Pharmacy Search
Vertice Login
Menu
close
Info banner
A significant part of the Healthesystems vision is to create a more integrated experience for our customers

Advocacy & Compliance

Healthesystems’ Advocacy & Compliance experts are essential in the management of pharmacy and ancillary benefits for our clients. By tracking and influencing regulatory activity, our team stays  ahead of evolving trends and identifies opportunities to advocate on behalf of our clients, their injured workers, and the broader industry.

The Advocacy & 
Compliance Team

Monitors and reports on proposed and pending regulatory changes that impact workers' comp, helping shape effective program strategies

Advocates for fair and balanced public policy through proactive engagement with regulators, customers, and other stakeholders throughout the rulemaking lifecycle

Supports operational compliance by providing guidance to internal stakeholders and external partners during the implementation of new regulatory changes

Regulatory Tracking

To track relevant regulatory trends across the nation, access our interactive map.
Go to Map

Regulatory Recap

A weekly e-newsletter informed by our Advocacy & Compliance team to help keep our clients and industry contacts in the know on the latest legislation and policy updates impacting workers' comp. Explore our complete article repository below.

California P&T Committee to Discuss Pharmacy Fee Schedule

The meeting takes place October 16th to discuss the fee schedule and other matters.
Read More →
October 14, 2024

CWCI: Are Migraine Drugs Becoming a New WC Cost Driver?

Drug payments increased eight-fold since 2018.
Read More →
October 14, 2024

Colorado Bans the Physician Dispensing of Gabapentin

As part of new changes to the medical fee schedule, this rule will take effect January 1, 2025.
Read More →
October 14, 2024

Texas Adopts 2025 Fiscal Year Research Agenda

Three topics were selected, but the state may expand the scope of research to accommodate stakeholder suggestions.
Read More →
October 14, 2024

WCIRB Reports on Long-COVID

Approximately 5% of all California COVID-19 claims resulted in long COVID.
Read More →
October 14, 2024

Fair Health Releases New Opioid Tracker Tool

Based on 48 billion commercial healthcare claim records, this tool tracks opioid abuse and dependence.
Read More →
October 7, 2024

California Vetoes Heat Presumption for Farmworkers

Governor Gavin Newsome stated that heat safety enforcement falls under Cal/OSHA, not workers’ comp.
Read More →
October 7, 2024

California Enacts AI Disclaimer Bill and AI Utilization Review Bill

Providers will have final approval of UR decisions when AI is used, and patients must receive notice if AI is used to generate claims communications.
Read More →
October 7, 2024

Delaware Workers’ Comp Trends

A new WCRI report reviews claim costs, medical payments, prescription payments, and more.
Read More →
October 7, 2024
1 2 3 … 5

Subscribe to Regulatory Recap

Get weekly legislation & policy updates straight to your inbox.
regulatory recap newsletter image
hello world!

 Further resources you may be interested in

Additional articles and updates from Healthesystems related to policy shaping workers’ comp.

Sleep Woes: Fatigue in the Workplace

Sleep deprivation and fatigue have far-reaching consequences in the workplace, from poor productivity to injury or death.
Read More

Expert Q&A: Cybersecurity Tactics in Workers’ Compensation

RxInformer editors sat down with Healthesystems’ AVP of Information Security and resident cybersecurity expert, Tony Brown, to discuss how cyber threats affect workers’ comp organizations.
Read More

Drug Pricing Legislation and Its Impact on Workers' Comp

Lawmakers look to regulate the U.S. drug supply chain in ways that could impact workers’ comp pharmacy management.
Read More

High Prices, High Impact: Meet the Drugs Driving Up Claim Costs in Workers’ Comp

High-impact drugs, including topicals and compounds, represent proportionately low utilization compared to opioids or NSAIDs, but they can increase pharmacy spend exponentially on impacted claims.
Read More

State of the Nation

A roundup of regulatory activity around the country
Read More

Congress Urges USPS to Adopt Department of Labor’s Proposed Heat Protections

The push comes after a letter carrier died after working without air conditioning in 95° weather.
Read More
1 2 3 … 38

 Interactive Map

To interact with this map, use the drop-downs to select a topic and type, then click the Display button. You can then roll over and click on individual states for more detailed information. This map represents legislation proposed during the most recent legislative cycle, typically spanning two years in most states. All current regulations are displayed up to present.
The content above is representative of topics Healthesystems proactively monitors and reports on. While not all topics are directly applicable to workers' compensation claims, some may have potential to impact workers' compensation in the future.
Back to Top
lockenvelopephone-handsetmagnifiermenuarrow-rightcross-circle