id sid tid token lemma pos cord-336161-67pumvst 1 1 key key JJ cord-336161-67pumvst 1 2 : : : cord-336161-67pumvst 1 3 cord-336161 cord-336161 NN cord-336161-67pumvst 1 4 - - HYPH cord-336161-67pumvst 1 5 67pumvst 67pumvst CD cord-336161-67pumvst 2 1 authors author NNS cord-336161-67pumvst 2 2 : : : cord-336161-67pumvst 2 3 Himmelstein Himmelstein NNP cord-336161-67pumvst 2 4 , , , cord-336161-67pumvst 2 5 David David NNP cord-336161-67pumvst 2 6 U. U. NNP cord-336161-67pumvst 2 7 ; ; : cord-336161-67pumvst 2 8 Woolhandler Woolhandler NNP cord-336161-67pumvst 2 9 , , , cord-336161-67pumvst 2 10 Steffie Steffie NNP cord-336161-67pumvst 2 11 title title NN cord-336161-67pumvst 2 12 : : : cord-336161-67pumvst 2 13 The the DT cord-336161-67pumvst 2 14 U.S. U.S. NNP cord-336161-67pumvst 2 15 Health Health NNP cord-336161-67pumvst 2 16 Care Care NNP cord-336161-67pumvst 2 17 System System NNP cord-336161-67pumvst 2 18 on on IN cord-336161-67pumvst 2 19 the the DT cord-336161-67pumvst 2 20 Eve Eve NNP cord-336161-67pumvst 2 21 of of IN cord-336161-67pumvst 2 22 the the DT cord-336161-67pumvst 2 23 Covid-19 Covid-19 NNP cord-336161-67pumvst 2 24 Epidemic Epidemic NNP cord-336161-67pumvst 2 25 : : : cord-336161-67pumvst 3 1 A a DT cord-336161-67pumvst 3 2 Summary Summary NNP cord-336161-67pumvst 3 3 of of IN cord-336161-67pumvst 3 4 Recent recent JJ cord-336161-67pumvst 3 5 Evidence evidence NN cord-336161-67pumvst 3 6 on on IN cord-336161-67pumvst 3 7 Its -PRON- PRP$ cord-336161-67pumvst 3 8 Impaired impaired JJ cord-336161-67pumvst 3 9 Performance Performance NNP cord-336161-67pumvst 3 10 date date NN cord-336161-67pumvst 3 11 : : : cord-336161-67pumvst 3 12 2020 2020 CD cord-336161-67pumvst 3 13 - - HYPH cord-336161-67pumvst 3 14 06 06 CD cord-336161-67pumvst 3 15 - - SYM cord-336161-67pumvst 3 16 30 30 CD cord-336161-67pumvst 3 17 journal journal NN cord-336161-67pumvst 3 18 : : : cord-336161-67pumvst 4 1 Int Int NNP cord-336161-67pumvst 4 2 J J NNP cord-336161-67pumvst 4 3 Health Health NNP cord-336161-67pumvst 4 4 Serv Serv NNP cord-336161-67pumvst 4 5 DOI DOI NNP cord-336161-67pumvst 4 6 : : : cord-336161-67pumvst 5 1 10.1177/0020731420937631 10.1177/0020731420937631 CD cord-336161-67pumvst 5 2 sha sha NNP cord-336161-67pumvst 5 3 : : : cord-336161-67pumvst 5 4 37c0e296ff1162955646870a696b919b2611432f 37c0e296ff1162955646870a696b919b2611432f CD cord-336161-67pumvst 5 5 doc_id doc_id CD cord-336161-67pumvst 5 6 : : : cord-336161-67pumvst 5 7 336161 336161 CD cord-336161-67pumvst 5 8 cord_uid cord_uid NNS cord-336161-67pumvst 5 9 : : : cord-336161-67pumvst 6 1 67pumvst 67pumvst CD cord-336161-67pumvst 6 2 Four four CD cord-336161-67pumvst 6 3 decades decade NNS cord-336161-67pumvst 6 4 of of IN cord-336161-67pumvst 6 5 neoliberal neoliberal JJ cord-336161-67pumvst 6 6 health health NN cord-336161-67pumvst 6 7 policies policy NNS cord-336161-67pumvst 6 8 have have VBP cord-336161-67pumvst 6 9 left leave VBN cord-336161-67pumvst 6 10 the the DT cord-336161-67pumvst 6 11 United United NNP cord-336161-67pumvst 6 12 States States NNP cord-336161-67pumvst 6 13 with with IN cord-336161-67pumvst 6 14 a a DT cord-336161-67pumvst 6 15 health health NN cord-336161-67pumvst 6 16 care care NN cord-336161-67pumvst 6 17 system system NN cord-336161-67pumvst 6 18 that that WDT cord-336161-67pumvst 6 19 prioritizes prioritize VBZ cord-336161-67pumvst 6 20 the the DT cord-336161-67pumvst 6 21 profits profit NNS cord-336161-67pumvst 6 22 of of IN cord-336161-67pumvst 6 23 large large JJ cord-336161-67pumvst 6 24 corporate corporate JJ cord-336161-67pumvst 6 25 actors actor NNS cord-336161-67pumvst 6 26 , , , cord-336161-67pumvst 6 27 denies deny VBZ cord-336161-67pumvst 6 28 needed need VBN cord-336161-67pumvst 6 29 care care NN cord-336161-67pumvst 6 30 to to IN cord-336161-67pumvst 6 31 tens ten NNS cord-336161-67pumvst 6 32 of of IN cord-336161-67pumvst 6 33 millions million NNS cord-336161-67pumvst 6 34 , , , cord-336161-67pumvst 6 35 is be VBZ cord-336161-67pumvst 6 36 extraordinarily extraordinarily RB cord-336161-67pumvst 6 37 fragmented fragmented JJ cord-336161-67pumvst 6 38 and and CC cord-336161-67pumvst 6 39 inefficient inefficient JJ cord-336161-67pumvst 6 40 , , , cord-336161-67pumvst 6 41 and and CC cord-336161-67pumvst 6 42 was be VBD cord-336161-67pumvst 6 43 ill ill RB cord-336161-67pumvst 6 44 prepared prepared JJ cord-336161-67pumvst 6 45 to to TO cord-336161-67pumvst 6 46 address address VB cord-336161-67pumvst 6 47 the the DT cord-336161-67pumvst 6 48 COVID-19 COVID-19 NNP cord-336161-67pumvst 6 49 pandemic pandemic NN cord-336161-67pumvst 6 50 . . . cord-336161-67pumvst 7 1 The the DT cord-336161-67pumvst 7 2 payment payment NN cord-336161-67pumvst 7 3 system system NN cord-336161-67pumvst 7 4 has have VBZ cord-336161-67pumvst 7 5 long long RB cord-336161-67pumvst 7 6 rewarded reward VBN cord-336161-67pumvst 7 7 hospitals hospital NNS cord-336161-67pumvst 7 8 for for IN cord-336161-67pumvst 7 9 providing provide VBG cord-336161-67pumvst 7 10 elective elective JJ cord-336161-67pumvst 7 11 surgical surgical JJ cord-336161-67pumvst 7 12 procedures procedure NNS cord-336161-67pumvst 7 13 to to IN cord-336161-67pumvst 7 14 well well RB cord-336161-67pumvst 7 15 - - HYPH cord-336161-67pumvst 7 16 insured insure VBN cord-336161-67pumvst 7 17 patients patient NNS cord-336161-67pumvst 7 18 while while IN cord-336161-67pumvst 7 19 penalizing penalize VBG cord-336161-67pumvst 7 20 those those DT cord-336161-67pumvst 7 21 providing provide VBG cord-336161-67pumvst 7 22 the the DT cord-336161-67pumvst 7 23 most most RBS cord-336161-67pumvst 7 24 essential essential JJ cord-336161-67pumvst 7 25 and and CC cord-336161-67pumvst 7 26 urgent urgent JJ cord-336161-67pumvst 7 27 services service NNS cord-336161-67pumvst 7 28 , , , cord-336161-67pumvst 7 29 causing cause VBG cord-336161-67pumvst 7 30 hospital hospital NN cord-336161-67pumvst 7 31 revenues revenue NNS cord-336161-67pumvst 7 32 to to TO cord-336161-67pumvst 7 33 plummet plummet VB cord-336161-67pumvst 7 34 as as IN cord-336161-67pumvst 7 35 elective elective JJ cord-336161-67pumvst 7 36 procedures procedure NNS cord-336161-67pumvst 7 37 were be VBD cord-336161-67pumvst 7 38 cancelled cancel VBN cord-336161-67pumvst 7 39 during during IN cord-336161-67pumvst 7 40 the the DT cord-336161-67pumvst 7 41 pandemic pandemic NN cord-336161-67pumvst 7 42 . . . cord-336161-67pumvst 8 1 Before before IN cord-336161-67pumvst 8 2 the the DT cord-336161-67pumvst 8 3 recession recession NN cord-336161-67pumvst 8 4 caused cause VBN cord-336161-67pumvst 8 5 by by IN cord-336161-67pumvst 8 6 the the DT cord-336161-67pumvst 8 7 pandemic pandemic NN cord-336161-67pumvst 8 8 , , , cord-336161-67pumvst 8 9 tens ten NNS cord-336161-67pumvst 8 10 of of IN cord-336161-67pumvst 8 11 millions million NNS cord-336161-67pumvst 8 12 of of IN cord-336161-67pumvst 8 13 Americans Americans NNPS cord-336161-67pumvst 8 14 were be VBD cord-336161-67pumvst 8 15 unable unable JJ cord-336161-67pumvst 8 16 to to TO cord-336161-67pumvst 8 17 afford afford VB cord-336161-67pumvst 8 18 care care NN cord-336161-67pumvst 8 19 , , , cord-336161-67pumvst 8 20 compromising compromise VBG cord-336161-67pumvst 8 21 their -PRON- PRP$ cord-336161-67pumvst 8 22 physical physical JJ cord-336161-67pumvst 8 23 and and CC cord-336161-67pumvst 8 24 financial financial JJ cord-336161-67pumvst 8 25 health health NN cord-336161-67pumvst 8 26 ; ; : cord-336161-67pumvst 8 27 deep deep RB cord-336161-67pumvst 8 28 - - HYPH cord-336161-67pumvst 8 29 pocketed pocket VBN cord-336161-67pumvst 8 30 corporate corporate JJ cord-336161-67pumvst 8 31 interests interest NNS cord-336161-67pumvst 8 32 were be VBD cord-336161-67pumvst 8 33 increasingly increasingly RB cord-336161-67pumvst 8 34 dominating dominate VBG cord-336161-67pumvst 8 35 the the DT cord-336161-67pumvst 8 36 hospital hospital NN cord-336161-67pumvst 8 37 industry industry NN cord-336161-67pumvst 8 38 and and CC cord-336161-67pumvst 8 39 taking take VBG cord-336161-67pumvst 8 40 over over RP cord-336161-67pumvst 8 41 physicians physician NNS cord-336161-67pumvst 8 42 ’ ’ POS cord-336161-67pumvst 8 43 practices practice NNS cord-336161-67pumvst 8 44 ; ; : cord-336161-67pumvst 8 45 and and CC cord-336161-67pumvst 8 46 insurers insurer NNS cord-336161-67pumvst 8 47 ’ ’ POS cord-336161-67pumvst 8 48 profits profit NNS cord-336161-67pumvst 8 49 hit hit VBP cord-336161-67pumvst 8 50 record record NN cord-336161-67pumvst 8 51 levels level NNS cord-336161-67pumvst 8 52 . . . cord-336161-67pumvst 9 1 Meanwhile meanwhile RB cord-336161-67pumvst 9 2 , , , cord-336161-67pumvst 9 3 yawning yawn VBG cord-336161-67pumvst 9 4 class class NN cord-336161-67pumvst 9 5 - - HYPH cord-336161-67pumvst 9 6 based base VBN cord-336161-67pumvst 9 7 and and CC cord-336161-67pumvst 9 8 racial racial JJ cord-336161-67pumvst 9 9 inequities inequity NNS cord-336161-67pumvst 9 10 in in IN cord-336161-67pumvst 9 11 care care NN cord-336161-67pumvst 9 12 and and CC cord-336161-67pumvst 9 13 health health NN cord-336161-67pumvst 9 14 outcomes outcome NNS cord-336161-67pumvst 9 15 remain remain VBP cord-336161-67pumvst 9 16 and and CC cord-336161-67pumvst 9 17 have have VBP cord-336161-67pumvst 9 18 even even RB cord-336161-67pumvst 9 19 widened widen VBN cord-336161-67pumvst 9 20 . . . cord-336161-67pumvst 10 1 Recent recent JJ cord-336161-67pumvst 10 2 data datum NNS cord-336161-67pumvst 10 3 highlight highlight VBP cord-336161-67pumvst 10 4 the the DT cord-336161-67pumvst 10 5 failure failure NN cord-336161-67pumvst 10 6 of of IN cord-336161-67pumvst 10 7 policy policy NN cord-336161-67pumvst 10 8 strategies strategy NNS cord-336161-67pumvst 10 9 based base VBN cord-336161-67pumvst 10 10 on on IN cord-336161-67pumvst 10 11 market market NN cord-336161-67pumvst 10 12 models model NNS cord-336161-67pumvst 10 13 and and CC cord-336161-67pumvst 10 14 the the DT cord-336161-67pumvst 10 15 need need NN cord-336161-67pumvst 10 16 to to TO cord-336161-67pumvst 10 17 shift shift VB cord-336161-67pumvst 10 18 to to IN cord-336161-67pumvst 10 19 a a DT cord-336161-67pumvst 10 20 nonprofit nonprofit JJ cord-336161-67pumvst 10 21 social social JJ cord-336161-67pumvst 10 22 insurance insurance NN cord-336161-67pumvst 10 23 model model NN cord-336161-67pumvst 10 24 . . . cord-336161-67pumvst 11 1 A a DT cord-336161-67pumvst 11 2 randomized randomized JJ cord-336161-67pumvst 11 3 trial trial NN cord-336161-67pumvst 11 4 carried carry VBD cord-336161-67pumvst 11 5 out out RP cord-336161-67pumvst 11 6 by by IN cord-336161-67pumvst 11 7 the the DT cord-336161-67pumvst 11 8 U.S. U.S. NNP cord-336161-67pumvst 11 9 Treasury Treasury NNP cord-336161-67pumvst 11 10 Department Department NNP cord-336161-67pumvst 11 11 has have VBZ cord-336161-67pumvst 11 12 again again RB cord-336161-67pumvst 11 13 confirmed confirm VBN cord-336161-67pumvst 11 14 that that IN cord-336161-67pumvst 11 15 health health NN cord-336161-67pumvst 11 16 insurance insurance NN cord-336161-67pumvst 11 17 saves save VBZ cord-336161-67pumvst 11 18 lives life NNS cord-336161-67pumvst 11 19 . . . cord-336161-67pumvst 12 1 In in IN cord-336161-67pumvst 12 2 2017 2017 CD cord-336161-67pumvst 12 3 , , , cord-336161-67pumvst 12 4 the the DT cord-336161-67pumvst 12 5 Internal Internal NNP cord-336161-67pumvst 12 6 Revenue Revenue NNP cord-336161-67pumvst 12 7 Service Service NNP cord-336161-67pumvst 12 8 sent send VBD cord-336161-67pumvst 12 9 informational informational JJ cord-336161-67pumvst 12 10 letters letter NNS cord-336161-67pumvst 12 11 to to IN cord-336161-67pumvst 12 12 3.9 3.9 CD cord-336161-67pumvst 12 13 million million CD cord-336161-67pumvst 12 14 taxpayers taxpayer NNS cord-336161-67pumvst 12 15 randomly randomly RB cord-336161-67pumvst 12 16 selected select VBN cord-336161-67pumvst 12 17 from from IN cord-336161-67pumvst 12 18 the the DT cord-336161-67pumvst 12 19 4.5 4.5 CD cord-336161-67pumvst 12 20 million million CD cord-336161-67pumvst 12 21 who who WP cord-336161-67pumvst 12 22 had have VBD cord-336161-67pumvst 12 23 paid pay VBN cord-336161-67pumvst 12 24 tax tax NN cord-336161-67pumvst 12 25 penalties penalty NNS cord-336161-67pumvst 12 26 for for IN cord-336161-67pumvst 12 27 failing fail VBG cord-336161-67pumvst 12 28 to to TO cord-336161-67pumvst 12 29 comply comply VB cord-336161-67pumvst 12 30 with with IN cord-336161-67pumvst 12 31 the the DT cord-336161-67pumvst 12 32 coverage coverage NN cord-336161-67pumvst 12 33 mandate mandate NN cord-336161-67pumvst 12 34 of of IN cord-336161-67pumvst 12 35 the the DT cord-336161-67pumvst 12 36 Affordable Affordable NNP cord-336161-67pumvst 12 37 Care Care NNP cord-336161-67pumvst 12 38 Act Act NNP cord-336161-67pumvst 12 39 ( ( -LRB- cord-336161-67pumvst 12 40 ACA ACA NNP cord-336161-67pumvst 12 41 ) ) -RRB- cord-336161-67pumvst 12 42 . . . cord-336161-67pumvst 13 1 The the DT cord-336161-67pumvst 13 2 letters letter NNS cord-336161-67pumvst 13 3 provided provide VBD cord-336161-67pumvst 13 4 information information NN cord-336161-67pumvst 13 5 about about IN cord-336161-67pumvst 13 6 penalties penalty NNS cord-336161-67pumvst 13 7 and and CC cord-336161-67pumvst 13 8 insurance insurance NN cord-336161-67pumvst 13 9 plan plan NN cord-336161-67pumvst 13 10 costs cost NNS cord-336161-67pumvst 13 11 , , , cord-336161-67pumvst 13 12 together together RB cord-336161-67pumvst 13 13 with with IN cord-336161-67pumvst 13 14 instructions instruction NNS cord-336161-67pumvst 13 15 on on IN cord-336161-67pumvst 13 16 how how WRB cord-336161-67pumvst 13 17 to to TO cord-336161-67pumvst 13 18 investigate investigate VB cord-336161-67pumvst 13 19 the the DT cord-336161-67pumvst 13 20 availability availability NN cord-336161-67pumvst 13 21 of of IN cord-336161-67pumvst 13 22 Medicaid Medicaid NNP cord-336161-67pumvst 13 23 and and CC cord-336161-67pumvst 13 24 ACA ACA NNP cord-336161-67pumvst 13 25 exchange exchange NN cord-336161-67pumvst 13 26 coverage coverage NN cord-336161-67pumvst 13 27 . . . cord-336161-67pumvst 14 1 In in IN cord-336161-67pumvst 14 2 the the DT cord-336161-67pumvst 14 3 subsequent subsequent JJ cord-336161-67pumvst 14 4 2 2 CD cord-336161-67pumvst 14 5 years year NNS cord-336161-67pumvst 14 6 , , , cord-336161-67pumvst 14 7 coverage coverage NN cord-336161-67pumvst 14 8 rates rate NNS cord-336161-67pumvst 14 9 were be VBD cord-336161-67pumvst 14 10 1.3 1.3 CD cord-336161-67pumvst 14 11 percentage percentage NN cord-336161-67pumvst 14 12 points point NNS cord-336161-67pumvst 14 13 higher high JJR cord-336161-67pumvst 14 14 among among IN cord-336161-67pumvst 14 15 persons person NNS cord-336161-67pumvst 14 16 who who WP cord-336161-67pumvst 14 17 received receive VBD cord-336161-67pumvst 14 18 a a DT cord-336161-67pumvst 14 19 letter letter NN cord-336161-67pumvst 14 20 . . . cord-336161-67pumvst 15 1 Moreover moreover RB cord-336161-67pumvst 15 2 , , , cord-336161-67pumvst 15 3 the the DT cord-336161-67pumvst 15 4 death death NN cord-336161-67pumvst 15 5 rate rate NN cord-336161-67pumvst 15 6 among among IN cord-336161-67pumvst 15 7 adults adult NNS cord-336161-67pumvst 15 8 age age NN cord-336161-67pumvst 15 9 45 45 CD cord-336161-67pumvst 15 10 to to TO cord-336161-67pumvst 15 11 65 65 CD cord-336161-67pumvst 15 12 who who WP cord-336161-67pumvst 15 13 received receive VBD cord-336161-67pumvst 15 14 a a DT cord-336161-67pumvst 15 15 letter letter NN cord-336161-67pumvst 15 16 ( ( -LRB- cord-336161-67pumvst 15 17 vs vs IN cord-336161-67pumvst 15 18 those those DT cord-336161-67pumvst 15 19 who who WP cord-336161-67pumvst 15 20 did do VBD cord-336161-67pumvst 15 21 not not RB cord-336161-67pumvst 15 22 ) ) -RRB- cord-336161-67pumvst 15 23 was be VBD cord-336161-67pumvst 15 24 0.06 0.06 CD cord-336161-67pumvst 15 25 percentage percentage NN cord-336161-67pumvst 15 26 points point NNS cord-336161-67pumvst 15 27 lower lower RBR cord-336161-67pumvst 15 28 , , , cord-336161-67pumvst 15 29 equivalent equivalent JJ cord-336161-67pumvst 15 30 to to IN cord-336161-67pumvst 15 31 1 1 CD cord-336161-67pumvst 15 32 death death NN cord-336161-67pumvst 15 33 averted avert VBN cord-336161-67pumvst 15 34 for for IN cord-336161-67pumvst 15 35 every every DT cord-336161-67pumvst 15 36 1,648 1,648 CD cord-336161-67pumvst 15 37 individuals individual NNS cord-336161-67pumvst 15 38 in in IN cord-336161-67pumvst 15 39 that that DT cord-336161-67pumvst 15 40 age age NN cord-336161-67pumvst 15 41 group group NN cord-336161-67pumvst 15 42 who who WP cord-336161-67pumvst 15 43 were be VBD cord-336161-67pumvst 15 44 sent send VBN cord-336161-67pumvst 15 45 a a DT cord-336161-67pumvst 15 46 letter letter NN cord-336161-67pumvst 15 47 . . . cord-336161-67pumvst 16 1 6 6 CD cord-336161-67pumvst 17 1 When when WRB cord-336161-67pumvst 17 2 Americans Americans NNPS cord-336161-67pumvst 17 3 turn turn VBP cord-336161-67pumvst 17 4 65 65 CD cord-336161-67pumvst 17 5 and and CC cord-336161-67pumvst 17 6 gain gain VB cord-336161-67pumvst 17 7 Medicare Medicare NNP cord-336161-67pumvst 17 8 coverage coverage NN cord-336161-67pumvst 17 9 , , , cord-336161-67pumvst 17 10 cancer cancer NN cord-336161-67pumvst 17 11 detection detection NN cord-336161-67pumvst 17 12 rates rate NNS cord-336161-67pumvst 17 13 , , , cord-336161-67pumvst 17 14 particularly particularly RB cord-336161-67pumvst 17 15 for for IN cord-336161-67pumvst 17 16 early early JJ cord-336161-67pumvst 17 17 - - HYPH cord-336161-67pumvst 17 18 stage stage NN cord-336161-67pumvst 17 19 disease disease NN cord-336161-67pumvst 17 20 , , , cord-336161-67pumvst 17 21 increase increase VBP cord-336161-67pumvst 17 22 sharply sharply RB cord-336161-67pumvst 17 23 for for IN cord-336161-67pumvst 17 24 breast breast NN cord-336161-67pumvst 17 25 , , , cord-336161-67pumvst 17 26 colorectal colorectal JJ cord-336161-67pumvst 17 27 , , , cord-336161-67pumvst 17 28 and and CC cord-336161-67pumvst 17 29 lung lung NN cord-336161-67pumvst 17 30 cancer cancer NN cord-336161-67pumvst 17 31 , , , cord-336161-67pumvst 17 32 and and CC cord-336161-67pumvst 17 33 mortality mortality NN cord-336161-67pumvst 17 34 rates rate NNS cord-336161-67pumvst 17 35 fall fall VBP cord-336161-67pumvst 17 36 . . . cord-336161-67pumvst 18 1 7 7 CD cord-336161-67pumvst 19 1 Yet yet RB cord-336161-67pumvst 19 2 another another DT cord-336161-67pumvst 19 3 indicator indicator NN cord-336161-67pumvst 19 4 that that IN cord-336161-67pumvst 19 5 Americans Americans NNPS cord-336161-67pumvst 19 6 are be VBP cord-336161-67pumvst 19 7 struggling struggle VBG cord-336161-67pumvst 19 8 to to TO cord-336161-67pumvst 19 9 afford afford VB cord-336161-67pumvst 19 10 care care NN cord-336161-67pumvst 19 11 : : : cord-336161-67pumvst 19 12 About about RB cord-336161-67pumvst 19 13 8 8 CD cord-336161-67pumvst 19 14 million million CD cord-336161-67pumvst 19 15 people people NNS cord-336161-67pumvst 19 16 have have VBP cord-336161-67pumvst 19 17 started start VBN cord-336161-67pumvst 19 18 a a DT cord-336161-67pumvst 19 19 crowdfunding crowdfunding NN cord-336161-67pumvst 19 20 campaign campaign NN cord-336161-67pumvst 19 21 to to TO cord-336161-67pumvst 19 22 pay pay VB cord-336161-67pumvst 19 23 for for IN cord-336161-67pumvst 19 24 medical medical JJ cord-336161-67pumvst 19 25 care care NN cord-336161-67pumvst 19 26 for for IN cord-336161-67pumvst 19 27 themselves -PRON- PRP cord-336161-67pumvst 19 28 or or CC cord-336161-67pumvst 19 29 a a DT cord-336161-67pumvst 19 30 household household NN cord-336161-67pumvst 19 31 member member NN cord-336161-67pumvst 19 32 on on IN cord-336161-67pumvst 19 33 sites site NNS cord-336161-67pumvst 19 34 such such JJ cord-336161-67pumvst 19 35 as as IN cord-336161-67pumvst 19 36 GoFundMe GoFundMe NNP cord-336161-67pumvst 19 37 . . . cord-336161-67pumvst 20 1 Another another DT cord-336161-67pumvst 20 2 12 12 CD cord-336161-67pumvst 20 3 million million CD cord-336161-67pumvst 20 4 people people NNS cord-336161-67pumvst 20 5 started start VBD cord-336161-67pumvst 20 6 campaigns campaign NNS cord-336161-67pumvst 20 7 for for IN cord-336161-67pumvst 20 8 someone someone NN cord-336161-67pumvst 20 9 outside outside IN cord-336161-67pumvst 20 10 of of IN cord-336161-67pumvst 20 11 their -PRON- PRP$ cord-336161-67pumvst 20 12 household household NN cord-336161-67pumvst 20 13 . . . cord-336161-67pumvst 21 1 8 8 CD cord-336161-67pumvst 22 1 A a DT cord-336161-67pumvst 22 2 new new JJ cord-336161-67pumvst 22 3 study study NN cord-336161-67pumvst 22 4 of of IN cord-336161-67pumvst 22 5 the the DT cord-336161-67pumvst 22 6 burden burden NN cord-336161-67pumvst 22 7 of of IN cord-336161-67pumvst 22 8 health health NN cord-336161-67pumvst 22 9 costs cost NNS cord-336161-67pumvst 22 10 borne bear VBN cord-336161-67pumvst 22 11 by by IN cord-336161-67pumvst 22 12 different different JJ cord-336161-67pumvst 22 13 income income NN cord-336161-67pumvst 22 14 groups group NNS cord-336161-67pumvst 22 15 -the -the WDT cord-336161-67pumvst 22 16 first first JJ cord-336161-67pumvst 22 17 to to TO cord-336161-67pumvst 22 18 encompass encompass VB cord-336161-67pumvst 22 19 costs cost NNS cord-336161-67pumvst 22 20 for for IN cord-336161-67pumvst 22 21 institutionalized institutionalized JJ cord-336161-67pumvst 22 22 persons person NNS cord-336161-67pumvst 22 23 -suggests -suggests . cord-336161-67pumvst 23 1 that that IN cord-336161-67pumvst 23 2 the the DT cord-336161-67pumvst 23 3 U.S. U.S. NNP cord-336161-67pumvst 23 4 health health NN cord-336161-67pumvst 23 5 care care NN cord-336161-67pumvst 23 6 financing financing NN cord-336161-67pumvst 23 7 system system NN cord-336161-67pumvst 23 8 is be VBZ cord-336161-67pumvst 23 9 even even RB cord-336161-67pumvst 23 10 more more RBR cord-336161-67pumvst 23 11 regressive regressive JJ cord-336161-67pumvst 23 12 than than IN cord-336161-67pumvst 23 13 previous previous JJ cord-336161-67pumvst 23 14 work work NN cord-336161-67pumvst 23 15 had have VBD cord-336161-67pumvst 23 16 indicated indicate VBN cord-336161-67pumvst 23 17 . . . cord-336161-67pumvst 24 1 Total total JJ cord-336161-67pumvst 24 2 health health NN cord-336161-67pumvst 24 3 care care NN cord-336161-67pumvst 24 4 payments payment NNS cord-336161-67pumvst 24 5 , , , cord-336161-67pumvst 24 6 including include VBG cord-336161-67pumvst 24 7 premiums premium NNS cord-336161-67pumvst 24 8 paid pay VBN cord-336161-67pumvst 24 9 by by IN cord-336161-67pumvst 24 10 workers worker NNS cord-336161-67pumvst 24 11 and and CC cord-336161-67pumvst 24 12 their -PRON- PRP$ cord-336161-67pumvst 24 13 employers employer NNS cord-336161-67pumvst 24 14 , , , cord-336161-67pumvst 24 15 taxes taxis NNS cord-336161-67pumvst 24 16 paid pay VBN cord-336161-67pumvst 24 17 , , , cord-336161-67pumvst 24 18 and and CC cord-336161-67pumvst 24 19 out out RB cord-336161-67pumvst 24 20 - - HYPH cord-336161-67pumvst 24 21 of of IN cord-336161-67pumvst 24 22 - - HYPH cord-336161-67pumvst 24 23 pocket pocket NN cord-336161-67pumvst 24 24 spending spending NN cord-336161-67pumvst 24 25 , , , cord-336161-67pumvst 24 26 consumed consume VBD cord-336161-67pumvst 24 27 33.9 33.9 CD cord-336161-67pumvst 24 28 % % NN cord-336161-67pumvst 24 29 of of IN cord-336161-67pumvst 24 30 income income NN cord-336161-67pumvst 24 31 for for IN cord-336161-67pumvst 24 32 the the DT cord-336161-67pumvst 24 33 poorest poor JJS cord-336161-67pumvst 24 34 fifth fifth NN cord-336161-67pumvst 24 35 of of IN cord-336161-67pumvst 24 36 the the DT cord-336161-67pumvst 24 37 population population NN cord-336161-67pumvst 24 38 , , , cord-336161-67pumvst 24 39 but but CC cord-336161-67pumvst 24 40 only only RB cord-336161-67pumvst 24 41 16 16 CD cord-336161-67pumvst 24 42 % % NN cord-336161-67pumvst 24 43 for for IN cord-336161-67pumvst 24 44 the the DT cord-336161-67pumvst 24 45 wealthiest wealthy JJS cord-336161-67pumvst 24 46 fifth fifth JJ cord-336161-67pumvst 24 47 . . . cord-336161-67pumvst 25 1 9 9 CD cord-336161-67pumvst 26 1 A a DT cord-336161-67pumvst 26 2 new new JJ cord-336161-67pumvst 26 3 NPR NPR NNP cord-336161-67pumvst 26 4 / / SYM cord-336161-67pumvst 26 5 Robert Robert NNP cord-336161-67pumvst 26 6 Wood Wood NNP cord-336161-67pumvst 26 7 Johnson Johnson NNP cord-336161-67pumvst 26 8 Foundation/ Foundation/ NNP cord-336161-67pumvst 26 9 Harvard Harvard NNP cord-336161-67pumvst 26 10 School School NNP cord-336161-67pumvst 26 11 of of IN cord-336161-67pumvst 26 12 Public Public NNP cord-336161-67pumvst 26 13 Health Health NNP cord-336161-67pumvst 26 14 survey survey NN cord-336161-67pumvst 26 15 has have VBZ cord-336161-67pumvst 26 16 found find VBN cord-336161-67pumvst 26 17 that that IN cord-336161-67pumvst 26 18 even even RB cord-336161-67pumvst 26 19 wealthy wealthy JJ cord-336161-67pumvst 26 20 Americans Americans NNPS cord-336161-67pumvst 26 21 sometimes sometimes RB cord-336161-67pumvst 26 22 have have VBP cord-336161-67pumvst 26 23 difficulty difficulty NN cord-336161-67pumvst 26 24 affording afford VBG cord-336161-67pumvst 26 25 care care NN cord-336161-67pumvst 26 26 . . . cord-336161-67pumvst 27 1 Among among IN cord-336161-67pumvst 27 2 the the DT cord-336161-67pumvst 27 3 wealthiest wealthy JJS cord-336161-67pumvst 27 4 1 1 CD cord-336161-67pumvst 27 5 % % NN cord-336161-67pumvst 27 6 of of IN cord-336161-67pumvst 27 7 adults adult NNS cord-336161-67pumvst 27 8 ( ( -LRB- cord-336161-67pumvst 27 9 those those DT cord-336161-67pumvst 27 10 with with IN cord-336161-67pumvst 27 11 household household NN cord-336161-67pumvst 27 12 incomes income NNS cord-336161-67pumvst 27 13 above above IN cord-336161-67pumvst 27 14 $ $ $ cord-336161-67pumvst 27 15 500,000 500,000 CD cord-336161-67pumvst 27 16 ) ) -RRB- cord-336161-67pumvst 27 17 , , , cord-336161-67pumvst 27 18 5 5 CD cord-336161-67pumvst 27 19 % % NN cord-336161-67pumvst 27 20 reported report VBD cord-336161-67pumvst 27 21 a a DT cord-336161-67pumvst 27 22 serious serious JJ cord-336161-67pumvst 27 23 problem problem NN cord-336161-67pumvst 27 24 paying pay VBG cord-336161-67pumvst 27 25 medical medical JJ cord-336161-67pumvst 27 26 bills bill NNS cord-336161-67pumvst 27 27 within within IN cord-336161-67pumvst 27 28 the the DT cord-336161-67pumvst 27 29 past past JJ cord-336161-67pumvst 27 30 few few JJ cord-336161-67pumvst 27 31 years year NNS cord-336161-67pumvst 27 32 , , , cord-336161-67pumvst 27 33 5 5 CD cord-336161-67pumvst 27 34 % % NN cord-336161-67pumvst 27 35 had have VBD cord-336161-67pumvst 27 36 a a DT cord-336161-67pumvst 27 37 serious serious JJ cord-336161-67pumvst 27 38 problem problem NN cord-336161-67pumvst 27 39 paying pay VBG cord-336161-67pumvst 27 40 for for IN cord-336161-67pumvst 27 41 prescription prescription NN cord-336161-67pumvst 27 42 drugs drug NNS cord-336161-67pumvst 27 43 , , , cord-336161-67pumvst 27 44 and and CC cord-336161-67pumvst 27 45 7 7 CD cord-336161-67pumvst 27 46 % % NN cord-336161-67pumvst 27 47 reported report VBD cord-336161-67pumvst 27 48 a a DT cord-336161-67pumvst 27 49 serious serious JJ cord-336161-67pumvst 27 50 problem problem NN cord-336161-67pumvst 27 51 getting get VBG cord-336161-67pumvst 27 52 health health NN cord-336161-67pumvst 27 53 care care NN cord-336161-67pumvst 27 54 when when WRB cord-336161-67pumvst 27 55 needed need VBN cord-336161-67pumvst 27 56 . . . cord-336161-67pumvst 28 1 Among among IN cord-336161-67pumvst 28 2 the the DT cord-336161-67pumvst 28 3 wealthy wealthy JJ cord-336161-67pumvst 28 4 , , , cord-336161-67pumvst 28 5 10 10 CD cord-336161-67pumvst 28 6 % % NN cord-336161-67pumvst 28 7 said say VBD cord-336161-67pumvst 28 8 they -PRON- PRP cord-336161-67pumvst 28 9 had have VBD cord-336161-67pumvst 28 10 failed fail VBN cord-336161-67pumvst 28 11 to to TO cord-336161-67pumvst 28 12 fill fill VB cord-336161-67pumvst 28 13 a a DT cord-336161-67pumvst 28 14 prescription prescription NN cord-336161-67pumvst 28 15 or or CC cord-336161-67pumvst 28 16 had have VBD cord-336161-67pumvst 28 17 cut cut VBN cord-336161-67pumvst 28 18 back back RP cord-336161-67pumvst 28 19 on on IN cord-336161-67pumvst 28 20 dosages dosage NNS cord-336161-67pumvst 28 21 in in IN cord-336161-67pumvst 28 22 the the DT cord-336161-67pumvst 28 23 past past JJ cord-336161-67pumvst 28 24 year year NN cord-336161-67pumvst 28 25 due due IN cord-336161-67pumvst 28 26 to to IN cord-336161-67pumvst 28 27 prescription prescription NN cord-336161-67pumvst 28 28 costs cost NNS cord-336161-67pumvst 28 29 . . . cord-336161-67pumvst 29 1 Lower low JJR cord-336161-67pumvst 29 2 - - HYPH cord-336161-67pumvst 29 3 income income NN cord-336161-67pumvst 29 4 adults adult NNS cord-336161-67pumvst 29 5 encountered encounter VBD cord-336161-67pumvst 29 6 all all DT cord-336161-67pumvst 29 7 of of IN cord-336161-67pumvst 29 8 the the DT cord-336161-67pumvst 29 9 cost cost NN cord-336161-67pumvst 29 10 and and CC cord-336161-67pumvst 29 11 access access NN cord-336161-67pumvst 29 12 problems problem NNS cord-336161-67pumvst 29 13 much much RB cord-336161-67pumvst 29 14 more more RBR cord-336161-67pumvst 29 15 frequently frequently RB cord-336161-67pumvst 29 16 . . . cord-336161-67pumvst 30 1 10 10 CD cord-336161-67pumvst 31 1 In in IN cord-336161-67pumvst 31 2 the the DT cord-336161-67pumvst 31 3 decade decade NN cord-336161-67pumvst 31 4 ending end VBG cord-336161-67pumvst 31 5 in in IN cord-336161-67pumvst 31 6 2018 2018 CD cord-336161-67pumvst 31 7 , , , cord-336161-67pumvst 31 8 the the DT cord-336161-67pumvst 31 9 average average JJ cord-336161-67pumvst 31 10 premium premium NN cord-336161-67pumvst 31 11 for for IN cord-336161-67pumvst 31 12 an an DT cord-336161-67pumvst 31 13 employer employer NN cord-336161-67pumvst 31 14 - - HYPH cord-336161-67pumvst 31 15 sponsored sponsor VBN cord-336161-67pumvst 31 16 family family NN cord-336161-67pumvst 31 17 plan plan NN cord-336161-67pumvst 31 18 increased increase VBD cord-336161-67pumvst 31 19 from from IN cord-336161-67pumvst 31 20 $ $ $ cord-336161-67pumvst 31 21 12,298 12,298 CD cord-336161-67pumvst 31 22 to to TO cord-336161-67pumvst 31 23 $ $ $ cord-336161-67pumvst 31 24 19,565 19,565 CD cord-336161-67pumvst 31 25 ; ; : cord-336161-67pumvst 31 26 the the DT cord-336161-67pumvst 31 27 employee employee NN cord-336161-67pumvst 31 28 's 's POS cord-336161-67pumvst 31 29 share share NN cord-336161-67pumvst 31 30 of of IN cord-336161-67pumvst 31 31 the the DT cord-336161-67pumvst 31 32 premium premium NN cord-336161-67pumvst 31 33 increased increase VBD cord-336161-67pumvst 31 34 from from IN cord-336161-67pumvst 31 35 $ $ $ cord-336161-67pumvst 31 36 3,394 3,394 CD cord-336161-67pumvst 31 37 to to IN cord-336161-67pumvst 31 38 $ $ $ cord-336161-67pumvst 31 39 5,431 5,431 CD cord-336161-67pumvst 31 40 ; ; : cord-336161-67pumvst 31 41 and and CC cord-336161-67pumvst 31 42 the the DT cord-336161-67pumvst 31 43 average average JJ cord-336161-67pumvst 31 44 deductible deductible NN cord-336161-67pumvst 31 45 increased increase VBD cord-336161-67pumvst 31 46 from from IN cord-336161-67pumvst 31 47 $ $ $ cord-336161-67pumvst 31 48 1,445 1,445 CD cord-336161-67pumvst 31 49 to to TO cord-336161-67pumvst 31 50 $ $ $ cord-336161-67pumvst 31 51 2,992 2,992 CD cord-336161-67pumvst 31 52 . . . cord-336161-67pumvst 32 1 Meanwhile meanwhile RB cord-336161-67pumvst 32 2 , , , cord-336161-67pumvst 32 3 median median JJ cord-336161-67pumvst 32 4 household household NN cord-336161-67pumvst 32 5 income income NN cord-336161-67pumvst 32 6 increased increase VBD cord-336161-67pumvst 32 7 modestly modestly RB cord-336161-67pumvst 32 8 , , , cord-336161-67pumvst 32 9 from from IN cord-336161-67pumvst 32 10 $ $ $ cord-336161-67pumvst 32 11 53,000 53,000 CD cord-336161-67pumvst 32 12 to to TO cord-336161-67pumvst 32 13 $ $ $ cord-336161-67pumvst 32 14 64,202 64,202 CD cord-336161-67pumvst 32 15 ( ( -LRB- cord-336161-67pumvst 32 16 not not RB cord-336161-67pumvst 32 17 adjusted adjust VBN cord-336161-67pumvst 32 18 for for IN cord-336161-67pumvst 32 19 inflation inflation NN cord-336161-67pumvst 32 20 ) ) -RRB- cord-336161-67pumvst 32 21 . . . cord-336161-67pumvst 33 1 11 11 CD cord-336161-67pumvst 34 1 By by IN cord-336161-67pumvst 34 2 eliminating eliminate VBG cord-336161-67pumvst 34 3 the the DT cord-336161-67pumvst 34 4 financial financial JJ cord-336161-67pumvst 34 5 burden burden NN cord-336161-67pumvst 34 6 of of IN cord-336161-67pumvst 34 7 copayments copayment NNS cord-336161-67pumvst 34 8 , , , cord-336161-67pumvst 34 9 deductibles deductible NNS cord-336161-67pumvst 34 10 , , , cord-336161-67pumvst 34 11 and and CC cord-336161-67pumvst 34 12 co co NN cord-336161-67pumvst 34 13 - - NN cord-336161-67pumvst 34 14 insurance insurance NN cord-336161-67pumvst 34 15 , , , cord-336161-67pumvst 34 16 Improved Improved NNP cord-336161-67pumvst 34 17 Medicare Medicare NNP cord-336161-67pumvst 34 18 for for IN cord-336161-67pumvst 34 19 All all DT cord-336161-67pumvst 34 20 would would MD cord-336161-67pumvst 34 21 cut cut VB cord-336161-67pumvst 34 22 the the DT cord-336161-67pumvst 34 23 poverty poverty NN cord-336161-67pumvst 34 24 rate rate NN cord-336161-67pumvst 34 25 by by IN cord-336161-67pumvst 34 26 18.8 18.8 CD cord-336161-67pumvst 34 27 % % NN cord-336161-67pumvst 34 28 , , , cord-336161-67pumvst 34 29 according accord VBG cord-336161-67pumvst 34 30 to to IN cord-336161-67pumvst 34 31 data datum NNS cord-336161-67pumvst 34 32 from from IN cord-336161-67pumvst 34 33 the the DT cord-336161-67pumvst 34 34 U.S. U.S. NNP cord-336161-67pumvst 34 35 Census Census NNP cord-336161-67pumvst 34 36 Bureau Bureau NNP cord-336161-67pumvst 34 37 's 's POS cord-336161-67pumvst 34 38 March March NNP cord-336161-67pumvst 34 39 2019 2019 CD cord-336161-67pumvst 34 40 Current Current NNP cord-336161-67pumvst 34 41 Population Population NNP cord-336161-67pumvst 34 42 Survey Survey NNP cord-336161-67pumvst 34 43 . . . cord-336161-67pumvst 35 1 Out out IN cord-336161-67pumvst 35 2 of of IN cord-336161-67pumvst 35 3 the the DT cord-336161-67pumvst 35 4 41.5 41.5 CD cord-336161-67pumvst 35 5 million million CD cord-336161-67pumvst 35 6 people people NNS cord-336161-67pumvst 35 7 living live VBG cord-336161-67pumvst 35 8 below below IN cord-336161-67pumvst 35 9 the the DT cord-336161-67pumvst 35 10 poverty poverty NN cord-336161-67pumvst 35 11 line line NN cord-336161-67pumvst 35 12 , , , cord-336161-67pumvst 35 13 cutting cut VBG cord-336161-67pumvst 35 14 costsharing costshare VBG cord-336161-67pumvst 35 15 for for IN cord-336161-67pumvst 35 16 health health NN cord-336161-67pumvst 35 17 care care NN cord-336161-67pumvst 35 18 would would MD cord-336161-67pumvst 35 19 lift lift VB cord-336161-67pumvst 35 20 8 8 CD cord-336161-67pumvst 35 21 million million CD cord-336161-67pumvst 35 22 out out IN cord-336161-67pumvst 35 23 of of IN cord-336161-67pumvst 35 24 poverty poverty NN cord-336161-67pumvst 35 25 . . . cord-336161-67pumvst 36 1 12 12 CD cord-336161-67pumvst 37 1 An an DT cord-336161-67pumvst 37 2 official official JJ cord-336161-67pumvst 37 3 estimate estimate NN cord-336161-67pumvst 37 4 from from IN cord-336161-67pumvst 37 5 the the DT cord-336161-67pumvst 37 6 Centers Centers NNPS cord-336161-67pumvst 37 7 for for IN cord-336161-67pumvst 37 8 Medicare Medicare NNP cord-336161-67pumvst 37 9 and and CC cord-336161-67pumvst 37 10 Medicaid Medicaid NNP cord-336161-67pumvst 37 11 Services Services NNP cord-336161-67pumvst 37 12 ( ( -LRB- cord-336161-67pumvst 37 13 CMS CMS NNP cord-336161-67pumvst 37 14 ) ) -RRB- cord-336161-67pumvst 37 15 , , , cord-336161-67pumvst 37 16 released release VBN cord-336161-67pumvst 37 17 prior prior RB cord-336161-67pumvst 37 18 to to IN cord-336161-67pumvst 37 19 the the DT cord-336161-67pumvst 37 20 COVID-19 covid-19 JJ cord-336161-67pumvst 37 21 epidemic epidemic NN cord-336161-67pumvst 37 22 , , , cord-336161-67pumvst 37 23 predicted predict VBD cord-336161-67pumvst 37 24 that that IN cord-336161-67pumvst 37 25 U.S. U.S. NNP cord-336161-67pumvst 37 26 health health NN cord-336161-67pumvst 37 27 expenditures expenditure NNS cord-336161-67pumvst 37 28 would would MD cord-336161-67pumvst 37 29 grow grow VB cord-336161-67pumvst 37 30 by by IN cord-336161-67pumvst 37 31 5.4 5.4 CD cord-336161-67pumvst 37 32 % % NN cord-336161-67pumvst 37 33 annually annually RB cord-336161-67pumvst 37 34 between between IN cord-336161-67pumvst 37 35 2019 2019 CD cord-336161-67pumvst 37 36 and and CC cord-336161-67pumvst 37 37 2028 2028 CD cord-336161-67pumvst 37 38 , , , cord-336161-67pumvst 37 39 reaching reach VBG cord-336161-67pumvst 37 40 $ $ $ cord-336161-67pumvst 37 41 6.2 6.2 CD cord-336161-67pumvst 37 42 trillion trillion CD cord-336161-67pumvst 37 43 ( ( -LRB- cord-336161-67pumvst 37 44 19.7 19.7 CD cord-336161-67pumvst 37 45 % % NN cord-336161-67pumvst 37 46 of of IN cord-336161-67pumvst 37 47 gross gross JJ cord-336161-67pumvst 37 48 domestic domestic JJ cord-336161-67pumvst 37 49 product product NN cord-336161-67pumvst 37 50 ) ) -RRB- cord-336161-67pumvst 37 51 by by IN cord-336161-67pumvst 37 52 the the DT cord-336161-67pumvst 37 53 end end NN cord-336161-67pumvst 37 54 of of IN cord-336161-67pumvst 37 55 the the DT cord-336161-67pumvst 37 56 period period NN cord-336161-67pumvst 37 57 . . . cord-336161-67pumvst 38 1 13 13 CD cord-336161-67pumvst 39 1 The the DT cord-336161-67pumvst 39 2 Harms Harms NNPS cord-336161-67pumvst 39 3 of of IN cord-336161-67pumvst 39 4 Copayments copayment NNS cord-336161-67pumvst 39 5 Providing provide VBG cord-336161-67pumvst 39 6 essential essential JJ cord-336161-67pumvst 39 7 medications medication NNS cord-336161-67pumvst 39 8 without without IN cord-336161-67pumvst 39 9 charge charge NN cord-336161-67pumvst 39 10 increased increase VBN cord-336161-67pumvst 39 11 adherence adherence NN cord-336161-67pumvst 39 12 to to IN cord-336161-67pumvst 39 13 treatment treatment NN cord-336161-67pumvst 39 14 and and CC cord-336161-67pumvst 39 15 significantly significantly RB cord-336161-67pumvst 39 16 lowered lower VBD cord-336161-67pumvst 39 17 blood blood NN cord-336161-67pumvst 39 18 pressure pressure NN cord-336161-67pumvst 39 19 among among IN cord-336161-67pumvst 39 20 Canadians Canadians NNPS cord-336161-67pumvst 39 21 prescribed prescribe VBD cord-336161-67pumvst 39 22 an an DT cord-336161-67pumvst 39 23 antihypertensive antihypertensive JJ cord-336161-67pumvst 39 24 drug drug NN cord-336161-67pumvst 39 25 , , , cord-336161-67pumvst 39 26 according accord VBG cord-336161-67pumvst 39 27 to to IN cord-336161-67pumvst 39 28 a a DT cord-336161-67pumvst 39 29 randomized randomized JJ cord-336161-67pumvst 39 30 , , , cord-336161-67pumvst 39 31 controlled control VBN cord-336161-67pumvst 39 32 trial trial NN cord-336161-67pumvst 39 33 in in IN cord-336161-67pumvst 39 34 Ontario Ontario NNP cord-336161-67pumvst 39 35 . . . cord-336161-67pumvst 40 1 ( ( -LRB- cord-336161-67pumvst 40 2 Canada Canada NNP cord-336161-67pumvst 40 3 's 's POS cord-336161-67pumvst 40 4 single single JJ cord-336161-67pumvst 40 5 - - HYPH cord-336161-67pumvst 40 6 payer payer NN cord-336161-67pumvst 40 7 system system NN cord-336161-67pumvst 40 8 does do VBZ cord-336161-67pumvst 40 9 not not RB cord-336161-67pumvst 40 10 include include VB cord-336161-67pumvst 40 11 universal universal JJ cord-336161-67pumvst 40 12 drug drug NN cord-336161-67pumvst 40 13 coverage coverage NN cord-336161-67pumvst 40 14 , , , cord-336161-67pumvst 40 15 an an DT cord-336161-67pumvst 40 16 omission omission NN cord-336161-67pumvst 40 17 that that IN cord-336161-67pumvst 40 18 the the DT cord-336161-67pumvst 40 19 ruling rule VBG cord-336161-67pumvst 40 20 Liberal Liberal NNP cord-336161-67pumvst 40 21 Party Party NNP cord-336161-67pumvst 40 22 promised promise VBD cord-336161-67pumvst 40 23 to to TO cord-336161-67pumvst 40 24 address address VB cord-336161-67pumvst 40 25 during during IN cord-336161-67pumvst 40 26 the the DT cord-336161-67pumvst 40 27 election election NN cord-336161-67pumvst 40 28 campaign campaign NN cord-336161-67pumvst 40 29 last last JJ cord-336161-67pumvst 40 30 fall fall NN cord-336161-67pumvst 40 31 . . . cord-336161-67pumvst 40 32 ) ) -RRB- cord-336161-67pumvst 41 1 Hemoglobin Hemoglobin NNP cord-336161-67pumvst 41 2 A a DT cord-336161-67pumvst 41 3 1c 1c NN cord-336161-67pumvst 41 4 and and CC cord-336161-67pumvst 41 5 LDL ldl NN cord-336161-67pumvst 41 6 cholesterol cholesterol NN cord-336161-67pumvst 41 7 levels level NNS cord-336161-67pumvst 41 8 also also RB cord-336161-67pumvst 41 9 fell fall VBD cord-336161-67pumvst 41 10 slightly slightly RB cord-336161-67pumvst 41 11 , , , cord-336161-67pumvst 41 12 but but CC cord-336161-67pumvst 41 13 nonsignificantly nonsignificantly RB cord-336161-67pumvst 41 14 , , , cord-336161-67pumvst 41 15 in in IN cord-336161-67pumvst 41 16 the the DT cord-336161-67pumvst 41 17 free free JJ cord-336161-67pumvst 41 18 medications medication NNS cord-336161-67pumvst 41 19 group group NN cord-336161-67pumvst 41 20 . . . cord-336161-67pumvst 42 1 14 14 CD cord-336161-67pumvst 43 1 A a DT cord-336161-67pumvst 43 2 new new JJ cord-336161-67pumvst 43 3 study study NN cord-336161-67pumvst 43 4 finds find VBZ cord-336161-67pumvst 43 5 that that IN cord-336161-67pumvst 43 6 Veterans Veterans NNPS cord-336161-67pumvst 43 7 Health Health NNP cord-336161-67pumvst 43 8 Administration Administration NNP cord-336161-67pumvst 43 9 ( ( -LRB- cord-336161-67pumvst 43 10 VA VA NNP cord-336161-67pumvst 43 11 ) ) -RRB- cord-336161-67pumvst 43 12 patients patient NNS cord-336161-67pumvst 43 13 , , , cord-336161-67pumvst 43 14 relative relative JJ cord-336161-67pumvst 43 15 to to IN cord-336161-67pumvst 43 16 Americans Americans NNPS cord-336161-67pumvst 43 17 with with IN cord-336161-67pumvst 43 18 non non JJ cord-336161-67pumvst 43 19 - - JJ cord-336161-67pumvst 43 20 VA va JJ cord-336161-67pumvst 43 21 coverage coverage NN cord-336161-67pumvst 43 22 , , , cord-336161-67pumvst 43 23 are be VBP cord-336161-67pumvst 43 24 only only RB cord-336161-67pumvst 43 25 about about RB cord-336161-67pumvst 43 26 half half NN cord-336161-67pumvst 43 27 as as RB cord-336161-67pumvst 43 28 likely likely JJ cord-336161-67pumvst 43 29 to to TO cord-336161-67pumvst 43 30 skip skip VB cord-336161-67pumvst 43 31 a a DT cord-336161-67pumvst 43 32 prescribed prescribed JJ cord-336161-67pumvst 43 33 medication medication NN cord-336161-67pumvst 43 34 because because IN cord-336161-67pumvst 43 35 of of IN cord-336161-67pumvst 43 36 costs cost NNS cord-336161-67pumvst 43 37 ( ( -LRB- cord-336161-67pumvst 43 38 6.1 6.1 CD cord-336161-67pumvst 43 39 % % NN cord-336161-67pumvst 43 40 vs vs IN cord-336161-67pumvst 43 41 10.9 10.9 CD cord-336161-67pumvst 43 42 % % NN cord-336161-67pumvst 43 43 of of IN cord-336161-67pumvst 43 44 others other NNS cord-336161-67pumvst 43 45 ) ) -RRB- cord-336161-67pumvst 43 46 , , , cord-336161-67pumvst 43 47 despite despite IN cord-336161-67pumvst 43 48 VA VA NNP cord-336161-67pumvst 43 49 patients patient NNS cord-336161-67pumvst 43 50 having have VBG cord-336161-67pumvst 43 51 lower low JJR cord-336161-67pumvst 43 52 average average JJ cord-336161-67pumvst 43 53 incomes income NNS cord-336161-67pumvst 43 54 . . . cord-336161-67pumvst 44 1 VA VA NNP cord-336161-67pumvst 44 2 coverage coverage NN cord-336161-67pumvst 44 3 especially especially RB cord-336161-67pumvst 44 4 improved improve VBD cord-336161-67pumvst 44 5 drug drug NN cord-336161-67pumvst 44 6 adherence adherence NN cord-336161-67pumvst 44 7 among among IN cord-336161-67pumvst 44 8 people people NNS cord-336161-67pumvst 44 9 with with IN cord-336161-67pumvst 44 10 chronic chronic JJ cord-336161-67pumvst 44 11 illnesses illness NNS cord-336161-67pumvst 44 12 , , , cord-336161-67pumvst 44 13 while while IN cord-336161-67pumvst 44 14 shrinking shrink VBG cord-336161-67pumvst 44 15 racial racial JJ cord-336161-67pumvst 44 16 / / SYM cord-336161-67pumvst 44 17 ethnic ethnic JJ cord-336161-67pumvst 44 18 and and CC cord-336161-67pumvst 44 19 income income NN cord-336161-67pumvst 44 20 - - HYPH cord-336161-67pumvst 44 21 related relate VBN cord-336161-67pumvst 44 22 disparities disparity NNS cord-336161-67pumvst 44 23 . . . cord-336161-67pumvst 45 1 The the DT cord-336161-67pumvst 45 2 VA VA NNP cord-336161-67pumvst 45 3 provides provide VBZ cord-336161-67pumvst 45 4 free free JJ cord-336161-67pumvst 45 5 prescription prescription NN cord-336161-67pumvst 45 6 drugs drug NNS cord-336161-67pumvst 45 7 to to IN cord-336161-67pumvst 45 8 some some DT cord-336161-67pumvst 45 9 patients patient NNS cord-336161-67pumvst 45 10 , , , cord-336161-67pumvst 45 11 while while IN cord-336161-67pumvst 45 12 charging charge VBG cord-336161-67pumvst 45 13 others other NNS cord-336161-67pumvst 45 14 copays copay NNS cord-336161-67pumvst 45 15 of of IN cord-336161-67pumvst 45 16 $ $ $ cord-336161-67pumvst 45 17 5 5 CD cord-336161-67pumvst 45 18 per per IN cord-336161-67pumvst 45 19 month month NN cord-336161-67pumvst 45 20 for for IN cord-336161-67pumvst 45 21 preferred preferred JJ cord-336161-67pumvst 45 22 generics generic NNS cord-336161-67pumvst 45 23 and and CC cord-336161-67pumvst 45 24 $ $ $ cord-336161-67pumvst 45 25 11 11 CD cord-336161-67pumvst 45 26 per per IN cord-336161-67pumvst 45 27 month month NN cord-336161-67pumvst 45 28 for for IN cord-336161-67pumvst 45 29 brandname brandname NN cord-336161-67pumvst 45 30 drugs drug NNS cord-336161-67pumvst 45 31 , , , cord-336161-67pumvst 45 32 with with IN cord-336161-67pumvst 45 33 annual annual JJ cord-336161-67pumvst 45 34 out out JJ cord-336161-67pumvst 45 35 - - HYPH cord-336161-67pumvst 45 36 of of IN cord-336161-67pumvst 45 37 - - HYPH cord-336161-67pumvst 45 38 pocket pocket NN cord-336161-67pumvst 45 39 drug drug NN cord-336161-67pumvst 45 40 costs cost NNS cord-336161-67pumvst 45 41 capped cap VBN cord-336161-67pumvst 45 42 at at IN cord-336161-67pumvst 45 43 $ $ $ cord-336161-67pumvst 45 44 700 700 CD cord-336161-67pumvst 45 45 . . . cord-336161-67pumvst 46 1 Yet yet CC cord-336161-67pumvst 46 2 despite despite IN cord-336161-67pumvst 46 3 charging charge VBG cord-336161-67pumvst 46 4 patients patient NNS cord-336161-67pumvst 46 5 less less JJR cord-336161-67pumvst 46 6 , , , cord-336161-67pumvst 46 7 the the DT cord-336161-67pumvst 46 8 VA VA NNP cord-336161-67pumvst 46 9 's 's POS cord-336161-67pumvst 46 10 drug drug NN cord-336161-67pumvst 46 11 spending spending NN cord-336161-67pumvst 46 12 is be VBZ cord-336161-67pumvst 46 13 lower low JJR cord-336161-67pumvst 46 14 than than IN cord-336161-67pumvst 46 15 that that DT cord-336161-67pumvst 46 16 of of IN cord-336161-67pumvst 46 17 private private JJ cord-336161-67pumvst 46 18 insurers insurer NNS cord-336161-67pumvst 46 19 because because IN cord-336161-67pumvst 46 20 it -PRON- PRP cord-336161-67pumvst 46 21 pays pay VBZ cord-336161-67pumvst 46 22 drug drug NN cord-336161-67pumvst 46 23 manufacturers manufacturer NNS cord-336161-67pumvst 46 24 lower low JJR cord-336161-67pumvst 46 25 prices price NNS cord-336161-67pumvst 46 26 . . . cord-336161-67pumvst 47 1 15 15 CD cord-336161-67pumvst 48 1 When when WRB cord-336161-67pumvst 48 2 the the DT cord-336161-67pumvst 48 3 Dutch dutch JJ cord-336161-67pumvst 48 4 government government NN cord-336161-67pumvst 48 5 instituted institute VBD cord-336161-67pumvst 48 6 new new JJ cord-336161-67pumvst 48 7 copayments copayment NNS cord-336161-67pumvst 48 8 for for IN cord-336161-67pumvst 48 9 mental mental JJ cord-336161-67pumvst 48 10 health health NN cord-336161-67pumvst 48 11 care care NN cord-336161-67pumvst 48 12 , , , cord-336161-67pumvst 48 13 the the DT cord-336161-67pumvst 48 14 use use NN cord-336161-67pumvst 48 15 of of IN cord-336161-67pumvst 48 16 mental mental JJ cord-336161-67pumvst 48 17 health health NN cord-336161-67pumvst 48 18 services service NNS cord-336161-67pumvst 48 19 for for IN cord-336161-67pumvst 48 20 both both CC cord-336161-67pumvst 48 21 severe severe JJ cord-336161-67pumvst 48 22 and and CC cord-336161-67pumvst 48 23 mild mild JJ cord-336161-67pumvst 48 24 disorders disorder NNS cord-336161-67pumvst 48 25 decreased decrease VBD cord-336161-67pumvst 48 26 abruptly abruptly RB cord-336161-67pumvst 48 27 and and CC cord-336161-67pumvst 48 28 persistently persistently RB cord-336161-67pumvst 48 29 , , , cord-336161-67pumvst 48 30 particularly particularly RB cord-336161-67pumvst 48 31 in in IN cord-336161-67pumvst 48 32 low low JJ cord-336161-67pumvst 48 33 - - HYPH cord-336161-67pumvst 48 34 income income NN cord-336161-67pumvst 48 35 neighborhoods neighborhood NNS cord-336161-67pumvst 48 36 . . . cord-336161-67pumvst 49 1 Meanwhile meanwhile RB cord-336161-67pumvst 49 2 , , , cord-336161-67pumvst 49 3 the the DT cord-336161-67pumvst 49 4 number number NN cord-336161-67pumvst 49 5 of of IN cord-336161-67pumvst 49 6 involuntary involuntary JJ cord-336161-67pumvst 49 7 commitments commitment NNS cord-336161-67pumvst 49 8 increased increase VBN cord-336161-67pumvst 49 9 by by IN cord-336161-67pumvst 49 10 96.8 96.8 CD cord-336161-67pumvst 49 11 % % NN cord-336161-67pumvst 49 12 and and CC cord-336161-67pumvst 49 13 episodes episode NNS cord-336161-67pumvst 49 14 of of IN cord-336161-67pumvst 49 15 acute acute JJ cord-336161-67pumvst 49 16 mental mental JJ cord-336161-67pumvst 49 17 health health NN cord-336161-67pumvst 49 18 care care NN cord-336161-67pumvst 49 19 rose rise VBD cord-336161-67pumvst 49 20 by by IN cord-336161-67pumvst 49 21 25.1 25.1 CD cord-336161-67pumvst 49 22 % % NN cord-336161-67pumvst 49 23 . . . cord-336161-67pumvst 50 1 While while IN cord-336161-67pumvst 50 2 overall overall JJ cord-336161-67pumvst 50 3 costs cost NNS cord-336161-67pumvst 50 4 decreased decrease VBD cord-336161-67pumvst 50 5 by by IN cord-336161-67pumvst 50 6 $ $ $ cord-336161-67pumvst 50 7 15.1 15.1 CD cord-336161-67pumvst 50 8 million million CD cord-336161-67pumvst 50 9 , , , cord-336161-67pumvst 50 10 costs cost NNS cord-336161-67pumvst 50 11 increased increase VBD cord-336161-67pumvst 50 12 $ $ $ cord-336161-67pumvst 50 13 28.8 28.8 CD cord-336161-67pumvst 50 14 million million CD cord-336161-67pumvst 50 15 for for IN cord-336161-67pumvst 50 16 adults adult NNS cord-336161-67pumvst 50 17 with with IN cord-336161-67pumvst 50 18 psychotic psychotic JJ cord-336161-67pumvst 50 19 or or CC cord-336161-67pumvst 50 20 bipolar bipolar JJ cord-336161-67pumvst 50 21 disorders disorder NNS cord-336161-67pumvst 50 22 . . . cord-336161-67pumvst 51 1 16 16 CD cord-336161-67pumvst 51 2 _SP cord-336161-67pumvst 52 1 A a DT cord-336161-67pumvst 52 2 recent recent JJ cord-336161-67pumvst 52 3 study study NN cord-336161-67pumvst 52 4 indicates indicate VBZ cord-336161-67pumvst 52 5 why why WRB cord-336161-67pumvst 52 6 the the DT cord-336161-67pumvst 52 7 US US NNP cord-336161-67pumvst 52 8 advocacy advocacy NN cord-336161-67pumvst 52 9 organization organization NN cord-336161-67pumvst 52 10 Physicians Physicians NNPS cord-336161-67pumvst 52 11 for for IN cord-336161-67pumvst 52 12 a a DT cord-336161-67pumvst 52 13 National National NNP cord-336161-67pumvst 52 14 Health Health NNP cord-336161-67pumvst 52 15 Program Program NNP cord-336161-67pumvst 52 16 calls call VBZ cord-336161-67pumvst 52 17 for for IN cord-336161-67pumvst 52 18 Improved Improved NNP cord-336161-67pumvst 52 19 Medicare Medicare NNP cord-336161-67pumvst 52 20 for for IN cord-336161-67pumvst 52 21 All all DT cord-336161-67pumvst 52 22 . . . cord-336161-67pumvst 53 1 Among among IN cord-336161-67pumvst 53 2 seriously seriously RB cord-336161-67pumvst 53 3 ill ill JJ cord-336161-67pumvst 54 1 Medicare Medicare NNP cord-336161-67pumvst 54 2 enrollees enrollee NNS cord-336161-67pumvst 54 3 ( ( -LRB- cord-336161-67pumvst 54 4 i.e. i.e. FW cord-336161-67pumvst 54 5 , , , cord-336161-67pumvst 54 6 those those DT cord-336161-67pumvst 54 7 who who WP cord-336161-67pumvst 54 8 have have VBP cord-336161-67pumvst 54 9 visited visit VBN cord-336161-67pumvst 54 10 3 3 CD cord-336161-67pumvst 54 11 or or CC cord-336161-67pumvst 54 12 more more JJR cord-336161-67pumvst 54 13 physicians physician NNS cord-336161-67pumvst 54 14 and and CC cord-336161-67pumvst 54 15 been be VBN cord-336161-67pumvst 54 16 hospitalized hospitalize VBN cord-336161-67pumvst 54 17 at at IN cord-336161-67pumvst 54 18 least least JJS cord-336161-67pumvst 54 19 twice twice RB cord-336161-67pumvst 54 20 in in IN cord-336161-67pumvst 54 21 the the DT cord-336161-67pumvst 54 22 past past JJ cord-336161-67pumvst 54 23 year year NN cord-336161-67pumvst 54 24 ) ) -RRB- cord-336161-67pumvst 55 1 , , , cord-336161-67pumvst 55 2 53 53 CD cord-336161-67pumvst 55 3 % % NN cord-336161-67pumvst 55 4 had have VBD cord-336161-67pumvst 55 5 a a DT cord-336161-67pumvst 55 6 serious serious JJ cord-336161-67pumvst 55 7 problem problem NN cord-336161-67pumvst 55 8 paying pay VBG cord-336161-67pumvst 55 9 a a DT cord-336161-67pumvst 55 10 medical medical JJ cord-336161-67pumvst 55 11 bill bill NN cord-336161-67pumvst 55 12 , , , cord-336161-67pumvst 55 13 36 36 CD cord-336161-67pumvst 55 14 % % NN cord-336161-67pumvst 55 15 had have VBD cord-336161-67pumvst 55 16 used use VBN cord-336161-67pumvst 55 17 up up RP cord-336161-67pumvst 55 18 all all DT cord-336161-67pumvst 55 19 or or CC cord-336161-67pumvst 55 20 most most JJS cord-336161-67pumvst 55 21 of of IN cord-336161-67pumvst 55 22 their -PRON- PRP$ cord-336161-67pumvst 55 23 savings saving NNS cord-336161-67pumvst 55 24 , , , cord-336161-67pumvst 55 25 27 27 CD cord-336161-67pumvst 55 26 % % NN cord-336161-67pumvst 55 27 had have VBD cord-336161-67pumvst 55 28 been be VBN cord-336161-67pumvst 55 29 contacted contact VBN cord-336161-67pumvst 55 30 by by IN cord-336161-67pumvst 55 31 a a DT cord-336161-67pumvst 55 32 collection collection NN cord-336161-67pumvst 55 33 agency agency NN cord-336161-67pumvst 55 34 , , , cord-336161-67pumvst 55 35 and and CC cord-336161-67pumvst 55 36 23 23 CD cord-336161-67pumvst 55 37 % % NN cord-336161-67pumvst 55 38 were be VBD cord-336161-67pumvst 55 39 unable unable JJ cord-336161-67pumvst 55 40 to to TO cord-336161-67pumvst 55 41 pay pay VB cord-336161-67pumvst 55 42 for for IN cord-336161-67pumvst 55 43 basic basic JJ cord-336161-67pumvst 55 44 necessities necessity NNS cord-336161-67pumvst 55 45 . . . cord-336161-67pumvst 56 1 17 17 CD cord-336161-67pumvst 57 1 While while IN cord-336161-67pumvst 57 2 almost almost RB cord-336161-67pumvst 57 3 all all DT cord-336161-67pumvst 57 4 persons person NNS cord-336161-67pumvst 57 5 older old JJR cord-336161-67pumvst 57 6 than than IN cord-336161-67pumvst 57 7 64 64 CD cord-336161-67pumvst 57 8 are be VBP cord-336161-67pumvst 57 9 covered cover VBN cord-336161-67pumvst 57 10 by by IN cord-336161-67pumvst 57 11 Medicare Medicare NNP cord-336161-67pumvst 57 12 , , , cord-336161-67pumvst 57 13 65 65 CD cord-336161-67pumvst 57 14 % % NN cord-336161-67pumvst 57 15 of of IN cord-336161-67pumvst 57 16 them -PRON- PRP cord-336161-67pumvst 57 17 lack lack VBP cord-336161-67pumvst 57 18 dental dental JJ cord-336161-67pumvst 57 19 coverage coverage NN cord-336161-67pumvst 57 20 , , , cord-336161-67pumvst 57 21 and and CC cord-336161-67pumvst 57 22 each each DT cord-336161-67pumvst 57 23 year year NN cord-336161-67pumvst 57 24 about about RB cord-336161-67pumvst 57 25 10 10 CD cord-336161-67pumvst 57 26 % % NN cord-336161-67pumvst 57 27 of of IN cord-336161-67pumvst 57 28 them -PRON- PRP cord-336161-67pumvst 57 29 skip skip VBP cord-336161-67pumvst 57 30 needed need VBN cord-336161-67pumvst 57 31 dental dental JJ cord-336161-67pumvst 57 32 care care NN cord-336161-67pumvst 57 33 because because IN cord-336161-67pumvst 57 34 they -PRON- PRP cord-336161-67pumvst 57 35 can can MD cord-336161-67pumvst 57 36 not not RB cord-336161-67pumvst 57 37 afford afford VB cord-336161-67pumvst 57 38 it -PRON- PRP cord-336161-67pumvst 57 39 . . . cord-336161-67pumvst 58 1 About about RB cord-336161-67pumvst 58 2 20 20 CD cord-336161-67pumvst 58 3 % % NN cord-336161-67pumvst 58 4 of of IN cord-336161-67pumvst 58 5 seniors senior NNS cord-336161-67pumvst 58 6 have have VBP cord-336161-67pumvst 58 7 lost lose VBN cord-336161-67pumvst 58 8 all all DT cord-336161-67pumvst 58 9 of of IN cord-336161-67pumvst 58 10 their -PRON- PRP$ cord-336161-67pumvst 58 11 teeth tooth NNS cord-336161-67pumvst 58 12 , , , cord-336161-67pumvst 58 13 and and CC cord-336161-67pumvst 58 14 many many JJ cord-336161-67pumvst 58 15 more more JJR cord-336161-67pumvst 58 16 have have VBP cord-336161-67pumvst 58 17 tooth tooth NN cord-336161-67pumvst 58 18 and and CC cord-336161-67pumvst 58 19 gum gum NN cord-336161-67pumvst 58 20 problems problem NNS cord-336161-67pumvst 58 21 that that WDT cord-336161-67pumvst 58 22 compromise compromise VBP cord-336161-67pumvst 58 23 their -PRON- PRP$ cord-336161-67pumvst 58 24 nutritional nutritional JJ cord-336161-67pumvst 58 25 status status NN cord-336161-67pumvst 58 26 and and CC cord-336161-67pumvst 58 27 pose pose VBP cord-336161-67pumvst 58 28 other other JJ cord-336161-67pumvst 58 29 health health NN cord-336161-67pumvst 58 30 threats threat NNS cord-336161-67pumvst 58 31 . . . cord-336161-67pumvst 59 1 18 18 CD cord-336161-67pumvst 59 2 Medicare Medicare NNP cord-336161-67pumvst 59 3 provides provide VBZ cord-336161-67pumvst 59 4 full full JJ cord-336161-67pumvst 59 5 coverage coverage NN cord-336161-67pumvst 59 6 for for IN cord-336161-67pumvst 59 7 the the DT cord-336161-67pumvst 59 8 first first JJ cord-336161-67pumvst 59 9 20 20 CD cord-336161-67pumvst 59 10 days day NNS cord-336161-67pumvst 59 11 of of IN cord-336161-67pumvst 59 12 skilled skilled JJ cord-336161-67pumvst 59 13 nursing nursing NN cord-336161-67pumvst 59 14 facility facility NN cord-336161-67pumvst 59 15 care care NN cord-336161-67pumvst 59 16 , , , cord-336161-67pumvst 59 17 but but CC cord-336161-67pumvst 59 18 after after IN cord-336161-67pumvst 59 19 that that DT cord-336161-67pumvst 59 20 , , , cord-336161-67pumvst 59 21 patients patient NNS cord-336161-67pumvst 59 22 are be VBP cord-336161-67pumvst 59 23 responsible responsible JJ cord-336161-67pumvst 59 24 for for IN cord-336161-67pumvst 59 25 copayments copayment NNS cord-336161-67pumvst 59 26 of of IN cord-336161-67pumvst 59 27 more more JJR cord-336161-67pumvst 59 28 than than IN cord-336161-67pumvst 59 29 $ $ $ cord-336161-67pumvst 59 30 150 150 CD cord-336161-67pumvst 59 31 ( ( -LRB- cord-336161-67pumvst 59 32 all all DT cord-336161-67pumvst 59 33 dollar dollar NN cord-336161-67pumvst 59 34 amounts amount NNS cord-336161-67pumvst 59 35 in in IN cord-336161-67pumvst 59 36 U.S. U.S. NNP cord-336161-67pumvst 59 37 dollars dollar NNS cord-336161-67pumvst 59 38 ) ) -RRB- cord-336161-67pumvst 59 39 per per IN cord-336161-67pumvst 59 40 day day NN cord-336161-67pumvst 59 41 . . . cord-336161-67pumvst 60 1 Skilled skilled JJ cord-336161-67pumvst 60 2 nursing nursing NN cord-336161-67pumvst 60 3 facility facility NN cord-336161-67pumvst 60 4 discharge discharge NN cord-336161-67pumvst 60 5 rates rate NNS cord-336161-67pumvst 60 6 for for IN cord-336161-67pumvst 60 7 Medicare Medicare NNP cord-336161-67pumvst 60 8 patients patient NNS cord-336161-67pumvst 60 9 spike spike VBP cord-336161-67pumvst 60 10 on on IN cord-336161-67pumvst 60 11 the the DT cord-336161-67pumvst 60 12 20th 20th JJ cord-336161-67pumvst 60 13 day day NN cord-336161-67pumvst 60 14 of of IN cord-336161-67pumvst 60 15 their -PRON- PRP$ cord-336161-67pumvst 60 16 stay stay NN cord-336161-67pumvst 60 17 and and CC cord-336161-67pumvst 60 18 are be VBP cord-336161-67pumvst 60 19 especially especially RB cord-336161-67pumvst 60 20 high high JJ cord-336161-67pumvst 60 21 for for IN cord-336161-67pumvst 60 22 black black JJ cord-336161-67pumvst 60 23 and and CC cord-336161-67pumvst 60 24 Hispanic hispanic JJ cord-336161-67pumvst 60 25 patients patient NNS cord-336161-67pumvst 60 26 and and CC cord-336161-67pumvst 60 27 those those DT cord-336161-67pumvst 60 28 from from IN cord-336161-67pumvst 60 29 low low JJ cord-336161-67pumvst 60 30 - - HYPH cord-336161-67pumvst 60 31 income income NN cord-336161-67pumvst 60 32 ZIP zip NN cord-336161-67pumvst 60 33 codes code NNS cord-336161-67pumvst 60 34 . . . cord-336161-67pumvst 61 1 Patients patient NNS cord-336161-67pumvst 61 2 discharged discharge VBN cord-336161-67pumvst 61 3 on on IN cord-336161-67pumvst 61 4 Day day NN cord-336161-67pumvst 61 5 20 20 CD cord-336161-67pumvst 61 6 also also RB cord-336161-67pumvst 61 7 had have VBD cord-336161-67pumvst 61 8 significantly significantly RB cord-336161-67pumvst 61 9 more more JJR cord-336161-67pumvst 61 10 comorbidities comorbiditie NNS cord-336161-67pumvst 61 11 than than IN cord-336161-67pumvst 61 12 those those DT cord-336161-67pumvst 61 13 discharged discharge VBN cord-336161-67pumvst 61 14 on on IN cord-336161-67pumvst 61 15 other other JJ cord-336161-67pumvst 61 16 days day NNS cord-336161-67pumvst 61 17 , , , cord-336161-67pumvst 61 18 indicating indicate VBG cord-336161-67pumvst 61 19 that that IN cord-336161-67pumvst 61 20 financial financial JJ cord-336161-67pumvst 61 21 rather rather RB cord-336161-67pumvst 61 22 than than IN cord-336161-67pumvst 61 23 medical medical JJ cord-336161-67pumvst 61 24 reasons reason NNS cord-336161-67pumvst 61 25 motivated motivate VBD cord-336161-67pumvst 61 26 their -PRON- PRP$ cord-336161-67pumvst 61 27 discharges discharge NNS cord-336161-67pumvst 61 28 . . . cord-336161-67pumvst 62 1 19 19 CD cord-336161-67pumvst 62 2 _SP cord-336161-67pumvst 63 1 Recent recent JJ cord-336161-67pumvst 63 2 declines decline NNS cord-336161-67pumvst 63 3 in in IN cord-336161-67pumvst 63 4 U.S. U.S. NNP cord-336161-67pumvst 63 5 life life NN cord-336161-67pumvst 63 6 expectancy expectancy NN cord-336161-67pumvst 63 7 and and CC cord-336161-67pumvst 63 8 deaths death NNS cord-336161-67pumvst 63 9 due due JJ cord-336161-67pumvst 63 10 to to IN cord-336161-67pumvst 63 11 " " `` cord-336161-67pumvst 63 12 diseases disease NNS cord-336161-67pumvst 63 13 of of IN cord-336161-67pumvst 63 14 despair despair NN cord-336161-67pumvst 63 15 " " '' cord-336161-67pumvst 63 16 among among IN cord-336161-67pumvst 63 17 working work VBG cord-336161-67pumvst 63 18 - - HYPH cord-336161-67pumvst 63 19 age age NN cord-336161-67pumvst 63 20 white white JJ cord-336161-67pumvst 63 21 people people NNS cord-336161-67pumvst 63 22 have have VBP cord-336161-67pumvst 63 23 gained gain VBN cord-336161-67pumvst 63 24 wide wide JJ cord-336161-67pumvst 63 25 attention attention NN cord-336161-67pumvst 63 26 . . . cord-336161-67pumvst 64 1 But but CC cord-336161-67pumvst 64 2 a a DT cord-336161-67pumvst 64 3 new new JJ cord-336161-67pumvst 64 4 study study NN cord-336161-67pumvst 64 5 highlights highlight NNS cord-336161-67pumvst 64 6 rising rise VBG cord-336161-67pumvst 64 7 mortality mortality NN cord-336161-67pumvst 64 8 rates rate NNS cord-336161-67pumvst 64 9 among among IN cord-336161-67pumvst 64 10 working working NN cord-336161-67pumvst 64 11 - - HYPH cord-336161-67pumvst 64 12 age age NN cord-336161-67pumvst 64 13 people people NNS cord-336161-67pumvst 64 14 of of IN cord-336161-67pumvst 64 15 color color NN cord-336161-67pumvst 64 16 and and CC cord-336161-67pumvst 64 17 other other JJ cord-336161-67pumvst 64 18 disturbing disturbing JJ cord-336161-67pumvst 64 19 trends trend NNS cord-336161-67pumvst 64 20 dating date VBG cord-336161-67pumvst 64 21 to to IN cord-336161-67pumvst 64 22 the the DT cord-336161-67pumvst 64 23 1990s 1990 NNS cord-336161-67pumvst 64 24 and and CC cord-336161-67pumvst 64 25 earlier early RBR cord-336161-67pumvst 64 26 . . . cord-336161-67pumvst 65 1 Population population NN cord-336161-67pumvst 65 2 - - HYPH cord-336161-67pumvst 65 3 wide wide JJ cord-336161-67pumvst 65 4 life life NN cord-336161-67pumvst 65 5 expectancy expectancy NN cord-336161-67pumvst 65 6 improved improve VBD cord-336161-67pumvst 65 7 dramatically dramatically RB cord-336161-67pumvst 65 8 between between IN cord-336161-67pumvst 65 9 1959 1959 CD cord-336161-67pumvst 65 10 and and CC cord-336161-67pumvst 65 11 the the DT cord-336161-67pumvst 65 12 early early JJ cord-336161-67pumvst 65 13 1980s 1980s CD cord-336161-67pumvst 65 14 , , , cord-336161-67pumvst 65 15 but but CC cord-336161-67pumvst 65 16 improvement improvement NN cord-336161-67pumvst 65 17 slowed slow VBD cord-336161-67pumvst 65 18 starting start VBG cord-336161-67pumvst 65 19 in in IN cord-336161-67pumvst 65 20 the the DT cord-336161-67pumvst 65 21 1980s 1980 NNS cord-336161-67pumvst 65 22 , , , cord-336161-67pumvst 65 23 plateaued plateaue VBN cord-336161-67pumvst 65 24 starting start VBG cord-336161-67pumvst 65 25 in in IN cord-336161-67pumvst 65 26 2011 2011 CD cord-336161-67pumvst 65 27 , , , cord-336161-67pumvst 65 28 and and CC cord-336161-67pumvst 65 29 deteriorated deteriorate VBD cord-336161-67pumvst 65 30 between between IN cord-336161-67pumvst 65 31 2014 2014 CD cord-336161-67pumvst 65 32 and and CC cord-336161-67pumvst 65 33 2017 2017 CD cord-336161-67pumvst 65 34 . . . cord-336161-67pumvst 66 1 Midlife midlife JJ cord-336161-67pumvst 66 2 mortality mortality NN cord-336161-67pumvst 66 3 has have VBZ cord-336161-67pumvst 66 4 been be VBN cord-336161-67pumvst 66 5 increasing increase VBG cord-336161-67pumvst 66 6 since since IN cord-336161-67pumvst 66 7 2010 2010 CD cord-336161-67pumvst 66 8 , , , cord-336161-67pumvst 66 9 and and CC cord-336161-67pumvst 66 10 a a DT cord-336161-67pumvst 66 11 wide wide JJ cord-336161-67pumvst 66 12 variety variety NN cord-336161-67pumvst 66 13 of of IN cord-336161-67pumvst 66 14 causes cause NNS cord-336161-67pumvst 66 15 -not -not : cord-336161-67pumvst 66 16 just just RB cord-336161-67pumvst 66 17 diseases disease NNS cord-336161-67pumvst 66 18 of of IN cord-336161-67pumvst 66 19 despair despair NN cord-336161-67pumvst 66 20 -have -have , cord-336161-67pumvst 66 21 contributed contribute VBN cord-336161-67pumvst 66 22 to to IN cord-336161-67pumvst 66 23 the the DT cord-336161-67pumvst 66 24 increase increase NN cord-336161-67pumvst 66 25 . . . cord-336161-67pumvst 67 1 Native native JJ cord-336161-67pumvst 67 2 Americans Americans NNPS cord-336161-67pumvst 67 3 have have VBP cord-336161-67pumvst 67 4 suffered suffer VBN cord-336161-67pumvst 67 5 the the DT cord-336161-67pumvst 67 6 worst bad JJS cord-336161-67pumvst 67 7 midlife midlife NN cord-336161-67pumvst 67 8 mortality mortality NN cord-336161-67pumvst 67 9 increases increase NNS cord-336161-67pumvst 67 10 ( ( -LRB- cord-336161-67pumvst 67 11 a a DT cord-336161-67pumvst 67 12 34 34 CD cord-336161-67pumvst 67 13 % % NN cord-336161-67pumvst 67 14 increase increase NN cord-336161-67pumvst 67 15 since since IN cord-336161-67pumvst 67 16 2000 2000 CD cord-336161-67pumvst 67 17 ) ) -RRB- cord-336161-67pumvst 67 18 , , , cord-336161-67pumvst 67 19 and and CC cord-336161-67pumvst 67 20 they -PRON- PRP cord-336161-67pumvst 67 21 now now RB cord-336161-67pumvst 67 22 have have VBP cord-336161-67pumvst 67 23 the the DT cord-336161-67pumvst 67 24 highest high JJS cord-336161-67pumvst 67 25 death death NN cord-336161-67pumvst 67 26 rates rate NNS cord-336161-67pumvst 67 27 of of IN cord-336161-67pumvst 67 28 any any DT cord-336161-67pumvst 67 29 race race NN cord-336161-67pumvst 67 30 / / SYM cord-336161-67pumvst 67 31 ethnicity ethnicity NN cord-336161-67pumvst 67 32 group group NN cord-336161-67pumvst 67 33 ( ( -LRB- cord-336161-67pumvst 67 34 59 59 CD cord-336161-67pumvst 67 35 % % NN cord-336161-67pumvst 67 36 higher high JJR cord-336161-67pumvst 67 37 than than IN cord-336161-67pumvst 67 38 non non JJ cord-336161-67pumvst 67 39 - - JJ cord-336161-67pumvst 67 40 Hispanic hispanic JJ cord-336161-67pumvst 67 41 whites white NNS cord-336161-67pumvst 67 42 ) ) -RRB- cord-336161-67pumvst 67 43 . . . cord-336161-67pumvst 68 1 Midlife midlife JJ cord-336161-67pumvst 68 2 mortality mortality NN cord-336161-67pumvst 68 3 for for IN cord-336161-67pumvst 68 4 blacks black NNS cord-336161-67pumvst 68 5 began begin VBD cord-336161-67pumvst 68 6 increasing increase VBG cord-336161-67pumvst 68 7 in in IN cord-336161-67pumvst 68 8 2014 2014 CD cord-336161-67pumvst 68 9 and and CC cord-336161-67pumvst 68 10 is be VBZ cord-336161-67pumvst 68 11 currently currently RB cord-336161-67pumvst 68 12 49 49 CD cord-336161-67pumvst 68 13 % % NN cord-336161-67pumvst 68 14 higher high JJR cord-336161-67pumvst 68 15 than than IN cord-336161-67pumvst 68 16 non non JJ cord-336161-67pumvst 68 17 - - JJ cord-336161-67pumvst 68 18 Hispanic hispanic JJ cord-336161-67pumvst 68 19 whites white NNS cord-336161-67pumvst 68 20 . . . cord-336161-67pumvst 69 1 Although although IN cord-336161-67pumvst 69 2 each each DT cord-336161-67pumvst 69 3 of of IN cord-336161-67pumvst 69 4 these these DT cord-336161-67pumvst 69 5 groups group NNS cord-336161-67pumvst 69 6 experienced experience VBD cord-336161-67pumvst 69 7 large large JJ cord-336161-67pumvst 69 8 increases increase NNS cord-336161-67pumvst 69 9 in in IN cord-336161-67pumvst 69 10 fatal fatal JJ cord-336161-67pumvst 69 11 drug drug NN cord-336161-67pumvst 69 12 overdoses overdose NNS cord-336161-67pumvst 69 13 ( ( -LRB- cord-336161-67pumvst 69 14 with with IN cord-336161-67pumvst 69 15 the the DT cord-336161-67pumvst 69 16 largest large JJS cord-336161-67pumvst 69 17 increase increase NN cord-336161-67pumvst 69 18 -172 -172 NN cord-336161-67pumvst 69 19 % % NN cord-336161-67pumvst 69 20 since since IN cord-336161-67pumvst 69 21 2010 2010 CD cord-336161-67pumvst 69 22 -among -among . cord-336161-67pumvst 70 1 the the DT cord-336161-67pumvst 70 2 black black JJ cord-336161-67pumvst 70 3 population population NN cord-336161-67pumvst 70 4 ) ) -RRB- cord-336161-67pumvst 70 5 , , , cord-336161-67pumvst 70 6 deaths death NNS cord-336161-67pumvst 70 7 from from IN cord-336161-67pumvst 70 8 many many JJ cord-336161-67pumvst 70 9 other other JJ cord-336161-67pumvst 70 10 causes cause NNS cord-336161-67pumvst 70 11 also also RB cord-336161-67pumvst 70 12 increased increase VBD cord-336161-67pumvst 70 13 . . . cord-336161-67pumvst 71 1 20 20 CD cord-336161-67pumvst 71 2 Maternal maternal JJ cord-336161-67pumvst 71 3 mortality mortality NN cord-336161-67pumvst 71 4 was be VBD cord-336161-67pumvst 71 5 252 252 CD cord-336161-67pumvst 71 6 % % NN cord-336161-67pumvst 71 7 higher high JJR cord-336161-67pumvst 71 8 for for IN cord-336161-67pumvst 71 9 blacks black NNS cord-336161-67pumvst 71 10 than than IN cord-336161-67pumvst 71 11 for for IN cord-336161-67pumvst 71 12 non non JJ cord-336161-67pumvst 71 13 - - JJ cord-336161-67pumvst 71 14 Hispanic hispanic JJ cord-336161-67pumvst 71 15 whites white NNS cord-336161-67pumvst 71 16 in in IN cord-336161-67pumvst 71 17 2018 2018 CD cord-336161-67pumvst 71 18 ( ( -LRB- cord-336161-67pumvst 71 19 37.1 37.1 CD cord-336161-67pumvst 71 20 vs vs IN cord-336161-67pumvst 71 21 14.7 14.7 CD cord-336161-67pumvst 71 22 per per IN cord-336161-67pumvst 71 23 100,000 100,000 CD cord-336161-67pumvst 71 24 live live JJ cord-336161-67pumvst 71 25 births birth NNS cord-336161-67pumvst 71 26 ) ) -RRB- cord-336161-67pumvst 71 27 , , , cord-336161-67pumvst 71 28 according accord VBG cord-336161-67pumvst 71 29 to to IN cord-336161-67pumvst 71 30 new new JJ cord-336161-67pumvst 71 31 data datum NNS cord-336161-67pumvst 71 32 from from IN cord-336161-67pumvst 71 33 the the DT cord-336161-67pumvst 71 34 Centers Centers NNPS cord-336161-67pumvst 71 35 for for IN cord-336161-67pumvst 71 36 Disease Disease NNP cord-336161-67pumvst 71 37 Control Control NNP cord-336161-67pumvst 71 38 and and CC cord-336161-67pumvst 71 39 Prevention Prevention NNP cord-336161-67pumvst 71 40 . . . cord-336161-67pumvst 72 1 Hispanics Hispanics NNPS cord-336161-67pumvst 72 2 ' ' POS cord-336161-67pumvst 72 3 maternal maternal JJ cord-336161-67pumvst 72 4 mortality mortality NN cord-336161-67pumvst 72 5 rate rate NN cord-336161-67pumvst 72 6 was be VBD cord-336161-67pumvst 72 7 the the DT cord-336161-67pumvst 72 8 lowest low JJS cord-336161-67pumvst 72 9 , , , cord-336161-67pumvst 72 10 at at IN cord-336161-67pumvst 72 11 11.8 11.8 CD cord-336161-67pumvst 72 12 per per IN cord-336161-67pumvst 72 13 100,000 100,000 CD cord-336161-67pumvst 72 14 . . . cord-336161-67pumvst 73 1 21 21 CD cord-336161-67pumvst 74 1 Many many JJ cord-336161-67pumvst 74 2 wealthy wealthy JJ cord-336161-67pumvst 74 3 nations nation NNS cord-336161-67pumvst 74 4 have have VBP cord-336161-67pumvst 74 5 poverty poverty NN cord-336161-67pumvst 74 6 rates rate NNS cord-336161-67pumvst 74 7 comparable comparable JJ cord-336161-67pumvst 74 8 to to IN cord-336161-67pumvst 74 9 the the DT cord-336161-67pumvst 74 10 United United NNP cord-336161-67pumvst 74 11 States States NNP cord-336161-67pumvst 74 12 ' ' POS cord-336161-67pumvst 74 13 before before IN cord-336161-67pumvst 74 14 accounting account VBG cord-336161-67pumvst 74 15 for for IN cord-336161-67pumvst 74 16 the the DT cord-336161-67pumvst 74 17 effect effect NN cord-336161-67pumvst 74 18 of of IN cord-336161-67pumvst 74 19 social social JJ cord-336161-67pumvst 74 20 programs program NNS cord-336161-67pumvst 74 21 . . . cord-336161-67pumvst 75 1 But but CC cord-336161-67pumvst 75 2 their -PRON- PRP$ cord-336161-67pumvst 75 3 more more RBR cord-336161-67pumvst 75 4 robust robust JJ cord-336161-67pumvst 75 5 safety safety NN cord-336161-67pumvst 75 6 nets net NNS cord-336161-67pumvst 75 7 cut cut VBP cord-336161-67pumvst 75 8 their -PRON- PRP$ cord-336161-67pumvst 75 9 poverty poverty NN cord-336161-67pumvst 75 10 rates rate NNS cord-336161-67pumvst 75 11 to to IN cord-336161-67pumvst 75 12 levels level NNS cord-336161-67pumvst 75 13 far far RB cord-336161-67pumvst 75 14 lower low JJR cord-336161-67pumvst 75 15 than than IN cord-336161-67pumvst 75 16 ours ours PRP$ cord-336161-67pumvst 75 17 . . . cord-336161-67pumvst 76 1 While while IN cord-336161-67pumvst 76 2 government government NN cord-336161-67pumvst 76 3 programs program NNS cord-336161-67pumvst 76 4 cut cut VBD cord-336161-67pumvst 76 5 the the DT cord-336161-67pumvst 76 6 poverty poverty NN cord-336161-67pumvst 76 7 rate rate NN cord-336161-67pumvst 76 8 in in IN cord-336161-67pumvst 76 9 the the DT cord-336161-67pumvst 76 10 United United NNP cord-336161-67pumvst 76 11 States States NNP cord-336161-67pumvst 76 12 from from IN cord-336161-67pumvst 76 13 26.6 26.6 CD cord-336161-67pumvst 76 14 % % NN cord-336161-67pumvst 76 15 to to IN cord-336161-67pumvst 76 16 17.8 17.8 CD cord-336161-67pumvst 76 17 % % NN cord-336161-67pumvst 76 18 , , , cord-336161-67pumvst 76 19 comparable comparable JJ cord-336161-67pumvst 76 20 figures figure NNS cord-336161-67pumvst 76 21 for for IN cord-336161-67pumvst 76 22 Finland Finland NNP cord-336161-67pumvst 76 23 are be VBP cord-336161-67pumvst 76 24 34.2 34.2 CD cord-336161-67pumvst 76 25 % % NN cord-336161-67pumvst 76 26 to to TO cord-336161-67pumvst 76 27 5.8 5.8 CD cord-336161-67pumvst 76 28 % % NN cord-336161-67pumvst 76 29 ; ; , cord-336161-67pumvst 76 30 for for IN cord-336161-67pumvst 76 31 Denmark Denmark NNP cord-336161-67pumvst 76 32 , , , cord-336161-67pumvst 76 33 24.6 24.6 CD cord-336161-67pumvst 76 34 % % NN cord-336161-67pumvst 76 35 to to IN cord-336161-67pumvst 76 36 5.8 5.8 CD cord-336161-67pumvst 76 37 % % NN cord-336161-67pumvst 76 38 ; ; , cord-336161-67pumvst 76 39 for for IN cord-336161-67pumvst 76 40 France France NNP cord-336161-67pumvst 76 41 , , , cord-336161-67pumvst 76 42 37 37 CD cord-336161-67pumvst 76 43 % % NN cord-336161-67pumvst 76 44 to to IN cord-336161-67pumvst 76 45 8.3 8.3 CD cord-336161-67pumvst 76 46 % % NN cord-336161-67pumvst 76 47 ; ; , cord-336161-67pumvst 76 48 for for IN cord-336161-67pumvst 76 49 Germany Germany NNP cord-336161-67pumvst 76 50 , , , cord-336161-67pumvst 76 51 32.7 32.7 CD cord-336161-67pumvst 76 52 % % NN cord-336161-67pumvst 76 53 to to IN cord-336161-67pumvst 76 54 10.4 10.4 CD cord-336161-67pumvst 76 55 % % NN cord-336161-67pumvst 76 56 ; ; , cord-336161-67pumvst 76 57 and and CC cord-336161-67pumvst 76 58 for for IN cord-336161-67pumvst 76 59 Italy Italy NNP cord-336161-67pumvst 76 60 , , , cord-336161-67pumvst 76 61 33.8 33.8 CD cord-336161-67pumvst 76 62 % % NN cord-336161-67pumvst 76 63 to to IN cord-336161-67pumvst 76 64 13.7 13.7 CD cord-336161-67pumvst 76 65 % % NN cord-336161-67pumvst 76 66 . . . cord-336161-67pumvst 77 1 22 22 CD cord-336161-67pumvst 78 1 In in IN cord-336161-67pumvst 78 2 the the DT cord-336161-67pumvst 78 3 United United NNP cord-336161-67pumvst 78 4 States States NNP cord-336161-67pumvst 78 5 , , , cord-336161-67pumvst 78 6 the the DT cord-336161-67pumvst 78 7 ratio ratio NN cord-336161-67pumvst 78 8 of of IN cord-336161-67pumvst 78 9 chief chief JJ cord-336161-67pumvst 78 10 executive executive JJ cord-336161-67pumvst 78 11 officers officer NNS cord-336161-67pumvst 78 12 ' ' POS cord-336161-67pumvst 78 13 ( ( -LRB- cord-336161-67pumvst 78 14 CEOs ceo NNS cord-336161-67pumvst 78 15 ' ' POS cord-336161-67pumvst 78 16 ) ) -RRB- cord-336161-67pumvst 78 17 pay pay VB cord-336161-67pumvst 78 18 to to IN cord-336161-67pumvst 78 19 the the DT cord-336161-67pumvst 78 20 average average JJ cord-336161-67pumvst 78 21 workers worker NNS cord-336161-67pumvst 78 22 ' ' POS cord-336161-67pumvst 78 23 income income NN cord-336161-67pumvst 78 24 rose rise VBD cord-336161-67pumvst 78 25 from from IN cord-336161-67pumvst 78 26 less less JJR cord-336161-67pumvst 78 27 than than IN cord-336161-67pumvst 78 28 16:1 16:1 CD cord-336161-67pumvst 78 29 in in IN cord-336161-67pumvst 78 30 1965 1965 CD cord-336161-67pumvst 78 31 to to IN cord-336161-67pumvst 78 32 221:1 221:1 CD cord-336161-67pumvst 78 33 in in IN cord-336161-67pumvst 78 34 2018 2018 CD cord-336161-67pumvst 78 35 . . . cord-336161-67pumvst 79 1 23 23 CD cord-336161-67pumvst 79 2 _SP cord-336161-67pumvst 80 1 Between between IN cord-336161-67pumvst 80 2 2008 2008 CD cord-336161-67pumvst 80 3 and and CC cord-336161-67pumvst 80 4 2018 2018 CD cord-336161-67pumvst 80 5 , , , cord-336161-67pumvst 80 6 private private JJ cord-336161-67pumvst 80 7 insurance insurance NN cord-336161-67pumvst 80 8 costs cost NNS cord-336161-67pumvst 80 9 per per IN cord-336161-67pumvst 80 10 enrollee enrollee NN cord-336161-67pumvst 80 11 grew grow VBD cord-336161-67pumvst 80 12 by by IN cord-336161-67pumvst 80 13 52.6 52.6 CD cord-336161-67pumvst 80 14 % % NN cord-336161-67pumvst 80 15 , , , cord-336161-67pumvst 80 16 far far RB cord-336161-67pumvst 80 17 faster fast RBR cord-336161-67pumvst 80 18 than than IN cord-336161-67pumvst 80 19 cost cost NN cord-336161-67pumvst 80 20 growth growth NN cord-336161-67pumvst 80 21 in in IN cord-336161-67pumvst 80 22 Medicare Medicare NNP cord-336161-67pumvst 80 23 ( ( -LRB- cord-336161-67pumvst 80 24 21.5 21.5 CD cord-336161-67pumvst 80 25 % % NN cord-336161-67pumvst 80 26 ) ) -RRB- cord-336161-67pumvst 80 27 or or CC cord-336161-67pumvst 80 28 Medicaid Medicaid NNP cord-336161-67pumvst 80 29 ( ( -LRB- cord-336161-67pumvst 80 30 12.5 12.5 CD cord-336161-67pumvst 80 31 % % NN cord-336161-67pumvst 80 32 ) ) -RRB- cord-336161-67pumvst 80 33 . . . cord-336161-67pumvst 81 1 24 24 CD cord-336161-67pumvst 82 1 For for IN cord-336161-67pumvst 82 2 big big JJ cord-336161-67pumvst 82 3 health health NN cord-336161-67pumvst 82 4 insurers insurer NNS cord-336161-67pumvst 82 5 , , , cord-336161-67pumvst 82 6 2019 2019 CD cord-336161-67pumvst 82 7 was be VBD cord-336161-67pumvst 82 8 a a DT cord-336161-67pumvst 82 9 banner banner NN cord-336161-67pumvst 82 10 year year NN cord-336161-67pumvst 82 11 . . . cord-336161-67pumvst 83 1 The the DT cord-336161-67pumvst 83 2 profits profit NNS cord-336161-67pumvst 83 3 of of IN cord-336161-67pumvst 83 4 the the DT cord-336161-67pumvst 83 5 7 7 CD cord-336161-67pumvst 83 6 largest large JJS cord-336161-67pumvst 83 7 U.S. U.S. NNP cord-336161-67pumvst 83 8 publicly publicly RB cord-336161-67pumvst 83 9 traded trade VBN cord-336161-67pumvst 83 10 insurers insurer NNS cord-336161-67pumvst 83 11 increased increase VBD cord-336161-67pumvst 83 12 66 66 CD cord-336161-67pumvst 83 13 % % NN cord-336161-67pumvst 83 14 from from IN cord-336161-67pumvst 83 15 2018 2018 CD cord-336161-67pumvst 83 16 , , , cord-336161-67pumvst 83 17 to to IN cord-336161-67pumvst 83 18 $ $ $ cord-336161-67pumvst 83 19 35.6 35.6 CD cord-336161-67pumvst 83 20 billion billion CD cord-336161-67pumvst 83 21 , , , cord-336161-67pumvst 83 22 driven drive VBN cord-336161-67pumvst 83 23 by by IN cord-336161-67pumvst 83 24 a a DT cord-336161-67pumvst 83 25 wave wave NN cord-336161-67pumvst 83 26 of of IN cord-336161-67pumvst 83 27 mergers merger NNS cord-336161-67pumvst 83 28 and and CC cord-336161-67pumvst 83 29 acquisitions acquisition NNS cord-336161-67pumvst 83 30 . . . cord-336161-67pumvst 84 1 25 25 CD cord-336161-67pumvst 84 2 Hospitals hospital NNS cord-336161-67pumvst 84 3 and and CC cord-336161-67pumvst 84 4 outpatient outpatient NN cord-336161-67pumvst 84 5 practices practice NNS cord-336161-67pumvst 84 6 may may MD cord-336161-67pumvst 84 7 be be VB cord-336161-67pumvst 84 8 struggling struggle VBG cord-336161-67pumvst 84 9 , , , cord-336161-67pumvst 84 10 but but CC cord-336161-67pumvst 84 11 UnitedHealth UnitedHealth NNP cord-336161-67pumvst 84 12 , , , cord-336161-67pumvst 84 13 the the DT cord-336161-67pumvst 84 14 nation nation NN cord-336161-67pumvst 84 15 's 's POS cord-336161-67pumvst 84 16 largest large JJS cord-336161-67pumvst 84 17 private private JJ cord-336161-67pumvst 84 18 insurance insurance NN cord-336161-67pumvst 84 19 firm firm NN cord-336161-67pumvst 84 20 , , , cord-336161-67pumvst 84 21 is be VBZ cord-336161-67pumvst 84 22 doing do VBG cord-336161-67pumvst 84 23 just just RB cord-336161-67pumvst 84 24 fine fine RB cord-336161-67pumvst 84 25 . . . cord-336161-67pumvst 85 1 In in IN cord-336161-67pumvst 85 2 the the DT cord-336161-67pumvst 85 3 quarter quarter NN cord-336161-67pumvst 85 4 ending end VBG cord-336161-67pumvst 85 5 March March NNP cord-336161-67pumvst 85 6 31 31 CD cord-336161-67pumvst 85 7 , , , cord-336161-67pumvst 85 8 2020 2020 CD cord-336161-67pumvst 85 9 , , , cord-336161-67pumvst 85 10 the the DT cord-336161-67pumvst 85 11 company company NN cord-336161-67pumvst 85 12 made make VBD cord-336161-67pumvst 85 13 a a DT cord-336161-67pumvst 85 14 profit profit NN cord-336161-67pumvst 85 15 of of IN cord-336161-67pumvst 85 16 $ $ $ cord-336161-67pumvst 85 17 5 5 CD cord-336161-67pumvst 85 18 billion billion CD cord-336161-67pumvst 85 19 , , , cord-336161-67pumvst 85 20 an an DT cord-336161-67pumvst 85 21 increase increase NN cord-336161-67pumvst 85 22 of of IN cord-336161-67pumvst 85 23 $ $ $ cord-336161-67pumvst 85 24 164 164 CD cord-336161-67pumvst 85 25 million million CD cord-336161-67pumvst 85 26 over over IN cord-336161-67pumvst 85 27 the the DT cord-336161-67pumvst 85 28 same same JJ cord-336161-67pumvst 85 29 quarter quarter NN cord-336161-67pumvst 85 30 in in IN cord-336161-67pumvst 85 31 2019 2019 CD cord-336161-67pumvst 85 32 . . . cord-336161-67pumvst 86 1 Its -PRON- PRP$ cord-336161-67pumvst 86 2 " " `` cord-336161-67pumvst 86 3 medical medical JJ cord-336161-67pumvst 86 4 loss loss NN cord-336161-67pumvst 86 5 ratio ratio NN cord-336161-67pumvst 86 6 , , , cord-336161-67pumvst 86 7 " " '' cord-336161-67pumvst 86 8 the the DT cord-336161-67pumvst 86 9 portion portion NN cord-336161-67pumvst 86 10 of of IN cord-336161-67pumvst 86 11 premiums premium NNS cord-336161-67pumvst 86 12 that that WDT cord-336161-67pumvst 86 13 actually actually RB cord-336161-67pumvst 86 14 pay pay VBP cord-336161-67pumvst 86 15 for for IN cord-336161-67pumvst 86 16 care care NN cord-336161-67pumvst 86 17 , , , cord-336161-67pumvst 86 18 fell fall VBD cord-336161-67pumvst 86 19 to to IN cord-336161-67pumvst 86 20 81 81 CD cord-336161-67pumvst 86 21 % % NN cord-336161-67pumvst 86 22 ( ( -LRB- cord-336161-67pumvst 86 23 implying imply VBG cord-336161-67pumvst 86 24 an an DT cord-336161-67pumvst 86 25 overhead overhead NN cord-336161-67pumvst 86 26 of of IN cord-336161-67pumvst 86 27 19 19 CD cord-336161-67pumvst 86 28 % % NN cord-336161-67pumvst 86 29 ) ) -RRB- cord-336161-67pumvst 86 30 from from IN cord-336161-67pumvst 86 31 82 82 CD cord-336161-67pumvst 86 32 % % NN cord-336161-67pumvst 86 33 in in IN cord-336161-67pumvst 86 34 2019 2019 CD cord-336161-67pumvst 86 35 . . . cord-336161-67pumvst 87 1 26 26 CD cord-336161-67pumvst 88 1 Yet yet RB cord-336161-67pumvst 88 2 another another DT cord-336161-67pumvst 88 3 Medicare Medicare NNP cord-336161-67pumvst 88 4 Advantage Advantage NNP cord-336161-67pumvst 88 5 ( ( -LRB- cord-336161-67pumvst 88 6 MA MA NNP cord-336161-67pumvst 88 7 ) ) -RRB- cord-336161-67pumvst 88 8 scam scam NN cord-336161-67pumvst 88 9 : : : cord-336161-67pumvst 88 10 Collect collect VB cord-336161-67pumvst 88 11 premiums premium NNS cord-336161-67pumvst 88 12 from from IN cord-336161-67pumvst 88 13 Medicare Medicare NNP cord-336161-67pumvst 88 14 , , , cord-336161-67pumvst 88 15 while while IN cord-336161-67pumvst 88 16 patients patient NNS cord-336161-67pumvst 88 17 get get VBP cord-336161-67pumvst 88 18 their -PRON- PRP$ cord-336161-67pumvst 88 19 care care NN cord-336161-67pumvst 88 20 from from IN cord-336161-67pumvst 88 21 the the DT cord-336161-67pumvst 88 22 VA VA NNP cord-336161-67pumvst 88 23 . . . cord-336161-67pumvst 89 1 About about RB cord-336161-67pumvst 89 2 1.2 1.2 CD cord-336161-67pumvst 89 3 million million CD cord-336161-67pumvst 89 4 veterans veteran NNS cord-336161-67pumvst 89 5 are be VBP cord-336161-67pumvst 89 6 dually dually RB cord-336161-67pumvst 89 7 enrolled enrol VBN cord-336161-67pumvst 89 8 in in IN cord-336161-67pumvst 89 9 an an DT cord-336161-67pumvst 89 10 MA MA NNP cord-336161-67pumvst 89 11 plan plan NN cord-336161-67pumvst 89 12 and and CC cord-336161-67pumvst 89 13 the the DT cord-336161-67pumvst 89 14 VA VA NNP cord-336161-67pumvst 89 15 . . . cord-336161-67pumvst 90 1 During during IN cord-336161-67pumvst 90 2 a a DT cord-336161-67pumvst 90 3 3-year 3-year CD cord-336161-67pumvst 90 4 period period NN cord-336161-67pumvst 90 5 , , , cord-336161-67pumvst 90 6 one one CD cord-336161-67pumvst 90 7 quarter quarter NN cord-336161-67pumvst 90 8 of of IN cord-336161-67pumvst 90 9 dual dual JJ cord-336161-67pumvst 90 10 MA MA NNP cord-336161-67pumvst 90 11 / / SYM cord-336161-67pumvst 90 12 VA VA NNP cord-336161-67pumvst 90 13 enrollees enrollee NNS cord-336161-67pumvst 90 14 undergoing undergo VBG cord-336161-67pumvst 90 15 coronary coronary JJ cord-336161-67pumvst 90 16 revascularization revascularization NN cord-336161-67pumvst 90 17 procedures procedure NNS cord-336161-67pumvst 90 18 had have VBD cord-336161-67pumvst 90 19 their -PRON- PRP$ cord-336161-67pumvst 90 20 procedures procedure NNS cord-336161-67pumvst 90 21 at at IN cord-336161-67pumvst 90 22 a a DT cord-336161-67pumvst 90 23 VA VA NNP cord-336161-67pumvst 90 24 facility facility NN cord-336161-67pumvst 90 25 , , , cord-336161-67pumvst 90 26 increasing increase VBG cord-336161-67pumvst 90 27 costs cost NNS cord-336161-67pumvst 90 28 for for IN cord-336161-67pumvst 90 29 the the DT cord-336161-67pumvst 90 30 VA VA NNP cord-336161-67pumvst 90 31 system system NN cord-336161-67pumvst 90 32 -and -and HYPH cord-336161-67pumvst 90 33 saving save VBG cord-336161-67pumvst 90 34 MA MA NNP cord-336161-67pumvst 90 35 plans plan VBZ cord-336161-67pumvst 90 36 -$214.7 -$214.7 NN cord-336161-67pumvst 90 37 million million CD cord-336161-67pumvst 90 38 . . . cord-336161-67pumvst 91 1 27 27 CD cord-336161-67pumvst 92 1 The the DT cord-336161-67pumvst 92 2 Justice Justice NNP cord-336161-67pumvst 92 3 Department Department NNP cord-336161-67pumvst 92 4 has have VBZ cord-336161-67pumvst 92 5 filed file VBN cord-336161-67pumvst 92 6 suit suit NN cord-336161-67pumvst 92 7 against against IN cord-336161-67pumvst 92 8 Anthem Anthem NNP cord-336161-67pumvst 92 9 ( ( -LRB- cord-336161-67pumvst 92 10 owner owner NN cord-336161-67pumvst 92 11 of of IN cord-336161-67pumvst 92 12 many many JJ cord-336161-67pumvst 92 13 for for IN cord-336161-67pumvst 92 14 - - HYPH cord-336161-67pumvst 92 15 profit profit NN cord-336161-67pumvst 92 16 Blue Blue NNP cord-336161-67pumvst 92 17 Cross Cross NNP cord-336161-67pumvst 92 18 plans plan VBZ cord-336161-67pumvst 92 19 ) ) -RRB- cord-336161-67pumvst 92 20 for for IN cord-336161-67pumvst 92 21 Medicare Medicare NNP cord-336161-67pumvst 92 22 fraud fraud NN cord-336161-67pumvst 92 23 , , , cord-336161-67pumvst 92 24 charging charge VBG cord-336161-67pumvst 92 25 that that IN cord-336161-67pumvst 92 26 the the DT cord-336161-67pumvst 92 27 giant giant JJ cord-336161-67pumvst 92 28 insurer insurer NN cord-336161-67pumvst 92 29 combed comb VBD cord-336161-67pumvst 92 30 MA MA NNP cord-336161-67pumvst 92 31 enrollees enrollee NNS cord-336161-67pumvst 92 32 ' ' POS cord-336161-67pumvst 92 33 charts chart NNS cord-336161-67pumvst 92 34 for for IN cord-336161-67pumvst 92 35 additional additional JJ cord-336161-67pumvst 92 36 diagnoses diagnosis NNS cord-336161-67pumvst 92 37 that that WDT cord-336161-67pumvst 92 38 would would MD cord-336161-67pumvst 92 39 boost boost VB cord-336161-67pumvst 92 40 the the DT cord-336161-67pumvst 92 41 MA MA NNP cord-336161-67pumvst 92 42 premiums premium NNS cord-336161-67pumvst 92 43 paid pay VBN cord-336161-67pumvst 92 44 by by IN cord-336161-67pumvst 92 45 CMS CMS NNP cord-336161-67pumvst 92 46 , , , cord-336161-67pumvst 92 47 but but CC cord-336161-67pumvst 92 48 then then RB cord-336161-67pumvst 92 49 failed fail VBD cord-336161-67pumvst 92 50 to to TO cord-336161-67pumvst 92 51 delete delete VB cord-336161-67pumvst 92 52 inaccurate inaccurate JJ cord-336161-67pumvst 92 53 diagnostic diagnostic JJ cord-336161-67pumvst 92 54 codes code NNS cord-336161-67pumvst 92 55 that that WDT cord-336161-67pumvst 92 56 it -PRON- PRP cord-336161-67pumvst 92 57 discovered discover VBD cord-336161-67pumvst 92 58 . . . cord-336161-67pumvst 93 1 28 28 CD cord-336161-67pumvst 94 1 Anthem Anthem NNP cord-336161-67pumvst 94 2 's 's POS cord-336161-67pumvst 94 3 chart chart NN cord-336161-67pumvst 94 4 reviews review NNS cord-336161-67pumvst 94 5 generated generate VBN cord-336161-67pumvst 94 6 about about IN cord-336161-67pumvst 94 7 $ $ $ cord-336161-67pumvst 94 8 100 100 CD cord-336161-67pumvst 94 9 million million CD cord-336161-67pumvst 94 10 annually annually RB cord-336161-67pumvst 94 11 in in IN cord-336161-67pumvst 94 12 extra extra JJ cord-336161-67pumvst 94 13 payments payment NNS cord-336161-67pumvst 94 14 between between IN cord-336161-67pumvst 94 15 2014 2014 CD cord-336161-67pumvst 94 16 and and CC cord-336161-67pumvst 94 17 2018 2018 CD cord-336161-67pumvst 94 18 . . . cord-336161-67pumvst 95 1 The the DT cord-336161-67pumvst 95 2 suit suit NN cord-336161-67pumvst 95 3 comes come VBZ cord-336161-67pumvst 95 4 after after IN cord-336161-67pumvst 95 5 a a DT cord-336161-67pumvst 95 6 Department Department NNP cord-336161-67pumvst 95 7 of of IN cord-336161-67pumvst 95 8 Health Health NNP cord-336161-67pumvst 95 9 and and CC cord-336161-67pumvst 95 10 Human Human NNP cord-336161-67pumvst 95 11 Services Services NNPS cord-336161-67pumvst 95 12 Inspector Inspector NNP cord-336161-67pumvst 95 13 General General NNP cord-336161-67pumvst 95 14 's 's POS cord-336161-67pumvst 95 15 report report NN cord-336161-67pumvst 95 16 found find VBD cord-336161-67pumvst 95 17 that that IN cord-336161-67pumvst 95 18 MA MA NNP cord-336161-67pumvst 95 19 plans plan NNS cord-336161-67pumvst 95 20 had have VBD cord-336161-67pumvst 95 21 increased increase VBN cord-336161-67pumvst 95 22 their -PRON- PRP$ cord-336161-67pumvst 95 23 risk risk NN cord-336161-67pumvst 95 24 - - HYPH cord-336161-67pumvst 95 25 adjusted adjust VBN cord-336161-67pumvst 95 26 payments payment NNS cord-336161-67pumvst 95 27 by by IN cord-336161-67pumvst 95 28 $ $ $ cord-336161-67pumvst 95 29 6.7 6.7 CD cord-336161-67pumvst 95 30 billion billion CD cord-336161-67pumvst 95 31 in in IN cord-336161-67pumvst 95 32 2017 2017 CD cord-336161-67pumvst 95 33 based base VBN cord-336161-67pumvst 95 34 on on IN cord-336161-67pumvst 95 35 chart chart NN cord-336161-67pumvst 95 36 reviews review NNS cord-336161-67pumvst 95 37 , , , cord-336161-67pumvst 95 38 and and CC cord-336161-67pumvst 95 39 that that IN cord-336161-67pumvst 95 40 for for IN cord-336161-67pumvst 95 41 41 41 CD cord-336161-67pumvst 95 42 % % NN cord-336161-67pumvst 95 43 of of IN cord-336161-67pumvst 95 44 the the DT cord-336161-67pumvst 95 45 chart chart NN cord-336161-67pumvst 95 46 review review NN cord-336161-67pumvst 95 47 - - HYPH cord-336161-67pumvst 95 48 based base VBN cord-336161-67pumvst 95 49 diagnoses diagnosis NNS cord-336161-67pumvst 95 50 , , , cord-336161-67pumvst 95 51 no no DT cord-336161-67pumvst 95 52 visits visit NNS cord-336161-67pumvst 95 53 , , , cord-336161-67pumvst 95 54 procedures procedure NNS cord-336161-67pumvst 95 55 , , , cord-336161-67pumvst 95 56 tests test NNS cord-336161-67pumvst 95 57 , , , cord-336161-67pumvst 95 58 or or CC cord-336161-67pumvst 95 59 supplies supply NNS cord-336161-67pumvst 95 60 were be VBD cord-336161-67pumvst 95 61 recorded record VBN cord-336161-67pumvst 95 62 in in IN cord-336161-67pumvst 95 63 the the DT cord-336161-67pumvst 95 64 chart chart NN cord-336161-67pumvst 95 65 . . . cord-336161-67pumvst 96 1 Hence hence RB cord-336161-67pumvst 96 2 , , , cord-336161-67pumvst 96 3 according accord VBG cord-336161-67pumvst 96 4 to to IN cord-336161-67pumvst 96 5 the the DT cord-336161-67pumvst 96 6 Inspector Inspector NNP cord-336161-67pumvst 96 7 General General NNP cord-336161-67pumvst 96 8 , , , cord-336161-67pumvst 96 9 while while IN cord-336161-67pumvst 96 10 " " `` cord-336161-67pumvst 96 11 beneficiaries beneficiary NNS cord-336161-67pumvst 96 12 may may MD cord-336161-67pumvst 96 13 not not RB cord-336161-67pumvst 96 14 have have VB cord-336161-67pumvst 96 15 received receive VBN cord-336161-67pumvst 96 16 any any DT cord-336161-67pumvst 96 17 other other JJ cord-336161-67pumvst 96 18 services service NNS cord-336161-67pumvst 96 19 for for IN cord-336161-67pumvst 96 20 the the DT cord-336161-67pumvst 96 21 . . . cord-336161-67pumvst 96 22 . . . cord-336161-67pumvst 96 23 . . . cord-336161-67pumvst 97 1 diagnoses diagnosis NNS cord-336161-67pumvst 97 2 . . . cord-336161-67pumvst 97 3 . . . cord-336161-67pumvst 97 4 . . . cord-336161-67pumvst 98 1 Medicare Medicare NNP cord-336161-67pumvst 98 2 paid pay VBD cord-336161-67pumvst 98 3 billions billion NNS cord-336161-67pumvst 98 4 in in IN cord-336161-67pumvst 98 5 MA MA NNP cord-336161-67pumvst 98 6 risk risk NN cord-336161-67pumvst 98 7 - - HYPH cord-336161-67pumvst 98 8 adjusted adjust VBN cord-336161-67pumvst 98 9 payments payment NNS cord-336161-67pumvst 98 10 to to TO cord-336161-67pumvst 98 11 provide provide VB cord-336161-67pumvst 98 12 care care NN cord-336161-67pumvst 98 13 for for IN cord-336161-67pumvst 98 14 these these DT cord-336161-67pumvst 98 15 beneficiaries beneficiary NNS cord-336161-67pumvst 98 16 . . . cord-336161-67pumvst 98 17 " " '' cord-336161-67pumvst 99 1 29 29 CD cord-336161-67pumvst 99 2 More More JJR cord-336161-67pumvst 99 3 than than IN cord-336161-67pumvst 99 4 1 1 CD cord-336161-67pumvst 99 5 in in IN cord-336161-67pumvst 99 6 5 5 CD cord-336161-67pumvst 99 7 ( ( -LRB- cord-336161-67pumvst 99 8 20.5 20.5 CD cord-336161-67pumvst 99 9 % % NN cord-336161-67pumvst 99 10 ) ) -RRB- cord-336161-67pumvst 99 11 privately privately RB cord-336161-67pumvst 99 12 insured insure VBN cord-336161-67pumvst 99 13 patients patient NNS cord-336161-67pumvst 99 14 undergoing undergo VBG cord-336161-67pumvst 99 15 surgery surgery NN cord-336161-67pumvst 99 16 with with IN cord-336161-67pumvst 99 17 an an DT cord-336161-67pumvst 99 18 in in IN cord-336161-67pumvst 99 19 - - HYPH cord-336161-67pumvst 99 20 network network NN cord-336161-67pumvst 99 21 surgeon surgeon NN cord-336161-67pumvst 99 22 and and CC cord-336161-67pumvst 99 23 facility facility NN cord-336161-67pumvst 99 24 received receive VBD cord-336161-67pumvst 99 25 a a DT cord-336161-67pumvst 99 26 " " `` cord-336161-67pumvst 99 27 surprise surprise NN cord-336161-67pumvst 99 28 " " '' cord-336161-67pumvst 99 29 bill bill NN cord-336161-67pumvst 99 30 for for IN cord-336161-67pumvst 99 31 out out IN cord-336161-67pumvst 99 32 - - HYPH cord-336161-67pumvst 99 33 of of IN cord-336161-67pumvst 99 34 - - HYPH cord-336161-67pumvst 99 35 network network NN cord-336161-67pumvst 99 36 care care NN cord-336161-67pumvst 99 37 , , , cord-336161-67pumvst 99 38 most most RBS cord-336161-67pumvst 99 39 commonly commonly RB cord-336161-67pumvst 99 40 for for IN cord-336161-67pumvst 99 41 an an DT cord-336161-67pumvst 99 42 out out JJ cord-336161-67pumvst 99 43 - - HYPH cord-336161-67pumvst 99 44 of of IN cord-336161-67pumvst 99 45 - - HYPH cord-336161-67pumvst 99 46 network network NN cord-336161-67pumvst 99 47 surgical surgical JJ cord-336161-67pumvst 99 48 assistant assistant NN cord-336161-67pumvst 99 49 or or CC cord-336161-67pumvst 99 50 anesthesiologist anesthesiologist NN cord-336161-67pumvst 99 51 . . . cord-336161-67pumvst 100 1 The the DT cord-336161-67pumvst 100 2 bills bill NNS cord-336161-67pumvst 100 3 averaged average VBD cord-336161-67pumvst 100 4 $ $ $ cord-336161-67pumvst 100 5 2,011 2,011 CD cord-336161-67pumvst 100 6 ; ; : cord-336161-67pumvst 100 7 patients patient NNS cord-336161-67pumvst 100 8 covered cover VBN cord-336161-67pumvst 100 9 by by IN cord-336161-67pumvst 100 10 ACA ACA NNP cord-336161-67pumvst 100 11 exchange exchange NN cord-336161-67pumvst 100 12 plans plan NNS cord-336161-67pumvst 100 13 more more RBR cord-336161-67pumvst 100 14 frequently frequently RB cord-336161-67pumvst 100 15 received receive VBN cord-336161-67pumvst 100 16 out out RB cord-336161-67pumvst 100 17 - - HYPH cord-336161-67pumvst 100 18 of of IN cord-336161-67pumvst 100 19 - - HYPH cord-336161-67pumvst 100 20 network network NN cord-336161-67pumvst 100 21 bills bill NNS cord-336161-67pumvst 100 22 ( ( -LRB- cord-336161-67pumvst 100 23 27 27 CD cord-336161-67pumvst 100 24 % % NN cord-336161-67pumvst 100 25 of of IN cord-336161-67pumvst 100 26 procedures procedure NNS cord-336161-67pumvst 100 27 for for IN cord-336161-67pumvst 100 28 ACA ACA NNP cord-336161-67pumvst 100 29 exchange exchange NN cord-336161-67pumvst 100 30 plans plan NNS cord-336161-67pumvst 100 31 vs vs IN cord-336161-67pumvst 100 32 20 20 CD cord-336161-67pumvst 100 33 % % NN cord-336161-67pumvst 100 34 for for IN cord-336161-67pumvst 100 35 non non JJ cord-336161-67pumvst 100 36 - - JJ cord-336161-67pumvst 100 37 exchange exchange JJ cord-336161-67pumvst 100 38 plans plan NNS cord-336161-67pumvst 100 39 ) ) -RRB- cord-336161-67pumvst 100 40 . . . cord-336161-67pumvst 101 1 30 30 CD cord-336161-67pumvst 101 2 Surprise Surprise NNP cord-336161-67pumvst 101 3 bills bill NNS cord-336161-67pumvst 101 4 are be VBP cord-336161-67pumvst 101 5 even even RB cord-336161-67pumvst 101 6 more more RBR cord-336161-67pumvst 101 7 likely likely JJ cord-336161-67pumvst 101 8 after after IN cord-336161-67pumvst 101 9 an an DT cord-336161-67pumvst 101 10 emergency emergency NN cord-336161-67pumvst 101 11 department department NN cord-336161-67pumvst 101 12 ( ( -LRB- cord-336161-67pumvst 101 13 ED ED NNP cord-336161-67pumvst 101 14 ) ) -RRB- cord-336161-67pumvst 101 15 visit visit VB cord-336161-67pumvst 101 16 or or CC cord-336161-67pumvst 101 17 overnight overnight JJ cord-336161-67pumvst 101 18 hospital hospital NN cord-336161-67pumvst 101 19 stay stay NN cord-336161-67pumvst 101 20 : : : cord-336161-67pumvst 101 21 42.8 42.8 CD cord-336161-67pumvst 101 22 % % NN cord-336161-67pumvst 101 23 of of IN cord-336161-67pumvst 101 24 visits visit NNS cord-336161-67pumvst 101 25 by by IN cord-336161-67pumvst 101 26 privately privately RB cord-336161-67pumvst 101 27 insured insure VBN cord-336161-67pumvst 101 28 patients patient NNS cord-336161-67pumvst 101 29 to to IN cord-336161-67pumvst 101 30 an an DT cord-336161-67pumvst 101 31 in in IN cord-336161-67pumvst 101 32 - - HYPH cord-336161-67pumvst 101 33 network network NN cord-336161-67pumvst 101 34 ED ED NNP cord-336161-67pumvst 101 35 resulted result VBD cord-336161-67pumvst 101 36 in in IN cord-336161-67pumvst 101 37 a a DT cord-336161-67pumvst 101 38 " " `` cord-336161-67pumvst 101 39 surprise surprise NN cord-336161-67pumvst 101 40 " " '' cord-336161-67pumvst 101 41 bill bill NN cord-336161-67pumvst 101 42 for for IN cord-336161-67pumvst 101 43 out out IN cord-336161-67pumvst 101 44 - - HYPH cord-336161-67pumvst 101 45 of of IN cord-336161-67pumvst 101 46 - - HYPH cord-336161-67pumvst 101 47 network network NN cord-336161-67pumvst 101 48 care care NN cord-336161-67pumvst 101 49 in in IN cord-336161-67pumvst 101 50 2016 2016 CD cord-336161-67pumvst 101 51 , , , cord-336161-67pumvst 101 52 up up RB cord-336161-67pumvst 101 53 from from IN cord-336161-67pumvst 101 54 32.3 32.3 CD cord-336161-67pumvst 101 55 % % NN cord-336161-67pumvst 101 56 in in IN cord-336161-67pumvst 101 57 2010 2010 CD cord-336161-67pumvst 101 58 . . . cord-336161-67pumvst 102 1 Similarly similarly RB cord-336161-67pumvst 102 2 , , , cord-336161-67pumvst 102 3 42.0 42.0 CD cord-336161-67pumvst 102 4 % % NN cord-336161-67pumvst 102 5 of of IN cord-336161-67pumvst 102 6 privately privately RB cord-336161-67pumvst 102 7 insured insure VBN cord-336161-67pumvst 102 8 inpatient inpatient JJ cord-336161-67pumvst 102 9 admissions admission NNS cord-336161-67pumvst 102 10 at at IN cord-336161-67pumvst 102 11 in in IN cord-336161-67pumvst 102 12 - - HYPH cord-336161-67pumvst 102 13 network network NN cord-336161-67pumvst 102 14 hospitals hospital NNS cord-336161-67pumvst 102 15 resulted result VBD cord-336161-67pumvst 102 16 in in IN cord-336161-67pumvst 102 17 an an DT cord-336161-67pumvst 102 18 out out JJ cord-336161-67pumvst 102 19 - - HYPH cord-336161-67pumvst 102 20 of of IN cord-336161-67pumvst 102 21 - - HYPH cord-336161-67pumvst 102 22 network network NN cord-336161-67pumvst 102 23 bill bill NN cord-336161-67pumvst 102 24 , , , cord-336161-67pumvst 102 25 up up RB cord-336161-67pumvst 102 26 from from IN cord-336161-67pumvst 102 27 26.3 26.3 CD cord-336161-67pumvst 102 28 % % NN cord-336161-67pumvst 102 29 in in IN cord-336161-67pumvst 102 30 2010 2010 CD cord-336161-67pumvst 102 31 . . . cord-336161-67pumvst 103 1 In in IN cord-336161-67pumvst 103 2 2016 2016 CD cord-336161-67pumvst 103 3 , , , cord-336161-67pumvst 103 4 the the DT cord-336161-67pumvst 103 5 out out JJ cord-336161-67pumvst 103 6 - - HYPH cord-336161-67pumvst 103 7 of of IN cord-336161-67pumvst 103 8 - - HYPH cord-336161-67pumvst 103 9 network network NN cord-336161-67pumvst 103 10 bills bill NNS cord-336161-67pumvst 103 11 averaged average VBD cord-336161-67pumvst 103 12 $ $ $ cord-336161-67pumvst 103 13 628 628 CD cord-336161-67pumvst 103 14 per per IN cord-336161-67pumvst 103 15 ED ED NNP cord-336161-67pumvst 103 16 visit visit NN cord-336161-67pumvst 103 17 and and CC cord-336161-67pumvst 103 18 $ $ $ cord-336161-67pumvst 103 19 2,040 2,040 CD cord-336161-67pumvst 103 20 per per IN cord-336161-67pumvst 103 21 inpatient inpatient NN cord-336161-67pumvst 103 22 stay stay NN cord-336161-67pumvst 103 23 . . . cord-336161-67pumvst 104 1 31 31 CD cord-336161-67pumvst 104 2 _SP cord-336161-67pumvst 105 1 The the DT cord-336161-67pumvst 105 2 Partnership Partnership NNP cord-336161-67pumvst 105 3 for for IN cord-336161-67pumvst 105 4 America America NNP cord-336161-67pumvst 105 5 's 's POS cord-336161-67pumvst 105 6 Healthcare Healthcare NNP cord-336161-67pumvst 105 7 Future Future NNP cord-336161-67pumvst 105 8 , , , cord-336161-67pumvst 105 9 an an DT cord-336161-67pumvst 105 10 " " `` cord-336161-67pumvst 105 11 astroturf astroturf NN cord-336161-67pumvst 105 12 " " '' cord-336161-67pumvst 105 13 group group NN cord-336161-67pumvst 105 14 funded fund VBN cord-336161-67pumvst 105 15 largely largely RB cord-336161-67pumvst 105 16 by by IN cord-336161-67pumvst 105 17 insurance insurance NN cord-336161-67pumvst 105 18 and and CC cord-336161-67pumvst 105 19 drug drug NN cord-336161-67pumvst 105 20 firms firm NNS cord-336161-67pumvst 105 21 to to TO cord-336161-67pumvst 105 22 oppose oppose VB cord-336161-67pumvst 105 23 reforms reform NNS cord-336161-67pumvst 105 24 that that WDT cord-336161-67pumvst 105 25 threaten threaten VBP cord-336161-67pumvst 105 26 their -PRON- PRP$ cord-336161-67pumvst 105 27 interests interest NNS cord-336161-67pumvst 105 28 , , , cord-336161-67pumvst 105 29 bought buy VBD cord-336161-67pumvst 105 30 half half NN cord-336161-67pumvst 105 31 of of IN cord-336161-67pumvst 105 32 all all DT cord-336161-67pumvst 105 33 political political JJ cord-336161-67pumvst 105 34 ads ad NNS cord-336161-67pumvst 105 35 in in IN cord-336161-67pumvst 105 36 Iowa Iowa NNP cord-336161-67pumvst 105 37 during during IN cord-336161-67pumvst 105 38 the the DT cord-336161-67pumvst 105 39 runup runup NN cord-336161-67pumvst 105 40 to to IN cord-336161-67pumvst 105 41 the the DT cord-336161-67pumvst 105 42 presidential presidential JJ cord-336161-67pumvst 105 43 primary primary NN cord-336161-67pumvst 105 44 in in IN cord-336161-67pumvst 105 45 the the DT cord-336161-67pumvst 105 46 summer summer NN cord-336161-67pumvst 105 47 of of IN cord-336161-67pumvst 105 48 2019 2019 CD cord-336161-67pumvst 105 49 . . . cord-336161-67pumvst 106 1 Most Most JJS cord-336161-67pumvst 106 2 of of IN cord-336161-67pumvst 106 3 the the DT cord-336161-67pumvst 106 4 ads ad NNS cord-336161-67pumvst 106 5 bashed bash VBD cord-336161-67pumvst 106 6 Medicare Medicare NNP cord-336161-67pumvst 106 7 for for IN cord-336161-67pumvst 106 8 All all DT cord-336161-67pumvst 106 9 . . . cord-336161-67pumvst 107 1 32 32 CD cord-336161-67pumvst 107 2 Hospital hospital NN cord-336161-67pumvst 107 3 leaders leader NNS cord-336161-67pumvst 107 4 and and CC cord-336161-67pumvst 107 5 policy policy NN cord-336161-67pumvst 107 6 wonks wonk NNS cord-336161-67pumvst 107 7 often often RB cord-336161-67pumvst 107 8 claim claim VBP cord-336161-67pumvst 107 9 that that IN cord-336161-67pumvst 107 10 the the DT cord-336161-67pumvst 107 11 recent recent JJ cord-336161-67pumvst 107 12 wave wave NN cord-336161-67pumvst 107 13 of of IN cord-336161-67pumvst 107 14 hospital hospital NN cord-336161-67pumvst 107 15 mergers merger NNS cord-336161-67pumvst 107 16 and and CC cord-336161-67pumvst 107 17 acquisitions acquisition NNS cord-336161-67pumvst 107 18 will will MD cord-336161-67pumvst 107 19 improve improve VB cord-336161-67pumvst 107 20 efficiency efficiency NN cord-336161-67pumvst 107 21 and and CC cord-336161-67pumvst 107 22 upgrade upgrade VB cord-336161-67pumvst 107 23 quality quality NN cord-336161-67pumvst 107 24 . . . cord-336161-67pumvst 108 1 However however RB cord-336161-67pumvst 108 2 , , , cord-336161-67pumvst 108 3 previous previous JJ cord-336161-67pumvst 108 4 studies study NNS cord-336161-67pumvst 108 5 found find VBD cord-336161-67pumvst 108 6 that that IN cord-336161-67pumvst 108 7 the the DT cord-336161-67pumvst 108 8 consolidation consolidation NN cord-336161-67pumvst 108 9 of of IN cord-336161-67pumvst 108 10 hospital hospital NN cord-336161-67pumvst 108 11 ownership ownership NN cord-336161-67pumvst 108 12 has have VBZ cord-336161-67pumvst 108 13 raised raise VBN cord-336161-67pumvst 108 14 prices price NNS cord-336161-67pumvst 108 15 , , , cord-336161-67pumvst 108 16 and and CC cord-336161-67pumvst 108 17 a a DT cord-336161-67pumvst 108 18 new new JJ cord-336161-67pumvst 108 19 analysis analysis NN cord-336161-67pumvst 108 20 refutes refute VBZ cord-336161-67pumvst 108 21 the the DT cord-336161-67pumvst 108 22 claim claim NN cord-336161-67pumvst 108 23 that that IN cord-336161-67pumvst 108 24 mergers merger NNS cord-336161-67pumvst 108 25 improve improve VBP cord-336161-67pumvst 108 26 quality quality NN cord-336161-67pumvst 108 27 . . . cord-336161-67pumvst 109 1 Performance performance NN cord-336161-67pumvst 109 2 on on IN cord-336161-67pumvst 109 3 measures measure NNS cord-336161-67pumvst 109 4 of of IN cord-336161-67pumvst 109 5 patient patient JJ cord-336161-67pumvst 109 6 experience experience NN cord-336161-67pumvst 109 7 declined decline VBD cord-336161-67pumvst 109 8 at at IN cord-336161-67pumvst 109 9 246 246 CD cord-336161-67pumvst 109 10 hospitals hospital NNS cord-336161-67pumvst 109 11 acquired acquire VBN cord-336161-67pumvst 109 12 by by IN cord-336161-67pumvst 109 13 a a DT cord-336161-67pumvst 109 14 larger large JJR cord-336161-67pumvst 109 15 system system NN cord-336161-67pumvst 109 16 between between IN cord-336161-67pumvst 109 17 2009 2009 CD cord-336161-67pumvst 109 18 and and CC cord-336161-67pumvst 109 19 2013 2013 CD cord-336161-67pumvst 109 20 as as IN cord-336161-67pumvst 109 21 compared compare VBN cord-336161-67pumvst 109 22 to to IN cord-336161-67pumvst 109 23 other other JJ cord-336161-67pumvst 109 24 hospitals hospital NNS cord-336161-67pumvst 109 25 . . . cord-336161-67pumvst 110 1 Neither neither CC cord-336161-67pumvst 110 2 mortality mortality NN cord-336161-67pumvst 110 3 rates rate NNS cord-336161-67pumvst 110 4 nor nor CC cord-336161-67pumvst 110 5 hospital hospital NN cord-336161-67pumvst 110 6 readmission readmission NN cord-336161-67pumvst 110 7 rates rate NNS cord-336161-67pumvst 110 8 improved improve VBD cord-336161-67pumvst 110 9 in in IN cord-336161-67pumvst 110 10 the the DT cord-336161-67pumvst 110 11 newly newly RB cord-336161-67pumvst 110 12 acquired acquire VBN cord-336161-67pumvst 110 13 hospitals hospital NNS cord-336161-67pumvst 110 14 . . . cord-336161-67pumvst 111 1 33 33 CD cord-336161-67pumvst 111 2 Affiliation affiliation NN cord-336161-67pumvst 111 3 with with IN cord-336161-67pumvst 111 4 a a DT cord-336161-67pumvst 111 5 large large JJ cord-336161-67pumvst 111 6 system system NN cord-336161-67pumvst 111 7 has have VBZ cord-336161-67pumvst 111 8 also also RB cord-336161-67pumvst 111 9 been be VBN cord-336161-67pumvst 111 10 trumpeted trumpet VBN cord-336161-67pumvst 111 11 as as IN cord-336161-67pumvst 111 12 a a DT cord-336161-67pumvst 111 13 solution solution NN cord-336161-67pumvst 111 14 to to IN cord-336161-67pumvst 111 15 the the DT cord-336161-67pumvst 111 16 woes woe NNS cord-336161-67pumvst 111 17 of of IN cord-336161-67pumvst 111 18 struggling struggle VBG cord-336161-67pumvst 111 19 rural rural JJ cord-336161-67pumvst 111 20 hospitals hospital NNS cord-336161-67pumvst 111 21 . . . cord-336161-67pumvst 112 1 But but CC cord-336161-67pumvst 112 2 a a DT cord-336161-67pumvst 112 3 new new JJ cord-336161-67pumvst 112 4 study study NN cord-336161-67pumvst 112 5 indicates indicate VBZ cord-336161-67pumvst 112 6 that that IN cord-336161-67pumvst 112 7 , , , cord-336161-67pumvst 112 8 although although IN cord-336161-67pumvst 112 9 affiliation affiliation NN cord-336161-67pumvst 112 10 improved improve VBD cord-336161-67pumvst 112 11 rural rural JJ cord-336161-67pumvst 112 12 hospitals hospital NNS cord-336161-67pumvst 112 13 ' ' POS cord-336161-67pumvst 112 14 finances finance NNS cord-336161-67pumvst 112 15 , , , cord-336161-67pumvst 112 16 it -PRON- PRP cord-336161-67pumvst 112 17 led lead VBD cord-336161-67pumvst 112 18 to to IN cord-336161-67pumvst 112 19 significant significant JJ cord-336161-67pumvst 112 20 reductions reduction NNS cord-336161-67pumvst 112 21 in in IN cord-336161-67pumvst 112 22 the the DT cord-336161-67pumvst 112 23 availability availability NN cord-336161-67pumvst 112 24 of of IN cord-336161-67pumvst 112 25 diagnostic diagnostic JJ cord-336161-67pumvst 112 26 imaging imaging NN cord-336161-67pumvst 112 27 technologies technology NNS cord-336161-67pumvst 112 28 , , , cord-336161-67pumvst 112 29 obstetric obstetric JJ cord-336161-67pumvst 112 30 and and CC cord-336161-67pumvst 112 31 primary primary JJ cord-336161-67pumvst 112 32 care care NN cord-336161-67pumvst 112 33 services service NNS cord-336161-67pumvst 112 34 , , , cord-336161-67pumvst 112 35 and and CC cord-336161-67pumvst 112 36 outpatient outpatient NN cord-336161-67pumvst 112 37 care care NN cord-336161-67pumvst 112 38 . . . cord-336161-67pumvst 113 1 34 34 CD cord-336161-67pumvst 113 2 Many many JJ cord-336161-67pumvst 113 3 " " `` cord-336161-67pumvst 113 4 nonprofit nonprofit JJ cord-336161-67pumvst 113 5 " " '' cord-336161-67pumvst 113 6 health health NN cord-336161-67pumvst 113 7 systems system NNS cord-336161-67pumvst 113 8 rake rake VBP cord-336161-67pumvst 113 9 in in RP cord-336161-67pumvst 113 10 enormous enormous JJ cord-336161-67pumvst 113 11 profits profit NNS cord-336161-67pumvst 113 12 . . . cord-336161-67pumvst 114 1 In in IN cord-336161-67pumvst 114 2 2018 2018 CD cord-336161-67pumvst 114 3 , , , cord-336161-67pumvst 114 4 Kaiser Kaiser NNP cord-336161-67pumvst 114 5 Foundation Foundation NNP cord-336161-67pumvst 114 6 Health Health NNP cord-336161-67pumvst 114 7 Plan Plan NNP cord-336161-67pumvst 114 8 and and CC cord-336161-67pumvst 114 9 Hospitals Hospitals NNPS cord-336161-67pumvst 114 10 had have VBD cord-336161-67pumvst 114 11 an an DT cord-336161-67pumvst 114 12 operating operating NN cord-336161-67pumvst 114 13 surplus surplus NN cord-336161-67pumvst 114 14 of of IN cord-336161-67pumvst 114 15 $ $ $ cord-336161-67pumvst 114 16 1.9 1.9 CD cord-336161-67pumvst 114 17 billion billion CD cord-336161-67pumvst 114 18 . . . cord-336161-67pumvst 115 1 Other other JJ cord-336161-67pumvst 115 2 big big JJ cord-336161-67pumvst 115 3 gainers gainer NNS cord-336161-67pumvst 115 4 included include VBD cord-336161-67pumvst 115 5 : : : cord-336161-67pumvst 115 6 Mayo Mayo NNP cord-336161-67pumvst 115 7 Clinic Clinic NNP cord-336161-67pumvst 115 8 ( ( -LRB- cord-336161-67pumvst 115 9 $ $ $ cord-336161-67pumvst 115 10 706 706 CD cord-336161-67pumvst 115 11 million million CD cord-336161-67pumvst 115 12 ) ) -RRB- cord-336161-67pumvst 115 13 , , , cord-336161-67pumvst 115 14 Indiana Indiana NNP cord-336161-67pumvst 115 15 University University NNP cord-336161-67pumvst 115 16 Health Health NNP cord-336161-67pumvst 115 17 ( ( -LRB- cord-336161-67pumvst 115 18 $ $ $ cord-336161-67pumvst 115 19 612 612 CD cord-336161-67pumvst 115 20 million million CD cord-336161-67pumvst 115 21 ) ) -RRB- cord-336161-67pumvst 115 22 , , , cord-336161-67pumvst 115 23 Intermountain Intermountain NNP cord-336161-67pumvst 115 24 Health Health NNP cord-336161-67pumvst 115 25 ( ( -LRB- cord-336161-67pumvst 115 26 $ $ $ cord-336161-67pumvst 115 27 547 547 CD cord-336161-67pumvst 115 28 million million CD cord-336161-67pumvst 115 29 ) ) -RRB- cord-336161-67pumvst 115 30 , , , cord-336161-67pumvst 115 31 the the DT cord-336161-67pumvst 115 32 University University NNP cord-336161-67pumvst 115 33 of of IN cord-336161-67pumvst 115 34 Pennsylvania Pennsylvania NNP cord-336161-67pumvst 115 35 Health Health NNP cord-336161-67pumvst 115 36 System System NNP cord-336161-67pumvst 115 37 ( ( -LRB- cord-336161-67pumvst 115 38 $ $ $ cord-336161-67pumvst 115 39 383 383 CD cord-336161-67pumvst 115 40 million million CD cord-336161-67pumvst 115 41 ) ) -RRB- cord-336161-67pumvst 115 42 , , , cord-336161-67pumvst 115 43 New New NNP cord-336161-67pumvst 115 44 York York NNP cord-336161-67pumvst 115 45 - - HYPH cord-336161-67pumvst 115 46 Presbyterian Presbyterian NNP cord-336161-67pumvst 115 47 ( ( -LRB- cord-336161-67pumvst 115 48 $ $ $ cord-336161-67pumvst 115 49 340 340 CD cord-336161-67pumvst 115 50 million million CD cord-336161-67pumvst 115 51 ) ) -RRB- cord-336161-67pumvst 115 52 , , , cord-336161-67pumvst 115 53 and and CC cord-336161-67pumvst 115 54 Partners Partners NNPS cord-336161-67pumvst 115 55 HealthCare HealthCare NNP cord-336161-67pumvst 115 56 System System NNP cord-336161-67pumvst 115 57 , , , cord-336161-67pumvst 115 58 now now RB cord-336161-67pumvst 115 59 renamed rename VBD cord-336161-67pumvst 115 60 Mass Mass NNP cord-336161-67pumvst 115 61 General General NNP cord-336161-67pumvst 115 62 Brigham Brigham NNP cord-336161-67pumvst 115 63 ( ( -LRB- cord-336161-67pumvst 115 64 $ $ $ cord-336161-67pumvst 115 65 310 310 CD cord-336161-67pumvst 115 66 million million CD cord-336161-67pumvst 115 67 ) ) -RRB- cord-336161-67pumvst 115 68 . . . cord-336161-67pumvst 116 1 35 35 CD cord-336161-67pumvst 117 1 Many many JJ cord-336161-67pumvst 117 2 leading lead VBG cord-336161-67pumvst 117 3 academic academic JJ cord-336161-67pumvst 117 4 medical medical JJ cord-336161-67pumvst 117 5 centers center NNS cord-336161-67pumvst 117 6 are be VBP cord-336161-67pumvst 117 7 highly highly RB cord-336161-67pumvst 117 8 profitable profitable JJ cord-336161-67pumvst 117 9 , , , cord-336161-67pumvst 117 10 but but CC cord-336161-67pumvst 117 11 provide provide VB cord-336161-67pumvst 117 12 only only JJ cord-336161-67pumvst 117 13 modest modest JJ cord-336161-67pumvst 117 14 amounts amount NNS cord-336161-67pumvst 117 15 of of IN cord-336161-67pumvst 117 16 care care NN cord-336161-67pumvst 117 17 for for IN cord-336161-67pumvst 117 18 Medicaid Medicaid NNP cord-336161-67pumvst 117 19 or or CC cord-336161-67pumvst 117 20 uninsured uninsured JJ cord-336161-67pumvst 117 21 patients patient NNS cord-336161-67pumvst 117 22 . . . cord-336161-67pumvst 118 1 The the DT cord-336161-67pumvst 118 2 Mayo Mayo NNP cord-336161-67pumvst 118 3 Clinic Clinic NNP cord-336161-67pumvst 118 4 's 's POS cord-336161-67pumvst 118 5 record record NN cord-336161-67pumvst 118 6 is be VBZ cord-336161-67pumvst 118 7 especially especially RB cord-336161-67pumvst 118 8 egregious egregious JJ cord-336161-67pumvst 118 9 , , , cord-336161-67pumvst 118 10 and and CC cord-336161-67pumvst 118 11 its -PRON- PRP$ cord-336161-67pumvst 118 12 CEO ceo NN cord-336161-67pumvst 118 13 openly openly RB cord-336161-67pumvst 118 14 instructed instruct VBD cord-336161-67pumvst 118 15 employees employee NNS cord-336161-67pumvst 118 16 to to TO cord-336161-67pumvst 118 17 prioritize prioritize VB cord-336161-67pumvst 118 18 privately privately RB cord-336161-67pumvst 118 19 insured insure VBN cord-336161-67pumvst 118 20 patients patient NNS cord-336161-67pumvst 118 21 over over IN cord-336161-67pumvst 118 22 those those DT cord-336161-67pumvst 118 23 covered cover VBN cord-336161-67pumvst 118 24 by by IN cord-336161-67pumvst 118 25 Medicaid Medicaid NNP cord-336161-67pumvst 118 26 . . . cord-336161-67pumvst 119 1 The the DT cord-336161-67pumvst 119 2 Clinic Clinic NNP cord-336161-67pumvst 119 3 realized realize VBD cord-336161-67pumvst 119 4 an an DT cord-336161-67pumvst 119 5 operating operating NN cord-336161-67pumvst 119 6 surplus surplus NN cord-336161-67pumvst 119 7 of of IN cord-336161-67pumvst 119 8 $ $ $ cord-336161-67pumvst 119 9 706 706 CD cord-336161-67pumvst 119 10 million million CD cord-336161-67pumvst 119 11 in in IN cord-336161-67pumvst 119 12 2018 2018 CD cord-336161-67pumvst 119 13 , , , cord-336161-67pumvst 119 14 but but CC cord-336161-67pumvst 119 15 charity charity NN cord-336161-67pumvst 119 16 care care NN cord-336161-67pumvst 119 17 accounted account VBD cord-336161-67pumvst 119 18 for for IN cord-336161-67pumvst 119 19 only only RB cord-336161-67pumvst 119 20 0.66 0.66 CD cord-336161-67pumvst 119 21 % % NN cord-336161-67pumvst 119 22 of of IN cord-336161-67pumvst 119 23 expenses expense NNS cord-336161-67pumvst 119 24 ( ( -LRB- cord-336161-67pumvst 119 25 half half PDT cord-336161-67pumvst 119 26 the the DT cord-336161-67pumvst 119 27 level level NN cord-336161-67pumvst 119 28 of of IN cord-336161-67pumvst 119 29 the the DT cord-336161-67pumvst 119 30 Cleveland Cleveland NNP cord-336161-67pumvst 119 31 Clinic Clinic NNP cord-336161-67pumvst 119 32 ) ) -RRB- cord-336161-67pumvst 119 33 , , , cord-336161-67pumvst 119 34 and and CC cord-336161-67pumvst 119 35 just just RB cord-336161-67pumvst 119 36 3 3 CD cord-336161-67pumvst 119 37 % % NN cord-336161-67pumvst 119 38 of of IN cord-336161-67pumvst 119 39 medical medical JJ cord-336161-67pumvst 119 40 care care NN cord-336161-67pumvst 119 41 revenue revenue NN cord-336161-67pumvst 119 42 came come VBD cord-336161-67pumvst 119 43 from from IN cord-336161-67pumvst 119 44 Medicaid Medicaid NNP cord-336161-67pumvst 119 45 , , , cord-336161-67pumvst 119 46 versus versus IN cord-336161-67pumvst 119 47 8 8 CD cord-336161-67pumvst 119 48 % % NN cord-336161-67pumvst 119 49 at at IN cord-336161-67pumvst 119 50 Cleveland Cleveland NNP cord-336161-67pumvst 119 51 Clinic Clinic NNP cord-336161-67pumvst 119 52 and and CC cord-336161-67pumvst 119 53 6.5 6.5 CD cord-336161-67pumvst 119 54 % % NN cord-336161-67pumvst 119 55 at at IN cord-336161-67pumvst 119 56 Cedars Cedars NNP cord-336161-67pumvst 119 57 Sinai Sinai NNP cord-336161-67pumvst 119 58 in in IN cord-336161-67pumvst 119 59 Los Los NNP cord-336161-67pumvst 119 60 Angeles Angeles NNP cord-336161-67pumvst 119 61 . . . cord-336161-67pumvst 120 1 36 36 CD cord-336161-67pumvst 120 2 Hospitals hospital NNS cord-336161-67pumvst 120 3 in in IN cord-336161-67pumvst 120 4 New New NNP cord-336161-67pumvst 120 5 York York NNP cord-336161-67pumvst 120 6 have have VBP cord-336161-67pumvst 120 7 filed file VBN cord-336161-67pumvst 120 8 almost almost RB cord-336161-67pumvst 120 9 31,000 31,000 CD cord-336161-67pumvst 120 10 lawsuits lawsuit NNS cord-336161-67pumvst 120 11 against against IN cord-336161-67pumvst 120 12 patients patient NNS cord-336161-67pumvst 120 13 since since IN cord-336161-67pumvst 120 14 2015 2015 CD cord-336161-67pumvst 120 15 seeking seek VBG cord-336161-67pumvst 120 16 to to TO cord-336161-67pumvst 120 17 collect collect VB cord-336161-67pumvst 120 18 on on IN cord-336161-67pumvst 120 19 unpaid unpaid JJ cord-336161-67pumvst 120 20 bills bill NNS cord-336161-67pumvst 120 21 . . . cord-336161-67pumvst 121 1 The the DT cord-336161-67pumvst 121 2 suits suit NNS cord-336161-67pumvst 121 3 included include VBD cord-336161-67pumvst 121 4 2,749 2,749 CD cord-336161-67pumvst 121 5 by by IN cord-336161-67pumvst 121 6 New New NNP cord-336161-67pumvst 121 7 York York NNP cord-336161-67pumvst 121 8 University University NNP cord-336161-67pumvst 121 9 's 's POS cord-336161-67pumvst 121 10 Winthrop Winthrop NNP cord-336161-67pumvst 121 11 Hospital Hospital NNP cord-336161-67pumvst 121 12 and and CC cord-336161-67pumvst 121 13 2,233 2,233 CD cord-336161-67pumvst 121 14 by by IN cord-336161-67pumvst 121 15 Northwell Northwell NNP cord-336161-67pumvst 121 16 's 's POS cord-336161-67pumvst 121 17 North North NNP cord-336161-67pumvst 121 18 Shore Shore NNP cord-336161-67pumvst 121 19 University University NNP cord-336161-67pumvst 121 20 Hospital Hospital NNP cord-336161-67pumvst 121 21 . . . cord-336161-67pumvst 122 1 37 37 CD cord-336161-67pumvst 123 1 Many many JJ cord-336161-67pumvst 123 2 EDs ed NNS cord-336161-67pumvst 123 3 have have VBP cord-336161-67pumvst 123 4 closed close VBN cord-336161-67pumvst 123 5 in in IN cord-336161-67pumvst 123 6 recent recent JJ cord-336161-67pumvst 123 7 years year NNS cord-336161-67pumvst 123 8 , , , cord-336161-67pumvst 123 9 either either CC cord-336161-67pumvst 123 10 because because IN cord-336161-67pumvst 123 11 hospitals hospital NNS cord-336161-67pumvst 123 12 have have VBP cord-336161-67pumvst 123 13 been be VBN cord-336161-67pumvst 123 14 shuttered shutter VBN cord-336161-67pumvst 123 15 entirely entirely RB cord-336161-67pumvst 123 16 or or CC cord-336161-67pumvst 123 17 because because IN cord-336161-67pumvst 123 18 hospitals hospital NNS cord-336161-67pumvst 123 19 that that WDT cord-336161-67pumvst 123 20 stayed stay VBD cord-336161-67pumvst 123 21 open open RB cord-336161-67pumvst 123 22 wanted want VBD cord-336161-67pumvst 123 23 to to TO cord-336161-67pumvst 123 24 avoid avoid VB cord-336161-67pumvst 123 25 often often RB cord-336161-67pumvst 123 26 - - HYPH cord-336161-67pumvst 123 27 unprofitable unprofitable JJ cord-336161-67pumvst 123 28 ED ED NNP cord-336161-67pumvst 123 29 patients patient NNS cord-336161-67pumvst 123 30 . . . cord-336161-67pumvst 124 1 A a DT cord-336161-67pumvst 124 2 recent recent JJ cord-336161-67pumvst 124 3 study study NN cord-336161-67pumvst 124 4 found find VBD cord-336161-67pumvst 124 5 that that IN cord-336161-67pumvst 124 6 when when WRB cord-336161-67pumvst 124 7 EDs EDs NNP cord-336161-67pumvst 124 8 closed close VBD cord-336161-67pumvst 124 9 and and CC cord-336161-67pumvst 124 10 patients patient NNS cord-336161-67pumvst 124 11 ' ' POS cord-336161-67pumvst 124 12 driving drive VBG cord-336161-67pumvst 124 13 time time NN cord-336161-67pumvst 124 14 to to IN cord-336161-67pumvst 124 15 the the DT cord-336161-67pumvst 124 16 nearest near JJS cord-336161-67pumvst 124 17 ED ED NNP cord-336161-67pumvst 124 18 increased increase VBD cord-336161-67pumvst 124 19 by by IN cord-336161-67pumvst 124 20 30 30 CD cord-336161-67pumvst 124 21 minutes minute NNS cord-336161-67pumvst 124 22 or or CC cord-336161-67pumvst 124 23 more more JJR cord-336161-67pumvst 124 24 , , , cord-336161-67pumvst 124 25 the the DT cord-336161-67pumvst 124 26 proportion proportion NN cord-336161-67pumvst 124 27 of of IN cord-336161-67pumvst 124 28 heart heart NN cord-336161-67pumvst 124 29 attack attack NN cord-336161-67pumvst 124 30 patients patient NNS cord-336161-67pumvst 124 31 who who WP cord-336161-67pumvst 124 32 received receive VBD cord-336161-67pumvst 124 33 a a DT cord-336161-67pumvst 124 34 percutaneous percutaneous JJ cord-336161-67pumvst 124 35 coronary coronary NN cord-336161-67pumvst 124 36 intervention intervention NN cord-336161-67pumvst 124 37 fell fall VBD cord-336161-67pumvst 124 38 , , , cord-336161-67pumvst 124 39 and and CC cord-336161-67pumvst 124 40 both both DT cord-336161-67pumvst 124 41 mortality mortality NN cord-336161-67pumvst 124 42 and and CC cord-336161-67pumvst 124 43 readmission readmission NN cord-336161-67pumvst 124 44 rates rate NNS cord-336161-67pumvst 124 45 increased increase VBD cord-336161-67pumvst 124 46 . . . cord-336161-67pumvst 125 1 38 38 CD cord-336161-67pumvst 125 2 Kidney kidney NN cord-336161-67pumvst 125 3 transplantation transplantation NN cord-336161-67pumvst 125 4 is be VBZ cord-336161-67pumvst 125 5 the the DT cord-336161-67pumvst 125 6 optimal optimal JJ cord-336161-67pumvst 125 7 treatment treatment NN cord-336161-67pumvst 125 8 for for IN cord-336161-67pumvst 125 9 most most JJS cord-336161-67pumvst 125 10 patients patient NNS cord-336161-67pumvst 125 11 with with IN cord-336161-67pumvst 125 12 end end NN cord-336161-67pumvst 125 13 - - HYPH cord-336161-67pumvst 125 14 stage stage NN cord-336161-67pumvst 125 15 renal renal JJ cord-336161-67pumvst 125 16 disease disease NN cord-336161-67pumvst 125 17 ( ( -LRB- cord-336161-67pumvst 125 18 ESRD ESRD NNP cord-336161-67pumvst 125 19 ) ) -RRB- cord-336161-67pumvst 125 20 , , , cord-336161-67pumvst 125 21 but but CC cord-336161-67pumvst 125 22 only only RB cord-336161-67pumvst 125 23 14 14 CD cord-336161-67pumvst 125 24 % % NN cord-336161-67pumvst 125 25 of of IN cord-336161-67pumvst 125 26 U.S. U.S. NNP cord-336161-67pumvst 125 27 patients patient NNS cord-336161-67pumvst 125 28 newly newly RB cord-336161-67pumvst 125 29 diagnosed diagnose VBN cord-336161-67pumvst 125 30 with with IN cord-336161-67pumvst 125 31 ESRD ESRD NNP cord-336161-67pumvst 125 32 receive receive VBP cord-336161-67pumvst 125 33 a a DT cord-336161-67pumvst 125 34 transplant transplant NN cord-336161-67pumvst 125 35 or or CC cord-336161-67pumvst 125 36 are be VBP cord-336161-67pumvst 125 37 placed place VBN cord-336161-67pumvst 125 38 on on IN cord-336161-67pumvst 125 39 a a DT cord-336161-67pumvst 125 40 transplant transplant NN cord-336161-67pumvst 125 41 waiting waiting NN cord-336161-67pumvst 125 42 list list NN cord-336161-67pumvst 125 43 within within IN cord-336161-67pumvst 125 44 1 1 CD cord-336161-67pumvst 125 45 year year NN cord-336161-67pumvst 125 46 . . . cord-336161-67pumvst 126 1 ESRD ESRD NNP cord-336161-67pumvst 126 2 patients patient NNS cord-336161-67pumvst 126 3 cared care VBD cord-336161-67pumvst 126 4 for for IN cord-336161-67pumvst 126 5 at at IN cord-336161-67pumvst 126 6 nonprofit nonprofit JJ cord-336161-67pumvst 126 7 dialysis dialysis NN cord-336161-67pumvst 126 8 facilities facility NNS cord-336161-67pumvst 126 9 are be VBP cord-336161-67pumvst 126 10 3 3 CD cord-336161-67pumvst 126 11 times time NNS cord-336161-67pumvst 126 12 more more RBR cord-336161-67pumvst 126 13 likely likely JJ cord-336161-67pumvst 126 14 to to TO cord-336161-67pumvst 126 15 be be VB cord-336161-67pumvst 126 16 placed place VBN cord-336161-67pumvst 126 17 on on IN cord-336161-67pumvst 126 18 a a DT cord-336161-67pumvst 126 19 transplant transplant NN cord-336161-67pumvst 126 20 waiting waiting NN cord-336161-67pumvst 126 21 list list NN cord-336161-67pumvst 126 22 and and CC cord-336161-67pumvst 126 23 60 60 CD cord-336161-67pumvst 126 24 % % NN cord-336161-67pumvst 126 25 more more RBR cord-336161-67pumvst 126 26 likely likely JJ cord-336161-67pumvst 126 27 to to TO cord-336161-67pumvst 126 28 actually actually RB cord-336161-67pumvst 126 29 receive receive VB cord-336161-67pumvst 126 30 a a DT cord-336161-67pumvst 126 31 transplant transplant NN cord-336161-67pumvst 126 32 than than IN cord-336161-67pumvst 126 33 patients patient NNS cord-336161-67pumvst 126 34 at at IN cord-336161-67pumvst 126 35 for for IN cord-336161-67pumvst 126 36 - - HYPH cord-336161-67pumvst 126 37 profit profit NN cord-336161-67pumvst 126 38 facilities facility NNS cord-336161-67pumvst 126 39 , , , cord-336161-67pumvst 126 40 most most JJS cord-336161-67pumvst 126 41 of of IN cord-336161-67pumvst 126 42 which which WDT cord-336161-67pumvst 126 43 are be VBP cord-336161-67pumvst 126 44 owned own VBN cord-336161-67pumvst 126 45 by by IN cord-336161-67pumvst 126 46 2 2 CD cord-336161-67pumvst 126 47 giant giant JJ cord-336161-67pumvst 126 48 firms firm NNS cord-336161-67pumvst 126 49 , , , cord-336161-67pumvst 126 50 Fresenius Fresenius NNP cord-336161-67pumvst 126 51 and and CC cord-336161-67pumvst 126 52 Davita Davita NNP cord-336161-67pumvst 126 53 . . . cord-336161-67pumvst 127 1 39 39 CD cord-336161-67pumvst 128 1 Dr. Dr. NNP cord-336161-67pumvst 128 2 Michael Michael NNP cord-336161-67pumvst 128 3 Apkon Apkon NNP cord-336161-67pumvst 128 4 has have VBZ cord-336161-67pumvst 128 5 up up RB cord-336161-67pumvst 128 6 - - HYPH cord-336161-67pumvst 128 7 close close JJ cord-336161-67pumvst 128 8 experience experience NN cord-336161-67pumvst 128 9 with with IN cord-336161-67pumvst 128 10 care care NN cord-336161-67pumvst 128 11 on on IN cord-336161-67pumvst 128 12 both both DT cord-336161-67pumvst 128 13 sides side NNS cord-336161-67pumvst 128 14 of of IN cord-336161-67pumvst 128 15 the the DT cord-336161-67pumvst 128 16 U.S./Canada U.S./Canada NNP cord-336161-67pumvst 128 17 border border NN cord-336161-67pumvst 128 18 . . . cord-336161-67pumvst 129 1 He -PRON- PRP cord-336161-67pumvst 129 2 was be VBD cord-336161-67pumvst 129 3 the the DT cord-336161-67pumvst 129 4 chief chief JJ cord-336161-67pumvst 129 5 medical medical JJ cord-336161-67pumvst 129 6 officer officer NN cord-336161-67pumvst 129 7 at at IN cord-336161-67pumvst 129 8 Children Children NNP cord-336161-67pumvst 129 9 's 's POS cord-336161-67pumvst 129 10 Hospital Hospital NNP cord-336161-67pumvst 129 11 of of IN cord-336161-67pumvst 129 12 Philadelphia Philadelphia NNP cord-336161-67pumvst 129 13 before before IN cord-336161-67pumvst 129 14 serving serve VBG cord-336161-67pumvst 129 15 as as IN cord-336161-67pumvst 129 16 the the DT cord-336161-67pumvst 129 17 CEO CEO NNP cord-336161-67pumvst 129 18 of of IN cord-336161-67pumvst 129 19 the the DT cord-336161-67pumvst 129 20 Hospital Hospital NNP cord-336161-67pumvst 129 21 for for IN cord-336161-67pumvst 129 22 Sick Sick NNP cord-336161-67pumvst 129 23 Children Children NNPS cord-336161-67pumvst 129 24 in in IN cord-336161-67pumvst 129 25 Toronto Toronto NNP cord-336161-67pumvst 129 26 . . . cord-336161-67pumvst 130 1 He -PRON- PRP cord-336161-67pumvst 130 2 returned return VBD cord-336161-67pumvst 130 3 to to IN cord-336161-67pumvst 130 4 the the DT cord-336161-67pumvst 130 5 United United NNP cord-336161-67pumvst 130 6 States States NNP cord-336161-67pumvst 130 7 to to TO cord-336161-67pumvst 130 8 become become VB cord-336161-67pumvst 130 9 CEO ceo NN cord-336161-67pumvst 130 10 of of IN cord-336161-67pumvst 130 11 Tufts Tufts NNP cord-336161-67pumvst 130 12 Medical Medical NNP cord-336161-67pumvst 130 13 Center Center NNP cord-336161-67pumvst 130 14 in in IN cord-336161-67pumvst 130 15 2018 2018 CD cord-336161-67pumvst 130 16 . . . cord-336161-67pumvst 131 1 According accord VBG cord-336161-67pumvst 131 2 to to IN cord-336161-67pumvst 131 3 Dr. Dr. NNP cord-336161-67pumvst 131 4 Apkon Apkon NNP cord-336161-67pumvst 131 5 : : : cord-336161-67pumvst 131 6 What what WP cord-336161-67pumvst 131 7 I -PRON- PRP cord-336161-67pumvst 131 8 saw see VBD cord-336161-67pumvst 131 9 was be VBD cord-336161-67pumvst 131 10 the the DT cord-336161-67pumvst 131 11 impact impact NN cord-336161-67pumvst 132 1 [ [ -LRB- cord-336161-67pumvst 132 2 Canada Canada NNP cord-336161-67pumvst 132 3 's 's POS cord-336161-67pumvst 132 4 single single JJ cord-336161-67pumvst 132 5 - - HYPH cord-336161-67pumvst 132 6 payer payer NN cord-336161-67pumvst 132 7 system system NN cord-336161-67pumvst 132 8 ] ] -RRB- cord-336161-67pumvst 132 9 has have VBZ cord-336161-67pumvst 132 10 on on IN cord-336161-67pumvst 132 11 the the DT cord-336161-67pumvst 132 12 ease ease NN cord-336161-67pumvst 132 13 of of IN cord-336161-67pumvst 132 14 access access NN cord-336161-67pumvst 132 15 , , , cord-336161-67pumvst 132 16 the the DT cord-336161-67pumvst 132 17 quality quality NN cord-336161-67pumvst 132 18 of of IN cord-336161-67pumvst 132 19 the the DT cord-336161-67pumvst 132 20 outcomes outcome NNS cord-336161-67pumvst 132 21 , , , cord-336161-67pumvst 132 22 and and CC cord-336161-67pumvst 132 23 the the DT cord-336161-67pumvst 132 24 social social JJ cord-336161-67pumvst 132 25 justice justice NN cord-336161-67pumvst 132 26 of of IN cord-336161-67pumvst 132 27 the the DT cord-336161-67pumvst 132 28 system system NN cord-336161-67pumvst 132 29 . . . cord-336161-67pumvst 132 30 . . . cord-336161-67pumvst 132 31 . . . cord-336161-67pumvst 133 1 The the DT cord-336161-67pumvst 133 2 moral moral JJ cord-336161-67pumvst 133 3 distress distress NN cord-336161-67pumvst 133 4 [ [ -LRB- cord-336161-67pumvst 133 5 due due IN cord-336161-67pumvst 133 6 to to IN cord-336161-67pumvst 133 7 ] ] -RRB- cord-336161-67pumvst 133 8 barriers barrier NNS cord-336161-67pumvst 133 9 that that WDT cord-336161-67pumvst 133 10 are be VBP cord-336161-67pumvst 133 11 there there RB cord-336161-67pumvst 133 12 because because IN cord-336161-67pumvst 133 13 of of IN cord-336161-67pumvst 133 14 the the DT cord-336161-67pumvst 133 15 way way NN cord-336161-67pumvst 133 16 the the DT cord-336161-67pumvst 133 17 system system NN cord-336161-67pumvst 133 18 is be VBZ cord-336161-67pumvst 133 19 constructed construct VBN cord-336161-67pumvst 133 20 , , , cord-336161-67pumvst 133 21 those those DT cord-336161-67pumvst 133 22 were be VBD cord-336161-67pumvst 133 23 issues issue NNS cord-336161-67pumvst 133 24 that that WDT cord-336161-67pumvst 133 25 I -PRON- PRP cord-336161-67pumvst 133 26 never never RB cord-336161-67pumvst 133 27 faced face VBD cord-336161-67pumvst 133 28 in in IN cord-336161-67pumvst 133 29 Ontario Ontario NNP cord-336161-67pumvst 133 30 . . . cord-336161-67pumvst 133 31 . . . cord-336161-67pumvst 133 32 . . . cord-336161-67pumvst 134 1 What what WP cord-336161-67pumvst 134 2 I -PRON- PRP cord-336161-67pumvst 134 3 came come VBD cord-336161-67pumvst 134 4 to to TO cord-336161-67pumvst 134 5 appreciate appreciate VB cord-336161-67pumvst 134 6 in in IN cord-336161-67pumvst 134 7 Canada Canada NNP cord-336161-67pumvst 134 8 is be VBZ cord-336161-67pumvst 134 9 that that IN cord-336161-67pumvst 134 10 there there EX cord-336161-67pumvst 134 11 are be VBP cord-336161-67pumvst 134 12 things thing NNS cord-336161-67pumvst 134 13 that that WDT cord-336161-67pumvst 134 14 markets market NNS cord-336161-67pumvst 134 15 are be VBP cord-336161-67pumvst 134 16 just just RB cord-336161-67pumvst 134 17 not not RB cord-336161-67pumvst 134 18 built build VBN cord-336161-67pumvst 134 19 to to TO cord-336161-67pumvst 134 20 do do VB cord-336161-67pumvst 134 21 . . . cord-336161-67pumvst 135 1 40 40 CD cord-336161-67pumvst 135 2 Pay pay NN cord-336161-67pumvst 135 3 - - HYPH cord-336161-67pumvst 135 4 for for IN cord-336161-67pumvst 135 5 - - HYPH cord-336161-67pumvst 135 6 Performance performance NN cord-336161-67pumvst 135 7 , , , cord-336161-67pumvst 135 8 Accountable Accountable NNP cord-336161-67pumvst 135 9 Care Care NNP cord-336161-67pumvst 135 10 Organizations Organizations NNPS cord-336161-67pumvst 135 11 , , , cord-336161-67pumvst 135 12 and and CC cord-336161-67pumvst 135 13 " " `` cord-336161-67pumvst 135 14 Paying pay VBG cord-336161-67pumvst 135 15 for for IN cord-336161-67pumvst 135 16 Value Value NNP cord-336161-67pumvst 135 17 , , , cord-336161-67pumvst 135 18 Not not RB cord-336161-67pumvst 135 19 Volume volume NN cord-336161-67pumvst 135 20 " " '' cord-336161-67pumvst 136 1 : : : cord-336161-67pumvst 136 2 More More JJR cord-336161-67pumvst 136 3 Evidence evidence NN cord-336161-67pumvst 136 4 of of IN cord-336161-67pumvst 136 5 Failure failure NN cord-336161-67pumvst 136 6 " " '' cord-336161-67pumvst 136 7 Next Next NNP cord-336161-67pumvst 136 8 Generation generation NN cord-336161-67pumvst 136 9 " " '' cord-336161-67pumvst 136 10 Accountable Accountable NNP cord-336161-67pumvst 136 11 Care Care NNP cord-336161-67pumvst 136 12 Organizations Organizations NNPS cord-336161-67pumvst 136 13 ( ( -LRB- cord-336161-67pumvst 136 14 ACOs ACOs NNP cord-336161-67pumvst 136 15 ) ) -RRB- cord-336161-67pumvst 136 16 not not RB cord-336161-67pumvst 136 17 only only RB cord-336161-67pumvst 136 18 failed fail VBD cord-336161-67pumvst 136 19 to to TO cord-336161-67pumvst 136 20 save save VB cord-336161-67pumvst 136 21 money money NN cord-336161-67pumvst 136 22 , , , cord-336161-67pumvst 136 23 but but CC cord-336161-67pumvst 136 24 actually actually RB cord-336161-67pumvst 136 25 increased increase VBD cord-336161-67pumvst 136 26 Medicare Medicare NNP cord-336161-67pumvst 136 27 's 's POS cord-336161-67pumvst 136 28 costs cost NNS cord-336161-67pumvst 136 29 by by IN cord-336161-67pumvst 136 30 $ $ $ cord-336161-67pumvst 136 31 93.9 93.9 CD cord-336161-67pumvst 136 32 million million CD cord-336161-67pumvst 136 33 during during IN cord-336161-67pumvst 136 34 2016 2016 CD cord-336161-67pumvst 136 35 and and CC cord-336161-67pumvst 136 36 2017 2017 CD cord-336161-67pumvst 136 37 , , , cord-336161-67pumvst 136 38 according accord VBG cord-336161-67pumvst 136 39 to to IN cord-336161-67pumvst 136 40 a a DT cord-336161-67pumvst 136 41 University University NNP cord-336161-67pumvst 136 42 of of IN cord-336161-67pumvst 136 43 Chicago Chicago NNP cord-336161-67pumvst 136 44 study study NN cord-336161-67pumvst 136 45 funded fund VBN cord-336161-67pumvst 136 46 by by IN cord-336161-67pumvst 136 47 CMS CMS NNP cord-336161-67pumvst 136 48 . . . cord-336161-67pumvst 137 1 Although although IN cord-336161-67pumvst 137 2 the the DT cord-336161-67pumvst 137 3 ACOs aco NNS cord-336161-67pumvst 137 4 cut cut VBD cord-336161-67pumvst 137 5 Medicare Medicare NNP cord-336161-67pumvst 137 6 spending spending NN cord-336161-67pumvst 137 7 on on IN cord-336161-67pumvst 137 8 care care NN cord-336161-67pumvst 137 9 by by IN cord-336161-67pumvst 137 10 $ $ $ cord-336161-67pumvst 137 11 123.2 123.2 CD cord-336161-67pumvst 137 12 million million CD cord-336161-67pumvst 137 13 , , , cord-336161-67pumvst 137 14 the the DT cord-336161-67pumvst 137 15 bonuses bonus NNS cord-336161-67pumvst 137 16 CMS CMS NNP cord-336161-67pumvst 137 17 paid pay VBD cord-336161-67pumvst 137 18 them -PRON- PRP cord-336161-67pumvst 137 19 greatly greatly RB cord-336161-67pumvst 137 20 exceeded exceed VBD cord-336161-67pumvst 137 21 the the DT cord-336161-67pumvst 137 22 savings saving NNS cord-336161-67pumvst 137 23 . . . cord-336161-67pumvst 138 1 The the DT cord-336161-67pumvst 138 2 findings finding NNS cord-336161-67pumvst 138 3 add add VBP cord-336161-67pumvst 138 4 to to IN cord-336161-67pumvst 138 5 the the DT cord-336161-67pumvst 138 6 growing grow VBG cord-336161-67pumvst 138 7 evidence evidence NN cord-336161-67pumvst 138 8 that that IN cord-336161-67pumvst 138 9 ACOs aco NNS cord-336161-67pumvst 138 10 either either CC cord-336161-67pumvst 138 11 increase increase VBP cord-336161-67pumvst 138 12 costs cost NNS cord-336161-67pumvst 138 13 or or CC cord-336161-67pumvst 138 14 ( ( -LRB- cord-336161-67pumvst 138 15 at at IN cord-336161-67pumvst 138 16 best good JJS cord-336161-67pumvst 138 17 ) ) -RRB- cord-336161-67pumvst 138 18 achieve achieve VB cord-336161-67pumvst 138 19 only only JJ cord-336161-67pumvst 138 20 trivial trivial JJ cord-336161-67pumvst 138 21 savings saving NNS cord-336161-67pumvst 138 22 . . . cord-336161-67pumvst 139 1 41 41 CD cord-336161-67pumvst 140 1 In in IN cord-336161-67pumvst 140 2 California California NNP cord-336161-67pumvst 140 3 , , , cord-336161-67pumvst 140 4 59 59 CD cord-336161-67pumvst 140 5 % % NN cord-336161-67pumvst 140 6 of of IN cord-336161-67pumvst 140 7 the the DT cord-336161-67pumvst 140 8 quality quality NN cord-336161-67pumvst 140 9 measures measure NNS cord-336161-67pumvst 140 10 for for IN cord-336161-67pumvst 140 11 Medicaid Medicaid NNP cord-336161-67pumvst 140 12 - - HYPH cord-336161-67pumvst 140 13 managed manage VBN cord-336161-67pumvst 140 14 care care NN cord-336161-67pumvst 140 15 plans plan NNS cord-336161-67pumvst 140 16 have have VBP cord-336161-67pumvst 140 17 been be VBN cord-336161-67pumvst 140 18 stagnant stagnant JJ cord-336161-67pumvst 140 19 or or CC cord-336161-67pumvst 140 20 deteriorated deteriorate VBN cord-336161-67pumvst 140 21 since since IN cord-336161-67pumvst 140 22 2008 2008 CD cord-336161-67pumvst 140 23 . . . cord-336161-67pumvst 141 1 Three three CD cord-336161-67pumvst 141 2 of of IN cord-336161-67pumvst 141 3 the the DT cord-336161-67pumvst 141 4 9 9 CD cord-336161-67pumvst 141 5 child child NN cord-336161-67pumvst 141 6 - - HYPH cord-336161-67pumvst 141 7 health health NN cord-336161-67pumvst 141 8 measures measure NNS cord-336161-67pumvst 141 9 currently currently RB cord-336161-67pumvst 141 10 in in IN cord-336161-67pumvst 141 11 use use NN cord-336161-67pumvst 141 12 have have VBP cord-336161-67pumvst 141 13 worsened worsen VBN cord-336161-67pumvst 141 14 , , , cord-336161-67pumvst 141 15 while while IN cord-336161-67pumvst 141 16 3 3 CD cord-336161-67pumvst 141 17 others other NNS cord-336161-67pumvst 141 18 remained remain VBD cord-336161-67pumvst 141 19 stagnant stagnant JJ cord-336161-67pumvst 141 20 . . . cord-336161-67pumvst 142 1 For for IN cord-336161-67pumvst 142 2 - - HYPH cord-336161-67pumvst 142 3 profit profit NN cord-336161-67pumvst 142 4 plans plan NNS cord-336161-67pumvst 142 5 scored score VBD cord-336161-67pumvst 142 6 markedly markedly RB cord-336161-67pumvst 142 7 worse bad JJR cord-336161-67pumvst 142 8 than than IN cord-336161-67pumvst 142 9 nonprofit nonprofit JJ cord-336161-67pumvst 142 10 or or CC cord-336161-67pumvst 142 11 public public JJ cord-336161-67pumvst 142 12 plans plan NNS cord-336161-67pumvst 142 13 . . . cord-336161-67pumvst 143 1 42 42 CD cord-336161-67pumvst 144 1 A a DT cord-336161-67pumvst 144 2 new new JJ cord-336161-67pumvst 144 3 study study NN cord-336161-67pumvst 144 4 refuted refute VBD cord-336161-67pumvst 144 5 the the DT cord-336161-67pumvst 144 6 assertions assertion NNS cord-336161-67pumvst 144 7 of of IN cord-336161-67pumvst 144 8 a a DT cord-336161-67pumvst 144 9 widely widely RB cord-336161-67pumvst 144 10 cited cite VBN cord-336161-67pumvst 144 11 2011 2011 CD cord-336161-67pumvst 144 12 New New NNP cord-336161-67pumvst 144 13 Yorker Yorker NNP cord-336161-67pumvst 144 14 article article NN cord-336161-67pumvst 144 15 by by IN cord-336161-67pumvst 144 16 Atul Atul NNP cord-336161-67pumvst 144 17 Gawande Gawande NNP cord-336161-67pumvst 144 18 that that IN cord-336161-67pumvst 144 19 a a DT cord-336161-67pumvst 144 20 " " `` cord-336161-67pumvst 144 21 hotspotting hotspotting NN cord-336161-67pumvst 144 22 " " '' cord-336161-67pumvst 144 23 program program NN cord-336161-67pumvst 144 24 in in IN cord-336161-67pumvst 144 25 Camden Camden NNP cord-336161-67pumvst 144 26 , , , cord-336161-67pumvst 144 27 New New NNP cord-336161-67pumvst 144 28 Jersey Jersey NNP cord-336161-67pumvst 144 29 , , , cord-336161-67pumvst 144 30 markedly markedly RB cord-336161-67pumvst 144 31 reduces reduce VBZ cord-336161-67pumvst 144 32 health health NN cord-336161-67pumvst 144 33 care care NN cord-336161-67pumvst 144 34 costs cost NNS cord-336161-67pumvst 144 35 and and CC cord-336161-67pumvst 144 36 improves improve VBZ cord-336161-67pumvst 144 37 quality quality NN cord-336161-67pumvst 144 38 among among IN cord-336161-67pumvst 144 39 " " `` cord-336161-67pumvst 144 40 superutilizers superutilizer NNS cord-336161-67pumvst 144 41 , , , cord-336161-67pumvst 144 42 " " '' cord-336161-67pumvst 144 43 patients patient NNS cord-336161-67pumvst 144 44 with with IN cord-336161-67pumvst 144 45 very very RB cord-336161-67pumvst 144 46 high high JJ cord-336161-67pumvst 144 47 use use NN cord-336161-67pumvst 144 48 of of IN cord-336161-67pumvst 144 49 health health NN cord-336161-67pumvst 144 50 services service NNS cord-336161-67pumvst 144 51 . . . cord-336161-67pumvst 145 1 The the DT cord-336161-67pumvst 145 2 new new JJ cord-336161-67pumvst 145 3 study study NN cord-336161-67pumvst 145 4 randomly randomly RB cord-336161-67pumvst 145 5 assigned assign VBD cord-336161-67pumvst 145 6 800 800 CD cord-336161-67pumvst 145 7 patients patient NNS cord-336161-67pumvst 145 8 to to IN cord-336161-67pumvst 145 9 either either CC cord-336161-67pumvst 145 10 the the DT cord-336161-67pumvst 145 11 " " `` cord-336161-67pumvst 145 12 hotspotting hotspotting NN cord-336161-67pumvst 145 13 " " '' cord-336161-67pumvst 145 14 intervention intervention NN cord-336161-67pumvst 145 15 in in IN cord-336161-67pumvst 145 16 Camden Camden NNP cord-336161-67pumvst 145 17 or or CC cord-336161-67pumvst 145 18 a a DT cord-336161-67pumvst 145 19 control control NN cord-336161-67pumvst 145 20 group group NN cord-336161-67pumvst 145 21 that that WDT cord-336161-67pumvst 145 22 received receive VBD cord-336161-67pumvst 145 23 usual usual JJ cord-336161-67pumvst 145 24 care care NN cord-336161-67pumvst 145 25 . . . cord-336161-67pumvst 146 1 The the DT cord-336161-67pumvst 146 2 utilization utilization NN cord-336161-67pumvst 146 3 of of IN cord-336161-67pumvst 146 4 care care NN cord-336161-67pumvst 146 5 fell fall VBD cord-336161-67pumvst 146 6 markedly markedly RB cord-336161-67pumvst 146 7 over over IN cord-336161-67pumvst 146 8 time time NN cord-336161-67pumvst 146 9 in in IN cord-336161-67pumvst 146 10 both both CC cord-336161-67pumvst 146 11 the the DT cord-336161-67pumvst 146 12 intervention intervention NN cord-336161-67pumvst 146 13 and and CC cord-336161-67pumvst 146 14 control control NN cord-336161-67pumvst 146 15 groups group NNS cord-336161-67pumvst 146 16 , , , cord-336161-67pumvst 146 17 but but CC cord-336161-67pumvst 146 18 there there EX cord-336161-67pumvst 146 19 was be VBD cord-336161-67pumvst 146 20 no no DT cord-336161-67pumvst 146 21 difference difference NN cord-336161-67pumvst 146 22 in in IN cord-336161-67pumvst 146 23 readmissions readmission NNS cord-336161-67pumvst 146 24 , , , cord-336161-67pumvst 146 25 hospital hospital NN cord-336161-67pumvst 146 26 days day NNS cord-336161-67pumvst 146 27 , , , cord-336161-67pumvst 146 28 or or CC cord-336161-67pumvst 146 29 hospital hospital NN cord-336161-67pumvst 146 30 costs cost NNS cord-336161-67pumvst 146 31 over over IN cord-336161-67pumvst 146 32 180 180 CD cord-336161-67pumvst 146 33 days day NNS cord-336161-67pumvst 146 34 . . . cord-336161-67pumvst 147 1 43 43 CD cord-336161-67pumvst 148 1 Another another DT cord-336161-67pumvst 148 2 randomized randomized JJ cord-336161-67pumvst 148 3 clinical clinical JJ cord-336161-67pumvst 148 4 trial trial NN cord-336161-67pumvst 148 5 found find VBD cord-336161-67pumvst 148 6 that that IN cord-336161-67pumvst 148 7 a a DT cord-336161-67pumvst 148 8 chronic chronic JJ cord-336161-67pumvst 148 9 disease disease NN cord-336161-67pumvst 148 10 management management NN cord-336161-67pumvst 148 11 program program NN cord-336161-67pumvst 148 12 for for IN cord-336161-67pumvst 148 13 patients patient NNS cord-336161-67pumvst 148 14 hospitalized hospitalize VBN cord-336161-67pumvst 148 15 with with IN cord-336161-67pumvst 148 16 chronic chronic JJ cord-336161-67pumvst 148 17 obstructive obstructive JJ cord-336161-67pumvst 148 18 pulmonary pulmonary JJ cord-336161-67pumvst 148 19 disease disease NN cord-336161-67pumvst 148 20 ( ( -LRB- cord-336161-67pumvst 148 21 COPD COPD NNP cord-336161-67pumvst 148 22 ) ) -RRB- cord-336161-67pumvst 148 23 actually actually RB cord-336161-67pumvst 148 24 worsened worsen VBD cord-336161-67pumvst 148 25 outcomes outcome NNS cord-336161-67pumvst 148 26 . . . cord-336161-67pumvst 149 1 The the DT cord-336161-67pumvst 149 2 study study NN cord-336161-67pumvst 149 3 compared compare VBD cord-336161-67pumvst 149 4 usual usual JJ cord-336161-67pumvst 149 5 care care NN cord-336161-67pumvst 149 6 to to IN cord-336161-67pumvst 149 7 an an DT cord-336161-67pumvst 149 8 intervention intervention NN cord-336161-67pumvst 149 9 that that WDT cord-336161-67pumvst 149 10 included include VBD cord-336161-67pumvst 149 11 transition transition NN cord-336161-67pumvst 149 12 support support NN cord-336161-67pumvst 149 13 by by IN cord-336161-67pumvst 149 14 specially specially RB cord-336161-67pumvst 149 15 trained train VBN cord-336161-67pumvst 149 16 nurses nurse NNS cord-336161-67pumvst 149 17 for for IN cord-336161-67pumvst 149 18 30 30 CD cord-336161-67pumvst 149 19 days day NNS cord-336161-67pumvst 149 20 after after IN cord-336161-67pumvst 149 21 hospital hospital NN cord-336161-67pumvst 149 22 discharge discharge NN cord-336161-67pumvst 149 23 to to TO cord-336161-67pumvst 149 24 assure assure VB cord-336161-67pumvst 149 25 adherence adherence NN cord-336161-67pumvst 149 26 with with IN cord-336161-67pumvst 149 27 discharge discharge NN cord-336161-67pumvst 149 28 plans plan NNS cord-336161-67pumvst 149 29 and and CC cord-336161-67pumvst 149 30 connection connection NN cord-336161-67pumvst 149 31 to to IN cord-336161-67pumvst 149 32 outpatient outpatient NN cord-336161-67pumvst 149 33 care care NN cord-336161-67pumvst 149 34 , , , cord-336161-67pumvst 149 35 as as RB cord-336161-67pumvst 149 36 well well RB cord-336161-67pumvst 149 37 as as IN cord-336161-67pumvst 149 38 3 3 CD cord-336161-67pumvst 149 39 months month NNS cord-336161-67pumvst 149 40 of of IN cord-336161-67pumvst 149 41 help help NN cord-336161-67pumvst 149 42 for for IN cord-336161-67pumvst 149 43 patients patient NNS cord-336161-67pumvst 149 44 and and CC cord-336161-67pumvst 149 45 families family NNS cord-336161-67pumvst 149 46 with with IN cord-336161-67pumvst 149 47 self self NN cord-336161-67pumvst 149 48 - - HYPH cord-336161-67pumvst 149 49 management management NN cord-336161-67pumvst 149 50 of of IN cord-336161-67pumvst 149 51 COPD COPD NNP cord-336161-67pumvst 149 52 . . . cord-336161-67pumvst 150 1 But but CC cord-336161-67pumvst 150 2 the the DT cord-336161-67pumvst 150 3 intervention intervention NN cord-336161-67pumvst 150 4 group group NN cord-336161-67pumvst 150 5 had have VBD cord-336161-67pumvst 150 6 more more JJR cord-336161-67pumvst 150 7 hospital hospital NN cord-336161-67pumvst 150 8 admission admission NN cord-336161-67pumvst 150 9 and and CC cord-336161-67pumvst 150 10 ED ED NNP cord-336161-67pumvst 150 11 visits visit NNS cord-336161-67pumvst 150 12 than than IN cord-336161-67pumvst 150 13 the the DT cord-336161-67pumvst 150 14 control control NN cord-336161-67pumvst 150 15 group group NN cord-336161-67pumvst 150 16 , , , cord-336161-67pumvst 150 17 without without IN cord-336161-67pumvst 150 18 any any DT cord-336161-67pumvst 150 19 improvement improvement NN cord-336161-67pumvst 150 20 in in IN cord-336161-67pumvst 150 21 patients patient NNS cord-336161-67pumvst 150 22 ' ' POS cord-336161-67pumvst 150 23 quality quality NN cord-336161-67pumvst 150 24 of of IN cord-336161-67pumvst 150 25 life life NN cord-336161-67pumvst 150 26 . . . cord-336161-67pumvst 151 1 44 44 CD cord-336161-67pumvst 151 2 _SP cord-336161-67pumvst 151 3 Primary primary JJ cord-336161-67pumvst 151 4 care care NN cord-336161-67pumvst 151 5 doctors doctor NNS cord-336161-67pumvst 151 6 and and CC cord-336161-67pumvst 151 7 non non JJ cord-336161-67pumvst 151 8 - - JJ cord-336161-67pumvst 151 9 surgical surgical JJ cord-336161-67pumvst 151 10 specialists specialist NNS cord-336161-67pumvst 151 11 spent spend VBN cord-336161-67pumvst 151 12 on on IN cord-336161-67pumvst 151 13 average average JJ cord-336161-67pumvst 151 14 more more JJR cord-336161-67pumvst 151 15 than than IN cord-336161-67pumvst 151 16 16 16 CD cord-336161-67pumvst 151 17 minutes minute NNS cord-336161-67pumvst 151 18 per per IN cord-336161-67pumvst 151 19 ambulatory ambulatory JJ cord-336161-67pumvst 151 20 encounter encounter NN cord-336161-67pumvst 151 21 using use VBG cord-336161-67pumvst 151 22 electronic electronic JJ cord-336161-67pumvst 151 23 health health NN cord-336161-67pumvst 151 24 records record NNS cord-336161-67pumvst 151 25 ( ( -LRB- cord-336161-67pumvst 151 26 EHRs EHRs NNP cord-336161-67pumvst 151 27 ) ) -RRB- cord-336161-67pumvst 151 28 , , , cord-336161-67pumvst 151 29 according accord VBG cord-336161-67pumvst 151 30 to to IN cord-336161-67pumvst 151 31 a a DT cord-336161-67pumvst 151 32 study study NN cord-336161-67pumvst 151 33 of of IN cord-336161-67pumvst 151 34 about about RB cord-336161-67pumvst 151 35 100 100 CD cord-336161-67pumvst 151 36 million million CD cord-336161-67pumvst 151 37 encounters encounter NNS cord-336161-67pumvst 151 38 with with IN cord-336161-67pumvst 151 39 155,000 155,000 CD cord-336161-67pumvst 151 40 physicians physician NNS cord-336161-67pumvst 151 41 who who WP cord-336161-67pumvst 151 42 used use VBD cord-336161-67pumvst 151 43 Cerner Cerner NNP cord-336161-67pumvst 151 44 's 's POS cord-336161-67pumvst 151 45 EHR EHR NNP cord-336161-67pumvst 151 46 . . . cord-336161-67pumvst 152 1 One one CD cord-336161-67pumvst 152 2 third third NN cord-336161-67pumvst 152 3 of of IN cord-336161-67pumvst 152 4 EHR EHR NNP cord-336161-67pumvst 152 5 time time NN cord-336161-67pumvst 152 6 was be VBD cord-336161-67pumvst 152 7 spent spend VBN cord-336161-67pumvst 152 8 on on IN cord-336161-67pumvst 152 9 chart chart NN cord-336161-67pumvst 152 10 review review NN cord-336161-67pumvst 152 11 , , , cord-336161-67pumvst 152 12 about about RB cord-336161-67pumvst 152 13 one one CD cord-336161-67pumvst 152 14 quarter quarter NN cord-336161-67pumvst 152 15 on on IN cord-336161-67pumvst 152 16 documentation documentation NN cord-336161-67pumvst 152 17 , , , cord-336161-67pumvst 152 18 and and CC cord-336161-67pumvst 152 19 17 17 CD cord-336161-67pumvst 152 20 % % NN cord-336161-67pumvst 152 21 on on IN cord-336161-67pumvst 152 22 entering enter VBG cord-336161-67pumvst 152 23 orders order NNS cord-336161-67pumvst 152 24 ; ; : cord-336161-67pumvst 152 25 11 11 CD cord-336161-67pumvst 152 26 % % NN cord-336161-67pumvst 152 27 of of IN cord-336161-67pumvst 152 28 the the DT cord-336161-67pumvst 152 29 interactions interaction NNS cord-336161-67pumvst 152 30 occurred occur VBD cord-336161-67pumvst 152 31 on on IN cord-336161-67pumvst 152 32 nights night NNS cord-336161-67pumvst 152 33 and and CC cord-336161-67pumvst 152 34 weekends weekend NNS cord-336161-67pumvst 152 35 . . . cord-336161-67pumvst 153 1 The the DT cord-336161-67pumvst 153 2 authors author NNS cord-336161-67pumvst 153 3 estimate estimate VBP cord-336161-67pumvst 153 4 that that IN cord-336161-67pumvst 153 5 using use VBG cord-336161-67pumvst 153 6 the the DT cord-336161-67pumvst 153 7 EHR EHR NNP cord-336161-67pumvst 153 8 took take VBD cord-336161-67pumvst 153 9 about about RB cord-336161-67pumvst 153 10 5 5 CD cord-336161-67pumvst 153 11 minutes minute NNS cord-336161-67pumvst 153 12 longer long RBR cord-336161-67pumvst 153 13 per per IN cord-336161-67pumvst 153 14 encounter encounter NN cord-336161-67pumvst 153 15 than than IN cord-336161-67pumvst 153 16 using use VBG cord-336161-67pumvst 153 17 paper paper NN cord-336161-67pumvst 153 18 records record NNS cord-336161-67pumvst 153 19 . . . cord-336161-67pumvst 154 1 45 45 CD cord-336161-67pumvst 154 2 _SP cord-336161-67pumvst 154 3 Health Health NNP cord-336161-67pumvst 154 4 Care Care NNP cord-336161-67pumvst 154 5 to to TO cord-336161-67pumvst 154 6 cut cut VB cord-336161-67pumvst 154 7 workers worker NNS cord-336161-67pumvst 154 8 ' ' POS cord-336161-67pumvst 154 9 wages wage NNS cord-336161-67pumvst 154 10 by by IN cord-336161-67pumvst 154 11 20 20 CD cord-336161-67pumvst 154 12 % % NN cord-336161-67pumvst 154 13 . . . cord-336161-67pumvst 155 1 Palo Palo NNP cord-336161-67pumvst 155 2 Alto Alto NNP cord-336161-67pumvst 155 3 Online Online NNP cord-336161-67pumvst 155 4 A a DT cord-336161-67pumvst 155 5 mounting mount VBG cord-336161-67pumvst 155 6 casualty casualty NN cord-336161-67pumvst 155 7 of of IN cord-336161-67pumvst 155 8 coronavirus coronavirus NN cord-336161-67pumvst 155 9 crisis crisis NN cord-336161-67pumvst 155 10 : : : cord-336161-67pumvst 155 11 health health NN cord-336161-67pumvst 155 12 care care NN cord-336161-67pumvst 155 13 jobs job NNS cord-336161-67pumvst 156 1 COVID-19 COVID-19 NNP cord-336161-67pumvst 156 2 hits hit VBZ cord-336161-67pumvst 156 3 some some DT cord-336161-67pumvst 156 4 health health NN cord-336161-67pumvst 156 5 care care NN cord-336161-67pumvst 156 6 workers worker NNS cord-336161-67pumvst 156 7 with with IN cord-336161-67pumvst 156 8 pay pay NN cord-336161-67pumvst 156 9 cuts cut NNS cord-336161-67pumvst 156 10 and and CC cord-336161-67pumvst 156 11 layoffs layoff NNS cord-336161-67pumvst 156 12 . . . cord-336161-67pumvst 157 1 Shots shot NNS cord-336161-67pumvst 157 2 : : : cord-336161-67pumvst 157 3 Health Health NNP cord-336161-67pumvst 157 4 News News NNP cord-336161-67pumvst 157 5 From from IN cord-336161-67pumvst 157 6 NPR NPR NNP cord-336161-67pumvst 157 7 Table Table NNP cord-336161-67pumvst 157 8 B-1 B-1 NNP cord-336161-67pumvst 157 9 . . . cord-336161-67pumvst 158 1 Employees employee NNS cord-336161-67pumvst 158 2 on on IN cord-336161-67pumvst 158 3 nonfarm nonfarm NNS cord-336161-67pumvst 158 4 payrolls payroll NNS cord-336161-67pumvst 158 5 by by IN cord-336161-67pumvst 158 6 industry industry NN cord-336161-67pumvst 158 7 sector sector NN cord-336161-67pumvst 158 8 and and CC cord-336161-67pumvst 158 9 selected select VBN cord-336161-67pumvst 158 10 industry industry NN cord-336161-67pumvst 158 11 detail detail NN cord-336161-67pumvst 158 12 Health Health NNP cord-336161-67pumvst 158 13 Insurance Insurance NNP cord-336161-67pumvst 158 14 and and CC cord-336161-67pumvst 158 15 Mortality mortality NN cord-336161-67pumvst 158 16 : : : cord-336161-67pumvst 158 17 Experimental experimental JJ cord-336161-67pumvst 158 18 Evidence evidence NN cord-336161-67pumvst 158 19 From from IN cord-336161-67pumvst 158 20 Taxpayer Taxpayer NNP cord-336161-67pumvst 158 21 Outreach Outreach NNP cord-336161-67pumvst 159 1 ( ( -LRB- cord-336161-67pumvst 159 2 NBER NBER NNP cord-336161-67pumvst 159 3 Working Working NNP cord-336161-67pumvst 159 4 Paper Paper NNP cord-336161-67pumvst 159 5 # # $ cord-336161-67pumvst 159 6 26533 26533 CD cord-336161-67pumvst 159 7 ) ) -RRB- cord-336161-67pumvst 160 1 Does do VBZ cord-336161-67pumvst 160 2 Medicare Medicare NNP cord-336161-67pumvst 160 3 Coverage Coverage NNP cord-336161-67pumvst 160 4 Improve improve VB cord-336161-67pumvst 160 5 Cancer Cancer NNP cord-336161-67pumvst 160 6 Detection Detection NNP cord-336161-67pumvst 160 7 and and CC cord-336161-67pumvst 160 8 Mortality mortality NN cord-336161-67pumvst 160 9 Outcomes outcome NNS cord-336161-67pumvst 160 10 ? ? . cord-336161-67pumvst 161 1 ( ( -LRB- cord-336161-67pumvst 161 2 NBER NBER NNP cord-336161-67pumvst 161 3 Working Working NNP cord-336161-67pumvst 161 4 Paper Paper NNP cord-336161-67pumvst 161 5 # # $ cord-336161-67pumvst 161 6 26292 26292 CD cord-336161-67pumvst 161 7 ) ) -RRB- cord-336161-67pumvst 161 8 Straining strain VBG cord-336161-67pumvst 161 9 to to TO cord-336161-67pumvst 161 10 pay pay VB cord-336161-67pumvst 161 11 bills bill NNS cord-336161-67pumvst 161 12 , , , cord-336161-67pumvst 161 13 more more JJR cord-336161-67pumvst 161 14 patients patient NNS cord-336161-67pumvst 161 15 turn turn VBP cord-336161-67pumvst 161 16 to to IN cord-336161-67pumvst 161 17 crowdfunding crowdfunding NN cord-336161-67pumvst 161 18 . . . cord-336161-67pumvst 162 1 Modern Modern NNP cord-336161-67pumvst 162 2 Healthcare Healthcare NNP cord-336161-67pumvst 162 3 Accounting Accounting NNP cord-336161-67pumvst 162 4 for for IN cord-336161-67pumvst 162 5 the the DT cord-336161-67pumvst 162 6 burden burden NN cord-336161-67pumvst 162 7 and and CC cord-336161-67pumvst 162 8 redistribution redistribution NN cord-336161-67pumvst 162 9 of of IN cord-336161-67pumvst 162 10 health health NN cord-336161-67pumvst 162 11 care care NN cord-336161-67pumvst 162 12 costs cost NNS cord-336161-67pumvst 162 13 : : : cord-336161-67pumvst 162 14 who who WP cord-336161-67pumvst 162 15 uses use VBZ cord-336161-67pumvst 162 16 care care NN cord-336161-67pumvst 162 17 and and CC cord-336161-67pumvst 162 18 who who WP cord-336161-67pumvst 162 19 pays pay VBZ cord-336161-67pumvst 162 20 for for IN cord-336161-67pumvst 162 21 it -PRON- PRP cord-336161-67pumvst 162 22 School School NNP cord-336161-67pumvst 162 23 of of IN cord-336161-67pumvst 162 24 Public Public NNP cord-336161-67pumvst 162 25 Health Health NNP cord-336161-67pumvst 162 26 . . . cord-336161-67pumvst 163 1 Life life NN cord-336161-67pumvst 163 2 experiences experience NNS cord-336161-67pumvst 163 3 and and CC cord-336161-67pumvst 163 4 income income NN cord-336161-67pumvst 163 5 inequality inequality NN cord-336161-67pumvst 163 6 in in IN cord-336161-67pumvst 163 7 the the DT cord-336161-67pumvst 163 8 United United NNP cord-336161-67pumvst 163 9 States States NNP cord-336161-67pumvst 163 10 Trends Trends NNPS cord-336161-67pumvst 163 11 in in IN cord-336161-67pumvst 163 12 employer employer NN cord-336161-67pumvst 163 13 health health NN cord-336161-67pumvst 163 14 care care NN cord-336161-67pumvst 163 15 coverage coverage NN cord-336161-67pumvst 164 1 Medicare Medicare NNP cord-336161-67pumvst 164 2 for for IN cord-336161-67pumvst 164 3 All all DT cord-336161-67pumvst 164 4 would would MD cord-336161-67pumvst 164 5 cut cut VB cord-336161-67pumvst 164 6 poverty poverty NN cord-336161-67pumvst 164 7 by by IN cord-336161-67pumvst 164 8 over over IN cord-336161-67pumvst 164 9 20 20 CD cord-336161-67pumvst 164 10 percent percent NN cord-336161-67pumvst 164 11 . . . cord-336161-67pumvst 165 1 People People NNS cord-336161-67pumvst 165 2 's 's POS cord-336161-67pumvst 165 3 Policy Policy NNP cord-336161-67pumvst 165 4 Project Project NNP cord-336161-67pumvst 165 5 National National NNP cord-336161-67pumvst 165 6 health health NN cord-336161-67pumvst 165 7 expenditure expenditure NN cord-336161-67pumvst 165 8 projections projection NNS cord-336161-67pumvst 165 9 , , , cord-336161-67pumvst 165 10 2019 2019 CD cord-336161-67pumvst 165 11 - - SYM cord-336161-67pumvst 165 12 28 28 CD cord-336161-67pumvst 166 1 : : : cord-336161-67pumvst 166 2 Expected expect VBN cord-336161-67pumvst 166 3 rebound rebound NN cord-336161-67pumvst 166 4 in in IN cord-336161-67pumvst 166 5 prices price NNS cord-336161-67pumvst 166 6 drives drive NNS cord-336161-67pumvst 166 7 rising rise VBG cord-336161-67pumvst 166 8 spending spend VBG cord-336161-67pumvst 166 9 growth growth NN cord-336161-67pumvst 166 10 Effect effect NN cord-336161-67pumvst 166 11 on on IN cord-336161-67pumvst 166 12 treatment treatment NN cord-336161-67pumvst 166 13 adherence adherence NN cord-336161-67pumvst 166 14 of of IN cord-336161-67pumvst 166 15 distributing distribute VBG cord-336161-67pumvst 166 16 essential essential JJ cord-336161-67pumvst 166 17 medicines medicine NNS cord-336161-67pumvst 166 18 at at IN cord-336161-67pumvst 166 19 no no DT cord-336161-67pumvst 166 20 charge charge NN cord-336161-67pumvst 166 21 : : : cord-336161-67pumvst 166 22 the the DT cord-336161-67pumvst 166 23 CLEAN clean JJ cord-336161-67pumvst 166 24 meds med NNS cord-336161-67pumvst 166 25 randomized randomized JJ cord-336161-67pumvst 166 26 clinical clinical JJ cord-336161-67pumvst 166 27 trial trial NN cord-336161-67pumvst 167 1 The the DT cord-336161-67pumvst 167 2 effect effect NN cord-336161-67pumvst 167 3 of of IN cord-336161-67pumvst 167 4 Veterans Veterans NNPS cord-336161-67pumvst 167 5 Health Health NNP cord-336161-67pumvst 167 6 Administration Administration NNP cord-336161-67pumvst 167 7 coverage coverage NN cord-336161-67pumvst 167 8 on on IN cord-336161-67pumvst 167 9 cost cost NN cord-336161-67pumvst 167 10 - - HYPH cord-336161-67pumvst 167 11 related relate VBN cord-336161-67pumvst 167 12 medication medication NN cord-336161-67pumvst 167 13 nonadherence nonadherence NNP cord-336161-67pumvst 167 14 Association Association NNP cord-336161-67pumvst 167 15 of of IN cord-336161-67pumvst 167 16 cost cost NN cord-336161-67pumvst 167 17 sharing sharing NN cord-336161-67pumvst 167 18 with with IN cord-336161-67pumvst 167 19 mental mental JJ cord-336161-67pumvst 167 20 health health NN cord-336161-67pumvst 167 21 care care NN cord-336161-67pumvst 167 22 use use NN cord-336161-67pumvst 167 23 , , , cord-336161-67pumvst 167 24 involuntary involuntary JJ cord-336161-67pumvst 167 25 commitment commitment NN cord-336161-67pumvst 167 26 , , , cord-336161-67pumvst 167 27 and and CC cord-336161-67pumvst 167 28 acute acute JJ cord-336161-67pumvst 167 29 care care NN cord-336161-67pumvst 168 1 Financial financial JJ cord-336161-67pumvst 168 2 hardships hardship NNS cord-336161-67pumvst 168 3 of of IN cord-336161-67pumvst 168 4 Medicare Medicare NNP cord-336161-67pumvst 168 5 beneficiaries beneficiary NNS cord-336161-67pumvst 168 6 with with IN cord-336161-67pumvst 168 7 serious serious JJ cord-336161-67pumvst 168 8 illness illness NN cord-336161-67pumvst 168 9 High high JJ cord-336161-67pumvst 168 10 cost cost NN cord-336161-67pumvst 168 11 of of IN cord-336161-67pumvst 168 12 dental dental JJ cord-336161-67pumvst 168 13 coverage coverage NN cord-336161-67pumvst 168 14 means mean VBZ cord-336161-67pumvst 168 15 seniors senior NNS cord-336161-67pumvst 168 16 skip skip VBP cord-336161-67pumvst 168 17 needed need VBN cord-336161-67pumvst 168 18 care care NN cord-336161-67pumvst 168 19 . . . cord-336161-67pumvst 169 1 Modern Modern NNP cord-336161-67pumvst 169 2 Healthcare Healthcare NNP cord-336161-67pumvst 169 3 Association Association NNP cord-336161-67pumvst 169 4 between between IN cord-336161-67pumvst 169 5 high high JJ cord-336161-67pumvst 169 6 discharge discharge NN cord-336161-67pumvst 169 7 rates rate NNS cord-336161-67pumvst 169 8 of of IN cord-336161-67pumvst 169 9 vulnerable vulnerable JJ cord-336161-67pumvst 169 10 patients patient NNS cord-336161-67pumvst 169 11 and and CC cord-336161-67pumvst 169 12 skilled skilled JJ cord-336161-67pumvst 169 13 nursing nursing NN cord-336161-67pumvst 169 14 facility facility NN cord-336161-67pumvst 169 15 copayments copayment VBZ cord-336161-67pumvst 169 16 Life Life NNP cord-336161-67pumvst 169 17 expectancy expectancy NN cord-336161-67pumvst 169 18 and and CC cord-336161-67pumvst 169 19 mortality mortality NN cord-336161-67pumvst 169 20 rates rate NNS cord-336161-67pumvst 169 21 in in IN cord-336161-67pumvst 169 22 the the DT cord-336161-67pumvst 169 23 United United NNP cord-336161-67pumvst 169 24 States States NNP cord-336161-67pumvst 169 25 Maternal maternal JJ cord-336161-67pumvst 169 26 mortality mortality NN cord-336161-67pumvst 169 27 in in IN cord-336161-67pumvst 169 28 the the DT cord-336161-67pumvst 169 29 United United NNP cord-336161-67pumvst 169 30 States States NNP cord-336161-67pumvst 169 31 : : : cord-336161-67pumvst 169 32 changes change NNS cord-336161-67pumvst 169 33 in in IN cord-336161-67pumvst 169 34 coding coding NN cord-336161-67pumvst 169 35 , , , cord-336161-67pumvst 169 36 publication publication NN cord-336161-67pumvst 169 37 and and CC cord-336161-67pumvst 169 38 data datum NNS cord-336161-67pumvst 169 39 release release NN cord-336161-67pumvst 169 40 Poor Poor NNP cord-336161-67pumvst 169 41 America America NNP cord-336161-67pumvst 169 42 . . . cord-336161-67pumvst 170 1 The the DT cord-336161-67pumvst 170 2 Economist Economist NNP cord-336161-67pumvst 170 3 CEO ceo NN cord-336161-67pumvst 170 4 compensation compensation NN cord-336161-67pumvst 170 5 has have VBZ cord-336161-67pumvst 170 6 grown grow VBN cord-336161-67pumvst 170 7 940 940 CD cord-336161-67pumvst 170 8 % % NN cord-336161-67pumvst 170 9 since since IN cord-336161-67pumvst 170 10 1978 1978 CD cord-336161-67pumvst 170 11 . . . cord-336161-67pumvst 171 1 Economic Economic NNP cord-336161-67pumvst 171 2 Policy Policy NNP cord-336161-67pumvst 171 3 Institute Institute NNP cord-336161-67pumvst 171 4 Private private JJ cord-336161-67pumvst 171 5 insurance insurance NN cord-336161-67pumvst 171 6 's 's POS cord-336161-67pumvst 171 7 costs cost NNS cord-336161-67pumvst 171 8 are be VBP cord-336161-67pumvst 171 9 skyrocketing skyrocket VBG cord-336161-67pumvst 171 10 Insurers Insurers NNPS cord-336161-67pumvst 171 11 reaped reap VBD cord-336161-67pumvst 171 12 big big JJ cord-336161-67pumvst 171 13 financial financial JJ cord-336161-67pumvst 171 14 gains gain NNS cord-336161-67pumvst 171 15 from from IN cord-336161-67pumvst 171 16 mergers merger NNS cord-336161-67pumvst 171 17 in in IN cord-336161-67pumvst 171 18 2019 2019 CD cord-336161-67pumvst 171 19 . . . cord-336161-67pumvst 172 1 Modern Modern NNP cord-336161-67pumvst 172 2 Healthcare Healthcare NNP cord-336161-67pumvst 172 3 UnitedHealth UnitedHealth NNP cord-336161-67pumvst 172 4 Group Group NNP cord-336161-67pumvst 172 5 provides provide VBZ cord-336161-67pumvst 172 6 expansive expansive JJ cord-336161-67pumvst 172 7 support support NN cord-336161-67pumvst 172 8 to to IN cord-336161-67pumvst 172 9 COVID-19 covid-19 VB cord-336161-67pumvst 172 10 response response NN cord-336161-67pumvst 172 11 efforts effort NNS cord-336161-67pumvst 172 12 , , , cord-336161-67pumvst 172 13 reports report NNS cord-336161-67pumvst 172 14 balanced balance VBD cord-336161-67pumvst 172 15 first first JJ cord-336161-67pumvst 172 16 quarter quarter NN cord-336161-67pumvst 172 17 performance performance NN cord-336161-67pumvst 173 1 Federal federal JJ cord-336161-67pumvst 173 2 payments payment NNS cord-336161-67pumvst 173 3 for for IN cord-336161-67pumvst 173 4 coronary coronary JJ cord-336161-67pumvst 173 5 revascularization revascularization NN cord-336161-67pumvst 173 6 procedures procedure NNS cord-336161-67pumvst 173 7 among among IN cord-336161-67pumvst 173 8 dual dual JJ cord-336161-67pumvst 173 9 enrollees enrollee NNS cord-336161-67pumvst 173 10 in in IN cord-336161-67pumvst 173 11 Medicare Medicare NNP cord-336161-67pumvst 173 12 advantage advantage NN cord-336161-67pumvst 173 13 and and CC cord-336161-67pumvst 173 14 the the DT cord-336161-67pumvst 173 15 Veterans Veterans NNPS cord-336161-67pumvst 173 16 Affairs Affairs NNPS cord-336161-67pumvst 173 17 Health Health NNP cord-336161-67pumvst 173 18 Care Care NNP cord-336161-67pumvst 173 19 System System NNP cord-336161-67pumvst 173 20 DOJ DOJ NNP cord-336161-67pumvst 173 21 sues sue VBZ cord-336161-67pumvst 173 22 anthem anthem NN cord-336161-67pumvst 173 23 for for IN cord-336161-67pumvst 173 24 Medicare Medicare NNP cord-336161-67pumvst 173 25 advantage advantage NN cord-336161-67pumvst 173 26 fraud fraud NN cord-336161-67pumvst 173 27 Office Office NNP cord-336161-67pumvst 173 28 of of IN cord-336161-67pumvst 173 29 Inspector Inspector NNP cord-336161-67pumvst 173 30 General General NNP cord-336161-67pumvst 173 31 . . . cord-336161-67pumvst 174 1 Billions billion NNS cord-336161-67pumvst 174 2 in in IN cord-336161-67pumvst 174 3 Estimated Estimated NNP cord-336161-67pumvst 174 4 Medicare Medicare NNP cord-336161-67pumvst 174 5 Advantage Advantage NNP cord-336161-67pumvst 174 6 Payments payment NNS cord-336161-67pumvst 174 7 From from IN cord-336161-67pumvst 174 8 Chart chart NN cord-336161-67pumvst 174 9 Reviews review NNS cord-336161-67pumvst 174 10 Raise raise VB cord-336161-67pumvst 174 11 Concerns concern NNS cord-336161-67pumvst 174 12 ( ( -LRB- cord-336161-67pumvst 174 13 OEI-03017 oei-03017 CD cord-336161-67pumvst 174 14 - - HYPH cord-336161-67pumvst 174 15 00470 00470 CD cord-336161-67pumvst 174 16 ) ) -RRB- cord-336161-67pumvst 175 1 Out out IN cord-336161-67pumvst 175 2 - - HYPH cord-336161-67pumvst 175 3 of of IN cord-336161-67pumvst 175 4 - - HYPH cord-336161-67pumvst 175 5 network network NN cord-336161-67pumvst 175 6 bills bill NNS cord-336161-67pumvst 175 7 for for IN cord-336161-67pumvst 175 8 privately privately RB cord-336161-67pumvst 175 9 insured insure VBN cord-336161-67pumvst 175 10 patients patient NNS cord-336161-67pumvst 175 11 undergoing undergo VBG cord-336161-67pumvst 175 12 elective elective JJ cord-336161-67pumvst 175 13 surgery surgery NN cord-336161-67pumvst 175 14 with with IN cord-336161-67pumvst 175 15 in in IN cord-336161-67pumvst 175 16 - - HYPH cord-336161-67pumvst 175 17 network network NN cord-336161-67pumvst 175 18 primary primary JJ cord-336161-67pumvst 175 19 surgeons surgeon NNS cord-336161-67pumvst 175 20 and and CC cord-336161-67pumvst 175 21 facilities facility NNS cord-336161-67pumvst 175 22 Assessment Assessment NNP cord-336161-67pumvst 175 23 of of IN cord-336161-67pumvst 175 24 out out IN cord-336161-67pumvst 175 25 - - HYPH cord-336161-67pumvst 175 26 of of IN cord-336161-67pumvst 175 27 - - HYPH cord-336161-67pumvst 175 28 network network NN cord-336161-67pumvst 175 29 billing billing NN cord-336161-67pumvst 175 30 for for IN cord-336161-67pumvst 175 31 privately privately RB cord-336161-67pumvst 175 32 insured insure VBN cord-336161-67pumvst 175 33 patients patient NNS cord-336161-67pumvst 175 34 receiving receive VBG cord-336161-67pumvst 175 35 care care NN cord-336161-67pumvst 175 36 in in IN cord-336161-67pumvst 175 37 in in IN cord-336161-67pumvst 175 38 - - HYPH cord-336161-67pumvst 175 39 network network NN cord-336161-67pumvst 175 40 hospitals hospital NNS cord-336161-67pumvst 176 1 The the DT cord-336161-67pumvst 176 2 trailer trailer NN cord-336161-67pumvst 176 3 : : : cord-336161-67pumvst 176 4 signs sign NNS cord-336161-67pumvst 176 5 of of IN cord-336161-67pumvst 176 6 change change NN cord-336161-67pumvst 176 7 in in IN cord-336161-67pumvst 176 8 Elizabeth Elizabeth NNP cord-336161-67pumvst 176 9 Warren Warren NNP cord-336161-67pumvst 176 10 's 's POS cord-336161-67pumvst 176 11 campaign campaign NN cord-336161-67pumvst 176 12 . . . cord-336161-67pumvst 177 1 Washington Washington NNP cord-336161-67pumvst 177 2 Post Post NNP cord-336161-67pumvst 177 3 Changes Changes NNP cord-336161-67pumvst 177 4 in in IN cord-336161-67pumvst 177 5 quality quality NN cord-336161-67pumvst 177 6 of of IN cord-336161-67pumvst 177 7 care care NN cord-336161-67pumvst 177 8 after after IN cord-336161-67pumvst 177 9 hospital hospital NN cord-336161-67pumvst 177 10 mergers merger NNS cord-336161-67pumvst 177 11 and and CC cord-336161-67pumvst 177 12 acquisitions acquisition NNS cord-336161-67pumvst 177 13 Access Access NNP cord-336161-67pumvst 177 14 , , , cord-336161-67pumvst 177 15 quality quality NN cord-336161-67pumvst 177 16 and and CC cord-336161-67pumvst 177 17 financial financial JJ cord-336161-67pumvst 177 18 performance performance NN cord-336161-67pumvst 177 19 of of IN cord-336161-67pumvst 177 20 rural rural JJ cord-336161-67pumvst 177 21 hospitals hospital NNS cord-336161-67pumvst 177 22 following follow VBG cord-336161-67pumvst 177 23 health health NN cord-336161-67pumvst 177 24 system system NN cord-336161-67pumvst 177 25 affiliation affiliation NN cord-336161-67pumvst 177 26 Most most RBS cord-336161-67pumvst 177 27 profitable profitable JJ cord-336161-67pumvst 177 28 not not RB cord-336161-67pumvst 177 29 - - HYPH cord-336161-67pumvst 177 30 for for IN cord-336161-67pumvst 177 31 - - HYPH cord-336161-67pumvst 177 32 profit profit NN cord-336161-67pumvst 177 33 healthcare healthcare NN cord-336161-67pumvst 177 34 systems system NNS cord-336161-67pumvst 177 35 Mayo Mayo NNP cord-336161-67pumvst 177 36 Clinic Clinic NNP cord-336161-67pumvst 177 37 wants want VBZ cord-336161-67pumvst 177 38 to to TO cord-336161-67pumvst 177 39 make make VB cord-336161-67pumvst 177 40 Rochester Rochester NNP cord-336161-67pumvst 177 41 a a DT cord-336161-67pumvst 177 42 global global JJ cord-336161-67pumvst 177 43 medical medical JJ cord-336161-67pumvst 177 44 destination destination NN cord-336161-67pumvst 177 45 : : : cord-336161-67pumvst 177 46 but but CC cord-336161-67pumvst 177 47 who who WP cord-336161-67pumvst 177 48 benefits benefit VBZ cord-336161-67pumvst 177 49 ? ? . cord-336161-67pumvst 178 1 Modern Modern NNP cord-336161-67pumvst 178 2 Healthcare Healthcare NNP cord-336161-67pumvst 178 3 New New NNP cord-336161-67pumvst 178 4 York York NNP cord-336161-67pumvst 178 5 hospitals hospital NNS cord-336161-67pumvst 178 6 have have VBP cord-336161-67pumvst 178 7 filed file VBN cord-336161-67pumvst 178 8 thousands thousand NNS cord-336161-67pumvst 178 9 of of IN cord-336161-67pumvst 178 10 lawsuits lawsuit NNS cord-336161-67pumvst 178 11 against against IN cord-336161-67pumvst 178 12 patients patient NNS cord-336161-67pumvst 178 13 Emergency Emergency NNP cord-336161-67pumvst 178 14 department department NN cord-336161-67pumvst 178 15 closures closure NNS cord-336161-67pumvst 178 16 and and CC cord-336161-67pumvst 178 17 openings opening NNS cord-336161-67pumvst 178 18 : : : cord-336161-67pumvst 178 19 spillover spillover NN cord-336161-67pumvst 178 20 effects effect NNS cord-336161-67pumvst 178 21 on on IN cord-336161-67pumvst 178 22 patient patient JJ cord-336161-67pumvst 178 23 outcomes outcome NNS cord-336161-67pumvst 178 24 in in IN cord-336161-67pumvst 178 25 bystander bystander NN cord-336161-67pumvst 178 26 hospitals hospital NNS cord-336161-67pumvst 178 27 Association Association NNP cord-336161-67pumvst 178 28 between between IN cord-336161-67pumvst 178 29 dialysis dialysis NN cord-336161-67pumvst 178 30 facility facility NN cord-336161-67pumvst 178 31 ownership ownership NN cord-336161-67pumvst 178 32 and and CC cord-336161-67pumvst 178 33 access access NN cord-336161-67pumvst 178 34 to to IN cord-336161-67pumvst 178 35 kidney kidney NN cord-336161-67pumvst 178 36 transplantation transplantation NN cord-336161-67pumvst 179 1 Q&A Q&A NNP cord-336161-67pumvst 179 2 : : : cord-336161-67pumvst 180 1 the the DT cord-336161-67pumvst 180 2 interest interest NN cord-336161-67pumvst 180 3 in in IN cord-336161-67pumvst 180 4 preserving preserve VBG cord-336161-67pumvst 180 5 the the DT cord-336161-67pumvst 180 6 status status NN cord-336161-67pumvst 180 7 quo quo NN cord-336161-67pumvst 180 8 is be VBZ cord-336161-67pumvst 180 9 very very RB cord-336161-67pumvst 180 10 real real JJ cord-336161-67pumvst 180 11 . . . cord-336161-67pumvst 181 1 Modern modern JJ cord-336161-67pumvst 182 1 Healthcare Healthcare NNP cord-336161-67pumvst 182 2 Next next JJ cord-336161-67pumvst 182 3 Gen Gen NNP cord-336161-67pumvst 182 4 ACOs aco NNS cord-336161-67pumvst 182 5 are be VBP cord-336161-67pumvst 182 6 n't not RB cord-336161-67pumvst 182 7 saving save VBG cord-336161-67pumvst 182 8 Medicare Medicare NNP cord-336161-67pumvst 182 9 money money NN cord-336161-67pumvst 182 10 . . . cord-336161-67pumvst 183 1 Modern Modern NNP cord-336161-67pumvst 183 2 Healthcare Healthcare NNP cord-336161-67pumvst 183 3 A a DT cord-336161-67pumvst 183 4 close close JJ cord-336161-67pumvst 183 5 look look NN cord-336161-67pumvst 183 6 at at IN cord-336161-67pumvst 183 7 Medical Medical NNP cord-336161-67pumvst 183 8 managed manage VBN cord-336161-67pumvst 183 9 care care NN cord-336161-67pumvst 183 10 : : : cord-336161-67pumvst 183 11 statewide statewide JJ cord-336161-67pumvst 183 12 quality quality NN cord-336161-67pumvst 183 13 trends trend NNS cord-336161-67pumvst 183 14 from from IN cord-336161-67pumvst 183 15 the the DT cord-336161-67pumvst 183 16 last last JJ cord-336161-67pumvst 183 17 decade decade NN cord-336161-67pumvst 183 18 . . . cord-336161-67pumvst 184 1 California California NNP cord-336161-67pumvst 184 2 Health Health NNP cord-336161-67pumvst 184 3 Care Care NNP cord-336161-67pumvst 184 4 Foundation Foundation NNP cord-336161-67pumvst 184 5 Health Health NNP cord-336161-67pumvst 184 6 care care NN cord-336161-67pumvst 184 7 hotspotting hotspotting NN cord-336161-67pumvst 184 8 - - : cord-336161-67pumvst 184 9 a a DT cord-336161-67pumvst 184 10 randomized randomized JJ cord-336161-67pumvst 184 11 , , , cord-336161-67pumvst 184 12 controlled control VBN cord-336161-67pumvst 184 13 trial trial NN cord-336161-67pumvst 184 14 Effect effect NN cord-336161-67pumvst 184 15 of of IN cord-336161-67pumvst 184 16 a a DT cord-336161-67pumvst 184 17 hospital hospital NN cord-336161-67pumvst 184 18 - - HYPH cord-336161-67pumvst 184 19 initiated initiate VBN cord-336161-67pumvst 184 20 program program NN cord-336161-67pumvst 184 21 combining combine VBG cord-336161-67pumvst 184 22 transitional transitional JJ cord-336161-67pumvst 184 23 care care NN cord-336161-67pumvst 184 24 and and CC cord-336161-67pumvst 184 25 long long JJ cord-336161-67pumvst 184 26 - - HYPH cord-336161-67pumvst 184 27 term term NN cord-336161-67pumvst 184 28 self self NN cord-336161-67pumvst 184 29 - - HYPH cord-336161-67pumvst 184 30 management management NN cord-336161-67pumvst 184 31 support support NN cord-336161-67pumvst 184 32 on on IN cord-336161-67pumvst 184 33 outcomes outcome NNS cord-336161-67pumvst 184 34 of of IN cord-336161-67pumvst 184 35 patients patient NNS cord-336161-67pumvst 184 36 hospitalized hospitalize VBN cord-336161-67pumvst 184 37 with with IN cord-336161-67pumvst 184 38 chronic chronic JJ cord-336161-67pumvst 184 39 obstructive obstructive JJ cord-336161-67pumvst 184 40 pulmonary pulmonary JJ cord-336161-67pumvst 184 41 disease disease NN cord-336161-67pumvst 184 42 : : : cord-336161-67pumvst 184 43 a a DT cord-336161-67pumvst 184 44 randomized randomized JJ cord-336161-67pumvst 184 45 clinical clinical JJ cord-336161-67pumvst 184 46 trial trial NN cord-336161-67pumvst 184 47 Physician Physician NNP cord-336161-67pumvst 184 48 time time NN cord-336161-67pumvst 184 49 spent spend VBN cord-336161-67pumvst 184 50 using use VBG cord-336161-67pumvst 184 51 the the DT cord-336161-67pumvst 184 52 electronic electronic JJ cord-336161-67pumvst 184 53 health health NN cord-336161-67pumvst 184 54 record record NN cord-336161-67pumvst 184 55 during during IN cord-336161-67pumvst 184 56 outpatient outpatient NN cord-336161-67pumvst 184 57 encounters encounter NNS cord-336161-67pumvst 184 58 : : : cord-336161-67pumvst 184 59 a a DT cord-336161-67pumvst 184 60 descriptive descriptive JJ cord-336161-67pumvst 184 61 study study NN cord-336161-67pumvst 184 62 The the DT cord-336161-67pumvst 184 63 authors author NNS cord-336161-67pumvst 184 64 thank thank VBP cord-336161-67pumvst 184 65 Clare Clare NNP cord-336161-67pumvst 184 66 Fauke Fauke NNP cord-336161-67pumvst 184 67 for for IN cord-336161-67pumvst 184 68 assisting assist VBG cord-336161-67pumvst 184 69 in in IN cord-336161-67pumvst 184 70 editing edit VBG cord-336161-67pumvst 184 71 and and CC cord-336161-67pumvst 184 72 compiling compile VBG cord-336161-67pumvst 184 73 this this DT cord-336161-67pumvst 184 74 report report NN cord-336161-67pumvst 184 75 . . . cord-336161-67pumvst 185 1 The the DT cord-336161-67pumvst 185 2 authors author NNS cord-336161-67pumvst 185 3 declared declare VBD cord-336161-67pumvst 185 4 no no DT cord-336161-67pumvst 185 5 potential potential JJ cord-336161-67pumvst 185 6 conflicts conflict NNS cord-336161-67pumvst 185 7 of of IN cord-336161-67pumvst 185 8 interest interest NN cord-336161-67pumvst 185 9 with with IN cord-336161-67pumvst 185 10 respect respect NN cord-336161-67pumvst 185 11 to to IN cord-336161-67pumvst 185 12 the the DT cord-336161-67pumvst 185 13 research research NN cord-336161-67pumvst 185 14 , , , cord-336161-67pumvst 185 15 authorship authorship NN cord-336161-67pumvst 185 16 , , , cord-336161-67pumvst 185 17 and/or and/or CC cord-336161-67pumvst 185 18 publication publication NN cord-336161-67pumvst 185 19 of of IN cord-336161-67pumvst 185 20 this this DT cord-336161-67pumvst 185 21 article article NN cord-336161-67pumvst 185 22 . . . cord-336161-67pumvst 186 1 The the DT cord-336161-67pumvst 186 2 authors author NNS cord-336161-67pumvst 186 3 received receive VBD cord-336161-67pumvst 186 4 no no DT cord-336161-67pumvst 186 5 financial financial JJ cord-336161-67pumvst 186 6 support support NN cord-336161-67pumvst 186 7 for for IN cord-336161-67pumvst 186 8 the the DT cord-336161-67pumvst 186 9 research research NN cord-336161-67pumvst 186 10 , , , cord-336161-67pumvst 186 11 authorship authorship NN cord-336161-67pumvst 186 12 , , , cord-336161-67pumvst 186 13 and/or and/or CC cord-336161-67pumvst 186 14 publication publication NN cord-336161-67pumvst 186 15 of of IN cord-336161-67pumvst 186 16 this this DT cord-336161-67pumvst 186 17 article article NN cord-336161-67pumvst 186 18 . . . cord-336161-67pumvst 187 1 David David NNP cord-336161-67pumvst 187 2 U. U. NNP cord-336161-67pumvst 187 3 Himmelstein Himmelstein NNP cord-336161-67pumvst 187 4 , , , cord-336161-67pumvst 187 5 MD MD NNP cord-336161-67pumvst 187 6 , , , cord-336161-67pumvst 187 7 is be VBZ cord-336161-67pumvst 187 8 a a DT cord-336161-67pumvst 187 9 distinguished distinguished JJ cord-336161-67pumvst 187 10 professor professor NN cord-336161-67pumvst 187 11 of of IN cord-336161-67pumvst 187 12 public public JJ cord-336161-67pumvst 187 13 health health NN cord-336161-67pumvst 187 14 at at IN cord-336161-67pumvst 187 15 the the DT cord-336161-67pumvst 187 16 City City NNP cord-336161-67pumvst 187 17 University University NNP cord-336161-67pumvst 187 18 of of IN cord-336161-67pumvst 187 19 New New NNP cord-336161-67pumvst 187 20 York York NNP cord-336161-67pumvst 187 21 's 's POS cord-336161-67pumvst 187 22 Hunter Hunter NNP cord-336161-67pumvst 187 23 College College NNP cord-336161-67pumvst 187 24 , , , cord-336161-67pumvst 187 25 a a DT cord-336161-67pumvst 187 26 lecturer lecturer NN cord-336161-67pumvst 187 27 in in IN cord-336161-67pumvst 187 28 medicine medicine NN cord-336161-67pumvst 187 29 at at IN cord-336161-67pumvst 187 30 Harvard Harvard NNP cord-336161-67pumvst 187 31 Medical Medical NNP cord-336161-67pumvst 187 32 School School NNP cord-336161-67pumvst 187 33 , , , cord-336161-67pumvst 187 34 and and CC cord-336161-67pumvst 187 35 a a DT cord-336161-67pumvst 187 36 staff staff NN cord-336161-67pumvst 187 37 physician physician NN cord-336161-67pumvst 187 38 at at IN cord-336161-67pumvst 187 39 Montefiore Montefiore NNP cord-336161-67pumvst 187 40 Medical Medical NNP cord-336161-67pumvst 187 41 Center Center NNP cord-336161-67pumvst 187 42 in in IN cord-336161-67pumvst 187 43 the the DT cord-336161-67pumvst 187 44 Bronx Bronx NNP cord-336161-67pumvst 187 45 . . . cord-336161-67pumvst 188 1 He -PRON- PRP cord-336161-67pumvst 188 2 graduated graduate VBD cord-336161-67pumvst 188 3 from from IN cord-336161-67pumvst 188 4 Columbia Columbia NNP cord-336161-67pumvst 188 5 University University NNP cord-336161-67pumvst 188 6 's 's POS cord-336161-67pumvst 188 7 College College NNP cord-336161-67pumvst 188 8 of of IN cord-336161-67pumvst 188 9 Physicians Physicians NNPS cord-336161-67pumvst 188 10 and and CC cord-336161-67pumvst 188 11 Surgeons Surgeons NNPS cord-336161-67pumvst 188 12 and and CC cord-336161-67pumvst 188 13 completed complete VBD cord-336161-67pumvst 188 14 an an DT cord-336161-67pumvst 188 15 internal internal JJ cord-336161-67pumvst 188 16 medicine medicine NN cord-336161-67pumvst 188 17 residency residency NN cord-336161-67pumvst 188 18 at at IN cord-336161-67pumvst 188 19 Highland Highland NNP cord-336161-67pumvst 188 20 Hospital Hospital NNP cord-336161-67pumvst 188 21 in in IN cord-336161-67pumvst 188 22 Oakland Oakland NNP cord-336161-67pumvst 188 23 , , , cord-336161-67pumvst 188 24 California California NNP cord-336161-67pumvst 188 25 , , , cord-336161-67pumvst 188 26 and and CC cord-336161-67pumvst 188 27 a a DT cord-336161-67pumvst 188 28 fellowship fellowship NN cord-336161-67pumvst 188 29 in in IN cord-336161-67pumvst 188 30 general general JJ cord-336161-67pumvst 188 31 internal internal JJ cord-336161-67pumvst 188 32 medicine medicine NN cord-336161-67pumvst 188 33 at at IN cord-336161-67pumvst 188 34 Harvard Harvard NNP cord-336161-67pumvst 188 35 . . . cord-336161-67pumvst 189 1 He -PRON- PRP cord-336161-67pumvst 189 2 practiced practice VBD cord-336161-67pumvst 189 3 primary primary JJ cord-336161-67pumvst 189 4 care care NN cord-336161-67pumvst 189 5 internal internal JJ cord-336161-67pumvst 189 6 medicine medicine NN cord-336161-67pumvst 189 7 and and CC cord-336161-67pumvst 189 8 served serve VBD cord-336161-67pumvst 189 9 as as IN cord-336161-67pumvst 189 10 the the DT cord-336161-67pumvst 189 11 chief chief NN cord-336161-67pumvst 189 12 of of IN cord-336161-67pumvst 189 13 social social JJ cord-336161-67pumvst 189 14 and and CC cord-336161-67pumvst 189 15 community community NN cord-336161-67pumvst 189 16 medicine medicine NN cord-336161-67pumvst 189 17 at at IN cord-336161-67pumvst 189 18 Cambridge Cambridge NNP cord-336161-67pumvst 189 19 Hospital Hospital NNP cord-336161-67pumvst 189 20 / / SYM cord-336161-67pumvst 189 21 Harvard Harvard NNP cord-336161-67pumvst 189 22 Medical Medical NNP cord-336161-67pumvst 189 23 School School NNP cord-336161-67pumvst 189 24 . . . cord-336161-67pumvst 190 1 He -PRON- PRP cord-336161-67pumvst 190 2 cofounded cofounde VBD cord-336161-67pumvst 190 3 Physicians Physicians NNPS cord-336161-67pumvst 190 4 for for IN cord-336161-67pumvst 190 5 a a DT cord-336161-67pumvst 190 6 National National NNP cord-336161-67pumvst 190 7 Health Health NNP cord-336161-67pumvst 190 8 Program Program NNP cord-336161-67pumvst 190 9 , , , cord-336161-67pumvst 190 10 whose whose WP$ cord-336161-67pumvst 190 11 23,000 23,000 CD cord-336161-67pumvst 190 12 members member NNS cord-336161-67pumvst 190 13 advocate advocate NN cord-336161-67pumvst 190 14 for for IN cord-336161-67pumvst 190 15 nonprofit nonprofit JJ cord-336161-67pumvst 190 16 , , , cord-336161-67pumvst 190 17 singlepayer singlepayer NNP cord-336161-67pumvst 190 18 national national NNP cord-336161-67pumvst 190 19 health health NN cord-336161-67pumvst 190 20 insurance insurance NN cord-336161-67pumvst 190 21 . . . cord-336161-67pumvst 190 22 _SP