Table A4.

Composition of the committee

Level	Quotations
Macro	“… different professions and different disciplines view the exact same set of numbers and draw entirely different conclusions from them …”
	“[committee] brings together a good mix of people in term so their background …”
	“…one of the values of the committee is that there is various different perspectives …”
	“… there are so many clinicians […] so much clinical experience relative to economic experience on the committees …”
	“… it's a breath of fresh air to sit in that committee and have people legitimately debate the goodness and the appropriateness of a decision, that's a rare event […] (follows discussion of disconnect between physicians, administrators, industry interests)”
Meso	“I think our committee was actually quite effective […] we has some growing pains in the front end […] getting used to one another […] pick up on people's biases very quickly …”
	“Asked about committee: I think it's a fair process, it's been consistent across different evaluations we've done, and I don't think it could be done any differently given the information we were provided with.”
	“It's helpful to have an economic expert actually present the information, so that you can actually have a clearer understanding of what those terms mean.”
	“… having somebody interpret the data that is not vested with the actual industry is helpful …”
	“… it's useful to have somebody like [health economist] and there is one other member of our panel who has a fair amount of economic background […] because left on your own, without having an economics background, it's complex to understand …”
	“That's why we rely on people like (the health economist) and some of our national review committees, on the health economists there, to let us know does this make sense?”
Micro	“… there are so many clinicians […] so much clinical experience relative to economic experience on the committees …”
	“I'm not skilled like the other committee members.”