<prompt> Translate the following text to EnglishKwa ujumla hutoa mfumo wa malipo kwa ajili ya gharama za uendeshaji wa huduma za wagonjwa wa hospitali chini ya Medicare Sehemu A kulingana na viwango vya kuweka prospectively.  <response>: Generally provides for a system of payment for the operating costs of hospital inpatient services under Medicare Part A based on prospectively set rates. 