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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 Reports on Advanced Practitioners and Workers’ Comp Outcomes

Initial treatment from nurse practitioners saw a 2.3% shorter time from injury to the first non-emergency service.
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July 28, 2025

Minnesota Publishes Workers’ Comp System Trends Report

The report covers trends from 2003 to 2023, looking at claim frequency and costs, vocational rehab, dispute resolutions, and more.
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July 28, 2025

California Increases Advisory Pure Premium Rate

An 8.7% increase will take effect on September 1, 2025, slightly below the WCIRB’s suggested 11.2% increase.
Read More →
July 28, 2025

CMS Proposes Update to Physician Fee Schedule

The proposed changes would impact reimbursement rates, telehealth services, and much more.
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July 21, 2025

West Virginia Will Allow Mental Health Nurse Practitioners to Diagnose PTSD

These practitioners must hold a master’s degree and a terminal license within their profession.
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July 21, 2025

Texas DWC Quarterly Insurance Carrier Meeting Highlights

The meeting covered 2024 healthcare costs and utilization, along with incoming regulatory changes.
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July 21, 2025

Michigan Advisory Council Discusses 2026 Ruleset

The meeting covered fee schedule policies impacting physician-dispensed medication, electronic delivery for EOBs, and more.
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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
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 Further resources you may be interested in

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

PTSD Legislation to Make Waves in 2023

Several states have submitted bills to expand presumptions for first responders.
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2023 Workers’ Comp Industry Insight Survey Report

Over 500 stakeholders share their thoughts on industry challenges, priorities, and technologies.
Read More

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.
Read More

CDC Publishes Updated Opioid Guidelines

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

Maryland and Missouri voters pass recreational legalization.
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State of the States

A roundup of regulatory activity around the country
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