Federal Action Taken on Healthcare Financing, Payments

MEDLEARN MEDIA HIPWEEK PUBLISHER’S LETTER

Recently, the Trump Administration took two decisive actions that indicate it is moving on from the past, both in terms of how it spends its money and how it sends its money to you.  

First up, the Trump Administration made headlines for rescinding $12 billionin COVID-era funding to states, cities, and organizations from the Centers for Disease Control and Prevention (CDC) and the Substance Abuse and Mental Health Services Administration (SAMHSA).

A U.S. Department of Health and Human Services (HHS) statement on the matter said that the pandemic is over, and “HHS will no longer waste billions of taxpayer dollars responding to a non-existent pandemic that Americans moved on from years ago.” It noted that the agency will focus on chronic diseases moving forward.

State health officials across the country were immediately concerned, as the funds were terminated the same day the notices went out. It was reported that health departments, which are labeled as chronically underfunded, quickly prepared to lay off dozens of epidemiologists and data scientists, and that thousands of health department employees could ultimately lose their jobs. While the funds were originally intended for COVID testing and vaccination, the allowable uses were expanded last year, and the money was reportedly now being used for things like tracking infectious diseases, mental health services, updating antiquated health software systems, and long COVID research.

Several governors have released statements about the announced cuts. Connecticut’s governor wrote that he is “urging the Trump Administration to reverse this rash and impulsive decision,” while New York Governor Hochul promised to “fight tooth and nail.” And indeed, a coalition of 23 Attorney Generals sued in federal court in Rhode Island alleging that the government did not provide a “rational basis” for the cuts.

While GOP governors have been generally more quiet on the cuts, New Hampshire’s GOP governor reported that when she spoke to the Administration to ask them to reconsider, she was told the decision was permanent.

Second, President Trump issued an Executive Order on payment modernization last week that will change the way the government does business. The order mandates that the government will cease issuing any paper checks for all of its disbursements, including benefits, vendor payments, and tax refunds. It requires all agencies to transition to modern EFT methods to disburse these funds, such as direct deposit, credit cards, and real-time transfers.

It does maintain some exceptions for the 4 percent of Americans without banking access, certain emergency payments, and special cases, but it also promises a public awareness campaign that will assist people in figuring out how to access digital payments from the government.

This is in service of the President’s crackdown on what he labels “waste, fraud, and abuse in government.” The Order’s Fact Sheet highlights how checks impose unnecessary delays in payment and additional costs to taxpayers to maintain the necessary infrastructure for sending checks, and increases the risk of fraud and mail theft. This Order could certainly have been influenced by the FBI’s report in late January that mail theft-related check fraud has doubled just since 2021. 

Upon signing the Order, Pres. Trump stated that this was something that should have been done 30 years ago – and that the government really needs to catch up with the technology revolution going on.

It appears the Trump Administration’s focus here is onward and upward from the events and methods of years prior, especially when it comes to what it calls “America’s Bank Account.”

Facebook
Twitter
LinkedIn

Cate Brantley, JD

Cate Brantley is a Senior Government Affairs Liaison for Zelis. She has over 9 years of experience in both the public and private sector. Cate is licensed to practice law in the state of Oklahoma.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.

December 3, 2025

Proactive Denial Management: Data-Driven Strategies to Prevent Revenue Loss

Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.

November 25, 2025
Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.

September 24, 2025

Trending News

Featured Webcasts

Surviving Federal Audits for Inpatient Rehab Facility Services

Surviving Federal Audits for Inpatient Rehab Facility Services

Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.

November 13, 2025
E/M Services Under Intensive Federal Scrutiny: Navigating Split/Shared, Incident-to & Critical Care Compliance in 2025-2026

E/M Services Under Intensive Federal Scrutiny: Navigating Split/Shared, Incident-to & Critical Care Compliance in 2025-2026

During this essential RACmonitor webcast Michael Calahan, PA, MBA Certified Compliance Officer, will clarify the rules, dispel common misconceptions, and equip you with practical strategies to code, document, and bill high-risk split/shared, incident-to & critical care E/M services with confidence. Don’t let audit risks or revenue losses catch your organization off guard — learn exactly what federal auditors are looking for and how to ensure your documentation and reporting stand up to scrutiny.

August 26, 2025

Trending News

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24