You are an AI assistant tasked with analyzing a passage of text to insert retrieval tokens and identify Prefix-intent (PI) and Key Factual Information (KFI). A Prefix-Intent (PI) should be a piece of text that should precede factual information, it must not be only 1 or 2 words. Key Factual Information (KFI) should be meaningful and include important details.

Your goal is to insert a  <|retrieval|> token after it is clear what the intent of the text is (e.g., "The president of the USA is"), but  before the key factual information is stated (e.g., "Joe Biden"). Whenever there is a <|retrieval|> token, we will retrieve the key factual information.

Here is the passage you will be working with:

<passage>
found that residents of Kentucky and Arkansas, which both expanded Medicaid, were more likely to receive health care services and less likely to incur emergency room costs or have trouble paying their medical bills. Residents of Texas, which did not accept the Medicaid expansion, did not see a similar improvement during the same period. Kentucky opted for increased managed care, while Arkansas subsidized private insurance. Later Arkansas and Kentucky governors proposed reducing or modifying their programs. From 2013 to 2015, the uninsured rate dropped from 42% to 14% in Arkansas and from 40% to 9% in Kentucky, compared with 39% to 32% in Texas. A 2016 DHHS study found that states that expanded Medicaid had lower premiums on exchange policies, because they had fewer low-income enrollees, whose health on average is worse than that of those with higher income. The Census Bureau reported in September 2019 that states that expanded Medicaid under PPACA had considerably lower uninsured rates than states that did not. For example, for adults between 100% and 399% of poverty level, the uninsured rate in 2018 was 12.7% in expansion states and 21.2% in non-expansion states. Of the 14 states with uninsured rates of 10% or greater, 11 had not expanded Medicaid. A July 2019 study by the National Bureau of Economic Research (NBER) indicated that states enacting Medicaid expansion exhibited statistically significant reductions in mortality rates. For example, the authors estimated that 19,200 adults would have died in expansion states if they had not been able to enroll in Medicaid over the four-year period from 2014 to 2017. Conversely, 15,600 older adults died prematurely in the states that did not enact Medicaid expansion in those years according to the NBER research. Insurance costs National health care expenditures rose faster than national income both before (2009-2013: 3.73%) and after (2014-2018: 4.82%) PPACA's major provisions took effect. Premium prices rose considerably before and after. For example, a study published in 2016 found that the average requested 2017 premium increase among 40-year-old non-smokers was about 9 percent, according to an analysis of 17 cities, although Blue Cross Blue Shield proposed increases of 40 percent in Alabama and 60 percent in Texas. However, some or all of these costs were offset by tax credits. For example, the Kaiser Foundation reported that for the second-lowest cost "Silver plan", a 40-year old non-smoker making $30,000 per year would pay effectively the same amount in 2017 as they did in 2016 (about $208/month) after the tax credit, despite a large increase in the list price. This was consistent nationally. In other words, the subsidies increased along with the premium price, fully offsetting the increases for subsidy-eligible enrollees. Premium cost increases in the employer market moderated after 2009. For example, healthcare premiums for those covered by employers rose by 69% from 2000 to 2005, but only 27% from 2010 to 2015, with only a 3% increase from 2015 to 2016. From 2008 to 2010 (before passage of PPACA) health insurance premiums rose by an average of 10% per year. Several studies found that the financial crisis and accompanying recession could not account for the entirety of the slowdown and that structural changes likely shared at least partial credit. A 2013 study estimated that changes to the health system had been responsible for about a quarter of the recent reduction in inflation. Paul Krawzak claimed that even if cost controls succeed in reducing the amount spent on healthcare, such efforts on their own may be insufficient to outweigh the long-term burden placed by demographic changes, particularly the growth of the population on Medicare. In a
</passage>

Follow these steps to complete the task:

1. Inserting retrieval tokens:
   a. Read through the text carefully.
   b. Identify potential Prefix-Intent (PI) sections that consist of a single intent and could serve as a search query. You must not modify the prefix intent and it MUST be part verbatim in the passage. It cannot be single or only a few words.
   c. For each identified PI, evaluate if the following sentence/subsentece that could serve as Key Factual Information (KFI).
   d. Insert <|retrieval|> tokens into the text AFTER the Prefix Intent (PI) and BEFORE key factual information is stated (KFI).
   e. Key Factual information should not intersect with Prefix Intent.

2. Identifying Prefix-Intent (PI) and Key Factual Information (KFI):
   a. For each <|retrieval|> token you've inserted, identify the preceding text as the Prefix-Intent (PI).
   b. Identify the following text, up to the next PI, as the Key Factual Information (KFI).
   c. Ensure that both PI and FI are short subsentences or phrases but not 1 or 2 words.

3. Insert <|start-PI|>,<|end-PI|>, <|start-KFI|>, <|end-KFI|>.
   a. For each identified Prefix Intent (PI), add a start and end special tokens (<|start-PI|>,<|end-PI|>) to quickly identify them.
   b. Do the same for the Key Factual Information (KFI) (<|start-KFI|>, <|end-KFI|>)
   c. Ensure that the very first PI in the passage is preceded by <|start-PI|>.
   d. Double-check that every PI and KFI is properly enclosed in these tags.

4. Describing ideal retrieved information:
   a. Given the Prefix-Intent (PI) and Key Factual Information (KFI), imagine an ideal retriever and enormous corpus. 
   b. Using the retriever and corpus, imagine that you can retrieve information given the Prefix-Intent.  
   c. Describe how that content should look like so it helps generating the Key Factual Information (KFI)


5. Reformulate the Prefix Intent if necessary: Reformulate it to not be impersonal. This means that if the subject it is not identified (e.g. it, he, she) you need to add the appropriate subject so the prefix-intent can be understood by itself. The subject should be changed from the previous information in the passage. Reformulated Prefix should not add any extra information or intent that is not mentioned in the original Prefix Intent.


6. Output format:
   For each pair of Prefix-Intent (PI) and Key Factual Information (KFI) you identify, provide the following output separating each example in a JSON list output. Ensure that it is actually a JSON.

   - Prefix_intent: [Write the Prefix Intent here]
   - Prefix_reformulated: [Write the Prefix Intent reformulated]
   - Key_Factual_Information: [Write the Key Factual Information here]
   - Verification: [Confirm that the KFI can be directly derived from the PI given a strictly connected context]
   - Ideal_Knowledge: [Describe how the ideal retrieved content should look to generate the KFI]
   - Explanation: [Briefly explain how the PI and KFI connect and why you chose to insert the <|retrieval|> token in that position]


7. Final step:
   After you have completed the analysis and provided outputs for all identified PI-KFI pairs, present the original passage with the <|retrieval|> tokens inserted in their appropriate positions

Here's an example of the expected output format:

Passage: Girmal Falls General This waterfall extends to a height of up to 100 feet, making it the highest waterfall of Gujarat. The picturesque beauty of this site makes it popular among visitors and people of the region alike. The water swiftly falls from a great height, creating a fog like condition that’s eye catching. The government of this state is working on many projects to make this place an ideal picnic spot and a tourist attraction. The fall comes to its best form at the time of monsoon and provides an immensely striking appearance. Some of the best natural features of Gujarat can be explored in this place. This place is a nice and refreshing retreat for any traveler.

```json
{ "results" : [
  {
    "Prefix_intent": "Girmal Falls General This waterfall extends to a height of up to",
    "Prefix_reformulated": "What is the height of Girmal Falls?",
    "Key_Factual_Information": "100 feet, making it the highest waterfall of Gujarat",
    "Verification": "The KFI directly provides the height information requested in the PI.",
    "Ideal_Knowledge": "A list of waterfalls in Gujarat, India, with their heights and rankings, specifically mentioning Girmal Falls as the highest at 100 feet.",
    "Explanation": "The PI introduces Girmal Falls and sets up a query about its height, while the KFI provides the specific measurement and its significance. The <|retrieval|> token is inserted to indicate where additional information might be needed to support the factual statement."
  },
  {
    "Prefix_intent": "The water swiftly falls from a great height, creating",
    "Prefix_reformulated": "What does the water falling from Girmal Falls create?",
    "Key_Factual_Information": "a fog like condition that's eye catching",
    "Verification": "The KFI directly describes the effect created by the falling water, as prompted by the PI.",
    "Ideal_Knowledge": "Detailed descriptions of the visual effects created by high waterfalls, including the formation of mist or fog-like conditions due to water droplets in the air.",
    "Explanation": "The PI describes the water falling and sets up a query about its effect, while the KFI provides the specific visual phenomenon created. The <|retrieval|> token is inserted to indicate where additional information might be needed to support the description."
  },
  {
    "Prefix_intent": "The fall comes to its best form at the time of",
    "Prefix_reformulated": "When does Girmal Falls come to its best form?",
    "Key_Factual_Information": "monsoon and provides an immensely striking appearance",
    "Verification": "The KFI directly answers when the waterfall is at its best and describes its appearance, as prompted by the PI.",
    "Ideal_Knowledge": "Information on the seasonal variations of Girmal Falls, highlighting the monsoon season's impact on water flow and visual appeal.",
    "Explanation": "The PI sets up a query about the best time to view the falls, and the KFI provides the specific season and describes the appearance. The <|retrieval|> token is inserted to indicate where additional information about seasonal changes might be needed."
  }],
"Updated_Passage":"<|start-PI|> Girmal Falls General This waterfall extends to a height of up to <|end-PI|> <|retrieval|> <|start-KFI|> 100 feet, making it the highest waterfall of Gujarat <|end-KFI|>. The picturesque beauty of this site makes it popular among visitors and people of the region alike. <|start-PI|> The water swiftly falls from a great height, creating <|end-PI|> <|retrieval|> <|start-KFI|> a fog like condition that’s eye catching <|end-KFI|>. The government of this state is working on many projects to make this place an ideal picnic spot and a tourist attraction. <|start-PI|> The fall comes to its best form at the time of <|end-PI|> <|retrieval|> <|start-KFI|> monsoon and provides an immensely striking appearance <|end-KFI|>. Some of the best natural features of Gujarat can be explored in this place. This place is a nice and refreshing retreat for any traveler."
}

```
8. Final check:
  a. Review the Updated_Passage to ensure all PIs and KFIs are properly tagged.
  b. Verify that the first PI in the passage starts with <|start-PI|>.
  c. Make sure there are no missing or misplaced tags.
 
Remember to analyze the entire passage, identify all relevant PI-KFI pairs, and provide the output for each pair as specified. After completing the analysis, present the original passage with the <|retrieval|> tokens inserted in their appropriate positions as part of a new key in the JSON file. Only Ouput the JSON File.