Despite years of progress in digital payments, many critical industries continue to rely on outdated, manual systems. Few sectors illustrate the cost of delay more clearly than health care.
According to industry estimates, inefficient payment processes contribute to $18.4 billion in lost savings, driven largely by paper checks, manual reconciliation, and fragmented workflows. Recent action from the White House makes one thing clear: payments modernization is no longer optional.

A Federal Signal That Change Is Urgent
The White House’s executive order, “Modernizing Payments To and From America’s Bank Account,” focuses primarily on federal disbursements and collections. But the message extends well beyond government payments.
The order reflects a broader push toward fully digital, secure, and efficient payment ecosystems, and it sends a strong signal to industries that continue to cling to legacy payment models.
Sectors such as retail and banking have already completed much of this transition. Others—health care among them—have lagged behind, paying the price in slower payments, higher administrative costs, and operational inefficiencies.
Health Care as a Case Study in Payment Delays
Health care offers a clear example of what happens when payment modernization is delayed.
A recent CAQH Index report showed administrative task spending in the industry jumped from $55 million in 2022 to $82.7 million in 2023, highlighting mounting systemic strain. These rising costs come at a time when providers are already dealing with staff burnout, labor shortages, and razor-thin margins.
In such an environment, outdated payment processes only compound existing challenges.
The Hidden Cost of Paper-Based Payments
In fragmented industries like health care, logistics, utilities, and government services, reliance on paper checks remains widespread. That dependence creates multiple risks:
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Delayed reimbursements
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Higher processing and mailing costs
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Increased exposure to fraud, theft, and lost payments
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Limited visibility into payment status
For organizations handling sensitive financial and personal data, these risks are especially concerning. Security and speed are no longer nice-to-haves—they are operational necessities.
How Digital Payments Improve Efficiency
Electronic payment methods, such as ACH, already demonstrate how modernization can improve outcomes.
In health care, ACH payments help streamline workflows, accelerate reimbursements, and improve cash flow predictability. Automating payment and remittance processes can save several minutes per transaction, significantly reducing administrative overhead at scale.
Over time, those incremental savings translate into meaningful cost reductions and better resource allocation.
Why ACH Alone Isn’t Enough
While ACH adoption represents progress, it is only the first step.
Even when ACH options are available at no cost, providers often must manage multiple payer portals, maintain extensive credential lists, and navigate inconsistent payment workflows. These friction points erode many of the efficiency gains digital payments are supposed to deliver.
To unlock the full value of payments modernization, additional investment is required—particularly in workflow automation, unified payment experiences, and transparency tools that make it easier for organizations to receive and reconcile payments.
The Cost of Waiting
The longer industries delay payments modernization, the more inefficiencies become entrenched. Manual processes don’t just slow payments—they divert staff time, increase error rates, and limit scalability.
Modern payment infrastructure is no longer just a technology upgrade. It is a strategic necessity for organizations seeking to reduce costs, improve security, and operate more efficiently in a digital-first economy.
Conclusion
Payments modernization can’t wait. The health care industry shows what’s at stake when legacy systems persist too long—and why transformation is urgent.
As government policy, market expectations, and technology capabilities continue to evolve, organizations that move decisively toward modern, automated payment systems will be better positioned to compete, comply, and serve their stakeholders effectively.

