; and (C) pays the hospital the amount so collected under the arrangement less a fee that does not exceed 15 percent of the amount so collected. (c) Payment incentive The demonstration program shall provide that a hospital that participates in such a third-party interest free payment arrangement under the program and demonstrates improved patient engagement and satisfaction, improved health outcomes, and a reduction in the number of claims for Medicare hospital part A bad debt that are reported to the Secretary is paid an amount equal to 10 percent of the original amount owed in Medicare part A cost-sharing that is collected under the arrangement. Such amount shall be paid from funds appropriated (under subsection (f)(1) of section 1115A of the Social Security Act ( 42 U.S.C. 1315a )) for activities to carry out such section. (d) Report to Congress After the completion of the demonstration program, the Secretary shall submit a report on the demonstration program to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate. The report shall include an analysis of whether the demonstration program reduced the number and amount of Medicare hospital part A bad debt claims and if there were improved health outcomes for Medicare beneficiaries who did not forgo medical care due to their inability to pay for Medicare part A cost-sharing. (e) Other definitions In this section: (1) Medicare part A cost-sharing The term Medicare part A cost-sharing means, with respect to a hospital, amounts owed to the hospital that are derived from deductibles and coinsurance imposed under part A of title XVIII of the Social Security Act ( 42 U.S.C. 1395c et seq.). (2) Medicare hospital part A bad debt The term Medicare hospital part A bad debt means bad debt of a hospital that is attributable to the inability of the hospital to collect Medicare part A cost-sharing, taking into account collections made under third-party interest-free payment arrangements made under the demonstration program.