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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Access to Care

New York Continues Efforts to Expand Access to Providers

Governor Hochul reiterates proposals made in her budget bill, with additional efforts to align fee schedules with Medicare automatic updates.

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March 10, 2025

Access to Care

Iowa Could Allow Primary Care Providers to Treat Workplace Injuries

Employers would be required to inform workers of their right to designate their primary care provider as the physician for their workplace injury.

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March 10, 2025

Claim Costs Industry Data

Florida Publishes Annual Workers’ Comp Report

While pharmacy payments are dropping, physician dispensing remains high.

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March 10, 2025

Advocacy Opportunity Cost Containment

Florida Announces Public Meeting to Discuss Reimbursement Manual

The virtual meeting will take place April 1, 2025 at 10:00 AM to discuss outstanding issues related to the Health Care Provider Manual.

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March 10, 2025

Access to Care

California Proposes Statewide Network to Address Provider Shortage

Injured workers could utilize this network if their employer’s network cannot provide treatment within 30 days.

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March 10, 2025

Cost Containment

Arizona Medical Fee Schedule Bill Passes Senate

The fee schedule would apply to medical care, dental care, and supplies received by injured employees.

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March 10, 2025

Advocacy Opportunity Billing & Payments Cost Containment

Oklahoma Bill Could Impact Pharmacy Benefits

Among other changes, the bill would ban effective rate contracts, making it difficult to forecast drug costs.

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March 3, 2025

Industry Data

WCRI Reports on the Pandemic’s Effect on Medical Utilization

Injury frequency increased for younger and less-tenured workers, who also saw higher use of emergency departments.

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March 3, 2025

Access to Care

New York Budget Bill Could Expand Access to Providers

Among many proposed changes, the bill would automatically allow licensed physicians, chiropractors, psychologists, and others to treat injured workers.

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March 3, 2025

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Further resources you may be interested in

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

Returning to Work in the COVID-19 Era

Considerations for infection prevention, unique population factors, and more

Moving Forward: How Should Opioid Guidance Continue to Evolve?

Opioid use has decreased, prompting calls for reform, but COVID-19 complicates opioid use

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.