ICD10monitor September 8, 2025
Tiffany Ferguson, LMSW, CMAC, ACM

For this fall fashion season, the social determinants of health (SDoH) are out, and nutrition and well-being are in! Yet the parameters are not yet defined.

Arguably the most notable change in the Inpatient Prospective Payment System (IPPS) Final Rule for the 2026 fiscal year (FY) was the Centers for Medicare & Medicaid Services’ (CMS’s) decision to remove health equity as a pay-for-performance domain. This means that beginning at the end of this year, hospitals will no longer be required to conduct or submit data from the standardized five SDoH screening questions covering housing stability, utilities, personal safety, transportation, and food insecurity.

While the removal of federal reporting requirements reduces administrative burden, it simultaneously creates a new ethical dilemma for...

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