Susan Collins actually said...

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

"I just cannot imagine anyone who is ill and has been put into a hospital bed making a distinction or even realizing there is a distinction between being in inpatient status or in observation status."

"I appreciate you calling this hearing to highlight the increasing use of hospital observation stays and the financial implications for Medicare patients and their families."

"Thank you very much for your testimony."