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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.

Nevada Could Expand Insurers’ Panels of Treating Providers

Insurers would be required to maintain a panel of at least 12 providers per medical specialty, with various stipulations for provider choice.

March 17, 2025

Treatment Guidelines

Texas Proposes Expansions to Physician Dispensing

Two bills would allow physicians to dispense “dangerous drugs” directly to injured workers in rural areas.

March 17, 2025

Cost Containment

Arizona Medical Fee Schedule Bill Passes Senate

The fee schedule would apply to medical care, dental care, and supplies received by injured employees.

March 10, 2025

California Proposes Statewide Network to Address Provider Shortage

Injured workers could utilize this network if their employer’s network cannot provide treatment within 30 days.

March 10, 2025

Advocacy Opportunity Cost Containment

Florida Announces Public Meeting to Discuss Reimbursement Manual

The virtual meeting will take place April 1, 2025 at 10:00 AM to discuss outstanding issues related to the Health Care Provider Manual.

March 10, 2025

Claim Costs Industry Data

Florida Publishes Annual Workers’ Comp Report

While pharmacy payments are dropping, physician dispensing remains high.

March 10, 2025

Iowa Could Allow Primary Care Providers to Treat Workplace Injuries

Employers would be required to inform workers of their right to designate their primary care provider as the physician for their workplace injury.

March 10, 2025

New York Continues Efforts to Expand Access to Providers

Governor Hochul reiterates proposals made in her budget bill, with additional efforts to align fee schedules with Medicare automatic updates.

March 10, 2025

Mental Health Presumptions

California Considers PTSD and COVID Presumptions for Hospital Workers

The bill would apply to hospital workers who provide direct patient care in an acute care hospital.

March 3, 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 Division of Workers’ Compensation Publishes Biennial Report to Legislature

This report contains a high level report on the status of the Texas workers’ comp system.

CDC Publishes Updated Opioid Guidelines

An update to the 2016 guidelines has been issued, promoting greater flexibility for individualized patient-centered care.

Midterm Marijuana Legalization

Maryland and Missouri voters pass recreational legalization.

State of the States

A roundup of regulatory activity around the country

Federal Bill Could Settle Worker Classification Debate for Gig Workers

If enacted, this bill would create an exemption where gig workers do not receive employee benefits.

There Is No “Set it and Forget It” Amid Prescription Drug Trends

As opioid prescribing continues to decline, more nuanced and population-specific drug trends emerge as cost drivers.

« Previous 1 … 17 18 19 20 21 … 46 Next »

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