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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.

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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.

Access to Care Advocacy Opportunity Cost Containment

Maryland Provides Update on Prescription Fee Guide

The Medical Fee Guide Committee also discussed PPO practices, psychiatric IMEs, and more.

October 27, 2025

Advocacy Opportunity

Texas: Key Updates from Quarterly Carrier Meeting

Findings from a gabapentin/pregabalin audit are expected in early 2026, the DWC addressed billing discrepancies, and more.

October 27, 2025

Access to Care Advocacy Opportunity Treatment Guidelines

Colorado Discusses Exclusions from Treating Provider List

Stakeholders provided feedback on the DWC’s proposed rules.

October 27, 2025

Educational Webinar: The Impact of California’s Heat Standard on Workers’ Comp

The 30-minute webinar will take place October 30th at 2:00 PM ET, highlighting findings from their recent report.

October 20, 2025

Claim Costs Industry Data

WCRI Publishes 2025 Medical Benchmarks

Using data representing 60% of workers’ comp benefits nationwide, these reports examine trends in payments, prices, and utilization.

October 20, 2025

Marijuana Psychedelics

California Enacts Bill to Expedite Research for Schedule I And Schedule II Drugs

Certain members of the Research Advisory Panel of California may conduct expedited reviews and approvals of research applications.

October 20, 2025

Advocacy Opportunity Billing & Payments

Texas Accepting Public Comments on Proposed Billing and Processing Rule Repeals

Written comments will be accepted via email until November 10th.

October 20, 2025

Advocacy Opportunity Cost Containment

Massachusetts Recap: Updates From the Fee Schedule Stakeholder Input Session

Fee schedule rates haven’t changed since 2009, and the low rates have discouraged provider participation.

October 20, 2025

Access to Care Advocacy Opportunity Claims Procedures

Colorado Clarifies Provider List Sharing Rules For 2028 Reforms

While injured workers can choose any Level I or II provider from the DWC’s panel, employers and insurers may still share preferred or in-house lists.

October 20, 2025

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Further resources you may be interested in

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

Texas Considers Making Infertility an Occupational Illness for First Responders

A proposed bill would apply to male and female reproductive systems for firefighters and EMTs.

The Most Engaging RxInformer Articles from 2024

We checked the stats and reviewed our readers’ favorite articles from RxInformer magazine to bring you a list of our most engaging content from 2024.

Think Globally, Act Locally: Advocating for Administrative Simplification

Collaboration between national and regionally based stakeholders is one way to work towards improving the workers’ compensation system.

Minnesota Invites the Public to Complete a PTSD Survey

As part of a legislative-mandated study on work-related PTSD, the survey could influence regulator objectives for 2025.

Could Psychedelic Injections Help with Mental Illness While Avoiding Hallucinogenic Effects?

A recent study involving the compound DOI showed promising results in mice.

New York Allows Physical and Occupational Therapy Assistants to Treat Injured Workers

These assistants must be under the supervision of a board-authorized provider.

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Workers' Comp Property and Casualty PBM
Expires 01/01/2028