Susan Collins actually said...

"Those are terrible cases, because not only is there unnecessary suffering, but there is greater expense to the system in the long run."

"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."