Susan Collins actually said...

"to expect a beneficiary to understand whether or not they have been in a hospital bed as an inpatient versus in observation status is just absurd."

"What we really need to do with the Medicare program to reduce improper payments, whether it is fraud or mistakes, is to have better controls up front and more collaboration with stakeholders up front ..."

"A very logical assumption to make."

"It is clear that they are producing unintended consequences because of the way the incentive structure is set up."