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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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OSHA Launches Severe Injury Report Dashboard

The public dashboard includes information on all severe injuries reported by employers covered under federal OSHA since 2015.
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September 16, 2024

Ohio Issues Draft Rules for Outpatient Drug Payments

The AWP discount could go from a fixed 15% to a variable rate set by the BWC, with an annual review.
Read More →
September 9, 2024

Florida Proposes Prior Auth Requirements for Packs and Kits

Requiring prior authorization would likely reduce utilization, and by extension reduce spend.
Read More →
September 9, 2024

Connecticut Publishes Occupational Disease Report

Among 8,418 cases of occupational disease in 2022, musculoskeletal disorders were the most common, followed by infectious disease.
Read More →
September 9, 2024

California UR Doctors May Require Board Licensing

Senate Bill 636 awaits the Governor's signature.
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September 9, 2024

Montana Seeks Stakeholder Input on Marijuana Legislation

An August 29th meeting will gather public input on several draft bills for marijuana regulation.
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August 26, 2024

West Virginia Plans to Destroy 10-Year Old Closed Claim Files

Old files containing significant PHI increase cybersecurity risks, outweighing the need for retention.
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August 26, 2024

Congress Urges USPS to Adopt DOL’s Proposed Extreme Heat Protections

77 Congressmen are pushing for adoption after the death of a USPS letter carrier.
Read More →
August 26, 2024

FDA Rejects MDMA as PTSD Treatment

Despite rapid and clinically meaningful improvements in PTSD, the FDA cited insufficient data for rejection.
Read More →
August 19, 2024

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 Further resources you may be interested in

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

Louisiana Issues Emergency Prescription Rules

Emergency rules expiring April 13th expanded indefinitely.
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COVID-19 Updates from the FDA

New developments with diagnostic testing and the use of chloroquine and hydroxychloroquine.
Read More

Kentucky Renews Order Expanding Pharmacist Powers

These provisions expire May 8, 2020, but may be regularly renewed as necessary.
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Sandy Shtab: Regulatory Acceleration in Response to COVID-19

Healthesystems’ AVP of Advocacy & Compliance discusses regulatory action related to COVID-19 with WorkCompWire.
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Could Convalescent Plasma Treat COVID-19?

The FDA, JAMA, and others think blood from those who recovered from COVID-19 could benefit those with the illness.
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More States Make COVID-19 Compensable in Workers’ Comp

With frontline workers at risk, states are expanding coverage to healthcare workers, first responders, and other frontline workers.
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