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.

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Training Opportunity

Texas Department of Insurance to Host Compliance Webinar

The December 11th webinar will provide an overview of DWC’s regulatory efforts, including administrative and criminal law.

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November 18, 2024

Industry Data Worker Safety

Bureau of Labor Statistics Publishes Workplace Injuries and Illness Report

Private industry employers reported 2.6 million nonfatal workplace injuries and illnesses in 2023, down by 8.4% from 2022.

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November 18, 2024

Industry Data

NCCI Publishes Annual Carrier Executive Survey

More than 100 carriers were surveyed, and four top industry concerns were noted by NCCI.

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November 18, 2024

Advocacy Opportunity

NCCI Updates Court Case Insights Dashboard

The interactive dashboard tracks significant court cases that could impact workers’ comp.

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November 18, 2024

Opioids Worker Safety

New Guide for Preventing Opioid Use Disorder in the Mining Industry

NIOSH and the Mine Safety and Health Administration (MSHA) address the mining industry's unique challenges.

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November 18, 2024

Cost Containment

Department of Justice Reaches $21.5 Million Settlement Over Inflated AWP for Compound Ingredients

According to the DOJ, Medisca Inc. purchased resveratrol at $0.37 a gram, sold it for under $2.00 a gram, but reported an AWP of $777 per gram.

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November 11, 2024

Industry Data

California to Hold Webinar on 2024 Geo Study

The December 4th webinar will cover regional differences in the California workers’ comp system.

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November 11, 2024

Advocacy Opportunity Cost Containment

Vermont Seeks Stakeholder Input on Medical Fee Schedule

Written comments from stakeholders who use the fee schedule will be accepted until December 15th.

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November 11, 2024

Cost Containment

CMS to Reduce Medicare Physician Fee

The physician fee schedule will be reduced by 2.93%, while other changes are in store for primary care, telehealth, and more.

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November 11, 2024

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Further resources you may be interested in

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

COVID-19 Infection Risks and Mental Health Impact Among Grocery Workers

Direct customer exposure is associated with a five-fold risk of infection, while less social distancing in the workplace is tied to depression and anxiety.