ICD10monitor January 26, 2026
Penny Jefferson, MSN, RN, CCDS, CCDS-O, CCS, CDIP, CRC, CHDA, CRCR, CPHQ, ACPA-C

In January 2026, the White House released a fact sheet announcing a call by Donald J. Trump for Congress to enact the “Great Healthcare Plan.” The proposal outlines broad policy goals related to insurer accountability, public visibility into denial activity, expanded price transparency, and increased patient exposure to cost.

For hospitals, the importance of this announcement lies less in legislative timing and more in the operational direction it reinforces. Policy signals often influence payer behavior well before statutory changes occur, and many organizations have already observed similar shifts through revised payer correspondence, updated review criteria, and tighter documentation expectations. This proposal reinforces trends hospitals recognize, including closer scrutiny of clinical decisions, greater reliance on automated review, and continued movement of...

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