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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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NCCI Releases Medical Inflation Report

The report the rising cost of physician services, the largest category of medical spending in workers’ comp.
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February 10, 2025

NCCI Publishes Mega Claims Report

Mega claims – with losses over $2 million – represent less than 0.1% of claims, but over 2% of total loss dollars.
Read More →
February 10, 2025

Marijuana Bills in Massachusetts, Nebraska, and South Dakota

Massachusetts is considering reimbursement, Nebraska works on medical use, and South Dakota considers revoking medical use.
Read More →
February 3, 2025

Florida Bills Could Clarify Heart Disease Presumption for First Responders

Statutes from 1965 did not define what constitutes “heart disease” and these new bills would provide definitions that expand the presumption.
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February 3, 2025

Ketamine Therapy Bills in Hawaii, Missouri, & Texas

Hawaii considers partial coverage, Missouri wants stricter guidelines, & Texas proposes a grant program for military and first responders.
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February 3, 2025

WCRI Reports on Changes in The Medical Workforce

The provider shortage increased during the pandemic, but a shift to advanced practitioners saw minimal impacts to claims costs and other metrics.
Read More →
February 3, 2025

Arizona Proposes Employer Pharmacy Network Bill

If passed, employees would be required to use network pharmacies effective December 31, 2025.
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January 27, 2025

Four States Consider Expanding Cancer Presumptions

Connecticut, Hawaii, Mississippi & Nebraska each introduced bills that would create or expand cancer presumptions.
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January 27, 2025

Hawaii Bill Could Cap Nonprescription Drugs Reimbursement

The bill would cap nonprescription, over the counter, and non-legend drug reimbursements at the drug’s cost plus 40%.
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January 27, 2025
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 Further resources you may be interested in

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

Classification Complications: Will Gig Workers Enter the Workers’ Comp Market?

Legislation could reclassify gig workers as employees, which could entitle them to benefits
Read More

The Long Haul: Chronic Health Complications of COVID-19

Those previously infected by coronavirus may face long-term health complications, potentially complicating workers' comp claims
Read More

How Opioid Policy Impacts Opioid Utilization and Disability

A new WCRI report explores the impact recent opioid legislation has had on injured worker care.
Read More

The Early Impact of COVID-19 on Workers’ Comp Claims

Another WCRI report looks at non-COVID-19 claims with injuries in the first two quarters of 2019 and 2020.
Read More

AMA Updates Impairment Rating Guidelines for the First Time Since 2008

Changes center around improving the assessment of mental and behavioral impairment.
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More Recreational Marijuana Legalization, More Positive Workplace Drug Tests

Connecticut legalizes recreational use, and NCCI expects even more states to follow suit.
Read More
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