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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 Recap

A weekly e-newsletter informed by the Advocacy & Compliance team to help keep our clients and industry contacts in the know on the latest legislation and policy updates impacting workers’ comp.
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WCRI Publishes 25th Edition of CompScope Medical Benchmarks

The reports analyze trends in payments, prices, and medical care utilization across 17 states from 2017-2022.
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October 21, 2024

California P&T Meeting Reviews Pharmacy Fee Schedule and Formulary Updates

Public comments for the proposed changes to the fee schedule will be accepted until October 23rd.
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October 21, 2024

WCIRB Reports on Long-COVID

Approximately 5% of all California COVID-19 claims resulted in long COVID.
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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.
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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

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

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

California P&T Committee to Discuss Pharmacy Fee Schedule

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

Texas DWC Posts 2024 Network Report Card Results

The report analyzed 10 networks with 205,716 injured employees and 197,365 non-network claims, covering injuries from June 1, 2021, to May 31, 2023.
Read More →
October 7, 2024

Pennsylvania Workers’ Comp Trends

Key highlights from a WCRI webinar include prescription payment trends, with notable attention on dermatological agents.
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October 7, 2024
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 Further resources you may be interested in

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

By the Numbers

A collection of workers' compensation facts and figures
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Future Opioids and the Injured Worker: Why “SAFER” is a Relative Term

More than ever these statistics crystalize the need to explore and develop alternative chronic pain therapies
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Under the Influence: Impacting Opioid Prescribing Behaviors

Analyzing opioid prescribing trends associated with different medical specialties.
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How Off-Label Prescribing Drives a Claim Off Course

Off-label prescribing, or the prescribing of drug therapies outside their approved use, occurs commonly with certain medications in workers’ comp
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Bridging the Gap Between Opioid Policy and Prescribing

State and federal governments have taken legislative action to reduce the harm caused by the opioid epidemic
Read More
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