H.R. 1, known as the One Big Beautiful Bill Act (OBBBA), is set to reshape hospital finances by cutting an estimated $840 billion from Medicaid and Patient Protection and Affordable Care Act (PPACA) funding. As hospitals absorb these losses, many are tightening budgets, reducing staff, and facing renewed labor tensions.

For the first time, clinical documentation integrity (CDI) teams are part of this unionized landscape, connecting frontline workforce issues directly to reimbursement and data accuracy. When strikes or slowdowns occur, they can disrupt queries, coding, and claims, creating both financial and compliance risks. Together, these forces reveal how economic and workforce realities are now intertwined across every level of healthcare.

Reporting the lead story during the next live edition of Talk Ten Tuesdays, the popular Internet broadcast produced by ICD10monitor, will be Penny Jefferson, CDI Manager for UC Davis Health.

The broadcast will also feature these instantly recognizable panelists, who will report more news during their segments:

• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest CDI updates.
• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.
• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.
• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.