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Other commenters did not support our proposal, as the term “upstream drivers” is not as widely used in healthcare or coding contexts as the terms “social determinants of health” or “social drivers of health.” The commenters thought that this language change may create ambiguity or disruption in documentation, billing, data collection, reporting, and care planning

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A supervised protocol also screens for the contraindications that matter, tracks response, and stops treatment if the risk outweighs the benefit