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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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California Considers Updates to Billing Disputes Over Contracted Discounts

These disputes would qualify for independent bill review, and contracts must be presented when justifying payments below fee schedule.
Read More →
April 7, 2025

WCRI Publishes Study on Degenerative and Comorbid Conditions

Approximately 38.8% of claims had one or more comorbidities, based on an analysis of 930,000 claims with at least 7 days lost time across 32 states.
Read More →
April 7, 2025

West Virginia May Allow Mental Health Nurse Practitioners to Diagnose PTSD

Mental health nurse practitioners must hold a master’s degree and a terminal license within their profession.
Read More →
March 31, 2025

Nevada Considers Update to Requirements for Provider Panels

The third such bill proposing updates, Assembly Bill 469 would divide the state into three geographic regions for the purpose of creating lists of physicians.
Read More →
March 31, 2025

Maryland Takes No Action on Drug Pricing Reform

A hearing from the Committee on Economic Matters saw back and forth discussion but yielded no progress.
Read More →
March 31, 2025

Louisiana Proposes Updates to Workers’ Comp Rates

The medical fee schedule would align reimbursement rates with those of similar neighboring states.
Read More →
March 31, 2025

California Pushes for Transparency in Workers’ Comp Contracts

Key provisions address billing disputes over contractual discounts.
Read More →
March 31, 2025

Child Labor bills in Florida, Maine, and West Virginia

These bills would expand working hours 14–17-year-olds, potentially impacting the workforce.
Read More →
March 31, 2025

Psilocybin Bills in Colorado and New Mexico Reach Governors with Majority Approval

Both bills passed their respective House and Senate chambers with the two-thirds majority needed to override a potential veto.
Read More →
March 24, 2025
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 Further resources you may be interested in

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

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.
Read More

More Recreational Marijuana Legalization, More Positive Workplace Drug Tests

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

Interstate Variation and Trends in Workers’ Comp Drug Payments

A new flash report from the WCRI highlights trends in drug utilization.
Read More
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