV
ihlr-16567	362	11	meets	meet	VERB
ihlr-16567	362	12	quality	quality	NOUN
ihlr-16567	362	13	benchmarks	benchmark	NOUN
ihlr-16567	362	14	,	,	PUNCT
ihlr-16567	362	15	and	and	CCONJ
ihlr-16567	362	16	growth	growth	NOUN
ihlr-16567	362	17	in	in	ADP
ihlr-16567	362	18	costs	cost	NOUN
ihlr-16567	362	19	is	be	AUX
ihlr-16567	362	20	within	within	ADP
ihlr-16567	362	21	the	the	DET
ihlr-16567	362	22	limits	limit	NOUN
ihlr-16567	362	23	prescribed	prescribe	VERB
ihlr-16567	362	24	by	by	ADP
ihlr-16567	362	25	the	the	DET
ihlr-16567	362	26	1997	1997	NUM
ihlr-16567	362	27	sgr	sgr	PROPN
ihlr-16567	362	28	formula	formula	NOUN
ihlr-16567	362	29	.	.	PUNCT
ihlr-16567	363	1	it	it	PRON
ihlr-16567	363	2	is	be	AUX
ihlr-16567	363	3	immediately	immediately	ADV
ihlr-16567	363	4	apparent	apparent	ADJ
ihlr-16567	363	5	to	to	ADP
ihlr-16567	363	6	the	the	DET
ihlr-16567	363	7	medicai	medicai	PROPN
ihlr-16567	363	8	society	society	PROPN
ihlr-16567	363	9	board	board	PROPN
ihlr-16567	363	10	members	member	NOUN
ihlr-16567	363	11	that	that	PRON
ihlr-16567	363	12	,	,	PUNCT
ihlr-16567	363	13	had	have	AUX
ihlr-16567	363	14	east	east	PROPN
ihlr-16567	363	15	dakota	dakota	PROPN
ihlr-16567	363	16	been	be	AUX
ihlr-16567	363	17	in	in	ADP
ihlr-16567	363	18	its	its	PRON
ihlr-16567	363	19	own	own	ADJ
ihlr-16567	363	20	sgr	sgr	PROPN
ihlr-16567	363	21	pool	pool	NOUN
ihlr-16567	363	22	heretofore	heretofore	ADV
ihlr-16567	363	23	,	,	PUNCT
ihlr-16567	363	24	its	its	PRON
ihlr-16567	363	25	doctors	doctor	NOUN
ihlr-16567	363	26	would	would	AUX
ihlr-16567	363	27	have	have	AUX
ihlr-16567	363	28	received	receive	VERB
ihlr-16567	363	29	posi­	posi­	PROPN
ihlr-16567	363	30	tive	tive	PROPN
ihlr-16567	363	31	updates	update	NOUN
ihlr-16567	363	32	rather	rather	ADV
ihlr-16567	363	33	than	than	ADP
ihlr-16567	363	34	negative	negative	ADJ
ihlr-16567	363	35	updates	update	NOUN
ihlr-16567	363	36	.	.	PUNCT
ihlr-16567	364	1	the	the	DET
ihlr-16567	364	2	board	board	NOUN
ihlr-16567	364	3	decides	decide	VERB
ihlr-16567	364	4	that	that	SCONJ
ihlr-16567	364	5	,	,	PUNCT
ihlr-16567	364	6	since	since	SCONJ
ihlr-16567	364	7	the	the	DET
ihlr-16567	364	8	state	state	NOUN
ihlr-16567	364	9	's	's	PART
ihlr-16567	364	10	health	health	NOUN
ihlr-16567	364	11	care	care	NOUN
ihlr-16567	364	12	system	system	NOUN
ihlr-16567	364	13	is	be	AUX
ihlr-16567	364	14	working	work	VERB
ihlr-16567	364	15	well	well	ADV
ihlr-16567	364	16	,	,	PUNCT
ihlr-16567	364	17	no	no	DET
ihlr-16567	364	18	organized	organized	ADJ
ihlr-16567	364	19	response	response	NOUN
ihlr-16567	364	20	to	to	ADP
ihlr-16567	364	21	the	the	DET
ihlr-16567	364	22	aco	aco	PROPN
ihlr-16567	364	23	legislation	legislation	NOUN
ihlr-16567	364	24	is	be	AUX
ihlr-16567	364	25	necessary	necessary	ADJ
ihlr-16567	364	26	;	;	PUNCT
ihlr-16567	364	27	doctors	doctor	NOUN
ihlr-16567	364	28	will	will	AUX
ihlr-16567	364	29	continue	continue	VERB
ihlr-16567	364	30	to	to	PART
ihlr-16567	364	31	practice	practice	VERB
ihlr-16567	364	32	as	as	SCONJ
ihlr-16567	364	33	they	they	PRON
ihlr-16567	364	34	have	have	VERB
ihlr-16567	364	35	previously	previously	ADV
ihlr-16567	364	36	and	and	CCONJ
ihlr-16567	364	37	will	will	AUX
ihlr-16567	364	38	continue	continue	VERB
ihlr-16567	364	39	with	with	ADP
ihlr-16567	364	40	ongoing	ongoing	ADJ
ihlr-16567	364	41	quality	quality	NOUN
ihlr-16567	364	42	improvement	improvement	NOUN
ihlr-16567	364	43	efforts	effort	NOUN
ihlr-16567	364	44	.	.	PUNCT
ihlr-16567	365	1	•	•	NUM
ihlr-16567	365	2	new	new	PROPN
ihlr-16567	365	3	guernsey	guernsey	PROPN
ihlr-16567	365	4	is	be	AUX
ihlr-16567	365	5	a	a	DET
ihlr-16567	365	6	state	state	NOUN
ihlr-16567	365	7	with	with	ADP
ihlr-16567	365	8	relatively	relatively	ADV
ihlr-16567	365	9	high	high	ADJ
ihlr-16567	365	10	quality	quality	NOUN
ihlr-16567	365	11	rankings	ranking	NOUN
ihlr-16567	365	12	but	but	CCONJ
ihlr-16567	365	13	with	with	ADP
ihlr-16567	365	14	high	high	ADJ
ihlr-16567	365	15	costs	cost	NOUN
ihlr-16567	365	16	as	as	ADV
ihlr-16567	365	17	well	well	ADV
ihlr-16567	365	18	.	.	PUNCT
ihlr-16567	366	1	in	in	ADP
ihlr-16567	366	2	new	new	ADJ
ihlr-16567	366	3	guernsey	guernsey	PROPN
ihlr-16567	366	4	,	,	PUNCT
ihlr-16567	366	5	the	the	DET
ihlr-16567	366	6	average	average	ADJ
ihlr-16567	366	7	medicare	medicare	PROPN
ihlr-16567	366	8	beneficiary	beneficiary	NOUN
ihlr-16567	366	9	pays	pay	VERB
ihlr-16567	366	10	about	about	ADV
ihlr-16567	366	11	$	$	SYM
ihlr-16567	366	12	900	900	NUM
ihlr-16567	366	13	in	in	ADP
ihlr-16567	366	14	part	part	NOUN
ihlr-16567	366	15	b	b	PROPN
ihlr-16567	366	16	coinsurance	coinsurance	NOUN
ihlr-16567	366	17	,	,	PUNCT
ihlr-16567	366	18	well	well	ADV
ihlr-16567	366	19	above	above	ADP
ihlr-16567	366	20	the	the	DET
ihlr-16567	366	21	national	national	ADJ
ihlr-16567	366	22	average	average	NOUN
ihlr-16567	366	23	of	of	ADP
ihlr-16567	366	24	about	about	ADV
ihlr-16567	366	25	$	$	SYM
ihlr-16567	366	26	700	700	NUM
ihlr-16567	366	27	.	.	PUNCT
ihlr-16567	367	1	an	an	DET
ihlr-16567	367	2	affiuent	affiuent	ADJ
ihlr-16567	367	3	state	state	NOUN
ihlr-16567	367	4	with	with	ADP
ihlr-16567	367	5	many	many	ADJ
ihlr-16567	367	6	plea­	plea­	NOUN
ihlr-16567	367	7	sant	sant	NOUN
ihlr-16567	367	8	,	,	PUNCT
ihlr-16567	367	9	leafy	leafy	ADJ
ihlr-16567	367	10	suburbs	suburb	NOUN
ihlr-16567	367	11	,	,	PUNCT
ihlr-16567	367	12	new	new	ADJ
ihlr-16567	367	13	guernsey	guernsey	PROPN
ihlr-16567	367	14	has	have	AUX
ihlr-16567	367	15	attracted	attract	VERB
ihlr-16567	367	16	a	a	DET
ihlr-16567	367	17	large	large	ADJ
ihlr-16567	367	18	contingent	contingent	NOUN
ihlr-16567	367	19	of	of	ADP
ihlr-16567	367	20	medical	medical	ADJ
ihlr-16567	367	21	specialists	specialist	NOUN
ihlr-16567	367	22	.	.	PUNCT
ihlr-16567	368	1	while	while	SCONJ
ihlr-16567	368	2	proud	proud	ADJ
ihlr-16567	368	3	of	of	ADP
ihlr-16567	368	4	its	its	PRON
ihlr-16567	368	5	talented	talented	ADJ
ihlr-16567	368	6	physician	physician	NOUN
ihlr-16567	368	7	work­	work­	NOUN
ihlr-16567	368	8	force	force	NOUN
ihlr-16567	368	9	,	,	PUNCT
ihlr-16567	368	10	the	the	DET
ihlr-16567	368	11	state	state	PROPN
ihlr-16567	368	12	medical	medical	ADJ
ihlr-16567	368	13	society	society	NOUN
ihlr-16567	368	14	's	's	PART
ihlr-16567	368	15	analysis	analysis	NOUN
ihlr-16567	368	16	of	of	ADP
ihlr-16567	368	17	medicare	medicare	PROPN
ihlr-16567	368	18	data	datum	NOUN
ihlr-16567	368	19	reveals	reveal	VERB
ihlr-16567	368	20	that	that	SCONJ
ihlr-16567	368	21	the	the	DET
ihlr-16567	368	22	high	high	ADJ
ihlr-16567	368	23	intensity	intensity	NOUN
ihlr-16567	368	24	of	of	ADP
ihlr-16567	368	25	specialty	specialty	NOUN
ihlr-16567	368	26	care	care	NOUN
ihlr-16567	368	27	given	give	VERB
ihlr-16567	368	28	to	to	ADP
ihlr-16567	368	29	chronically	chronically	ADV
ihlr-16567	368	30	ill	ill	ADJ
ihlr-16567	368	31	med­	med­	PROPN
ihlr-16567	368	32	icare	icare	NOUN
ihlr-16567	368	33	beneficiaries	beneficiary	NOUN
ihlr-16567	368	34	can	can	AUX
ihlr-16567	368	35	not	not	PART
ihlr-16567	368	36	be	be	AUX
ihlr-16567	368	37	linked	link	VERB
ihlr-16567	368	38	to	to	ADP
ihlr-16567	368	39	better	well	ADJ
ihlr-16567	368	40	outcomes	outcome	NOUN
ihlr-16567	368	41	.	.	PUNCT
ihlr-16567	369	1	moreover	moreover	ADV
ihlr-16567	369	2	,	,	PUNCT
ihlr-16567	369	3	new	new	PROPN
ihlr-16567	369	4	guernsey	guernsey	PROPN
ihlr-16567	369	5	's	's	PART
ihlr-16567	369	6	rate	rate	NOUN
ihlr-16567	369	7	of	of	ADP
ihlr-16567	369	8	certain	certain	ADJ
ihlr-16567	369	9	invasive	invasive	ADJ
ihlr-16567	369	10	medical	medical	ADJ
ihlr-16567	369	11	procedures	procedure	NOUN
ihlr-16567	369	12	is	be	AUX
ihlr-16567	369	13	far	far	ADV
ihlr-16567	369	14	higher	high	ADJ
ihlr-16567	369	15	than	than	ADP
ihlr-16567	369	16	the	the	DET
ihlr-16567	369	17	national	national	ADJ
ihlr-16567	369	18	average	average	NOUN
ihlr-16567	369	19	.	.	PUNCT
ihlr-16567	370	1	the	the	DET
ihlr-16567	370	2	medical	medical	ADJ
ihlr-16567	370	3	society	society	NOUN
ihlr-16567	370	4	asks	ask	VERB
ihlr-16567	370	5	the	the	DET
ihlr-16567	370	6	state	state	NOUN
ihlr-16567	370	7	legislature	legislature	NOUN
ihlr-16567	370	8	to	to	PART
ihlr-16567	370	9	order	order	VERB
ihlr-16567	370	10	a	a	DET
ihlr-16567	370	11	hiring	hire	VERB
ihlr-16567	370	12	freeze	freeze	NOUN
ihlr-16567	370	13	for	for	ADP
ihlr-16567	370	14	over	over	ADV
ihlr-16567	370	15	-	-	PUNCT
ihlr-16567	370	16	represented	represent	VERB
ihlr-16567	370	17	medi­	medi­	PROPN
ihlr-16567	370	18	cal	cal	ADJ
ihlr-16567	370	19	specialties	specialty	NOUN
ihlr-16567	370	20	at	at	ADP
ihlr-16567	370	21	the	the	DET
ihlr-16567	370	22	state	state	NOUN
ihlr-16567	370	23	's	's	PART
ihlr-16567	370	24	academic	academic	ADJ
ihlr-16567	370	25	medical	medical	ADJ
ihlr-16567	370	26	centers	center	NOUN
ihlr-16567	370	27	pending	pende	VERB
ihlr-16567	370	28	a	a	DET
ihlr-16567	370	29	study	study	NOUN
ihlr-16567	370	30	to	to	PART
ihlr-16567	370	31	determine	determine	VERB
ihlr-16567	370	32	the	the	DET
ihlr-16567	370	33	optimal	optimal	ADJ
ihlr-16567	370	34	specialty	specialty	NOUN
ihlr-16567	370	35	distribution	distribution	NOUN
ihlr-16567	370	36	of	of	ADP
ihlr-16567	370	37	the	the	DET
ihlr-16567	370	38	state	state	NOUN
ihlr-16567	370	39	's	's	PART
ihlr-16567	370	40	physician	physician	NOUN
ihlr-16567	370	41	workforce	workforce	NOUN
ihlr-16567	370	42	.	.	PUNCT
ihlr-16567	371	1	the	the	DET
ihlr-16567	371	2	medical	medical	ADJ
ihlr-16567	371	3	society	society	NOUN
ihlr-16567	371	4	also	also	ADV
ihlr-16567	371	5	commissions	commission	VERB
ihlr-16567	371	6	the	the	DET
ihlr-16567	371	7	state	state	NOUN
ihlr-16567	371	8	's	's	PART
ihlr-16567	371	9	qio	qio	NOUN
ihlr-16567	371	10	to	to	PART
ihlr-16567	371	11	conduct	conduct	VERB
ihlr-16567	371	12	a	a	DET
ihlr-16567	371	13	case	case	NOUN
ihlr-16567	371	14	/	/	SYM
ihlr-16567	371	15	control	control	NOUN
ihlr-16567	371	16	study	study	NOUN
ihlr-16567	371	17	of	of	ADP
ihlr-16567	371	18	patients	patient	NOUN
ihlr-16567	371	19	with	with	ADP
ihlr-16567	371	20	condi­	condi­	PROPN
ihlr-16567	371	21	tions	tion	NOUN
ihlr-16567	371	22	that	that	PRON
ihlr-16567	371	23	receive	receive	VERB
ihlr-16567	371	24	disproportionate	disproportionate	ADJ
ihlr-16567	371	25	rates	rate	NOUN
ihlr-16567	371	26	of	of	ADP
ihlr-16567	371	27	surgery	surgery	NOUN
ihlr-16567	371	28	in	in	ADP
ihlr-16567	371	29	new	new	ADJ
ihlr-16567	371	30	guern­	guern­	CCONJ
ihlr-16567	371	31	sey	sey	NOUN
ihlr-16567	371	32	relative	relative	ADJ
ihlr-16567	371	33	to	to	ADP
ihlr-16567	371	34	other	other	ADJ
ihlr-16567	371	35	states	state	NOUN
ihlr-16567	371	36	,	,	PUNCT
ihlr-16567	371	37	and	and	CCONJ
ihlr-16567	371	38	separate	separate	ADJ
ihlr-16567	371	39	,	,	PUNCT
ihlr-16567	371	40	specific	specific	ADJ
ihlr-16567	371	41	probes	probe	NOUN
ihlr-16567	371	42	of	of	ADP
ihlr-16567	371	43	hospitals	hospital	NOUN
ihlr-16567	371	44	and	and	CCONJ
ihlr-16567	371	45	surgeons	surgeon	NOUN
ihlr-16567	371	46	that	that	PRON
ihlr-16567	371	47	perform	perform	VERB
ihlr-16567	371	48	unusually	unusually	ADV
ihlr-16567	371	49	high	high	ADJ
ihlr-16567	371	50	volumes	volume	NOUN
ihlr-16567	371	51	of	of	ADP
ihlr-16567	371	52	such	such	ADJ
ihlr-16567	371	53	proce­	proce­	NOUN
ihlr-16567	371	54	dures	dure	NOUN
ihlr-16567	371	55	.	.	PUNCT
ihlr-16567	372	1	it	it	PRON
ihlr-16567	372	2	expects	expect	VERB
ihlr-16567	372	3	that	that	SCONJ
ihlr-16567	372	4	unnecessary	unnecessary	ADJ
ihlr-16567	372	5	utilization	utilization	NOUN
ihlr-16567	372	6	will	will	AUX
ihlr-16567	372	7	be	be	AUX
ihlr-16567	372	8	eliminated	eliminate	VERB
ihlr-16567	372	9	,	,	PUNCT
ihlr-16567	372	10	and	and	CCONJ
ihlr-16567	372	11	the	the	DET
ihlr-16567	372	12	remaining	remain	VERB
ihlr-16567	372	13	physicians	physician	NOUN
ihlr-16567	372	14	will	will	AUX
ihlr-16567	372	15	share	share	VERB
ihlr-16567	372	16	larger	large	ADJ
ihlr-16567	372	17	slices	slice	NOUN
ihlr-16567	372	18	of	of	ADP
ihlr-16567	372	19	the	the	DET
ihlr-16567	372	20	medi­	medi­	PROPN
ihlr-16567	372	21	care	care	NOUN
ihlr-16567	372	22	pie	pie	NOUN
ihlr-16567	372	23	.	.	PUNCT
ihlr-16567	373	1	57	57	NUM
ihlr-16567	373	2	.	.	PUNCT
ihlr-16567	374	1	frank	frank	PROPN
ihlr-16567	374	2	opelka	opelka	PROPN
ihlr-16567	374	3	,	,	PUNCT
ihlr-16567	374	4	the	the	DET
ihlr-16567	374	5	sustainable	sustainable	ADJ
ihlr-16567	374	6	growth	growth	NOUN
ihlr-16567	374	7	rate	rate	NOUN
ihlr-16567	374	8	:	:	PUNCT
ihlr-16567	374	9	bringing	bring	VERB
ihlr-16567	374	10	the	the	DET
ihlr-16567	374	11	sgr	sgr	PROPN
ihlr-16567	374	12	to	to	ADP
ihlr-16567	374	13	individual	individual	ADJ
ihlr-16567	374	14	providers	provider	NOUN
ihlr-16567	374	15	,	,	PUNCT
ihlr-16567	374	16	healrn	healrn	NOUN
ihlr-16567	374	17	affairs	affair	NOUN
ihlr-16567	374	18	bu	bu	ADP
ihlr-16567	374	19	>	>	PROPN
ihlr-16567	374	20	g	g	PROPN
ihlr-16567	374	21	,	,	PUNCT
ihlr-16567	374	22	feb	feb	PROPN
ihlr-16567	374	23	.	.	PROPN
ihlr-16567	374	24	20	20	NUM
ihlr-16567	374	25	,	,	PUNCT
ihlr-16567	374	26	2008	2008	NUM
ihlr-16567	374	27	,	,	PUNCT
ihlr-16567	374	28	http:/lhealthaffairs.orglblog/2008/02/20/	http:/lhealthaffairs.orglblog/2008/02/20/	VERB
ihlr-16567	374	29	the	the	DET
ihlr-16567	374	30	-	-	PUNCT
ihlr-16567	374	31	sustainable	sustainable	ADJ
ihlr-16567	374	32	-	-	PUNCT
ihlr-16567	374	33	growth	growth	NOUN
ihlr-16567	374	34	-	-	PUNCT
ihlr-16567	374	35	rate	rate	NOUN
ihlr-16567	374	36	-	-	PUNCT
ihlr-16567	374	37	bringing	bringing	NOUN
ihlr-16567	374	38	-	-	PUNCT
ihlr-16567	374	39	the	the	DET
ihlr-16567	374	40	-	-	PUNCT
ihlr-16567	374	41	sgr	sgr	NOUN
ihlr-16567	374	42	-	-	PUNCT
ihlr-16567	374	43	to	to	ADP
ihlr-16567	374	44	-	-	PUNCT
ihlr-16567	374	45	individual	individual	ADJ
ihlr-16567	374	46	-	-	PUNCT
ihlr-16567	374	47	providers/.	providers/.	NOUN
ihlr-16567	374	48	206	206	NUM
ihlr-16567	374	49	indiana	indiana	PROPN
ihlr-16567	374	50	healm	healm	PROPN
ihlr-16567	374	51	law	law	PROPN
ihlr-16567	374	52	review	review	NOUN
ihlr-16567	375	1	[	[	X
ihlr-16567	375	2	vol	vol	NOUN
ihlr-16567	375	3	.	.	PUNCT
ihlr-16567	376	1	7:185	7:185	ADJ
ihlr-16567	376	2	•	•	NUM
ihlr-16567	376	3	west	west	PROPN
ihlr-16567	376	4	carolina	carolina	PROPN
ihlr-16567	376	5	is	be	AUX
ihlr-16567	376	6	a	a	DET
ihlr-16567	376	7	state	state	NOUN
ihlr-16567	376	8	with	with	ADP
ihlr-16567	376	9	poor	poor	ADJ
ihlr-16567	376	10	quality	quality	NOUN
ihlr-16567	376	11	ratings	rating	NOUN
ihlr-16567	376	12	and	and	CCONJ
ihlr-16567	376	13	,	,	PUNCT
ihlr-16567	376	14	while	while	SCONJ
ihlr-16567	376	15	not	not	PART
ihlr-16567	376	16	ranked	rank	VERB
ihlr-16567	376	17	near	near	ADP
ihlr-16567	376	18	the	the	DET
ihlr-16567	376	19	top	top	NOUN
ihlr-16567	376	20	in	in	ADP
ihlr-16567	376	21	spending	spending	NOUN
ihlr-16567	376	22	,	,	PUNCT
ihlr-16567	376	23	seems	seem	VERB
ihlr-16567	376	24	to	to	PART
ihlr-16567	376	25	be	be	AUX
ihlr-16567	376	26	spending	spend	VERB
ihlr-16567	376	27	more	more	ADJ
ihlr-16567	376	28	than	than	SCONJ
ihlr-16567	376	29	it	it	PRON
ihlr-16567	376	30	should	should	AUX
ihlr-16567	376	31	given	give	VERB
ihlr-16567	376	32	its	its	PRON
ihlr-16567	376	33	outcomes	outcome	NOUN
ihlr-16567	376	34	.	.	PUNCT
ihlr-16567	377	1	observers	observer	NOUN
ihlr-16567	377	2	note	note	VERB
ihlr-16567	377	3	that	that	SCONJ
ihlr-16567	377	4	the	the	DET
ihlr-16567	377	5	state	state	NOUN
ihlr-16567	377	6	board	board	NOUN
ihlr-16567	377	7	of	of	ADP
ihlr-16567	377	8	medicine	medicine	NOUN
ihlr-16567	377	9	has	have	AUX
ihlr-16567	377	10	consistently	consistently	ADV
ihlr-16567	377	11	.low	.low	ADJ
ihlr-16567	377	12	rankings	ranking	NOUN
ihlr-16567	377	13	in	in	ADP
ihlr-16567	377	14	disciplinary	disciplinary	ADJ
ihlr-16567	377	15	actions	action	NOUN
ihlr-16567	377	16	per	per	ADP
ihlr-16567	377	17	1,000	1,000	NUM
ihlr-16567	377	18	doctors	doctor	NOUN
ihlr-16567	377	19	,	,	PUNCT
ihlr-16567	377	20	and	and	CCONJ
ihlr-16567	377	21	a	a	DET
ihlr-16567	377	22	large	large	ADJ
ihlr-16567	377	23	number	number	NOUN
ihlr-16567	377	24	ofhospital	ofhospital	ADJ
ihlr-16567	377	25	beds	bed	NOUN
ihlr-16567	377	26	per	per	ADP
ihlr-16567	377	27	capita	capita	NOUN
ihlr-16567	377	28	seems	seem	VERB
ihlr-16567	377	29	to	to	PART
ihlr-16567	377	30	be	be	AUX
ihlr-16567	377	31	driving	drive	VERB
ihlr-16567	377	32	a	a	DET
ihlr-16567	377	33	high	high	ADJ
ihlr-16567	377	34	number	number	NOUN
ihlr-16567	377	35	of	of	ADP
ihlr-16567	377	36	hospital	hospital	NOUN
ihlr-16567	377	37	days	day	NOUN
ihlr-16567	377	38	during	during	ADP
ihlr-16567	377	39	chronically	chronically	ADV
ihlr-16567	377	40	ill	ill	ADJ
ihlr-16567	377	41	medicare	medicare	PROPN
ihlr-16567	377	42	beneficiaries	beneficiary	NOUN
ihlr-16567	377	43	'	'	PART
ihlr-16567	377	44	last	last	ADJ
ihlr-16567	377	45	two	two	NUM
ihlr-16567	377	46	years	year	NOUN
ihlr-16567	377	47	of	of	ADP
ihlr-16567	377	48	life	life	NOUN
ihlr-16567	377	49	,	,	PUNCT
ihlr-16567	377	50	many	many	ADJ
ihlr-16567	377	51	of	of	ADP
ihlr-16567	377	52	them	they	PRON
ihlr-16567	377	53	in	in	ADP
ihlr-16567	377	54	icus	icus	NOUN
ihlr-16567	377	55	.	.	PUNCT
ihlr-16567	378	1	the	the	DET
ihlr-16567	378	2	medical	medical	ADJ
ihlr-16567	378	3	society	society	NOUN
ihlr-16567	378	4	mounts	mount	VERB
ihlr-16567	378	5	a	a	DET
ihlr-16567	378	6	comprehensive	comprehensive	ADJ
ihlr-16567	378	7	quality	quality	NOUN
ihlr-16567	378	8	im­	im­	NOUN
ihlr-16567	378	9	provement	provement	NOUN
ihlr-16567	378	10	campaign	campaign	NOUN
ihlr-16567	378	11	.	.	PUNCT
ihlr-16567	379	1	one	one	NUM
ihlr-16567	379	2	element	element	NOUN
ihlr-16567	379	3	,	,	PUNCT
ihlr-16567	379	4	inspired	inspire	VERB
ihlr-16567	379	5	by	by	ADP
ihlr-16567	379	6	jack	jack	PROPN
ihlr-16567	379	7	welch	welch	PROPN
ihlr-16567	379	8	's	's	PART
ihlr-16567	379	9	strat­	strat­	PROPN
ihlr-16567	379	10	egy	egy	NOUN
ihlr-16567	379	11	of	of	ADP
ihlr-16567	379	12	forcing	force	VERB
ihlr-16567	379	13	out	out	ADP
ihlr-16567	379	14	the	the	DET
ihlr-16567	379	15	lowest	low	ADJ
ihlr-16567	379	16	performing	performing	NOUN
ihlr-16567	379	17	managers	manager	NOUN
ihlr-16567	379	18	,	,	PUNCT
ihlr-16567	379	19	urges	urge	VERB
ihlr-16567	379	20	doctors	doctor	NOUN
ihlr-16567	379	21	to	to	PART
ihlr-16567	379	22	provide	provide	VERB
ihlr-16567	379	23	confidential	confidential	ADJ
ihlr-16567	379	24	evaluations	evaluation	NOUN
ihlr-16567	379	25	of	of	ADP
ihlr-16567	379	26	peers	peer	NOUN
ihlr-16567	379	27	and	and	CCONJ
ihlr-16567	379	28	hospitals	hospital	NOUN
ihlr-16567	379	29	to	to	ADP
ihlr-16567	379	30	regulatory	regulatory	ADJ
ihlr-16567	379	31	authorities	authority	NOUN
ihlr-16567	379	32	.	.	PUNCT
ihlr-16567	380	1	the	the	DET
ihlr-16567	380	2	board	board	NOUN
ihlr-16567	380	3	of	of	ADP
ihlr-16567	380	4	medicine	medicine	NOUN
ihlr-16567	380	5	is	be	AUX
ihlr-16567	380	6	given	give	VERB
ihlr-16567	380	7	an	an	DET
ihlr-16567	380	8	infusion	infusion	NOUN
ihlr-16567	380	9	of	of	ADP
ihlr-16567	380	10	re­	re­	PROPN
ihlr-16567	380	11	sources	source	NOUN
ihlr-16567	380	12	to	to	PART
ihlr-16567	380	13	pursue	pursue	VERB
ihlr-16567	380	14	disciplinary	disciplinary	ADJ
ihlr-16567	380	15	proceedings	proceeding	NOUN
ihlr-16567	380	16	.	.	PUNCT
ihlr-16567	381	1	the	the	DET
ihlr-16567	381	2	state	state	PROPN
ihlr-16567	381	3	health	health	PROPN
ihlr-16567	381	4	plan­	plan­	PROPN
ihlr-16567	381	5	ning	ning	PROPN
ihlr-16567	381	6	agency	agency	PROPN
ihlr-16567	381	7	is	be	AUX
ihlr-16567	381	8	urged	urge	VERB
ihlr-16567	381	9	to	to	PART
ihlr-16567	381	10	convene	convene	VERB
ihlr-16567	381	11	a	a	DET
ihlr-16567	381	12	hospital	hospital	NOUN
ihlr-16567	381	13	closing	closing	NOUN
ihlr-16567	381	14	commission	commission	NOUN
ihlr-16567	381	15	to	to	PART
ihlr-16567	381	16	reduce	reduce	VERB
ihlr-16567	381	17	bed	bed	NOUN
ihlr-16567	381	18	capacity	capacity	NOUN
ihlr-16567	381	19	at	at	ADP
ihlr-16567	381	20	the	the	DET
ihlr-16567	381	21	least	least	ADJ
ihlr-16567	381	22	effective	effective	ADJ
ihlr-16567	381	23	facilities	facility	NOUN
ihlr-16567	381	24	.	.	PUNCT
ihlr-16567	382	1	with	with	ADP
ihlr-16567	382	2	both	both	DET
ihlr-16567	382	3	state	state	NOUN
ihlr-16567	382	4	residents	resident	NOUN
ihlr-16567	382	5	'	'	PART
ihlr-16567	382	6	self	self	NOUN
ihlr-16567	382	7	-	-	PUNCT
ihlr-16567	382	8	reported	report	VERB
ihlr-16567	382	9	health	health	NOUN
ihlr-16567	382	10	status	status	NOUN
ihlr-16567	382	11	and	and	CCONJ
ihlr-16567	382	12	public	public	ADJ
ihlr-16567	382	13	health	health	NOUN
ihlr-16567	382	14	expenditures	expenditure	NOUN
ihlr-16567	382	15	ranking	rank	VERB
ihlr-16567	382	16	low	low	ADJ
ihlr-16567	382	17	,	,	PUNCT
ihlr-16567	382	18	the	the	DET
ihlr-16567	382	19	medical	medical	ADJ
ihlr-16567	382	20	society	society	NOUN
ihlr-16567	382	21	persuades	persuade	VERB
ihlr-16567	382	22	state	state	NOUN
ihlr-16567	382	23	legislators	legislator	NOUN
ihlr-16567	382	24	that	that	SCONJ
ihlr-16567	382	25	the	the	DET
ihlr-16567	382	26	most	most	ADV
ihlr-16567	382	27	cost	cost	NOUN
ihlr-16567	382	28	-	-	PUNCT
ihlr-16567	382	29	effective	effective	ADJ
ihlr-16567	382	30	way	way	NOUN
ihlr-16567	382	31	of	of	ADP
ihlr-16567	382	32	improving	improve	VERB
ihlr-16567	382	33	health	health	NOUN
ihlr-16567	382	34	outcomes	outcome	NOUN
ihlr-16567	382	35	is	be	AUX
ihlr-16567	382	36	not	not	PART
ihlr-16567	382	37	through	through	ADP
ihlr-16567	382	38	more	more	ADJ
ihlr-16567	382	39	health	health	NOUN
ihlr-16567	382	40	care	care	NOUN
ihlr-16567	382	41	delivery	delivery	NOUN
ihlr-16567	382	42	spending	spending	NOUN
ihlr-16567	382	43	but	but	CCONJ
ihlr-16567	382	44	through	through	ADP
ihlr-16567	382	45	more	more	ADJ
ihlr-16567	382	46	pub­	pub­	PROPN
ihlr-16567	382	47	lic	lic	PROPN
ihlr-16567	382	48	health	health	PROPN
ihlr-16567	382	49	and	and	CCONJ
ihlr-16567	382	50	prevention	prevention	NOUN
ihlr-16567	382	51	efforts	effort	NOUN
ihlr-16567	382	52	.	.	PUNCT
ihlr-16567	383	1	the	the	DET
ihlr-16567	383	2	medical	medical	ADJ
ihlr-16567	383	3	society	society	NOUN
ihlr-16567	383	4	expects	expect	VERB
ihlr-16567	383	5	that	that	SCONJ
ihlr-16567	383	6	its	its	PRON
ihlr-16567	383	7	commitment	commitment	NOUN
ihlr-16567	383	8	to	to	ADP
ihlr-16567	383	9	a	a	DET
ihlr-16567	383	10	new	new	ADJ
ihlr-16567	383	11	paradigm	paradigm	NOUN
ihlr-16567	383	12	will	will	AUX
ihlr-16567	383	13	improve	improve	VERB
ihlr-16567	383	14	the	the	DET
ihlr-16567	383	15	medicare	medicare	PROPN
ihlr-16567	383	16	pop­	pop­	PROPN
ihlr-16567	383	17	ulation	ulation	NOUN
ihlr-16567	383	18	's	's	PART
ihlr-16567	383	19	health	health	NOUN
ihlr-16567	383	20	,	,	PUNCT
ihlr-16567	383	21	recruit	recruit	ADJ
ihlr-16567	383	22	new	new	ADJ
ihlr-16567	383	23	,	,	PUNCT
ihlr-16567	383	24	talented	talented	ADJ
ihlr-16567	383	25	doctors	doctor	NOUN
ihlr-16567	383	26	to	to	ADP
ihlr-16567	383	27	the	the	DET
ihlr-16567	383	28	state	state	NOUN
ihlr-16567	383	29	,	,	PUNCT
ihlr-16567	383	30	and	and	CCONJ
ihlr-16567	383	31	,	,	PUNCT
ihlr-16567	383	32	not	not	PART
ihlr-16567	383	33	incidentally	incidentally	ADV
ihlr-16567	383	34	,	,	PUNCT
ihlr-16567	383	35	bring	bring	VERB
ihlr-16567	383	36	p4p	p4p	PROPN
ihlr-16567	383	37	bonuses	bonus	NOUN
ihlr-16567	383	38	to	to	ADP
ihlr-16567	383	39	its	its	PRON
ihlr-16567	383	40	members	member	NOUN
ihlr-16567	383	41	.	.	PUNCT
ihlr-16567	384	1	b.	b.	PROPN
ihlr-16567	384	2	local	local	ADJ
ihlr-16567	384	3	level	level	NOUN
ihlr-16567	384	4	:	:	PUNCT
ihlr-16567	384	5	extended	extended	ADJ
ihlr-16567	384	6	hospital	hospital	NOUN
ihlr-16567	384	7	medial	medial	ADJ
ihlr-16567	384	8	staff	staff	NOUN
ihlr-16567	384	9	/multi	/multi	NOUN
ihlr-16567	384	10	-	-	PUNCT
ihlr-16567	384	11	specialty	specialty	NOUN
ihlr-16567	384	12	group	group	NOUN
ihlr-16567	384	13	practice	practice	NOUN
ihlr-16567	384	14	the	the	DET
ihlr-16567	384	15	most	most	ADV
ihlr-16567	384	16	administratively	administratively	ADV
ihlr-16567	384	17	complex	complex	ADJ
ihlr-16567	384	18	shared	share	VERB
ihlr-16567	384	19	accountability	accountability	NOUN
ihlr-16567	384	20	model	model	NOUN
ihlr-16567	384	21	would	would	AUX
ihlr-16567	384	22	be	be	AUX
ihlr-16567	384	23	one	one	NUM
ihlr-16567	384	24	with	with	ADP
ihlr-16567	384	25	multiple	multiple	ADJ
ihlr-16567	384	26	acos	acos	PROPN
ihlr-16567	384	27	formed	form	VERB
ihlr-16567	384	28	at	at	ADP
ihlr-16567	384	29	the	the	DET
ihlr-16567	384	30	local	local	ADJ
ihlr-16567	384	31	level	level	NOUN
ihlr-16567	384	32	.	.	PUNCT
ihlr-16567	385	1	in	in	ADP
ihlr-16567	385	2	the	the	DET
ihlr-16567	385	3	hypo­	hypo­	NOUN
ihlr-16567	385	4	thetical	thetical	ADJ
ihlr-16567	385	5	scheme	scheme	NOUN
ihlr-16567	385	6	discussed	discuss	VERB
ihlr-16567	385	7	below	below	ADV
ihlr-16567	385	8	,	,	PUNCT
ihlr-16567	385	9	physicians	physician	NOUN
ihlr-16567	385	10	would	would	AUX
ihlr-16567	385	11	initially	initially	ADV
ihlr-16567	385	12	be	be	AUX
ihlr-16567	385	13	assigned	assign	VERB
ihlr-16567	385	14	to	to	ADP
ihlr-16567	385	15	a	a	DET
ihlr-16567	385	16	pool	pool	NOUN
ihlr-16567	385	17	based	base	VERB
ihlr-16567	385	18	upon	upon	SCONJ
ihlr-16567	385	19	the	the	DET
ihlr-16567	385	20	"	"	PUNCT
ihlr-16567	385	21	extended	extended	ADJ
ihlr-16567	385	22	hospital	hospital	NOUN
ihlr-16567	385	23	medial	medial	ADJ
ihlr-16567	385	24	stafl	stafl	NOUN
ihlr-16567	385	25	"	"	PUNCT
ihlr-16567	385	26	(	(	PUNCT
ihlr-16567	385	27	ehms}--empirically	ehms}--empirically	ADV
ihlr-16567	385	28	observed	observe	VERB
ihlr-16567	385	29	referral	referral	ADJ
ihlr-16567	385	30	patterns	pattern	NOUN
ihlr-16567	385	31	derived	derive	VERB
ihlr-16567	385	32	from	from	ADP
ihlr-16567	385	33	the	the	DET
ihlr-16567	385	34	methodology	methodology	NOUN
ihlr-16567	385	35	described	describe	VERB
ihlr-16567	385	36	by	by	ADP
ihlr-16567	385	37	fish­	fish­	PROPN
ihlr-16567	385	38	er	er	INTJ
ihlr-16567	385	39	and	and	CCONJ
ihlr-16567	385	40	colleagues	colleague	NOUN
ihlr-16567	385	41	.	.	PUNCT
ihlr-16567	386	1	doctors	doctor	NOUN
ihlr-16567	386	2	would	would	AUX
ihlr-16567	386	3	then	then	ADV
ihlr-16567	386	4	be	be	AUX
ihlr-16567	386	5	free	free	ADJ
ihlr-16567	386	6	to	to	PART
ihlr-16567	386	7	opt	opt	VERB
ihlr-16567	386	8	out	out	ADP
ihlr-16567	386	9	of	of	ADP
ihlr-16567	386	10	their	their	PRON
ihlr-16567	386	11	assigned	assign	VERB
ihlr-16567	386	12	pool	pool	NOUN
ihlr-16567	386	13	and	and	CCONJ
ihlr-16567	386	14	affiliate	affiliate	NOUN
ihlr-16567	386	15	with	with	ADP
ihlr-16567	386	16	another	another	DET
ihlr-16567	386	17	pool	pool	NOUN
ihlr-16567	386	18	,	,	PUNCT
ihlr-16567	386	19	should	should	AUX
ihlr-16567	386	20	it	it	PRON
ihlr-16567	386	21	accept	accept	VERB
ihlr-16567	386	22	the	the	DET
ihlr-16567	386	23	doctor	doctor	NOUN
ihlr-16567	386	24	;	;	PUNCT
ihlr-16567	386	25	or	or	CCONJ
ihlr-16567	386	26	to	to	PART
ihlr-16567	386	27	carve	carve	VERB
ihlr-16567	386	28	out	out	ADP
ihlr-16567	386	29	an	an	DET
ihlr-16567	386	30	entirely	entirely	ADV
ihlr-16567	386	31	new	new	ADJ
ihlr-16567	386	32	pool	pool	NOUN
ihlr-16567	386	33	based	base	VERB
ihlr-16567	386	34	on	on	ADP
ihlr-16567	386	35	the	the	DET
ihlr-16567	386	36	multi	multi	ADJ
ihlr-16567	386	37	-	-	ADJ
ihlr-16567	386	38	specialty	specialty	ADJ
ihlr-16567	386	39	group	group	NOUN
ihlr-16567	386	40	practice	practice	NOUN
ihlr-16567	386	41	model	model	NOUN
ihlr-16567	386	42	.	.	PUNCT
ihlr-16567	387	1	the	the	DET
ihlr-16567	387	2	latter	latter	ADJ
ihlr-16567	387	3	could	could	AUX
ihlr-16567	387	4	be	be	AUX
ihlr-16567	387	5	an	an	DET
ihlr-16567	387	6	existing	exist	VERB
ihlr-16567	387	7	multi	multi	ADJ
ihlr-16567	387	8	-	-	ADJ
ihlr-16567	387	9	specialty	specialty	ADJ
ihlr-16567	387	10	group	group	NOUN
ihlr-16567	387	11	entity	entity	NOUN
ihlr-16567	387	12	,	,	PUNCT
ihlr-16567	387	13	or	or	CCONJ
ihlr-16567	387	14	a	a	DET
ihlr-16567	387	15	newly	newly	ADV
ihlr-16567	387	16	created	create	VERB
ihlr-16567	387	17	independent	independent	ADJ
ihlr-16567	387	18	practice	practice	NOUN
ihlr-16567	387	19	association	association	NOUN
ihlr-16567	387	20	.	.	PUNCT
ihlr-16567	388	1	each	each	DET
ihlr-16567	388	2	aco	aco	PROPN
ihlr-16567	388	3	would	would	AUX
ihlr-16567	388	4	also	also	ADV
ihlr-16567	388	5	be	be	AUX
ihlr-16567	388	6	assigned	assign	VERB
ihlr-16567	388	7	,	,	PUNCT
ihlr-16567	388	8	for	for	ADP
ihlr-16567	388	9	administrative	administrative	ADJ
ihlr-16567	388	10	purposes	purpose	NOUN
ihlr-16567	388	11	,	,	PUNCT
ihlr-16567	388	12	its	its	PRON
ihlr-16567	388	13	doctors	doctor	NOUN
ihlr-16567	388	14	'	'	PART
ihlr-16567	388	15	patients	patient	NOUN
ihlr-16567	388	16	.	.	PUNCT
ihlr-16567	389	1	those	those	DET
ihlr-16567	389	2	patients	patient	NOUN
ihlr-16567	389	3	would	would	AUX
ihlr-16567	389	4	form	form	VERB
ihlr-16567	389	5	the	the	DET
ihlr-16567	389	6	population	population	NOUN
ihlr-16567	389	7	on	on	ADP
ihlr-16567	389	8	which	which	PRON
ihlr-16567	389	9	the	the	DET
ihlr-16567	389	10	aco	aco	PROPN
ihlr-16567	389	11	's	's	PART
ihlr-16567	389	12	expenditure	expenditure	NOUN
ihlr-16567	389	13	pool	pool	NOUN
ihlr-16567	389	14	would	would	AUX
ihlr-16567	389	15	be	be	AUX
ihlr-16567	389	16	risk	risk	NOUN
ihlr-16567	389	17	-	-	PUNCT
ihlr-16567	389	18	adjusted	adjust	VERB
ihlr-16567	389	19	and	and	CCONJ
ihlr-16567	389	20	on	on	ADP
ihlr-16567	389	21	which	which	PRON
ihlr-16567	389	22	performance	performance	NOUN
ihlr-16567	389	23	outcomes	outcome	NOUN
ihlr-16567	389	24	for	for	ADP
ihlr-16567	389	25	the	the	DET
ihlr-16567	389	26	aco	aco	PROPN
ihlr-16567	389	27	are	be	AUX
ihlr-16567	389	28	measured	measure	VERB
ihlr-16567	389	29	.	.	PUNCT
ihlr-16567	390	1	it	it	PRON
ihlr-16567	390	2	would	would	AUX
ihlr-16567	390	3	not	not	PART
ihlr-16567	390	4	,	,	PUNCT
ihlr-16567	390	5	however	however	ADV
ihlr-16567	390	6	,	,	PUNCT
ihlr-16567	390	7	constitute	constitute	VERB
ihlr-16567	390	8	a	a	DET
ihlr-16567	390	9	network	network	NOUN
ihlr-16567	390	10	to	to	PART
ihlr-16567	390	11	which	which	PRON
ihlr-16567	390	12	patients	patient	NOUN
ihlr-16567	390	13	are	be	AUX
ihlr-16567	390	14	bound	bind	VERB
ihlr-16567	390	15	,	,	PUNCT
ihlr-16567	390	16	since	since	SCONJ
ihlr-16567	390	17	medicare	medicare	NOUN
ihlr-16567	390	18	beneficiaries	beneficiary	NOUN
ihlr-16567	390	19	are	be	AUX
ihlr-16567	390	20	free	free	ADJ
ihlr-16567	390	21	to	to	PART
ihlr-16567	390	22	see	see	VERB
ihlr-16567	390	23	any	any	DET
ihlr-16567	390	24	doctor	doctor	NOUN
ihlr-16567	390	25	.	.	PUNCT
ihlr-16567	391	1	this	this	PRON
ihlr-16567	391	2	means	mean	VERB
ihlr-16567	391	3	that	that	SCONJ
ihlr-16567	391	4	doctors	doctor	NOUN
ihlr-16567	391	5	would	would	AUX
ihlr-16567	391	6	need	need	VERB
ihlr-16567	391	7	to	to	PART
ihlr-16567	391	8	persuade	persuade	VERB
ihlr-16567	391	9	assigned	assign	VERB
ihlr-16567	391	10	patients	patient	NOUN
ihlr-16567	391	11	to	to	PART
ihlr-16567	391	12	accept	accept	VERB
ihlr-16567	391	13	their	their	PRON
ihlr-16567	391	14	referrals	referral	NOUN
ihlr-16567	391	15	,	,	PUNCT
ihlr-16567	391	16	and	and	CCONJ
ihlr-16567	391	17	follow	follow	VERB
ihlr-16567	391	18	the	the	DET
ihlr-16567	391	19	patients	patient	NOUN
ihlr-16567	391	20	'	'	PART
ihlr-16567	391	21	progress	progress	NOUN
ihlr-16567	391	22	.	.	PUNCT
ihlr-16567	392	1	once	once	ADV
ihlr-16567	392	2	a	a	DET
ihlr-16567	392	3	physician	physician	NOUN
ihlr-16567	392	4	must	must	AUX
ihlr-16567	392	5	cast	cast	VERB
ihlr-16567	392	6	his	his	PRON
ihlr-16567	392	7	lot-:--and	lot-:--and	NOUN
ihlr-16567	392	8	future	future	ADJ
ihlr-16567	392	9	updates	update	NOUN
ihlr-16567	392	10	-	-	PUNCT
ihlr-16567	392	11	with	with	ADP
ihlr-16567	392	12	a	a	DET
ihlr-16567	392	13	pool	pool	NOUN
ihlr-16567	392	14	,	,	PUNCT
ihlr-16567	392	15	2010	2010	NUM
ihlr-16567	392	16	]	]	PUNCT
ihlr-16567	392	17	"	"	PUNCT
ihlr-16567	392	18	shared	share	VERB
ihlr-16567	392	19	accountability	accountability	NOUN
ihlr-16567	392	20	"	"	PUNCT
ihlr-16567	392	21	approach	approach	NOUN
ihlr-16567	392	22	207	207	NUM
ihlr-16567	392	23	he	he	PRON
ihlr-16567	392	24	may	may	AUX
ihlr-16567	392	25	decide	decide	VERB
ihlr-16567	392	26	to	to	PART
ihlr-16567	392	27	rethink	rethink	VERB
ihlr-16567	392	28	his	his	PRON
ihlr-16567	392	29	affiliation	affiliation	NOUN
ihlr-16567	392	30	.	.	PUNCT
ihlr-16567	393	1	a	a	DET
ihlr-16567	393	2	doctor	doctor	NOUN
ihlr-16567	393	3	may	may	AUX
ihlr-16567	393	4	suspect	suspect	VERB
ihlr-16567	393	5	that	that	SCONJ
ihlr-16567	393	6	the	the	DET
ihlr-16567	393	7	qual­	qual­	PROPN
ihlr-16567	393	8	ity	ity	PROPN
ihlr-16567	393	9	of	of	ADP
ihlr-16567	393	10	hospital	hospital	NOUN
ihlr-16567	393	11	a	a	PRON
ihlr-16567	393	12	is	be	AUX
ihlr-16567	393	13	poor	poor	ADJ
ihlr-16567	393	14	,	,	PUNCT
ihlr-16567	393	15	or	or	CCONJ
ihlr-16567	393	16	that	that	SCONJ
ihlr-16567	393	17	the	the	DET
ihlr-16567	393	18	doctors	doctor	NOUN
ihlr-16567	393	19	who	who	PRON
ihlr-16567	393	20	admit	admit	VERB
ihlr-16567	393	21	there	there	PRON
ihlr-16567	393	22	treat	treat	VERB
ihlr-16567	393	23	patients	patient	NOUN
ihlr-16567	393	24	too	too	ADV
ihlr-16567	393	25	aggressively	aggressively	ADV
ihlr-16567	393	26	,	,	PUNCT
ihlr-16567	393	27	and	and	CCONJ
ihlr-16567	393	28	decide	decide	VERB
ihlr-16567	393	29	to	to	PART
ihlr-16567	393	30	switch	switch	VERB
ihlr-16567	393	31	his	his	PRON
ihlr-16567	393	32	affiliation	affiliation	NOUN
ihlr-16567	393	33	to	to	ADP
ihlr-16567	393	34	hospital	hospital	PROPN
ihlr-16567	393	35	b.	b.	PROPN
ihlr-16567	393	36	allow­	allow­	PROPN
ihlr-16567	393	37	ing	ing	ADJ
ihlr-16567	393	38	doctors	doctor	NOUN
ihlr-16567	393	39	to	to	PART
ihlr-16567	393	40	''	''	PUNCT
ihlr-16567	393	41	vote	vote	VERB
ihlr-16567	393	42	with	with	ADP
ihlr-16567	393	43	their	their	PRON
ihlr-16567	393	44	feet	foot	NOUN
ihlr-16567	393	45	,	,	PUNCT
ihlr-16567	393	46	"	"	PUNCT
ihlr-16567	393	47	provided	provide	VERB
ihlr-16567	393	48	that	that	SCONJ
ihlr-16567	393	49	they	they	PRON
ihlr-16567	393	50	do	do	AUX
ihlr-16567	393	51	in	in	ADP
ihlr-16567	393	52	fact	fact	NOUN
ihlr-16567	393	53	restrict	restrict	VERB
ihlr-16567	393	54	their	their	PRON
ihlr-16567	393	55	referrals	referral	NOUN
ihlr-16567	393	56	to	to	ADP
ihlr-16567	393	57	the	the	DET
ihlr-16567	393	58	provider	provider	NOUN
ihlr-16567	393	59	community	community	NOUN
ihlr-16567	393	60	associated	associate	VERB
ihlr-16567	393	61	with	with	ADP
ihlr-16567	393	62	hospital	hospital	NOUN
ihlr-16567	393	63	b	b	NOUN
ihlr-16567	393	64	,	,	PUNCT
ihlr-16567	393	65	could	could	AUX
ihlr-16567	393	66	be	be	AUX
ihlr-16567	393	67	beneficial	beneficial	ADJ
ihlr-16567	393	68	to	to	ADP
ihlr-16567	393	69	patients	patient	NOUN
ihlr-16567	393	70	and	and	CCONJ
ihlr-16567	393	71	to	to	AUX
ihlr-16567	393	72	medicare	medicare	PROPN
ihlr-16567	393	73	.	.	PUNCT
ihlr-16567	394	1	doctors	doctor	NOUN
ihlr-16567	394	2	would	would	AUX
ihlr-16567	394	3	refer	refer	VERB
ihlr-16567	394	4	patients	patient	NOUN
ihlr-16567	394	5	to	to	ADP
ihlr-16567	394	6	providers	provider	NOUN
ihlr-16567	394	7	they	they	PRON
ihlr-16567	394	8	believe	believe	VERB
ihlr-16567	394	9	to	to	PART
ihlr-16567	394	10	be	be	AUX
ihlr-16567	394	11	effective	effective	ADJ
ihlr-16567	394	12	and	and	CCONJ
ihlr-16567	394	13	efficient	efficient	ADJ
ihlr-16567	394	14	.	.	PUNCT
ihlr-16567	395	1	doctors	doctor	NOUN
ihlr-16567	395	2	unable	unable	ADJ
ihlr-16567	395	3	to	to	PART
ihlr-16567	395	4	switch	switch	VERB
ihlr-16567	395	5	to	to	ADP
ihlr-16567	395	6	a	a	DET
ihlr-16567	395	7	better	well	ADJ
ihlr-16567	395	8	hospital	hospital	NOUN
ihlr-16567	395	9	,	,	PUNCT
ihlr-16567	395	10	because	because	SCONJ
ihlr-16567	395	11	they	they	PRON
ihlr-16567	395	12	do	do	AUX
ihlr-16567	395	13	not	not	PART
ihlr-16567	395	14	have	have	VERB
ihlr-16567	395	15	admitting	admit	VERB
ihlr-16567	395	16	privileges	privilege	NOUN
ihlr-16567	395	17	,	,	PUNCT
ihlr-16567	395	18	would	would	AUX
ihlr-16567	395	19	have	have	VERB
ihlr-16567	395	20	an	an	DET
ihlr-16567	395	21	incentive	incentive	NOUN
ihlr-16567	395	22	to	to	PART
ihlr-16567	395	23	improve	improve	VERB
ihlr-16567	395	24	the	the	DET
ihlr-16567	395	25	quality	quality	NOUN
ihlr-16567	395	26	and	and	CCONJ
ihlr-16567	395	27	efficiency	efficiency	NOUN
ihlr-16567	395	28	of	of	ADP
ihlr-16567	395	29	the	the	DET
ihlr-16567	395	30	hospit­	hospit­	PROPN
ihlr-16567	395	31	al	al	PROPN
ihlr-16567	395	32	and	and	CCONJ
ihlr-16567	395	33	pool	pool	NOUN
ihlr-16567	395	34	in	in	ADP
ihlr-16567	395	35	which	which	PRON
ihlr-16567	395	36	they	they	PRON
ihlr-16567	395	37	remain	remain	VERB
ihlr-16567	395	38	,	,	PUNCT
ihlr-16567	395	39	by	by	ADP
ihlr-16567	395	40	,	,	PUNCT
ihlr-16567	395	41	for	for	ADP
ihlr-16567	395	42	instance	instance	NOUN
ihlr-16567	395	43	,	,	PUNCT
ihlr-16567	395	44	becoming	become	VERB
ihlr-16567	395	45	active	active	ADJ
ihlr-16567	395	46	in	in	ADP
ihlr-16567	395	47	hos­	hos­	ADJ
ihlr-16567	395	48	pital	pital	ADJ
ihlr-16567	395	49	committees	committee	NOUN
ihlr-16567	395	50	.	.	PUNCT
ihlr-16567	396	1	doctors	doctor	NOUN
ihlr-16567	396	2	who	who	PRON
ihlr-16567	396	3	felt	feel	VERB
ihlr-16567	396	4	that	that	SCONJ
ihlr-16567	396	5	they	they	PRON
ihlr-16567	396	6	could	could	AUX
ihlr-16567	396	7	not	not	PART
ihlr-16567	396	8	improve	improve	VERB
ihlr-16567	396	9	their	their	PRON
ihlr-16567	396	10	default	default	NOUN
ihlr-16567	396	11	pool	pool	NOUN
ihlr-16567	396	12	's	's	PART
ihlr-16567	396	13	per­	per­	NOUN
ihlr-16567	396	14	formance	formance	NOUN
ihlr-16567	396	15	might	might	AUX
ihlr-16567	396	16	opt	opt	VERB
ihlr-16567	396	17	to	to	PART
ihlr-16567	396	18	form	form	VERB
ihlr-16567	396	19	or	or	CCONJ
ihlr-16567	396	20	join	join	VERB
ihlr-16567	396	21	a	a	DET
ihlr-16567	396	22	multi	multi	ADJ
ihlr-16567	396	23	-	-	ADJ
ihlr-16567	396	24	specialty	specialty	ADJ
ihlr-16567	396	25	group	group	NOUN
ihlr-16567	396	26	practice	practice	NOUN
ihlr-16567	396	27	whose	whose	DET
ihlr-16567	396	28	patients	patient	NOUN
ihlr-16567	396	29	would	would	AUX
ihlr-16567	396	30	comprise	comprise	VERB
ihlr-16567	396	31	a	a	DET
ihlr-16567	396	32	separate	separate	ADJ
ihlr-16567	396	33	pool	pool	NOUN
ihlr-16567	396	34	.	.	PUNCT
ihlr-16567	397	1	many	many	ADJ
ihlr-16567	397	2	in	in	ADP
ihlr-16567	397	3	the	the	DET
ihlr-16567	397	4	health	health	NOUN
ihlr-16567	397	5	policy	policy	NOUN
ihlr-16567	397	6	com­	com­	NOUN
ihlr-16567	397	7	munity	munity	NOUN
ihlr-16567	397	8	believe	believe	VERB
ihlr-16567	397	9	that	that	SCONJ
ihlr-16567	397	10	such	such	DET
ihlr-16567	397	11	an	an	DET
ihlr-16567	397	12	arrangement	arrangement	NOUN
ihlr-16567	397	13	would	would	AUX
ihlr-16567	397	14	benefit	benefit	VERB
ihlr-16567	397	15	patients	patient	NOUN
ihlr-16567	397	16	.	.	PUNCT
ihlr-16567	398	1	but	but	CCONJ
ihlr-16567	398	2	pa­	pa­	ADJ
ihlr-16567	398	3	tients	tient	NOUN
ihlr-16567	398	4	could	could	AUX
ihlr-16567	398	5	not	not	PART
ihlr-16567	398	6	be	be	AUX
ihlr-16567	398	7	restricted	restrict	VERB
ihlr-16567	398	8	to	to	ADP
ihlr-16567	398	9	receiving	receive	VERB
ihlr-16567	398	10	their	their	PRON
ihlr-16567	398	11	care	care	NOUN
ihlr-16567	398	12	from	from	ADP
ihlr-16567	398	13	doctors	doctor	NOUN
ihlr-16567	398	14	in	in	ADP
ihlr-16567	398	15	the	the	DET
ihlr-16567	398	16	group	group	NOUN
ihlr-16567	398	17	,	,	PUNCT
ihlr-16567	398	18	given	give	VERB
ihlr-16567	398	19	the	the	DET
ihlr-16567	398	20	distinction	distinction	NOUN
ihlr-16567	398	21	between	between	ADP
ihlr-16567	398	22	ffs	ffs	PROPN
ihlr-16567	398	23	medicare	medicare	PROPN
ihlr-16567	398	24	and	and	CCONJ
ihlr-16567	398	25	part	part	NOUN
ihlr-16567	398	26	c	c	NOUN
ihlr-16567	398	27	plans	plan	NOUN
ihlr-16567	398	28	,	,	PUNCT
ihlr-16567	398	29	so	so	CCONJ
ihlr-16567	398	30	the	the	DET
ihlr-16567	398	31	pool	pool	NOUN
ihlr-16567	398	32	would	would	AUX
ihlr-16567	398	33	be	be	AUX
ihlr-16567	398	34	an	an	DET
ihlr-16567	398	35	odd	odd	ADJ
ihlr-16567	398	36	neither	neither	ADV
ihlr-16567	398	37	-	-	PUNCT
ihlr-16567	398	38	fish	fish	NOUN
ihlr-16567	398	39	-	-	PUNCT
ihlr-16567	398	40	nor	nor	CCONJ
ihlr-16567	398	41	-	-	PUNCT
ihlr-16567	398	42	foul	foul	NOUN
ihlr-16567	398	43	creature	creature	NOUN
ihlr-16567	398	44	.	.	PUNCT
ihlr-16567	399	1	as	as	SCONJ
ihlr-16567	399	2	medp	medp	PROPN
ihlr-16567	399	3	ac	ac	PROPN
ihlr-16567	399	4	noted	note	VERB
ihlr-16567	399	5	,	,	PUNCT
ihlr-16567	399	6	cms	cms	PROPN
ihlr-16567	399	7	...	...	PUNCT
ihlr-16567	399	8	would	would	AUX
ihlr-16567	399	9	have	have	VERB
ihlr-16567	399	10	to	to	PART
ihlr-16567	399	11	devise	devise	VERB
ihlr-16567	399	12	a	a	DET
ihlr-16567	399	13	way	way	NOUN
ihlr-16567	399	14	of	of	ADP
ihlr-16567	399	15	attributing	attribute	VERB
ihlr-16567	399	16	services	service	NOUN
ihlr-16567	399	17	received	receive	VERB
ihlr-16567	399	18	by	by	ADP
ihlr-16567	399	19	individual	individual	ADJ
ihlr-16567	399	20	beneficiaries	beneficiary	NOUN
ihlr-16567	399	21	to	to	ADP
ihlr-16567	399	22	groups	group	NOUN
ihlr-16567	399	23	without	without	ADP
ihlr-16567	399	24	locking	lock	VERB
ihlr-16567	399	25	beneficiaries	beneficiary	NOUN
ihlr-16567	399	26	into	into	ADP
ihlr-16567	399	27	receiving	receive	VERB
ihlr-16567	399	28	care	care	NOUN
ihlr-16567	399	29	from	from	ADP
ihlr-16567	399	30	any	any	DET
ihlr-16567	399	31	specific	specific	ADJ
ihlr-16567	399	32	group	group	NOUN
ihlr-16567	399	33	.	.	PUNCT
ihlr-16567	400	1	some	some	DET
ihlr-16567	400	2	health	health	NOUN
ihlr-16567	400	3	plans	plan	NOUN
ihlr-16567	400	4	have	have	AUX
ihlr-16567	400	5	developed	develop	VERB
ihlr-16567	400	6	algorithms	algorithm	NOUN
ihlr-16567	400	7	that	that	PRON
ihlr-16567	400	8	attribute	attribute	VERB
ihlr-16567	400	9	patient	patient	NOUN
ihlr-16567	400	10	care	care	NOUN
ihlr-16567	400	11	to	to	ADP
ihlr-16567	400	12	particular	particular	ADJ
ihlr-16567	400	13	groups	group	NOUN
ihlr-16567	400	14	on	on	ADP
ihlr-16567	400	15	the	the	DET
ihlr-16567	400	16	basis	basis	NOUN
ihlr-16567	400	17	of	of	ADP
ihlr-16567	400	18	the	the	DET
ihlr-16567	400	19	percentage	percentage	NOUN
ihlr-16567	400	20	of	of	ADP
ihlr-16567	400	21	care	care	NOUN
ihlr-16567	400	22	they	they	PRON
ihlr-16567	400	23	re­	re­	VERB
ihlr-16567	400	24	ceive	ceive	ADJ
ihlr-16567	400	25	from	from	ADP
ihlr-16567	400	26	any	any	DET
ihlr-16567	400	27	one	one	NUM
ihlr-16567	400	28	group	group	NOUN
ihlr-16567	400	29	.	.	PUNCT
ihlr-16567	401	1	medicare	medicare	PROPN
ihlr-16567	401	2	might	might	AUX
ihlr-16567	401	3	adopt	adopt	VERB
ihlr-16567	401	4	such	such	DET
ihlr-16567	401	5	a	a	DET
ihlr-16567	401	6	methodology	methodology	NOUN
ihlr-16567	401	7	for	for	ADP
ihlr-16567	401	8	its	its	PRON
ihlr-16567	401	9	own	own	ADJ
ihlr-16567	401	10	use	use	NOUN
ihlr-16567	401	11	,	,	PUNCT
ihlr-16567	401	12	but	but	CCONJ
ihlr-16567	401	13	the	the	DET
ihlr-16567	401	14	process	process	NOUN
ihlr-16567	401	15	would	would	AUX
ihlr-16567	401	16	likely	likely	ADV
ihlr-16567	401	17	be	be	AUX
ihlr-16567	401	18	complex	complex	ADJ
ihlr-16567	401	19	and	and	CCONJ
ihlr-16567	401	20	raise	raise	VERB
ihlr-16567	401	21	many	many	ADJ
ihlr-16567	401	22	questions.58	questions.58	PROPN
ihlr-16567	401	23	nonetheless	nonetheless	ADV
ihlr-16567	401	24	,	,	PUNCT
ihlr-16567	401	25	if	if	SCONJ
ihlr-16567	401	26	such	such	DET
ihlr-16567	401	27	an	an	DET
ihlr-16567	401	28	option	option	NOUN
ihlr-16567	401	29	would	would	AUX
ihlr-16567	401	30	encourage	encourage	VERB
ihlr-16567	401	31	competition	competition	NOUN
ihlr-16567	401	32	and	and	CCONJ
ihlr-16567	401	33	integration	integration	NOUN
ihlr-16567	401	34	of	of	ADP
ihlr-16567	401	35	delivery	delivery	NOUN
ihlr-16567	401	36	systems	system	NOUN
ihlr-16567	401	37	while	while	SCONJ
ihlr-16567	401	38	still	still	ADV
ihlr-16567	401	39	letting	let	VERB
ihlr-16567	401	40	doctors	doctor	NOUN
ihlr-16567	401	41	maintain	maintain	VERB
ihlr-16567	401	42	the	the	DET
ihlr-16567	401	43	autonomy	autonomy	NOUN
ihlr-16567	401	44	they	they	PRON
ihlr-16567	401	45	enjoy	enjoy	VERB
ihlr-16567	401	46	in	in	ADP
ihlr-16567	401	47	the	the	DET
ihlr-16567	401	48	ffs	ffs	NOUN
ihlr-16567	401	49	system	system	NOUN
ihlr-16567	401	50	,	,	PUNCT
ihlr-16567	401	51	the	the	DET
ihlr-16567	401	52	option	option	NOUN
ihlr-16567	401	53	might	might	AUX
ihlr-16567	401	54	be	be	AUX
ihlr-16567	401	55	worth	worth	ADJ
ihlr-16567	401	56	the	the	DET
ihlr-16567	401	57	trouble	trouble	NOUN
ihlr-16567	401	58	.	.	PUNCT
ihlr-16567	402	1	the	the	DET
ihlr-16567	402	2	following	follow	VERB
ihlr-16567	402	3	vignettes	vignette	NOUN
ihlr-16567	402	4	illustrate	illustrate	VERB
ihlr-16567	402	5	how	how	SCONJ
ihlr-16567	402	6	providers	provider	NOUN
ihlr-16567	402	7	could	could	AUX
ihlr-16567	402	8	react	react	VERB
ihlr-16567	402	9	to	to	ADP
ihlr-16567	402	10	a	a	DET
ihlr-16567	402	11	sys­	sys­	ADJ
ihlr-16567	402	12	tem	tem	NOUN
ihlr-16567	402	13	of	of	ADP
ihlr-16567	402	14	local	local	PROPN
ihlr-16567	402	15	a	a	DET
ihlr-16567	402	16	cos	cos	PROPN
ihlr-16567	402	17	:	:	PUNCT
ihlr-16567	402	18	•	•	NUM
ihlr-16567	402	19	dr	dr	PROPN
ihlr-16567	402	20	.	.	PROPN
ihlr-16567	402	21	smith	smith	PROPN
ihlr-16567	402	22	has	have	AUX
ihlr-16567	402	23	admitting	admit	VERB
ihlr-16567	402	24	privileges	privilege	NOUN
ihlr-16567	402	25	at	at	ADP
ihlr-16567	402	26	both	both	DET
ihlr-16567	402	27	northside	northside	PROPN
ihlr-16567	402	28	hospital	hospital	PROPN
ihlr-16567	402	29	and	and	CCONJ
ihlr-16567	402	30	southside	southside	NOUN
ihlr-16567	402	31	hospital	hospital	NOUN
ihlr-16567	402	32	.	.	PUNCT
ihlr-16567	403	1	because	because	SCONJ
ihlr-16567	403	2	the	the	DET
ihlr-16567	403	3	majority	majority	NOUN
ihlr-16567	403	4	of	of	ADP
ihlr-16567	403	5	his	his	PRON
ihlr-16567	403	6	medicare	medicare	NOUN
ihlr-16567	403	7	patients	patient	NOUN
ihlr-16567	403	8	have	have	AUX
ihlr-16567	403	9	been	be	AUX
ihlr-16567	403	10	treated	treat	VERB
ihlr-16567	403	11	at	at	ADP
ihlr-16567	403	12	northside	northside	PROPN
ihlr-16567	403	13	hospital	hospital	PROPN
ihlr-16567	403	14	,	,	PUNCT
ihlr-16567	403	15	he	he	PRON
ihlr-16567	403	16	is	be	AUX
ihlr-16567	403	17	given	give	VERB
ihlr-16567	403	18	a	a	DET
ihlr-16567	403	19	default	default	NOUN
ihlr-16567	403	20	aco	aco	NOUN
ihlr-16567	403	21	assignment	assignment	NOUN
ihlr-16567	403	22	to	to	ADP
ihlr-16567	403	23	that	that	DET
ihlr-16567	403	24	institution	institution	NOUN
ihlr-16567	403	25	's	's	PART
ihlr-16567	403	26	ehms	ehm	NOUN
ihlr-16567	403	27	.	.	PUNCT
ihlr-16567	404	1	upon	upon	SCONJ
ihlr-16567	404	2	reflection	reflection	NOUN
ihlr-16567	404	3	,	,	PUNCT
ihlr-16567	404	4	dr	dr	PROPN
ihlr-16567	404	5	.	.	PROPN
ihlr-16567	404	6	smith	smith	PROPN
ihlr-16567	404	7	realizes	realize	VERB
ihlr-16567	404	8	that	that	SCONJ
ihlr-16567	404	9	he	he	PRON
ihlr-16567	404	10	has	have	AUX
ihlr-16567	404	11	referred	refer	VERB
ihlr-16567	404	12	patients	patient	NOUN
ihlr-16567	404	13	to	to	PART
ihlr-16567	404	14	northside	northside	VERB
ihlr-16567	404	15	primarily	primarily	ADV
ihlr-16567	404	16	for	for	ADP
ihlr-16567	404	17	rea­	rea­	NOUN
ihlr-16567	404	18	sons	son	NOUN
ihlr-16567	404	19	of	of	ADP
ihlr-16567	404	20	convenience	convenience	NOUN
ihlr-16567	404	21	,	,	PUNCT
ihlr-16567	404	22	not	not	PART
ihlr-16567	404	23	because	because	SCONJ
ihlr-16567	404	24	he	he	PRON
ihlr-16567	404	25	is	be	AUX
ihlr-16567	404	26	convinced	convince	VERB
ihlr-16567	404	27	that	that	SCONJ
ihlr-16567	404	28	its	its	PRON
ihlr-16567	404	29	clinical	clinical	ADJ
ihlr-16567	404	30	58	58	NUM
ihlr-16567	404	31	.	.	PUNCT
ihlr-16567	405	1	medicare	medicare	PROPN
ihlr-16567	405	2	payment	payment	PROPN
ihlr-16567	405	3	advisory	advisory	PROPN
ihlr-16567	405	4	committee	committee	NOUN
ihlr-16567	405	5	,	,	PUNCT
ihlr-16567	405	6	medicare	medicare	PROPN
ihlr-16567	405	7	payment	payment	NOUN
ihlr-16567	405	8	policy	policy	NOUN
ihlr-16567	405	9	,	,	PUNCT
ihlr-16567	405	10	supra	supra	PROPN
ihlr-16567	405	11	note	note	NOUN
ihlr-16567	405	12	53	53	NUM
ihlr-16567	405	13	,	,	PUNCT
ihlr-16567	405	14	at	at	ADP
ihlr-16567	405	15	172	172	NUM
ihlr-16567	405	16	.	.	NOUN
ihlr-16567	405	17	208	208	NUM
ihlr-16567	405	18	indiana	indiana	PROPN
ihlr-16567	405	19	health	health	NOUN
ihlr-16567	405	20	law	law	NOUN
ihlr-16567	405	21	review	review	NOUN
ihlr-16567	406	1	[	[	X
ihlr-16567	406	2	vol	vol	NOUN
ihlr-16567	406	3	.	.	PUNCT
ihlr-16567	407	1	7:185	7:185	X
ihlr-16567	407	2	.	.	PUNCT
ihlr-16567	408	1	quality	quality	NOUN
ihlr-16567	408	2	is	be	AUX
ihlr-16567	408	3	superior	superior	ADJ
ihlr-16567	408	4	to	to	ADP
ihlr-16567	408	5	southside	southside	VERB
ihlr-16567	408	6	.	.	PUNCT
ihlr-16567	409	1	he	he	PRON
ihlr-16567	409	2	switches	switch	VERB
ihlr-16567	409	3	his	his	PRON
ihlr-16567	409	4	assignment	assignment	NOUN
ihlr-16567	409	5	to	to	ADP
ihlr-16567	409	6	southside	southside	NOUN
ihlr-16567	409	7	based	base	VERB
ihlr-16567	409	8	on	on	ADP
ihlr-16567	409	9	his	his	PRON
ihlr-16567	409	10	belief	belief	NOUN
ihlr-16567	409	11	that	that	SCONJ
ihlr-16567	409	12	performance	performance	NOUN
ihlr-16567	409	13	bonuses	bonus	NOUN
ihlr-16567	409	14	earned	earn	VERB
ihlr-16567	409	15	by	by	ADP
ihlr-16567	409	16	the	the	DET
ihlr-16567	409	17	southside	southside	NOUN
ihlr-16567	409	18	ehms	ehm	NOUN
ihlr-16567	409	19	will	will	AUX
ihlr-16567	409	20	more	more	ADV
ihlr-16567	409	21	than	than	ADP
ihlr-16567	409	22	offset	offset	VERB
ihlr-16567	409	23	his	his	PRON
ihlr-16567	409	24	travel	travel	NOUN
ihlr-16567	409	25	costs	cost	NOUN
ihlr-16567	409	26	.	.	PUNCT
ihlr-16567	410	1	•	•	NUM
ihlr-16567	410	2	same	same	ADJ
ihlr-16567	410	3	scenario	scenario	NOUN
ihlr-16567	410	4	as	as	ADP
ihlr-16567	410	5	above	above	ADV
ihlr-16567	410	6	.	.	PUNCT
ihlr-16567	411	1	a	a	DET
ihlr-16567	411	2	number	number	NOUN
ihlr-16567	411	3	of	of	ADP
ihlr-16567	411	4	stakeholders	stakeholder	NOUN
ihlr-16567	411	5	in	in	ADP
ihlr-16567	411	6	central	central	ADJ
ihlr-16567	411	7	city	city	NOUN
ihlr-16567	411	8	have	have	AUX
ihlr-16567	411	9	expressed	express	VERB
ihlr-16567	411	10	concern	concern	NOUN
ihlr-16567	411	11	about	about	ADP
ihlr-16567	411	12	the	the	DET
ihlr-16567	411	13	cost	cost	NOUN
ihlr-16567	411	14	and	and	CCONJ
ihlr-16567	411	15	quality	quality	NOUN
ihlr-16567	411	16	of	of	ADP
ihlr-16567	411	17	care	care	NOUN
ihlr-16567	411	18	at	at	ADP
ihlr-16567	411	19	north­	north­	NUM
ihlr-16567	411	20	side	side	NOUN
ihlr-16567	411	21	hospital	hospital	NOUN
ihlr-16567	411	22	,	,	PUNCT
ihlr-16567	411	23	which	which	PRON
ihlr-16567	411	24	has	have	AUX
ihlr-16567	411	25	also	also	ADV
ihlr-16567	411	26	had	have	VERB
ihlr-16567	411	27	a	a	DET
ihlr-16567	411	28	poor	poor	ADJ
ihlr-16567	411	29	relationship	relationship	NOUN
ihlr-16567	411	30	with	with	ADP
ihlr-16567	411	31	doctors	doctor	NOUN
ihlr-16567	411	32	in	in	ADP
ihlr-16567	411	33	recent	recent	ADJ
ihlr-16567	411	34	years	year	NOUN
ihlr-16567	411	35	.	.	PUNCT
ihlr-16567	412	1	board	board	NOUN
ihlr-16567	412	2	members	member	NOUN
ihlr-16567	412	3	of	of	ADP
ihlr-16567	412	4	the	the	DET
ihlr-16567	412	5	hospital	hospital	NOUN
ihlr-16567	412	6	are	be	AUX
ihlr-16567	412	7	concerned	concerned	ADJ
ihlr-16567	412	8	that	that	SCONJ
ihlr-16567	412	9	the	the	DET
ihlr-16567	412	10	advent	advent	NOUN
ihlr-16567	412	11	of	of	ADP
ihlr-16567	412	12	acos	acos	PROPN
ihlr-16567	412	13	could	could	AUX
ihlr-16567	412	14	cause	cause	VERB
ihlr-16567	412	15	doctors	doctor	NOUN
ihlr-16567	412	16	to	to	PART
ihlr-16567	412	17	take	take	VERB
ihlr-16567	412	18	their	their	PRON
ihlr-16567	412	19	medicare	medicare	NOUN
ihlr-16567	412	20	pa­	pa­	ADJ
ihlr-16567	412	21	tients	tient	NOUN
ihlr-16567	412	22	away	away	ADV
ihlr-16567	412	23	from	from	ADP
ihlr-16567	412	24	northside	northside	PROPN
ihlr-16567	412	25	en	en	PROPN
ihlr-16567	412	26	masse	masse	PROPN
ihlr-16567	412	27	.	.	PUNCT
ihlr-16567	413	1	the	the	DET
ihlr-16567	413	2	northside	northside	PROPN
ihlr-16567	413	3	board	board	PROPN
ihlr-16567	413	4	asks	ask	VERB
ihlr-16567	413	5	the	the	DET
ihlr-16567	413	6	hospital	hospital	NOUN
ihlr-16567	413	7	ceo	ceo	NOUN
ihlr-16567	413	8	to	to	PART
ihlr-16567	413	9	resign	resign	VERB
ihlr-16567	413	10	and	and	CCONJ
ihlr-16567	413	11	appoints	appoint	VERB
ihlr-16567	413	12	a	a	DET
ihlr-16567	413	13	management	management	NOUN
ihlr-16567	413	14	committee	committee	NOUN
ihlr-16567	413	15	that	that	PRON
ihlr-16567	413	16	includes	include	VERB
ihlr-16567	413	17	doctors	doctor	NOUN
ihlr-16567	413	18	to	to	PART
ihlr-16567	413	19	iron	iron	VERB
ihlr-16567	413	20	out	out	ADP
ihlr-16567	413	21	problems	problem	NOUN
ihlr-16567	413	22	and	and	CCONJ
ihlr-16567	413	23	develop	develop	VERB
ihlr-16567	413	24	a	a	DET
ihlr-16567	413	25	physi­	physi­	PROPN
ihlr-16567	413	26	cian	cian	NOUN
ihlr-16567	413	27	/	/	SYM
ihlr-16567	413	28	hospital	hospital	NOUN
ihlr-16567	413	29	organization	organization	NOUN
ihlr-16567	413	30	(	(	PUNCT
ihlr-16567	413	31	pho	pho	NOUN
ihlr-16567	413	32	)	)	PUNCT
ihlr-16567	413	33	structure	structure	NOUN
ihlr-16567	413	34	through	through	ADP
ihlr-16567	413	35	which	which	PRON
ihlr-16567	413	36	doctors	doctor	NOUN
ihlr-16567	413	37	and	and	CCONJ
ihlr-16567	413	38	hospital	hospital	NOUN
ihlr-16567	413	39	administrators	administrator	NOUN
ihlr-16567	413	40	can	can	AUX
ihlr-16567	413	41	collaborate	collaborate	VERB
ihlr-16567	413	42	to	to	PART
ihlr-16567	413	43	improve	improve	VERB
ihlr-16567	413	44	quality	quality	NOUN
ihlr-16567	413	45	and	and	CCONJ
ihlr-16567	413	46	efficiency	efficiency	NOUN
ihlr-16567	413	47	.	.	PUNCT
ihlr-16567	414	1	•	•	NUM
ihlr-16567	414	2	same	same	ADJ
ihlr-16567	414	3	scenario	scenario	NOUN
ihlr-16567	414	4	as	as	ADP
ihlr-16567	414	5	above	above	ADV
ihlr-16567	414	6	.	.	PUNCT
ihlr-16567	415	1	because	because	SCONJ
ihlr-16567	415	2	risk	risk	NOUN
ihlr-16567	415	3	adjustment	adjustment	NOUN
ihlr-16567	415	4	criteria	criterion	NOUN
ihlr-16567	415	5	increase	increase	VERB
ihlr-16567	415	6	the	the	DET
ihlr-16567	415	7	pool	pool	NOUN
ihlr-16567	415	8	of	of	ADP
ihlr-16567	415	9	money	money	NOUN
ihlr-16567	415	10	for	for	ADP
ihlr-16567	415	11	a	a	DET
ihlr-16567	415	12	cos	cos	NOUN
ihlr-16567	415	13	with	with	ADP
ihlr-16567	415	14	diabetic	diabetic	ADJ
ihlr-16567	415	15	patients	patient	NOUN
ihlr-16567	415	16	,	,	PUNCT
ihlr-16567	415	17	and	and	CCONJ
ihlr-16567	415	18	shared	share	VERB
ihlr-16567	415	19	sav­	sav­	NOUN
ihlr-16567	415	20	ings	ing	NOUN
ihlr-16567	415	21	from	from	ADP
ihlr-16567	415	22	avoided	avoided	ADJ
ihlr-16567	415	23	hospitalizations	hospitalization	NOUN
ihlr-16567	415	24	leave	leave	VERB
ihlr-16567	415	25	more	more	ADJ
ihlr-16567	415	26	money	money	NOUN
ihlr-16567	415	27	in	in	ADP
ihlr-16567	415	28	the	the	DET
ihlr-16567	415	29	pot	pot	NOUN
ihlr-16567	415	30	for	for	ADP
ihlr-16567	415	31	doctors	doctor	NOUN
ihlr-16567	415	32	,	,	PUNCT
ihlr-16567	415	33	the	the	DET
ihlr-16567	415	34	northside	northside	PROPN
ihlr-16567	415	35	pho	pho	PROPN
ihlr-16567	415	36	decides	decide	VERB
ihlr-16567	415	37	that	that	SCONJ
ihlr-16567	415	38	the	the	DET
ihlr-16567	415	39	large	large	ADJ
ihlr-16567	415	40	number	number	NOUN
ihlr-16567	415	41	of	of	ADP
ihlr-16567	415	42	diabet­	diabet­	PROPN
ihlr-16567	415	43	ic	ic	PROPN
ihlr-16567	415	44	medicare	medicare	PROPN
ihlr-16567	415	45	beneficiaries	beneficiary	NOUN
ihlr-16567	415	46	living	live	VERB
ihlr-16567	415	47	at	at	ADP
ihlr-16567	415	48	the	the	DET
ihlr-16567	415	49	north	north	NOUN
ihlr-16567	415	50	end	end	NOUN
ihlr-16567	415	51	of	of	ADP
ihlr-16567	415	52	central	central	ADJ
ihlr-16567	415	53	city	city	NOUN
ihlr-16567	415	54	could	could	AUX
ihlr-16567	415	55	make	make	VERB
ihlr-16567	415	56	diabetes	diabetes	NOUN
ihlr-16567	415	57	care	care	VERB
ihlr-16567	415	58	a	a	DET
ihlr-16567	415	59	profitable	profitable	ADJ
ihlr-16567	415	60	area	area	NOUN
ihlr-16567	415	61	of	of	ADP
ihlr-16567	415	62	concentration	concentration	NOUN
ihlr-16567	415	63	.	.	PUNCT
ihlr-16567	416	1	the	the	DET
ihlr-16567	416	2	pho	pho	NOUN
ihlr-16567	416	3	assesses	assesse	NOUN
ihlr-16567	416	4	doctors	doctor	NOUN
ihlr-16567	416	5	a	a	DET
ihlr-16567	416	6	small	small	ADJ
ihlr-16567	416	7	amount	amount	NOUN
ihlr-16567	416	8	of	of	ADP
ihlr-16567	416	9	money	money	NOUN
ihlr-16567	416	10	to	to	PART
ihlr-16567	416	11	fund	fund	VERB
ihlr-16567	416	12	a	a	DET
ihlr-16567	416	13	pho­	pho­	NOUN
ihlr-16567	416	14	wide	wide	ADJ
ihlr-16567	416	15	diabetes	diabetes	NOUN
ihlr-16567	416	16	registry	registry	NOUN
ihlr-16567	416	17	and	and	CCONJ
ihlr-16567	416	18	care	care	NOUN
ihlr-16567	416	19	coordination	coordination	NOUN
ihlr-16567	416	20	team	team	NOUN
ihlr-16567	416	21	.	.	PUNCT
ihlr-16567	417	1	the	the	DET
ihlr-16567	417	2	pho	pho	NOUN
ihlr-16567	417	3	then	then	ADV
ihlr-16567	417	4	advertises	advertise	VERB
ihlr-16567	417	5	its	its	PRON
ihlr-16567	417	6	expertise	expertise	NOUN
ihlr-16567	417	7	and	and	CCONJ
ihlr-16567	417	8	resources	resource	NOUN
ihlr-16567	417	9	in	in	ADP
ihlr-16567	417	10	the	the	DET
ihlr-16567	417	11	senior	senior	ADJ
ihlr-16567	417	12	community	community	NOUN
ihlr-16567	417	13	to	to	PART
ihlr-16567	417	14	persuade	persuade	VERB
ihlr-16567	417	15	diabetic	diabetic	ADJ
ihlr-16567	417	16	patients	patient	NOUN
ihlr-16567	417	17	to	to	PART
ihlr-16567	417	18	choose	choose	VERB
ihlr-16567	417	19	northside	northside	NOUN
ihlr-16567	417	20	-	-	PUNCT
ihlr-16567	417	21	affiliated	affiliate	VERB
ihlr-16567	417	22	doctors	doctor	NOUN
ihlr-16567	417	23	.	.	PUNCT
ihlr-16567	418	1	as	as	SCONJ
ihlr-16567	418	2	employers	employer	NOUN
ihlr-16567	418	3	and	and	CCONJ
ihlr-16567	418	4	private	private	ADJ
ihlr-16567	418	5	insurers	insurer	NOUN
ihlr-16567	418	6	in	in	ADP
ihlr-16567	418	7	central	central	ADJ
ihlr-16567	418	8	city	city	NOUN
ihlr-16567	418	9	see	see	VERB
ihlr-16567	418	10	improved	improved	ADJ
ihlr-16567	418	11	outcomes	outcome	NOUN
ihlr-16567	418	12	,	,	PUNCT
ihlr-16567	418	13	they	they	PRON
ihlr-16567	418	14	agree	agree	VERB
ihlr-16567	418	15	to	to	PART
ihlr-16567	418	16	make	make	VERB
ihlr-16567	418	17	additional	additional	ADJ
ihlr-16567	418	18	payments	payment	NOUN
ihlr-16567	418	19	to	to	ADP
ihlr-16567	418	20	the	the	DET
ihlr-16567	418	21	northside	northside	PROPN
ihlr-16567	418	22	pho	pho	VERB
ihlr-16567	418	23	to	to	PART
ihlr-16567	418	24	enroll	enroll	VERB
ihlr-16567	418	25	their	their	PRON
ihlr-16567	418	26	insureds	insured	NOUN
ihlr-16567	418	27	into	into	ADP
ihlr-16567	418	28	the	the	DET
ihlr-16567	418	29	chronic	chronic	ADJ
ihlr-16567	418	30	care	care	NOUN
ihlr-16567	418	31	program	program	NOUN
ihlr-16567	418	32	.	.	PUNCT
ihlr-16567	419	1	•	•	NUM
ihlr-16567	419	2	same	same	ADJ
ihlr-16567	419	3	scenario	scenario	NOUN
ihlr-16567	419	4	as	as	ADP
ihlr-16567	419	5	in	in	ADP
ihlr-16567	419	6	the	the	DET
ihlr-16567	419	7	first	first	ADJ
ihlr-16567	419	8	two	two	NUM
ihlr-16567	419	9	bullet	bullet	NOUN
ihlr-16567	419	10	points	point	NOUN
ihlr-16567	419	11	,	,	PUNCT
ihlr-16567	419	12	except	except	SCONJ
ihlr-16567	419	13	that	that	SCONJ
ihlr-16567	419	14	the	the	DET
ihlr-16567	419	15	lea­	lea­	PROPN
ihlr-16567	419	16	dership	dership	NOUN
ihlr-16567	419	17	of	of	ADP
ihlr-16567	419	18	northside	northside	PROPN
ihlr-16567	419	19	hospital	hospital	NOUN
ihlr-16567	419	20	is	be	AUX
ihlr-16567	419	21	unable	unable	ADJ
ihlr-16567	419	22	to	to	PART
ihlr-16567	419	23	convince	convince	VERB
ihlr-16567	419	24	enough	enough	ADJ
ihlr-16567	419	25	doctors	doctor	NOUN
ihlr-16567	419	26	to	to	PART
ihlr-16567	419	27	remain	remain	VERB
ihlr-16567	419	28	in	in	ADP
ihlr-16567	419	29	its	its	PRON
ihlr-16567	419	30	ehms	ehm	NOUN
ihlr-16567	419	31	for	for	SCONJ
ihlr-16567	419	32	the	the	DET
ihlr-16567	419	33	hospital	hospital	NOUN
ihlr-16567	419	34	to	to	PART
ihlr-16567	419	35	remain	remain	VERB
ihlr-16567	419	36	viable	viable	ADJ
ihlr-16567	419	37	.	.	PUNCT
ihlr-16567	420	1	central	central	ADJ
ihlr-16567	420	2	city	city	NOUN
ihlr-16567	420	3	's	's	PART
ihlr-16567	420	4	mayor	mayor	NOUN
ihlr-16567	420	5	and	and	CCONJ
ihlr-16567	420	6	civic	civic	ADJ
ihlr-16567	420	7	leaders	leader	NOUN
ihlr-16567	420	8	broker	broker	VERB
ihlr-16567	420	9	an	an	DET
ihlr-16567	420	10	agreement	agreement	NOUN
ihlr-16567	420	11	by	by	ADP
ihlr-16567	420	12	which	which	PRON
ihlr-16567	420	13	northside	northside	NOUN
ihlr-16567	420	14	and	and	CCONJ
ihlr-16567	420	15	southside	southside	NOUN
ihlr-16567	420	16	hospitals	hospital	NOUN
ihlr-16567	420	17	merge	merge	VERB
ihlr-16567	420	18	.	.	PUNCT
ihlr-16567	421	1	only	only	ADV
ihlr-16567	421	2	southside	southside	NOUN
ihlr-16567	421	3	will	will	AUX
ihlr-16567	421	4	pro­	pro­	VERB
ihlr-16567	421	5	vide	vide	PROPN
ihlr-16567	421	6	inpatient	inpatient	PROPN
ihlr-16567	421	7	care	care	NOUN
ihlr-16567	421	8	,	,	PUNCT
ihlr-16567	421	9	as	as	SCONJ
ihlr-16567	421	10	it	it	PRON
ihlr-16567	421	11	has	have	AUX
ihlr-16567	421	12	clearly	clearly	ADV
ihlr-16567	421	13	proven	prove	VERB
ihlr-16567	421	14	its	its	PRON
ihlr-16567	421	15	superiority	superiority	NOUN
ihlr-16567	421	16	in	in	ADP
ihlr-16567	421	17	inpa­	inpa­	PROPN
ihlr-16567	421	18	tient	tient	NOUN
ihlr-16567	421	19	quality	quality	NOUN
ihlr-16567	421	20	.	.	PUNCT
ihlr-16567	422	1	northside	northside	PROPN
ihlr-16567	422	2	will	will	AUX
ihlr-16567	422	3	remain	remain	VERB
ihlr-16567	422	4	open	open	ADJ
ihlr-16567	422	5	only	only	ADV
ihlr-16567	422	6	to	to	PART
ihlr-16567	422	7	provide	provide	VERB
ihlr-16567	422	8	outpatient	outpatient	NOUN
ihlr-16567	422	9	care	care	NOUN
ihlr-16567	422	10	and	and	CCONJ
ihlr-16567	422	11	emergency	emergency	NOUN
ihlr-16567	422	12	care	care	NOUN
ihlr-16567	422	13	.	.	PUNCT
ihlr-16567	423	1	the	the	DET
ihlr-16567	423	2	move	move	NOUN
ihlr-16567	423	3	is	be	AUX
ihlr-16567	423	4	applauded	applaud	VERB
ihlr-16567	423	5	by	by	ADP
ihlr-16567	423	6	insurers	insurer	NOUN
ihlr-16567	423	7	and	and	CCONJ
ihlr-16567	423	8	the	the	DET
ihlr-16567	423	9	business	business	NOUN
ihlr-16567	423	10	community	community	NOUN
ihlr-16567	423	11	,	,	PUNCT
ihlr-16567	423	12	who	who	PRON
ihlr-16567	423	13	long	long	ADV
ihlr-16567	423	14	felt	feel	VERB
ihlr-16567	423	15	that	that	SCONJ
ihlr-16567	423	16	that	that	SCONJ
ihlr-16567	423	17	central	central	ADJ
ihlr-16567	423	18	city	city	NOUN
ihlr-16567	423	19	had	have	VERB
ihlr-16567	423	20	excessive	excessive	ADJ
ihlr-16567	423	21	hospital	hospital	NOUN
ihlr-16567	423	22	bed	bed	NOUN
ihlr-16567	423	23	capacity	capacity	NOUN
ihlr-16567	423	24	and	and	CCONJ
ihlr-16567	423	25	that	that	SCONJ
ihlr-16567	423	26	operations	operation	NOUN
ihlr-16567	423	27	should	should	AUX
ihlr-16567	423	28	have	have	AUX
ihlr-16567	423	29	been	be	AUX
ihlr-16567	423	30	consolidated	consolidate	VERB
ihlr-16567	423	31	at	at	ADP
ihlr-16567	423	32	southside	southside	NOUN
ihlr-16567	423	33	.	.	PUNCT
ihlr-16567	424	1	•	•	NUM
ihlr-16567	424	2	dr	dr	PROPN
ihlr-16567	424	3	.	.	PROPN
ihlr-16567	424	4	jones	jones	PROPN
ihlr-16567	424	5	is	be	AUX
ihlr-16567	424	6	medical	medical	ADJ
ihlr-16567	424	7	director	director	NOUN
ihlr-16567	424	8	of	of	ADP
ihlr-16567	424	9	medical	medical	ADJ
ihlr-16567	424	10	faculty	faculty	NOUN
ihlr-16567	424	11	associates	associate	NOUN
ihlr-16567	424	12	,	,	PUNCT
ihlr-16567	424	13	a	a	DET
ihlr-16567	424	14	mul­	mul­	ADJ
ihlr-16567	424	15	ti	ti	ADJ
ihlr-16567	424	16	-	-	ADJ
ihlr-16567	424	17	specialty	specialty	NOUN
ihlr-16567	424	18	group	group	NOUN
ihlr-16567	424	19	practice	practice	NOUN
ihlr-16567	424	20	that	that	PRON
ihlr-16567	424	21	is	be	AUX
ihlr-16567	424	22	considered	consider	VERB
ihlr-16567	424	23	central	central	ADJ
ihlr-16567	424	24	city	city	NOUN
ihlr-16567	424	25	's	's	PART
ihlr-16567	424	26	finest	fine	ADJ
ihlr-16567	424	27	.	.	PUNCT
ihlr-16567	425	1	because	because	SCONJ
ihlr-16567	425	2	medical	medical	ADJ
ihlr-16567	425	3	faculty	faculty	NOUN
ihlr-16567	425	4	associates	associate	NOUN
ihlr-16567	425	5	is	be	AUX
ihlr-16567	425	6	based	base	VERB
ihlr-16567	425	7	at	at	ADP
ihlr-16567	425	8	central	central	ADJ
ihlr-16567	425	9	city	city	NOUN
ihlr-16567	425	10	uni­	uni­	NOUN
ihlr-16567	425	11	versity	versity	NOUN
ihlr-16567	425	12	hospital	hospital	NOUN
ihlr-16567	425	13	,	,	PUNCT
ihlr-16567	425	14	all	all	DET
ihlr-16567	425	15	members	member	NOUN
ihlr-16567	425	16	of	of	ADP
ihlr-16567	425	17	her	her	PRON
ihlr-16567	425	18	practice	practice	NOUN
ihlr-16567	425	19	have	have	AUX
ihlr-16567	425	20	been	be	AUX
ihlr-16567	425	21	assigned	assign	VERB
ihlr-16567	425	22	to	to	ADP
ihlr-16567	425	23	an	an	DET
ihlr-16567	425	24	ehms	ehms	ADJ
ihlr-16567	425	25	pool	pool	NOUN
ihlr-16567	425	26	that	that	PRON
ihlr-16567	425	27	includes	include	VERB
ihlr-16567	425	28	many	many	ADJ
ihlr-16567	425	29	other	other	ADJ
ihlr-16567	425	30	doctors	doctor	NOUN
ihlr-16567	425	31	who	who	PRON
ihlr-16567	425	32	send	send	VERB
ihlr-16567	425	33	patients	patient	NOUN
ihlr-16567	425	34	to	to	ADP
ihlr-16567	425	35	that	that	DET
ihlr-16567	425	36	hospital	hospital	NOUN
ihlr-16567	425	37	.	.	PUNCT
ihlr-16567	426	1	convinced	convince	VERB
ihlr-16567	426	2	that	that	SCONJ
ihlr-16567	426	3	her	her	PRON
ihlr-16567	426	4	medical	medical	ADJ
ihlr-16567	426	5	group	group	NOUN
ihlr-16567	426	6	can	can	AUX
ihlr-16567	426	7	outperform	outperform	VERB
ihlr-16567	426	8	other	other	ADJ
ihlr-16567	426	9	doctors	doctor	NOUN
ihlr-16567	426	10	in	in	ADP
ihlr-16567	426	11	the	the	DET
ihlr-16567	426	12	ehms	ehm	NOUN
ihlr-16567	426	13	,	,	PUNCT
ihlr-16567	426	14	dr	dr	PROPN
ihlr-16567	426	15	.	.	PROPN
ihlr-16567	426	16	jones	jones	PROPN
ihlr-16567	426	17	persuades	persuade	VERB
ihlr-16567	426	18	her	her	PRON
ihlr-16567	426	19	colleagues	colleague	NOUN
ihlr-16567	426	20	to	to	ADP
ihlr-16567	426	21	2010	2010	NUM
ihlr-16567	426	22	]	]	PUNCT
ihlr-16567	426	23	"	"	PUNCT
ihlr-16567	426	24	shared	share	VERB
ihlr-16567	426	25	accountability	accountability	NOUN
ihlr-16567	426	26	"	"	PUNCT
ihlr-16567	426	27	approach	approach	NOUN
ihlr-16567	426	28	209	209	NUM
ihlr-16567	426	29	file	file	NOUN
ihlr-16567	426	30	papers	paper	NOUN
ihlr-16567	426	31	with	with	ADP
ihlr-16567	426	32	cms	cms	NOUN
ihlr-16567	426	33	carving	carve	VERB
ihlr-16567	426	34	out	out	ADP
ihlr-16567	426	35	their	their	PRON
ihlr-16567	426	36	group	group	NOUN
ihlr-16567	426	37	practice	practice	NOUN
ihlr-16567	426	38	as	as	ADP
ihlr-16567	426	39	a	a	DET
ihlr-16567	426	40	separate	separate	ADJ
ihlr-16567	426	41	aco	aco	NOUN
ihlr-16567	426	42	with	with	ADP
ihlr-16567	426	43	a	a	DET
ihlr-16567	426	44	separate	separate	ADJ
ihlr-16567	426	45	pool	pool	NOUN
ihlr-16567	426	46	.	.	PUNCT
ihlr-16567	427	1	•	•	NUM
ihlr-16567	427	2	dr	dr	PROPN
ihlr-16567	427	3	.	.	PROPN
ihlr-16567	427	4	wilson	wilson	PROPN
ihlr-16567	427	5	is	be	AUX
ihlr-16567	427	6	a	a	DET
ihlr-16567	427	7	member	member	NOUN
ihlr-16567	427	8	of	of	ADP
ihlr-16567	427	9	a	a	DET
ihlr-16567	427	10	pho	pho	NOUN
ihlr-16567	427	11	described	describe	VERB
ihlr-16567	427	12	above	above	ADV
ihlr-16567	427	13	.	.	PUNCT
ihlr-16567	428	1	the	the	DET
ihlr-16567	428	2	pho	pho	PROPN
ihlr-16567	428	3	doc­	doc­	PROPN
ihlr-16567	428	4	tors	tor	NOUN
ihlr-16567	428	5	adopt	adopt	VERB
ihlr-16567	428	6	guidelines	guideline	NOUN
ihlr-16567	428	7	for	for	ADP
ihlr-16567	428	8	the	the	DET
ihlr-16567	428	9	frequency	frequency	NOUN
ihlr-16567	428	10	of	of	ADP
ihlr-16567	428	11	office	office	NOUN
ihlr-16567	428	12	visits	visit	NOUN
ihlr-16567	428	13	for	for	ADP
ihlr-16567	428	14	controlled	control	VERB
ihlr-16567	428	15	hypertension	hypertension	NOUN
ihlr-16567	428	16	,	,	PUNCT
ihlr-16567	428	17	and	and	CCONJ
ihlr-16567	428	18	creates	create	VERB
ihlr-16567	428	19	a	a	DET
ihlr-16567	428	20	patient	patient	ADJ
ihlr-16567	428	21	registry	registry	NOUN
ihlr-16567	428	22	for	for	ADP
ihlr-16567	428	23	diabetic	diabetic	ADJ
ihlr-16567	428	24	patients	patient	NOUN
ihlr-16567	428	25	.	.	PUNCT
ihlr-16567	429	1	it	it	PRON
ihlr-16567	429	2	is	be	AUX
ihlr-16567	429	3	agreed	agree	VERB
ihlr-16567	429	4	that	that	SCONJ
ihlr-16567	429	5	each	each	DET
ihlr-16567	429	6	doctor	doctor	NOUN
ihlr-16567	429	7	will	will	AUX
ihlr-16567	429	8	waive	waive	VERB
ihlr-16567	429	9	beneficiaries	beneficiary	NOUN
ihlr-16567	429	10	'	'	PART
ihlr-16567	429	11	coinsurance	coinsurance	NOUN
ihlr-16567	429	12	for	for	ADP
ihlr-16567	429	13	certain	certain	ADJ
ihlr-16567	429	14	recommended	recommend	VERB
ihlr-16567	429	15	treatments	treatment	NOUN
ihlr-16567	429	16	for	for	ADP
ihlr-16567	429	17	diabetics	diabetic	NOUN
ihlr-16567	429	18	as	as	ADP
ihlr-16567	429	19	part	part	NOUN
ihlr-16567	429	20	of	of	ADP
ihlr-16567	429	21	a	a	DET
ihlr-16567	429	22	campaign	campaign	NOUN
ihlr-16567	429	23	to	to	PART
ihlr-16567	429	24	eliminate	eliminate	VERB
ihlr-16567	429	25	preventable	preventable	ADJ
ihlr-16567	429	26	complications	complication	NOUN
ihlr-16567	429	27	.	.	PUNCT
ihlr-16567	430	1	strapped	strap	VERB
ihlr-16567	430	2	for	for	ADP
ihlr-16567	430	3	cash	cash	NOUN
ihlr-16567	430	4	,	,	PUNCT
ihlr-16567	430	5	dr	dr	PROPN
ihlr-16567	430	6	.	.	PROPN
ihlr-16567	430	7	wil­	wil­	PROPN
ihlr-16567	430	8	son	son	NOUN
ihlr-16567	430	9	decides	decide	VERB
ihlr-16567	430	10	to	to	PART
ihlr-16567	430	11	disregard	disregard	VERB
ihlr-16567	430	12	the	the	DET
ihlr-16567	430	13	guidelines	guideline	NOUN
ihlr-16567	430	14	on	on	ADP
ihlr-16567	430	15	hypertension	hypertension	NOUN
ihlr-16567	430	16	to	to	PART
ihlr-16567	430	17	generate	generate	VERB
ihlr-16567	430	18	extra	extra	ADJ
ihlr-16567	430	19	office	office	NOUN
ihlr-16567	430	20	visits	visit	NOUN
ihlr-16567	430	21	,	,	PUNCT
ihlr-16567	430	22	and	and	CCONJ
ihlr-16567	430	23	to	to	PART
ihlr-16567	430	24	collect	collect	VERB
ihlr-16567	430	25	coinsurance	coinsurance	NOUN
ihlr-16567	430	26	on	on	ADP
ihlr-16567	430	27	all	all	DET
ihlr-16567	430	28	services	service	NOUN
ihlr-16567	430	29	to	to	ADP
ihlr-16567	430	30	di­	di­	PROPN
ihlr-16567	430	31	abetics	abetics	PROPN
ihlr-16567	430	32	.	.	PUNCT
ihlr-16567	431	1	staff	staff	NOUN
ihlr-16567	431	2	hired	hire	VERB
ihlr-16567	431	3	to	to	PART
ihlr-16567	431	4	administer	administer	VERB
ihlr-16567	431	5	the	the	DET
ihlr-16567	431	6	pho	pho	X
ihlr-16567	431	7	discover	discover	PROPN
ihlr-16567	431	8	dr	dr	PROPN
ihlr-16567	431	9	.	.	PROPN
ihlr-16567	431	10	wilson	wilson	PROPN
ihlr-16567	431	11	's	's	PART
ihlr-16567	431	12	conduct	conduct	NOUN
ihlr-16567	431	13	and	and	CCONJ
ihlr-16567	431	14	he	he	PRON
ihlr-16567	431	15	is	be	AUX
ihlr-16567	431	16	confronted	confront	VERB
ihlr-16567	431	17	by	by	ADP
ihlr-16567	431	18	a	a	DET
ihlr-16567	431	19	delegation	delegation	NOUN
ihlr-16567	431	20	of	of	ADP
ihlr-16567	431	21	peers	peer	NOUN
ihlr-16567	431	22	.	.	PUNCT
ihlr-16567	432	1	dr	dr	PROPN
ihlr-16567	432	2	.	.	PROPN
ihlr-16567	432	3	wilson	wilson	PROPN
ihlr-16567	432	4	complains	complain	VERB
ihlr-16567	432	5	that	that	SCONJ
ihlr-16567	432	6	the	the	DET
ihlr-16567	432	7	new	new	ADJ
ihlr-16567	432	8	medicare	medicare	PROPN
ihlr-16567	432	9	system	system	NOUN
ihlr-16567	432	10	is	be	AUX
ihlr-16567	432	11	unfair	unfair	ADJ
ihlr-16567	432	12	and	and	CCONJ
ihlr-16567	432	13	impairs	impair	VERB
ihlr-16567	432	14	his	his	PRON
ihlr-16567	432	15	ability	ability	NOUN
ihlr-16567	432	16	to	to	PART
ihlr-16567	432	17	earn	earn	VERB
ihlr-16567	432	18	a	a	DET
ihlr-16567	432	19	fair	fair	ADJ
ihlr-16567	432	20	income	income	NOUN
ihlr-16567	432	21	.	.	PUNCT
ihlr-16567	433	1	the	the	DET
ihlr-16567	433	2	pho	pho	NOUN
ihlr-16567	433	3	votes	vote	NOUN
ihlr-16567	433	4	to	to	PART
ihlr-16567	433	5	expel	expel	VERB
ihlr-16567	433	6	dr	dr	PROPN
ihlr-16567	433	7	.	.	PROPN
ihlr-16567	433	8	wilson	wilson	PROPN
ihlr-16567	433	9	.	.	PUNCT
ihlr-16567	434	1	•	•	NUM
ihlr-16567	434	2	eventually	eventually	ADV
ihlr-16567	434	3	,	,	PUNCT
ihlr-16567	434	4	central	central	ADJ
ihlr-16567	434	5	city	city	NOUN
ihlr-16567	434	6	is	be	AUX
ihlr-16567	434	7	served	serve	VERB
ihlr-16567	434	8	by	by	ADP
ihlr-16567	434	9	four	four	NUM
ihlr-16567	434	10	acos	aco	NOUN
ihlr-16567	434	11	.	.	PUNCT
ihlr-16567	435	1	each	each	DET
ihlr-16567	435	2	aco	aco	PROPN
ihlr-16567	435	3	"	"	PUNCT
ihlr-16567	435	4	brands	brand	NOUN
ihlr-16567	435	5	"	"	PUNCT
ihlr-16567	435	6	itself	itself	PRON
ihlr-16567	435	7	and	and	CCONJ
ihlr-16567	435	8	advertises	advertise	VERB
ihlr-16567	435	9	its	its	PRON
ihlr-16567	435	10	network	network	NOUN
ihlr-16567	435	11	to	to	PART
ihlr-16567	435	12	medicare	medicare	VERB
ihlr-16567	435	13	beneficiaries	beneficiary	NOUN
ihlr-16567	435	14	as	as	ADP
ihlr-16567	435	15	consisting	consist	VERB
ihlr-16567	435	16	of	of	ADP
ihlr-16567	435	17	high	high	ADJ
ihlr-16567	435	18	-	-	PUNCT
ihlr-16567	435	19	quality	quality	NOUN
ihlr-16567	435	20	providers	provider	NOUN
ihlr-16567	435	21	.	.	PUNCT
ihlr-16567	436	1	central	central	ADJ
ihlr-16567	436	2	city	city	NOUN
ihlr-16567	436	3	's	's	PART
ihlr-16567	436	4	medicare	medicare	PROPN
ihlr-16567	436	5	population	population	NOUN
ihlr-16567	436	6	is	be	AUX
ihlr-16567	436	7	,	,	PUNCT
ihlr-16567	436	8	in	in	ADP
ihlr-16567	436	9	essence	essence	NOUN
ihlr-16567	436	10	,	,	PUNCT
ihlr-16567	436	11	served	serve	VERB
ihlr-16567	436	12	by	by	ADP
ihlr-16567	436	13	a	a	DET
ihlr-16567	436	14	variant	variant	NOUN
ihlr-16567	436	15	of	of	ADP
ihlr-16567	436	16	the	the	DET
ihlr-16567	436	17	"	"	PUNCT
ihlr-16567	436	18	managed	manage	VERB
ihlr-16567	436	19	com­	com­	NOUN
ihlr-16567	436	20	petition	petition	NOUN
ihlr-16567	436	21	"	"	PUNCT
ihlr-16567	436	22	model	model	NOUN
ihlr-16567	436	23	envisioned	envision	VERB
ihlr-16567	436	24	by	by	ADP
ihlr-16567	436	25	alain	alain	PROPN
ihlr-16567	436	26	enthoven	enthoven	PROPN
ihlr-16567	436	27	.	.	PUNCT
ihlr-16567	437	1	•	•	NUM
ihlr-16567	437	2	puritan	puritan	ADJ
ihlr-16567	437	3	hospital	hospital	NOUN
ihlr-16567	437	4	,	,	PUNCT
ihlr-16567	437	5	situated	situate	VERB
ihlr-16567	437	6	in	in	ADP
ihlr-16567	437	7	a	a	DET
ihlr-16567	437	8	rural	rural	ADJ
ihlr-16567	437	9	state	state	NOUN
ihlr-16567	437	10	without	without	ADP
ihlr-16567	437	11	certificate	certificate	NOUN
ihlr-16567	437	12	-	-	PUNCT
ihlr-16567	437	13	of	of	ADP
ihlr-16567	437	14	-	-	PUNCT
ihlr-16567	437	15	need	need	NOUN
ihlr-16567	437	16	laws	law	NOUN
ihlr-16567	437	17	,	,	PUNCT
ihlr-16567	437	18	has	have	AUX
ihlr-16567	437	19	faced	face	VERB
ihlr-16567	437	20	financial	financial	ADJ
ihlr-16567	437	21	pressures	pressure	NOUN
ihlr-16567	437	22	from	from	ADP
ihlr-16567	437	23	physician	physician	NOUN
ihlr-16567	437	24	-	-	PUNCT
ihlr-16567	437	25	owned	own	VERB
ihlr-16567	437	26	cardiac	cardiac	ADJ
ihlr-16567	437	27	and	and	CCONJ
ihlr-16567	437	28	orthopedic	orthopedic	ADJ
ihlr-16567	437	29	hospitals	hospital	NOUN
ihlr-16567	437	30	taking	take	VERB
ihlr-16567	437	31	away	away	ADV
ihlr-16567	437	32	profitable	profitable	ADJ
ihlr-16567	437	33	procedures	procedure	NOUN
ihlr-16567	437	34	that	that	PRON
ihlr-16567	437	35	have	have	VERB
ihlr-16567	437	36	cross	cros	VERB
ihlr-16567	437	37	-	-	ADJ
ihlr-16567	437	38	subsidized	subsidized	ADJ
ihlr-16567	437	39	less	less	ADV
ihlr-16567	437	40	remunerative	remunerative	ADJ
ihlr-16567	437	41	facilities	facility	NOUN
ihlr-16567	437	42	such	such	ADJ
ihlr-16567	437	43	as	as	ADP
ihlr-16567	437	44	burn	burn	NOUN
ihlr-16567	437	45	care	care	NOUN
ihlr-16567	437	46	and	and	CCONJ
ihlr-16567	437	47	emergency	emergency	NOUN
ihlr-16567	437	48	care	care	NOUN
ihlr-16567	437	49	.	.	PUNCT
ihlr-16567	438	1	additionally	additionally	ADV
ihlr-16567	438	2	,	,	PUNCT
ihlr-16567	438	3	doctors	doctor	NOUN
ihlr-16567	438	4	affiliated	affiliate	VERB
ihlr-16567	438	5	with	with	ADP
ihlr-16567	438	6	the	the	DET
ihlr-16567	438	7	spe­	spe­	ADJ
ihlr-16567	438	8	cialty	cialty	NOUN
ihlr-16567	438	9	hospitals	hospital	NOUN
ihlr-16567	438	10	have	have	AUX
ihlr-16567	438	11	been	be	AUX
ihlr-16567	438	12	able	able	ADJ
ihlr-16567	438	13	to	to	PART
ihlr-16567	438	14	avoid	avoid	VERB
ihlr-16567	438	15	emergency	emergency	NOUN
ihlr-16567	438	16	room	room	NOUN
ihlr-16567	438	17	coverage	coverage	NOUN
ihlr-16567	438	18	.	.	PUNCT
ihlr-16567	439	1	under	under	ADP
ihlr-16567	439	2	the	the	DET
ihlr-16567	439	3	algorithm	algorithm	NOUN
ihlr-16567	439	4	for	for	ADP
ihlr-16567	439	5	ehms	ehm	NOUN
ihlr-16567	439	6	assignments	assignment	NOUN
ihlr-16567	439	7	,	,	PUNCT
ihlr-16567	439	8	the	the	DET
ihlr-16567	439	9	doctors	doctor	NOUN
ihlr-16567	439	10	practicing	practice	VERB
ihlr-16567	439	11	at	at	ADP
ihlr-16567	439	12	the	the	DET
ihlr-16567	439	13	specialty	specialty	NOUN
ihlr-16567	439	14	hospitals	hospital	NOUN
ihlr-16567	439	15	are	be	AUX
ihlr-16567	439	16	assigned	assign	VERB
ihlr-16567	439	17	to	to	ADP
ihlr-16567	439	18	an	an	DET
ihlr-16567	439	19	aco	aco	PROPN
ihlr-16567	439	20	based	base	VERB
ihlr-16567	439	21	at	at	ADP
ihlr-16567	439	22	puritan	puritan	ADJ
ihlr-16567	439	23	hospital	hospital	NOUN
ihlr-16567	439	24	.	.	PUNCT
ihlr-16567	440	1	because	because	SCONJ
ihlr-16567	440	2	of	of	ADP
ihlr-16567	440	3	the	the	DET
ihlr-16567	440	4	pool	pool	NOUN
ihlr-16567	440	5	structure	structure	NOUN
ihlr-16567	440	6	,	,	PUNCT
ihlr-16567	440	7	the	the	DET
ihlr-16567	440	8	specialty	specialty	NOUN
ihlr-16567	440	9	hospital	hospital	NOUN
ihlr-16567	440	10	doc­	doc­	PROPN
ihlr-16567	440	11	tors	tor	NOUN
ihlr-16567	440	12	now	now	ADV
ihlr-16567	440	13	have	have	VERB
ihlr-16567	440	14	a	a	DET
ihlr-16567	440	15	financial	financial	ADJ
ihlr-16567	440	16	stake	stake	NOUN
ihlr-16567	440	17	in	in	ADP
ihlr-16567	440	18	the	the	DET
ihlr-16567	440	19	quality	quality	NOUN
ihlr-16567	440	20	and	and	CCONJ
ihlr-16567	440	21	efficiency	efficiency	NOUN
ihlr-16567	440	22	of	of	ADP
ihlr-16567	440	23	care	care	NOUN
ihlr-16567	440	24	delivered	deliver	VERB
ihlr-16567	440	25	to	to	ADP
ihlr-16567	440	26	the	the	DET
ihlr-16567	440	27	county	county	NOUN
ihlr-16567	440	28	's	's	PART
ihlr-16567	440	29	entire	entire	ADJ
ihlr-16567	440	30	medicare	medicare	NOUN
ihlr-16567	440	31	population	population	NOUN
ihlr-16567	440	32	,	,	PUNCT
ihlr-16567	440	33	not	not	PART
ihlr-16567	440	34	just	just	ADV
ihlr-16567	440	35	their	their	PRON
ihlr-16567	440	36	own	own	ADJ
ihlr-16567	440	37	patients	patient	NOUN
ihlr-16567	440	38	:	:	PUNCT
ihlr-16567	440	39	bonuses	bonus	NOUN
ihlr-16567	440	40	to	to	ADP
ihlr-16567	440	41	the	the	DET
ihlr-16567	440	42	pool	pool	NOUN
ihlr-16567	440	43	as	as	ADP
ihlr-16567	440	44	a	a	DET
ihlr-16567	440	45	whole	whole	NOUN
ihlr-16567	440	46	depend	depend	VERB
ihlr-16567	440	47	on	on	ADP
ihlr-16567	440	48	reducing	reduce	VERB
ihlr-16567	440	49	readmissions	readmission	NOUN
ihlr-16567	440	50	and	and	CCONJ
ihlr-16567	440	51	30	30	NUM
ihlr-16567	440	52	-	-	PUNCT
ihlr-16567	440	53	day	day	NOUN
ihlr-16567	440	54	mortality	mortality	NOUN
ihlr-16567	440	55	at	at	ADP
ihlr-16567	440	56	all	all	DET
ihlr-16567	440	57	three	three	NUM
ihlr-16567	440	58	hospitals	hospital	NOUN
ihlr-16567	440	59	.	.	PUNCT
ihlr-16567	441	1	the	the	DET
ihlr-16567	441	2	coun­	coun­	NOUN
ihlr-16567	441	3	ty	ty	ADP
ihlr-16567	441	4	medical	medical	ADJ
ihlr-16567	441	5	society	society	NOUN
ihlr-16567	441	6	mediates	mediate	VERB
ihlr-16567	441	7	an	an	DET
ihlr-16567	441	8	agreement	agreement	NOUN
ihlr-16567	441	9	between	between	ADP
ihlr-16567	441	10	puritan	puritan	ADJ
ihlr-16567	441	11	hospital	hospital	NOUN
ihlr-16567	441	12	and	and	CCONJ
ihlr-16567	441	13	the	the	DET
ihlr-16567	441	14	specialty	specialty	NOUN
ihlr-16567	441	15	hospital	hospital	NOUN
ihlr-16567	441	16	doctors	doctor	NOUN
ihlr-16567	441	17	to	to	PART
ihlr-16567	441	18	ensure	ensure	VERB
ihlr-16567	441	19	that	that	SCONJ
ihlr-16567	441	20	cardiac	cardiac	ADJ
ihlr-16567	441	21	and	and	CCONJ
ihlr-16567	441	22	ortho­	ortho­	NOUN
ihlr-16567	441	23	pedic	pedic	ADJ
ihlr-16567	441	24	procedures	procedure	NOUN
ihlr-16567	441	25	are	be	AUX
ihlr-16567	441	26	performed	perform	VERB
ihlr-16567	441	27	at	at	ADP
ihlr-16567	441	28	the	the	DET
ihlr-16567	441	29	facility	facility	NOUN
ihlr-16567	441	30	where	where	SCONJ
ihlr-16567	441	31	efficiency	efficiency	NOUN
ihlr-16567	441	32	and	and	CCONJ
ihlr-16567	441	33	quality	quality	NOUN
ihlr-16567	441	34	is	be	AUX
ihlr-16567	441	35	maximized	maximize	VERB
ihlr-16567	441	36	and	and	CCONJ
ihlr-16567	441	37	that	that	SCONJ
ihlr-16567	441	38	the	the	DET
ihlr-16567	441	39	specialists	specialist	NOUN
ihlr-16567	441	40	resume	resume	VERB
ihlr-16567	441	41	their	their	PRON
ihlr-16567	441	42	emergen­	emergen­	PROPN
ihlr-16567	441	43	cy	cy	PROPN
ihlr-16567	441	44	on	on	ADP
ihlr-16567	441	45	-	-	PUNCT
ihlr-16567	441	46	call	call	NOUN
ihlr-16567	441	47	duties	duty	NOUN
ihlr-16567	441	48	at	at	ADP
ihlr-16567	441	49	puritan	puritan	NOUN
ihlr-16567	441	50	.	.	PUNCT
ihlr-16567	442	1	the	the	DET
ihlr-16567	442	2	medical	medical	ADJ
ihlr-16567	442	3	society	society	NOUN
ihlr-16567	442	4	also	also	ADV
ihlr-16567	442	5	initiates	initiate	VERB
ihlr-16567	442	6	talks	talk	NOUN
ihlr-16567	442	7	with	with	ADP
ihlr-16567	442	8	walk	walk	NOUN
ihlr-16567	442	9	-	-	PUNCT
ihlr-16567	442	10	in	in	ADP
ihlr-16567	442	11	clinics	clinic	NOUN
ihlr-16567	442	12	at	at	ADP
ihlr-16567	442	13	local	local	ADJ
ihlr-16567	442	14	retail	retail	ADJ
ihlr-16567	442	15	stores	store	NOUN
ihlr-16567	442	16	,	,	PUNCT
ihlr-16567	442	17	which	which	PRON
ihlr-16567	442	18	have	have	AUX
ihlr-16567	442	19	also	also	ADV
ihlr-16567	442	20	been	be	AUX
ihlr-16567	442	21	as­	as­	PROPN
ihlr-16567	442	22	signed	sign	VERB
ihlr-16567	442	23	to	to	ADP
ihlr-16567	442	24	the	the	DET
ihlr-16567	442	25	aco	aco	PROPN
ihlr-16567	442	26	,	,	PUNCT
ihlr-16567	442	27	to	to	PART
ihlr-16567	442	28	ensure	ensure	VERB
ihlr-16567	442	29	proper	proper	ADJ
ihlr-16567	442	30	coordination	coordination	NOUN
ihlr-16567	442	31	of	of	ADP
ihlr-16567	442	32	medicare	medicare	PROPN
ihlr-16567	442	33	pa­	pa­	PROPN
ihlr-16567	442	34	tients	tient	NOUN
ihlr-16567	442	35	'	'	PART
ihlr-16567	442	36	care	care	NOUN
ihlr-16567	442	37	.	.	PUNCT
ihlr-16567	443	1	one	one	PRON
ihlr-16567	443	2	can	can	AUX
ihlr-16567	443	3	also	also	ADV
ihlr-16567	443	4	imagine	imagine	VERB
ihlr-16567	443	5	the	the	DET
ihlr-16567	443	6	virtual	virtual	ADJ
ihlr-16567	443	7	integrated	integrate	VERB
ihlr-16567	443	8	delivery	delivery	NOUN
ihlr-16567	443	9	systems	system	NOUN
ihlr-16567	443	10	formed	form	VERB
ihlr-16567	443	11	for	for	ADP
ihlr-16567	443	12	medicare	medicare	PROPN
ihlr-16567	443	13	beneficiaries	beneficiary	NOUN
ihlr-16567	443	14	serving	serve	VERB
ihlr-16567	443	15	as	as	ADP
ihlr-16567	443	16	platforms	platform	NOUN
ihlr-16567	443	17	for	for	ADP
ihlr-16567	443	18	activities	activity	NOUN
ihlr-16567	443	19	entirely	entirely	ADV
ihlr-16567	443	20	unre­	unre­	ADP
ihlr-16567	443	21	lated	late	VERB
ihlr-16567	443	22	to	to	ADP
ihlr-16567	443	23	medicare	medicare	PROPN
ihlr-16567	443	24	.	.	PUNCT
ihlr-16567	444	1	private	private	ADJ
ihlr-16567	444	2	insurers	insurer	NOUN
ihlr-16567	444	3	could	could	AUX
ihlr-16567	444	4	piggyback	piggyback	VERB
ihlr-16567	444	5	pay	pay	VERB
ihlr-16567	444	6	-	-	PUNCT
ihlr-16567	444	7	for	for	ADP
ihlr-16567	444	8	-	-	PUNCT
ihlr-16567	444	9	performance	performance	NOUN
ihlr-16567	444	10	programs	program	NOUN
ihlr-16567	444	11	on	on	ADP
ihlr-16567	444	12	an	an	DET
ihlr-16567	444	13	aco	aco	PROPN
ihlr-16567	444	14	structure	structure	NOUN
ihlr-16567	444	15	.	.	PUNCT
ihlr-16567	445	1	{	{	PUNCT
ihlr-16567	445	2	indeed	indeed	ADV
ihlr-16567	445	3	,	,	PUNCT
ihlr-16567	445	4	the	the	DET
ihlr-16567	445	5	reverse	reverse	NOUN
ihlr-16567	445	6	could	could	AUX
ihlr-16567	445	7	happen	happen	VERB
ihlr-16567	445	8	too210	too210	PROPN
ihlr-16567	445	9	indiana	indiana	PROPN
ihlr-16567	445	10	health	health	PROPN
ihlr-16567	445	11	law	law	PROPN
ihlr-16567	445	12	review	review	NOUN
ihlr-16567	445	13	[	[	X
ihlr-16567	445	14	vol	vol	NOUN
ihlr-16567	445	15	.	.	PUNCT
ihlr-16567	446	1	7:185	7:185	NUM
ihlr-16567	446	2	doctors	doctor	NOUN
ihlr-16567	446	3	included	include	VERB
ihlr-16567	446	4	in	in	ADP
ihlr-16567	446	5	a	a	DET
ihlr-16567	446	6	private	private	ADJ
ihlr-16567	446	7	insurer	insurer	NOUN
ihlr-16567	446	8	's	's	PART
ihlr-16567	446	9	high	high	ADJ
ihlr-16567	446	10	-	-	PUNCT
ihlr-16567	446	11	quality	quality	NOUN
ihlr-16567	446	12	,	,	PUNCT
ihlr-16567	446	13	high	high	ADJ
ihlr-16567	446	14	-	-	PUNCT
ihlr-16567	446	15	efficiency	efficiency	NOUN
ihlr-16567	446	16	network	network	NOUN
ihlr-16567	446	17	could	could	AUX
ihlr-16567	446	18	perceive	perceive	VERB
ihlr-16567	446	19	,	,	PUNCT
ihlr-16567	446	20	an	an	DET
ihlr-16567	446	21	advantage	advantage	NOUN
ihlr-16567	446	22	to	to	ADP
ihlr-16567	446	23	using	use	VERB
ihlr-16567	446	24	the	the	DET
ihlr-16567	446	25	insurer	insurer	NOUN
ihlr-16567	446	26	's	's	PART
ihlr-16567	446	27	designation	designation	NOUN
ihlr-16567	446	28	to	to	PART
ihlr-16567	446	29	sort	sort	VERB
ihlr-16567	446	30	them­	them­	NUM
ihlr-16567	446	31	selves	self	NOUN
ihlr-16567	446	32	.	.	PUNCT
ihlr-16567	447	1	into	into	ADP
ihlr-16567	447	2	an	an	DET
ihlr-16567	447	3	aco	aco	PROPN
ihlr-16567	447	4	)	)	PUNCT
ihlr-16567	447	5	.	.	PUNCT
ihlr-16567	448	1	a	a	DET
ihlr-16567	448	2	cos	cos	NOUN
ihlr-16567	448	3	could	could	AUX
ihlr-16567	448	4	also	also	ADV
ihlr-16567	448	5	become	become	VERB
ihlr-16567	448	6	purchasing	purchase	VERB
ihlr-16567	448	7	cooperatives	cooperative	NOUN
ihlr-16567	448	8	for	for	ADP
ihlr-16567	448	9	obtaining	obtain	VERB
ihlr-16567	448	10	malpractice	malpractice	NOUN
ihlr-16567	448	11	insurance	insurance	NOUN
ihlr-16567	448	12	,	,	PUNCT
ihlr-16567	448	13	perhaps	perhaps	ADV
ihlr-16567	448	14	at	at	ADP
ihlr-16567	448	15	significantly	significantly	ADV
ihlr-16567	448	16	lower	low	ADJ
ihlr-16567	448	17	rates	rate	NOUN
ihlr-16567	448	18	if	if	SCONJ
ihlr-16567	448	19	insurers	insurer	NOUN
ihlr-16567	448	20	perceived	perceive	VERB
ihlr-16567	448	21	their	their	PRON
ihlr-16567	448	22	clinical	clinical	ADJ
ihlr-16567	448	23	integration	integration	NOUN
ihlr-16567	448	24	as	as	ADP
ihlr-16567	448	25	lowering	lower	VERB
ihlr-16567	448	26	risks	risk	NOUN
ihlr-16567	448	27	.	.	PUNCT
ihlr-16567	449	1	the	the	DET
ihlr-16567	449	2	prospect	prospect	NOUN
ihlr-16567	449	3	that	that	SCONJ
ihlr-16567	449	4	an	an	DET
ihlr-16567	449	5	enthoven	enthoven	ADJ
ihlr-16567	449	6	-	-	PUNCT
ihlr-16567	449	7	model	model	NOUN
ihlr-16567	449	8	competition	competition	NOUN
ihlr-16567	449	9	among	among	ADP
ihlr-16567	449	10	a	a	DET
ihlr-16567	449	11	cos	cos	NOUN
ihlr-16567	449	12	could	could	AUX
ihlr-16567	449	13	eventually	eventually	ADV
ihlr-16567	449	14	emerge	emerge	VERB
ihlr-16567	449	15	recalls	recall	VERB
ihlr-16567	449	16	the	the	DET
ihlr-16567	449	17	threshold	threshold	NOUN
ihlr-16567	449	18	question	question	NOUN
ihlr-16567	449	19	,	,	PUNCT
ihlr-16567	449	20	"	"	PUNCT
ihlr-16567	449	21	accountable	accountable	ADJ
ihlr-16567	449	22	to	to	ADP
ihlr-16567	449	23	whom	whom	PRON
ihlr-16567	449	24	?	?	PUNCT
ihlr-16567	449	25	"	"	PUNCT
ihlr-16567	449	26	while	while	SCONJ
ihlr-16567	449	27	·	·	PUNCT
ihlr-16567	449	28	ultimately	ultimately	ADV
ihlr-16567	449	29	the	the	DET
ihlr-16567	449	30	purpose	purpose	NOUN
ihlr-16567	449	31	is	be	AUX
ihlr-16567	449	32	to	to	PART
ihlr-16567	449	33	make	make	VERB
ihlr-16567	449	34	providers	provider	NOUN
ihlr-16567	449	35	accountable	accountable	ADJ
ihlr-16567	449	36	to	to	ADP
ihlr-16567	449	37	patients	patient	NOUN
ihlr-16567	449	38	,	,	PUNCT
ihlr-16567	449	39	in	in	ADP
ihlr-16567	449	40	its	its	PRON
ihlr-16567	449	41	initial	initial	ADJ
ihlr-16567	449	42	formulation	formulation	NOUN
ihlr-16567	449	43	,	,	PUNCT
ihlr-16567	449	44	the	the	DET
ihlr-16567	449	45	accountability	accountability	NOUN
ihlr-16567	449	46	flows	flow	VERB
ihlr-16567	449	47	to	to	ADP
ihlr-16567	449	48	cms	cms	PROPN
ihlr-16567	449	49	.	.	PUNCT
ihlr-16567	450	1	but	but	CCONJ
ihlr-16567	450	2	if	if	SCONJ
ihlr-16567	450	3	something	something	PRON
ihlr-16567	450	4	approaching	approach	VERB
ihlr-16567	450	5	managed	manage	VERB
ihlr-16567	450	6	competition	competition	NOUN
ihlr-16567	450	7	is	be	AUX
ihlr-16567	450	8	possible	possible	ADJ
ihlr-16567	450	9	in	in	ADP
ihlr-16567	450	10	an	an	DET
ihlr-16567	450	11	aco	aco	PROPN
ihlr-16567	450	12	regime	regime	NOUN
ihlr-16567	450	13	,	,	PUNCT
ihlr-16567	450	14	it	it	PRON
ihlr-16567	450	15	might	might	AUX
ihlr-16567	450	16	be	be	AUX
ihlr-16567	450	17	possible	possible	ADJ
ihlr-16567	450	18	at	at	ADP
ihlr-16567	450	19	some	some	DET
ihlr-16567	450	20	point	point	NOUN
ihlr-16567	450	21	for	for	ADP
ihlr-16567	450	22	performance	performance	NOUN
ihlr-16567	450	23	rewards	reward	NOUN
ihlr-16567	450	24	to	to	PART
ihlr-16567	450	25	be	be	AUX
ihlr-16567	450	26	dropped	drop	VERB
ihlr-16567	450	27	and	and	CCONJ
ihlr-16567	450	28	re­	re­	AUX
ihlr-16567	450	29	placed	place	VERB
ihlr-16567	450	30	entirely	entirely	ADV
ihlr-16567	450	31	by	by	ADP
ihlr-16567	450	32	consumer	consumer	NOUN
ihlr-16567	450	33	choice	choice	NOUN
ihlr-16567	450	34	.	.	PUNCT
ihlr-16567	451	1	after	after	ADP
ihlr-16567	451	2	some	some	DET
ihlr-16567	451	3	time	time	NOUN
ihlr-16567	451	4	,	,	PUNCT
ihlr-16567	451	5	all	all	DET
ihlr-16567	451	6	acos	aco	NOUN
ihlr-16567	451	7	would	would	AUX
ihlr-16567	451	8	have	have	VERB
ihlr-16567	451	9	performance	performance	NOUN
ihlr-16567	451	10	records	record	NOUN
ihlr-16567	451	11	that	that	SCONJ
ihlr-16567	451	12	consumers	consumer	NOUN
ihlr-16567	451	13	could	could	AUX
ihlr-16567	451	14	easily	easily	ADV
ihlr-16567	451	15	compare	compare	VERB
ihlr-16567	451	16	.	.	PUNCT
ihlr-16567	452	1	in	in	ADP
ihlr-16567	452	2	an	an	DET
ihlr-16567	452	3	ideal	ideal	ADJ
ihlr-16567	452	4	scenario	scenario	NOUN
ihlr-16567	452	5	,	,	PUNCT
ihlr-16567	452	6	the	the	DET
ihlr-16567	452	7	best	good	ADJ
ihlr-16567	452	8	systems	system	NOUN
ihlr-16567	452	9	would	would	AUX
ihlr-16567	452	10	attract	attract	VERB
ihlr-16567	452	11	greater	great	ADJ
ihlr-16567	452	12	numbers	number	NOUN
ihlr-16567	452	13	of	of	ADP
ihlr-16567	452	14	patients	patient	NOUN
ihlr-16567	452	15	and	and	CCONJ
ihlr-16567	452	16	would	would	AUX
ihlr-16567	452	17	earn	earn	VERB
ihlr-16567	452	18	increased	increase	VERB
ihlr-16567	452	19	profits	profit	NOUN
ihlr-16567	452	20	from	from	ADP
ihlr-16567	452	21	higher	high	ADJ
ihlr-16567	452	22	volume	volume	NOUN
ihlr-16567	452	23	,	,	PUNCT
ihlr-16567	452	24	obviating	obviate	VERB
ihlr-16567	452	25	the	the	DET
ihlr-16567	452	26	need	need	NOUN
ihlr-16567	452	27	to	to	PART
ihlr-16567	452	28	re­	re­	VERB
ihlr-16567	452	29	ward	ward	NOUN
ihlr-16567	452	30	performance	performance	NOUN
ihlr-16567	452	31	with	with	ADP
ihlr-16567	452	32	higher	high	ADJ
ihlr-16567	452	33	per	per	ADP
ihlr-16567	452	34	-	-	PUNCT
ihlr-16567	452	35	unit	unit	NOUN
ihlr-16567	452	36	pay	pay	NOUN
ihlr-16567	452	37	.	.	PUNCT
ihlr-16567	453	1	it	it	PRON
ihlr-16567	453	2	should	should	AUX
ihlr-16567	453	3	be	be	AUX
ihlr-16567	453	4	noted	note	VERB
ihlr-16567	453	5	,	,	PUNCT
ihlr-16567	453	6	however	however	ADV
ihlr-16567	453	7	,	,	PUNCT
ihlr-16567	453	8	that	that	SCONJ
ihlr-16567	453	9	many	many	ADJ
ihlr-16567	453	10	experts	expert	NOUN
ihlr-16567	453	11	are	be	AUX
ihlr-16567	453	12	skeptical	skeptical	ADJ
ihlr-16567	453	13	·	·	PUNCT
ihlr-16567	453	14	that	that	SCONJ
ihlr-16567	453	15	consumers	consumer	NOUN
ihlr-16567	453	16	do	do	AUX
ihlr-16567	453	17	,	,	PUNCT
ihlr-16567	453	18	or	or	CCONJ
ihlr-16567	453	19	are	be	AUX
ihlr-16567	453	20	ever	ever	ADV
ihlr-16567	453	21	likely	likely	ADJ
ihlr-16567	453	22	to	to	PART
ihlr-16567	453	23	,	,	PUNCT
ihlr-16567	453	24	scrutinize	scrutinize	VERB
ihlr-16567	453	25	performance	performance	NOUN
ihlr-16567	453	26	reports	report	NOUN
ihlr-16567	453	27	to	to	ADP
ihlr-16567	453	28	this	this	DET
ihlr-16567	453	29	degree	degree	NOUN
ihlr-16567	453	30	.	.	PUNCT
ihlr-16567	454	1	c.	c.	NOUN
ihlr-16567	454	2	insurer	insurer	PROPN
ihlr-16567	454	3	-	-	PUNCT
ihlr-16567	454	4	convened	convene	VERB
ihlr-16567	454	5	aco	aco	NOUN
ihlr-16567	454	6	an	an	DET
ihlr-16567	454	7	accountable	accountable	ADJ
ihlr-16567	454	8	care	care	NOUN
ihlr-16567	454	9	organization	organization	NOUN
ihlr-16567	454	10	convened	convene	VERB
ihlr-16567	454	11	by	by	ADP
ihlr-16567	454	12	a	a	DET
ihlr-16567	454	13	"	"	PUNCT
ihlr-16567	454	14	medigap	medigap	PROPN
ihlr-16567	454	15	"	"	PUNCT
ihlr-16567	454	16	(	(	PUNCT
ihlr-16567	454	17	medi­	medi­	PROPN
ihlr-16567	454	18	care	care	NOUN
ihlr-16567	454	19	supplement	supplement	NOUN
ihlr-16567	454	20	·	·	PUNCT
ihlr-16567	454	21	insurance	insurance	NOUN
ihlr-16567	454	22	)	)	PUNCT
ihlr-16567	454	23	insurer	insurer	NOUN
ihlr-16567	454	24	would	would	AUX
ihlr-16567	454	25	bear	bear	VERB
ihlr-16567	454	26	some	some	DET
ihlr-16567	454	27	superficial	superficial	ADJ
ihlr-16567	454	28	resem­	resem­	NOUN
ihlr-16567	454	29	blance	blance	NOUN
ihlr-16567	454	30	to	to	PART
ihlr-16567	454	31	"	"	PUNCT
ihlr-16567	454	32	medicare	medicare	VERB
ihlr-16567	454	33	select	select	ADJ
ihlr-16567	454	34	"	"	PUNCT
ihlr-16567	454	35	networks	network	NOUN
ihlr-16567	454	36	formed	form	VERB
ihlr-16567	454	37	to	to	PART
ihlr-16567	454	38	serve	serve	VERB
ihlr-16567	454	39	medigap	medigap	PROPN
ihlr-16567	454	40	policyholders	policyholder	NOUN
ihlr-16567	454	41	.	.	PUNCT
ihlr-16567	455	1	59	59	NUM
ihlr-16567	455	2	·	·	PUNCT
ihlr-16567	455	3	like	like	ADP
ihlr-16567	455	4	medicare	medicare	PROPN
ihlr-16567	455	5	select	select	PROPN
ihlr-16567	455	6	,	,	PUNCT
ihlr-16567	455	7	such	such	DET
ihlr-16567	455	8	an	an	DET
ihlr-16567	455	9	aco	aco	PROPN
ihlr-16567	455	10	would	would	AUX
ihlr-16567	455	11	likely	likely	ADV
ihlr-16567	455	12	be	be	AUX
ihlr-16567	455	13	built	build	VERB
ihlr-16567	455	14	around	around	ADP
ihlr-16567	455	15	a	a	DET
ihlr-16567	455	16	contracting	contracting	NOUN
ihlr-16567	455	17	hospital	hospital	NOUN
ihlr-16567	455	18	and	and	CCONJ
ihlr-16567	455	19	would	would	AUX
ihlr-16567	455	20	enroll	enroll	VERB
ihlr-16567	455	21	beneficiaries	beneficiary	NOUN
ihlr-16567	455	22	into	into	ADP
ihlr-16567	455	23	a	a	DET
ihlr-16567	455	24	network­	network­	NUM
ihlr-16567	455	25	oriented	orient	VERB
ihlr-16567	455	26	medigap	medigap	PROPN
ihlr-16567	455	27	policy	policy	NOUN
ihlr-16567	455	28	.	.	PUNCT
ihlr-16567	456	1	unlike	unlike	ADP
ihlr-16567	456	2	medicare	medicare	PROPN
ihlr-16567	456	3	select	select	PROPN
ihlr-16567	456	4	,	,	PUNCT
ihlr-16567	456	5	however	however	ADV
ihlr-16567	456	6	,	,	PUNCT
ihlr-16567	456	7	the	the	DET
ihlr-16567	456	8	primarjr	primarjr	ADJ
ihlr-16567	456	9	purpose	purpose	NOUN
ihlr-16567	456	10	would	would	AUX
ihlr-16567	456	11	be	be	AUX
ihlr-16567	456	12	to	to	PART
ihlr-16567	456	13	save	save	VERB
ihlr-16567	456	14	money	money	NOUN
ihlr-16567	456	15	through	through	ADP
ihlr-16567	456	16	improved	improve	VERB
ihlr-16567	456	17	quality	quality	NOUN
ihlr-16567	456	18	and	and	CCONJ
ihlr-16567	456	19	efficiency	efficiency	NOUN
ihlr-16567	456	20	,	,	PUNCT
ihlr-16567	456	21	not	not	PART
ihlr-16567	456	22	through	through	ADP
ihlr-16567	456	23	negotiated	negotiate	VERB
ihlr-16567	456	24	discounts	discount	NOUN
ihlr-16567	456	25	.	.	PUNCT
ihlr-16567	457	1	a	a	DET
ihlr-16567	457	2	medigap	medigap	PROPN
ihlr-16567	457	3	-	-	PUNCT
ihlr-16567	457	4	centered	center	VERB
ihlr-16567	457	5	aco	aco	PROPN
ihlr-16567	457	6	could	could	AUX
ihlr-16567	457	7	be	be	AUX
ihlr-16567	457	8	authorized	authorize	VERB
ihlr-16567	457	9	by	by	ADP
ihlr-16567	457	10	allowing	allow	VERB
ihlr-16567	457	11	a	a	DET
ihlr-16567	457	12	medigap	medigap	PROPN
ihlr-16567	457	13	insurer	insurer	NOUN
ihlr-16567	457	14	to	to	PART
ihlr-16567	457	15	enroll	enroll	VERB
ihlr-16567	457	16	some	some	PRON
ihlr-16567	457	17	of	of	ADP
ihlr-16567	457	18	its	its	PRON
ihlr-16567	457	19	beneficiaries	beneficiary	NOUN
ihlr-16567	457	20	into	into	ADP
ihlr-16567	457	21	a	a	DET
ihlr-16567	457	22	preferred	preferred	ADJ
ihlr-16567	457	23	provider	provider	NOUN
ihlr-16567	457	24	network	network	NOUN
ihlr-16567	457	25	within	within	ADP
ihlr-16567	457	26	medicare	medicare	PROPN
ihlr-16567	457	27	and	and	CCONJ
ihlr-16567	457	28	share	share	VERB
ihlr-16567	457	29	in	in	ADP
ihlr-16567	457	30	savings	saving	NOUN
ihlr-16567	457	31	(	(	PUNCT
ihlr-16567	457	32	with	with	ADP
ihlr-16567	457	33	cms	cms	NOUN
ihlr-16567	457	34	and	and	CCONJ
ihlr-16567	457	35	providers	provider	NOUN
ihlr-16567	457	36	)	)	PUNCT
ihlr-16567	457	37	that	that	SCONJ
ihlr-16567	457	38	it	it	PRON
ihlr-16567	457	39	can	can	AUX
ihlr-16567	457	40	attribute	attribute	VERB
ihlr-16567	457	41	to	to	ADP
ihlr-16567	457	42	better	well	ADJ
ihlr-16567	457	43	-	-	PUNCT
ihlr-16567	457	44	than	than	ADP
ihlr-16567	457	45	-	-	PUNCT
ihlr-16567	457	46	expected	expect	VERB
ihlr-16567	457	47	performance	performance	NOUN
ihlr-16567	457	48	by	by	ADP
ihlr-16567	457	49	its	its	PRON
ihlr-16567	457	50	network	network	NOUN
ihlr-16567	457	51	.	.	PUNCT
ihlr-16567	458	1	the	the	DET
ihlr-16567	458	2	insurer	insurer	NOUN
ihlr-16567	458	3	could	could	AUX
ihlr-16567	458	4	then	then	ADV
ihlr-16567	458	5	identify	identify	VERB
ihlr-16567	458	6	providers	provider	NOUN
ihlr-16567	458	7	that	that	SCONJ
ihlr-16567	458	8	,	,	PUNCT
ihlr-16567	458	9	judging	judge	VERB
ihlr-16567	458	10	from	from	ADP
ihlr-16567	458	11	its	its	PRON
ihlr-16567	458	12	own	own	ADJ
ihlr-16567	458	13	experiences	experience	NOUN
ihlr-16567	458	14	in	in	ADP
ihlr-16567	458	15	the	the	DET
ihlr-16567	458	16	private	private	ADJ
ihlr-16567	458	17	market	market	NOUN
ihlr-16567	458	18	,	,	PUNCT
ihlr-16567	458	19	could	could	AUX
ihlr-16567	458	20	be	be	AUX
ihlr-16567	458	21	expected	expect	VERB
ihlr-16567	458	22	to	to	PART
ihlr-16567	458	23	deliver	deliver	VERB
ihlr-16567	458	24	high	high	ADJ
ihlr-16567	458	25	-	-	PUNCT
ihlr-16567	458	26	quality	quality	NOUN
ihlr-16567	458	27	,	,	PUNCT
ihlr-16567	458	28	efficient	efficient	ADJ
ihlr-16567	458	29	care	care	NOUN
ihlr-16567	458	30	;	;	PUNCT
ihlr-16567	458	31	or	or	CCONJ
ihlr-16567	458	32	supply	supply	VERB
ihlr-16567	458	33	a	a	DET
ihlr-16567	458	34	common	common	ADJ
ihlr-16567	458	35	it	it	PRON
ihlr-16567	458	36	platform	platform	NOUN
ihlr-16567	458	37	physicians	physician	NOUN
ihlr-16567	458	38	that	that	PRON
ihlr-16567	458	39	would	would	AUX
ihlr-16567	458	40	assist	assist	VERB
ihlr-16567	458	41	them	they	PRON
ihlr-16567	458	42	in	in	ADP
ihlr-16567	458	43	this	this	DET
ihlr-16567	458	44	task	task	NOUN
ihlr-16567	458	45	.	.	PUNCT
ihlr-16567	458	46	,	,	PUNCT
ihlr-16567	458	47	.	.	PUNCT
ihlr-16567	459	1	•	•	NUM
ihlr-16567	459	2	midwestern	midwestern	NOUN
ihlr-16567	459	3	standard	standard	ADJ
ihlr-16567	459	4	insurance	insurance	NOUN
ihlr-16567	459	5	has	have	AUX
ihlr-16567	459	6	found	find	VERB
ihlr-16567	459	7	that	that	SCONJ
ihlr-16567	459	8	of	of	ADP
ihlr-16567	459	9	three	three	NUM
ihlr-16567	459	10	competing	compete	VERB
ihlr-16567	459	11	hospitals	hospital	NOUN
ihlr-16567	459	12	in	in	ADP
ihlr-16567	459	13	middletown	middletown	NOUN
ihlr-16567	459	14	,	,	PUNCT
ihlr-16567	459	15	community	community	NOUN
ihlr-16567	459	16	general	general	ADJ
ihlr-16567	459	17	hospital	hospital	NOUN
ihlr-16567	459	18	seems	seem	VERB
ihlr-16567	459	19	to	to	PART
ihlr-16567	459	20	deliver	deliver	VERB
ihlr-16567	459	21	the	the	DET
ihlr-16567	459	22	best	good	ADJ
ihlr-16567	459	23	care	care	NOUN
ihlr-16567	459	24	to	to	ADP
ihlr-16567	459	25	its	its	PRON
ihlr-16567	459	26	enrollees	enrollee	NOUN
ihlr-16567	459	27	at	at	ADP
ihlr-16567	459	28	.the	.the	DET
ihlr-16567	459	29	lowest	low	ADJ
ihlr-16567	459	30	costs	cost	NOUN
ihlr-16567	459	31	.	.	PUNCT
ihlr-16567	460	1	it	it	PRON
ihlr-16567	460	2	applies	apply	VERB
ihlr-16567	460	3	ahrq	ahrq	PROPN
ihlr-16567	460	4	's	's	PART
ihlr-16567	460	5	inpatient	inpatient	NOUN
ihlr-16567	460	6	quality	quality	NOUN
ihlr-16567	460	7	indicators	indicator	NOUN
ihlr-16567	460	8	to	to	PART
ihlr-16567	460	9	medicare	medicare	VERB
ihlr-16567	460	10	claims	claim	NOUN
ihlr-16567	460	11	data	datum	NOUN
ihlr-16567	460	12	from	from	ADP
ihlr-16567	460	13	the	the	DET
ihlr-16567	460	14	three	three	NUM
ihlr-16567	460	15	hospitals	hospital	NOUN
ihlr-16567	460	16	and	and	CCONJ
ihlr-16567	460	17	finds	find	VERB
ihlr-16567	460	18	that	that	DET
ihlr-16567	460	19	community	community	NOUN
ihlr-16567	460	20	general	general	NOUN
ihlr-16567	460	21	also	also	ADV
ihlr-16567	460	22	seems	seem	VERB
ihlr-16567	460	23	to	to	ADP
ihlr-16567	460	24	59	59	NUM
ihlr-16567	460	25	.	.	PUNCT
ihlr-16567	461	1	42	42	NUM
ihlr-16567	461	2	u.s.c	u.s.c	ADJ
ihlr-16567	461	3	.	.	PUNCT
ihlr-16567	462	1	§	§	PROPN
ihlr-16567	462	2	1395ss(t	1395ss(t	NUM
ihlr-16567	462	3	)	)	PUNCT
ihlr-16567	462	4	(	(	PUNCT
ihlr-16567	462	5	2003	2003	NUM
ihlr-16567	462	6	)	)	PUNCT
ihlr-16567	462	7	.	.	PUNCT
ihlr-16567	463	1	2010	2010	NUM
ihlr-16567	463	2	]	]	PUNCT
ihlr-16567	463	3	"	"	PUNCT
ihlr-16567	463	4	shared	share	VERB
ihlr-16567	463	5	accountability	accountability	NOUN
ihlr-16567	463	6	"	"	PUNCT
ihlr-16567	463	7	approach	approach	NOUN
ihlr-16567	463	8	211	211	NUM
ihlr-16567	463	9	provide	provide	VERB
ihlr-16567	463	10	the	the	DET
ihlr-16567	463	11	best	good	ADJ
ihlr-16567	463	12	care	care	NOUN
ihlr-16567	463	13	to	to	ADP
ihlr-16567	463	14	medicare	medicare	PROPN
ihlr-16567	463	15	patients	patient	NOUN
ihlr-16567	463	16	.	.	PUNCT
ihlr-16567	464	1	utilizing	utilize	VERB
ihlr-16567	464	2	the	the	DET
ihlr-16567	464	3	methods	method	NOUN
ihlr-16567	464	4	developed	develop	VERB
ihlr-16567	464	5	by	by	ADP
ihlr-16567	464	6	dartmouth	dartmouth	PROPN
ihlr-16567	464	7	researchers	researcher	NOUN
ihlr-16567	464	8	it	it	PRON
ihlr-16567	464	9	examines	examine	VERB
ihlr-16567	464	10	medicare	medicare	PROPN
ihlr-16567	464	11	claims	claim	NOUN
ihlr-16567	464	12	data	datum	NOUN
ihlr-16567	464	13	to	to	PART
ihlr-16567	464	14	identify	identify	VERB
ihlr-16567	464	15	the	the	DET
ihlr-16567	464	16	de	de	X
ihlr-16567	464	17	facto	facto	X
ihlr-16567	464	18	"	"	PUNCT
ihlr-16567	464	19	extended	extended	ADJ
ihlr-16567	464	20	medical	medical	ADJ
ihlr-16567	464	21	staff	staff	NOUN
ihlr-16567	464	22	'	'	PUNCT
ihlr-16567	464	23	of	of	ADP
ihlr-16567	464	24	physicians	physician	NOUN
ihlr-16567	464	25	who	who	PRON
ihlr-16567	464	26	refer	refer	VERB
ihlr-16567	464	27	to	to	ADP
ihlr-16567	464	28	each	each	PRON
ihlr-16567	464	29	of	of	ADP
ihlr-16567	464	30	the	the	DET
ihlr-16567	464	31	three	three	NUM
ihlr-16567	464	32	hospitals	hospital	NOUN
ihlr-16567	464	33	and	and	CCONJ
ihlr-16567	464	34	then	then	ADV
ihlr-16567	464	35	applies	apply	VERB
ihlr-16567	464	36	macies	macie	NOUN
ihlr-16567	464	37	to	to	ADP
ihlr-16567	464	38	those	those	DET
ihlr-16567	464	39	doctors	doctor	NOUN
ihlr-16567	464	40	'	'	PART
ihlr-16567	464	41	patients	patient	NOUN
ihlr-16567	464	42	'	'	PART
ihlr-16567	464	43	claims	claim	NOUN
ihlr-16567	464	44	,	,	PUNCT
ihlr-16567	464	45	and	and	CCONJ
ihlr-16567	464	46	learns	learn	VERB
ihlr-16567	464	47	that	that	SCONJ
ihlr-16567	464	48	this	this	DET
ihlr-16567	464	49	virtual	virtual	ADJ
ihlr-16567	464	50	group	group	NOUN
ihlr-16567	464	51	of	of	ADP
ihlr-16567	464	52	physicians	physician	NOUN
ihlr-16567	464	53	also	also	ADV
ihlr-16567	464	54	provides	provide	VERB
ihlr-16567	464	55	superior	superior	ADJ
ihlr-16567	464	56	ambulatory	ambulatory	ADJ
ihlr-16567	464	57	care	care	NOUN
ihlr-16567	464	58	to	to	ADP
ihlr-16567	464	59	its	its	PRON
ihlr-16567	464	60	patients	patient	NOUN
ihlr-16567	464	61	.	.	PUNCT
ihlr-16567	465	1	the	the	DET
ihlr-16567	465	2	insurer	insurer	NOUN
ihlr-16567	465	3	approaches	approach	VERB
ihlr-16567	465	4	the	the	DET
ihlr-16567	465	5	hospital	hospital	NOUN
ihlr-16567	465	6	leadership	leadership	NOUN
ihlr-16567	465	7	with	with	ADP
ihlr-16567	465	8	a	a	DET
ihlr-16567	465	9	proposal	proposal	NOUN
ihlr-16567	465	10	that	that	SCONJ
ihlr-16567	465	11	they	they	PRON
ihlr-16567	465	12	jointly	jointly	ADV
ihlr-16567	465	13	market	market	VERB
ihlr-16567	465	14	a	a	DET
ihlr-16567	465	15	medigap	medigap	PROPN
ihlr-16567	465	16	product	product	NOUN
ihlr-16567	465	17	through	through	ADP
ihlr-16567	465	18	the	the	DET
ihlr-16567	465	19	existing	exist	VERB
ihlr-16567	465	20	physi­	physi­	PROPN
ihlr-16567	465	21	cian	cian	NOUN
ihlr-16567	465	22	"	"	PUNCT
ihlr-16567	465	23	network	network	NOUN
ihlr-16567	465	24	.	.	PUNCT
ihlr-16567	465	25	"	"	PUNCT
ihlr-16567	466	1	doctors	doctor	NOUN
ihlr-16567	466	2	sign	sign	VERB
ihlr-16567	466	3	on	on	ADP
ihlr-16567	466	4	to	to	ADP
ihlr-16567	466	5	the	the	DET
ihlr-16567	466	6	arrangement	arrangement	NOUN
ihlr-16567	466	7	in	in	ADP
ihlr-16567	466	8	exchange	exchange	NOUN
ihlr-16567	466	9	for	for	ADP
ihlr-16567	466	10	the	the	DET
ihlr-16567	466	11	insurer	insurer	NOUN
ihlr-16567	466	12	's	's	PART
ihlr-16567	466	13	promise	promise	NOUN
ihlr-16567	466	14	to	to	PART
ihlr-16567	466	15	pay	pay	VERB
ihlr-16567	466	16	them	they	PRON
ihlr-16567	466	17	,	,	PUNCT
ihlr-16567	466	18	from	from	ADP
ihlr-16567	466	19	the	the	DET
ihlr-16567	466	20	insurer	insurer	NOUN
ihlr-16567	466	21	's	's	PART
ihlr-16567	466	22	shared	share	VERB
ihlr-16567	466	23	savings	saving	NOUN
ihlr-16567	466	24	pool	pool	NOUN
ihlr-16567	466	25	,	,	PUNCT
ihlr-16567	466	26	end	end	NOUN
ihlr-16567	466	27	-	-	PUNCT
ihlr-16567	466	28	of	of	ADP
ihlr-16567	466	29	-	-	PUNCT
ihlr-16567	466	30	year	year	NOUN
ihlr-16567	466	31	bonuses	bonus	NOUN
ihlr-16567	466	32	based	base	VERB
ihlr-16567	466	33	on	on	ADP
ihlr-16567	466	34	the	the	DET
ihlr-16567	466	35	number	number	NOUN
ihlr-16567	466	36	of	of	ADP
ihlr-16567	466	37	medicare	medicare	PROPN
ihlr-16567	466	38	pa­	pa­	ADJ
ihlr-16567	466	39	tients	tient	NOUN
ihlr-16567	466	40	in	in	ADP
ihlr-16567	466	41	their	their	PRON
ihlr-16567	466	42	practice	practice	NOUN
ihlr-16567	466	43	.	.	PUNCT
ihlr-16567	467	1	•	•	NUM
ihlr-16567	467	2	same	same	ADJ
ihlr-16567	467	3	scenario	scenario	NOUN
ihlr-16567	467	4	as	as	ADP
ihlr-16567	467	5	above	above	ADV
ihlr-16567	467	6	,	,	PUNCT
ihlr-16567	467	7	except	except	SCONJ
ihlr-16567	467	8	that	that	SCONJ
ihlr-16567	467	9	doctors	doctor	NOUN
ihlr-16567	467	10	are	be	AUX
ihlr-16567	467	11	oowilling	oowille	VERB
ihlr-16567	467	12	to	to	PART
ihlr-16567	467	13	sign	sign	VERB
ihlr-16567	467	14	onto	onto	ADP
ihlr-16567	467	15	any	any	DET
ihlr-16567	467	16	arrangement	arrangement	NOUN
ihlr-16567	467	17	.	.	PUNCT
ihlr-16567	468	1	but	but	CCONJ
ihlr-16567	468	2	rather	rather	ADV
ihlr-16567	468	3	than	than	SCONJ
ihlr-16567	468	4	abandon	abandon	VERB
ihlr-16567	468	5	the	the	DET
ihlr-16567	468	6	project	project	NOUN
ihlr-16567	468	7	,	,	PUNCT
ihlr-16567	468	8	mid	mid	PROPN
ihlr-16567	468	9	,	,	PUNCT
ihlr-16567	468	10	..	..	PUNCT
ihlr-16567	468	11	western	western	ADJ
ihlr-16567	468	12	standard	standard	PROPN
ihlr-16567	468	13	enters	enter	VERB
ihlr-16567	468	14	into	into	ADP
ihlr-16567	468	15	a	a	DET
ihlr-16567	468	16	contract	contract	NOUN
ihlr-16567	468	17	with	with	ADP
ihlr-16567	468	18	community	community	NOUN
ihlr-16567	468	19	general	general	ADJ
ihlr-16567	468	20	only	only	ADV
ihlr-16567	468	21	.	.	PUNCT
ihlr-16567	469	1	the	the	DET
ihlr-16567	469	2	resulting	result	VERB
ihlr-16567	469	3	medigap	medigap	PROPN
ihlr-16567	469	4	product	product	NOUN
ihlr-16567	469	5	is	be	AUX
ihlr-16567	469	6	marketed	market	VERB
ihlr-16567	469	7	to	to	ADP
ihlr-16567	469	8	beneficiaries	beneficiary	NOUN
ihlr-16567	469	9	based	base	VERB
ihlr-16567	469	10	on	on	ADP
ihlr-16567	469	11	the	the	DET
ihlr-16567	469	12	hospital	hospital	NOUN
ihlr-16567	469	13	's	's	PART
ihlr-16567	469	14	quality	quality	NOUN
ihlr-16567	469	15	record	record	NOUN
ihlr-16567	469	16	of	of	ADP
ihlr-16567	469	17	superior	superior	ADJ
ihlr-16567	469	18	outcomes	outcome	NOUN
ihlr-16567	469	19	and	and	CCONJ
ihlr-16567	469	20	a	a	DET
ihlr-16567	469	21	lower	low	ADJ
ihlr-16567	469	22	premium	premium	NOUN
ihlr-16567	469	23	based	base	VERB
ihlr-16567	469	24	on	on	ADP
ihlr-16567	469	25	the	the	DET
ihlr-16567	469	26	ehms	ehm	NOUN
ihlr-16567	469	27	physicians	physician	NOUN
ihlr-16567	469	28	'	'	PART
ihlr-16567	469	29	efficiency	efficiency	NOUN
ihlr-16567	469	30	.	.	PUNCT
ihlr-16567	470	1	how­	how­	PROPN
ihlr-16567	470	2	ever	ever	ADV
ihlr-16567	470	3	,	,	PUNCT
ihlr-16567	470	4	midwestern	midwestern	ADJ
ihlr-16567	470	5	standard	standard	NOUN
ihlr-16567	470	6	still	still	ADV
ihlr-16567	470	7	promises	promise	VERB
ihlr-16567	470	8	,	,	PUNCT
ihlr-16567	470	9	unilaterally	unilaterally	ADV
ihlr-16567	470	10	,	,	PUNCT
ihlr-16567	470	11	to	to	PART
ihlr-16567	470	12	pay	pay	VERB
ihlr-16567	470	13	doc­	doc­	NOUN
ihlr-16567	470	14	tors	tor	NOUN
ihlr-16567	470	15	who	who	PRON
ihlr-16567	470	16	are	be	AUX
ihlr-16567	470	17	part	part	NOUN
ihlr-16567	470	18	of	of	ADP
ihlr-16567	470	19	the	the	DET
ihlr-16567	470	20	de	de	X
ihlr-16567	470	21	facto	facto	X
ihlr-16567	470	22	extended	extend	VERB
ihlr-16567	470	23	medical	medical	ADJ
ihlr-16567	470	24	staff	staff	NOUN
ihlr-16567	470	25	end	end	NOUN
ihlr-16567	470	26	-	-	PUNCT
ihlr-16567	470	27	of	of	ADP
ihlr-16567	470	28	-	-	PUNCT
ihlr-16567	470	29	year	year	NOUN
ihlr-16567	470	30	bonuses	bonus	NOUN
ihlr-16567	470	31	so	so	ADV
ihlr-16567	470	32	long	long	ADV
ihlr-16567	470	33	as	as	SCONJ
ihlr-16567	470	34	they	they	PRON
ihlr-16567	470	35	continue	continue	VERB
ihlr-16567	470	36	to	to	PART
ihlr-16567	470	37	maintain	maintain	VERB
ihlr-16567	470	38	the	the	DET
ihlr-16567	470	39	same	same	ADJ
ihlr-16567	470	40	level	level	NOUN
ihlr-16567	470	41	of	of	ADP
ihlr-16567	470	42	qual­	qual­	PROPN
ihlr-16567	470	43	ity	ity	PROPN
ihlr-16567	470	44	and	and	CCONJ
ihlr-16567	470	45	efficiency	efficiency	NOUN
ihlr-16567	470	46	.	.	PUNCT
ihlr-16567	471	1	after	after	ADP
ihlr-16567	471	2	receiving	receive	VERB
ihlr-16567	471	3	the	the	DET
ihlr-16567	471	4	first	first	ADJ
ihlr-16567	471	5	year	year	NOUN
ihlr-16567	471	6	's	's	PART
ihlr-16567	471	7	bonuses	bonus	NOUN
ihlr-16567	471	8	,	,	PUNCT
ihlr-16567	471	9	as	as	ADV
ihlr-16567	471	10	well	well	ADV
ihlr-16567	471	11	as	as	ADP
ihlr-16567	471	12	many	many	ADJ
ihlr-16567	471	13	new	new	ADJ
ihlr-16567	471	14	patient	patient	NOUN
ihlr-16567	471	15	referrals	referral	NOUN
ihlr-16567	471	16	from	from	ADP
ihlr-16567	471	17	the	the	DET
ihlr-16567	471	18	insurer	insurer	NOUN
ihlr-16567	471	19	,	,	PUNCT
ihlr-16567	471	20	the	the	DET
ihlr-16567	471	21	physician	physician	NOUN
ihlr-16567	471	22	com­	com­	NOUN
ihlr-16567	471	23	munity	munity	NOUN
ihlr-16567	471	24	decides	decide	VERB
ihlr-16567	471	25	to	to	PART
ihlr-16567	471	26	formalize	formalize	VERB
ihlr-16567	471	27	the	the	DET
ihlr-16567	471	28	arrangement	arrangement	NOUN
ihlr-16567	471	29	.	.	PUNCT
ihlr-16567	472	1	•	•	NUM
ihlr-16567	472	2	same	same	ADJ
ihlr-16567	472	3	scenario	scenario	NOUN
ihlr-16567	472	4	as	as	ADP
ihlr-16567	472	5	above	above	ADV
ihlr-16567	472	6	.	.	PUNCT
ihlr-16567	473	1	st	st	PROPN
ihlr-16567	473	2	.	.	PROPN
ihlr-16567	473	3	aloysius	aloysius	PROPN
ihlr-16567	473	4	hospital	hospital	PROPN
ihlr-16567	473	5	,	,	PUNCT
ihlr-16567	473	6	another	another	DET
ihlr-16567	473	7	hospital	hospital	NOUN
ihlr-16567	473	8	in	in	ADP
ihlr-16567	473	9	middletown	middletown	NOUN
ihlr-16567	473	10	,	,	PUNCT
ihlr-16567	473	11	and	and	CCONJ
ihlr-16567	473	12	its	its	PRON
ihlr-16567	473	13	affiliated	affiliated	ADJ
ihlr-16567	473	14	physicians	physician	NOUN
ihlr-16567	473	15	,	,	PUNCT
ihlr-16567	473	16	have	have	AUX
ihlr-16567	473	17	noticed	notice	VERB
ihlr-16567	473	18	a	a	DET
ihlr-16567	473	19	drop	drop	NOUN
ihlr-16567	473	20	in	in	ADP
ihlr-16567	473	21	medicare	medicare	PROPN
ihlr-16567	473	22	patient	patient	NOUN
ihlr-16567	473	23	load	load	NOUN
ihlr-16567	473	24	since	since	SCONJ
ihlr-16567	473	25	community	community	NOUN
ihlr-16567	473	26	general	general	ADJ
ihlr-16567	473	27	began	begin	VERB
ihlr-16567	473	28	offering	offer	VERB
ihlr-16567	473	29	its	its	PRON
ihlr-16567	473	30	medigap	medigap	PROPN
ihlr-16567	473	31	product	product	NOUN
ihlr-16567	473	32	.	.	PUNCT
ihlr-16567	474	1	st	st	PROPN
ihlr-16567	474	2	.	.	PROPN
ihlr-16567	474	3	aloysius	aloysius	PROPN
ihlr-16567	474	4	officials	official	NOUN
ihlr-16567	474	5	approach	approach	VERB
ihlr-16567	474	6	prairie	prairie	NOUN
ihlr-16567	474	7	standard	standard	ADJ
ihlr-16567	474	8	insurance	insurance	NOUN
ihlr-16567	474	9	about	about	ADP
ihlr-16567	474	10	forming	form	VERB
ihlr-16567	474	11	an	an	DET
ihlr-16567	474	12	aco	aco	NOUN
ihlr-16567	474	13	to	to	PART
ihlr-16567	474	14	offer	offer	VERB
ihlr-16567	474	15	a	a	DET
ihlr-16567	474	16	competing	compete	VERB
ihlr-16567	474	17	product	product	NOUN
ihlr-16567	474	18	.	.	PUNCT
ihlr-16567	475	1	af­	af­	ADJ
ihlr-16567	475	2	ter	ter	NOUN
ihlr-16567	475	3	performing	perform	VERB
ihlr-16567	475	4	the	the	DET
ihlr-16567	475	5	same	same	ADJ
ihlr-16567	475	6	research	research	NOUN
ihlr-16567	475	7	on	on	ADP
ihlr-16567	475	8	middletown	middletown	PROPN
ihlr-16567	475	9	health	health	PROPN
ihlr-16567	475	10	care	care	NOUN
ihlr-16567	475	11	that	that	SCONJ
ihlr-16567	475	12	midwestern	midwestern	ADJ
ihlr-16567	475	13	standard	standard	NOUN
ihlr-16567	475	14	did	do	VERB
ihlr-16567	475	15	,	,	PUNCT
ihlr-16567	475	16	prairie	prairie	ADJ
ihlr-16567	475	17	standard	standard	ADJ
ihlr-16567	475	18	officials	official	NOUN
ihlr-16567	475	19	conclude	conclude	VERB
ihlr-16567	475	20	that	that	SCONJ
ihlr-16567	475	21	adoption	adoption	NOUN
ihlr-16567	475	22	of	of	ADP
ihlr-16567	475	23	electronic	electronic	ADJ
ihlr-16567	475	24	medical	medical	ADJ
ihlr-16567	475	25	records	record	NOUN
ihlr-16567	475	26	and	and	CCONJ
ihlr-16567	475	27	a	a	DET
ihlr-16567	475	28	concerted	concerted	ADJ
ihlr-16567	475	29	effort	effort	NOUN
ihlr-16567	475	30	by	by	ADP
ihlr-16567	475	31	st	st	PROPN
ihlr-16567	475	32	.	.	PROPN
ihlr-16567	475	33	aloysius	aloysius	PROPN
ihlr-16567	475	34	and	and	CCONJ
ihlr-16567	475	35	its	its	PRON
ihlr-16567	475	36	doctors	doctor	NOUN
ihlr-16567	475	37	to	to	PART
ihlr-16567	475	38	lower	lower	VERB
ihlr-16567	475	39	the	the	DET
ihlr-16567	475	40	intensity	intensity	NOUN
ihlr-16567	475	41	of	of	ADP
ihlr-16567	475	42	care	care	NOUN
ihlr-16567	475	43	would	would	AUX
ihlr-16567	475	44	likely	likely	ADV
ihlr-16567	475	45	enable	enable	VERB
ihlr-16567	475	46	the	the	DET
ihlr-16567	475	47	aco	aco	PROPN
ihlr-16567	475	48	to	to	PART
ihlr-16567	475	49	earn	earn	VERB
ihlr-16567	475	50	shared	share	VERB
ihlr-16567	475	51	savings	saving	NOUN
ihlr-16567	475	52	bonuses	bonus	NOUN
ihlr-16567	475	53	within	within	ADP
ihlr-16567	475	54	two	two	NUM
ihlr-16567	475	55	years	year	NOUN
ihlr-16567	475	56	.	.	PUNCT
ihlr-16567	476	1	the	the	DET
ihlr-16567	476	2	hospital	hospital	NOUN
ihlr-16567	476	3	and	and	CCONJ
ihlr-16567	476	4	nearly	nearly	ADV
ihlr-16567	476	5	all	all	DET
ihlr-16567	476	6	its	its	PRON
ihlr-16567	476	7	de	de	X
ihlr-16567	476	8	facto	facto	X
ihlr-16567	476	9	ehms	ehm	NOUN
ihlr-16567	476	10	doctors	doctor	NOUN
ihlr-16567	476	11	agree	agree	VERB
ihlr-16567	476	12	to	to	PART
ihlr-16567	476	13	form	form	VERB
ihlr-16567	476	14	a	a	DET
ihlr-16567	476	15	pho	pho	NOUN
ihlr-16567	476	16	and	and	CCONJ
ihlr-16567	476	17	contribute	contribute	VERB
ihlr-16567	476	18	capital	capital	NOUN
ihlr-16567	476	19	to	to	PART
ihlr-16567	476	20	purchase	purchase	VERB
ihlr-16567	476	21	an	an	DET
ihlr-16567	476	22	emr	emr	NOUN
ihlr-16567	476	23	system	system	NOUN
ihlr-16567	476	24	.	.	PUNCT
ihlr-16567	477	1	some	some	PRON
ihlr-16567	477	2	would	would	AUX
ihlr-16567	477	3	argue	argue	VERB
ihlr-16567	477	4	that	that	SCONJ
ihlr-16567	477	5	a	a	DET
ihlr-16567	477	6	medigap	medigap	PROPN
ihlr-16567	477	7	-	-	PUNCT
ihlr-16567	477	8	convened	convene	VERB
ihlr-16567	477	9	aco	aco	PROPN
ihlr-16567	477	10	would	would	AUX
ihlr-16567	477	11	amount	amount	VERB
ihlr-16567	477	12	to	to	ADP
ihlr-16567	477	13	the	the	DET
ihlr-16567	477	14	"	"	PUNCT
ihlr-16567	477	15	tail	tail	NOUN
ihlr-16567	477	16	wagging	wag	VERB
ihlr-16567	477	17	the	the	DET
ihlr-16567	477	18	dog	dog	NOUN
ihlr-16567	477	19	.	.	PUNCT
ihlr-16567	477	20	"	"	PUNCT
ihlr-16567	478	1	allowing	allow	VERB
ihlr-16567	478	2	such	such	DET
ihlr-16567	478	3	an	an	DET
ihlr-16567	478	4	option	option	NOUN
ihlr-16567	478	5	would	would	AUX
ihlr-16567	478	6	,	,	PUNCT
ihlr-16567	478	7	however	however	ADV
ihlr-16567	478	8	,	,	PUNCT
ihlr-16567	478	9	af­	af­	PROPN
ihlr-16567	478	10	ford	ford	NOUN
ihlr-16567	478	11	an	an	DET
ihlr-16567	478	12	additional	additional	ADJ
ihlr-16567	478	13	opportunity	opportunity	NOUN
ihlr-16567	478	14	for	for	ADP
ihlr-16567	478	15	innovation	innovation	NOUN
ihlr-16567	478	16	in	in	ADP
ihlr-16567	478	17	serving	serve	VERB
ihlr-16567	478	18	the	the	DET
ihlr-16567	478	19	medicare	medicare	PROPN
ihlr-16567	478	20	popu­	popu­	NOUN
ihlr-16567	478	21	lation	lation	NOUN
ihlr-16567	478	22	.	.	PUNCT
ihlr-16567	479	1	d.	d.	PROPN
ihlr-16567	479	2	a	a	DET
ihlr-16567	479	3	"	"	PUNCT
ihlr-16567	479	4	competitive	competitive	ADJ
ihlr-16567	479	5	dynamic	dynamic	ADJ
ihlr-16567	479	6	"	"	PUNCT
ihlr-16567	479	7	approach	approach	NOUN
ihlr-16567	479	8	to	to	ADP
ihlr-16567	479	9	updates	update	NOUN
ihlr-16567	479	10	a	a	DET
ihlr-16567	479	11	fourth	fourth	ADJ
ihlr-16567	479	12	possible	possible	ADJ
ihlr-16567	479	13	model	model	NOUN
ihlr-16567	479	14	for	for	ADP
ihlr-16567	479	15	shared	share	VERB
ihlr-16567	479	16	accountability	accountability	NOUN
ihlr-16567	479	17	is	be	AUX
ihlr-16567	479	18	suggested	suggest	VERB
ihlr-16567	479	19	by	by	ADP
ihlr-16567	479	20	212	212	NUM
ihlr-16567	479	21	indiana	indiana	PROPN
ihlr-16567	479	22	health	health	PROPN
ihlr-16567	479	23	law	law	NOUN
ihlr-16567	479	24	review	review	NOUN
ihlr-16567	480	1	[	[	X
ihlr-16567	480	2	vol	vol	NOUN
ihlr-16567	480	3	.	.	PUNCT
ihlr-16567	481	1	7:185	7:185	NUM
ihlr-16567	481	2	comments	comment	NOUN
ihlr-16567	481	3	made	make	VERB
ihlr-16567	481	4	by	by	ADP
ihlr-16567	481	5	medpac	medpac	PROPN
ihlr-16567	481	6	commissioner	commissioner	PROPN
ihlr-16567	481	7	francis	francis	PROPN
ihlr-16567	481	8	crosson	crosson	PROPN
ihlr-16567	481	9	during	during	ADP
ihlr-16567	481	10	that	that	DET
ihlr-16567	481	11	panel	panel	NOUN
ihlr-16567	481	12	's	's	PART
ihlr-16567	481	13	discussion	discussion	NOUN
ihlr-16567	481	14	of	of	ADP
ihlr-16567	481	15	the	the	DET
ihlr-16567	481	16	accountable	accountable	ADJ
ihlr-16567	481	17	care	care	NOUN
ihlr-16567	481	18	organization	organization	NOUN
ihlr-16567	481	19	concept	concept	NOUN
ihlr-16567	481	20	.	.	PUNCT
ihlr-16567	482	1	after	after	ADP
ihlr-16567	482	2	not­	not­	PROPN
ihlr-16567	482	3	ing	e	VERB
ihlr-16567	482	4	the	the	DET
ihlr-16567	482	5	unpopularity	unpopularity	NOUN
ihlr-16567	482	6	of	of	ADP
ihlr-16567	482	7	the	the	DET
ihlr-16567	482	8	sgr	sgr	PROPN
ihlr-16567	482	9	,	,	PUNCT
ihlr-16567	482	10	crosson	crosson	NOUN
ihlr-16567	482	11	observed	observe	VERB
ihlr-16567	482	12	:	:	PUNCT
ihlr-16567	482	13	...	...	PUNCT
ihlr-16567	482	14	the	the	DET
ihlr-16567	482	15	target	target	NOUN
ihlr-16567	482	16	or	or	CCONJ
ihlr-16567	482	17	the	the	DET
ihlr-16567	482	18	use	use	NOUN
ihlr-16567	482	19	of	of	ADP
ihlr-16567	482	20	targets	target	NOUN
ihlr-16567	482	21	is	be	AUX
ihlr-16567	482	22	in	in	ADP
ihlr-16567	482	23	the	the	DET
ihlr-16567	482	24	end	end	NOUN
ihlr-16567	482	25	going	go	VERB
ihlr-16567	482	26	to	to	PART
ihlr-16567	482	27	·	·	PUNCT
ihlr-16567	482	28	be	be	AUX
ihlr-16567	482	29	less	less	ADV
ihlr-16567	482	30	important	important	ADJ
ihlr-16567	482	31	than	than	ADP
ihlr-16567	482	32	the	the	DET
ihlr-16567	482	33	dynamic	dynamic	NOUN
ihlr-16567	482	34	that	that	PRON
ihlr-16567	482	35	is	be	AUX
ihlr-16567	482	36	created	create	VERB
ihlr-16567	482	37	by	by	ADP
ihlr-16567	482	38	the	the	DET
ihlr-16567	482	39	payment	payment	NOUN
ihlr-16567	482	40	system	system	NOUN
ihlr-16567	482	41	because	because	SCONJ
ihlr-16567	482	42	the	the	DET
ihlr-16567	482	43	target	target	NOUN
ihlr-16567	482	44	really	really	ADV
ihlr-16567	482	45	just	just	ADV
ihlr-16567	482	46	ad­	ad­	ADJ
ihlr-16567	482	47	dresses	dress	NOUN
ihlr-16567	482	48	the	the	DET
ihlr-16567	482	49	amount	amount	NOUN
ihlr-16567	482	50	that	that	PRON
ihlr-16567	482	51	's	be	AUX
ihlr-16567	482	52	paid	pay	VERB
ihlr-16567	482	53	...	...	PUNCT
ihlr-16567	483	1	*	*	PUNCT
ihlr-16567	483	2	*	*	PUNCT
ihlr-16567	483	3	*	*	PUNCT
ihlr-16567	483	4	so	so	ADV
ihlr-16567	483	5	i	i	PRON
ihlr-16567	483	6	have	have	VERB
ihlr-16567	483	7	less	less	ADJ
ihlr-16567	483	8	interest	interest	NOUN
ihlr-16567	483	9	or	or	CCONJ
ihlr-16567	483	10	concern	concern	NOUN
ihlr-16567	483	11	about	about	ADP
ihlr-16567	483	12	the	the	DET
ihlr-16567	483	13	target	target	NOUN
ihlr-16567	483	14	as	as	ADP
ihlr-16567	483	15	a	a	DET
ihlr-16567	483	16	starting	starting	NOUN
ihlr-16567	483	17	point	point	NOUN
ihlr-16567	483	18	and	and	CCONJ
ihlr-16567	483	19	what	what	PRON
ihlr-16567	483	20	that	that	PRON
ihlr-16567	483	21	ought	ought	AUX
ihlr-16567	483	22	to	to	PART
ihlr-16567	483	23	be	be	AUX
ihlr-16567	483	24	than	than	ADP
ihlr-16567	483	25	the	the	DET
ihlr-16567	483	26	na­	na­	PROPN
ihlr-16567	483	27	ture	ture	NOUN
ihlr-16567	483	28	of	of	ADP
ihlr-16567	483	29	the	the	DET
ihlr-16567	483	30	dynamic	dynamic	NOUN
ihlr-16567	483	31	.	.	PUNCT
ihlr-16567	484	1	i	i	PRON
ihlr-16567	484	2	think	think	VERB
ihlr-16567	484	3	i	i	PRON
ihlr-16567	484	4	'll	will	AUX
ihlr-16567	484	5	just	just	ADV
ihlr-16567	484	6	give	give	VERB
ihlr-16567	484	7	an	an	DET
ihlr-16567	484	8	example	example	NOUN
ihlr-16567	484	9	·	·	PUNCT
ihlr-16567	484	10	·	·	PUNCT
ihlr-16567	484	11	of	of	ADP
ihlr-16567	484	12	·	·	PUNCT
ihlr-16567	484	13	what	what	PRON
ihlr-16567	484	14	i	i	PRON
ihlr-16567	484	15	think	think	VERB
ihlr-16567	484	16	might	might	AUX
ihlr-16567	484	17	be	be	AUX
ihlr-16567	484	18	something	something	PRON
ihlr-16567	484	19	that	that	PRON
ihlr-16567	484	20	illustrates	illustrate	VERB
ihlr-16567	484	21	that	that	PRON
ihlr-16567	484	22	...	...	PUNCT
ihlr-16567	485	1	*	*	PUNCT
ihlr-16567	485	2	*	*	PUNCT
ihlr-16567	485	3	*	*	PUNCT
ihlr-16567	486	1	[	[	X
ihlr-16567	486	2	s]tarting	s]tarte	VERB
ihlr-16567	486	3	with	with	ADP
ihlr-16567	486	4	some	some	DET
ihlr-16567	486	5	basis	basis	NOUN
ihlr-16567	486	6	for	for	ADP
ihlr-16567	486	7	next	next	ADJ
ihlr-16567	486	8	year	year	NOUN
ihlr-16567	486	9	's	's	PART
ihlr-16567	486	10	payment	payment	NOUN
ihlr-16567	486	11	that	that	PRON
ihlr-16567	486	12	would	would	AUX
ihlr-16567	486	13	be	be	AUX
ihlr-16567	486	14	either	either	ADV
ihlr-16567	486	15	based	base	VERB
ihlr-16567	486	16	on	on	ADP
ihlr-16567	486	17	reasonable	reasonable	ADJ
ihlr-16567	486	18	input	input	NOUN
ihlr-16567	486	19	costs	cost	NOUN
ihlr-16567	486	20	or	or	CCONJ
ihlr-16567	486	21	perhaps	perhaps	ADV
ihlr-16567	486	22	,	,	PUNCT
ihlr-16567	486	23	in	in	ADP
ihlr-16567	486	24	some	some	DET
ihlr-16567	486	25	circumstances	circumstance	NOUN
ihlr-16567	486	26	,	,	PUNCT
ihlr-16567	486	27	less	less	ADJ
ihlr-16567	486	28	than	than	ADP
ihlr-16567	486	29	that	that	PRON
ihlr-16567	486	30	based	base	VERB
ihlr-16567	486	31	upon	upon	SCONJ
ihlr-16567	486	32	what	what	PRON
ihlr-16567	486	33	we	we	PRON
ihlr-16567	486	34	think	think	VERB
ihlr-16567	486	35	we	we	PRON
ihlr-16567	486	36	can	can	AUX
ihlr-16567	486	37	afford	afford	VERB
ihlr-16567	486	38	as	as	ADP
ihlr-16567	486	39	a	a	DET
ihlr-16567	486	40	country	country	NOUN
ihlr-16567	486	41	,	,	PUNCT
ihlr-16567	486	42	taking	take	VERB
ihlr-16567	486	43	that	that	DET
ihlr-16567	486	44	number	number	NOUN
ihlr-16567	486	45	and	and	CCONJ
ihlr-16567	486	46	perhaps	perhaps	ADV
ihlr-16567	486	47	modestly	modestly	ADV
ihlr-16567	486	48	adjusting	adjust	VERB
ihlr-16567	486	49	it	it	PRON
ihlr-16567	486	50	regionally	regionally	ADV
ihlr-16567	486	51	.	.	PUNCT
ihlr-16567	487	1	let	let	VERB
ihlr-16567	487	2	's	us	PRON
ihlr-16567	487	3	say	say	VERB
ihlr-16567	487	4	we	we	PRON
ihlr-16567	487	5	ended	end	VERB
ihlr-16567	487	6	up	up	ADP
ihlr-16567	487	7	with	with	ADP
ihlr-16567	487	8	a	a	DET
ihlr-16567	487	9	number	number	NOUN
ihlr-16567	487	10	of2	of2	NOUN
ihlr-16567	487	11	percent	percent	NOUN
ihlr-16567	487	12	as	as	ADP
ihlr-16567	487	13	a	a	DET
ihlr-16567	487	14	starting	starting	NOUN
ihlr-16567	487	15	point	point	NOUN
ihlr-16567	487	16	,	,	PUNCT
ihlr-16567	487	17	and	and	CCONJ
ihlr-16567	487	18	we	we	PRON
ihlr-16567	487	19	could	could	AUX
ihlr-16567	487	20	arrive	arrive	VERB
ihlr-16567	487	21	at	at	ADP
ihlr-16567	487	22	that	that	DET
ihlr-16567	487	23	number	number	NOUN
ihlr-16567	487	24	by	by	ADP
ihlr-16567	487	25	a	a	DET
ihlr-16567	487	26	number	number	NOUN
ihlr-16567	487	27	of	of	ADP
ihlr-16567	487	28	different	different	ADJ
ihlr-16567	487	29	means	mean	NOUN
ihlr-16567	487	30	.	.	PUNCT
ihlr-16567	488	1	*	*	PUNCT
ihlr-16567	488	2	*	*	PUNCT
ihlr-16567	488	3	*	*	PUNCT
ihlr-16567	488	4	but	but	CCONJ
ihlr-16567	488	5	then	then	ADV
ihlr-16567	488	6	...	...	PUNCT
ihlr-16567	489	1	[	[	X
ihlr-16567	489	2	physicians	physician	NOUN
ihlr-16567	489	3	in	in	ADP
ihlr-16567	489	4	geographic	geographic	ADJ
ihlr-16567	489	5	regions	region	NOUN
ihlr-16567	489	6	]	]	PUNCT
ihlr-16567	489	7	,	,	PUNCT
ihlr-16567	489	8	group	group	NOUN
ihlr-16567	489	9	practices	practice	NOUN
ihlr-16567	489	10	[	[	X
ihlr-16567	489	11	or	or	CCONJ
ihlr-16567	489	12	]	]	PUNCT
ihlr-16567	489	13	accountable	accountable	ADJ
ihlr-16567	489	14	organizations	organization	NOUN
ihlr-16567	489	15	which	which	PRON
ihlr-16567	489	16	would	would	AUX
ihlr-16567	489	17	include	include	VERB
ihlr-16567	489	18	physicians	physician	NOUN
ihlr-16567	489	19	and	and	CCONJ
ihlr-16567	489	20	medical	medical	ADJ
ihlr-16567	489	21	staff	staff	NOUN
ihlr-16567	489	22	physicians	physician	NOUN
ihlr-16567	489	23	in	in	ADP
ihlr-16567	489	24	hospitals	hospital	NOUN
ihlr-16567	489	25	-would	-would	PRON
ihlr-16567	489	26	essentially	essentially	ADV
ihlr-16567	489	27	work	work	VERB
ihlr-16567	489	28	sort	sort	ADV
ihlr-16567	489	29	of	of	ADV
ihlr-16567	489	30	in	in	ADP
ihlr-16567	489	31	competi­	competi­	PROPN
ihlr-16567	489	32	tion	tion	NOUN
ihlr-16567	489	33	with	with	ADP
ihlr-16567	489	34	each	each	DET
ihlr-16567	489	35	other	other	ADJ
ihlr-16567	489	36	around	around	ADP
ihlr-16567	489	37	that	that	DET
ihlr-16567	489	38	number	number	NOUN
ihlr-16567	489	39	.	.	PUNCT
ihlr-16567	490	1	and	and	CCONJ
ihlr-16567	490	2	there	there	ADV
ihlr-16567	490	3	·	·	PUNCT
ihlr-16567	490	4	would	would	AUX
ihlr-16567	490	5	be	be	AUX
ihlr-16567	490	6	a	a	DET
ihlr-16567	490	7	range	range	NOUN
ihlr-16567	490	8	around	around	ADP
ihlr-16567	490	9	that	that	DET
ihlr-16567	490	10	number	number	NOUN
ihlr-16567	490	11	of	of	ADP
ihlr-16567	490	12	reward	reward	NOUN
ihlr-16567	490	13	or	or	CCONJ
ihlr-16567	490	14	·	·	PUNCT
ihlr-16567	490	15	loss	loss	NOUN
ihlr-16567	490	16	based	base	VERB
ihlr-16567	490	17	on	on	ADP
ihlr-16567	490	18	that	that	PRON
ihlr-16567	490	19	...	...	PUNCT
ihlr-16567	491	1	you	you	PRON
ihlr-16567	491	2	might	might	AUX
ihlr-16567	491	3	end	end	VERB
ihlr-16567	491	4	up	up	ADP
ihlr-16567	491	5	with	with	ADP
ihlr-16567	491	6	a	a	DET
ihlr-16567	491	7	3	3	NUM
ihlr-16567	491	8	per­	per­	NOUN
ihlr-16567	491	9	cent	cent	NOUN
ihlr-16567	491	10	range	range	NOUN
ihlr-16567	491	11	on	on	ADP
ihlr-16567	491	12	each	each	DET
ihlr-16567	491	13	side	side	NOUN
ihlr-16567	491	14	.	.	PUNCT
ihlr-16567	492	1	and	and	CCONJ
ihlr-16567	492	2	so	so	ADV
ihlr-16567	492	3	you	you	PRON
ihlr-16567	492	4	could	could	AUX
ihlr-16567	492	5	have	have	VERB
ihlr-16567	492	6	with­	with­	PROPN
ihlr-16567	492	7	in	in	ADP
ihlr-16567	492	8	each	each	DET
ihlr-16567	492	9	geography	geography	NOUN
ihlr-16567	492	10	some	some	DET
ihlr-16567	492	11	entities	entity	NOUN
ihlr-16567	492	12	that	that	PRON
ihlr-16567	492	13	ended	end	VERB
ihlr-16567	492	14	up	up	ADP
ihlr-16567	492	15	with	with	ADP
ihlr-16567	492	16	a	a	DET
ihlr-16567	492	17	couple	couple	NOUN
ihlr-16567	492	18	of	of	ADP
ihlr-16567	492	19	points	point	NOUN
ihlr-16567	492	20	minus	minus	CCONJ
ihlr-16567	493	1	[	[	X
ihlr-16567	493	2	two	two	NUM
ihlr-16567	493	3	]	]	PUNCT
ihlr-16567	493	4	and	and	CCONJ
ihlr-16567	493	5	some	some	PRON
ihlr-16567	493	6	that	that	PRON
ihlr-16567	493	7	ended	end	VERB
ihlr-16567	493	8	up	up	ADP
ihlr-16567	493	9	with	with	ADP
ihlr-16567	493	10	4	4	NUM
ihlr-16567	493	11	or	or	CCONJ
ihlr-16567	493	12	5	5	NUM
ihlr-16567	493	13	...	...	PUNCT
ihlr-16567	494	1	*	*	PUNCT
ihlr-16567	494	2	*	*	PUNCT
ihlr-16567	494	3	*	*	PUNCT
ihlr-16567	495	1	[	[	X
ihlr-16567	495	2	a	a	X
ihlr-16567	495	3	]	]	X
ihlr-16567	495	4	system	system	NOUN
ihlr-16567	495	5	of	of	ADP
ihlr-16567	495	6	slow	slow	ADJ
ihlr-16567	495	7	inexorable	inexorable	ADJ
ihlr-16567	495	8	competition	competition	NOUN
ihlr-16567	495	9	with	with	ADP
ihlr-16567	495	10	2	2	NUM
ihlr-16567	495	11	,	,	PUNCT
ihlr-16567	495	12	3	3	NUM
ihlr-16567	495	13	,	,	PUNCT
ihlr-16567	495	14	2010	2010	NUM
ihlr-16567	495	15	]	]	PUNCT
ihlr-16567	495	16	"	"	PUNCT
ihlr-16567	495	17	shared	share	VERB
ihlr-16567	495	18	accountabh	accountabh	PROPN
ihlr-16567	495	19	..	..	PUNCT
ihlr-16567	495	20	ity	ity	PROPN
ihlr-16567	495	21	"	"	PUNCT
ihlr-16567	495	22	approach	approach	NOUN
ihlr-16567	495	23	4	4	NUM
ihlr-16567	495	24	,	,	PUNCT
ihlr-16567	495	25	5	5	NUM
ihlr-16567	495	26	percent	percent	NOUN
ihlr-16567	495	27	differentials	differential	NOUN
ihlr-16567	495	28	year	year	NOUN
ihlr-16567	495	29	-	-	PUNCT
ihlr-16567	495	30	to	to	ADP
ihlr-16567	495	31	-	-	PUNCT
ihlr-16567	495	32	year	year	NOUN
ihlr-16567	495	33	[	[	X
ihlr-16567	495	34	that	that	PRON
ihlr-16567	495	35	]	]	X
ihlr-16567	495	36	would	would	AUX
ihlr-16567	495	37	,	,	PUNCT
ihlr-16567	495	38	in	in	ADP
ihlr-16567	495	39	fact	fact	NOUN
ihlr-16567	495	40	,	,	PUNCT
ihlr-16567	495	41	create	create	VERB
ihlr-16567	495	42	the	the	DET
ihlr-16567	495	43	dynamics	dynamic	NOUN
ihlr-16567	495	44	that	that	PRON
ihlr-16567	495	45	we	we	PRON
ihlr-16567	495	46	're	be	AUX
ihlr-16567	495	47	interested	interested	ADJ
ihlr-16567	495	48	in.60	in.60	PROPN
ihlr-16567	495	49	213	213	NUM
ihlr-16567	495	50	in	in	ADP
ihlr-16567	495	51	crosson	crosson	NOUN
ihlr-16567	495	52	's	's	PART
ihlr-16567	495	53	view	view	NOUN
ihlr-16567	495	54	,	,	PUNCT
ihlr-16567	495	55	"	"	PUNCT
ihlr-16567	495	56	there	there	PRON
ihlr-16567	495	57	is	be	VERB
ihlr-16567	495	58	a	a	DET
ihlr-16567	495	59	current	current	ADJ
ihlr-16567	495	60	opportunity	opportunity	NOUN
ihlr-16567	495	61	to	to	PART
ihlr-16567	495	62	investigate	investigate	VERB
ihlr-16567	495	63	whether	whether	SCONJ
ihlr-16567	495	64	a	a	DET
ihlr-16567	495	65	subset	subset	NOUN
ihlr-16567	495	66	of	of	ADP
ihlr-16567	495	67	the	the	DET
ihlr-16567	495	68	national	national	ADJ
ihlr-16567	495	69	physician	physician	PROPN
ihlr-16567	495	70	community	community	NOUN
ihlr-16567	495	71	,	,	PUNCT
ihlr-16567	495	72	properly	properly	ADV
ihlr-16567	495	73	equipped	equip	VERB
ihlr-16567	495	74	and	and	CCONJ
ihlr-16567	495	75	with	with	ADP
ihlr-16567	495	76	proper	proper	ADJ
ihlr-16567	495	77	incentives	incentive	NOUN
ihlr-16567	495	78	,	,	PUNCT
ihlr-16567	495	79	could	could	AUX
ihlr-16567	495	80	manage	manage	VERB
ihlr-16567	495	81	both	both	DET
ihlr-16567	495	82	the	the	DET
ihlr-16567	495	83	volume	volume	NOUN
ihlr-16567	495	84	of	of	ADP
ihlr-16567	495	85	services	service	NOUN
ihlr-16567	495	86	and	and	CCONJ
ihlr-16567	495	87	the	the	DET
ihlr-16567	495	88	quality	quality	NOUN
ihlr-16567	495	89	of	of	ADP
ihlr-16567	495	90	services	service	NOUN
ihlr-16567	495	91	delivered	deliver	VERB
ihlr-16567	495	92	to	to	AUX
ihlr-16567	495	93	medicare	medicare	VERB
ihlr-16567	495	94	beneficiaries	beneficiary	NOUN
ihlr-16567	495	95	over	over	ADP
ihlr-16567	495	96	time	time	NOUN
ihlr-16567	495	97	,	,	PUNCT
ihlr-16567	495	98	within	within	ADP
ihlr-16567	495	99	a	a	DET
ihlr-16567	495	100	fee	fee	NOUN
ihlr-16567	495	101	-	-	PUNCT
ihlr-16567	495	102	for	for	ADP
ihlr-16567	495	103	-	-	PUNCT
ihlr-16567	495	104	service	service	NOUN
ihlr-16567	495	105	setting	setting	NOUN
ihlr-16567	495	106	.	.	PUNCT
ihlr-16567	495	107	"	"	PUNCT
ihlr-16567	496	1	61	61	NUM
ihlr-16567	496	2	this	this	DET
ihlr-16567	496	3	discussion	discussion	NOUN
ihlr-16567	496	4	uses	use	VERB
ihlr-16567	496	5	crosson	crosson	PROPN
ihlr-16567	496	6	's	's	PART
ihlr-16567	496	7	concepts	concept	NOUN
ihlr-16567	496	8	as	as	ADP
ihlr-16567	496	9	a	a	DET
ihlr-16567	496	10	jumping	jumping	NOUN
ihlr-16567	496	11	-	-	PUNCT
ihlr-16567	496	12	off	off	ADP
ihlr-16567	496	13	point	point	NOUN
ihlr-16567	496	14	for	for	ADP
ihlr-16567	496	15	envisioning	envision	VERB
ihlr-16567	496	16	informal	informal	ADJ
ihlr-16567	496	17	or	or	CCONJ
ihlr-16567	496	18	voluntary	voluntary	ADJ
ihlr-16567	496	19	means	mean	NOUN
ihlr-16567	496	20	by	by	ADP
ihlr-16567	496	21	which	which	PRON
ihlr-16567	496	22	doctors	doctor	NOUN
ihlr-16567	496	23	could	could	AUX
ihlr-16567	496	24	compete	compete	VERB
ihlr-16567	496	25	,	,	PUNCT
ihlr-16567	496	26	at	at	ADP
ihlr-16567	496	27	the	the	DET
ihlr-16567	496	28	level	level	NOUN
ihlr-16567	496	29	of	of	ADP
ihlr-16567	496	30	a	a	DET
ihlr-16567	496	31	geographic	geographic	ADJ
ihlr-16567	496	32	or	or	CCONJ
ihlr-16567	496	33	other	other	ADJ
ihlr-16567	496	34	unit	unit	NOUN
ihlr-16567	496	35	,	,	PUNCT
ihlr-16567	496	36	for	for	ADP
ihlr-16567	496	37	a	a	DET
ihlr-16567	496	38	li­	li­	NOUN
ihlr-16567	496	39	mited	mite	VERB
ihlr-16567	496	40	pool	pool	NOUN
ihlr-16567	496	41	of	of	ADP
ihlr-16567	496	42	increased	increase	VERB
ihlr-16567	496	43	medicare	medicare	PROPN
ihlr-16567	496	44	funding	funding	NOUN
ihlr-16567	496	45	that	that	PRON
ihlr-16567	496	46	would	would	AUX
ihlr-16567	496	47	be	be	AUX
ihlr-16567	496	48	apportioned	apportion	VERB
ihlr-16567	496	49	based	base	VERB
ihlr-16567	496	50	upon	upon	SCONJ
ihlr-16567	496	51	performance	performance	NOUN
ihlr-16567	496	52	.	.	PUNCT
ihlr-16567	497	1	medp	medp	PROPN
ihlr-16567	497	2	ac	ac	PROPN
ihlr-16567	497	3	chairman	chairman	PROPN
ihlr-16567	497	4	glenn	glenn	PROPN
ihlr-16567	497	5	hackbarth	hackbarth	PROPN
ihlr-16567	497	6	recently	recently	ADV
ihlr-16567	497	7	noted	note	VERB
ihlr-16567	497	8	that	that	SCONJ
ihlr-16567	497	9	the	the	DET
ihlr-16567	497	10	sgr	sgr	PROPN
ihlr-16567	497	11	may	may	AUX
ihlr-16567	497	12	be	be	AUX
ihlr-16567	497	13	more	more	ADV
ihlr-16567	497	14	useful	useful	ADJ
ihlr-16567	497	15	as	as	ADP
ihlr-16567	497	16	a	a	DET
ihlr-16567	497	17	''	''	PUNCT
ihlr-16567	497	18	tool	tool	NOUN
ihlr-16567	497	19	for	for	ADP
ihlr-16567	497	20	altering	alter	VERB
ihlr-16567	497	21	the	the	DET
ihlr-16567	497	22	dynamic	dynamic	NOUN
ihlr-16567	497	23	of	of	ADP
ihlr-16567	497	24	the	the	DET
ihlr-16567	497	25	policy	policy	NOUN
ihlr-16567	497	26	process	process	NOUN
ihlr-16567	497	27	than	than	ADP
ihlr-16567	497	28	as	as	ADP
ihlr-16567	497	29	a	a	DET
ihlr-16567	497	30	tool	tool	NOUN
ihlr-16567	497	31	for	for	ADP
ihlr-16567	497	32	directly	directly	ADV
ihlr-16567	497	33	improving	improve	VERB
ihlr-16567	497	34	how	how	SCONJ
ihlr-16567	497	35	providers	provider	NOUN
ihlr-16567	497	36	deliver	deliver	VERB
ihlr-16567	497	37	services	service	NOUN
ihlr-16567	497	38	.	.	PUNCT
ihlr-16567	498	1	an	an	DET
ihlr-16567	498	2	expenditure	expenditure	NOUN
ihlr-16567	498	3	target	target	NOUN
ihlr-16567	498	4	alerts	alert	VERB
ihlr-16567	498	5	policymakers	policymaker	NOUN
ihlr-16567	498	6	that	that	SCONJ
ihlr-16567	498	7	spending	spending	NOUN
ihlr-16567	498	8	is	be	AUX
ihlr-16567	498	9	rising	rise	VERB
ihlr-16567	498	10	more	more	ADV
ihlr-16567	498	11	rapidly	rapidly	ADV
ihlr-16567	498	12	than	than	SCONJ
ihlr-16567	498	13	anticipated	anticipate	VERB
ihlr-16567	498	14	and	and	CCONJ
ihlr-16567	498	15	leads	lead	VERB
ihlr-16567	498	16	to	to	ADP
ihlr-16567	498	17	an	an	DET
ihlr-16567	498	18	annual	annual	ADJ
ihlr-16567	498	19	debate	debate	NOUN
ihlr-16567	498	20	over	over	ADP
ihlr-16567	498	21	the	the	DET
ihlr-16567	498	22	update	update	NOUN
ihlr-16567	498	23	to	to	ADP
ihlr-16567	498	24	the	the	DET
ihlr-16567	498	25	physi­	physi­	PROPN
ihlr-16567	498	26	cian	cian	PROPN
ihlr-16567	498	27	payment	payment	NOUN
ihlr-16567	498	28	rate	rate	NOUN
ihlr-16567	498	29	.	.	PUNCT
ihlr-16567	499	1	that	that	DET
ihlr-16567	499	2	debate	debate	NOUN
ihlr-16567	499	3	may	may	AUX
ihlr-16567	499	4	also	also	ADV
ihlr-16567	499	5	influence	influence	VERB
ihlr-16567	499	6	the	the	DET
ihlr-16567	499	7	behavior	behavior	NOUN
ihlr-16567	499	8	of	of	ADP
ihlr-16567	499	9	provid­	provid­	NOUN
ihlr-16567	499	10	ers	er	NOUN
ihlr-16567	499	11	:	:	PUNCT
ihlr-16567	499	12	to	to	PART
ihlr-16567	499	13	avoid	avoid	VERB
ihlr-16567	499	14	rate	rate	NOUN
ihlr-16567	499	15	decreases	decrease	NOUN
ihlr-16567	499	16	,	,	PUNCT
ihlr-16567	499	17	they	they	PRON
ihlr-16567	499	18	could	could	AUX
ihlr-16567	499	19	be	be	AUX
ihlr-16567	499	20	compelled	compel	VERB
ihlr-16567	499	21	to	to	PART
ihlr-16567	499	22	support	support	VERB
ihlr-16567	499	23	payment	payment	NOUN
ihlr-16567	499	24	reforms	reform	NOUN
ihlr-16567	499	25	that	that	PRON
ihlr-16567	499	26	they	they	PRON
ihlr-16567	499	27	might	might	AUX
ihlr-16567	499	28	otherwise	otherwise	ADV
ihlr-16567	499	29	find	find	VERB
ihlr-16567	499	30	objectionable	objectionable	ADJ
ihlr-16567	499	31	.	.	PUNCT
ihlr-16567	500	1	'.62	'.62	NOUN
ihlr-16567	500	2	in	in	ADP
ihlr-16567	500	3	fact	fact	NOUN
ihlr-16567	500	4	,	,	PUNCT
ihlr-16567	500	5	the	the	DET
ihlr-16567	500	6	sgr	sgr	PROPN
ihlr-16567	500	7	has	have	AUX
ihlr-16567	500	8	led	lead	VERB
ihlr-16567	500	9	to	to	ADP
ihlr-16567	500	10	annual	annual	ADJ
ihlr-16567	500	11	debates	debate	NOUN
ihlr-16567	500	12	about	about	ADP
ihlr-16567	500	13	updates	update	NOUN
ihlr-16567	500	14	,	,	PUNCT
ihlr-16567	500	15	but	but	CCONJ
ihlr-16567	500	16	the	the	DET
ihlr-16567	500	17	de­	de­	VERB
ihlr-16567	500	18	bates	bate	NOUN
ihlr-16567	500	19	have	have	AUX
ihlr-16567	500	20	not	not	PART
ihlr-16567	500	21	as	as	ADV
ihlr-16567	500	22	yet	yet	ADV
ihlr-16567	500	23	led	lead	VERB
ihlr-16567	500	24	to	to	ADP
ihlr-16567	500	25	payment	payment	NOUN
ihlr-16567	500	26	reforms	reform	NOUN
ihlr-16567	500	27	.	.	PUNCT
ihlr-16567	501	1	perhaps	perhaps	ADV
ihlr-16567	501	2	,	,	PUNCT
ihlr-16567	501	3	as	as	ADP
ihlr-16567	501	4	part	part	NOUN
ihlr-16567	501	5	of	of	ADP
ihlr-16567	501	6	these	these	DET
ihlr-16567	501	7	de­	de­	VERB
ihlr-16567	501	8	bates	bate	NOUN
ihlr-16567	501	9	,	,	PUNCT
ihlr-16567	501	10	a	a	DET
ihlr-16567	501	11	"	"	PUNCT
ihlr-16567	501	12	competition	competition	NOUN
ihlr-16567	501	13	"	"	PUNCT
ihlr-16567	501	14	of	of	ADP
ihlr-16567	501	15	the	the	DET
ihlr-16567	501	16	type	type	NOUN
ihlr-16567	501	17	envisioned	envision	VERB
ihlr-16567	501	18	by	by	ADP
ihlr-16567	501	19	crosson	crosson	NOUN
ihlr-16567	501	20	could	could	AUX
ihlr-16567	501	21	be	be	AUX
ihlr-16567	501	22	kicked	kick	VERB
ihlr-16567	501	23	off	off	ADP
ihlr-16567	501	24	either	either	CCONJ
ihlr-16567	501	25	formally	formally	ADV
ihlr-16567	501	26	,	,	PUNCT
ihlr-16567	501	27	through	through	ADP
ihlr-16567	501	28	laws	law	NOUN
ihlr-16567	501	29	passed	pass	VERB
ihlr-16567	501	30	or	or	CCONJ
ihlr-16567	501	31	position	position	NOUN
ihlr-16567	501	32	statements	statement	NOUN
ihlr-16567	501	33	made	make	VERB
ihlr-16567	501	34	by	by	ADP
ihlr-16567	501	35	government	government	NOUN
ihlr-16567	501	36	officials	official	NOUN
ihlr-16567	501	37	,	,	PUNCT
ihlr-16567	501	38	or	or	CCONJ
ihlr-16567	501	39	informally	informally	ADV
ihlr-16567	501	40	,	,	PUNCT
ihlr-16567	501	41	by	by	ADP
ihlr-16567	501	42	position	position	NOUN
ihlr-16567	501	43	statements	statement	NOUN
ihlr-16567	501	44	made	make	VERB
ihlr-16567	501	45	by	by	ADP
ihlr-16567	501	46	stake­	stake­	PROPN
ihlr-16567	501	47	holders	holder	NOUN
ihlr-16567	501	48	.	.	PUNCT
ihlr-16567	502	1	one	one	PRON
ihlr-16567	502	2	can	can	AUX
ihlr-16567	502	3	picture	picture	VERB
ihlr-16567	502	4	several	several	ADJ
ihlr-16567	502	5	means	mean	NOUN
ihlr-16567	502	6	by	by	ADP
ihlr-16567	502	7	which	which	PRON
ihlr-16567	502	8	some	some	DET
ihlr-16567	502	9	measure	measure	NOUN
ihlr-16567	502	10	of	of	ADP
ihlr-16567	502	11	competition	competition	NOUN
ihlr-16567	502	12	could	could	AUX
ihlr-16567	502	13	be	be	AUX
ihlr-16567	502	14	formally	formally	ADV
ihlr-16567	502	15	initiated	initiate	VERB
ihlr-16567	502	16	by	by	ADP
ihlr-16567	502	17	government	government	NOUN
ihlr-16567	502	18	officials	official	NOUN
ihlr-16567	502	19	:	:	PUNCT
ihlr-16567	502	20	•	•	ADP
ihlr-16567	502	21	the	the	DET
ihlr-16567	502	22	first	first	ADJ
ihlr-16567	502	23	such	such	ADJ
ihlr-16567	502	24	proposal	proposal	NOUN
ihlr-16567	502	25	along	along	ADP
ihlr-16567	502	26	these	these	DET
ihlr-16567	502	27	lines	line	NOUN
ihlr-16567	502	28	emerged	emerge	VERB
ihlr-16567	502	29	in	in	ADP
ihlr-16567	502	30	the	the	DET
ihlr-16567	502	31	champ	champ	PROPN
ihlr-16567	502	32	act	act	PROPN
ihlr-16567	502	33	,	,	PUNCT
ihlr-16567	502	34	a	a	DET
ihlr-16567	502	35	bill	bill	NOUN
ihlr-16567	502	36	passed	pass	VERB
ihlr-16567	502	37	by	by	ADP
ihlr-16567	502	38	the	the	DET
ihlr-16567	502	39	house	house	PROPN
ihlr-16567	502	40	of	of	ADP
ihlr-16567	502	41	representatives	representative	NOUN
ihlr-16567	502	42	in	in	ADP
ihlr-16567	502	43	mid-2007.63	mid-2007.63	ADJ
ihlr-16567	502	44	section	section	NOUN
ihlr-16567	502	45	304	304	NUM
ihlr-16567	502	46	of	of	ADP
ihlr-16567	502	47	the	the	DET
ihlr-16567	502	48	bill	bill	NOUN
ihlr-16567	502	49	would	would	AUX
ihlr-16567	502	50	have	have	AUX
ihlr-16567	502	51	provided	provide	VERB
ihlr-16567	502	52	a	a	DET
ihlr-16567	502	53	five	five	NUM
ihlr-16567	502	54	-	-	PUNCT
ihlr-16567	502	55	percent	percent	NOUN
ihlr-16567	502	56	bonus	bonus	NOUN
ihlr-16567	502	57	60	60	NUM
ihlr-16567	502	58	.	.	PUNCT
ihlr-16567	503	1	transcript	transcript	NOUN
ihlr-16567	503	2	of	of	ADP
ihlr-16567	503	3	public	public	ADJ
ihlr-16567	503	4	meeting	meeting	NOUN
ihlr-16567	503	5	at	at	ADP
ihlr-16567	503	6	25	25	NUM
ihlr-16567	503	7	-	-	SYM
ihlr-16567	503	8	28	28	NUM
ihlr-16567	503	9	,	,	PUNCT
ihlr-16567	503	10	69	69	NUM
ihlr-16567	503	11	,	,	PUNCT
ihlr-16567	503	12	medicare	medicare	PROPN
ihlr-16567	503	13	payment	payment	NOUN
ihlr-16567	503	14	advisory	advisory	ADJ
ihlr-16567	503	15	commis­	commis­	PROPN
ihlr-16567	503	16	sion	sion	NOUN
ihlr-16567	503	17	(	(	PUNCT
ihlr-16567	503	18	jan	jan	PROPN
ihlr-16567	503	19	.	.	PROPN
ihlr-16567	503	20	9	9	NUM
ihlr-16567	503	21	,	,	PUNCT
ihlr-16567	503	22	2007	2007	NUM
ihlr-16567	503	23	)	)	PUNCT
ihlr-16567	503	24	,	,	PUNCT
ihlr-16567	503	25	available	available	ADJ
ihlr-16567	503	26	at	at	ADP
ihlr-16567	503	27	http://www.medpac.gov/transcripts/all_medpac.final.pdf	http://www.medpac.gov/transcripts/all_medpac.final.pdf	NOUN
ihlr-16567	503	28	(	(	PUNCT
ihlr-16567	503	29	last	last	ADJ
ihlr-16567	503	30	visited	visit	VERB
ihlr-16567	503	31	may	may	PROPN
ihlr-16567	503	32	15	15	NUM
ihlr-16567	503	33	,	,	PUNCT
ihlr-16567	503	34	2010	2010	NUM
ihlr-16567	503	35	)	)	PUNCT
ihlr-16567	503	36	.	.	PUNCT
ihlr-16567	504	1	61	61	NUM
ihlr-16567	504	2	.	.	PUNCT
ihlr-16567	504	3	jay	jay	PROPN
ihlr-16567	504	4	crosson	crosson	PROPN
ihlr-16567	504	5	,	,	PUNCT
ihlr-16567	504	6	an	an	DET
ihlr-16567	504	7	sgr	sgr	PROPN
ihlr-16567	504	8	reform	reform	NOUN
ihlr-16567	504	9	proposal	proposal	NOUN
ihlr-16567	504	10	:	:	PUNCT
ihlr-16567	504	11	the	the	DET
ihlr-16567	504	12	impact	impact	NOUN
ihlr-16567	504	13	of	of	ADP
ihlr-16567	504	14	a	a	DET
ihlr-16567	504	15	payment	payment	NOUN
ihlr-16567	504	16	update	update	NOUN
ihlr-16567	504	17	alter­	alter­	NOUN
ihlr-16567	504	18	native	native	ADJ
ihlr-16567	504	19	for	for	ADP
ihlr-16567	504	20	multi	multi	ADJ
ihlr-16567	504	21	-	-	ADJ
ihlr-16567	504	22	specialty	specialty	ADJ
ihlr-16567	504	23	group	group	NOUN
ihlr-16567	504	24	practices	practice	NOUN
ihlr-16567	504	25	,	,	PUNCT
ihlr-16567	504	26	health	health	NOUN
ihlr-16567	504	27	affairs	affairs	PROPN
ihlr-16567	504	28	blog	blog	PROPN
ihlr-16567	504	29	,	,	PUNCT
ihlr-16567	504	30	feb	feb	PROPN
ihlr-16567	504	31	.	.	PROPN
ihlr-16567	504	32	19	19	NUM
ihlr-16567	504	33	,	,	PUNCT
ihlr-16567	504	34	2008	2008	NUM
ihlr-16567	504	35	,	,	PUNCT
ihlr-16567	504	36	http://healthaffairs.org/blo~2008/02/19/an-sgr-refonn-proposal-the-impact-of-a-paymentupdate-altemative-for-multi-specialty-group-practices/.	http://healthaffairs.org/blo~2008/02/19/an-sgr-refonn-proposal-the-impact-of-a-paymentupdate-altemative-for-multi-specialty-group-practices/.	PROPN
ihlr-16567	504	37	·	·	PUNCT
ihlr-16567	504	38	62	62	NUM
ihlr-16567	504	39	.	.	PUNCT
ihlr-16567	504	40	assessing	assess	VERB
ihlr-16567	504	41	alternatives	alternative	NOUN
ihlr-16567	504	42	to	to	ADP
ihlr-16567	504	43	the	the	DET
ihlr-16567	504	44	sustainable	sustainable	ADJ
ihlr-16567	504	45	growth	growth	NOUN
ihlr-16567	504	46	rate	rate	NOUN
ihlr-16567	504	47	system	system	NOUN
ihlr-16567	504	48	:	:	PUNCT
ihlr-16567	504	49	hearing	hear	VERB
ihlr-16567	504	50	before	before	ADP
ihlr-16567	504	51	the	the	DET
ihlr-16567	504	52	subcomm	subcomm	NOUN
ihlr-16567	504	53	.	.	PUNCT
ihlr-16567	505	1	on	on	ADP
ihlr-16567	505	2	health	health	NOUN
ihlr-16567	505	3	of	of	ADP
ihlr-16567	505	4	the	the	DET
ihlr-16567	505	5	h.	h.	PROPN
ihlr-16567	505	6	comm	comm	NOUN
ihlr-16567	505	7	.	.	PUNCT
ihlr-16567	506	1	on	on	ADP
ihlr-16567	506	2	energy	energy	NOUN
ihlr-16567	506	3	and	and	CCONJ
ihlr-16567	506	4	commerce	commerce	NOUN
ihlr-16567	506	5	,	,	PUNCT
ihlr-16567	506	6	110th	110th	ADJ
ihlr-16567	506	7	cong	cong	NOUN
ihlr-16567	506	8	.	.	PUNCT
ihlr-16567	507	1	2	2	NUM
ihlr-16567	507	2	(	(	PUNCT
ihlr-16567	507	3	2007	2007	NUM
ihlr-16567	507	4	)	)	PUNCT
ihlr-16567	507	5	(	(	PUNCT
ihlr-16567	507	6	statement	statement	NOUN
ihlr-16567	507	7	of	of	ADP
ihlr-16567	507	8	glenn	glenn	PROPN
ihlr-16567	507	9	m.	m.	PROPN
ihlr-16567	507	10	hackbarth	hackbarth	PROPN
ihlr-16567	507	11	,	,	PUNCT
ihlr-16567	507	12	chairman	chairman	NOUN
ihlr-16567	507	13	,	,	PUNCT
ihlr-16567	507	14	medicare	medicare	PROPN
ihlr-16567	507	15	payment	payment	PROPN
ihlr-16567	507	16	advisory	advisory	PROPN
ihlr-16567	507	17	commission	commission	NOUN
ihlr-16567	507	18	)	)	PUNCT
ihlr-16567	507	19	,	,	PUNCT
ihlr-16567	507	20	available	available	ADJ
ihlr-16567	507	21	at	at	ADP
ihlr-16567	507	22	http://energycommerce.house.govlimageslstories!documents	http://energycommerce.house.govlimageslstories!document	NOUN
ihlr-16567	507	23	/	/	SYM
ihlr-16567	507	24	hearings	hearing	NOUN
ihlr-16567	507	25	/	/	SYM
ihlr-16567	507	26	pdf/	pdf/	NOUN
ihlr-16567	507	27	110-he-hrg.030607.hackbarth-testimony.pdf	110-he-hrg.030607.hackbarth-testimony.pdf	NUM
ihlr-16567	507	28	(	(	PUNCT
ihlr-16567	507	29	last	last	ADJ
ihlr-16567	507	30	visited	visit	VERB
ihlr-16567	507	31	may	may	PROPN
ihlr-16567	507	32	15	15	NUM
ihlr-16567	507	33	,	,	PUNCT
ihlr-16567	507	34	2010	2010	NUM
ihlr-16567	507	35	)	)	PUNCT
ihlr-16567	507	36	.	.	PUNCT
ihlr-16567	508	1	63	63	NUM
ihlr-16567	508	2	.	.	PUNCT
ihlr-16567	509	1	children	child	NOUN
ihlr-16567	509	2	's	's	PART
ihlr-16567	509	3	health	health	NOUN
ihlr-16567	509	4	and	and	CCONJ
ihlr-16567	509	5	medicare	medicare	PROPN
ihlr-16567	509	6	protection	protection	PROPN
ihlr-16567	509	7	act	act	PROPN
ihlr-16567	509	8	of	of	ADP
ihlr-16567	509	9	2007	2007	NUM
ihlr-16567	509	10	,	,	PUNCT
ihlr-16567	509	11	h.r	h.r	PROPN
ihlr-16567	509	12	.	.	PROPN
ihlr-16567	509	13	3162	3162	NUM
ihlr-16567	509	14	,	,	PUNCT
ihlr-16567	509	15	11	11	NUM
ihlr-16567	509	16	oth	oth	PROPN
ihlr-16567	509	17	cong	cong	PROPN
ihlr-16567	509	18	.	.	PUNCT
ihlr-16567	510	1	(	(	PUNCT
ihlr-16567	510	2	1st	1st	ADJ
ihlr-16567	510	3	sess	sess	NOUN
ihlr-16567	510	4	.	.	PUNCT
ihlr-16567	511	1	2007	2007	NUM
ihlr-16567	511	2	)	)	PUNCT
ihlr-16567	511	3	.	.	PUNCT
ihlr-16567	512	1	214	214	NUM
ihlr-16567	512	2	indiana	indiana	PROPN
ihlr-16567	512	3	heal	heal	PROPN
ihlr-16567	512	4	til	til	PROPN
ihlr-16567	512	5	law	law	NOUN
ihlr-16567	512	6	review	review	NOUN
ihlr-16567	512	7	[	[	X
ihlr-16567	512	8	vol	vol	NOUN
ihlr-16567	512	9	.	.	PUNCT
ihlr-16567	513	1	7:185	7:185	NUM
ihlr-16567	513	2	to	to	ADP
ihlr-16567	513	3	physicians	physician	NOUN
ihlr-16567	513	4	in	in	ADP
ihlr-16567	513	5	counties	county	NOUN
ihlr-16567	513	6	or	or	CCONJ
ihlr-16567	513	7	equivalent	equivalent	ADJ
ihlr-16567	513	8	areas	area	NOUN
ihlr-16567	513	9	in	in	ADP
ihlr-16567	513	10	the	the	DET
ihlr-16567	513	11	united	united	PROPN
ihlr-16567	513	12	states	states	PROPN
ihlr-16567	513	13	in	in	ADP
ihlr-16567	513	14	the	the	DET
ihlr-16567	513	15	lowest	low	ADJ
ihlr-16567	513	16	fifth	fifth	ADJ
ihlr-16567	513	17	percentile	percentile	NOUN
ihlr-16567	513	18	of	of	ADP
ihlr-16567	513	19	utilization	utilization	NOUN
ihlr-16567	513	20	based	base	VERB
ihlr-16567	513	21	on	on	ADP
ihlr-16567	513	22	per	per	ADP
ihlr-16567	513	23	capita	capita	X
ihlr-16567	513	24	spend­	spend­	SYM
ihlr-16567	513	25	ing	ing	NOUN
ihlr-16567	513	26	.	.	PUNCT
ihlr-16567	514	1	this	this	DET
ihlr-16567	514	2	proposal	proposal	NOUN
ihlr-16567	514	3	tracks	track	VERB
ihlr-16567	514	4	closely	closely	ADV
ihlr-16567	514	5	with	with	ADP
ihlr-16567	514	6	the	the	DET
ihlr-16567	514	7	one	one	NUM
ihlr-16567	514	8	crosson	crosson	NOUN
ihlr-16567	514	9	informally	informally	ADV
ihlr-16567	514	10	proposed	propose	VERB
ihlr-16567	514	11	during	during	ADP
ihlr-16567	514	12	the	the	DET
ihlr-16567	514	13	medp	medp	PROPN
ihlr-16567	514	14	ac	ac	PROPN
ihlr-16567	514	15	discussion	discussion	NOUN
ihlr-16567	514	16	in	in	ADP
ihlr-16567	514	17	that	that	SCONJ
ihlr-16567	514	18	it	it	PRON
ihlr-16567	514	19	awards	award	VERB
ihlr-16567	514	20	a	a	DET
ihlr-16567	514	21	higher	high	ADJ
ihlr-16567	514	22	update	update	NOUN
ihlr-16567	514	23	to	to	ADP
ihlr-16567	514	24	physicians	physician	NOUN
ihlr-16567	514	25	in	in	ADP
ihlr-16567	514	26	higher	higher	ADV
ihlr-16567	514	27	-	-	PUNCT
ihlr-16567	514	28	performing	perform	VERB
ihlr-16567	514	29	regions	region	NOUN
ihlr-16567	514	30	.	.	PUNCT
ihlr-16567	515	1	this	this	DET
ihlr-16567	515	2	proposal	proposal	NOUN
ihlr-16567	515	3	,	,	PUNCT
ihlr-16567	515	4	while	while	SCONJ
ihlr-16567	515	5	intriguing	intriguing	ADJ
ihlr-16567	515	6	,	,	PUNCT
ihlr-16567	515	7	was	be	AUX
ihlr-16567	515	8	deficient	deficient	ADJ
ihlr-16567	515	9	in	in	ADP
ihlr-16567	515	10	that	that	SCONJ
ihlr-16567	515	11	it	it	PRON
ihlr-16567	515	12	did	do	AUX
ihlr-16567	515	13	not	not	PART
ihlr-16567	515	14	require	require	VERB
ihlr-16567	515	15	mainten­	mainten­	NOUN
ihlr-16567	515	16	ance	ance	NOUN
ihlr-16567	515	17	of	of	ADP
ihlr-16567	515	18	quality	quality	NOUN
ihlr-16567	515	19	or	or	CCONJ
ihlr-16567	515	20	patient	patient	ADJ
ihlr-16567	515	21	experience	experience	NOUN
ihlr-16567	515	22	metrics	metric	NOUN
ihlr-16567	515	23	.	.	PUNCT
ihlr-16567	516	1	•	•	NUM
ihlr-16567	516	2	·	·	PUNCT
ihlr-16567	516	3	a	a	DET
ihlr-16567	516	4	policy	policy	NOUN
ihlr-16567	516	5	option	option	NOUN
ihlr-16567	516	6	identified	identify	VERB
ihlr-16567	516	7	by	by	ADP
ihlr-16567	516	8	the	the	DET
ihlr-16567	516	9	commonwealth	commonwealth	PROPN
ihlr-16567	516	10	fund	fund	PROPN
ihlr-16567	516	11	commis­	commis­	PROPN
ihlr-16567	516	12	sion	sion	NOUN
ihlr-16567	516	13	on	on	ADP
ihlr-16567	516	14	a	a	DET
ihlr-16567	516	15	high	high	ADJ
ihlr-16567	516	16	performance	performance	NOUN
ihlr-16567	516	17	health	health	NOUN
ihlr-16567	516	18	system	system	NOUN
ihlr-16567	516	19	would	would	AUX
ihlr-16567	516	20	eliminate	eliminate	VERB
ihlr-16567	516	21	pay­	pay­	PROPN
ihlr-16567	516	22	ment	ment	NOUN
ihlr-16567	516	23	updates	update	NOUN
ihlr-16567	516	24	to	to	ADP
ihlr-16567	516	25	providers	provider	NOUN
ihlr-16567	516	26	in	in	ADP
ihlr-16567	516	27	regions	region	NOUN
ihlr-16567	516	28	with	with	ADP
ihlr-16567	516	29	per	per	ADP
ihlr-16567	516	30	-	-	PUNCT
ihlr-16567	516	31	beneficiary	beneficiary	NOUN
ihlr-16567	516	32	spending	spending	NOUN
ihlr-16567	516	33	exceeding	exceed	VERB
ihlr-16567	516	34	the	the	DET
ihlr-16567	516	35	75th	75th	ADJ
ihlr-16567	516	36	percentile	percentile	NOUN
ihlr-16567	516	37	(	(	PUNCT
ihlr-16567	516	38	defining	define	VERB
ihlr-16567	516	39	regions	region	NOUN
ihlr-16567	516	40	as	as	ADP
ihlr-16567	516	41	metropolitan	metropolitan	ADJ
ihlr-16567	516	42	areas	area	NOUN
ihlr-16567	516	43	or	or	CCONJ
ihlr-16567	516	44	combined	combine	VERB
ihlr-16567	516	45	rural	rural	ADJ
ihlr-16567	516	46	areas	area	NOUN
ihlr-16567	516	47	in	in	ADP
ihlr-16567	516	48	each	each	DET
ihlr-16567	516	49	state	state	NOUN
ihlr-16567	516	50	)	)	PUNCT
ihlr-16567	516	51	;	;	PUNCT
ihlr-16567	516	52	update	update	VERB
ihlr-16567	516	53	payments	payment	NOUN
ihlr-16567	516	54	on	on	ADP
ihlr-16567	516	55	a	a	DET
ihlr-16567	516	56	sliding	slide	VERB
ihlr-16567	516	57	scale	scale	NOUN
ihlr-16567	516	58	for	for	ADP
ihlr-16567	516	59	regions	region	NOUN
ihlr-16567	516	60	between	between	ADP
ihlr-16567	516	61	the	the	DET
ihlr-16567	516	62	50th	50th	ADJ
ihlr-16567	516	63	and	and	CCONJ
ihlr-16567	516	64	75th	75th	ADJ
ihlr-16567	516	65	percentiles	percentile	NOUN
ihlr-16567	516	66	;	;	PUNCT
ihlr-16567	516	67	and	and	CCONJ
ihlr-16567	516	68	award	award	NOUN
ihlr-16567	516	69	full	full	ADJ
ihlr-16567	516	70	updates	update	NOUN
ihlr-16567	516	71	only	only	ADV
ihlr-16567	516	72	in	in	ADP
ihlr-16567	516	73	regions	region	NOUN
ihlr-16567	516	74	with	with	ADP
ihlr-16567	516	75	spending	spending	NOUN
ihlr-16567	516	76	at	at	ADP
ihlr-16567	516	77	or	or	CCONJ
ihlr-16567	516	78	below	below	ADP
ihlr-16567	516	79	the	the	DET
ihlr-16567	516	80	50th	50th	ADJ
ihlr-16567	516	81	percentile	percentile	NOUN
ihlr-16567	516	82	.	.	PUNCT
ihlr-16567	517	1	the	the	DET
ihlr-16567	517	2	commission	commission	NOUN
ihlr-16567	517	3	estimated	estimate	VERB
ihlr-16567	517	4	savings	saving	NOUN
ihlr-16567	517	5	to	to	PART
ihlr-16567	517	6	medicare	medicare	VERB
ihlr-16567	517	7	of	of	ADP
ihlr-16567	517	8	$	$	SYM
ihlr-16567	517	9	157.8	157.8	NUM
ihlr-16567	517	10	billion	billion	NUM
ihlr-16567	517	11	over	over	ADP
ihlr-16567	517	12	ten	ten	NUM
ihlr-16567	517	13	years.64	years.64	NOUN
ihlr-16567	517	14	,	,	PUNCT
ihlr-16567	517	15	congressional	congressional	ADJ
ihlr-16567	517	16	budget	budget	NOUN
ihlr-16567	517	17	resolutions	resolution	NOUN
ihlr-16567	517	18	could	could	AUX
ihlr-16567	517	19	state	state	VERB
ihlr-16567	517	20	,	,	PUNCT
ihlr-16567	517	21	.	.	PUNCT
ihlr-16567	518	1	in	in	ADP
ihlr-16567	518	2	advance	advance	NOUN
ihlr-16567	518	3	,	,	PUNCT
ihlr-16567	518	4	the	the	DET
ihlr-16567	518	5	amount	amount	NOUN
ihlr-16567	518	6	of	of	ADP
ihlr-16567	518	7	money	money	NOUN
ihlr-16567	518	8	to	to	PART
ihlr-16567	518	9	be	be	AUX
ihlr-16567	518	10	allocated	allocate	VERB
ihlr-16567	518	11	for	for	ADP
ihlr-16567	518	12	a	a	DET
ihlr-16567	518	13	physician	physician	NOUN
ihlr-16567	518	14	pay	pay	NOUN
ihlr-16567	518	15	increase	increase	NOUN
ihlr-16567	518	16	,	,	PUNCT
ihlr-16567	518	17	and	and	CCONJ
ihlr-16567	518	18	·	·	PUNCT
ihlr-16567	518	19	urge	urge	VERB
ihlr-16567	518	20	that	that	SCONJ
ihlr-16567	518	21	the	the	DET
ihlr-16567	518	22	updates	update	NOUN
ihlr-16567	518	23	be	be	AUX
ihlr-16567	518	24	distributed	distribute	VERB
ihlr-16567	518	25	on	on	ADP
ihlr-16567	518	26	the	the	DET
ihlr-16567	518	27	basis	basis	NOUN
ihlr-16567	518	28	of	of	ADP
ihlr-16567	518	29	merit	merit	NOUN
ihlr-16567	518	30	rather	rather	ADV
ihlr-16567	518	31	than	than	ADP
ihlr-16567	518	32	across	across	ADP
ihlr-16567	518	33	the	the	DET
ihlr-16567	518	34	board	board	NOUN
ihlr-16567	518	35	,	,	PUNCT
ihlr-16567	518	36	thereby	thereby	ADV
ihlr-16567	518	37	challenging	challenge	VERB
ihlr-16567	518	38	physicians	physician	NOUN
ihlr-16567	518	39	to	to	PART
ihlr-16567	518	40	improve	improve	VERB
ihlr-16567	518	41	per­	per­	ADJ
ihlr-16567	518	42	formance	formance	NOUN
ihlr-16567	518	43	.	.	PUNCT
ihlr-16567	519	1	•	•	NUM
ihlr-16567	519	2	leaders	leader	NOUN
ihlr-16567	519	3	of	of	ADP
ihlr-16567	519	4	congressional	congressional	ADJ
ihlr-16567	519	5	committees	committee	NOUN
ihlr-16567	519	6	with	with	ADP
ihlr-16567	519	7	jurisdiction	jurisdiction	NOUN
ihlr-16567	519	8	over	over	ADP
ihlr-16567	519	9	medi­	medi­	PROPN
ihlr-16567	519	10	care	care	NOUN
ihlr-16567	519	11	,	,	PUNCT
ihlr-16567	519	12	or	or	CCONJ
ihlr-16567	519	13	officials	official	NOUN
ihlr-16567	519	14	of	of	ADP
ihlr-16567	519	15	hhs	hhs	PROPN
ihlr-16567	519	16	,	,	PUNCT
ihlr-16567	519	17	could	could	AUX
ihlr-16567	519	18	announce	announce	VERB
ihlr-16567	519	19	that	that	SCONJ
ihlr-16567	519	20	they	they	PRON
ihlr-16567	519	21	will	will	AUX
ihlr-16567	519	22	support	support	VERB
ihlr-16567	519	23	only	only	ADV
ihlr-16567	519	24	a	a	DET
ihlr-16567	519	25	limited	limited	ADJ
ihlr-16567	519	26	increase	increase	NOUN
ihlr-16567	519	27	and	and	CCONJ
ihlr-16567	519	28	set	set	VERB
ihlr-16567	519	29	forth	forth	ADP
ihlr-16567	519	30	criteria	criterion	NOUN
ihlr-16567	519	31	by	by	ADP
ihlr-16567	519	32	which	which	PRON
ihlr-16567	519	33	the	the	DET
ihlr-16567	519	34	addition­	addition­	PROPN
ihlr-16567	519	35	al	al	PROPN
ihlr-16567	519	36	dollars	dollar	NOUN
ihlr-16567	519	37	should	should	AUX
ihlr-16567	519	38	be	be	AUX
ihlr-16567	519	39	distributed	distribute	VERB
ihlr-16567	519	40	.	.	PUNCT
ihlr-16567	520	1	one	one	PRON
ihlr-16567	520	2	can	can	AUX
ihlr-16567	520	3	also	also	ADV
ihlr-16567	520	4	imagine	imagine	VERB
ihlr-16567	520	5	a	a	DET
ihlr-16567	520	6	process	process	NOUN
ihlr-16567	520	7	initiated	initiate	VERB
ihlr-16567	520	8	by	by	ADP
ihlr-16567	520	9	stakeholders	stakeholder	NOUN
ihlr-16567	520	10	:	:	PUNCT
ihlr-16567	520	11	•	•	NUM
ihlr-16567	520	12	organizations	organization	NOUN
ihlr-16567	520	13	representing	represent	VERB
ihlr-16567	520	14	medicare	medicare	PROPN
ihlr-16567	520	15	beneficiaries	beneficiary	NOUN
ihlr-16567	520	16	,	,	PUNCT
ihlr-16567	520	17	perhaps	perhaps	ADV
ihlr-16567	520	18	allied	ally	VERB
ihlr-16567	520	19	with	with	ADP
ihlr-16567	520	20	business	business	NOUN
ihlr-16567	520	21	groups	group	NOUN
ihlr-16567	520	22	or	or	CCONJ
ihlr-16567	520	23	insurers	insurer	NOUN
ihlr-16567	520	24	,	,	PUNCT
ihlr-16567	520	25	could	could	AUX
ihlr-16567	520	26	propose	propose	VERB
ihlr-16567	520	27	criteria	criterion	NOUN
ihlr-16567	520	28	for	for	ADP
ihlr-16567	520	29	award­	award­	NUM
ihlr-16567	520	30	ing	ing	ADJ
ihlr-16567	520	31	pay	pay	NOUN
ihlr-16567	520	32	increases	increase	NOUN
ihlr-16567	520	33	,	,	PUNCT
ihlr-16567	520	34	and	and	CCONJ
ihlr-16567	520	35	pledge	pledge	VERB
ihlr-16567	520	36	to	to	PART
ihlr-16567	520	37	lobby	lobby	VERB
ihlr-16567	520	38	for	for	ADP
ihlr-16567	520	39	updates	update	NOUN
ihlr-16567	520	40	limited	limit	VERB
ihlr-16567	520	41	to	to	ADP
ihlr-16567	520	42	quali­	quali­	NOUN
ihlr-16567	520	43	fying	fye	VERB
ihlr-16567	520	44	units	unit	NOUN
ihlr-16567	520	45	.	.	PUNCT
ihlr-16567	521	1	•	•	NUM
ihlr-16567	521	2	physician	physician	NOUN
ihlr-16567	521	3	organizations	organization	NOUN
ihlr-16567	521	4	in	in	ADP
ihlr-16567	521	5	states	state	NOUN
ihlr-16567	521	6	with	with	ADP
ihlr-16567	521	7	high	high	ADJ
ihlr-16567	521	8	quality	quality	NOUN
ihlr-16567	521	9	,	,	PUNCT
ihlr-16567	521	10	efficient	efficient	ADJ
ihlr-16567	521	11	health	health	NOUN
ihlr-16567	521	12	care	care	NOUN
ihlr-16567	521	13	could	could	AUX
ihlr-16567	521	14	break	break	VERB
ihlr-16567	521	15	away	away	ADV
ihlr-16567	521	16	from	from	ADP
ihlr-16567	521	17	national	national	ADJ
ihlr-16567	521	18	physician	physician	NOUN
ihlr-16567	521	19	groups	group	NOUN
ihlr-16567	521	20	to	to	PART
ihlr-16567	521	21	negotiate	negotiate	VERB
ihlr-16567	521	22	a	a	DET
ihlr-16567	521	23	"	"	PUNCT
ihlr-16567	521	24	separate	separate	ADJ
ihlr-16567	521	25	peace	peace	NOUN
ihlr-16567	521	26	"	"	PUNCT
ihlr-16567	521	27	in	in	ADP
ihlr-16567	521	28	which	which	PRON
ihlr-16567	521	29	they	they	PRON
ihlr-16567	521	30	receive	receive	VERB
ihlr-16567	521	31	generous	generous	ADJ
ihlr-16567	521	32	updates	update	NOUN
ihlr-16567	521	33	but	but	CCONJ
ihlr-16567	521	34	oth­	oth­	ADJ
ihlr-16567	521	35	ers	er	NOUN
ihlr-16567	521	36	do	do	VERB
ihlr-16567	521	37	not	not	PART
ihlr-16567	521	38	.	.	PUNCT
ihlr-16567	522	1	indeed	indeed	ADV
ihlr-16567	522	2	,	,	PUNCT
ihlr-16567	522	3	such	such	DET
ihlr-16567	522	4	a	a	DET
ihlr-16567	522	5	dynamic	dynamic	NOUN
ihlr-16567	522	6	was	be	AUX
ihlr-16567	522	7	reportedly	reportedly	ADV
ihlr-16567	522	8	at	at	ADP
ihlr-16567	522	9	work	work	NOUN
ihlr-16567	522	10	in	in	ADP
ihlr-16567	522	11	the	the	DET
ihlr-16567	522	12	lobbying	lobbying	NOUN
ihlr-16567	522	13	by	by	ADP
ihlr-16567	522	14	doctors	doctor	NOUN
ihlr-16567	522	15	from	from	ADP
ihlr-16567	522	16	minnesota	minnesota	PROPN
ihlr-16567	522	17	and	and	CCONJ
ihlr-16567	522	18	wisconsin	wisconsin	PROPN
ihlr-16567	522	19	for	for	ADP
ihlr-16567	522	20	inclusion	inclusion	NOUN
ihlr-16567	522	21	of	of	ADP
ihlr-16567	522	22	section	section	NOUN
ihlr-16567	522	23	304	304	NUM
ihlr-16567	522	24	in	in	ADP
ihlr-16567	522	25	the	the	DET
ihlr-16567	522	26	champ	champ	NOUN
ihlr-16567	522	27	act.65	act.65	PROPN
ihlr-16567	522	28	•	•	ADP
ihlr-16567	522	29	cms	cms	NOUN
ihlr-16567	522	30	could	could	AUX
ihlr-16567	522	31	formally	formally	ADV
ihlr-16567	522	32	invite	invite	VERB
ihlr-16567	522	33	groups	group	NOUN
ihlr-16567	522	34	of	of	ADP
ihlr-16567	522	35	physicians	physician	NOUN
ihlr-16567	522	36	to	to	PART
ihlr-16567	522	37	carve	carve	VERB
ihlr-16567	522	38	them­	them­	DET
ihlr-16567	522	39	selves	self	NOUN
ihlr-16567	522	40	out	out	ADP
ihlr-16567	522	41	of	of	ADP
ihlr-16567	522	42	the	the	DET
ihlr-16567	522	43	nationwide	nationwide	ADJ
ihlr-16567	522	44	sgr	sgr	PROPN
ihlr-16567	522	45	pool	pool	NOUN
ihlr-16567	522	46	into	into	ADP
ihlr-16567	522	47	smaller	small	ADJ
ihlr-16567	522	48	pools	pool	NOUN
ihlr-16567	522	49	on	on	ADP
ihlr-16567	522	50	a	a	DET
ihlr-16567	522	51	pilot64	pilot64	NOUN
ihlr-16567	522	52	.	.	PUNCT
ihlr-16567	523	1	cathy	cathy	PROPN
ihlr-16567	523	2	schoen	schoen	PROPN
ihlr-16567	523	3	,	,	PUNCT
ihlr-16567	523	4	·	·	PUNCT
ihlr-16567	523	5	et	et	PROPN
ihlr-16567	523	6	al	al	PROPN
ihlr-16567	523	7	.	.	PROPN
ihlr-16567	523	8	,	,	PUNCT
ihlr-16567	523	9	bending	bend	VERB
ihlr-16567	523	10	the	the	DET
ihlr-16567	523	11	curve	curve	NOUN
ihlr-16567	523	12	:	:	PUNCT
ihlr-16567	523	13	options	option	NOUN
ihlr-16567	523	14	for	for	ADP
ihlr-16567	523	15	achieving	achieve	VERB
ihlr-16567	523	16	savings	saving	NOUN
ihlr-16567	523	17	and	and	CCONJ
ihlr-16567	523	18	im­	im­	NOUN
ihlr-16567	523	19	proving	prove	VERB
ihlr-16567	523	20	value	value	NOUN
ihlr-16567	523	21	in	in	ADP
ihlr-16567	523	22	u.s	u.s	PROPN
ihlr-16567	523	23	.	.	PROPN
ihlr-16567	523	24	health	health	NOUN
ihlr-16567	523	25	spending	spending	NOUN
ihlr-16567	523	26	,	,	PUNCT
ihlr-16567	523	27	80	80	NUM
ihlr-16567	523	28	the	the	DET
ihlr-16567	523	29	commonwealth	commonwealth	PROPN
ihlr-16567	523	30	fund	fund	PROPN
ihlr-16567	523	31	1	1	NUM
ihlr-16567	523	32	,	,	PUNCT
ihlr-16567	523	33	59	59	NUM
ihlr-16567	523	34	(	(	PUNCT
ihlr-16567	523	35	2007	2007	NUM
ihlr-16567	523	36	)	)	PUNCT
ihlr-16567	523	37	.	.	PUNCT
ihlr-16567	524	1	65	65	NUM
ihlr-16567	524	2	,	,	PUNCT
ihlr-16567	524	3	·	·	PUNCT
ihlr-16567	524	4	champ	champ	NOUN
ihlr-16567	524	5	would	would	AUX
ihlr-16567	524	6	provide	provide	VERB
ihlr-16567	524	7	5	5	NUM
ihlr-16567	524	8	percent	percent	NOUN
ihlr-16567	524	9	ffs	ffs	NOUN
ihlr-16567	524	10	bonus	bonus	NOUN
ihlr-16567	524	11	for	for	ADP
ihlr-16567	524	12	efficient	efficient	ADJ
ihlr-16567	524	13	providers	provider	NOUN
ihlr-16567	524	14	,	,	PUNCT
ihlr-16567	524	15	inside	inside	ADP
ihlr-16567	524	16	cms	cms	PROPN
ihlr-16567	524	17	,	,	PUNCT
ihlr-16567	524	18	aug	aug	PROPN
ihlr-16567	524	19	.	.	PROPN
ihlr-16567	524	20	9	9	NUM
ihlr-16567	524	21	,	,	PUNCT
ihlr-16567	524	22	2007	2007	NUM
ihlr-16567	524	23	,	,	PUNCT
ihlr-16567	524	24	2007	2007	NUM
ihlr-16567	524	25	wlnr	wlnr	PROPN
ihlr-16567	524	26	15338105	15338105	NUM
ihlr-16567	524	27	..	..	PUNCT
ihlr-16567	525	1	2010	2010	NUM
ihlr-16567	525	2	]	]	PUNCT
ihlr-16567	525	3	••shared	••share	VERB
ihlr-16567	525	4	accountabilfly	accountabilfly	ADV
ihlr-16567	525	5	"	"	PUNCT
ihlr-16567	525	6	approach	approach	NOUN
ihlr-16567	525	7	215	215	NUM
ihlr-16567	525	8	program	program	NOUN
ihlr-16567	525	9	basis	basis	NOUN
ihlr-16567	525	10	.	.	PUNCT
ihlr-16567	526	1	crosson	crosson	NOUN
ihlr-16567	526	2	has	have	AUX
ihlr-16567	526	3	proposed	propose	VERB
ihlr-16567	526	4	such	such	DET
ihlr-16567	526	5	a	a	DET
ihlr-16567	526	6	mechanism	mechanism	NOUN
ihlr-16567	526	7	,	,	PUNCT
ihlr-16567	526	8	in	in	ADP
ihlr-16567	526	9	which	which	PRON
ihlr-16567	526	10	physicians	physician	NOUN
ihlr-16567	526	11	in	in	ADP
ihlr-16567	526	12	multi	multi	ADJ
ihlr-16567	526	13	-	-	ADJ
ihlr-16567	526	14	specialty	specialty	ADJ
ihlr-16567	526	15	group	group	NOUN
ihlr-16567	526	16	practices	practice	NOUN
ihlr-16567	526	17	who	who	PRON
ihlr-16567	526	18	care	care	VERB
ihlr-16567	526	19	for	for	ADP
ihlr-16567	526	20	medicare	medicare	PROPN
ihlr-16567	526	21	beneficiaries	beneficiary	NOUN
ihlr-16567	526	22	on	on	ADP
ihlr-16567	526	23	a	a	DET
ihlr-16567	526	24	fee	fee	NOUN
ihlr-16567	526	25	-	-	PUNCT
ihlr-16567	526	26	for	for	ADP
ihlr-16567	526	27	-	-	PUNCT
ihlr-16567	526	28	service	service	NOUN
ihlr-16567	526	29	basis	basis	NOUN
ihlr-16567	526	30	could	could	AUX
ihlr-16567	526	31	apply	apply	VERB
ihlr-16567	526	32	for	for	ADP
ihlr-16567	526	33	inclusion	inclusion	NOUN
ihlr-16567	526	34	in	in	ADP
ihlr-16567	526	35	a	a	DET
ihlr-16567	526	36	separate	separate	ADJ
ihlr-16567	526	37	pool	pool	NOUN
ihlr-16567	526	38	upon	upon	SCONJ
ihlr-16567	526	39	"	"	PUNCT
ihlr-16567	526	40	demonstrated	demonstrate	VERB
ihlr-16567	526	41	ability	ability	NOUN
ihlr-16567	526	42	to	to	PART
ihlr-16567	526	43	use	use	VERB
ihlr-16567	526	44	evidence	evidence	NOUN
ihlr-16567	526	45	-	-	PUNCT
ihlr-16567	526	46	based	base	VERB
ihlr-16567	526	47	medicine	medicine	NOUN
ihlr-16567	526	48	and	and	CCONJ
ihlr-16567	526	49	other	other	ADJ
ihlr-16567	526	50	systematic	systematic	ADJ
ihlr-16567	526	51	processes	process	NOUN
ihlr-16567	526	52	of	of	ADP
ihlr-16567	526	53	care	care	NOUN
ihlr-16567	526	54	;	;	PUNCT
ihlr-16567	526	55	electronic	electronic	ADJ
ihlr-16567	526	56	medical	medical	ADJ
ihlr-16567	526	57	information	information	NOUN
ihlr-16567	526	58	capabilities	capability	NOUN
ihlr-16567	526	59	;	;	PUNCT
ihlr-16567	526	60	the	the	DET
ihlr-16567	526	61	use	use	NOUN
ihlr-16567	526	62	of	of	ADP
ihlr-16567	526	63	systematic	systematic	ADJ
ihlr-16567	526	64	quality	quality	NOUN
ihlr-16567	526	65	of.care	of.care	ADP
ihlr-16567	526	66	im­	im­	NOUN
ihlr-16567	526	67	provement	provement	NOUN
ihlr-16567	526	68	techniques	technique	NOUN
ihlr-16567	526	69	;	;	PUNCT
ihlr-16567	526	70	responsible	responsible	ADJ
ihlr-16567	526	71	physician	physician	NOUN
ihlr-16567	526	72	compensation	compensation	NOUN
ihlr-16567	526	73	practic­	practic­	PROPN
ihlr-16567	526	74	es	es	NOUN
ihlr-16567	526	75	;	;	PUNCT
ihlr-16567	526	76	and	and	CCONJ
ihlr-16567	526	77	the	the	DET
ihlr-16567	526	78	willingness	willingness	NOUN
ihlr-16567	526	79	to	to	PART
ihlr-16567	526	80	be	be	AUX
ihlr-16567	526	81	part	part	NOUN
ihlr-16567	526	82	of	of	ADP
ihlr-16567	526	83	a	a	DET
ihlr-16567	526	84	collective	collective	ADJ
ihlr-16567	526	85	,	,	PUNCT
ihlr-16567	526	86	transparent	transparent	ADJ
ihlr-16567	526	87	mom­	mom­	NOUN
ihlr-16567	526	88	monitoring	monitoring	NOUN
ihlr-16567	526	89	and	and	CCONJ
ihlr-16567	526	90	improvement	improvement	NOUN
ihlr-16567	526	91	process	process	NOUN
ihlr-16567	526	92	.	.	PUNCT
ihlr-16567	527	1	'.66	'.66	PROPN
ihlr-16567	527	2	as	as	SCONJ
ihlr-16567	527	3	noted	note	VERB
ihlr-16567	527	4	earlier	early	ADV
ihlr-16567	527	5	,	,	PUNCT
ihlr-16567	527	6	there	there	PRON
ihlr-16567	527	7	are	be	VERB
ihlr-16567	527	8	a	a	DET
ihlr-16567	527	9	number	number	NOUN
ihlr-16567	527	10	of	of	ADP
ihlr-16567	527	11	population	population	NOUN
ihlr-16567	527	12	-	-	PUNCT
ihlr-16567	527	13	level	level	NOUN
ihlr-16567	527	14	measures	measure	NOUN
ihlr-16567	527	15	that	that	PRON
ihlr-16567	527	16	can	can	AUX
ihlr-16567	527	17	be	be	AUX
ihlr-16567	527	18	used	use	VERB
ihlr-16567	527	19	to	to	PART
ihlr-16567	527	20	evaluate	evaluate	VERB
ihlr-16567	527	21	the	the	DET
ihlr-16567	527	22	efficiency	efficiency	NOUN
ihlr-16567	527	23	and	and	CCONJ
ihlr-16567	527	24	quality	quality	NOUN
ihlr-16567	527	25	of	of	ADP
ihlr-16567	527	26	health	health	NOUN
ihlr-16567	527	27	care	care	NOUN
ihlr-16567	527	28	.	.	PUNCT
ihlr-16567	528	1	officials	official	NOUN
ihlr-16567	528	2	or	or	CCONJ
ihlr-16567	528	3	stakeholders	stakeholder	NOUN
ihlr-16567	528	4	could	could	AUX
ihlr-16567	528	5	construct	construct	VERB
ihlr-16567	528	6	grids	grid	NOUN
ihlr-16567	528	7	plotting	plot	VERB
ihlr-16567	528	8	each	each	DET
ihlr-16567	528	9	state	state	NOUN
ihlr-16567	528	10	's	's	PART
ihlr-16567	528	11	efficiency	efficiency	NOUN
ihlr-16567	528	12	measures	measure	NOUN
ihlr-16567	528	13	on	on	ADP
ihlr-16567	528	14	one	one	NUM
ihlr-16567	528	15	axis	axis	NOUN
ihlr-16567	528	16	and	and	CCONJ
ihlr-16567	528	17	quality	quality	NOUN
ihlr-16567	528	18	measures	measure	NOUN
ihlr-16567	528	19	on	on	ADP
ihlr-16567	528	20	another	another	DET
ihlr-16567	528	21	axis	axis	NOUN
ihlr-16567	528	22	.	.	PUNCT
ihlr-16567	529	1	the	the	DET
ihlr-16567	529	2	resulting	result	VERB
ihlr-16567	529	3	matrix	matrix	NOUN
ihlr-16567	529	4	,	,	PUNCT
ihlr-16567	529	5	if	if	SCONJ
ihlr-16567	529	6	plotting	plot	VERB
ihlr-16567	529	7	increased	increase	VERB
ihlr-16567	529	8	efficiency	efficiency	NOUN
ihlr-16567	529	9	from	from	ADP
ihlr-16567	529	10	left	leave	VERB
ihlr-16567	529	11	to	to	ADP
ihlr-16567	529	12	right	right	ADV
ihlr-16567	529	13	on	on	ADP
ihlr-16567	529	14	the	the	DET
ihlr-16567	529	15	x	x	NOUN
ihlr-16567	529	16	axis	axis	NOUN
ihlr-16567	529	17	,	,	PUNCT
ihlr-16567	529	18	and	and	CCONJ
ihlr-16567	529	19	increased	increase	VERB
ihlr-16567	529	20	·	·	PUNCT
ihlr-16567	529	21	quality	quality	NOUN
ihlr-16567	529	22	from	from	ADP
ihlr-16567	529	23	top	top	NOUN
ihlr-16567	529	24	to	to	ADP
ihlr-16567	529	25	bottom	bottom	NOUN
ihlr-16567	529	26	on	on	ADP
ihlr-16567	529	27	the	the	DET
ihlr-16567	529	28	y	y	PROPN
ihlr-16567	529	29	axis	axis	NOUN
ihlr-16567	529	30	,	,	PUNCT
ihlr-16567	529	31	would	would	AUX
ihlr-16567	529	32	identify	identify	VERB
ihlr-16567	529	33	candidates	candidate	NOUN
ihlr-16567	529	34	for	for	ADP
ihlr-16567	529	35	me­	me­	NOUN
ihlr-16567	529	36	rit	rit	NOUN
ihlr-16567	529	37	increases	increase	NOUN
ihlr-16567	529	38	in	in	ADP
ihlr-16567	529	39	the	the	DET
ihlr-16567	529	40	upper	upper	ADJ
ihlr-16567	529	41	right	right	ADJ
ihlr-16567	529	42	quadrant	quadrant	NOUN
ihlr-16567	529	43	.	.	PUNCT
ihlr-16567	530	1	thus	thus	ADV
ihlr-16567	530	2	,	,	PUNCT
ihlr-16567	530	3	to	to	PART
ihlr-16567	530	4	apply	apply	VERB
ihlr-16567	530	5	crosson	crosson	NOUN
ihlr-16567	530	6	's	's	PART
ihlr-16567	530	7	example	example	NOUN
ihlr-16567	530	8	assuming	assume	VERB
ihlr-16567	530	9	a	a	DET
ihlr-16567	530	10	base	base	ADJ
ihlr-16567	530	11	level	level	NOUN
ihlr-16567	530	12	of	of	ADP
ihlr-16567	530	13	a	a	DET
ihlr-16567	530	14	positive	positive	ADJ
ihlr-16567	530	15	two	two	NUM
ihlr-16567	530	16	-	-	PUNCT
ihlr-16567	530	17	point	point	NOUN
ihlr-16567	530	18	update	update	NOUN
ihlr-16567	530	19	,	,	PUNCT
ihlr-16567	530	20	a	a	DET
ihlr-16567	530	21	first	first	ADJ
ihlr-16567	530	22	iteration	iteration	NOUN
ihlr-16567	530	23	of	of	ADP
ihlr-16567	530	24	a	a	DET
ihlr-16567	530	25	competitive	competitive	ADJ
ihlr-16567	530	26	dynamic	dynamic	ADJ
ihlr-16567	530	27	process	process	NOUN
ihlr-16567	530	28	could	could	AUX
ihlr-16567	530	29	make	make	VERB
ihlr-16567	530	30	states	state	NOUN
ihlr-16567	530	31	in	in	ADP
ihlr-16567	530	32	the	the	DET
ihlr-16567	530	33	upper	upper	ADJ
ihlr-16567	530	34	right	right	NOUN
ihlr-16567	530	35	quadrant	quadrant	NOUN
ihlr-16567	530	36	eligible	eligible	ADJ
ihlr-16567	530	37	for	for	ADP
ihlr-16567	530	38	three	three	NUM
ihlr-16567	530	39	point	point	NOUN
ihlr-16567	530	40	updates	update	NOUN
ihlr-16567	530	41	,	,	PUNCT
ihlr-16567	530	42	and	and	CCONJ
ihlr-16567	530	43	states	state	NOUN
ihlr-16567	530	44	in	in	ADP
ihlr-16567	530	45	the	the	DET
ihlr-16567	530	46	lower	low	ADJ
ihlr-16567	530	47	left	left	ADJ
ihlr-16567	530	48	quadrant	quadrant	NOUN
ihlr-16567	530	49	rele­	rele­	SCONJ
ihlr-16567	530	50	gated	gate	VERB
ihlr-16567	530	51	to	to	ADP
ihlr-16567	530	52	one	one	NUM
ihlr-16567	530	53	-	-	PUNCT
ihlr-16567	530	54	point	point	NOUN
ihlr-16567	530	55	updates	update	NOUN
ihlr-16567	530	56	.	.	PUNCT
ihlr-16567	531	1	in	in	ADP
ihlr-16567	531	2	a	a	DET
ihlr-16567	531	3	second	second	ADJ
ihlr-16567	531	4	iteration	iteration	NOUN
ihlr-16567	531	5	,	,	PUNCT
ihlr-16567	531	6	doctors	doctor	NOUN
ihlr-16567	531	7	who	who	PRON
ihlr-16567	531	8	believed	believe	VERB
ihlr-16567	531	9	that	that	SCONJ
ihlr-16567	531	10	they	they	PRON
ihlr-16567	531	11	could	could	AUX
ihlr-16567	531	12	outperform	outperform	VERB
ihlr-16567	531	13	same	same	ADJ
ihlr-16567	531	14	-	-	PUNCT
ihlr-16567	531	15	state	state	NOUN
ihlr-16567	531	16	peers	peer	NOUN
ihlr-16567	531	17	might	might	AUX
ihlr-16567	531	18	feel	feel	VERB
ihlr-16567	531	19	challenged	challenge	VERB
ihlr-16567	531	20	to	to	PART
ihlr-16567	531	21	form	form	VERB
ihlr-16567	531	22	some	some	DET
ihlr-16567	531	23	type	type	NOUN
ihlr-16567	531	24	of	of	ADP
ihlr-16567	531	25	cohesive	cohesive	ADJ
ihlr-16567	531	26	group	group	NOUN
ihlr-16567	531	27	that	that	PRON
ihlr-16567	531	28	would	would	AUX
ihlr-16567	531	29	cooperate	cooperate	VERB
ihlr-16567	531	30	to	to	PART
ihlr-16567	531	31	improve	improve	VERB
ihlr-16567	531	32	performance	performance	NOUN
ihlr-16567	531	33	and	and	CCONJ
ihlr-16567	531	34	set	set	VERB
ihlr-16567	531	35	itself	itself	PRON
ihlr-16567	531	36	apart	apart	ADV
ihlr-16567	531	37	from	from	ADP
ihlr-16567	531	38	the	the	DET
ihlr-16567	531	39	larger	large	ADJ
ihlr-16567	531	40	group	group	NOUN
ihlr-16567	531	41	to	to	PART
ihlr-16567	531	42	earn	earn	VERB
ihlr-16567	531	43	a	a	DET
ihlr-16567	531	44	more	more	ADV
ihlr-16567	531	45	favorable	favorable	ADJ
ihlr-16567	531	46	update	update	NOUN
ihlr-16567	531	47	.	.	PUNCT
ihlr-16567	532	1	the	the	DET
ihlr-16567	532	2	following	follow	VERB
ihlr-16567	532	3	illustrations	illustration	NOUN
ihlr-16567	532	4	draw	draw	VERB
ihlr-16567	532	5	upon	upon	SCONJ
ihlr-16567	532	6	examples	example	NOUN
ihlr-16567	532	7	described	describe	VERB
ihlr-16567	532	8	earlier	early	ADV
ihlr-16567	532	9	in	in	ADP
ihlr-16567	532	10	this	this	DET
ihlr-16567	532	11	paper	paper	NOUN
ihlr-16567	532	12	.	.	PUNCT
ihlr-16567	532	13	imagine	imagine	VERB
ihlr-16567	532	14	that	that	SCONJ
ihlr-16567	532	15	the	the	DET
ihlr-16567	532	16	state	state	NOUN
ihlr-16567	532	17	of	of	ADP
ihlr-16567	532	18	new	new	PROPN
ihlr-16567	532	19	guernsey	guernsey	PROPN
ihlr-16567	532	20	falls	fall	VERB
ihlr-16567	532	21	in	in	ADP
ihlr-16567	532	22	the	the	DET
ihlr-16567	532	23	middle	middle	NOUN
ihlr-16567	532	24	and	and	CCONJ
ihlr-16567	532	25	has	have	AUX
ihlr-16567	532	26	been	be	AUX
ihlr-16567	532	27	identified	identify	VERB
ihlr-16567	532	28	by	by	ADP
ihlr-16567	532	29	policymakers	policymaker	NOUN
ihlr-16567	532	30	or	or	CCONJ
ihlr-16567	532	31	stakeholders	stakeholder	NOUN
ihlr-16567	532	32	as	as	ADP
ihlr-16567	532	33	deserving	deserve	VERB
ihlr-16567	532	34	of	of	ADP
ihlr-16567	532	35	a	a	DET
ihlr-16567	532	36	two	two	NUM
ihlr-16567	532	37	percentage	percentage	NOUN
ihlr-16567	532	38	point	point	NOUN
ihlr-16567	532	39	update	update	NOUN
ihlr-16567	532	40	.	.	PUNCT
ihlr-16567	532	41	.	.	PUNCT
ihlr-16567	533	1	•	•	NUM
ihlr-16567	533	2	representatives	representative	NOUN
ihlr-16567	533	3	of	of	ADP
ihlr-16567	533	4	the	the	DET
ihlr-16567	533	5	new	new	PROPN
ihlr-16567	533	6	guernsey	guernsey	PROPN
ihlr-16567	533	7	state	state	PROPN
ihlr-16567	533	8	medical	medical	PROPN
ihlr-16567	533	9	society	society	PROPN
ihlr-16567	533	10	organ­	organ­	ADV
ihlr-16567	533	11	ize	ize	PROPN
ihlr-16567	533	12	a	a	DET
ihlr-16567	533	13	meeting	meeting	NOUN
ihlr-16567	533	14	with	with	ADP
ihlr-16567	533	15	their	their	PRON
ihlr-16567	533	16	state	state	NOUN
ihlr-16567	533	17	's	's	PART
ihlr-16567	533	18	congressional	congressional	ADJ
ihlr-16567	533	19	delegation	delegation	NOUN
ihlr-16567	533	20	.	.	PUNCT
ihlr-16567	534	1	the	the	DET
ihlr-16567	534	2	doc­	doc­	PROPN
ihlr-16567	534	3	tors	tor	NOUN
ihlr-16567	534	4	are	be	AUX
ihlr-16567	534	5	upset	upset	ADJ
ihlr-16567	534	6	because	because	SCONJ
ihlr-16567	534	7	their	their	PRON
ihlr-16567	534	8	quality	quality	NOUN
ihlr-16567	534	9	ratings	rating	NOUN
ihlr-16567	534	10	place	place	VERB
ihlr-16567	534	11	them	they	PRON
ihlr-16567	534	12	in	in	ADP
ihlr-16567	534	13	the	the	DET
ihlr-16567	534	14	upper	upper	ADJ
ihlr-16567	534	15	tier	tier	NOUN
ihlr-16567	534	16	on	on	ADP
ihlr-16567	534	17	that	that	DET
ihlr-16567	534	18	dimension	dimension	NOUN
ihlr-16567	534	19	yet	yet	ADV
ihlr-16567	534	20	they	they	PRON
ihlr-16567	534	21	are	be	AUX
ihlr-16567	534	22	being	be	AUX
ihlr-16567	534	23	denied	deny	VERB
ihlr-16567	534	24	a	a	DET
ihlr-16567	534	25	three	three	NUM
ihlr-16567	534	26	-	-	PUNCT
ihlr-16567	534	27	point	point	NOUN
ihlr-16567	534	28	up­	up­	NOUN
ihlr-16567	534	29	date	date	NOUN
ihlr-16567	534	30	due	due	ADP
ihlr-16567	534	31	to	to	ADP
ihlr-16567	534	32	inefficiency	inefficiency	NOUN
ihlr-16567	534	33	.	.	PUNCT
ihlr-16567	535	1	they	they	PRON
ihlr-16567	535	2	inform	inform	VERB
ihlr-16567	535	3	their	their	PRON
ihlr-16567	535	4	represtrr	represtrr	NOUN
ihlr-16567	535	5	~	~	PUNCT
ihlr-16567	535	6	tatives	tative	NOUN
ihlr-16567	535	7	that	that	SCONJ
ihlr-16567	535	8	if	if	SCONJ
ihlr-16567	535	9	they	they	PRON
ihlr-16567	535	10	do	do	AUX
ihlr-16567	535	11	not	not	PART
ihlr-16567	535	12	receive	receive	VERB
ihlr-16567	535	13	the	the	DET
ihlr-16567	535	14	three	three	NUM
ihlr-16567	535	15	-	-	PUNCT
ihlr-16567	535	16	point	point	NOUN
ihlr-16567	535	17	update	update	NOUN
ihlr-16567	535	18	,	,	PUNCT
ihlr-16567	535	19	doctors	doctor	NOUN
ihlr-16567	535	20	may	may	AUX
ihlr-16567	535	21	have	have	AUX
ihlr-16567	535	22	to	to	PART
ihlr-16567	535	23	stop	stop	VERB
ihlr-16567	535	24	seeing	see	VERB
ihlr-16567	535	25	medicare	medicare	PROPN
ihlr-16567	535	26	_	_	ADP
ihlr-16567	535	27	patients	patient	NOUN
ihlr-16567	535	28	.	.	PUNCT
ihlr-16567	536	1	senator	senator	PROPN
ihlr-16567	536	2	burton	burton	PROPN
ihlr-16567	536	3	responds	respond	VERB
ihlr-16567	536	4	by	by	ADP
ihlr-16567	536	5	.	.	PUNCT
ihlr-16567	537	1	noting	note	VERB
ihlr-16567	537	2	that	that	SCONJ
ihlr-16567	537	3	in	in	ADP
ihlr-16567	537	4	states	state	NOUN
ihlr-16567	537	5	receiving	receive	VERB
ihlr-16567	537	6	three	three	NUM
ihlr-16567	537	7	point	point	NOUN
ihlr-16567	537	8	updates	update	NOUN
ihlr-16567	537	9	,	,	PUNCT
ihlr-16567	537	10	medicare	medicare	PROPN
ihlr-16567	537	11	beneficiaries	beneficiary	NOUN
ihlr-16567	537	12	pay	pay	VERB
ihlr-16567	537	13	substantially	substantially	ADV
ihlr-16567	537	14	less	less	ADJ
ihlr-16567	537	15	in	in	ADP
ihlr-16567	537	16	coinsurance	coinsurance	NOUN
ihlr-16567	537	17	,	,	PUNCT
ihlr-16567	537	18	and	and	CCONJ
ihlr-16567	537	19	that	that	SCONJ
ihlr-16567	537	20	if	if	SCONJ
ihlr-16567	537	21	new	new	ADJ
ihlr-16567	537	22	guernsey	guernsey	PROPN
ihlr-16567	537	23	doctors	doctor	NOUN
ihlr-16567	537	24	received	receive	VERB
ihlr-16567	537	25	the	the	DET
ihlr-16567	537	26	three	three	NUM
ihlr-16567	537	27	-	-	PUNCT
ihlr-16567	537	28	point	point	NOUN
ihlr-16567	537	29	update	update	NOUN
ihlr-16567	537	30	,	,	PUNCT
ihlr-16567	537	31	his	his	PRON
ihlr-16567	537	32	constituents	constituent	NOUN
ihlr-16567	537	33	would	would	AUX
ihlr-16567	537	34	pay	pay	VERB
ihlr-16567	537	35	the	the	DET
ihlr-16567	537	36	highest	high	ADJ
ihlr-16567	537	37	average	average	ADJ
ihlr-16567	537	38	coinsurance	coinsurance	NOUN
ihlr-16567	537	39	among	among	ADP
ihlr-16567	537	40	the	the	DET
ihlr-16567	537	41	50	50	NUM
ihlr-16567	537	42	states	state	NOUN
ihlr-16567	537	43	.	.	PUNCT
ihlr-16567	538	1	the	the	DET
ihlr-16567	538	2	congression66	congression66	NOUN
ihlr-16567	538	3	.	.	PUNCT
ihlr-16567	539	1	crosson	crosson	PROPN
ihlr-16567	539	2	,	,	PUNCT
ihlr-16567	539	3	supra	supra	PROPN
ihlr-16567	539	4	note	note	PROPN
ihlr-16567	539	5	58	58	NUM
ihlr-16567	539	6	.	.	PUNCT
ihlr-16567	540	1	see	see	VERB
ihlr-16567	540	2	also	also	ADV
ihlr-16567	540	3	laura	laura	PROPN
ihlr-16567	540	4	a.	a.	PROPN
ihlr-16567	540	5	dummit	dummit	PROPN
ihlr-16567	540	6	,	,	PUNCT
ihlr-16567	540	7	updating	update	VERB
ihlr-16567	540	8	medicare	medicare	PROPN
ihlr-16567	540	9	's	's	PART
ihlr-16567	540	10	physi­	physi­	PROPN
ihlr-16567	540	11	cian	cian	NOUN
ihlr-16567	540	12	fees	fee	NOUN
ihlr-16567	540	13	:	:	PUNCT
ihlr-16567	540	14	the	the	DET
ihlr-16567	540	15	sustainable	sustainable	ADJ
ihlr-16567	540	16	growth	growth	NOUN
ihlr-16567	540	17	rate	rate	NOUN
ihlr-16567	540	18	methodology	methodology	NOUN
ihlr-16567	540	19	,	,	PUNCT
ihlr-16567	540	20	818	818	NUM
ihlr-16567	540	21	nat'l	nat'l	NOUN
ihlr-16567	540	22	health	health	NOUN
ihlr-16567	540	23	pol'y	pol'y	NOUN
ihlr-16567	540	24	f.1	f.1	NOUN
ihlr-16567	540	25	(	(	PUNCT
ihlr-16567	540	26	2006	2006	NUM
ihlr-16567	540	27	)	)	PUNCT
ihlr-16567	540	28	;	;	PUNCT
ihlr-16567	540	29	mark	mark	PROPN
ihlr-16567	540	30	mcclellan	mcclellan	PROPN
ihlr-16567	540	31	,	,	PUNCT
ihlr-16567	540	32	medicare	medicare	PROPN
ihlr-16567	540	33	payment	payment	NOUN
ihlr-16567	540	34	for	for	ADP
ihlr-16567	540	35	high	high	ADJ
ihlr-16567	540	36	-	-	PUNCT
ihlr-16567	540	37	quality	quality	NOUN
ihlr-16567	540	38	,	,	PUNCT
ihlr-16567	540	39	efficient	efficient	ADJ
ihlr-16567	540	40	care	care	NOUN
ihlr-16567	540	41	,	,	PUNCT
ihlr-16567	540	42	presenta­	presenta­	PRON
ihlr-16567	540	43	tion	tion	NOUN
ihlr-16567	540	44	at	at	ADP
ihlr-16567	540	45	fifteenth	fifteenth	PROPN
ihlr-16567	540	46	princeton	princeton	PROPN
ihlr-16567	540	47	conference	conference	PROPN
ihlr-16567	540	48	on	on	ADP
ihlr-16567	540	49	health	health	NOUN
ihlr-16567	540	50	care	care	NOUN
ihlr-16567	540	51	economics	economic	NOUN
ihlr-16567	540	52	and	and	CCONJ
ihlr-16567	540	53	policy	policy	NOUN
ihlr-16567	540	54	(	(	PUNCT
ihlr-16567	540	55	may	may	PROPN
ihlr-16567	540	56	28	28	NUM
ihlr-16567	540	57	,	,	PUNCT
ihlr-16567	540	58	2008	2008	NUM
ihlr-16567	540	59	)	)	PUNCT
ihlr-16567	540	60	.	.	PUNCT
ihlr-16567	541	1	216	216	NUM
ihlr-16567	541	2	indiana	indiana	PROPN
ihlr-16567	541	3	health	health	PROPN
ihlr-16567	541	4	law	law	NOUN
ihlr-16567	541	5	revffiw	revffiw	VERB
ihlr-16567	541	6	[	[	X
ihlr-16567	541	7	vol	vol	NOUN
ihlr-16567	541	8	7:185	7:185	X
ihlr-16567	541	9	al	al	PROPN
ihlr-16567	541	10	delegation	delegation	NOUN
ihlr-16567	541	11	tells	tell	VERB
ihlr-16567	541	12	the	the	DET
ihlr-16567	541	13	doctors	doctor	NOUN
ihlr-16567	541	14	to	to	PART
ihlr-16567	541	15	develop	develop	VERB
ihlr-16567	541	16	a	a	DET
ihlr-16567	541	17	plan	plan	NOUN
ihlr-16567	541	18	for	for	ADP
ihlr-16567	541	19	increased	increase	VERB
ihlr-16567	541	20	effi­	effi­	NOUN
ihlr-16567	541	21	ciency	ciency	NOUN
ihlr-16567	541	22	,	,	PUNCT
ihlr-16567	541	23	and	and	CCONJ
ihlr-16567	541	24	pledges	pledge	NOUN
ihlr-16567	541	25	that	that	SCONJ
ihlr-16567	541	26	if	if	SCONJ
ihlr-16567	541	27	the	the	DET
ihlr-16567	541	28	doctors	doctor	NOUN
ihlr-16567	541	29	can	can	AUX
ihlr-16567	541	30	show	show	VERB
ihlr-16567	541	31	progress	progress	NOUN
ihlr-16567	541	32	in	in	ADP
ihlr-16567	541	33	ing	ing	ADJ
ihlr-16567	541	34	costs	cost	NOUN
ihlr-16567	541	35	while	while	SCONJ
ihlr-16567	541	36	maintaining	maintain	VERB
ihlr-16567	541	37	quality	quality	NOUN
ihlr-16567	541	38	outcomes	outcome	NOUN
ihlr-16567	541	39	,	,	PUNCT
ihlr-16567	541	40	they	they	PRON
ihlr-16567	541	41	will	will	AUX
ihlr-16567	541	42	fight	fight	VERB
ihlr-16567	541	43	for	for	ADP
ihlr-16567	541	44	a	a	DET
ihlr-16567	541	45	full	full	ADJ
ihlr-16567	541	46	three	three	NUM
ihlr-16567	541	47	-	-	PUNCT
ihlr-16567	541	48	point	point	NOUN
ihlr-16567	541	49	update	update	NOUN
ihlr-16567	541	50	the	the	DET
ihlr-16567	541	51	following	following	ADJ
ihlr-16567	541	52	year	year	NOUN
ihlr-16567	541	53	.	.	PUNCT
ihlr-16567	542	1	•	•	NUM
ihlr-16567	542	2	dr	dr	PROPN
ihlr-16567	542	3	.	.	PROPN
ihlr-16567	542	4	brown	brown	PROPN
ihlr-16567	542	5	,	,	PUNCT
ihlr-16567	542	6	the	the	DET
ihlr-16567	542	7	solo	solo	NOUN
ihlr-16567	542	8	practitioner	practitioner	NOUN
ihlr-16567	542	9	in	in	ADP
ihlr-16567	542	10	central	central	ADJ
ihlr-16567	542	11	city	city	NOUN
ihlr-16567	542	12	who	who	PRON
ihlr-16567	542	13	has	have	AUX
ihlr-16567	542	14	been	be	AUX
ihlr-16567	542	15	con­	con­	NOUN
ihlr-16567	542	16	sistently	sistently	ADV
ihlr-16567	542	17	named	name	VERB
ihlr-16567	542	18	to	to	ADP
ihlr-16567	542	19	the	the	DET
ihlr-16567	542	20	top	top	ADJ
ihlr-16567	542	21	"	"	PUNCT
ihlr-16567	542	22	tier	tier	NOUN
ihlr-16567	542	23	"	"	PUNCT
ihlr-16567	542	24	of	of	ADP
ihlr-16567	542	25	insurers	insurer	NOUN
ihlr-16567	542	26	'	'	PART
ihlr-16567	542	27	provider	provider	NOUN
ihlr-16567	542	28	networks	network	NOUN
ihlr-16567	542	29	as­	as­	NOUN
ihlr-16567	542	30	sembles	semble	NOUN
ihlr-16567	542	31	other	other	ADJ
ihlr-16567	542	32	similar	similar	ADJ
ihlr-16567	542	33	practitioners	practitioner	NOUN
ihlr-16567	542	34	to	to	PART
ihlr-16567	542	35	form	form	VERB
ihlr-16567	542	36	a	a	DET
ihlr-16567	542	37	provisional	provisional	ADJ
ihlr-16567	542	38	ip	ip	NOUN
ihlr-16567	542	39	a.	a.	NOUN
ihlr-16567	542	40	the	the	DET
ihlr-16567	542	41	doctors	doctor	NOUN
ihlr-16567	542	42	sign	sign	VERB
ihlr-16567	542	43	onto	onto	ADP
ihlr-16567	542	44	a	a	DET
ihlr-16567	542	45	public	public	ADJ
ihlr-16567	542	46	letter	letter	NOUN
ihlr-16567	542	47	to	to	ADP
ihlr-16567	542	48	the	the	DET
ihlr-16567	542	49	state	state	NOUN
ihlr-16567	542	50	's	's	PART
ihlr-16567	542	51	congressional	congressional	ADJ
ihlr-16567	542	52	delega­	delega­	VERB
ihlr-16567	542	53	tion	tion	NOUN
ihlr-16567	542	54	and	and	CCONJ
ihlr-16567	542	55	beneficiary	beneficiary	NOUN
ihlr-16567	542	56	advocates	advocate	NOUN
ihlr-16567	542	57	promising	promise	VERB
ihlr-16567	542	58	that	that	SCONJ
ihlr-16567	542	59	they	they	PRON
ihlr-16567	542	60	can	can	AUX
ihlr-16567	542	61	outperform	outperform	VERB
ihlr-16567	542	62	the	the	DET
ihlr-16567	542	63	state	state	NOUN
ihlr-16567	542	64	's	's	PART
ihlr-16567	542	65	other	other	ADJ
ihlr-16567	542	66	doctors	doctor	NOUN
ihlr-16567	542	67	and	and	CCONJ
ihlr-16567	542	68	asking	ask	VERB
ihlr-16567	542	69	that	that	SCONJ
ihlr-16567	542	70	if	if	SCONJ
ihlr-16567	542	71	they	they	PRON
ihlr-16567	542	72	succeed	succeed	VERB
ihlr-16567	542	73	,	,	PUNCT
ihlr-16567	542	74	that	that	SCONJ
ihlr-16567	542	75	they	they	PRON
ihlr-16567	542	76	be	be	AUX
ihlr-16567	542	77	carved	carve	VERB
ihlr-16567	542	78	out	out	ADP
ihlr-16567	542	79	for	for	ADP
ihlr-16567	542	80	a	a	DET
ihlr-16567	542	81	higher	high	ADJ
ihlr-16567	542	82	update	update	NOUN
ihlr-16567	542	83	the	the	DET
ihlr-16567	542	84	following	following	ADJ
ihlr-16567	542	85	year	year	NOUN
ihlr-16567	542	86	.	.	PUNCT
ihlr-16567	543	1	senator	senator	PROPN
ihlr-16567	543	2	burton	burton	PROPN
ihlr-16567	543	3	secures	secure	VERB
ihlr-16567	543	4	passage	passage	NOUN
ihlr-16567	543	5	of	of	ADP
ihlr-16567	543	6	a	a	DET
ihlr-16567	543	7	bill	bill	NOUN
ihlr-16567	543	8	recognizing	recognize	VERB
ihlr-16567	543	9	the	the	DET
ihlr-16567	543	10	ip	ip	NOUN
ihlr-16567	543	11	a	a	PRON
ihlr-16567	543	12	as	as	ADP
ihlr-16567	543	13	an	an	DET
ihlr-16567	543	14	accountable	accountable	ADJ
ihlr-16567	543	15	care	care	NOUN
ihlr-16567	543	16	organization	organization	NOUN
ihlr-16567	543	17	and	and	CCONJ
ihlr-16567	543	18	ordering	order	VERB
ihlr-16567	543	19	cms	cms	PROPN
ihlr-16567	543	20	to	to	PART
ihlr-16567	543	21	assign	assign	VERB
ihlr-16567	543	22	the	the	DET
ihlr-16567	543	23	doctors	doctor	NOUN
ihlr-16567	543	24	'	'	PART
ihlr-16567	543	25	current	current	ADJ
ihlr-16567	543	26	and	and	CCONJ
ihlr-16567	543	27	future	future	ADJ
ihlr-16567	543	28	medicare	medicare	PROPN
ihlr-16567	543	29	patients	patient	NOUN
ihlr-16567	543	30	to	to	ADP
ihlr-16567	543	31	the	the	DET
ihlr-16567	543	32	aco	aco	PROPN
ihlr-16567	543	33	and	and	CCONJ
ihlr-16567	543	34	to	to	PART
ihlr-16567	543	35	collect	collect	VERB
ihlr-16567	543	36	risk	risk	NOUN
ihlr-16567	543	37	-	-	PUNCT
ihlr-16567	543	38	adjusted	adjust	VERB
ihlr-16567	543	39	statistics	statistic	NOUN
ihlr-16567	543	40	on	on	ADP
ihlr-16567	543	41	utilization	utilization	NOUN
ihlr-16567	543	42	and	and	CCONJ
ihlr-16567	543	43	outcomes	outcome	NOUN
ihlr-16567	543	44	for	for	ADP
ihlr-16567	543	45	the	the	DET
ihlr-16567	543	46	ipa	ipa	PROPN
ihlr-16567	543	47	's	's	PART
ihlr-16567	543	48	patient	patient	ADJ
ihlr-16567	543	49	popula­	popula­	ADJ
ihlr-16567	543	50	tion	tion	NOUN
ihlr-16567	543	51	over	over	ADP
ihlr-16567	543	52	the	the	DET
ihlr-16567	543	53	coming	come	VERB
ihlr-16567	543	54	year	year	NOUN
ihlr-16567	543	55	so	so	SCONJ
ihlr-16567	543	56	that	that	SCONJ
ihlr-16567	543	57	the	the	DET
ihlr-16567	543	58	doctors	doctor	NOUN
ihlr-16567	543	59	can	can	AUX
ihlr-16567	543	60	be	be	AUX
ihlr-16567	543	61	considered	consider	VERB
ihlr-16567	543	62	for	for	ADP
ihlr-16567	543	63	a	a	DET
ihlr-16567	543	64	separate	separate	ADJ
ihlr-16567	543	65	update	update	NOUN
ihlr-16567	543	66	calculation	calculation	NOUN
ihlr-16567	543	67	.	.	PUNCT
ihlr-16567	544	1	the	the	DET
ihlr-16567	544	2	competitive	competitive	ADJ
ihlr-16567	544	3	dynamic	dynamic	ADJ
ihlr-16567	544	4	approach	approach	NOUN
ihlr-16567	544	5	carries	carry	VERB
ihlr-16567	544	6	many	many	ADJ
ihlr-16567	544	7	intriguing	intriguing	ADJ
ihlr-16567	544	8	possibili­	possibili­	NOUN
ihlr-16567	544	9	ties	tie	NOUN
ihlr-16567	544	10	.	.	PUNCT
ihlr-16567	545	1	because	because	SCONJ
ihlr-16567	545	2	of	of	ADP
ihlr-16567	545	3	its	its	PRON
ihlr-16567	545	4	informality	informality	NOUN
ihlr-16567	545	5	,	,	PUNCT
ihlr-16567	545	6	it	it	PRON
ihlr-16567	545	7	could	could	AUX
ihlr-16567	545	8	be	be	AUX
ihlr-16567	545	9	used	use	VERB
ihlr-16567	545	10	immediately	immediately	ADV
ihlr-16567	545	11	-	-	PUNCT
ihlr-16567	545	12	beginning	beginning	NOUN
ihlr-16567	545	13	with	with	ADP
ihlr-16567	545	14	the	the	DET
ihlr-16567	545	15	current	current	ADJ
ihlr-16567	545	16	legislative	legislative	ADJ
ihlr-16567	545	17	cycle	cycle	NOUN
ihlr-16567	545	18	surrounding	surround	VERB
ihlr-16567	545	19	a	a	DET
ihlr-16567	545	20	"	"	PUNCT
ihlr-16567	545	21	fix	fix	NOUN
ihlr-16567	545	22	"	"	PUNCT
ihlr-16567	545	23	for	for	ADP
ihlr-16567	545	24	the	the	DET
ihlr-16567	545	25	sgr	sgr	PROPN
ihlr-16567	545	26	.	.	PUNCT
ihlr-16567	546	1	it	it	PRON
ihlr-16567	546	2	can	can	AUX
ihlr-16567	546	3	utilize	utilize	VERB
ihlr-16567	546	4	existing	exist	VERB
ihlr-16567	546	5	measures	measure	NOUN
ihlr-16567	546	6	for	for	ADP
ihlr-16567	546	7	assessing	assess	VERB
ihlr-16567	546	8	efficiency	efficiency	NOUN
ihlr-16567	546	9	,	,	PUNCT
ihlr-16567	546	10	quality	quality	NOUN
ihlr-16567	546	11	,	,	PUNCT
ihlr-16567	546	12	and	and	CCONJ
ihlr-16567	546	13	patient­	patient­	NOUN
ihlr-16567	546	14	centeredness	centeredness	NOUN
ihlr-16567	546	15	(	(	PUNCT
ihlr-16567	546	16	although	although	SCONJ
ihlr-16567	546	17	there	there	PRON
ihlr-16567	546	18	likely	likely	ADV
ihlr-16567	546	19	would	would	AUX
ihlr-16567	546	20	be	be	AUX
ihlr-16567	546	21	disagreement	disagreement	ADJ
ihlr-16567	546	22	over	over	ADP
ihlr-16567	546	23	exactly	exactly	ADV
ihlr-16567	546	24	which	which	DET
ihlr-16567	546	25	measures	measure	NOUN
ihlr-16567	546	26	to	to	PART
ihlr-16567	546	27	use	use	VERB
ihlr-16567	546	28	and	and	CCONJ
ihlr-16567	546	29	how	how	SCONJ
ihlr-16567	546	30	to	to	PART
ihlr-16567	546	31	weight	weight	VERB
ihlr-16567	546	32	them	they	PRON
ihlr-16567	546	33	)	)	PUNCT
ihlr-16567	546	34	.	.	PUNCT
ihlr-16567	547	1	by	by	ADP
ihlr-16567	547	2	localizing	localize	VERB
ihlr-16567	547	3	medicare	medicare	PROPN
ihlr-16567	547	4	policy	policy	NOUN
ihlr-16567	547	5	,	,	PUNCT
ihlr-16567	547	6	it	it	PRON
ihlr-16567	547	7	would	would	AUX
ihlr-16567	547	8	air	air	VERB
ihlr-16567	547	9	the	the	DET
ihlr-16567	547	10	interests	interest	NOUN
ihlr-16567	547	11	and	and	CCONJ
ihlr-16567	547	12	viewpoints	viewpoint	NOUN
ihlr-16567	547	13	of	of	ADP
ihlr-16567	547	14	local	local	ADJ
ihlr-16567	547	15	stakeholders­	stakeholders­	PROPN
ihlr-16567	547	16	including	include	VERB
ihlr-16567	547	17	beneficiaries	beneficiary	NOUN
ihlr-16567	547	18	-	-	PUNCT
ihlr-16567	547	19	who	who	PRON
ihlr-16567	547	20	are	be	AUX
ihlr-16567	547	21	probably	probably	ADV
ihlr-16567	547	22	unaware	unaware	ADJ
ihlr-16567	547	23	of	of	ADP
ihlr-16567	547	24	how	how	SCONJ
ihlr-16567	547	25	their	their	PRON
ihlr-16567	547	26	local	local	ADJ
ihlr-16567	547	27	med­	med­	PROPN
ihlr-16567	547	28	ical	ical	PROPN
ihlr-16567	547	29	community	community	NOUN
ihlr-16567	547	30	measures	measure	VERB
ihlr-16567	547	31	up	up	ADP
ihlr-16567	547	32	in	in	ADP
ihlr-16567	547	33	terms	term	NOUN
ihlr-16567	547	34	of	of	ADP
ihlr-16567	547	35	the	the	DET
ihlr-16567	547	36	quality	quality	NOUN
ihlr-16567	547	37	of	of	ADP
ihlr-16567	547	38	care	care	NOUN
ihlr-16567	547	39	they	they	PRON
ihlr-16567	547	40	receive	receive	VERB
ihlr-16567	547	41	and	and	CCONJ
ihlr-16567	547	42	its	its	PRON
ihlr-16567	547	43	cost	cost	NOUN
ihlr-16567	547	44	,	,	PUNCT
ihlr-16567	547	45	which	which	PRON
ihlr-16567	547	46	is	be	AUX
ihlr-16567	547	47	reflected	reflect	VERB
ihlr-16567	547	48	most	most	ADV
ihlr-16567	547	49	notably	notably	ADV
ihlr-16567	547	50	in	in	ADP
ihlr-16567	547	51	coinsurance	coinsurance	NOUN
ihlr-16567	547	52	and	and	CCONJ
ihlr-16567	547	53	which	which	PRON
ihlr-16567	547	54	varies	vary	VERB
ihlr-16567	547	55	greatly	greatly	ADV
ihlr-16567	547	56	.	.	PUNCT
ihlr-16567	548	1	it	it	PRON
ihlr-16567	548	2	has	have	VERB
ihlr-16567	548	3	the	the	DET
ihlr-16567	548	4	potential	potential	NOUN
ihlr-16567	548	5	for	for	ADP
ihlr-16567	548	6	empowering	empower	VERB
ihlr-16567	548	7	grass	grass	NOUN
ihlr-16567	548	8	-	-	PUNCT
ihlr-16567	548	9	roots	root	NOUN
ihlr-16567	548	10	groups	group	NOUN
ihlr-16567	548	11	of	of	ADP
ihlr-16567	548	12	benefi­	benefi­	PROPN
ihlr-16567	548	13	ciaries	ciarie	NOUN
ihlr-16567	548	14	to	to	PART
ihlr-16567	548	15	support	support	VERB
ihlr-16567	548	16	or	or	CCONJ
ihlr-16567	548	17	oppose	oppose	VERB
ihlr-16567	548	18	their	their	PRON
ihlr-16567	548	19	own	own	ADJ
ihlr-16567	548	20	doctors	doctor	NOUN
ihlr-16567	548	21	'	'	PART
ihlr-16567	548	22	pay	pay	NOUN
ihlr-16567	548	23	updates	update	NOUN
ihlr-16567	548	24	based	base	VERB
ihlr-16567	548	25	on	on	ADP
ihlr-16567	548	26	the	the	DET
ihlr-16567	548	27	costs	cost	NOUN
ihlr-16567	548	28	and	and	CCONJ
ihlr-16567	548	29	quality	quality	NOUN
ihlr-16567	548	30	of	of	ADP
ihlr-16567	548	31	medical	medical	ADJ
ihlr-16567	548	32	care	care	NOUN
ihlr-16567	548	33	on	on	ADP
ihlr-16567	548	34	a	a	DET
ihlr-16567	548	35	community	community	NOUN
ihlr-16567	548	36	-	-	PUNCT
ihlr-16567	548	37	by	by	ADP
ihlr-16567	548	38	-	-	PUNCT
ihlr-16567	548	39	community	community	NOUN
ihlr-16567	548	40	basis	basis	NOUN
ihlr-16567	548	41	.	.	PUNCT
ihlr-16567	549	1	it	it	PRON
ihlr-16567	549	2	is	be	AUX
ihlr-16567	549	3	worth	worth	ADJ
ihlr-16567	549	4	noting	note	VERB
ihlr-16567	549	5	here	here	ADV
ihlr-16567	549	6	that	that	SCONJ
ihlr-16567	549	7	two	two	NUM
ihlr-16567	549	8	health	health	NOUN
ihlr-16567	549	9	policy	policy	NOUN
ihlr-16567	549	10	initiatives	initiative	NOUN
ihlr-16567	549	11	embraced	embrace	VERB
ihlr-16567	549	12	by	by	ADP
ihlr-16567	549	13	the	the	DET
ihlr-16567	549	14	obama	obama	PROPN
ihlr-16567	549	15	administration	administration	NOUN
ihlr-16567	549	16	in	in	ADP
ihlr-16567	549	17	early	early	ADJ
ihlr-16567	549	18	2009	2009	NUM
ihlr-16567	549	19	encourage	encourage	VERB
ihlr-16567	549	20	virtual	virtual	ADJ
ihlr-16567	549	21	integrated	integrate	VERB
ihlr-16567	549	22	deli­	deli­	NOUN
ihlr-16567	549	23	very	very	ADJ
ihlr-16567	549	24	systems	system	NOUN
ihlr-16567	549	25	and	and	CCONJ
ihlr-16567	549	26	may	may	AUX
ihlr-16567	549	27	constitute	constitute	VERB
ihlr-16567	549	28	small	small	ADJ
ihlr-16567	549	29	steps	step	NOUN
ihlr-16567	549	30	in	in	ADP
ihlr-16567	549	31	the	the	DET
ihlr-16567	549	32	direction	direction	NOUN
ihlr-16567	549	33	of	of	ADP
ihlr-16567	549	34	accountable	accountable	ADJ
ihlr-16567	549	35	care	care	NOUN
ihlr-16567	549	36	organizations	organization	NOUN
ihlr-16567	549	37	.	.	PUNCT
ihlr-16567	550	1	the	the	DET
ihlr-16567	550	2	first	first	ADJ
ihlr-16567	550	3	was	be	AUX
ihlr-16567	550	4	the	the	DET
ihlr-16567	550	5	health	health	NOUN
ihlr-16567	550	6	information	information	NOUN
ihlr-16567	550	7	technology	technology	NOUN
ihlr-16567	550	8	for	for	ADP
ihlr-16567	550	9	economic	economic	ADJ
ihlr-16567	550	10	and	and	CCONJ
ihlr-16567	550	11	clinical	clinical	ADJ
ihlr-16567	550	12	health	health	NOUN
ihlr-16567	550	13	(	(	PUNCT
ihlr-16567	550	14	"	"	PUNCT
ihlr-16567	550	15	hitech	hitech	NOUN
ihlr-16567	550	16	"	"	PUNCT
ihlr-16567	550	17	)	)	PUNCT
ihlr-16567	550	18	program	program	NOUN
ihlr-16567	550	19	enacted	enact	VERB
ihlr-16567	550	20	in	in	ADP
ihlr-16567	550	21	the	the	DET
ihlr-16567	550	22	american	american	ADJ
ihlr-16567	550	23	recovery	recovery	NOUN
ihlr-16567	550	24	and	and	CCONJ
ihlr-16567	550	25	reinvestment	reinvestment	NOUN
ihlr-16567	550	26	act67	act67	NOUN
ihlr-16567	550	27	to	to	PART
ihlr-16567	550	28	spur	spur	VERB
ihlr-16567	550	29	adoption	adoption	NOUN
ihlr-16567	550	30	of	of	ADP
ihlr-16567	550	31	electronic	electronic	ADJ
ihlr-16567	550	32	health	health	NOUN
ihlr-16567	550	33	records	record	NOUN
ihlr-16567	550	34	.	.	PUNCT
ihlr-16567	551	1	con­	con­	PROPN
ihlr-16567	551	2	gress	gress	PROPN
ihlr-16567	551	3	apparently	apparently	ADV
ihlr-16567	551	4	followed	follow	VERB
ihlr-16567	551	5	the	the	DET
ihlr-16567	551	6	urging	urging	NOUN
ihlr-16567	551	7	of	of	ADP
ihlr-16567	551	8	hit	hit	VERB
ihlr-16567	551	9	innovators	innovator	NOUN
ihlr-16567	551	10	to	to	PART
ihlr-16567	551	11	use	use	VERB
ihlr-16567	551	12	communities	community	NOUN
ihlr-16567	551	13	as	as	ADP
ihlr-16567	551	14	the	the	DET
ihlr-16567	551	15	locus	locus	NOUN
ihlr-16567	551	16	of	of	ADP
ihlr-16567	551	17	new	new	ADJ
ihlr-16567	551	18	"	"	PUNCT
ihlr-16567	551	19	health	health	NOUN
ihlr-16567	551	20	information	information	NOUN
ihlr-16567	551	21	technology	technology	NOUN
ihlr-16567	551	22	regional	regional	ADJ
ihlr-16567	551	23	extension	extension	NOUN
ihlr-16567	551	24	67	67	NUM
ihlr-16567	551	25	.	.	PUNCT
ihlr-16567	552	1	american	american	ADJ
ihlr-16567	552	2	reinvestment	reinvestment	NOUN
ihlr-16567	552	3	and	and	CCONJ
ihlr-16567	552	4	recovery	recovery	NOUN
ihlr-16567	552	5	act	act	NOUN
ihlr-16567	552	6	of	of	ADP
ihlr-16567	552	7	2009	2009	NUM
ihlr-16567	552	8	,	,	PUNCT
ihlr-16567	552	9	pub	pub	NOUN
ihlr-16567	552	10	.	.	PUNCT
ihlr-16567	553	1	l.	l.	PROPN
ihlr-16567	553	2	no	no	INTJ
ihlr-16567	553	3	.	.	PROPN
ihlr-16567	554	1	111	111	NUM
ihlr-16567	554	2	-	-	SYM
ihlr-16567	554	3	5	5	NUM
ihlr-16567	554	4	,	,	PUNCT
ihlr-16567	554	5	123	123	NUM
ihlr-16567	554	6	stat	stat	NOUN
ihlr-16567	554	7	.	.	PUNCT
ihlr-16567	555	1	115	115	NUM
ihlr-16567	555	2	(	(	PUNCT
ihlr-16567	555	3	2009	2009	NUM
ihlr-16567	555	4	)	)	PUNCT
ihlr-16567	555	5	.	.	PUNCT
ihlr-16567	556	1	2010	2010	NUM
ihlr-16567	556	2	]	]	PUNCT
ihlr-16567	556	3	"	"	PUNCT
ihlr-16567	556	4	shared	share	VERB
ihlr-16567	556	5	accountabr.ity	accountabr.ity	NOUN
ihlr-16567	556	6	"	"	PUNCT
ihlr-16567	556	7	approach	approach	NOUN
ihlr-16567	556	8	217	217	NUM
ihlr-16567	556	9	centers	center	NOUN
ihlr-16567	556	10	.	.	PUNCT
ihlr-16567	557	1	'.68	'.68	NOUN
ihlr-16567	557	2	this	this	DET
ihlr-16567	557	3	approach	approach	NOUN
ihlr-16567	557	4	follows	follow	VERB
ihlr-16567	557	5	the	the	DET
ihlr-16567	557	6	model	model	NOUN
ihlr-16567	557	7	of	of	ADP
ihlr-16567	557	8	the	the	DET
ihlr-16567	557	9	massachusetts	massachusetts	PROPN
ihlr-16567	557	10	ehealth	ehealth	PROPN
ihlr-16567	557	11	collaborative	collaborative	NOUN
ihlr-16567	557	12	,	,	PUNCT
ihlr-16567	557	13	which	which	PRON
ihlr-16567	557	14	built	build	VERB
ihlr-16567	557	15	its	its	PRON
ihlr-16567	557	16	three	three	NUM
ihlr-16567	557	17	demonstration	demonstration	NOUN
ihlr-16567	557	18	projects	project	NOUN
ihlr-16567	557	19	around	around	ADP
ihlr-16567	557	20	hospitals	hospital	NOUN
ihlr-16567	557	21	and	and	CCONJ
ihlr-16567	557	22	associated	associated	ADJ
ihlr-16567	557	23	phos	phos	NOUN
ihlr-16567	557	24	or	or	CCONJ
ihlr-16567	557	25	ip	ip	NOUN
ihlr-16567	557	26	as	as	SCONJ
ihlr-16567	557	27	.	.	PROPN
ihlr-16567	557	28	massachusetts	massachusetts	PROPN
ihlr-16567	557	29	ehealth	ehealth	PROPN
ihlr-16567	557	30	collaborative	collaborative	PROPN
ihlr-16567	557	31	was	be	AUX
ihlr-16567	557	32	funded	fund	VERB
ihlr-16567	557	33	by	by	ADP
ihlr-16567	557	34	blue	blue	ADJ
ihlr-16567	557	35	cross	cross	ADJ
ihlr-16567	557	36	/	/	SYM
ihlr-16567	557	37	blue	blue	ADJ
ihlr-16567	557	38	shield	shield	NOUN
ihlr-16567	557	39	of	of	ADP
ihlr-16567	557	40	massachusetts	massachusetts	PROPN
ihlr-16567	557	41	,	,	PUNCT
ihlr-16567	557	42	which	which	PRON
ihlr-16567	557	43	as	as	ADP
ihlr-16567	557	44	noted	note	VERB
ihlr-16567	557	45	earlier	early	ADV
ihlr-16567	557	46	instituted	institute	VERB
ihlr-16567	557	47	an	an	DET
ihlr-16567	557	48	"	"	PUNCT
ihlr-16567	557	49	alternative	alternative	ADJ
ihlr-16567	557	50	quality	quality	NOUN
ihlr-16567	557	51	contract	contract	NOUN
ihlr-16567	557	52	"	"	PUNCT
ihlr-16567	557	53	initiative	initiative	NOUN
ihlr-16567	557	54	,	,	PUNCT
ihlr-16567	557	55	a	a	DET
ihlr-16567	557	56	private	private	ADJ
ihlr-16567	557	57	-	-	PUNCT
ihlr-16567	557	58	sector	sector	NOUN
ihlr-16567	557	59	var­	var­	ADJ
ihlr-16567	557	60	iation	iation	NOUN
ihlr-16567	557	61	on	on	ADP
ihlr-16567	557	62	the	the	DET
ihlr-16567	557	63	aco	aco	PROPN
ihlr-16567	557	64	theme	theme	NOUN
ihlr-16567	557	65	.	.	PUNCT
ihlr-16567	558	1	the	the	DET
ihlr-16567	558	2	llltech	llltech	PROPN
ihlr-16567	558	3	program	program	NOUN
ihlr-16567	558	4	provides	provide	VERB
ihlr-16567	558	5	seed	seed	NOUN
ihlr-16567	558	6	money	money	NOUN
ihlr-16567	558	7	and	and	CCONJ
ihlr-16567	558	8	enhanced	enhance	VERB
ihlr-16567	558	9	medicare	medicare	PROPN
ihlr-16567	558	10	payments	payment	NOUN
ihlr-16567	558	11	to	to	ADP
ihlr-16567	558	12	physicians	physician	NOUN
ihlr-16567	558	13	for	for	ADP
ihlr-16567	558	14	a	a	DET
ihlr-16567	558	15	limited	limited	ADJ
ihlr-16567	558	16	period	period	NOUN
ihlr-16567	558	17	,	,	PUNCT
ihlr-16567	558	18	but	but	CCONJ
ihlr-16567	558	19	contemplates	contemplate	VERB
ihlr-16567	558	20	the	the	DET
ihlr-16567	558	21	self­	self­	ADJ
ihlr-16567	558	22	sufficiency	sufficiency	NOUN
ihlr-16567	558	23	of	of	ADP
ihlr-16567	558	24	each	each	DET
ihlr-16567	558	25	extension	extension	NOUN
ihlr-16567	558	26	center	center	NOUN
ihlr-16567	558	27	when	when	SCONJ
ihlr-16567	558	28	that	that	DET
ihlr-16567	558	29	period	period	NOUN
ihlr-16567	558	30	expires	expire	VERB
ihlr-16567	558	31	.	.	PUNCT
ihlr-16567	559	1	the	the	DET
ihlr-16567	559	2	llltech	llltech	NOUN
ihlr-16567	559	3	systems	system	NOUN
ihlr-16567	559	4	could	could	AUX
ihlr-16567	559	5	theoretically	theoretically	ADV
ihlr-16567	559	6	achieve	achieve	VERB
ihlr-16567	559	7	cost	cost	NOUN
ihlr-16567	559	8	-	-	PUNCT
ihlr-16567	559	9	neutral	neutral	ADJ
ihlr-16567	559	10	efficiencies	efficiency	NOUN
ihlr-16567	559	11	on	on	ADP
ihlr-16567	559	12	two	two	NUM
ihlr-16567	559	13	dimensions	dimension	NOUN
ihlr-16567	559	14	.	.	PUNCT
ihlr-16567	560	1	first	first	ADV
ihlr-16567	560	2	,	,	PUNCT
ihlr-16567	560	3	efficiency	efficiency	NOUN
ihlr-16567	560	4	savings	saving	NOUN
ihlr-16567	560	5	could	could	AUX
ihlr-16567	560	6	be	be	AUX
ihlr-16567	560	7	reaped	reap	VERB
ihlr-16567	560	8	by	by	ADP
ihlr-16567	560	9	physicians	physician	NOUN
ihlr-16567	560	10	themselves	themselves	PRON
ihlr-16567	560	11	,	,	PUNCT
ihlr-16567	560	12	in	in	ADP
ihlr-16567	560	13	which	which	DET
ihlr-16567	560	14	case	case	NOUN
ihlr-16567	560	15	physicians	physician	NOUN
ihlr-16567	560	16	would	would	AUX
ihlr-16567	560	17	be	be	AUX
ihlr-16567	560	18	willing	willing	ADJ
ihlr-16567	560	19	to	to	PART
ihlr-16567	560	20	pay	pay	VERB
ihlr-16567	560	21	to	to	PART
ihlr-16567	560	22	sustain	sustain	VERB
ihlr-16567	560	23	the	the	DET
ihlr-16567	560	24	ehr	ehr	NOUN
ihlr-16567	560	25	system	system	NOUN
ihlr-16567	560	26	.	.	PUNCT
ihlr-16567	561	1	this	this	PRON
ihlr-16567	561	2	seems	seem	VERB
ihlr-16567	561	3	unlikely	unlikely	ADJ
ihlr-16567	561	4	-	-	PUNCT
ihlr-16567	561	5	most	most	ADJ
ihlr-16567	561	6	observers	observer	NOUN
ihlr-16567	561	7	believe	believe	VERB
ihlr-16567	561	8	that	that	SCONJ
ihlr-16567	561	9	lllt	lllt	X
ihlr-16567	561	10	effi­	effi­	PROPN
ihlr-16567	561	11	ciency	ciency	NOUN
ihlr-16567	561	12	savings	saving	NOUN
ihlr-16567	561	13	are	be	AUX
ihlr-16567	561	14	external	external	ADJ
ihlr-16567	561	15	to	to	PART
ihlr-16567	561	16	physicians.69	physicians.69	VERB
ihlr-16567	561	17	the	the	DET
ihlr-16567	561	18	second	second	ADJ
ihlr-16567	561	19	source	source	NOUN
ihlr-16567	561	20	of	of	ADP
ihlr-16567	561	21	savings	saving	NOUN
ihlr-16567	561	22	would	would	AUX
ihlr-16567	561	23	be	be	AUX
ihlr-16567	561	24	savings	saving	NOUN
ihlr-16567	561	25	to	to	ADP
ihlr-16567	561	26	payors	payor	NOUN
ihlr-16567	561	27	from	from	ADP
ihlr-16567	561	28	avoidable	avoidable	ADJ
ihlr-16567	561	29	injuries	injury	NOUN
ihlr-16567	561	30	,	,	PUNCT
ihlr-16567	561	31	hospitalizations	hospitalization	NOUN
ihlr-16567	561	32	or	or	CCONJ
ihlr-16567	561	33	dup­	dup­	VERB
ihlr-16567	561	34	licative	licative	ADJ
ihlr-16567	561	35	tests	test	NOUN
ihlr-16567	561	36	which	which	PRON
ihlr-16567	561	37	,	,	PUNCT
ihlr-16567	561	38	to	to	PART
ihlr-16567	561	39	be	be	AUX
ihlr-16567	561	40	plowed	plow	VERB
ihlr-16567	561	41	back	back	ADV
ihlr-16567	561	42	into	into	ADP
ihlr-16567	561	43	lllt	lllt	ADJ
ihlr-16567	561	44	operating	operating	NOUN
ihlr-16567	561	45	expenditures	expenditure	NOUN
ihlr-16567	561	46	,	,	PUNCT
ihlr-16567	561	47	would	would	AUX
ihlr-16567	561	48	have	have	VERB
ihlr-16567	561	49	to	to	PART
ihlr-16567	561	50	be	be	AUX
ihlr-16567	561	51	shared	share	VERB
ihlr-16567	561	52	with	with	ADP
ihlr-16567	561	53	providers	provider	NOUN
ihlr-16567	561	54	in	in	ADP
ihlr-16567	561	55	some	some	DET
ihlr-16567	561	56	type	type	NOUN
ihlr-16567	561	57	of	of	ADP
ihlr-16567	561	58	aco	aco	PROPN
ihlr-16567	561	59	arrangement	arrangement	NOUN
ihlr-16567	561	60	.	.	PUNCT
ihlr-16567	562	1	the	the	DET
ihlr-16567	562	2	other	other	ADJ
ihlr-16567	562	3	new	new	ADJ
ihlr-16567	562	4	initiative	initiative	NOUN
ihlr-16567	562	5	is	be	AUX
ihlr-16567	562	6	the	the	DET
ihlr-16567	562	7	call	call	NOUN
ihlr-16567	562	8	in	in	ADP
ihlr-16567	562	9	president	president	PROPN
ihlr-16567	562	10	obama	obama	PROPN
ihlr-16567	562	11	's	's	PART
ihlr-16567	562	12	budget	budget	NOUN
ihlr-16567	562	13	doc­	doc­	PROPN
ihlr-16567	562	14	ument	ument	NOUN
ihlr-16567	562	15	for	for	ADP
ihlr-16567	562	16	providers	provider	NOUN
ihlr-16567	562	17	to	to	PART
ihlr-16567	562	18	assume	assume	VERB
ihlr-16567	562	19	shared	share	VERB
ihlr-16567	562	20	accountability	accountability	NOUN
ihlr-16567	562	21	for	for	ADP
ihlr-16567	562	22	hospital	hospital	NOUN
ihlr-16567	562	23	readmis­	readmis­	NOUN
ihlr-16567	562	24	sions	sion	NOUN
ihlr-16567	562	25	.	.	PUNCT
ihlr-16567	563	1	70	70	NUM
ihlr-16567	564	1	the	the	DET
ihlr-16567	564	2	document	document	NOUN
ihlr-16567	564	3	is	be	AUX
ihlr-16567	564	4	vague	vague	ADJ
ihlr-16567	564	5	but	but	CCONJ
ihlr-16567	564	6	appears	appear	VERB
ihlr-16567	564	7	to	to	PART
ihlr-16567	564	8	be	be	AUX
ihlr-16567	564	9	endorsing	endorse	VERB
ihlr-16567	564	10	two	two	NUM
ihlr-16567	564	11	medp	medp	ADJ
ihlr-16567	564	12	ac	ac	ADJ
ihlr-16567	564	13	recommendations	recommendation	NOUN
ihlr-16567	564	14	on	on	ADP
ihlr-16567	564	15	this	this	DET
ihlr-16567	564	16	subject.71	subject.71	NOUN
ihlr-16567	564	17	one	one	NUM
ihlr-16567	564	18	is	be	AUX
ihlr-16567	564	19	to	to	PART
ihlr-16567	564	20	"	"	PUNCT
ihlr-16567	564	21	bundle	bundle	VERB
ihlr-16567	564	22	"	"	PUNCT
ihlr-16567	564	23	payments	payment	NOUN
ihlr-16567	564	24	to	to	ADP
ihlr-16567	564	25	a	a	DET
ihlr-16567	564	26	hos­	hos­	NOUN
ihlr-16567	564	27	pital	pital	ADJ
ihlr-16567	564	28	and	and	CCONJ
ihlr-16567	564	29	other	other	ADJ
ihlr-16567	564	30	providers	provider	NOUN
ihlr-16567	564	31	who	who	PRON
ihlr-16567	564	32	take	take	VERB
ihlr-16567	564	33	care	care	NOUN
ihlr-16567	564	34	of	of	ADP
ihlr-16567	564	35	a	a	DET
ihlr-16567	564	36	patient	patient	NOUN
ihlr-16567	564	37	upon	upon	SCONJ
ihlr-16567	564	38	discharge	discharge	NOUN
ihlr-16567	564	39	;	;	PUNCT
ihlr-16567	564	40	the	the	DET
ihlr-16567	564	41	oth­	oth­	NOUN
ihlr-16567	564	42	er	er	INTJ
ihlr-16567	564	43	is	be	AUX
ihlr-16567	564	44	to	to	PART
ihlr-16567	564	45	penalize	penalize	VERB
ihlr-16567	564	46	hospitals	hospital	NOUN
ihlr-16567	564	47	for	for	ADP
ihlr-16567	564	48	what	what	PRON
ihlr-16567	564	49	is	be	AUX
ihlr-16567	564	50	deemed	deem	VERB
ihlr-16567	564	51	an	an	DET
ihlr-16567	564	52	excessive	excessive	ADJ
ihlr-16567	564	53	volume	volume	NOUN
ihlr-16567	564	54	of	of	ADP
ihlr-16567	564	55	avoidable	avoidable	ADJ
ihlr-16567	564	56	readmissions	readmission	NOUN
ihlr-16567	564	57	.	.	PUNCT
ihlr-16567	565	1	both	both	PRON
ihlr-16567	565	2	encourage	encourage	VERB
ihlr-16567	565	3	greater	great	ADJ
ihlr-16567	565	4	coordination	coordination	NOUN
ihlr-16567	565	5	of	of	ADP
ihlr-16567	565	6	care	care	NOUN
ihlr-16567	565	7	fol­	fol­	NOUN
ihlr-16567	565	8	lowing	low	VERB
ihlr-16567	565	9	a	a	DET
ihlr-16567	565	10	hospital	hospital	NOUN
ihlr-16567	565	11	discharge	discharge	NOUN
ihlr-16567	565	12	.	.	PUNCT
ihlr-16567	566	1	these	these	DET
ihlr-16567	566	2	initiatives	initiative	NOUN
ihlr-16567	566	3	do	do	AUX
ihlr-16567	566	4	not	not	PART
ihlr-16567	566	5	envision	envision	VERB
ihlr-16567	566	6	shared	share	VERB
ihlr-16567	566	7	ac­	ac­	ADJ
ihlr-16567	566	8	countability	countability	NOUN
ihlr-16567	566	9	on	on	ADP
ihlr-16567	566	10	the	the	DET
ihlr-16567	566	11	scale	scale	NOUN
ihlr-16567	566	12	of	of	ADP
ihlr-16567	566	13	an	an	DET
ihlr-16567	566	14	aco	aco	PROPN
ihlr-16567	566	15	but	but	CCONJ
ihlr-16567	566	16	,	,	PUNCT
ihlr-16567	566	17	like	like	ADP
ihlr-16567	566	18	the	the	DET
ihlr-16567	566	19	hit	hit	NOUN
ihlr-16567	566	20	program	program	NOUN
ihlr-16567	566	21	,	,	PUNCT
ihlr-16567	566	22	nudge	nudge	VERB
ihlr-16567	566	23	providers	provider	NOUN
ihlr-16567	566	24	in	in	ADP
ihlr-16567	566	25	the	the	DET
ihlr-16567	566	26	direction	direction	NOUN
ihlr-16567	566	27	of	of	ADP
ihlr-16567	566	28	integration	integration	NOUN
ihlr-16567	566	29	by	by	ADP
ihlr-16567	566	30	forcing	force	VERB
ihlr-16567	566	31	them	they	PRON
ihlr-16567	566	32	to	to	PART
ihlr-16567	566	33	build	build	VERB
ihlr-16567	566	34	connec­	connec­	NOUN
ihlr-16567	566	35	tions	tion	NOUN
ihlr-16567	566	36	.	.	PUNCT
ihlr-16567	567	1	vi	vi	X
ihlr-16567	567	2	.	.	PUNCT
ihlr-16567	567	3	conflicts	conflict	NOUN
ihlr-16567	567	4	likely	likely	ADJ
ihlr-16567	567	5	to	to	PART
ihlr-16567	567	6	arise	arise	VERB
ihlr-16567	567	7	in	in	ADP
ihlr-16567	567	8	a	a	DET
ihlr-16567	567	9	shared	share	VERB
ihlr-16567	567	10	accountability	accountability	NOUN
ihlr-16567	567	11	regime	regime	NOUN
ihlr-16567	567	12	the	the	DET
ihlr-16567	567	13	discussion	discussion	NOUN
ihlr-16567	567	14	above	above	ADV
ihlr-16567	567	15	describes	describe	VERB
ihlr-16567	567	16	conceptually	conceptually	ADV
ihlr-16567	567	17	how	how	SCONJ
ihlr-16567	567	18	a	a	DET
ihlr-16567	567	19	well	well	ADV
ihlr-16567	567	20	-	-	PUNCT
ihlr-16567	567	21	designed	design	VERB
ihlr-16567	567	22	aco	aco	PROPN
ihlr-16567	567	23	regime	regime	NOUN
ihlr-16567	567	24	might	might	AUX
ihlr-16567	567	25	move	move	VERB
ihlr-16567	567	26	to	to	ADP
ihlr-16567	567	27	an	an	DET
ihlr-16567	567	28	equilibrium	equilibrium	NOUN
ihlr-16567	567	29	point	point	NOUN
ihlr-16567	567	30	at	at	ADP
ihlr-16567	567	31	which	which	PRON
ihlr-16567	567	32	each	each	DET
ihlr-16567	567	33	system	system	NOUN
ihlr-16567	567	34	ac68	ac68	PROPN
ihlr-16567	567	35	.	.	PUNCT
ihlr-16567	568	1	farzad	farzad	PROPN
ihlr-16567	568	2	mostasbari	mostasbari	PROPN
ihlr-16567	568	3	&	&	CCONJ
ihlr-16567	568	4	micky	micky	PROPN
ihlr-16567	568	5	tripathi	tripathi	PROPN
ihlr-16567	568	6	,	,	PUNCT
ihlr-16567	568	7	achieving	achieve	VERB
ihlr-16567	568	8	meaningful	meaningful	ADJ
ihlr-16567	568	9	ehr	ehr	NOUN
ihlr-16567	568	10	use	use	NOUN
ihlr-16567	568	11	:	:	PUNCT
ihlr-16567	568	12	leveraging	leverage	VERB
ihlr-16567	568	13	community	community	NOUN
ihlr-16567	568	14	structures	structure	NOUN
ihlr-16567	568	15	,	,	PUNCT
ihlr-16567	568	16	iheai.:m	iheai.:m	NOUN
ihlr-16567	568	17	:	:	PUNCT
ihlr-16567	568	18	beat	beat	NOUN
ihlr-16567	568	19	,	,	PUNCT
ihlr-16567	568	20	feb	feb	PROPN
ihlr-16567	568	21	.	.	PROPN
ihlr-16567	568	22	10	10	NUM
ihlr-16567	568	23	,	,	PUNCT
ihlr-16567	568	24	2009	2009	NUM
ihlr-16567	568	25	,	,	PUNCT
ihlr-16567	568	26	bup:/lwww.ihealthbeat.oj	bup:/lwww.ihealthbeat.oj	PROPN
ihlr-16567	568	27	:	:	PUNCT
ihlr-16567	568	28	wperspectivesl	wperspectivesl	PROPN
ihlr-16567	568	29	2009	2009	NUM
ihlr-16567	568	30	/	/	SYM
ihlr-16567	568	31	acbieving	acbieve	VERB
ihlr-16567	568	32	-	-	PUNCT
ihlr-16567	568	33	meaningful	meaningful	ADJ
ihlr-16567	568	34	-	-	PUNCT
ihlr-16567	568	35	her	her	PRON
ihlr-16567	568	36	-	-	PUNCT
ihlr-16567	568	37	use	use	NOUN
ihlr-16567	568	38	-	-	PUNCT
ihlr-16567	568	39	leveraging	leverage	VERB
ihlr-16567	568	40	-	-	PUNCT
ihlr-16567	568	41	commty	commty	NOUN
ihlr-16567	568	42	-	-	PUNCT
ihlr-16567	568	43	s1ructures.aspx	s1ructures.aspx	PROPN
ihlr-16567	568	44	..	..	PUNCT
ihlr-16567	568	45	69	69	NUM
ihlr-16567	568	46	.	.	PUNCT
ihlr-16567	569	1	congressional	congressional	ADJ
ihlr-16567	569	2	budget	budget	NOUN
ihlr-16567	569	3	office	office	NOUN
ihlr-16567	569	4	,	,	PUNCT
ihlr-16567	569	5	evidence	evidence	NOUN
ihlr-16567	569	6	on	on	ADP
ihlr-16567	569	7	tile	tile	NOUN
ihlr-16567	569	8	costs	cost	NOUN
ihlr-16567	569	9	and	and	CCONJ
ihlr-16567	569	10	benefits	benefit	NOUN
ihlr-16567	569	11	of	of	ADP
ihlr-16567	569	12	healrn	healrn	ADJ
ihlr-16567	569	13	information	information	NOUN
ihlr-16567	569	14	technology	technology	NOUN
ihlr-16567	569	15	17	17	NUM
ihlr-16567	569	16	-	-	SYM
ihlr-16567	569	17	18	18	NUM
ihlr-16567	569	18	(	(	PUNCT
ihlr-16567	569	19	2008	2008	NUM
ihlr-16567	569	20	)	)	PUNCT
ihlr-16567	569	21	.	.	PUNCT
ihlr-16567	570	1	available	available	ADJ
ihlr-16567	570	2	at	at	ADP
ihlr-16567	570	3	http://www.cbo.gov	http://www.cbo.gov	NOUN
ihlr-16567	570	4	/ftpdocs/9lxxl	/ftpdocs/9lxxl	PUNCT
ihlr-16567	571	1	doc9168/05	doc9168/05	NOUN
ihlr-16567	571	2	-	-	NOUN
ihlr-16567	571	3	20healthit.pdf	20healthit.pdf	NUM
ihlr-16567	571	4	.	.	PUNCT
ihlr-16567	572	1	70	70	NUM
ihlr-16567	572	2	.	.	PUNCT
ihlr-16567	573	1	0mce	0mce	NOUN
ihlr-16567	573	2	of	of	ADP
ihlr-16567	573	3	mgmt	mgmt	PROPN
ihlr-16567	573	4	.	.	PROPN
ihlr-16567	573	5	&	&	CCONJ
ihlr-16567	573	6	buooet	buooet	PROPN
ihlr-16567	573	7	,	,	PUNCT
ihlr-16567	573	8	execunve	execunve	NOUN
ihlr-16567	573	9	office	office	NOUN
ihlr-16567	573	10	of	of	ADP
ihlr-16567	573	11	tile	tile	NOUN
ihlr-16567	573	12	president	president	NOUN
ihlr-16567	573	13	,	,	PUNCT
ihlr-16567	573	14	a	a	DET
ihlr-16567	573	15	new	new	ADJ
ihlr-16567	573	16	era	era	NOUN
ihlr-16567	573	17	of	of	ADP
ihlr-16567	573	18	resl'onsibiuty	resl'onsibiuty	NOUN
ihlr-16567	573	19	:	:	PUNCT
ihlr-16567	573	20	renewing	renew	VERB
ihlr-16567	573	21	america	america	PROPN
ihlr-16567	573	22	's	's	PART
ihlr-16567	573	23	promise	promise	NOUN
ihlr-16567	573	24	{	{	PUNCT
ihlr-16567	573	25	2009	2009	NUM
ihlr-16567	573	26	)	)	PUNCT
ihlr-16567	573	27	available	available	ADJ
ihlr-16567	573	28	at	at	ADP
ihlr-16567	573	29	http://www.gpoaccess.gov/	http://www.gpoaccess.gov/	PROPN
ihlr-16567	573	30	usbudget	usbudget	PROPN
ihlr-16567	573	31	/	/	SYM
ihlr-16567	573	32	fyl	fyl	PROPN
ihlr-16567	573	33	olpdf7fyl	olpdf7fyl	ADP
ihlr-16567	573	34	0-newera.pdf	0-newera.pdf	NUM
ihlr-16567	573	35	71	71	NUM
ihlr-16567	573	36	.	.	PUNCT
ihlr-16567	574	1	see	see	VERB
ihlr-16567	574	2	medicare	medicare	PROPN
ihlr-16567	574	3	payment	payment	PROPN
ihlr-16567	574	4	advisory	advisory	PROPN
ihlr-16567	574	5	commission	commission	NOUN
ihlr-16567	574	6	,	,	PUNCT
ihlr-16567	574	7	report	report	NOUN
ihlr-16567	574	8	to	to	PART
ihlr-16567	574	9	tile	tile	VERB
ihlr-16567	574	10	congress	congress	PROPN
ihlr-16567	574	11	:	:	PUNCT
ihlr-16567	574	12	reforming	reform	VERB
ihlr-16567	574	13	tile	tile	NOUN
ihlr-16567	574	14	delivery	delivery	NOUN
ihlr-16567	574	15	system	system	NOUN
ihlr-16567	574	16	(	(	PUNCT
ihlr-16567	574	17	2008	2008	NUM
ihlr-16567	574	18	)	)	PUNCT
ihlr-16567	574	19	,	,	PUNCT
ihlr-16567	574	20	available	available	ADJ
ihlr-16567	574	21	at	at	ADP
ihlr-16567	574	22	http://www.medpac.gov/documents/	http://www.medpac.gov/documents/	PROPN
ihlr-16567	574	23	jun08	jun08	PROPN
ihlr-16567	574	24	_	_	PROPN
ihlr-16567	574	25	entirereport.pdf	entirereport.pdf	PROPN
ihlr-16567	574	26	.	.	PROPN
ihlr-16567	574	27	218	218	NUM
ihlr-16567	574	28	indiana	indiana	PROPN
ihlr-16567	574	29	health	health	PROPN
ihlr-16567	574	30	law	law	NOUN
ihlr-16567	574	31	review	review	NOUN
ihlr-16567	575	1	[	[	X
ihlr-16567	575	2	vol	vol	NOUN
ihlr-16567	575	3	.	.	PUNCT
ihlr-16567	576	1	7:185	7:185	NUM
ihlr-16567	576	2	tor	tor	PROPN
ihlr-16567	576	3	's	's	PART
ihlr-16567	576	4	financial	financial	ADJ
ihlr-16567	576	5	incentives	incentive	NOUN
ihlr-16567	576	6	align	align	VERB
ihlr-16567	576	7	with	with	ADP
ihlr-16567	576	8	efficiency	efficiency	NOUN
ihlr-16567	576	9	and	and	CCONJ
ihlr-16567	576	10	quality	quality	NOUN
ihlr-16567	576	11	.	.	PUNCT
ihlr-16567	577	1	needless	needless	ADJ
ihlr-16567	577	2	to	to	PART
ihlr-16567	577	3	say	say	VERB
ihlr-16567	577	4	,	,	PUNCT
ihlr-16567	577	5	any	any	DET
ihlr-16567	577	6	flaws	flaw	NOUN
ihlr-16567	577	7	in	in	ADP
ihlr-16567	577	8	the	the	DET
ihlr-16567	577	9	reward	reward	NOUN
ihlr-16567	577	10	and	and	CCONJ
ihlr-16567	577	11	punishment	punishment	NOUN
ihlr-16567	577	12	structure	structure	NOUN
ihlr-16567	577	13	could	could	AUX
ihlr-16567	577	14	result	result	VERB
ihlr-16567	577	15	in	in	ADP
ihlr-16567	577	16	unintended	unintended	ADJ
ihlr-16567	577	17	negative	negative	ADJ
ihlr-16567	577	18	consequences	consequence	NOUN
ihlr-16567	577	19	.	.	PUNCT
ihlr-16567	578	1	moreover	moreover	ADV
ihlr-16567	578	2	,	,	PUNCT
ihlr-16567	578	3	even	even	ADV
ihlr-16567	578	4	a	a	DET
ihlr-16567	578	5	perfectly	perfectly	ADV
ihlr-16567	578	6	-	-	PUNCT
ihlr-16567	578	7	designed	design	VERB
ihlr-16567	578	8	structure	structure	NOUN
ihlr-16567	578	9	would	would	AUX
ihlr-16567	578	10	involve	involve	VERB
ihlr-16567	578	11	a	a	DET
ihlr-16567	578	12	painful	painful	ADJ
ihlr-16567	578	13	transition	transition	NOUN
ihlr-16567	578	14	period	period	NOUN
ihlr-16567	578	15	of	of	ADP
ihlr-16567	578	16	"	"	PUNCT
ihlr-16567	578	17	creative	creative	ADJ
ihlr-16567	578	18	destruction	destruction	NOUN
ihlr-16567	578	19	"	"	PUNCT
ihlr-16567	578	20	during	during	ADP
ihlr-16567	578	21	which	which	PRON
ihlr-16567	578	22	many	many	ADJ
ihlr-16567	578	23	conflicts	conflict	NOUN
ihlr-16567	578	24	would	would	AUX
ihlr-16567	578	25	arise	arise	VERB
ihlr-16567	578	26	.	.	PUNCT
ihlr-16567	579	1	a	a	DET
ihlr-16567	579	2	system	system	NOUN
ihlr-16567	579	3	of	of	ADP
ihlr-16567	579	4	mandatory	mandatory	ADJ
ihlr-16567	579	5	,	,	PUNCT
ihlr-16567	579	6	local	local	ADJ
ihlr-16567	579	7	-	-	PUNCT
ihlr-16567	579	8	level	level	NOUN
ihlr-16567	579	9	acos	aco	NOUN
ihlr-16567	579	10	based	base	VERB
ihlr-16567	579	11	initially	initially	ADV
ihlr-16567	579	12	upon	upon	SCONJ
ihlr-16567	579	13	extended	extended	ADJ
ihlr-16567	579	14	hospital	hospital	NOUN
ihlr-16567	579	15	medical	medical	ADJ
ihlr-16567	579	16	staffs	staff	NOUN
ihlr-16567	579	17	would	would	AUX
ihlr-16567	579	18	have	have	VERB
ihlr-16567	579	19	the	the	DET
ihlr-16567	579	20	greatest	great	ADJ
ihlr-16567	579	21	potential	potential	NOUN
ihlr-16567	579	22	for	for	ADP
ihlr-16567	579	23	re­	re­	PROPN
ihlr-16567	579	24	vamping	vamp	VERB
ihlr-16567	579	25	the	the	DET
ihlr-16567	579	26	delivery	delivery	NOUN
ihlr-16567	579	27	system	system	NOUN
ihlr-16567	579	28	but	but	CCONJ
ihlr-16567	579	29	would	would	AUX
ihlr-16567	579	30	also	also	ADV
ihlr-16567	579	31	carry	carry	VERB
ihlr-16567	579	32	with	with	ADP
ihlr-16567	579	33	it	it	PRON
ihlr-16567	579	34	the	the	DET
ihlr-16567	579	35	maximum	maximum	ADJ
ihlr-16567	579	36	op­	op­	ADJ
ihlr-16567	579	37	portunities	portunitie	NOUN
ihlr-16567	579	38	for	for	ADP
ihlr-16567	579	39	conflict	conflict	NOUN
ihlr-16567	579	40	.	.	PUNCT
ihlr-16567	580	1	many	many	ADJ
ihlr-16567	580	2	consequences	consequence	NOUN
ihlr-16567	580	3	could	could	AUX
ihlr-16567	580	4	flow	flow	VERB
ihlr-16567	580	5	from	from	ADP
ihlr-16567	580	6	the	the	DET
ihlr-16567	580	7	individual	individual	ADJ
ihlr-16567	580	8	doctor	doctor	NOUN
ihlr-16567	580	9	's	's	PART
ihlr-16567	580	10	choice	choice	NOUN
ihlr-16567	580	11	of	of	ADP
ihlr-16567	580	12	aco	aco	PROPN
ihlr-16567	580	13	with	with	ADP
ihlr-16567	580	14	which	which	PRON
ihlr-16567	580	15	to	to	ADP
ihlr-16567	580	16	affiliate	affiliate	NOUN
ihlr-16567	580	17	.	.	PUNCT
ihlr-16567	581	1	there	there	PRON
ihlr-16567	581	2	may	may	AUX
ihlr-16567	581	3	be	be	AUX
ihlr-16567	581	4	some	some	DET
ihlr-16567	581	5	hospitals	hospital	NOUN
ihlr-16567	581	6	with	with	ADP
ihlr-16567	581	7	such	such	ADJ
ihlr-16567	581	8	poor	poor	ADJ
ihlr-16567	581	9	reputations	reputation	NOUN
ihlr-16567	581	10	for	for	ADP
ihlr-16567	581	11	quality	quality	NOUN
ihlr-16567	581	12	or	or	CCONJ
ihlr-16567	581	13	inefficiency	inefficiency	NOUN
ihlr-16567	581	14	that	that	SCONJ
ihlr-16567	581	15	,	,	PUNCT
ihlr-16567	581	16	under	under	ADP
ihlr-16567	581	17	an	an	DET
ihlr-16567	581	18	aco	aco	PROPN
ihlr-16567	581	19	regime	regime	NOUN
ihlr-16567	581	20	,	,	PUNCT
ihlr-16567	581	21	doctors	doctor	NOUN
ihlr-16567	581	22	will	will	AUX
ihlr-16567	581	23	no	no	ADV
ihlr-16567	581	24	longer	long	ADV
ihlr-16567	581	25	be	be	AUX
ihlr-16567	581	26	willing	willing	ADJ
ihlr-16567	581	27	to	to	PART
ihlr-16567	581	28	affiliate	affiliate	VERB
ihlr-16567	581	29	with	with	ADP
ihlr-16567	581	30	them	they	PRON
ihlr-16567	581	31	.	.	PUNCT
ihlr-16567	582	1	the	the	DET
ihlr-16567	582	2	aco	aco	PROPN
ihlr-16567	582	3	regime	regime	NOUN
ihlr-16567	582	4	could	could	AUX
ihlr-16567	582	5	effectively	effectively	ADV
ihlr-16567	582	6	destroy	destroy	VERB
ihlr-16567	582	7	some	some	DET
ihlr-16567	582	8	hospitals	hospital	NOUN
ihlr-16567	582	9	'	'	PART
ihlr-16567	582	10	economic	economic	ADJ
ihlr-16567	582	11	viability	viability	NOUN
ihlr-16567	582	12	.	.	PUNCT
ihlr-16567	583	1	in	in	ADP
ihlr-16567	583	2	these	these	DET
ihlr-16567	583	3	circums­	circums­	NOUN
ihlr-16567	583	4	tances	tance	NOUN
ihlr-16567	583	5	,	,	PUNCT
ihlr-16567	583	6	local	local	ADJ
ihlr-16567	583	7	government	government	NOUN
ihlr-16567	583	8	officials	official	NOUN
ihlr-16567	583	9	could	could	AUX
ihlr-16567	583	10	have	have	VERB
ihlr-16567	583	11	to	to	PART
ihlr-16567	583	12	determine	determine	VERB
ihlr-16567	583	13	whether	whether	SCONJ
ihlr-16567	583	14	to	to	PART
ihlr-16567	583	15	let	let	VERB
ihlr-16567	583	16	the	the	DET
ihlr-16567	583	17	hospital	hospital	NOUN
ihlr-16567	583	18	close	close	ADV
ihlr-16567	583	19	or	or	CCONJ
ihlr-16567	583	20	attempt	attempt	VERB
ihlr-16567	583	21	to	to	PART
ihlr-16567	583	22	reconstitute	reconstitute	VERB
ihlr-16567	583	23	in	in	ADP
ihlr-16567	583	24	some	some	DET
ihlr-16567	583	25	way	way	NOUN
ihlr-16567	583	26	-	-	PUNCT
ihlr-16567	583	27	for	for	ADP
ihlr-16567	583	28	instance	instance	NOUN
ihlr-16567	583	29	,	,	PUNCT
ihlr-16567	583	30	as	as	ADP
ihlr-16567	583	31	a	a	DET
ihlr-16567	583	32	less	less	ADJ
ihlr-16567	583	33	-	-	PUNCT
ihlr-16567	583	34	than	than	ADP
ihlr-16567	583	35	-	-	PUNCT
ihlr-16567	583	36	full	full	ADJ
ihlr-16567	583	37	service	service	NOUN
ihlr-16567	583	38	facility	facility	NOUN
ihlr-16567	583	39	providing	provide	VERB
ihlr-16567	583	40	emergency	emergency	NOUN
ihlr-16567	583	41	care	care	NOUN
ihlr-16567	583	42	or	or	CCONJ
ihlr-16567	583	43	other	other	ADJ
ihlr-16567	583	44	services	service	NOUN
ihlr-16567	583	45	essential	essential	ADJ
ihlr-16567	583	46	to	to	ADP
ihlr-16567	583	47	the	the	DET
ihlr-16567	583	48	nearby	nearby	ADJ
ihlr-16567	583	49	community	community	NOUN
ihlr-16567	583	50	.	.	PUNCT
ihlr-16567	584	1	in	in	ADP
ihlr-16567	584	2	this	this	DET
ihlr-16567	584	3	scenario	scenario	NOUN
ihlr-16567	584	4	,	,	PUNCT
ihlr-16567	584	5	local	local	ADJ
ihlr-16567	584	6	governments	government	NOUN
ihlr-16567	584	7	may	may	AUX
ihlr-16567	584	8	need	need	VERB
ihlr-16567	584	9	funds	fund	NOUN
ihlr-16567	584	10	to	to	PART
ihlr-16567	584	11	subsidize	subsidize	VERB
ihlr-16567	584	12	the	the	DET
ihlr-16567	584	13	facility	facility	NOUN
ihlr-16567	584	14	.	.	PUNCT
ihlr-16567	585	1	doctors	doctor	NOUN
ihlr-16567	585	2	with	with	ADP
ihlr-16567	585	3	privileges	privilege	NOUN
ihlr-16567	585	4	only	only	ADV
ihlr-16567	585	5	at	at	ADP
ihlr-16567	585	6	a	a	DET
ihlr-16567	585	7	closed	closed	ADJ
ihlr-16567	585	8	hospital	hospital	NOUN
ihlr-16567	585	9	would	would	AUX
ihlr-16567	585	10	have	have	VERB
ihlr-16567	585	11	to	to	PART
ihlr-16567	585	12	find	find	VERB
ihlr-16567	585	13	another	another	DET
ihlr-16567	585	14	aco	aco	NOUN
ihlr-16567	585	15	,	,	PUNCT
ihlr-16567	585	16	and	and	CCONJ
ihlr-16567	585	17	some	some	PRON
ihlr-16567	585	18	may	may	AUX
ihlr-16567	585	19	need	need	VERB
ihlr-16567	585	20	to	to	PART
ihlr-16567	585	21	have	have	VERB
ihlr-16567	585	22	admitting	admit	VERB
ihlr-16567	585	23	privileges	privilege	NOUN
ihlr-16567	585	24	at	at	ADP
ihlr-16567	585	25	the	the	DET
ihlr-16567	585	26	base	base	ADJ
ihlr-16567	585	27	institution	institution	NOUN
ihlr-16567	585	28	to	to	PART
ihlr-16567	585	29	join	join	VERB
ihlr-16567	585	30	another	another	DET
ihlr-16567	585	31	aco	aco	PROPN
ihlr-16567	585	32	.	.	PUNCT
ihlr-16567	586	1	credentialing	credentiale	VERB
ihlr-16567	586	2	committees	committee	NOUN
ihlr-16567	586	3	,	,	PUNCT
ihlr-16567	586	4	in	in	ADP
ihlr-16567	586	5	deciding	decide	VERB
ihlr-16567	586	6	whether	whether	SCONJ
ihlr-16567	586	7	to	to	PART
ihlr-16567	586	8	accept	accept	VERB
ihlr-16567	586	9	displaced	displace	VERB
ihlr-16567	586	10	doctors	doctor	NOUN
ihlr-16567	586	11	,	,	PUNCT
ihlr-16567	586	12	would	would	AUX
ihlr-16567	586	13	presumably	presumably	ADV
ihlr-16567	586	14	consider	consider	VERB
ihlr-16567	586	15	two	two	NUM
ihlr-16567	586	16	main	main	ADJ
ihlr-16567	586	17	factors	factor	NOUN
ihlr-16567	586	18	:	:	PUNCT
ihlr-16567	586	19	the	the	DET
ihlr-16567	586	20	optimum	optimum	ADJ
ihlr-16567	586	21	number	number	NOUN
ihlr-16567	586	22	of	of	ADP
ihlr-16567	586	23	doctors	doctor	NOUN
ihlr-16567	586	24	needed	need	VERB
ihlr-16567	586	25	to	to	PART
ihlr-16567	586	26	maintain	maintain	VERB
ihlr-16567	586	27	satisfactory	satisfactory	ADJ
ihlr-16567	586	28	access	access	NOUN
ihlr-16567	586	29	to	to	ADP
ihlr-16567	586	30	beneficiaries	beneficiary	NOUN
ihlr-16567	586	31	(	(	PUNCT
ihlr-16567	586	32	assuming	assume	VERB
ihlr-16567	586	33	that	that	SCONJ
ihlr-16567	586	34	carps	carps	PROPN
ihlr-16567	586	35	access	access	NOUN
ihlr-16567	586	36	scores	score	NOUN
ihlr-16567	586	37	are	be	AUX
ihlr-16567	586	38	one	one	NUM
ihlr-16567	586	39	of	of	ADP
ihlr-16567	586	40	the	the	DET
ihlr-16567	586	41	performance	performance	NOUN
ihlr-16567	586	42	bonus	bonus	NOUN
ihlr-16567	586	43	criteria	criterion	NOUN
ihlr-16567	586	44	)	)	PUNCT
ihlr-16567	586	45	,	,	PUNCT
ihlr-16567	586	46	and	and	CCONJ
ihlr-16567	586	47	the	the	DET
ihlr-16567	586	48	likelihood	likelihood	NOUN
ihlr-16567	586	49	that	that	SCONJ
ihlr-16567	586	50	the	the	DET
ihlr-16567	586	51	individual	individual	ADJ
ihlr-16567	586	52	doctor	doctor	NOUN
ihlr-16567	586	53	would	would	AUX
ihlr-16567	586	54	add	add	VERB
ihlr-16567	586	55	to	to	ADP
ihlr-16567	586	56	or	or	CCONJ
ihlr-16567	586	57	subtract	subtract	VERB
ihlr-16567	586	58	from	from	ADP
ihlr-16567	586	59	the	the	DET
ihlr-16567	586	60	aco	aco	PROPN
ihlr-16567	586	61	's	's	PART
ihlr-16567	586	62	efficiency	efficiency	NOUN
ihlr-16567	586	63	and	and	CCONJ
ihlr-16567	586	64	quality	quality	NOUN
ihlr-16567	586	65	.	.	PUNCT
ihlr-16567	587	1	therefore	therefore	ADV
ihlr-16567	587	2	,	,	PUNCT
ihlr-16567	587	3	the	the	DET
ihlr-16567	587	4	aco	aco	PROPN
ihlr-16567	587	5	proposal	proposal	NOUN
ihlr-16567	587	6	contemplates	contemplate	VERB
ihlr-16567	587	7	the	the	DET
ihlr-16567	587	8	possibility	possibility	NOUN
ihlr-16567	587	9	that	that	SCONJ
ihlr-16567	587	10	in	in	ADP
ihlr-16567	587	11	high	high	ADJ
ihlr-16567	587	12	utilization	utilization	NOUN
ihlr-16567	587	13	areas	area	NOUN
ihlr-16567	587	14	,	,	PUNCT
ihlr-16567	587	15	not	not	PART
ihlr-16567	587	16	only	only	ADV
ihlr-16567	587	17	will	will	AUX
ihlr-16567	587	18	facilities	facility	NOUN
ihlr-16567	587	19	close	close	ADV
ihlr-16567	587	20	but	but	CCONJ
ihlr-16567	587	21	also	also	ADV
ihlr-16567	587	22	,	,	PUNCT
ihlr-16567	587	23	some	some	DET
ihlr-16567	587	24	doctors	doctor	NOUN
ihlr-16567	587	25	will	will	AUX
ihlr-16567	587	26	have	have	AUX
ihlr-16567	587	27	to	to	PART
ihlr-16567	587	28	relocate	relocate	VERB
ihlr-16567	587	29	to	to	ADP
ihlr-16567	587	30	underserved	underserved	ADJ
ihlr-16567	587	31	areas	area	NOUN
ihlr-16567	587	32	or	or	CCONJ
ihlr-16567	587	33	leave	leave	VERB
ihlr-16567	587	34	the	the	DET
ihlr-16567	587	35	practice	practice	NOUN
ihlr-16567	587	36	of	of	ADP
ihlr-16567	587	37	medicine	medicine	NOUN
ihlr-16567	587	38	.	.	PUNCT
ihlr-16567	588	1	trickier	tricky	ADJ
ihlr-16567	588	2	issues	issue	NOUN
ihlr-16567	588	3	still	still	ADV
ihlr-16567	588	4	are	be	AUX
ihlr-16567	588	5	raised	raise	VERB
ihlr-16567	588	6	by	by	ADP
ihlr-16567	588	7	diverging	diverge	VERB
ihlr-16567	588	8	interests	interest	NOUN
ihlr-16567	588	9	of	of	ADP
ihlr-16567	588	10	the	the	DET
ihlr-16567	588	11	doctors	doctor	NOUN
ihlr-16567	588	12	and	and	CCONJ
ihlr-16567	588	13	the	the	DET
ihlr-16567	588	14	hospital	hospital	NOUN
ihlr-16567	588	15	to	to	PART
ihlr-16567	588	16	which	which	PRON
ihlr-16567	588	17	they	they	PRON
ihlr-16567	588	18	are	be	AUX
ihlr-16567	588	19	attached	attach	VERB
ihlr-16567	588	20	.	.	PUNCT
ihlr-16567	589	1	a	a	DET
ihlr-16567	589	2	localized	localized	ADJ
ihlr-16567	589	3	sgr	sgr	NOUN
ihlr-16567	589	4	and	and	CCONJ
ihlr-16567	589	5	shared	share	VERB
ihlr-16567	589	6	sav­	sav­	NOUN
ihlr-16567	589	7	ings	ing	NOUN
ihlr-16567	589	8	regime	regime	NOUN
ihlr-16567	589	9	mean	mean	VERB
ihlr-16567	589	10	the	the	DET
ihlr-16567	589	11	doctors	doctor	NOUN
ihlr-16567	589	12	'	'	PART
ihlr-16567	589	13	gains	gain	NOUN
ihlr-16567	589	14	come	come	VERB
ihlr-16567	589	15	at	at	ADP
ihlr-16567	589	16	the	the	DET
ihlr-16567	589	17	hospital	hospital	NOUN
ihlr-16567	589	18	's	's	PART
ihlr-16567	589	19	expense	expense	NOUN
ihlr-16567	589	20	.	.	PUNCT
ihlr-16567	590	1	the	the	DET
ihlr-16567	590	2	aco	aco	PROPN
ihlr-16567	590	3	regime	regime	NOUN
ihlr-16567	590	4	is	be	AUX
ihlr-16567	590	5	based	base	VERB
ihlr-16567	590	6	on	on	ADP
ihlr-16567	590	7	the	the	DET
ihlr-16567	590	8	premise	premise	NOUN
ihlr-16567	590	9	that	that	SCONJ
ihlr-16567	590	10	hospitals	hospital	NOUN
ihlr-16567	590	11	in	in	ADP
ihlr-16567	590	12	high	high	ADJ
ihlr-16567	590	13	-	-	PUNCT
ihlr-16567	590	14	utilization	utilization	NOUN
ihlr-16567	590	15	areas	area	NOUN
ihlr-16567	590	16	will	will	AUX
ihlr-16567	590	17	resign	resign	VERB
ihlr-16567	590	18	themselves	themselves	PRON
ihlr-16567	590	19	to	to	ADP
ihlr-16567	590	20	downsizing	downsize	VERB
ihlr-16567	590	21	and	and	CCONJ
ihlr-16567	590	22	cooperate	cooperate	VERB
ihlr-16567	590	23	with	with	ADP
ihlr-16567	590	24	doctors	doctor	NOUN
ihlr-16567	590	25	by	by	ADP
ihlr-16567	590	26	allow­	allow­	NOUN
ihlr-16567	590	27	ing	e	VERB
ihlr-16567	590	28	their	their	PRON
ihlr-16567	590	29	infrastructure	infrastructure	NOUN
ihlr-16567	590	30	(	(	PUNCT
ihlr-16567	590	31	primarily	primarily	ADV
ihlr-16567	590	32	,	,	PUNCT
ihlr-16567	590	33	their	their	PRON
ihlr-16567	590	34	committee	committee	NOUN
ihlr-16567	590	35	structure	structure	NOUN
ihlr-16567	590	36	and	and	CCONJ
ihlr-16567	590	37	support	support	NOUN
ihlr-16567	590	38	units	unit	NOUN
ihlr-16567	590	39	)	)	PUNCT
ihlr-16567	590	40	to	to	PART
ihlr-16567	590	41	be	be	AUX
ihlr-16567	590	42	harnessed	harness	VERB
ihlr-16567	590	43	for	for	ADP
ihlr-16567	590	44	efficiency	efficiency	NOUN
ihlr-16567	590	45	and	and	CCONJ
ihlr-16567	590	46	quality	quality	NOUN
ihlr-16567	590	47	improvement	improvement	NOUN
ihlr-16567	590	48	efforts	effort	NOUN
ihlr-16567	590	49	.	.	PUNCT
ihlr-16567	591	1	however	however	ADV
ihlr-16567	591	2	,	,	PUNCT
ihlr-16567	591	3	hospitals	hospital	NOUN
ihlr-16567	591	4	could	could	AUX
ihlr-16567	591	5	try	try	VERB
ihlr-16567	591	6	to	to	PART
ihlr-16567	591	7	block	block	VERB
ihlr-16567	591	8	these	these	DET
ihlr-16567	591	9	efforts	effort	NOUN
ihlr-16567	591	10	.	.	PUNCT
ihlr-16567	592	1	for	for	ADP
ihlr-16567	592	2	instance	instance	NOUN
ihlr-16567	592	3	,	,	PUNCT
ihlr-16567	592	4	hospitals	hospital	NOUN
ihlr-16567	592	5	will	will	AUX
ihlr-16567	592	6	be	be	AUX
ihlr-16567	592	7	busier	busy	ADJ
ihlr-16567	592	8	with	with	ADP
ihlr-16567	592	9	more	more	ADJ
ihlr-16567	592	10	interventionists	interventionist	NOUN
ihlr-16567	592	11	in	in	ADP
ihlr-16567	592	12	their	their	PRON
ihlr-16567	592	13	aco	aco	NOUN
ihlr-16567	592	14	pool	pool	NOUN
ihlr-16567	592	15	and	and	CCONJ
ihlr-16567	592	16	will	will	AUX
ihlr-16567	592	17	earn	earn	VERB
ihlr-16567	592	18	the	the	DET
ihlr-16567	592	19	most	most	ADJ
ihlr-16567	592	20	if	if	SCONJ
ihlr-16567	592	21	doctors	doctor	NOUN
ihlr-16567	592	22	who	who	PRON
ihlr-16567	592	23	perform	perform	VERB
ihlr-16567	592	24	profitable	profitable	ADJ
ihlr-16567	592	25	procedures	procedure	NOUN
ihlr-16567	592	26	continue	continue	VERB
ihlr-16567	592	27	to	to	PART
ihlr-16567	592	28	do	do	VERB
ihlr-16567	592	29	so	so	ADV
ihlr-16567	592	30	at	at	ADP
ihlr-16567	592	31	a	a	DET
ihlr-16567	592	32	high	high	ADJ
ihlr-16567	592	33	volume	volume	NOUN
ihlr-16567	592	34	.	.	PUNCT
ihlr-16567	593	1	in	in	ADP
ihlr-16567	593	2	contrast	contrast	NOUN
ihlr-16567	593	3	,	,	PUNCT
ihlr-16567	593	4	doctors	doctor	NOUN
ihlr-16567	593	5	in	in	ADP
ihlr-16567	593	6	the	the	DET
ihlr-16567	593	7	aco	aco	PROPN
ihlr-16567	593	8	can	can	AUX
ihlr-16567	593	9	boost	boost	VERB
ihlr-16567	593	10	their	their	PRON
ihlr-16567	593	11	conversion	conversion	NOUN
ihlr-16567	593	12	factor	factor	NOUN
ihlr-16567	593	13	most	most	ADV
ihlr-16567	593	14	quickly	quickly	ADV
ihlr-16567	593	15	by	by	ADP
ihlr-16567	593	16	identifying	identify	VERB
ihlr-16567	593	17	procedures	procedure	NOUN
ihlr-16567	593	18	that	that	PRON
ihlr-16567	593	19	are	be	AUX
ihlr-16567	593	20	performed	perform	VERB
ihlr-16567	593	21	at	at	ADP
ihlr-16567	593	22	very	very	ADV
ihlr-16567	593	23	high	high	ADJ
ihlr-16567	593	24	rates	rate	NOUN
ihlr-16567	593	25	relative	relative	ADJ
ihlr-16567	593	26	to	to	ADP
ihlr-16567	593	27	the	the	DET
ihlr-16567	593	28	rest	rest	NOUN
ihlr-16567	593	29	of	of	ADP
ihlr-16567	593	30	the	the	DET
ihlr-16567	593	31	nation	nation	NOUN
ihlr-16567	593	32	and	and	CCONJ
ihlr-16567	593	33	curtailing	curtail	VERB
ihlr-16567	593	34	them	they	PRON
ihlr-16567	593	35	.	.	PUNCT
ihlr-16567	594	1	to	to	PART
ihlr-16567	594	2	illustrate	illustrate	VERB
ihlr-16567	594	3	,	,	PUNCT
ihlr-16567	594	4	imagine	imagine	VERB
ihlr-16567	594	5	an	an	DET
ihlr-16567	594	6	aco	aco	PROPN
ihlr-16567	594	7	formed	form	VERB
ihlr-16567	594	8	around	around	ADP
ihlr-16567	594	9	a	a	DET
ihlr-16567	594	10	hospital	hospital	NOUN
ihlr-16567	594	11	such	such	ADJ
ihlr-16567	594	12	as	as	ADP
ihlr-16567	594	13	ely­	ely­	PROPN
ihlr-16567	594	14	ria	ria	PROPN
ihlr-16567	594	15	,	,	PUNCT
ihlr-16567	594	16	ohio	ohio	PROPN
ihlr-16567	594	17	's	's	PART
ihlr-16567	594	18	emh	emh	PROPN
ihlr-16567	594	19	regional	regional	ADJ
ihlr-16567	594	20	medical	medical	ADJ
ihlr-16567	594	21	center	center	NOUN
ihlr-16567	594	22	,	,	PUNCT
ihlr-16567	594	23	which	which	PRON
ihlr-16567	594	24	recently	recently	ADV
ihlr-16567	594	25	gained	gain	VERB
ihlr-16567	594	26	notoriety	notoriety	NOUN
ihlr-16567	594	27	2010	2010	NUM
ihlr-16567	594	28	]	]	PUNCT
ihlr-16567	594	29	"	"	PUNCT
ihlr-16567	594	30	shared	share	VERB
ihlr-16567	594	31	accountability	accountability	NOUN
ihlr-16567	594	32	''	''	PUNCT
ihlr-16567	594	33	approach	approach	NOUN
ihlr-16567	594	34	219	219	NUM
ihlr-16567	594	35	for	for	ADP
ihlr-16567	594	36	performing	perform	VERB
ihlr-16567	594	37	angioplasties	angioplasty	NOUN
ihlr-16567	594	38	at	at	ADP
ihlr-16567	594	39	four	four	NUM
ihlr-16567	594	40	times	time	NOUN
ihlr-16567	594	41	the	the	DET
ihlr-16567	594	42	national	national	ADJ
ihlr-16567	594	43	rate	rate	NOUN
ihlr-16567	594	44	.	.	PUNCT
ihlr-16567	595	1	according	accord	VERB
ihlr-16567	595	2	the	the	DET
ihlr-16567	595	3	new	new	PROPN
ihlr-16567	595	4	york	york	PROPN
ihlr-16567	595	5	times	times	PROPN
ihlr-16567	595	6	,	,	PUNCT
ihlr-16567	595	7	about	about	ADV
ihlr-16567	595	8	1,000	1,000	NUM
ihlr-16567	595	9	such	such	ADJ
ihlr-16567	595	10	procedures	procedure	NOUN
ihlr-16567	595	11	are	be	AUX
ihlr-16567	595	12	performed	perform	VERB
ihlr-16567	595	13	on	on	ADP
ihlr-16567	595	14	medicare	medicare	PROPN
ihlr-16567	595	15	patients	patient	NOUN
ihlr-16567	595	16	there	there	ADV
ihlr-16567	595	17	each	each	DET
ihlr-16567	595	18	year.72	year.72	PROPN
ihlr-16567	595	19	using	use	VERB
ihlr-16567	595	20	numbers	number	NOUN
ihlr-16567	595	21	reported	report	VERB
ihlr-16567	595	22	in	in	ADP
ihlr-16567	595	23	the	the	DET
ihlr-16567	595	24	article	article	NOUN
ihlr-16567	595	25	,	,	PUNCT
ihlr-16567	595	26	it	it	PRON
ihlr-16567	595	27	appears	appear	VERB
ihlr-16567	595	28	that	that	SCONJ
ihlr-16567	595	29	if	if	SCONJ
ihlr-16567	595	30	the	the	DET
ihlr-16567	595	31	rate	rate	NOUN
ihlr-16567	595	32	were	be	AUX
ihlr-16567	595	33	pared	pare	VERB
ihlr-16567	595	34	down	down	ADP
ihlr-16567	595	35	to	to	ADP
ihlr-16567	595	36	the	the	DET
ihlr-16567	595	37	national	national	ADJ
ihlr-16567	595	38	average	average	NOUN
ihlr-16567	595	39	,	,	PUNCT
ihlr-16567	595	40	the	the	DET
ihlr-16567	595	41	number	number	NOUN
ihlr-16567	595	42	of	of	ADP
ihlr-16567	595	43	pro­	pro­	NOUN
ihlr-16567	595	44	cedures	cedure	NOUN
ihlr-16567	595	45	would	would	AUX
ihlr-16567	595	46	be	be	AUX
ihlr-16567	595	47	around	around	ADV
ihlr-16567	595	48	250	250	NUM
ihlr-16567	595	49	and	and	CCONJ
ihlr-16567	595	50	some	some	DET
ihlr-16567	595	51	$	$	SYM
ihlr-16567	595	52	600,000	600,000	NUM
ihlr-16567	595	53	in	in	ADP
ihlr-16567	595	54	savings	saving	NOUN
ihlr-16567	595	55	would	would	AUX
ihlr-16567	595	56	be	be	AUX
ihlr-16567	595	57	made	make	VERB
ihlr-16567	595	58	available	available	ADJ
ihlr-16567	595	59	for	for	SCONJ
ihlr-16567	595	60	the	the	DET
ihlr-16567	595	61	aco	aco	PROPN
ihlr-16567	595	62	's	's	PART
ihlr-16567	595	63	doctors	doctor	NOUN
ihlr-16567	595	64	to	to	PART
ihlr-16567	595	65	share	share	VERB
ihlr-16567	595	66	in	in	ADP
ihlr-16567	595	67	the	the	DET
ihlr-16567	595	68	form	form	NOUN
ihlr-16567	595	69	of	of	ADP
ihlr-16567	595	70	a	a	DET
ihlr-16567	595	71	higher	high	ADJ
ihlr-16567	595	72	conversion	conversion	NOUN
ihlr-16567	595	73	factor	factor	NOUN
ihlr-16567	595	74	.	.	PUNCT
ihlr-16567	596	1	such	such	DET
ihlr-16567	596	2	a	a	DET
ihlr-16567	596	3	reduction	reduction	NOUN
ihlr-16567	596	4	,	,	PUNCT
ihlr-16567	596	5	however	however	ADV
ihlr-16567	596	6	,	,	PUNCT
ihlr-16567	596	7	would	would	AUX
ihlr-16567	596	8	cut	cut	VERB
ihlr-16567	596	9	the	the	DET
ihlr-16567	596	10	hospital	hospital	NOUN
ihlr-16567	596	11	's	's	PART
ihlr-16567	596	12	revenues	revenue	NOUN
ihlr-16567	596	13	by	by	ADP
ihlr-16567	596	14	as	as	ADV
ihlr-16567	596	15	much	much	ADJ
ihlr-16567	596	16	as	as	ADP
ihlr-16567	596	17	$	$	SYM
ihlr-16567	596	18	8	8	NUM
ihlr-16567	596	19	million	million	NUM
ihlr-16567	596	20	-	-	PUNCT
ihlr-16567	596	21	a	a	DET
ihlr-16567	596	22	substantial	substantial	ADJ
ihlr-16567	596	23	portion	portion	NOUN
ihlr-16567	596	24	of	of	ADP
ihlr-16567	596	25	the	the	DET
ihlr-16567	596	26	hospital	hospital	NOUN
ihlr-16567	596	27	's	's	PART
ihlr-16567	596	28	profits	profit	NOUN
ihlr-16567	596	29	.	.	PUNCT
ihlr-16567	597	1	aco	aco	PROPN
ihlr-16567	597	2	doctors	doctor	NOUN
ihlr-16567	597	3	would	would	AUX
ihlr-16567	597	4	presumably	presumably	ADV
ihlr-16567	597	5	act	act	VERB
ihlr-16567	597	6	through	through	ADP
ihlr-16567	597	7	the	the	DET
ihlr-16567	597	8	hospital	hospital	NOUN
ihlr-16567	597	9	's	's	PART
ihlr-16567	597	10	committee	committee	NOUN
ihlr-16567	597	11	structure	structure	NOUN
ihlr-16567	597	12	to	to	PART
ihlr-16567	597	13	reduce	reduce	VERB
ihlr-16567	597	14	capacity	capacity	NOUN
ihlr-16567	597	15	.	.	PUNCT
ihlr-16567	598	1	the	the	DET
ihlr-16567	598	2	hospital	hospital	NOUN
ihlr-16567	598	3	could	could	AUX
ihlr-16567	598	4	attempt	attempt	VERB
ihlr-16567	598	5	to	to	PART
ihlr-16567	598	6	block	block	VERB
ihlr-16567	598	7	such	such	DET
ihlr-16567	598	8	a	a	DET
ihlr-16567	598	9	maneuver	maneuver	NOUN
ihlr-16567	598	10	,	,	PUNCT
ihlr-16567	598	11	but	but	CCONJ
ihlr-16567	598	12	aco	aco	PROPN
ihlr-16567	598	13	doctors	doctor	NOUN
ihlr-16567	598	14	would	would	AUX
ihlr-16567	598	15	still	still	ADV
ihlr-16567	598	16	be	be	AUX
ihlr-16567	598	17	able	able	ADJ
ihlr-16567	598	18	to	to	PART
ihlr-16567	598	19	stop	stop	VERB
ihlr-16567	598	20	referring	refer	VERB
ihlr-16567	598	21	patients	patient	NOUN
ihlr-16567	598	22	for	for	ADP
ihlr-16567	598	23	angioplasties	angioplasty	NOUN
ihlr-16567	598	24	or	or	CCONJ
ihlr-16567	598	25	affiliate	affiliate	NOUN
ihlr-16567	598	26	themselves	themselves	PRON
ihlr-16567	598	27	with	with	ADP
ihlr-16567	598	28	a	a	DET
ihlr-16567	598	29	competing	compete	VERB
ihlr-16567	598	30	aco	aco	PROPN
ihlr-16567	598	31	.	.	PUNCT
ihlr-16567	599	1	a	a	DET
ihlr-16567	599	2	desirable	desirable	ADJ
ihlr-16567	599	3	consequence	consequence	NOUN
ihlr-16567	599	4	of	of	ADP
ihlr-16567	599	5	such	such	ADJ
ihlr-16567	599	6	conflicts	conflict	NOUN
ihlr-16567	599	7	would	would	AUX
ihlr-16567	599	8	be	be	AUX
ihlr-16567	599	9	a	a	DET
ihlr-16567	599	10	new	new	ADJ
ihlr-16567	599	11	demand	demand	NOUN
ihlr-16567	599	12	for	for	ADP
ihlr-16567	599	13	clinical	clinical	ADJ
ihlr-16567	599	14	effectiveness	effectiveness	NOUN
ihlr-16567	599	15	data	datum	NOUN
ihlr-16567	599	16	.	.	PUNCT
ihlr-16567	600	1	cardiologists	cardiologist	NOUN
ihlr-16567	600	2	whose	whose	DET
ihlr-16567	600	3	practice	practice	NOUN
ihlr-16567	600	4	would	would	AUX
ihlr-16567	600	5	be	be	AUX
ihlr-16567	600	6	threat­	threat­	ADV
ihlr-16567	600	7	ened	ene	VERB
ihlr-16567	600	8	in	in	ADP
ihlr-16567	600	9	these	these	DET
ihlr-16567	600	10	scenarios	scenario	NOUN
ihlr-16567	600	11	would	would	AUX
ihlr-16567	600	12	have	have	VERB
ihlr-16567	600	13	an	an	DET
ihlr-16567	600	14	incentive	incentive	NOUN
ihlr-16567	600	15	to	to	PART
ihlr-16567	600	16	fund	fund	VERB
ihlr-16567	600	17	research	research	NOUN
ihlr-16567	600	18	demon­	demon­	PROPN
ihlr-16567	600	19	strating	strate	VERB
ihlr-16567	600	20	the	the	DET
ihlr-16567	600	21	value	value	NOUN
ihlr-16567	600	22	of	of	ADP
ihlr-16567	600	23	performing	perform	VERB
ihlr-16567	600	24	their	their	PRON
ihlr-16567	600	25	procedure	procedure	NOUN
ihlr-16567	600	26	on	on	ADP
ihlr-16567	600	27	a	a	DET
ihlr-16567	600	28	wider	wide	ADJ
ihlr-16567	600	29	array	array	NOUN
ihlr-16567	600	30	of	of	ADP
ihlr-16567	600	31	patients	patient	NOUN
ihlr-16567	600	32	.	.	PUNCT
ihlr-16567	601	1	if	if	SCONJ
ihlr-16567	601	2	they	they	PRON
ihlr-16567	601	3	were	be	AUX
ihlr-16567	601	4	able	able	ADJ
ihlr-16567	601	5	to	to	PART
ihlr-16567	601	6	demonstrate	demonstrate	VERB
ihlr-16567	601	7	that	that	SCONJ
ihlr-16567	601	8	the	the	DET
ihlr-16567	601	9	procedure	procedure	NOUN
ihlr-16567	601	10	was	be	AUX
ihlr-16567	601	11	reducing	reduce	VERB
ihlr-16567	601	12	mortality	mortality	NOUN
ihlr-16567	601	13	in	in	ADP
ihlr-16567	601	14	the	the	DET
ihlr-16567	601	15	population	population	NOUN
ihlr-16567	601	16	served	serve	VERB
ihlr-16567	601	17	by	by	ADP
ihlr-16567	601	18	the	the	DET
ihlr-16567	601	19	aco	aco	PROPN
ihlr-16567	601	20	,	,	PUNCT
ihlr-16567	601	21	they	they	PRON
ihlr-16567	601	22	could	could	AUX
ihlr-16567	601	23	argue	argue	VERB
ihlr-16567	601	24	that	that	SCONJ
ihlr-16567	601	25	they	they	PRON
ihlr-16567	601	26	were	be	AUX
ihlr-16567	601	27	help­	help­	PROPN
ihlr-16567	601	28	ing	e	VERB
ihlr-16567	601	29	the	the	DET
ihlr-16567	601	30	aco	aco	PROPN
ihlr-16567	601	31	to	to	PART
ihlr-16567	601	32	earn	earn	VERB
ihlr-16567	601	33	a	a	DET
ihlr-16567	601	34	performance	performance	NOUN
ihlr-16567	601	35	bonus	bonus	NOUN
ihlr-16567	601	36	.	.	PUNCT
ihlr-16567	602	1	protracted	protract	VERB
ihlr-16567	602	2	conflicts	conflict	NOUN
ihlr-16567	602	3	could	could	AUX
ihlr-16567	602	4	lead	lead	VERB
ihlr-16567	602	5	to	to	ADP
ihlr-16567	602	6	litigation	litigation	NOUN
ihlr-16567	602	7	and	and	CCONJ
ihlr-16567	602	8	perhaps	perhaps	ADV
ihlr-16567	602	9	even	even	ADV
ihlr-16567	602	10	to	to	ADP
ihlr-16567	602	11	inter­	inter­	NUM
ihlr-16567	602	12	ruptions	ruption	NOUN
ihlr-16567	602	13	in	in	ADP
ihlr-16567	602	14	access	access	NOUN
ihlr-16567	602	15	to	to	ADP
ihlr-16567	602	16	care	care	NOUN
ihlr-16567	602	17	.	.	PUNCT
ihlr-16567	603	1	also	also	ADV
ihlr-16567	603	2	,	,	PUNCT
ihlr-16567	603	3	it	it	PRON
ihlr-16567	603	4	would	would	AUX
ihlr-16567	603	5	be	be	AUX
ihlr-16567	603	6	expected	expect	VERB
ihlr-16567	603	7	that	that	SCONJ
ihlr-16567	603	8	some	some	DET
ihlr-16567	603	9	hospitals	hospital	NOUN
ihlr-16567	603	10	would	would	AUX
ihlr-16567	603	11	close	close	VERB
ihlr-16567	603	12	their	their	PRON
ihlr-16567	603	13	doors	door	NOUN
ihlr-16567	603	14	.	.	PUNCT
ihlr-16567	604	1	it	it	PRON
ihlr-16567	604	2	might	might	AUX
ihlr-16567	604	3	be	be	AUX
ihlr-16567	604	4	necessary	necessary	ADJ
ihlr-16567	604	5	for	for	ADP
ihlr-16567	604	6	an	an	DET
ihlr-16567	604	7	aco	aco	PROPN
ihlr-16567	604	8	regime	regime	NOUN
ihlr-16567	604	9	to	to	ADP
ihlr-16567	604	10	in­	in­	PROPN
ihlr-16567	604	11	clude	clude	NOUN
ihlr-16567	604	12	local	local	ADJ
ihlr-16567	604	13	health	health	NOUN
ihlr-16567	604	14	care	care	NOUN
ihlr-16567	604	15	"	"	PUNCT
ihlr-16567	604	16	czars	czar	NOUN
ihlr-16567	604	17	"	"	PUNCT
ihlr-16567	604	18	with	with	ADP
ihlr-16567	604	19	the	the	DET
ihlr-16567	604	20	power	power	NOUN
ihlr-16567	604	21	to	to	PART
ihlr-16567	604	22	mediate	mediate	VERB
ihlr-16567	604	23	and	and	CCONJ
ihlr-16567	604	24	arbitrate	arbitrate	ADJ
ihlr-16567	604	25	dis­	dis­	ADJ
ihlr-16567	604	26	putes	pute	NOUN
ihlr-16567	604	27	,	,	PUNCT
ihlr-16567	604	28	or	or	CCONJ
ihlr-16567	604	29	order	order	NOUN
ihlr-16567	604	30	"	"	PUNCT
ihlr-16567	604	31	cooling	cool	VERB
ihlr-16567	604	32	-	-	PUNCT
ihlr-16567	604	33	off	off	ADP
ihlr-16567	604	34	periods	period	NOUN
ihlr-16567	604	35	,	,	PUNCT
ihlr-16567	604	36	''	''	PUNCT
ihlr-16567	604	37	much	much	ADV
ihlr-16567	604	38	as	as	SCONJ
ihlr-16567	604	39	occurs	occur	VERB
ihlr-16567	604	40	in	in	ADP
ihlr-16567	604	41	the	the	DET
ihlr-16567	604	42	labor	labor	NOUN
ihlr-16567	604	43	sphere	sphere	ADV
ihlr-16567	604	44	.	.	PUNCT
ihlr-16567	605	1	as	as	SCONJ
ihlr-16567	605	2	has	have	AUX
ihlr-16567	605	3	been	be	AUX
ihlr-16567	605	4	noted	note	VERB
ihlr-16567	605	5	by	by	ADP
ihlr-16567	605	6	others	other	NOUN
ihlr-16567	605	7	,	,	PUNCT
ihlr-16567	605	8	quality	quality	NOUN
ihlr-16567	605	9	measurement	measurement	NOUN
ihlr-16567	605	10	efforts	effort	NOUN
ihlr-16567	605	11	can	can	AUX
ihlr-16567	605	12	lead	lead	VERB
ihlr-16567	605	13	to	to	ADP
ihlr-16567	605	14	increased	increase	VERB
ihlr-16567	605	15	costs	cost	NOUN
ihlr-16567	605	16	to	to	ADP
ihlr-16567	605	17	medicare	medicare	PROPN
ihlr-16567	605	18	.	.	PUNCT
ihlr-16567	606	1	73	73	NUM
ihlr-16567	607	1	in	in	ADP
ihlr-16567	607	2	one	one	NUM
ihlr-16567	607	3	category	category	NOUN
ihlr-16567	607	4	of	of	ADP
ihlr-16567	607	5	measurements	measurement	NOUN
ihlr-16567	607	6	are	be	AUX
ihlr-16567	607	7	im­	im­	NOUN
ihlr-16567	607	8	proved	prove	VERB
ihlr-16567	607	9	outcomes	outcome	NOUN
ihlr-16567	607	10	with	with	ADP
ihlr-16567	607	11	quantifiable	quantifiable	ADJ
ihlr-16567	607	12	savings	saving	NOUN
ihlr-16567	607	13	to	to	ADP
ihlr-16567	607	14	medicare	medicare	PROPN
ihlr-16567	607	15	,	,	PUNCT
ihlr-16567	607	16	e.g.	e.g.	ADV
ihlr-16567	607	17	,	,	PUNCT
ihlr-16567	607	18	avoided	avoid	VERB
ihlr-16567	607	19	hos­	hos­	NOUN
ihlr-16567	607	20	pitalizations	pitalization	NOUN
ihlr-16567	607	21	.	.	PUNCT
ihlr-16567	608	1	it	it	PRON
ihlr-16567	608	2	is	be	AUX
ihlr-16567	608	3	relatively	relatively	ADV
ihlr-16567	608	4	easy	easy	ADJ
ihlr-16567	608	5	to	to	PART
ihlr-16567	608	6	reward	reward	VERB
ihlr-16567	608	7	this	this	DET
ihlr-16567	608	8	quality	quality	NOUN
ihlr-16567	608	9	dimension	dimension	NOUN
ihlr-16567	608	10	,	,	PUNCT
ihlr-16567	608	11	by	by	ADP
ihlr-16567	608	12	awarding	award	VERB
ihlr-16567	608	13	shared	share	VERB
ihlr-16567	608	14	part	part	NOUN
ihlr-16567	608	15	a	a	DET
ihlr-16567	608	16	savings	saving	NOUN
ihlr-16567	608	17	to	to	ADP
ihlr-16567	608	18	the	the	DET
ihlr-16567	608	19	acos	aco	NOUN
ihlr-16567	608	20	that	that	PRON
ihlr-16567	608	21	achieve	achieve	VERB
ihlr-16567	608	22	it	it	PRON
ihlr-16567	608	23	.	.	PUNCT
ihlr-16567	609	1	but	but	CCONJ
ihlr-16567	609	2	a	a	DET
ihlr-16567	609	3	second	second	ADJ
ihlr-16567	609	4	category	category	NOUN
ihlr-16567	609	5	of	of	ADP
ihlr-16567	609	6	quality	quality	NOUN
ihlr-16567	609	7	indicators	indicator	NOUN
ihlr-16567	609	8	coinprises	coinprise	NOUN
ihlr-16567	609	9	processes	process	NOUN
ihlr-16567	609	10	recommended	recommend	VERB
ihlr-16567	609	11	for	for	ADP
ihlr-16567	609	12	the	the	DET
ihlr-16567	609	13	care	care	NOUN
ihlr-16567	609	14	of	of	ADP
ihlr-16567	609	15	certain	certain	ADJ
ihlr-16567	609	16	illnesses	illness	NOUN
ihlr-16567	609	17	that	that	PRON
ihlr-16567	609	18	will	will	AUX
ihlr-16567	609	19	not	not	PART
ihlr-16567	609	20	,	,	PUNCT
ihlr-16567	609	21	in	in	ADP
ihlr-16567	609	22	the	the	DET
ihlr-16567	609	23	short	short	ADJ
ihlr-16567	609	24	run	run	NOUN
ihlr-16567	609	25	at	at	ADP
ihlr-16567	609	26	least	least	ADJ
ihlr-16567	609	27	,	,	PUNCT
ihlr-16567	609	28	lead	lead	VERB
ihlr-16567	609	29	to	to	PART
ihlr-16567	609	30	cost	cost	VERB
ihlr-16567	609	31	savings	saving	NOUN
ihlr-16567	609	32	and	and	CCONJ
ihlr-16567	609	33	that	that	SCONJ
ihlr-16567	609	34	,	,	PUNCT
ihlr-16567	609	35	because	because	SCONJ
ihlr-16567	609	36	they	they	PRON
ihlr-16567	609	37	are	be	AUX
ihlr-16567	609	38	under	under	ADV
ihlr-16567	609	39	-	-	PUNCT
ihlr-16567	609	40	used	use	VERB
ihlr-16567	609	41	,	,	PUNCT
ihlr-16567	609	42	will	will	AUX
ihlr-16567	609	43	certainly	certainly	ADV
ihlr-16567	609	44	lead	lead	VERB
ihlr-16567	609	45	to	to	ADP
ihlr-16567	609	46	higher	high	ADJ
ihlr-16567	609	47	costs	cost	NOUN
ihlr-16567	609	48	.	.	PUNCT
ihlr-16567	610	1	one	one	NUM
ihlr-16567	610	2	example	example	NOUN
ihlr-16567	610	3	might	might	AUX
ihlr-16567	610	4	be	be	AUX
ihlr-16567	610	5	"	"	PUNCT
ihlr-16567	610	6	colonoscopic	colonoscopic	VERB
ihlr-16567	610	7	surveillance	surveillance	NOUN
ihlr-16567	610	8	after	after	ADP
ihlr-16567	610	9	colon	colon	NOUN
ihlr-16567	610	10	cancer	cancer	NOUN
ihlr-16567	610	11	.	.	PUNCT
ihlr-16567	610	12	"	"	PUNCT
ihlr-16567	611	1	in	in	ADP
ihlr-16567	611	2	a	a	DET
ihlr-16567	611	3	third	third	ADJ
ihlr-16567	611	4	category	category	NOUN
ihlr-16567	611	5	are	be	AUX
ihlr-16567	611	6	improved	improve	VERB
ihlr-16567	611	7	outcomes	outcome	NOUN
ihlr-16567	611	8	that	that	PRON
ihlr-16567	611	9	benefit	benefit	VERB
ihlr-16567	611	10	the	the	DET
ihlr-16567	611	11	popu­	popu­	NOUN
ihlr-16567	611	12	lation	lation	NOUN
ihlr-16567	611	13	served	serve	VERB
ihlr-16567	611	14	and	and	CCONJ
ihlr-16567	611	15	thus	thus	ADV
ihlr-16567	611	16	have	have	VERB
ihlr-16567	611	17	economic	economic	ADJ
ihlr-16567	611	18	value	value	NOUN
ihlr-16567	611	19	to	to	ADP
ihlr-16567	611	20	society	society	NOUN
ihlr-16567	611	21	but	but	CCONJ
ihlr-16567	611	22	not	not	PART
ihlr-16567	611	23	a	a	DET
ihlr-16567	611	24	value	value	NOUN
ihlr-16567	611	25	that	that	PRON
ihlr-16567	611	26	is	be	AUX
ihlr-16567	611	27	reflected	reflect	VERB
ihlr-16567	611	28	in	in	ADP
ihlr-16567	611	29	lower	low	ADJ
ihlr-16567	611	30	medicare	medicare	NOUN
ihlr-16567	611	31	costs	cost	NOUN
ihlr-16567	611	32	.	.	PUNCT
ihlr-16567	612	1	examples	example	NOUN
ihlr-16567	612	2	here	here	ADV
ihlr-16567	612	3	are	be	AUX
ihlr-16567	612	4	mortality	mortality	NOUN
ihlr-16567	612	5	rates	rate	NOUN
ihlr-16567	612	6	for	for	ADP
ihlr-16567	612	7	medical	medical	ADJ
ihlr-16567	612	8	conditions	condition	NOUN
ihlr-16567	612	9	or	or	CCONJ
ihlr-16567	612	10	surgical	surgical	ADJ
ihlr-16567	612	11	procedures	procedure	NOUN
ihlr-16567	612	12	these	these	DET
ihlr-16567	612	13	latter	latter	ADJ
ihlr-16567	612	14	categories	category	NOUN
ihlr-16567	612	15	create	create	VERB
ihlr-16567	612	16	dilemmas	dilemma	NOUN
ihlr-16567	612	17	because	because	SCONJ
ihlr-16567	612	18	they	they	PRON
ihlr-16567	612	19	either	either	CCONJ
ihlr-16567	612	20	require	require	VERB
ihlr-16567	612	21	additional	additional	ADJ
ihlr-16567	612	22	medicare	medicare	NOUN
ihlr-16567	612	23	expenditures	expenditure	NOUN
ihlr-16567	612	24	for	for	ADP
ihlr-16567	612	25	underused	underused	ADJ
ihlr-16567	612	26	services	service	NOUN
ihlr-16567	612	27	,	,	PUNCT
ihlr-16567	612	28	or	or	CCONJ
ihlr-16567	612	29	merit	merit	NOUN
ihlr-16567	612	30	increased	increase	VERB
ihlr-16567	612	31	72	72	NUM
ihlr-16567	612	32	.	.	PUNCT
ihlr-16567	613	1	reed	reed	PROPN
ihlr-16567	613	2	abelson	abelson	PROPN
ihlr-16567	613	3	,	,	PUNCT
ihlr-16567	613	4	heart	heart	NOUN
ihlr-16567	613	5	procedure	procedure	NOUN
ihlr-16567	613	6	is	be	AUX
ihlr-16567	613	7	off	off	ADP
ihlr-16567	613	8	the	the	DET
ihlr-16567	613	9	charts	chart	NOUN
ihlr-16567	613	10	in	in	ADP
ihlr-16567	613	11	an	an	DET
ihlr-16567	613	12	ohio	ohio	PROPN
ihlr-16567	613	13	city	city	PROPN
ihlr-16567	613	14	,	,	PUNCT
ihlr-16567	613	15	n.y	n.y	PROPN
ihlr-16567	613	16	.	.	PROPN
ihlr-16567	613	17	times	times	PROPN
ihlr-16567	613	18	,	,	PUNCT
ihlr-16567	613	19	aug	aug	PROPN
ihlr-16567	613	20	.	.	PROPN
ihlr-16567	613	21	18	18	NUM
ihlr-16567	613	22	,	,	PUNCT
ihlr-16567	613	23	2006	2006	NUM
ihlr-16567	613	24	,	,	PUNCT
ihlr-16567	613	25	at	at	ADP
ihlr-16567	613	26	al	al	PROPN
ihlr-16567	613	27	,	,	PUNCT
ihlr-16567	613	28	available	available	ADJ
ihlr-16567	613	29	at	at	ADP
ihlr-16567	613	30	http:!www.nytimes.com/2006/0818	http:!www.nytimes.com/2006/0818	NOUN
ihlr-16567	613	31	/	/	SYM
ihlr-16567	613	32	business/18stent.html	business/18stent.html	PROPN
ihlr-16567	613	33	.	.	PUNCT
ihlr-16567	614	1	73	73	NUM
ihlr-16567	614	2	.	.	PUNCT
ihlr-16567	615	1	see	see	VERB
ihlr-16567	615	2	,	,	PUNCT
ihlr-16567	615	3	e.g.	e.g.	ADV
ihlr-16567	615	4	,	,	PUNCT
ihlr-16567	615	5	albert	albert	PROPN
ihlr-16567	615	6	h.	h.	PROPN
ihlr-16567	615	7	guay	guay	PROPN
ihlr-16567	615	8	,	,	PUNCT
ihlr-16567	615	9	understanding	understand	VERB
ihlr-16567	615	10	pay	pay	VERB
ihlr-16567	615	11	for	for	ADP
ihlr-16567	615	12	performance	performance	NOUN
ihlr-16567	615	13	,	,	PUNCT
ihlr-16567	615	14	ada	ada	PROPN
ihlr-16567	615	15	news	news	PROPN
ihlr-16567	615	16	today	today	NOUN
ihlr-16567	615	17	,	,	PUNCT
ihlr-16567	615	18	feb	feb	PROPN
ihlr-16567	615	19	.	.	PROPN
ihlr-16567	615	20	13	13	NUM
ihlr-16567	615	21	,	,	PUNCT
ihlr-16567	615	22	2007	2007	NUM
ihlr-16567	615	23	.	.	PUNCT
ihlr-16567	616	1	http://www.ada.orglprof/resourceslpubs/adanews/printarticle.asp	http://www.ada.orglprof/resourceslpubs/adanews/printarticle.asp	X
ihlr-16567	616	2	?	?	PUNCT
ihlr-16567	617	1	articleid=2344	articleid=2344	PROPN
ihlr-16567	617	2	.	.	PUNCT
ihlr-16567	618	1	220	220	NUM
ihlr-16567	618	2	indiana	indiana	PROPN
ihlr-16567	618	3	heal	heal	PROPN
ihlr-16567	618	4	til	til	SCONJ
ihlr-16567	618	5	law	law	NOUN
ihlr-16567	618	6	review	review	NOUN
ihlr-16567	618	7	[	[	X
ihlr-16567	618	8	vol	vol	NOUN
ihlr-16567	618	9	.	.	PUNCT
ihlr-16567	619	1	7:185	7:185	X
ihlr-16567	619	2	pay	pay	VERB
ihlr-16567	619	3	.	.	PUNCT
ihlr-16567	620	1	to	to	ADP
ihlr-16567	620	2	doctors	doctor	NOUN
ihlr-16567	620	3	to	to	PART
ihlr-16567	620	4	incent	incent	VERB
ihlr-16567	620	5	their	their	PRON
ihlr-16567	620	6	achievement	achievement	NOUN
ihlr-16567	620	7	,	,	PUNCT
ihlr-16567	620	8	or	or	CCONJ
ihlr-16567	620	9	both	both	PRON
ihlr-16567	620	10	.	.	PUNCT
ihlr-16567	621	1	since	since	SCONJ
ihlr-16567	621	2	they	they	PRON
ihlr-16567	621	3	can	can	AUX
ihlr-16567	621	4	not	not	PART
ihlr-16567	621	5	be	be	AUX
ihlr-16567	621	6	paid	pay	VERB
ihlr-16567	621	7	for	for	ADP
ihlr-16567	621	8	by	by	ADP
ihlr-16567	621	9	self	self	NOUN
ihlr-16567	621	10	-	-	PUNCT
ihlr-16567	621	11	generated	generate	VERB
ihlr-16567	621	12	savings	saving	NOUN
ihlr-16567	621	13	they	they	PRON
ihlr-16567	621	14	must	must	AUX
ihlr-16567	621	15	be	be	AUX
ihlr-16567	621	16	paid	pay	VERB
ihlr-16567	621	17	.for	.for	ADP
ihlr-16567	621	18	either	either	CCONJ
ihlr-16567	621	19	by	by	ADP
ihlr-16567	621	20	transfer	transfer	NOUN
ihlr-16567	621	21	..	..	PUNCT
ihlr-16567	621	22	ring	re	VERB
ihlr-16567	621	23	existing	exist	VERB
ihlr-16567	621	24	funds	fund	NOUN
ihlr-16567	621	25	from	from	ADP
ihlr-16567	621	26	low	low	ADJ
ihlr-16567	621	27	-	-	PUNCT
ihlr-16567	621	28	performance	performance	NOUN
ihlr-16567	621	29	regions	region	NOUN
ihlr-16567	621	30	or	or	CCONJ
ihlr-16567	621	31	by	by	ADP
ihlr-16567	621	32	committing	commit	VERB
ihlr-16567	621	33	new	new	ADJ
ihlr-16567	621	34	money	money	NOUN
ihlr-16567	621	35	.	.	PUNCT
ihlr-16567	622	1	,	,	PUNCT
ihlr-16567	622	2	,	,	PUNCT
ihlr-16567	622	3	yet	yet	CCONJ
ihlr-16567	622	4	another	another	DET
ihlr-16567	622	5	question	question	NOUN
ihlr-16567	622	6	is	be	AUX
ihlr-16567	622	7	whether	whether	SCONJ
ihlr-16567	622	8	a	a	DET
ihlr-16567	622	9	system	system	NOUN
ihlr-16567	622	10	of	of	ADP
ihlr-16567	622	11	sub	sub	ADJ
ihlr-16567	622	12	-	-	ADJ
ihlr-16567	622	13	national	national	ADJ
ihlr-16567	622	14	sgr	sgr	PROPN
ihlr-16567	622	15	pools	pool	NOUN
ihlr-16567	622	16	would	would	AUX
ihlr-16567	622	17	have	have	VERB
ihlr-16567	622	18	any	any	DET
ihlr-16567	622	19	more	more	ADJ
ihlr-16567	622	20	viability	viability	NOUN
ihlr-16567	622	21	than	than	ADP
ihlr-16567	622	22	the	the	DET
ihlr-16567	622	23	current	current	ADJ
ihlr-16567	622	24	sgr	sgr	PROPN
ihlr-16567	622	25	regime	regime	NOUN
ihlr-16567	622	26	,	,	PUNCT
ihlr-16567	622	27	from	from	ADP
ihlr-16567	622	28	which	which	PRON
ihlr-16567	622	29	doctors	doctor	NOUN
ihlr-16567	622	30	have	have	AUX
ihlr-16567	622	31	been	be	AUX
ihlr-16567	622	32	able	able	ADJ
ihlr-16567	622	33	to	to	PART
ihlr-16567	622	34	engineer	engineer	VERB
ihlr-16567	622	35	breakouts	breakout	NOUN
ihlr-16567	622	36	on	on	ADP
ihlr-16567	622	37	an	an	DET
ihlr-16567	622	38	annual	annual	ADJ
ihlr-16567	622	39	basis	basis	NOUN
ihlr-16567	622	40	.	.	PUNCT
ihlr-16567	623	1	as	as	ADP
ihlr-16567	623	2	an	an	DET
ihlr-16567	623	3	artificial	artificial	ADJ
ihlr-16567	623	4	legislative	legislative	ADJ
ihlr-16567	623	5	construct	construct	NOUN
ihlr-16567	623	6	,	,	PUNCT
ihlr-16567	623	7	the	the	DET
ihlr-16567	623	8	sgr	sgr	PROPN
ihlr-16567	623	9	has	have	AUX
ihlr-16567	623	10	been	be	AUX
ihlr-16567	623	11	.vulnerable	.vulnerable	ADJ
ihlr-16567	623	12	to	to	ADP
ihlr-16567	623	13	what	what	PRON
ihlr-16567	623	14	might	might	AUX
ihlr-16567	623	15	be	be	AUX
ihlr-16567	623	16	called	call	VERB
ihlr-16567	623	17	a	a	DET
ihlr-16567	623	18	circumvention	circumvention	NOUN
ihlr-16567	623	19	strategy	strategy	NOUN
ihlr-16567	623	20	by	by	ADP
ihlr-16567	623	21	doctors	doctor	NOUN
ihlr-16567	623	22	-	-	PUNCT
ihlr-16567	623	23	lobbying	lobby	VERB
ihlr-16567	623	24	con­	con­	NOUN
ihlr-16567	623	25	gress	gress	NOUN
ihlr-16567	623	26	to	to	AUX
ihlr-16567	623	27	"	"	PUNCT
ihlr-16567	623	28	replenish	replenish	VERB
ihlr-16567	623	29	"	"	PUNCT
ihlr-16567	623	30	the	the	DET
ihlr-16567	623	31	pool	pool	NOUN
ihlr-16567	623	32	by	by	ADP
ihlr-16567	623	33	reversing	reverse	VERB
ihlr-16567	623	34	negative	negative	ADJ
ihlr-16567	623	35	updates	update	NOUN
ihlr-16567	623	36	.	.	PUNCT
ihlr-16567	624	1	attempts	attempt	NOUN
ihlr-16567	624	2	to	to	PART
ihlr-16567	624	3	circumvent	circumvent	VERB
ihlr-16567	624	4	the	the	DET
ihlr-16567	624	5	sgr	sgr	PROPN
ihlr-16567	624	6	by	by	ADP
ihlr-16567	624	7	lobbying	lobby	VERB
ihlr-16567	624	8	should	should	AUX
ihlr-16567	624	9	have	have	AUX
ihlr-16567	624	10	been	be	AUX
ihlr-16567	624	11	foreseen	foresee	VERB
ihlr-16567	624	12	by	by	ADP
ihlr-16567	624	13	policymak­	policymak­	NUM
ihlr-16567	624	14	ers	er	NOUN
ihlr-16567	624	15	.	.	PUNCT
ihlr-16567	625	1	an	an	DET
ihlr-16567	625	2	earlier	early	ADJ
ihlr-16567	625	3	analog	analog	NOUN
ihlr-16567	625	4	to	to	ADP
ihlr-16567	625	5	the	the	DET
ihlr-16567	625	6	sgr	sgr	PROPN
ihlr-16567	625	7	,	,	PUNCT
ihlr-16567	625	8	the	the	DET
ihlr-16567	625	9	allowable	allowable	ADJ
ihlr-16567	625	10	sale	sale	NOUN
ihlr-16567	625	11	quantity	quantity	NOUN
ihlr-16567	625	12	(	(	PUNCT
ihlr-16567	625	13	asq	asq	PROPN
ihlr-16567	625	14	)	)	PUNCT
ihlr-16567	625	15	re­	re­	PROPN
ihlr-16567	625	16	gime	gime	ADJ
ihlr-16567	625	17	governing	govern	VERB
ihlr-16567	625	18	sustainability	sustainability	NOUN
ihlr-16567	625	19	of	of	ADP
ihlr-16567	625	20	national	national	ADJ
ihlr-16567	625	21	forests	forest	NOUN
ihlr-16567	625	22	,	,	PUNCT
ihlr-16567	625	23	had	have	AUX
ihlr-16567	625	24	proven	prove	VERB
ihlr-16567	625	25	vulnerable	vulnerable	ADJ
ihlr-16567	625	26	to	to	ADP
ihlr-16567	625	27	circumvention	circumvention	NOUN
ihlr-16567	625	28	by	by	ADP
ihlr-16567	625	29	logging	log	VERB
ihlr-16567	625	30	interests	interest	NOUN
ihlr-16567	625	31	,	,	PUNCT
ihlr-16567	625	32	most	most	ADV
ihlr-16567	625	33	notably	notably	ADV
ihlr-16567	625	34	in	in	ADP
ihlr-16567	625	35	1995	1995	NUM
ihlr-16567	625	36	when	when	SCONJ
ihlr-16567	625	37	the	the	DET
ihlr-16567	625	38	"	"	PUNCT
ihlr-16567	625	39	salvage	salvage	NOUN
ihlr-16567	625	40	rider	rider	NOUN
ihlr-16567	625	41	''	''	PUNCT
ihlr-16567	625	42	was	be	AUX
ihlr-16567	625	43	enacted.74	enacted.74	NOUN
ihlr-16567	625	44	the	the	DET
ihlr-16567	625	45	politics	politic	NOUN
ihlr-16567	625	46	of	of	ADP
ihlr-16567	625	47	the	the	DET
ihlr-16567	625	48	salvage	salvage	NOUN
ihlr-16567	625	49	rider	rider	NOUN
ihlr-16567	625	50	and	and	CCONJ
ihlr-16567	625	51	the	the	DET
ihlr-16567	625	52	politics	politic	NOUN
ihlr-16567	625	53	of	of	ADP
ihlr-16567	625	54	the	the	DET
ihlr-16567	625	55	update	update	NOUN
ihlr-16567	625	56	reversals	reversal	NOUN
ihlr-16567	625	57	are	be	AUX
ihlr-16567	625	58	strikingly	strikingly	ADV
ihlr-16567	625	59	similar	similar	ADJ
ihlr-16567	625	60	:	:	PUNCT
ihlr-16567	625	61	the	the	DET
ihlr-16567	625	62	affected	affected	ADJ
ihlr-16567	625	63	interest	interest	NOUN
ihlr-16567	625	64	group	group	NOUN
ihlr-16567	625	65	protests	protest	VERB
ihlr-16567	625	66	that	that	SCONJ
ihlr-16567	625	67	restrictions	restriction	NOUN
ihlr-16567	625	68	are	be	AUX
ihlr-16567	625	69	too	too	ADV
ihlr-16567	625	70	onerous	onerous	ADJ
ihlr-16567	625	71	and	and	CCONJ
ihlr-16567	625	72	a	a	DET
ihlr-16567	625	73	"	"	PUNCT
ihlr-16567	625	74	crisis	crisis	NOUN
ihlr-16567	625	75	"	"	PUNCT
ihlr-16567	625	76	threatens	threaten	VERB
ihlr-16567	625	77	the	the	DET
ihlr-16567	625	78	public	public	NOUN
ihlr-16567	625	79	;	;	PUNCT
ihlr-16567	625	80	in	in	ADP
ihlr-16567	625	81	the	the	DET
ihlr-16567	625	82	case	case	NOUN
ihlr-16567	625	83	of	of	ADP
ihlr-16567	625	84	the	the	DET
ihlr-16567	625	85	salvage	salvage	NOUN
ihlr-16567	625	86	rider	rider	NOUN
ihlr-16567	625	87	,	,	PUNCT
ihlr-16567	625	88	unemployment	unemployment	NOUN
ihlr-16567	625	89	;	;	PUNCT
ihlr-16567	625	90	in	in	ADP
ihlr-16567	625	91	the	the	DET
ihlr-16567	625	92	case	case	NOUN
ihlr-16567	625	93	of	of	ADP
ihlr-16567	625	94	the	the	DET
ihlr-16567	625	95	negative	negative	ADJ
ihlr-16567	625	96	update	update	NOUN
ihlr-16567	625	97	,	,	PUNCT
ihlr-16567	625	98	reduced	reduce	VERB
ihlr-16567	625	99	access	access	NOUN
ihlr-16567	625	100	to	to	ADP
ihlr-16567	625	101	care	care	NOUN
ihlr-16567	625	102	.	.	PUNCT
ihlr-16567	626	1	if	if	SCONJ
ihlr-16567	626	2	the	the	DET
ihlr-16567	626	3	asq	asq	PROPN
ihlr-16567	626	4	can	can	AUX
ihlr-16567	626	5	be	be	AUX
ihlr-16567	626	6	circumvented	circumvent	VERB
ihlr-16567	626	7	despite	despite	SCONJ
ihlr-16567	626	8	vociferous	vociferous	ADJ
ihlr-16567	626	9	opposition	opposition	NOUN
ihlr-16567	626	10	from	from	ADP
ihlr-16567	626	11	environmental	environmental	ADJ
ihlr-16567	626	12	groups	group	NOUN
ihlr-16567	626	13	,	,	PUNCT
ihlr-16567	626	14	it	it	PRON
ihlr-16567	626	15	is	be	AUX
ihlr-16567	626	16	all	all	DET
ihlr-16567	626	17	the	the	DET
ihlr-16567	626	18	more	more	ADV
ihlr-16567	626	19	unrealistic	unrealistic	ADJ
ihlr-16567	626	20	to	to	PART
ihlr-16567	626	21	expect	expect	VERB
ihlr-16567	626	22	that	that	SCONJ
ihlr-16567	626	23	the	the	DET
ihlr-16567	626	24	sgr	sgr	PROPN
ihlr-16567	626	25	will	will	AUX
ihlr-16567	626	26	not	not	PART
ihlr-16567	626	27	be	be	AUX
ihlr-16567	626	28	.	.	PUNCT
ihlr-16567	627	1	circumvented	circumvent	VERB
ihlr-16567	627	2	given	give	VERB
ihlr-16567	627	3	that	that	SCONJ
ihlr-16567	627	4	the	the	DET
ihlr-16567	627	5	doctors	doctor	NOUN
ihlr-16567	627	6	'	'	PART
ihlr-16567	627	7	lobbying	lobbying	NOUN
ihlr-16567	627	8	has	have	AUX
ihlr-16567	627	9	faced	face	VERB
ihlr-16567	627	10	no	no	DET
ihlr-16567	627	11	or­	or­	ADV
ihlr-16567	627	12	ganized	ganize	VERB
ihlr-16567	627	13	opposition	opposition	NOUN
ihlr-16567	627	14	.	.	PUNCT
ihlr-16567	628	1	the	the	DET
ihlr-16567	628	2	biggest	big	ADJ
ihlr-16567	628	3	questiop	questiop	NOUN
ihlr-16567	628	4	.	.	PUNCT
ihlr-16567	628	5	raised	raise	VERB
ihlr-16567	628	6	by	by	ADP
ihlr-16567	628	7	the	the	DET
ihlr-16567	628	8	shared	share	VERB
ihlr-16567	628	9	accountabili­	accountabili­	PROPN
ihlr-16567	628	10	ty	ty	NUM
ihlr-16567	628	11	approach	approach	NOUN
ihlr-16567	628	12	to	to	ADP
ihlr-16567	628	13	the	the	DET
ihlr-16567	628	14	sgr	sgr	PROPN
ihlr-16567	628	15	is	be	AUX
ihlr-16567	628	16	whether	whether	SCONJ
ihlr-16567	628	17	doctors	doctor	NOUN
ihlr-16567	628	18	would	would	AUX
ihlr-16567	628	19	alter	alter	VERB
ihlr-16567	628	20	their	their	PRON
ihlr-16567	628	21	practices	practice	NOUN
ihlr-16567	628	22	to	to	PART
ihlr-16567	628	23	comply	comply	VERB
ihlr-16567	628	24	with	with	ADP
ihlr-16567	628	25	the	the	DET
ihlr-16567	628	26	spirit	spirit	NOUN
ihlr-16567	628	27	of	of	ADP
ihlr-16567	628	28	the	the	DET
ihlr-16567	628	29	new	new	ADJ
ihlr-16567	628	30	regime	regime	NOUN
ihlr-16567	628	31	,	,	PUNCT
ihlr-16567	628	32	or	or	CCONJ
ihlr-16567	628	33	continue	continue	VERB
ihlr-16567	628	34	to	to	PART
ihlr-16567	628	35	try	try	VERB
ihlr-16567	628	36	to	to	PART
ihlr-16567	628	37	"	"	PUNCT
ihlr-16567	628	38	beat	beat	VERB
ihlr-16567	628	39	"	"	PUNCT
ihlr-16567	628	40	the	the	DET
ihlr-16567	628	41	system	system	NOUN
ihlr-16567	628	42	by	by	ADP
ihlr-16567	628	43	maintaining	maintain	VERB
ihlr-16567	628	44	or	or	CCONJ
ihlr-16567	628	45	increasing	increase	VERB
ihlr-16567	628	46	volume	volume	NOUN
ihlr-16567	628	47	and	and	CCONJ
ihlr-16567	628	48	then	then	ADV
ihlr-16567	628	49	pleading	plead	VERB
ihlr-16567	628	50	for	for	ADP
ihlr-16567	628	51	relief	relief	NOUN
ihlr-16567	628	52	from	from	ADP
ihlr-16567	628	53	the	the	DET
ihlr-16567	628	54	resulting	result	VERB
ihlr-16567	628	55	"	"	PUNCT
ihlr-16567	628	56	crisis	crisis	NOUN
ihlr-16567	628	57	.	.	PUNCT
ihlr-16567	628	58	"	"	PUNCT
ihlr-16567	629	1	there	there	PRON
ihlr-16567	629	2	is	be	VERB
ihlr-16567	629	3	no	no	DET
ihlr-16567	629	4	legal	legal	ADJ
ihlr-16567	629	5	barrier	barrier	NOUN
ihlr-16567	629	6	preventing	prevent	VERB
ihlr-16567	629	7	congress	congress	PROPN
ihlr-16567	629	8	from	from	ADP
ihlr-16567	629	9	abrogating	abrogate	VERB
ihlr-16567	629	10	a	a	DET
ihlr-16567	629	11	statu­	statu­	PROPN
ihlr-16567	629	12	tory	tory	NOUN
ihlr-16567	629	13	scheme	scheme	NOUN
ihlr-16567	629	14	that	that	SCONJ
ihlr-16567	629	15	it	it	PRON
ihlr-16567	629	16	created	create	VERB
ihlr-16567	629	17	.	.	PUNCT
ihlr-16567	630	1	there	there	PRON
ihlr-16567	630	2	are	be	VERB
ihlr-16567	630	3	practical	practical	ADJ
ihlr-16567	630	4	barriers	barrier	NOUN
ihlr-16567	630	5	,	,	PUNCT
ihlr-16567	630	6	however	however	ADV
ihlr-16567	630	7	,	,	PUNCT
ihlr-16567	630	8	that	that	PRON
ihlr-16567	630	9	can	can	AUX
ihlr-16567	630	10	prevent	prevent	VERB
ihlr-16567	630	11	an	an	DET
ihlr-16567	630	12	interest	interest	NOUN
ihlr-16567	630	13	group	group	NOUN
ihlr-16567	630	14	from	from	ADP
ihlr-16567	630	15	succeeding	succeed	VERB
ihlr-16567	630	16	in	in	ADP
ihlr-16567	630	17	a	a	DET
ihlr-16567	630	18	circumvention	circumvention	NOUN
ihlr-16567	630	19	strategy	strategy	NOUN
ihlr-16567	630	20	.	.	PUNCT
ihlr-16567	631	1	the	the	DET
ihlr-16567	631	2	"	"	PUNCT
ihlr-16567	631	3	crisis	crisis	NOUN
ihlr-16567	631	4	"	"	PUNCT
ihlr-16567	631	5	must	must	AUX
ihlr-16567	631	6	get	get	VERB
ihlr-16567	631	7	on	on	ADP
ihlr-16567	631	8	the	the	DET
ihlr-16567	631	9	congressional	congressional	ADJ
ihlr-16567	631	10	agenda	agenda	NOUN
ihlr-16567	631	11	,	,	PUNCT
ihlr-16567	631	12	and	and	CCONJ
ihlr-16567	631	13	members	member	NOUN
ihlr-16567	631	14	of	of	ADP
ihlr-16567	631	15	congress	congress	PROPN
ihlr-16567	631	16	must	must	AUX
ihlr-16567	631	17	be	be	AUX
ihlr-16567	631	18	sympathetic	sympathetic	ADJ
ihlr-16567	631	19	.	.	PUNCT
ihlr-16567	632	1	for	for	SCONJ
ihlr-16567	632	2	an	an	DET
ihlr-16567	632	3	sgr	sgr	PROPN
ihlr-16567	632	4	regime	regime	NOUN
ihlr-16567	632	5	to	to	PART
ihlr-16567	632	6	remain	remain	VERB
ihlr-16567	632	7	secure	secure	ADJ
ihlr-16567	632	8	from	from	ADP
ihlr-16567	632	9	circumven­	circumven­	PROPN
ihlr-16567	632	10	tion	tion	NOUN
ihlr-16567	632	11	,	,	PUNCT
ihlr-16567	632	12	it	it	PRON
ihlr-16567	632	13	should	should	AUX
ihlr-16567	632	14	refrain	refrain	VERB
ihlr-16567	632	15	from	from	ADP
ihlr-16567	632	16	creating	create	VERB
ihlr-16567	632	17	a	a	DET
ihlr-16567	632	18	compelling	compelling	ADJ
ihlr-16567	632	19	focusing	focus	VERB
ihlr-16567	632	20	event	event	NOUN
ihlr-16567	632	21	that	that	PRON
ihlr-16567	632	22	can	can	AUX
ihlr-16567	632	23	create	create	VERB
ihlr-16567	632	24	a	a	DET
ihlr-16567	632	25	crisis	crisis	NOUN
ihlr-16567	632	26	atmosphere	atmosphere	NOUN
ihlr-16567	632	27	,	,	PUNCT
ihlr-16567	632	28	and	and	CCONJ
ihlr-16567	632	29	it	it	PRON
ihlr-16567	632	30	must.command	must.command	NUM
ihlr-16567	632	31	respect	respect	NOUN
ihlr-16567	632	32	and	and	CCONJ
ihlr-16567	632	33	legitimacy	legitimacy	NOUN
ihlr-16567	632	34	that	that	PRON
ihlr-16567	632	35	enable	enable	VERB
ihlr-16567	632	36	it	it	PRON
ihlr-16567	632	37	to	to	PART
ihlr-16567	632	38	withstand	withstand	VERB
ihlr-16567	632	39	frequent	frequent	ADJ
ihlr-16567	632	40	attacks	attack	NOUN
ihlr-16567	632	41	.	.	PUNCT
ihlr-16567	633	1	currently	currently	ADV
ihlr-16567	633	2	,	,	PUNCT
ihlr-16567	633	3	the	the	DET
ihlr-16567	633	4	sgr	sgr	PROPN
ihlr-16567	633	5	results	result	VERB
ihlr-16567	633	6	in	in	ADP
ihlr-16567	633	7	nega­	nega­	NOUN
ihlr-16567	633	8	tive	tive	NOUN
ihlr-16567	633	9	updates	update	NOUN
ihlr-16567	633	10	for	for	ADP
ihlr-16567	633	11	every	every	DET
ihlr-16567	633	12	doctor	doctor	NOUN
ihlr-16567	633	13	in	in	ADP
ihlr-16567	633	14	the	the	DET
ihlr-16567	633	15	country	country	NOUN
ihlr-16567	633	16	,	,	PUNCT
ihlr-16567	633	17	allowing	allow	VERB
ihlr-16567	633	18	doctors	doctor	NOUN
ihlr-16567	633	19	to	to	PART
ihlr-16567	633	20	mount	mount	VERB
ihlr-16567	633	21	na­	na­	PROPN
ihlr-16567	633	22	tionwide	tionwide	ADJ
ihlr-16567	633	23	campaigns	campaign	NOUN
ihlr-16567	633	24	themed	theme	VERB
ihlr-16567	633	25	around	around	ADP
ihlr-16567	633	26	the	the	DET
ihlr-16567	633	27	message	message	NOUN
ihlr-16567	633	28	of	of	ADP
ihlr-16567	633	29	a	a	DET
ihlr-16567	633	30	nationwide	nationwide	ADJ
ihlr-16567	633	31	access	access	NOUN
ihlr-16567	633	32	-	-	PUNCT
ihlr-16567	633	33	to­	to­	NOUN
ihlr-16567	633	34	care	care	NOUN
ihlr-16567	633	35	threat	threat	NOUN
ihlr-16567	633	36	.	.	PUNCT
ihlr-16567	634	1	this	this	DET
ihlr-16567	634	2	message	message	NOUN
ihlr-16567	634	3	gains	gain	VERB
ihlr-16567	634	4	a	a	DET
ihlr-16567	634	5	sympathetic	sympathetic	ADJ
ihlr-16567	634	6	hea	hea	NOUN
ihlr-16567	634	7	,	,	PUNCT
ihlr-16567	634	8	ring	ring	NOUN
ihlr-16567	634	9	because	because	SCONJ
ihlr-16567	634	10	few	few	ADJ
ihlr-16567	634	11	believe	believe	VERB
ihlr-16567	634	12	that	that	SCONJ
ihlr-16567	634	13	600,000	600,000	NUM
ihlr-16567	634	14	-	-	PUNCT
ihlr-16567	634	15	plus	plus	CCONJ
ihlr-16567	634	16	u.s	u.s	PROPN
ihlr-16567	634	17	.	.	PROPN
ihlr-16567	634	18	doctors	doctor	NOUN
ihlr-16567	634	19	are	be	AUX
ihlr-16567	634	20	capable	capable	ADJ
ihlr-16567	634	21	of	of	ADP
ihlr-16567	634	22	acting	act	VERB
ihlr-16567	634	23	in	in	ADP
ihlr-16567	634	24	concert	concert	NOUN
ihlr-16567	634	25	to	to	PART
ihlr-16567	634	26	maintain	maintain	VERB
ihlr-16567	634	27	steady	steady	ADJ
ihlr-16567	634	28	utilization	utilization	NOUN
ihlr-16567	634	29	,	,	PUNCT
ihlr-16567	634	30	and	and	CCONJ
ihlr-16567	634	31	consequently	consequently	ADV
ihlr-16567	634	32	appear	appear	VERB
ihlr-16567	634	33	blameless	blameless	ADJ
ihlr-16567	634	34	for	for	ADP
ihlr-16567	634	35	their	their	PRON
ihlr-16567	634	36	impending	impending	ADJ
ihlr-16567	634	37	cutinpay	cutinpay	NOUN
ihlr-16567	634	38	.	.	PUNCT
ihlr-16567	635	1	·	·	PUNCT
ihlr-16567	635	2	74	74	X
ihlr-16567	635	3	.	.	PUNCT
ihlr-16567	636	1	don	don	PROPN
ihlr-16567	636	2	hopey	hopey	PROPN
ihlr-16567	636	3	,	,	PUNCT
ihlr-16567	636	4	vote	vote	NOUN
ihlr-16567	636	5	near	near	ADV
ihlr-16567	636	6	on	on	ADP
ihlr-16567	636	7	rule	rule	NOUN
ihlr-16567	636	8	allowing	allow	VERB
ihlr-16567	636	9	more	more	ADJ
ihlr-16567	636	10	national	national	ADJ
ihlr-16567	636	11	forest	forest	NOUN
ihlr-16567	636	12	logging	logging	NOUN
ihlr-16567	636	13	,	,	PUNCT
ihlr-16567	636	14	pitts­	pitts­	PROPN
ihlr-16567	636	15	burgh	burgh	ADJ
ihlr-16567	636	16	post	post	NOUN
ihlr-16567	636	17	-	-	NOUN
ihlr-16567	636	18	gazette	gazette	NOUN
ihlr-16567	636	19	,	,	PUNCT
ihlr-16567	636	20	jul	jul	PROPN
ihlr-16567	636	21	.	.	PROPN
ihlr-16567	636	22	29	29	NUM
ihlr-16567	636	23	,	,	PUNCT
ihlr-16567	636	24	1996	1996	NUM
ihlr-16567	636	25	,	,	PUNCT
ihlr-16567	636	26	at	at	ADP
ihlr-16567	636	27	bl	bl	PROPN
ihlr-16567	636	28	.	.	PUNCT
ihlr-16567	636	29	2010	2010	NUM
ihlr-16567	636	30	]	]	PUNCT
ihlr-16567	636	31	"	"	PUNCT
ihlr-16567	636	32	shared	share	VERB
ihlr-16567	636	33	accountabu	accountabu	NOUN
ihlr-16567	636	34	..	..	PUNCT
ihlr-16567	636	35	rry	rry	PROPN
ihlr-16567	636	36	"	"	PUNCT
ihlr-16567	636	37	approach	approach	VERB
ihlr-16567	636	38	221	221	NUM
ihlr-16567	636	39	the	the	DET
ihlr-16567	636	40	splitting	splitting	NOUN
ihlr-16567	636	41	of	of	ADP
ihlr-16567	636	42	the	the	DET
ihlr-16567	636	43	nationwide	nationwide	ADJ
ihlr-16567	636	44	sgr	sgr	PROPN
ihlr-16567	636	45	pool	pool	NOUN
ihlr-16567	636	46	into	into	ADP
ihlr-16567	636	47	smaller	small	ADJ
ihlr-16567	636	48	pools	pool	NOUN
ihlr-16567	636	49	would	would	AUX
ihlr-16567	636	50	probably	probably	ADV
ihlr-16567	636	51	be	be	AUX
ihlr-16567	636	52	a	a	DET
ihlr-16567	636	53	·	·	PUNCT
ihlr-16567	636	54	step	step	NOUN
ihlr-16567	636	55	toward	toward	ADP
ihlr-16567	636	56	eliminating	eliminate	VERB
ihlr-16567	636	57	both	both	PRON
ihlr-16567	636	58	of	of	ADP
ihlr-16567	636	59	these	these	DET
ihlr-16567	636	60	conditions	condition	NOUN
ihlr-16567	636	61	.	.	PUNCT
ihlr-16567	637	1	with	with	ADP
ihlr-16567	637	2	smaller	small	ADJ
ihlr-16567	637	3	pools	pool	NOUN
ihlr-16567	637	4	,	,	PUNCT
ihlr-16567	637	5	doctors	doctor	NOUN
ihlr-16567	637	6	would	would	AUX
ihlr-16567	637	7	no	no	ADV
ihlr-16567	637	8	longer	long	ADV
ihlr-16567	637	9	be	be	AUX
ihlr-16567	637	10	affected	affect	VERB
ihlr-16567	637	11	uniformly	uniformly	ADV
ihlr-16567	637	12	by	by	ADP
ihlr-16567	637	13	a	a	DET
ihlr-16567	637	14	negative	negative	ADJ
ihlr-16567	637	15	update	update	NOUN
ihlr-16567	637	16	.	.	PUNCT
ihlr-16567	638	1	presumably	presumably	ADV
ihlr-16567	638	2	,	,	PUNCT
ihlr-16567	638	3	doctors	doctor	NOUN
ihlr-16567	638	4	in	in	ADP
ihlr-16567	638	5	the	the	DET
ihlr-16567	638	6	''	''	PUNCT
ihlr-16567	638	7	benchmark	benchmark	NOUN
ihlr-16567	638	8	"	"	PUNCT
ihlr-16567	638	9	localities	locality	NOUN
ihlr-16567	638	10	identified	identify	VERB
ihlr-16567	638	11	by	by	ADP
ihlr-16567	638	12	dartmouth	dartmouth	PROPN
ihlr-16567	638	13	would	would	AUX
ihlr-16567	638	14	receive	receive	VERB
ihlr-16567	638	15	positive	positive	ADJ
ihlr-16567	638	16	updates	update	NOUN
ihlr-16567	638	17	simply	simply	ADV
ihlr-16567	638	18	by	by	ADP
ihlr-16567	638	19	practicing	practice	VERB
ihlr-16567	638	20	as	as	SCONJ
ihlr-16567	638	21	they	they	PRON
ihlr-16567	638	22	have	have	AUX
ihlr-16567	638	23	in	in	ADP
ihlr-16567	638	24	the	the	DET
ihlr-16567	638	25	past	past	NOUN
ihlr-16567	638	26	,	,	PUNCT
ihlr-16567	638	27	and	and	CCONJ
ihlr-16567	638	28	would	would	AUX
ihlr-16567	638	29	have	have	VERB
ihlr-16567	638	30	no	no	DET
ihlr-16567	638	31	reason	reason	NOUN
ihlr-16567	638	32	to	to	PART
ihlr-16567	638	33	quarrel	quarrel	VERB
ihlr-16567	638	34	with	with	ADP
ihlr-16567	638	35	the	the	DET
ihlr-16567	638	36	system	system	NOUN
ihlr-16567	638	37	.	.	PUNCT
ihlr-16567	639	1	in­	in­	PROPN
ihlr-16567	639	2	stead	stead	ADJ
ihlr-16567	639	3	,	,	PUNCT
ihlr-16567	639	4	negative	negative	ADJ
ihlr-16567	639	5	updates	update	NOUN
ihlr-16567	639	6	would	would	AUX
ihlr-16567	639	7	be	be	AUX
ihlr-16567	639	8	limited	limit	VERB
ihlr-16567	639	9	to	to	ADP
ihlr-16567	639	10	a	a	DET
ihlr-16567	639	11	subset	subset	NOUN
ihlr-16567	639	12	of	of	ADP
ihlr-16567	639	13	doctors	doctor	NOUN
ihlr-16567	639	14	in	in	ADP
ihlr-16567	639	15	high­	high­	PROPN
ihlr-16567	639	16	intensity	intensity	NOUN
ihlr-16567	639	17	utilization	utilization	NOUN
ihlr-16567	639	18	regions	region	NOUN
ihlr-16567	639	19	,	,	PUNCT
ihlr-16567	639	20	and	and	CCONJ
ihlr-16567	639	21	complaints	complaint	NOUN
ihlr-16567	639	22	from	from	ADP
ihlr-16567	639	23	this	this	DET
ihlr-16567	639	24	smaller	small	ADJ
ihlr-16567	639	25	number	number	NOUN
ihlr-16567	639	26	of	of	ADP
ihlr-16567	639	27	doctors	doctor	NOUN
ihlr-16567	639	28	would	would	AUX
ihlr-16567	639	29	carry	carry	VERB
ihlr-16567	639	30	less	less	ADJ
ihlr-16567	639	31	political	political	ADJ
ihlr-16567	639	32	weight	weight	NOUN
ihlr-16567	639	33	.	.	PUNCT
ihlr-16567	640	1	this	this	PRON
ihlr-16567	640	2	is	be	AUX
ihlr-16567	640	3	not	not	PART
ihlr-16567	640	4	say	say	VERB
ihlr-16567	640	5	that	that	SCONJ
ihlr-16567	640	6	members	member	NOUN
ihlr-16567	640	7	of	of	ADP
ihlr-16567	640	8	congress	congress	PROPN
ihlr-16567	640	9	from	from	ADP
ihlr-16567	640	10	those	those	DET
ihlr-16567	640	11	regions	region	NOUN
ihlr-16567	640	12	would	would	AUX
ihlr-16567	640	13	not	not	PART
ihlr-16567	640	14	be	be	AUX
ihlr-16567	640	15	willing	willing	ADJ
ihlr-16567	640	16	to	to	PART
ihlr-16567	640	17	step	step	VERB
ihlr-16567	640	18	in	in	ADV
ihlr-16567	640	19	and	and	CCONJ
ihlr-16567	640	20	advocate	advocate	VERB
ihlr-16567	640	21	for	for	ADP
ihlr-16567	640	22	local	local	ADJ
ihlr-16567	640	23	doctors	doctor	NOUN
ihlr-16567	640	24	,	,	PUNCT
ihlr-16567	640	25	especially	especially	ADV
ihlr-16567	640	26	if	if	SCONJ
ihlr-16567	640	27	the	the	DET
ihlr-16567	640	28	cost	cost	NOUN
ihlr-16567	640	29	of	of	ADP
ihlr-16567	640	30	reversing	reverse	VERB
ihlr-16567	640	31	a	a	DET
ihlr-16567	640	32	negative	negative	ADJ
ihlr-16567	640	33	update	update	NOUN
ihlr-16567	640	34	could	could	AUX
ihlr-16567	640	35	be	be	AUX
ihlr-16567	640	36	spread	spread	VERB
ihlr-16567	640	37	nationwide	nationwide	ADV
ihlr-16567	640	38	.	.	PUNCT
ihlr-16567	641	1	but	but	CCONJ
ihlr-16567	641	2	if	if	SCONJ
ihlr-16567	641	3	the	the	DET
ihlr-16567	641	4	loca­	loca­	ADJ
ihlr-16567	641	5	lized	lize	VERB
ihlr-16567	641	6	sgr	sgr	PROPN
ihlr-16567	641	7	system	system	NOUN
ihlr-16567	641	8	gave	give	VERB
ihlr-16567	641	9	doctors	doctor	NOUN
ihlr-16567	641	10	real	real	ADJ
ihlr-16567	641	11	tools	tool	NOUN
ihlr-16567	641	12	to	to	PART
ihlr-16567	641	13	control	control	VERB
ihlr-16567	641	14	their	their	PRON
ihlr-16567	641	15	destinies	destiny	NOUN
ihlr-16567	641	16	,	,	PUNCT
ihlr-16567	641	17	their	their	PRON
ihlr-16567	641	18	pleas	plea	NOUN
ihlr-16567	641	19	for	for	ADP
ihlr-16567	641	20	relief	relief	NOUN
ihlr-16567	641	21	would	would	AUX
ihlr-16567	641	22	be	be	AUX
ihlr-16567	641	23	less	less	ADV
ihlr-16567	641	24	well	well	ADV
ihlr-16567	641	25	-	-	PUNCT
ihlr-16567	641	26	received	receive	VERB
ihlr-16567	641	27	.	.	PUNCT
ihlr-16567	642	1	giving	give	VERB
ihlr-16567	642	2	doctors	doctor	NOUN
ihlr-16567	642	3	the	the	DET
ihlr-16567	642	4	opportunity	opportunity	NOUN
ihlr-16567	642	5	to	to	PART
ihlr-16567	642	6	choose	choose	VERB
ihlr-16567	642	7	their	their	PRON
ihlr-16567	642	8	ehms	ehm	NOUN
ihlr-16567	642	9	pool	pool	NOUN
ihlr-16567	642	10	or	or	CCONJ
ihlr-16567	642	11	opt	opt	VERB
ihlr-16567	642	12	into	into	ADP
ihlr-16567	642	13	a	a	DET
ihlr-16567	642	14	separate	separate	ADJ
ihlr-16567	642	15	ip	ip	NOUN
ihlr-16567	642	16	a	a	DET
ihlr-16567	642	17	pool	pool	NOUN
ihlr-16567	642	18	would	would	AUX
ihlr-16567	642	19	be	be	AUX
ihlr-16567	642	20	impor­	impor­	PROPN
ihlr-16567	642	21	tant	tant	NOUN
ihlr-16567	642	22	to	to	ADP
ihlr-16567	642	23	creating	create	VERB
ihlr-16567	642	24	a	a	DET
ihlr-16567	642	25	sense	sense	NOUN
ihlr-16567	642	26	that	that	SCONJ
ihlr-16567	642	27	·	·	PUNCT
ihlr-16567	642	28	doctors	doctor	NOUN
ihlr-16567	642	29	are	be	AUX
ihlr-16567	642	30	not	not	PART
ihlr-16567	642	31	victims	victim	NOUN
ihlr-16567	642	32	of	of	ADP
ihlr-16567	642	33	but	but	CCONJ
ihlr-16567	642	34	rather	rather	ADV
ihlr-16567	642	35	agents	agent	NOUN
ihlr-16567	642	36	of	of	ADP
ihlr-16567	642	37	the	the	DET
ihlr-16567	642	38	negative	negative	ADJ
ihlr-16567	642	39	update	update	NOUN
ihlr-16567	642	40	's	's	PART
ihlr-16567	642	41	onset	onset	NOUN
ihlr-16567	642	42	.	.	PUNCT
ihlr-16567	643	1	congressional	congressional	ADJ
ihlr-16567	643	2	particularism	particularism	NOUN
ihlr-16567	643	3	is	be	AUX
ihlr-16567	643	4	easiest	easy	ADJ
ihlr-16567	643	5	when	when	SCONJ
ihlr-16567	643	6	benefits	benefit	NOUN
ihlr-16567	643	7	are	be	AUX
ihlr-16567	643	8	concentrated	concentrate	VERB
ihlr-16567	643	9	and	and	CCONJ
ihlr-16567	643	10	costs	cost	NOUN
ihlr-16567	643	11	are	be	AUX
ihlr-16567	643	12	diffused.75	diffused.75	ADJ
ihlr-16567	643	13	but	but	CCONJ
ihlr-16567	643	14	with	with	ADP
ihlr-16567	643	15	sub	sub	ADJ
ihlr-16567	643	16	-	-	ADJ
ihlr-16567	643	17	national	national	ADJ
ihlr-16567	643	18	sgrs	sgrs	NOUN
ihlr-16567	643	19	,	,	PUNCT
ihlr-16567	643	20	efforts	effort	NOUN
ihlr-16567	643	21	by	by	ADP
ihlr-16567	643	22	a	a	DET
ihlr-16567	643	23	member	member	NOUN
ihlr-16567	643	24	of	of	ADP
ihlr-16567	643	25	congress	congress	PROPN
ihlr-16567	643	26	or	or	CCONJ
ihlr-16567	643	27	the	the	DET
ihlr-16567	643	28	hhs	hhs	PROPN
ihlr-16567	643	29	secretary	secretary	NOUN
ihlr-16567	643	30	to	to	PART
ihlr-16567	643	31	give	give	VERB
ihlr-16567	643	32	a	a	DET
ihlr-16567	643	33	positive	positive	ADJ
ihlr-16567	643	34	update	update	NOUN
ihlr-16567	643	35	to	to	ADP
ihlr-16567	643	36	physicians	physician	NOUN
ihlr-16567	643	37	would	would	AUX
ihlr-16567	643	38	have	have	VERB
ihlr-16567	643	39	concentrated	concentrate	VERB
ihlr-16567	643	40	benefits	benefit	NOUN
ihlr-16567	643	41	and	and	CCONJ
ihlr-16567	643	42	concentrated	concentrated	ADJ
ihlr-16567	643	43	costs	cost	NOUN
ihlr-16567	643	44	-	-	PUNCT
ihlr-16567	643	45	increases	increase	NOUN
ihlr-16567	643	46	in	in	ADP
ihlr-16567	643	47	co­	co­	ADJ
ihlr-16567	643	48	payments	payment	NOUN
ihlr-16567	643	49	for	for	SCONJ
ihlr-16567	643	50	medicate	medicate	VERB
ihlr-16567	643	51	beneficiaries	beneficiary	NOUN
ihlr-16567	643	52	within	within	ADP
ihlr-16567	643	53	the	the	DET
ihlr-16567	643	54	locality	locality	NOUN
ihlr-16567	643	55	and	and	CCONJ
ihlr-16567	643	56	possibly	possibly	ADV
ihlr-16567	643	57	in­	in­	VERB
ihlr-16567	643	58	creased	creased	ADJ
ihlr-16567	643	59	premiums	premium	NOUN
ihlr-16567	643	60	as	as	ADV
ihlr-16567	643	61	well	well	ADV
ihlr-16567	643	62	,	,	PUNCT
ihlr-16567	643	63	if	if	SCONJ
ihlr-16567	643	64	congress	congress	PROPN
ihlr-16567	643	65	or	or	CCONJ
ihlr-16567	643	66	the	the	DET
ihlr-16567	643	67	secretary	secretary	NOUN
ihlr-16567	643	68	conditioned	condition	VERB
ihlr-16567	643	69	the	the	DET
ihlr-16567	643	70	pos­	pos­	ADJ
ihlr-16567	643	71	itive	itive	ADJ
ihlr-16567	643	72	update	update	NOUN
ihlr-16567	643	73	on	on	ADP
ihlr-16567	643	74	its	its	PRON
ihlr-16567	643	75	costs	cost	NOUN
ihlr-16567	643	76	being	be	AUX
ihlr-16567	643	77	recovered	recover	VERB
ihlr-16567	643	78	from	from	ADP
ihlr-16567	643	79	within	within	ADP
ihlr-16567	643	80	the	the	DET
ihlr-16567	643	81	service	service	NOUN
ihlr-16567	643	82	area	area	NOUN
ihlr-16567	643	83	affected	affect	VERB
ihlr-16567	643	84	.	.	PUNCT
ihlr-16567	644	1	vll	vll	PROPN
ihlr-16567	644	2	.	.	PUNCT
ihlr-16567	645	1	conclusion	conclusion	PROPN
ihlr-16567	645	2	a	a	DET
ihlr-16567	645	3	shared	share	VERB
ihlr-16567	645	4	accountability	accountability	NOUN
ihlr-16567	645	5	regime	regime	NOUN
ihlr-16567	645	6	holds	hold	VERB
ihlr-16567	645	7	out	out	ADP
ihlr-16567	645	8	the	the	DET
ihlr-16567	645	9	promise	promise	NOUN
ihlr-16567	645	10	of	of	ADP
ihlr-16567	645	11	improving	improve	VERB
ihlr-16567	645	12	ef­	ef­	NOUN
ihlr-16567	645	13	ficiency	ficiency	NOUN
ihlr-16567	645	14	,	,	PUNCT
ihlr-16567	645	15	quality	quality	NOUN
ihlr-16567	645	16	,	,	PUNCT
ihlr-16567	645	17	and	and	CCONJ
ihlr-16567	645	18	patient	patient	NOUN
ihlr-16567	645	19	-	-	PUNCT
ihlr-16567	645	20	centeredness	centeredness	NOUN
ihlr-16567	645	21	while	while	SCONJ
ihlr-16567	645	22	preserving	preserve	VERB
ihlr-16567	645	23	two	two	NUM
ihlr-16567	645	24	additional	additional	ADJ
ihlr-16567	645	25	values	value	NOUN
ihlr-16567	645	26	of	of	ADP
ihlr-16567	645	27	critical	critical	ADJ
ihlr-16567	645	28	importance	importance	NOUN
ihlr-16567	645	29	to	to	ADP
ihlr-16567	645	30	stakeholders	stakeholder	NOUN
ihlr-16567	645	31	-	-	PUNCT
ihlr-16567	645	32	autonomy	autonomy	NOUN
ihlr-16567	645	33	for	for	ADP
ihlr-16567	645	34	doctors	doctor	NOUN
ihlr-16567	645	35	and	and	CCONJ
ihlr-16567	645	36	choice	choice	NOUN
ihlr-16567	645	37	for	for	ADP
ihlr-16567	645	38	patients	patient	NOUN
ihlr-16567	645	39	.	.	PUNCT
ihlr-16567	646	1	other	other	ADJ
ihlr-16567	646	2	models	model	NOUN
ihlr-16567	646	3	of	of	ADP
ihlr-16567	646	4	cost	cost	NOUN
ihlr-16567	646	5	-	-	PUNCT
ihlr-16567	646	6	containment	containment	NOUN
ihlr-16567	646	7	have	have	AUX
ihlr-16567	646	8	been	be	AUX
ihlr-16567	646	9	perceived	perceive	VERB
ihlr-16567	646	10	to	to	PART
ihlr-16567	646	11	require	require	VERB
ihlr-16567	646	12	sacrifices	sacrifice	NOUN
ihlr-16567	646	13	of	of	ADP
ihlr-16567	646	14	one	one	NUM
ihlr-16567	646	15	or	or	CCONJ
ihlr-16567	646	16	more	more	ADJ
ihlr-16567	646	17	of	of	ADP
ihlr-16567	646	18	these	these	DET
ihlr-16567	646	19	values	value	NOUN
ihlr-16567	646	20	.	.	PUNCT
ihlr-16567	647	1	the	the	DET
ihlr-16567	647	2	shared	share	VERB
ihlr-16567	647	3	accountability	accountability	NOUN
ihlr-16567	647	4	approach	approach	NOUN
ihlr-16567	647	5	also	also	ADV
ihlr-16567	647	6	addresses	address	VERB
ihlr-16567	647	7	critiques	critique	NOUN
ihlr-16567	647	8	of	of	ADP
ihlr-16567	647	9	the	the	DET
ihlr-16567	647	10	medicare	medicare	NOUN
ihlr-16567	647	11	from	from	ADP
ihlr-16567	647	12	two	two	NUM
ihlr-16567	647	13	often	often	ADV
ihlr-16567	647	14	disgruntled	disgruntle	VERB
ihlr-16567	647	15	factions	faction	NOUN
ihlr-16567	647	16	of	of	ADP
ihlr-16567	647	17	the	the	DET
ihlr-16567	647	18	program	program	NOUN
ihlr-16567	647	19	's	's	PART
ihlr-16567	647	20	observers	observer	NOUN
ihlr-16567	647	21	.	.	PUNCT
ihlr-16567	648	1	an	an	DET
ihlr-16567	648	2	intriguing	intriguing	ADJ
ihlr-16567	648	3	possibility	possibility	NOUN
ihlr-16567	648	4	is	be	AUX
ihlr-16567	648	5	that	that	SCONJ
ihlr-16567	648	6	accountable	accountable	ADJ
ihlr-16567	648	7	care	care	NOUN
ihlr-16567	648	8	organizations	organization	NOUN
ihlr-16567	648	9	might	might	AUX
ihlr-16567	648	10	bridge	bridge	VERB
ihlr-16567	648	11	the	the	DET
ihlr-16567	648	12	divide	divide	NOUN
ihlr-16567	648	13	between	between	ADP
ihlr-16567	648	14	defenders	defender	NOUN
ihlr-16567	648	15	of	of	ADP
ihlr-16567	648	16	traditional	traditional	ADJ
ihlr-16567	648	17	medicare	medicare	NOUN
ihlr-16567	648	18	and	and	CCONJ
ihlr-16567	648	19	doctrinaire	doctrinaire	ADJ
ihlr-16567	648	20	con­	con­	NOUN
ihlr-16567	648	21	servatives	servative	NOUN
ihlr-16567	648	22	,	,	PUNCT
ihlr-16567	648	23	who	who	PRON
ihlr-16567	648	24	would	would	AUX
ihlr-16567	648	25	prefer	prefer	VERB
ihlr-16567	648	26	either	either	CCONJ
ihlr-16567	648	27	a	a	DET
ihlr-16567	648	28	voucher	voucher	ADJ
ihlr-16567	648	29	/	/	SYM
ihlr-16567	648	30	subsidy	subsidy	NOUN
ihlr-16567	648	31	approach	approach	NOUN
ihlr-16567	648	32	(	(	PUNCT
ihlr-16567	648	33	"	"	PUNCT
ihlr-16567	648	34	premium	premium	NOUN
ihlr-16567	648	35	support	support	NOUN
ihlr-16567	648	36	"	"	PUNCT
ihlr-16567	648	37	)	)	PUNCT
ihlr-16567	648	38	or	or	CCONJ
ihlr-16567	648	39	consumer	consumer	NOUN
ihlr-16567	648	40	-	-	PUNCT
ihlr-16567	648	41	directed	direct	VERB
ihlr-16567	648	42	approach	approach	NOUN
ihlr-16567	648	43	(	(	PUNCT
ihlr-16567	648	44	''	''	PUNCT
ihlr-16567	648	45	medical	medical	ADJ
ihlr-16567	648	46	savings	saving	NOUN
ihlr-16567	648	47	account	account	NOUN
ihlr-16567	648	48	"	"	PUNCT
ihlr-16567	648	49	)	)	PUNCT
ihlr-16567	648	50	that	that	PRON
ihlr-16567	648	51	minimizes	minimize	VERB
ihlr-16567	648	52	the	the	DET
ihlr-16567	648	53	federal	federal	ADJ
ihlr-16567	648	54	role	role	NOUN
ihlr-16567	648	55	in	in	ADP
ihlr-16567	648	56	providing	provide	VERB
ihlr-16567	648	57	health	health	NOUN
ihlr-16567	648	58	care	care	NOUN
ihlr-16567	648	59	.	.	PUNCT
ihlr-16567	649	1	because	because	SCONJ
ihlr-16567	649	2	payments	payment	NOUN
ihlr-16567	649	3	to	to	ADP
ihlr-16567	649	4	physicians	physician	NOUN
ihlr-16567	649	5	could	could	AUX
ihlr-16567	649	6	vary	vary	VERB
ihlr-16567	649	7	greatly	greatly	ADV
ihlr-16567	649	8	from	from	ADP
ihlr-16567	649	9	the	the	DET
ihlr-16567	649	10	prices	price	NOUN
ihlr-16567	649	11	in	in	ADP
ihlr-16567	649	12	medicare	medicare	PROPN
ihlr-16567	649	13	's	's	PART
ihlr-16567	649	14	fee	fee	NOUN
ihlr-16567	649	15	schedule	schedule	NOUN
ihlr-16567	649	16	75	75	NUM
ihlr-16567	649	17	.	.	PUNCT
ihlr-16567	650	1	seer	seer	PROPN
ihlr-16567	650	2	.	.	PUNCT
ihlr-16567	651	1	douglas	douglas	PROPN
ihlr-16567	651	2	arnold	arnold	PROPN
ihlr-16567	651	3	,	,	PUNCT
ihlr-16567	651	4	the	the	DET
ihlr-16567	651	5	logic	logic	NOUN
ihlr-16567	651	6	of	of	ADP
ihlr-16567	651	7	congressional	congressional	ADJ
ihlr-16567	651	8	action	action	NOUN
ihlr-16567	651	9	(	(	PUNCT
ihlr-16567	651	10	yale	yale	PROPN
ihlr-16567	651	11	university	university	PROPN
ihlr-16567	651	12	press	press	NOUN
ihlr-16567	651	13	1990	1990	NUM
ihlr-16567	651	14	)	)	PUNCT
ihlr-16567	651	15	.	.	PUNCT
ihlr-16567	652	1	222	222	NUM
ihlr-16567	652	2	indiana	indiana	PROPN
ihlr-16567	652	3	health	health	PROPN
ihlr-16567	652	4	law	law	PROPN
ihlr-16567	652	5	review	review	NOUN
ihlr-16567	652	6	[	[	X
ihlr-16567	652	7	vol	vol	NOUN
ihlr-16567	652	8	.	.	PUNCT
ihlr-16567	653	1	7:185	7:185	NOUN
ihlr-16567	653	2	depending	depend	VERB
ihlr-16567	653	3	on	on	ADP
ihlr-16567	653	4	the	the	DET
ihlr-16567	653	5	aco	aco	PROPN
ihlr-16567	653	6	's	's	PART
ihlr-16567	653	7	performance	performance	NOUN
ihlr-16567	653	8	,	,	PUNCT
ihlr-16567	653	9	and	and	CCONJ
ihlr-16567	653	10	players	player	NOUN
ihlr-16567	653	11	within	within	ADP
ihlr-16567	653	12	the	the	DET
ihlr-16567	653	13	aco	aco	PROPN
ihlr-16567	653	14	would	would	AUX
ihlr-16567	653	15	be	be	AUX
ihlr-16567	653	16	free	free	ADJ
ihlr-16567	653	17	to	to	PART
ihlr-16567	653	18	provide	provide	VERB
ihlr-16567	653	19	services	service	NOUN
ihlr-16567	653	20	,	,	PUNCT
ihlr-16567	653	21	such	such	ADJ
ihlr-16567	653	22	as	as	ADP
ihlr-16567	653	23	care	care	NOUN
ihlr-16567	653	24	coordination	coordination	NOUN
ihlr-16567	653	25	,	,	PUNCT
ihlr-16567	653	26	that	that	PRON
ihlr-16567	653	27	are	be	AUX
ihlr-16567	653	28	not	not	PART
ihlr-16567	653	29	covered	cover	VERB
ihlr-16567	653	30	by	by	ADP
ihlr-16567	653	31	medicare	medicare	PROPN
ihlr-16567	653	32	's	's	PART
ihlr-16567	653	33	fee	fee	NOUN
ihlr-16567	653	34	schedule	schedule	NOUN
ihlr-16567	653	35	,	,	PUNCT
ihlr-16567	653	36	the	the	DET
ihlr-16567	653	37	aco	aco	PROPN
ihlr-16567	653	38	regime	regime	NOUN
ihlr-16567	653	39	could	could	AUX
ihlr-16567	653	40	effectively	effectively	ADV
ihlr-16567	653	41	revoke	revoke	VERB
ihlr-16567	653	42	med­	med­	PROPN
ihlr-16567	653	43	icare	icare	NOUN
ihlr-16567	653	44	's	's	PART
ihlr-16567	653	45	administered	administer	VERB
ihlr-16567	653	46	pricing	pricing	NOUN
ihlr-16567	653	47	system	system	NOUN
ihlr-16567	653	48	,	,	PUNCT
ihlr-16567	653	49	making	make	VERB
ihlr-16567	653	50	the	the	DET
ihlr-16567	653	51	schedule	schedule	NOUN
ihlr-16567	653	52	a	a	DET
ihlr-16567	653	53	reference	reference	NOUN
ihlr-16567	653	54	point	point	NOUN
ihlr-16567	653	55	for	for	ADP
ihlr-16567	653	56	payment	payment	NOUN
ihlr-16567	653	57	instead	instead	ADV
ihlr-16567	653	58	of	of	ADP
ihlr-16567	653	59	the	the	DET
ihlr-16567	653	60	last	last	ADJ
ihlr-16567	653	61	word	word	NOUN
ihlr-16567	653	62	.	.	PUNCT
ihlr-16567	654	1	such	such	DET
ihlr-16567	654	2	a	a	DET
ihlr-16567	654	3	development	development	NOUN
ihlr-16567	654	4	would	would	AUX
ihlr-16567	654	5	be	be	AUX
ihlr-16567	654	6	wel­	wel­	NOUN
ihlr-16567	654	7	come	come	VERB
ihlr-16567	654	8	to	to	ADP
ihlr-16567	654	9	conservatives	conservative	NOUN
ihlr-16567	654	10	.	.	PUNCT
ihlr-16567	655	1	john	john	PROPN
ihlr-16567	655	2	goodman	goodman	PROPN
ihlr-16567	655	3	appeared	appear	VERB
ihlr-16567	655	4	to	to	PART
ihlr-16567	655	5	endorse	endorse	VERB
ihlr-16567	655	6	the	the	DET
ihlr-16567	655	7	aco	aco	PROPN
ihlr-16567	655	8	con­	con­	PROPN
ihlr-16567	655	9	cept	cept	PROPN
ihlr-16567	655	10	in	in	ADP
ihlr-16567	655	11	a	a	DET
ihlr-16567	655	12	wall	wall	PROPN
ihlr-16567	655	13	street	street	PROPN
ihlr-16567	655	14	journal	journal	PROPN
ihlr-16567	655	15	op	op	NOUN
ihlr-16567	655	16	-	-	PUNCT
ihlr-16567	655	17	ed	ed	NOUN
ihlr-16567	655	18	,	,	PUNCT
ihlr-16567	655	19	writing	write	VERB
ihlr-16567	655	20	under	under	ADP
ihlr-16567	655	21	the	the	DET
ihlr-16567	655	22	current	current	ADJ
ihlr-16567	655	23	system	system	NOUN
ihlr-16567	655	24	,	,	PUNCT
ihlr-16567	655	25	medicare	medicare	PROPN
ihlr-16567	655	26	and	and	CCONJ
ihlr-16567	655	27	medicaid	medicaid	PROPN
ihlr-16567	655	28	stifle	stifle	VERB
ihlr-16567	655	29	entrepreneurial	entrepreneurial	ADJ
ihlr-16567	655	30	activity	activity	NOUN
ihlr-16567	655	31	and	and	CCONJ
ihlr-16567	655	32	financially	financially	ADV
ihlr-16567	655	33	punish	punish	VERB
ihlr-16567	655	34	efforts	effort	NOUN
ihlr-16567	655	35	to	to	PART
ihlr-16567	655	36	lower	lower	VERB
ihlr-16567	655	37	cost	cost	NOUN
ihlr-16567	655	38	or	or	CCONJ
ihlr-16567	655	39	improve	improve	VERB
ihlr-16567	655	40	quality	quality	NOUN
ihlr-16567	655	41	.	.	PUNCT
ihlr-16567	656	1	why	why	SCONJ
ihlr-16567	656	2	ca	can	AUX
ihlr-16567	656	3	n't	not	PART
ihlr-16567	656	4	these	these	DET
ihlr-16567	656	5	agencies	agency	NOUN
ihlr-16567	656	6	reward	reward	VERB
ihlr-16567	656	7	improvements	improvement	NOUN
ihlr-16567	656	8	instead	instead	ADV
ihlr-16567	656	9	?	?	PUNCT
ihlr-16567	657	1	sup­	sup­	NOUN
ihlr-16567	657	2	pose	pose	VERB
ihlr-16567	657	3	an	an	DET
ihlr-16567	657	4	entrepreneur	entrepreneur	NOUN
ihlr-16567	657	5	offered	offer	VERB
ihlr-16567	657	6	to	to	PART
ihlr-16567	657	7	replicate	replicate	VERB
ihlr-16567	657	8	the	the	DET
ihlr-16567	657	9	mayo	mayo	NOUN
ihlr-16567	657	10	clinic	clinic	NOUN
ihlr-16567	657	11	in	in	ADP
ihlr-16567	657	12	other	other	ADJ
ihlr-16567	657	13	parts	part	NOUN
ihlr-16567	657	14	of	of	ADP
ihlr-16567	657	15	the	the	DET
ihlr-16567	657	16	country	country	NOUN
ihlr-16567	657	17	-	-	PUNCT
ihlr-16567	657	18	potentially	potentially	ADV
ihlr-16567	657	19	sav­	sav­	PROPN
ihlr-16567	657	20	ing	ing	PROPN
ihlr-16567	657	21	medicare	medicare	PROPN
ihlr-16567	657	22	25	25	NUM
ihlr-16567	657	23	%	%	NOUN
ihlr-16567	657	24	of	of	ADP
ihlr-16567	657	25	costs	cost	NOUN
ihlr-16567	657	26	and	and	CCONJ
ihlr-16567	657	27	improving	improve	VERB
ihlr-16567	657	28	quality	quality	NOUN
ihlr-16567	657	29	of	of	ADP
ihlr-16567	657	30	care	care	NOUN
ihlr-16567	657	31	along	along	ADP
ihlr-16567	657	32	the	the	DET
ihlr-16567	657	33	way	way	NOUN
ihlr-16567	657	34	.	.	PUNCT
ihlr-16567	658	1	medicare	medicare	PROPN
ihlr-16567	658	2	should	should	AUX
ihlr-16567	658	3	be	be	AUX
ihlr-16567	658	4	willing	willing	ADJ
ihlr-16567	658	5	to	to	PART
ihlr-16567	658	6	pay	pay	VERB
ihlr-16567	658	7	,	,	PUNCT
ihlr-16567	658	8	say	say	INTJ
ihlr-16567	658	9	,	,	PUNCT
ihlr-16567	658	10	12.5	12.5	NUM
ihlr-16567	658	11	%	%	NOUN
ihlr-16567	658	12	more	more	ADJ
ihlr-16567	658	13	than	than	ADP
ihlr-16567	658	14	its	its	PRON
ihlr-16567	658	15	standard	standard	ADJ
ihlr-16567	658	16	rates	rate	NOUN
ihlr-16567	658	17	in	in	ADP
ihlr-16567	658	18	order	order	NOUN
ihlr-16567	658	19	to	to	PART
ihlr-16567	658	20	achieve	achieve	VERB
ihlr-16567	658	21	twice	twice	DET
ihlr-16567	658	22	that	that	DET
ihlr-16567	658	23	amount	amount	NOUN
ihlr-16567	658	24	in	in	ADP
ihlr-16567	658	25	total	total	ADJ
ihlr-16567	658	26	lower	low	ADJ
ihlr-16567	658	27	costs.76	costs.76	PROPN
ihlr-16567	658	28	accountable	accountable	ADJ
ihlr-16567	658	29	care	care	NOUN
ihlr-16567	658	30	organizations	organization	NOUN
ihlr-16567	658	31	could	could	AUX
ihlr-16567	658	32	also	also	ADV
ihlr-16567	658	33	address	address	VERB
ihlr-16567	658	34	the	the	DET
ihlr-16567	658	35	desire	desire	NOUN
ihlr-16567	658	36	of	of	ADP
ihlr-16567	658	37	health	health	NOUN
ihlr-16567	658	38	policy	policy	NOUN
ihlr-16567	658	39	experts	expert	NOUN
ihlr-16567	658	40	for	for	ADP
ihlr-16567	658	41	what	what	PRON
ihlr-16567	658	42	james	james	PROPN
ihlr-16567	658	43	robinson	robinson	PROPN
ihlr-16567	658	44	has	have	AUX
ihlr-16567	658	45	called	call	VERB
ihlr-16567	658	46	"	"	PUNCT
ihlr-16567	658	47	payment	payment	NOUN
ihlr-16567	658	48	methods	method	NOUN
ihlr-16567	658	49	that	that	PRON
ihlr-16567	658	50	blend	blend	VERB
ihlr-16567	658	51	collective	collective	ADJ
ihlr-16567	658	52	capitation	capitation	NOUN
ihlr-16567	658	53	with	with	ADP
ihlr-16567	658	54	individual	individual	ADJ
ihlr-16567	658	55	fee	fee	NOUN
ihlr-16567	658	56	-	-	PUNCT
ihlr-16567	658	57	for	for	ADP
ihlr-16567	658	58	-	-	PUNCT
ihlr-16567	658	59	service	service	NOUN
ihlr-16567	658	60	.	.	PUNCT
ihlr-16567	659	1	"77	"77	PROPN
ihlr-16567	659	2	robinson	robinson	PROPN
ihlr-16567	659	3	noted	note	VERB
ihlr-16567	659	4	that	that	SCONJ
ihlr-16567	659	5	"	"	PUNCT
ihlr-16567	659	6	the	the	DET
ihlr-16567	659	7	formation	formation	NOUN
ihlr-16567	659	8	of	of	ADP
ihlr-16567	659	9	virtual	virtual	ADJ
ihlr-16567	659	10	specialty	specialty	NOUN
ihlr-16567	659	11	departments	department	NOUN
ihlr-16567	659	12	that	that	PRON
ihlr-16567	659	13	can	can	AUX
ihlr-16567	659	14	be	be	AUX
ihlr-16567	659	15	as­	as­	NOUN
ihlr-16567	659	16	signed	sign	VERB
ihlr-16567	659	17	a	a	DET
ihlr-16567	659	18	predetermined	predetermine	VERB
ihlr-16567	659	19	budget"78	budget"78	NOUN
ihlr-16567	659	20	would	would	AUX
ihlr-16567	659	21	lead	lead	VERB
ihlr-16567	659	22	to	to	ADP
ihlr-16567	659	23	individual	individual	ADJ
ihlr-16567	659	24	specialists	specialist	NOUN
ihlr-16567	659	25	in	in	ADP
ihlr-16567	659	26	these	these	DET
ihlr-16567	659	27	virtual	virtual	ADJ
ihlr-16567	659	28	depart­	depart­	NOUN
ihlr-16567	659	29	ments	ment	NOUN
ihlr-16567	659	30	...	...	PUNCT
ihlr-16567	660	1	[	[	X
ihlr-16567	660	2	thinking	thinking	NOUN
ihlr-16567	660	3	)	)	PUNCT
ihlr-16567	660	4	of	of	ADP
ihlr-16567	660	5	each	each	DET
ihlr-16567	660	6	other	other	ADJ
ihlr-16567	660	7	as	as	ADP
ihlr-16567	660	8	collaborators	collaborator	NOUN
ihlr-16567	660	9	,	,	PUNCT
ihlr-16567	660	10	not	not	PART
ihlr-16567	660	11	simply	simply	ADV
ihlr-16567	660	12	as	as	ADP
ihlr-16567	660	13	competitors	competitor	NOUN
ihlr-16567	660	14	,	,	PUNCT
ihlr-16567	660	15	and	and	CCONJ
ihlr-16567	660	16	will	will	AUX
ihlr-16567	660	17	[	[	AUX
ihlr-16567	660	18	provoke	provoke	VERB
ihlr-16567	660	19	them	they	PRON
ihlr-16567	660	20	to	to	ADP
ihlr-16567	660	21	]	]	PUNCT
ihlr-16567	660	22	...	...	PUNCT
ihlr-16567	660	23	begin	begin	VERB
ihlr-16567	660	24	to	to	PART
ihlr-16567	660	25	adopt	adopt	VERB
ihlr-16567	660	26	specialty	specialty	NOUN
ihlr-16567	660	27	-	-	PUNCT
ihlr-16567	660	28	specific	specific	ADJ
ihlr-16567	660	29	clinical	clinical	ADJ
ihlr-16567	660	30	protocols	protocol	NOUN
ihlr-16567	660	31	...	...	PUNCT
ihlr-16567	660	32	ideally	ideally	ADV
ihlr-16567	660	33	,	,	PUNCT
ihlr-16567	660	34	this	this	PRON
ihlr-16567	660	35	improves	improve	VERB
ihlr-16567	660	36	the	the	DET
ihlr-16567	660	37	cost	cost	NOUN
ihlr-16567	660	38	-	-	PUNCT
ihlr-16567	660	39	effectiveness	effectiveness	NOUN
ihlr-16567	660	40	of	of	ADP
ihlr-16567	660	41	the	the	DET
ihlr-16567	660	42	services	service	NOUN
ihlr-16567	660	43	provided	provide	VERB
ihlr-16567	660	44	,	,	PUNCT
ihlr-16567	660	45	since	since	SCONJ
ihlr-16567	660	46	peer	peer	NOUN
ihlr-16567	660	47	monitoring	monitoring	NOUN
ihlr-16567	660	48	and	and	CCONJ
ihlr-16567	660	49	dis­	dis­	ADJ
ihlr-16567	660	50	ciplining	ciplining	NOUN
ihlr-16567	660	51	of	of	ADP
ihlr-16567	660	52	inappropriate	inappropriate	ADJ
ihlr-16567	660	53	behavior	behavior	NOUN
ihlr-16567	660	54	is	be	AUX
ihlr-16567	660	55	easier	easy	ADJ
ihlr-16567	660	56	within	within	ADP
ihlr-16567	660	57	specialty	specialty	NOUN
ihlr-16567	660	58	lines	line	NOUN
ihlr-16567	660	59	than	than	ADP
ihlr-16567	660	60	across	across	ADP
ihlr-16567	660	61	them	they	PRON
ihlr-16567	660	62	.	.	PUNCT
ihlr-16567	661	1	it	it	PRON
ihlr-16567	661	2	provides	provide	VERB
ihlr-16567	661	3	a	a	DET
ihlr-16567	661	4	spur	spur	NOUN
ihlr-16567	661	5	to	to	ADP
ihlr-16567	661	6	the	the	DET
ihlr-16567	661	7	creation	creation	NOUN
ihlr-16567	661	8	of	of	ADP
ihlr-16567	661	9	specialty	specialty	NOUN
ihlr-16567	661	10	protocols	protocol	NOUN
ihlr-16567	661	11	,	,	PUNCT
ihlr-16567	661	12	the	the	DET
ihlr-16567	661	13	screening	screening	NOUN
ihlr-16567	661	14	and	and	CCONJ
ihlr-16567	661	15	selection	selection	NOUN
ihlr-16567	661	16	of	of	ADP
ihlr-16567	661	17	departmental	departmental	ADJ
ihlr-16567	661	18	members	member	NOUN
ihlr-16567	661	19	,	,	PUNCT
ihlr-16567	661	20	cross	cross	ADJ
ihlr-16567	661	21	-	-	ADJ
ihlr-16567	661	22	specialty	specialty	ADJ
ihlr-16567	661	23	discussions	discussion	NOUN
ihlr-16567	661	24	of	of	ADP
ihlr-16567	661	25	what	what	PRON
ihlr-16567	661	26	constitutes	constitute	VERB
ihlr-16567	661	27	an	an	DET
ihlr-16567	661	28	appropriate	appropriate	ADJ
ihlr-16567	661	29	refer­	refer­	NOUN
ihlr-16567	661	30	ral	ral	NOUN
ihlr-16567	661	31	,	,	PUNCT
ihlr-16567	661	32	and	and	CCONJ
ihlr-16567	661	33	,	,	PUNCT
ihlr-16567	661	34	more	more	ADV
ihlr-16567	661	35	generally	generally	ADV
ihlr-16567	661	36	,	,	PUNCT
ihlr-16567	661	37	the	the	DET
ihlr-16567	661	38	first	first	ADJ
ihlr-16567	661	39	whispers	whisper	NOUN
ihlr-16567	661	40	of	of	ADP
ihlr-16567	661	41	collec­	collec­	ADJ
ihlr-16567	661	42	tive	tive	NOUN
ihlr-16567	661	43	professionalism	professionalism	NOUN
ihlr-16567	661	44	in	in	ADP
ihlr-16567	661	45	what	what	PRON
ihlr-16567	661	46	traditionally	traditionally	ADV
ihlr-16567	661	47	has	have	AUX
ihlr-16567	661	48	been	be	AUX
ihlr-16567	661	49	the	the	DET
ihlr-16567	661	50	76	76	NUM
ihlr-16567	661	51	.	.	PUNCT
ihlr-16567	662	1	john	john	PROPN
ihlr-16567	662	2	c.	c.	PROPN
ihlr-16567	662	3	goodman	goodman	PROPN
ihlr-16567	662	4	,	,	PUNCT
ihlr-16567	662	5	"	"	PUNCT
ihlr-16567	662	6	perverse	perverse	ADJ
ihlr-16567	662	7	incentives	incentive	NOUN
ihlr-16567	662	8	in	in	ADP
ihlr-16567	662	9	health	health	NOUN
ihlr-16567	662	10	care	care	NOUN
ihlr-16567	662	11	,	,	PUNCT
ihlr-16567	662	12	"	"	PUNCT
ihlr-16567	662	13	wall	wall	PROPN
ihlr-16567	662	14	street	street	PROPN
ihlr-16567	662	15	journal	journal	PROPN
ihlr-16567	662	16	,	,	PUNCT
ihlr-16567	662	17	aprils	aprils	PROPN
ihlr-16567	662	18	,	,	PUNCT
ihlr-16567	662	19	2007	2007	NUM
ihlr-16567	662	20	.	.	PUNCT
ihlr-16567	663	1	77	77	NUM
ihlr-16567	663	2	.	.	PUNCT
ihlr-16567	664	1	robinson	robinson	PROPN
ihlr-16567	664	2	,	,	PUNCT
ihlr-16567	664	3	supra	supra	PROPN
ihlr-16567	664	4	note	note	NOUN
ihlr-16567	664	5	52	52	NUM
ihlr-16567	664	6	,	,	PUNCT
ihlr-16567	664	7	at	at	ADP
ihlr-16567	664	8	161	161	NUM
ihlr-16567	664	9	.	.	PUNCT
ihlr-16567	665	1	78	78	NUM
ihlr-16567	665	2	.	.	PUNCT
ihlr-16567	666	1	i	i	PRON
ihlr-16567	666	2	d.	d.	PROPN
ihlr-16567	666	3	2010	2010	NUM
ihlr-16567	666	4	]	]	PUNCT
ihlr-16567	666	5	"	"	PUNCT
ihlr-16567	666	6	shared	share	VERB
ihlr-16567	666	7	account	account	NOUN
ihlr-16567	666	8	ability	ability	NOUN
ihlr-16567	666	9	"	"	PUNCT
ihlr-16567	666	10	approach	approach	NOUN
ihlr-16567	666	11	223	223	NUM
ihlr-16567	666	12	most	most	ADV
ihlr-16567	666	13	autarkic	autarkic	NOUN
ihlr-16567	666	14	of	of	ADP
ihlr-16567	666	15	occupations	occupation	NOUN
ihlr-16567	666	16	.	.	PUNCT
ihlr-16567	667	1	79	79	NUM
ihlr-16567	668	1	the	the	DET
ihlr-16567	668	2	accountable	accountable	ADJ
ihlr-16567	668	3	care	care	NOUN
ihlr-16567	668	4	organization	organization	NOUN
ihlr-16567	668	5	approach	approach	NOUN
ihlr-16567	668	6	offers	offer	VERB
ihlr-16567	668	7	the	the	DET
ihlr-16567	668	8	possibility	possibility	NOUN
ihlr-16567	668	9	of	of	ADP
ihlr-16567	668	10	the	the	DET
ihlr-16567	668	11	blended	blended	ADJ
ihlr-16567	668	12	payment	payment	NOUN
ihlr-16567	668	13	system	system	NOUN
ihlr-16567	668	14	that	that	PRON
ihlr-16567	668	15	robinson	robinson	PROPN
ihlr-16567	668	16	and	and	CCONJ
ihlr-16567	668	17	other	other	ADJ
ihlr-16567	668	18	health	health	NOUN
ihlr-16567	668	19	policy	policy	NOUN
ihlr-16567	668	20	analysts	analyst	NOUN
ihlr-16567	668	21	have	have	AUX
ihlr-16567	668	22	advocated	advocate	VERB
ihlr-16567	668	23	.	.	PUNCT
ihlr-16567	669	1	while	while	SCONJ
ihlr-16567	669	2	no	no	DET
ihlr-16567	669	3	one	one	NOUN
ihlr-16567	669	4	can	can	AUX
ihlr-16567	669	5	say	say	VERB
ihlr-16567	669	6	whether	whether	SCONJ
ihlr-16567	669	7	a	a	DET
ihlr-16567	669	8	full	full	ADV
ihlr-16567	669	9	-	-	PUNCT
ihlr-16567	669	10	blown	blow	VERB
ihlr-16567	669	11	aco	aco	NOUN
ihlr-16567	669	12	system	system	NOUN
ihlr-16567	669	13	would	would	AUX
ihlr-16567	669	14	ac­	ac­	AUX
ihlr-16567	669	15	complish	complish	VERB
ihlr-16567	669	16	all	all	DET
ihlr-16567	669	17	the	the	DET
ihlr-16567	669	18	goals	goal	NOUN
ihlr-16567	669	19	discussed	discuss	VERB
ihlr-16567	669	20	in	in	ADP
ihlr-16567	669	21	this	this	DET
ihlr-16567	669	22	paper	paper	NOUN
ihlr-16567	669	23	,	,	PUNCT
ihlr-16567	669	24	the	the	DET
ihlr-16567	669	25	availability	availability	NOUN
ihlr-16567	669	26	of	of	ADP
ihlr-16567	669	27	informal	informal	ADJ
ihlr-16567	669	28	means	mean	NOUN
ihlr-16567	669	29	of	of	ADP
ihlr-16567	669	30	testing	test	VERB
ihlr-16567	669	31	the	the	DET
ihlr-16567	669	32	concept	concept	NOUN
ihlr-16567	669	33	,	,	PUNCT
ihlr-16567	669	34	as	as	ADP
ihlr-16567	669	35	through	through	ADP
ihlr-16567	669	36	the	the	DET
ihlr-16567	669	37	medigap	medigap	PROPN
ihlr-16567	669	38	or	or	CCONJ
ihlr-16567	669	39	"	"	PUNCT
ihlr-16567	669	40	competitive	competitive	ADJ
ihlr-16567	669	41	dy­	dy­	PROPN
ihlr-16567	669	42	namic	namic	ADJ
ihlr-16567	669	43	"	"	PUNCT
ihlr-16567	669	44	options	option	NOUN
ihlr-16567	669	45	outlined	outline	VERB
ihlr-16567	669	46	above	above	ADV
ihlr-16567	669	47	,	,	PUNCT
ihlr-16567	669	48	means	mean	VERB
ihlr-16567	669	49	that	that	SCONJ
ihlr-16567	669	50	there	there	PRON
ihlr-16567	669	51	are	be	VERB
ihlr-16567	669	52	opportunities	opportunity	NOUN
ihlr-16567	669	53	to	to	PART
ihlr-16567	669	54	expe­	expe­	VERB
ihlr-16567	669	55	riment	riment	ADJ
ihlr-16567	669	56	with	with	ADP
ihlr-16567	669	57	shared	share	VERB
ihlr-16567	669	58	accountability	accountability	NOUN
ihlr-16567	669	59	on	on	ADP
ihlr-16567	669	60	a	a	DET
ihlr-16567	669	61	limited	limited	ADJ
ihlr-16567	669	62	or	or	CCONJ
ihlr-16567	669	63	voluntary	voluntary	ADJ
ihlr-16567	669	64	scale	scale	NOUN
ihlr-16567	669	65	.	.	PUNCT
ihlr-16567	670	1	79	79	NUM
ihlr-16567	670	2	.	.	PUNCT
ihlr-16567	670	3	!	!	PUNCT
ihlr-16567	671	1	d.	d.	PROPN
ihlr-16567	672	1	i	i	PRON
ihlr-16567	672	2	i	i	PRON
ihlr-16567	673	1	i	i	PRON
ihlr-16567	673	2	i	i	PRON
ihlr-16567	674	1	i	i	PRON
ihlr-16567	674	2	i	i	PRON
ihlr-16567	675	1	i	i	PRON
ihlr-16567	675	2	i	i	PRON
ihlr-16567	676	1	i	i	PRON
ihlr-16567	676	2	i	i	PRON
ihlr-16567	677	1	i	i	PRON
ihlr-16567	677	2	i	i	PRON
ihlr-16567	678	1	i	i	PRON
ihlr-16567	678	2	i	i	PRON
ihlr-16567	679	1	i	i	PRON
ihlr-16567	679	2	i	i	PRON
ihlr-16567	680	1	i	i	PRON
ihlr-16567	680	2	i	i	PRON
ihlr-16567	681	1	i	i	PRON
ihlr-16567	681	2	i	i	PRON
ihlr-16567	682	1	i	i	PRON
ihlr-16567	682	2	i	i	PRON
ihlr-16567	683	1	i	i	PRON
ihlr-16567	683	2	i	i	PRON
ihlr-16567	684	1	i	i	PRON
ihlr-16567	684	2	i	i	PRON
ihlr-16567	685	1	i	i	PRON
ihlr-16567	685	2	i	i	PRON
ihlr-16567	686	1	i	i	PRON
ihlr-16567	686	2	i	i	PRON
ihlr-16567	687	1	i	i	PRON
ihlr-16567	687	2	i	i	PRON
ihlr-16567	688	1	i	i	PRON
ihlr-16567	688	2	i	i	PRON
ihlr-16567	689	1	i	i	PRON
ihlr-16567	689	2	i	i	PRON
ihlr-16567	690	1	i	i	PRON
ihlr-16567	690	2	i	i	PRON
ihlr-16567	691	1	i	i	PRON
ihlr-16567	691	2	i	i	PRON
ihlr-16567	692	1	i	i	PRON
ihlr-16567	692	2	i	i	PRON
ihlr-16567	693	1	i	i	PRON
ihlr-16567	693	2	i	i	PRON
ihlr-16567	694	1	i	i	PRON
ihlr-16567	694	2	i	i	PRON
ihlr-16567	695	1	i	i	PRON
ihlr-16567	695	2	i	i	PRON
ihlr-16567	696	1	i	i	PRON
ihlr-16567	696	2	i	i	PRON
ihlr-16567	697	1	i	i	PRON
ihlr-16567	697	2	i	i	PRON
ihlr-16567	698	1	i	i	PRON
ihlr-16567	698	2	i	i	PRON
ihlr-16567	699	1	i	i	PRON
ihlr-16567	699	2	i	i	PRON
ihlr-16567	700	1	i	i	PRON
ihlr-16567	700	2	i	i	PRON
ihlr-16567	701	1	i	i	PRON
ihlr-16567	701	2	i	i	PRON
ihlr-16567	702	1	i	i	PRON
ihlr-16567	702	2	i	i	PRON
ihlr-16567	703	1	i	i	PRON
ihlr-16567	703	2	i	i	PRON
ihlr-16567	704	1	i	i	PRON
ihlr-16567	704	2	i	i	PRON
ihlr-16567	705	1	i	i	PRON
ihlr-16567	705	2	i	i	PRON
ihlr-16567	706	1	i	i	PRON
ihlr-16567	706	2	i	i	PRON
ihlr-16567	707	1	i	i	PRON