Find a Pharmacy
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 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.
Subscribe

Michigan Advisory Council Discusses 2026 Ruleset

The meeting covered fee schedule policies impacting physician-dispensed medication, electronic delivery for EOBs, and more.
Read More →
July 21, 2025

California P&T Committee Reviews Topical Analgesics 

The next meeting in October will deliver an expanded formulary list, with a review of the top five to ten exempt drugs based on utilization.
Read More →
July 21, 2025

WCRI Reports on High-Cost Claims with Rotator Cuff Disorders

In rotator cuff claims exceeding $65,000 in costs within 36 months of injury, surgery was present 85% of the time.
Read More →
July 14, 2025

WCRI Publishes Report on Post-Inflation Trends in Medical Payments

From 2021 to 2024, medical payments per claim increased by about 5% per year in most states, rebounding from earlier pandemic-related declines.
Read More →
July 14, 2025

New Jersey May Require Counseling for First Responders After Traumatic Incidents

Up to 12 hours of counseling must be provided by workers’ comp – with up to 24 hours more if a mental health professional finds it necessary.
Read More →
July 14, 2025

Maine Indefinitely Extends PTSD Presumption for First Responders

Set to expire on October 30th, the state’s PTSD presumption no longer faces an expiration date.
Read More →
July 14, 2025

California Proposes Multiple New Presumptions for Hospital Workers

Senate Bill 632 would grant these workers presumptions for musculoskeletal injuries, COVID-19, respiratory disease, cancer, and PTSD.
Read More →
July 14, 2025

California Reports on Independent Medical Reviews (IMRs)

The report reviews 1.57 million IMR decision letters from 2015 through March 2025.
Read More →
July 14, 2025

California P&T Committee Reviews Drug List Changes

The July 16th meeting will review upcoming MTUS changes, which go into effect August 6th.
Read More →
July 14, 2025
1 … 10 11 12 13 14 … 38

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.

Healthesystems at WCI 2024

Adjusters Assemble! Visit Healthe at Booth #921 to learn how we reduce day-to-day burdens for claims professionals.
Read More

Child Labor Laws are Changing: How Could This Impact Workers’ Comp?

An increase in the teen workforce could impact workplace injury and claims management.
Read More

New Jersey Proposes Worker Heat Protections, Continuing Recent Trend

As another state considers protections, WCRI publishes new data on heat’s impact on workplace accidents.
Read More

More States Continue with PTSD Legislation

Oklahoma and Rhode Island enact new presumptions, with Georgia adding extra coverage.
Read More

Maryland and Arizona Enact New Psychedelic Laws

A Maryland taskforce will plan regulation, while Arizona will tentatively cover MDMA treatment for first responders with PTSD.
Read More

Positive Marijuana Screenings Increase – What More to Expect with Rescheduling?

New data from Quest Diagnostics 2024 Drug Testing Index, and industry leaders discuss how rescheduling will impact workers’ comp.
Read More
1 … 10 11 12 13 14 … 47
Back to Top
lockmap-markermagnifiercrossmenuarrow-rightcross-circle