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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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Pennsylvania Proposes Workplace Heat Protection Bill

The bill would require mandatory training on heat-related risks, emergency response planning, paid rest breaks and access to shade, and more.
Read More →
September 15, 2025

Nevada Offers Training Webinar for ODG Formulary

The webinar will take place on November 5th at 11:00 AM PST.
Read More →
September 15, 2025

California Bill Would Require EORs to Include Contract Information

Provider EORs would require contract-specific info. Not providing a requested contract in 30 days allows bills to be reprocessed at full fee schedule rates.
Read More →
September 15, 2025

Delaware Approves 125% Medicare Reimbursement Rate for E&M Procedures

The adjustment aims to address longstanding underpayment for E&M services, as low reimbursement has contributed to provider shortages.
Read More →
September 15, 2025

Study Finds Long COVID Linked to Productivity Loss

Participants who reported ongoing long COVID symptoms were more than three times more likely to report work productivity loss than those without persistent symptoms.
Read More →
September 8, 2025

CMS Publishes 2025 Q4 NCCI Edit Updates

The changes are effective October 1, replacing the 2025 Q3 versions.
Read More →
September 8, 2025

Ohio BWC to Refile Outpatient Medication Rules

The BWC withdrew its proposed outpatient medication reimbursement rules for self-insured employer claims due to a technical error.
Read More →
September 8, 2025

NCCI Publishes New Research Brief on Medical Fee Schedules

The report reviews how changes to CMS reimbursement rules may impact medical costs in workers’ comp.
Read More →
September 1, 2025

CPWR Publishes Report on Heat Injuries and Illness Among Construction Workers

While construction workers make up only 7% of the workforce, they account for more than one-third of occupational heat-related deaths in the U.S.
Read More →
September 1, 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.
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
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