For the record, the POINT of tying Medicare funding to self-reported improvements in care is to report how great Obamacare has been at improving care.
Obamacare: show us statistics that demonstrate improved care or we’ll cut your funding.
Hospitals: our care is better and here is paperwork we provide to prove it. Don’t cut our funding.
Obamacare: we’ve improved care.
Media: Healthcare Improves Under Obamacare.
That is the first step, the next is to tell hospitals that they have to treat more of the right people (illegals).