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A significant part of the Healthesystems vision is to create a more integrated experience for our customers
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A significant part of the Healthesystems vision is to create a more integrated experience for our customers

Transforming the workers’ compensation pharmacy and ancillary benefits management experience

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4 Ways PBMs Can Improve the Workers’ Comp Experience

PBMs can reduce burden for payers, provide intuitive claims tools, deliver effective customer support, and engage injured workers.
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rxinformer

Concerning Counsel: A Look at Litigation in Workers’ Comp

Understanding the characteristics and trends of litigation claims, as well as tips to reduce them.
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INDUSTRY SURVEY

2025 Industry Survey Report

This seventh annual survey report highlights the top challenges and priorities of 500 industry professionals.
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FDA Approves New Oral GLP-1 Tablets, Foundayo, for Treatment of Obesity

The once-daily tablet starts at an 0.8 mg dosage, which is then steadily increased at 30-day intervals, based on treatment response and tolerability.

Apr 2026

In the Long Run: How Long COVID Impacts Workers’ Comp

While severe cases are less common, they greatly impact costs, recovery, and return to work.

Apr 2026

Pennsylvania Proposes Reimbursement Caps for Compounds and Topicals

The bill would create a $400, 30-day supply cap for compound drugs.

Apr 2026

New Jersey Proposes Marijuana Reimbursement in Workers’ Comp and Group Health

Companion bills S3984 and A1023 would require health insurance coverage for the medical use of cannabis under certain circumstances.

Apr 2026

American Medical Association Reports on Increased Physician Use of AI

From a poll of 1,692 physicians, over 80% used AI in some context – twice the percent noted in 2023.

Apr 2026

AI and the Adjuster: Driving Efficiency Without Losing the Human Touch

Mike Theis, AVP of Product and Analytics, joins other industry experts featured in Risk and Insurance’s latest article on how AI can reduce clutter to allow for a more human touch.

Apr 2026

6 Degenerative Conditions Impacting Injured Workers

With the workforce growing older, degenerative conditions may have a growing impact on claims. Here are six common conditions that injured workers face.

Apr 2026

Wear and Tear: A Breakdown of Degenerative Comorbid Conditions

With the workforce growing older, degenerative conditions may have a growing impact on claims.

Mar 2026

Florida Appeals Court Rules in Favor of Carriers and Employers on Physician-Dispensed Drugs

While injured workers have an absolute choice over their pharmacist, physicians are not considered pharmacists and therefore not entitled to reimbursement.

Mar 2026

WCRI Publishes National Repository on Prescription Drug Regulations

While the report addresses multiple topics, a significant focus was given to the expanding role of pharmacists as a healthcare provider.

Mar 2026

Expert Q&A: What Utah’s AI Prescription Renewal Pilot Signals About the Evolving Role of AI in Treatment Decisions

Utah’s prescription renewal pilot is a groundbreaking use case for AI in healthcare. What are the potential benefits and pitfalls?

Mar 2026

NCCI Reports on Interstate Variation in Pain Management Trends

While opioid utilization has decreased, overall spending on pain management has increased, in part due to the use of high-cost topical medications.

Mar 2026

Inside Medical Experience: Signals, Trends, and System Impact

Healthe’s VP of Industry and State Affairs, Sandy Shtab, joins a panel presentation at the Pennsylvania/Delawaare 2026 Workers’ Compensation Symposium.

Mar 2026

Eighth Annual Industry Insights Survey Reveals Focus on Injured Worker Engagement

Explore the top five major findings from this year’s Workers’ Comp Industry Insights Survey.

Mar 2026

Expert Q&A: What Utah’s AI Prescription Renewal Pilot Signals About the Evolving Role of AI in Treatment Decisions

Utah’s prescription renewal pilot is a groundbreaking use case for AI in healthcare. What are the potential benefits and pitfalls?

Feb 2026

The Cost of Exposure: How Occupational Cancer Impacts Workers’ Compensation

The risk and impact of occupational cancers vary significantly depending on the nature of the exposure and the affected workforce.

Feb 2026

Utah Launches AI Prescription Renewal Pilot Program for Chronic Conditions

The pilot can approve a limited set of 192 medications and will be broken into three stages, each with different levels of review.

Feb 2026

Department of Justice Charges Zynex Executives with Health Care Fraud

The medical device supplier is charged with fraudulently submitting millions of dollars in billing for devices that were not necessary, covered, or agreed to by patients.

Feb 2026

States Seek to Limit AI-Generated Care Decisions, Despite White House Order

Legislators continue to introduce bills to limit AI-generated healthcare decisions, even as the U.S. Attorney General has been instructed to oppose them.

Feb 2026

New RAND Report Explores Psychedelics and Microdosing

Approximately 11 million adults used psilocybin in the last year, with an estimated 10 million adults microdosing with a psychedelic.

Feb 2026

WCRI Reports on Trends in Joint Replacement Surgery

Using data from 2 million claims across 32 states, the study found that the prevalence of these surgeries increased, driven by shoulder joint replacements.

Feb 2026

3 Ways Long COVID Impacts Workers’ Comp Claims

While cases may be few, long COVID can significantly impact workers’ comp claims in several ways.

Feb 2026

The New Weight Loss Pill: What You Need to Know

The FDA has approved the first oral version of a GLP-1 for the treatment of obesity. What do you need to know about safety, efficacy, and cost?

Feb 2026

FDA Approves Oral Tablet Formulation of Wegovy

This approval marks the arrival of the first oral GLP-1 semaglutide drug.

Jan 2026

Creeping Costs: The Rise of Mega Claims in Workers’ Compensation

A small percentage of claims drive the majority of costs in workers’ comp. How can mega claims be mitigated?

Jan 2026

White House Issues Executive Order to Reschedule Marijuana

Rescheduling marijuana to Schedule III will allow for greater clinical research, possible FDA-approved drugs, and more.

Jan 2026

States Consider Expanding Presumptions

So far in 2026, eight states and counting are seeking to expand existing presumptions or create new presumptions.

Jan 2026

Could AI-Designed Drugs Impact Regulatory Frameworks?

While AI can be effective in some elements of drug design, AI models currently struggle to explain their decision making, a key component of drug review.

Jan 2026

Preliminary Findings from the 2026 Workers’ Comp Industry Insights Survey Report

Risk & Insurance® magazine published high-level findings from the eighth annual survey, in collaboration with Healthesystems.

Jan 2026

Year in Review: What Made the Biggest Impacts in Workers’ Comp Claims Management in 2025?

From claims complexity to mental health, here’s what impacted workers’ comp claims management last year.

Jan 2026

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