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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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Texas Adopts 2025 Fiscal Year Research Agenda

Three topics were selected, but the state may expand the scope of research to accommodate stakeholder suggestions.
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October 14, 2024

Colorado Bans the Physician Dispensing of Gabapentin

As part of new changes to the medical fee schedule, this rule will take effect January 1, 2025.
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October 14, 2024

CWCI: Are Migraine Drugs Becoming a New WC Cost Driver?

Drug payments increased eight-fold since 2018.
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October 14, 2024

California P&T Committee to Discuss Pharmacy Fee Schedule

The meeting takes place October 16th to discuss the fee schedule and other matters.
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October 14, 2024

Texas DWC Posts 2024 Network Report Card Results

The report analyzed 10 networks with 205,716 injured employees and 197,365 non-network claims, covering injuries from June 1, 2021, to May 31, 2023.
Read More →
October 7, 2024

Pennsylvania Workers’ Comp Trends

Key highlights from a WCRI webinar include prescription payment trends, with notable attention on dermatological agents.
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October 7, 2024

Nevada Proposes Changes to Provider Panel Rules

Payers could soon be required to change certain reporting processes.
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October 7, 2024

New York PT & OT Assistants Can Soon Treat Injured Workers

Effective October 27th, these professionals can treat injured workers under the supervision of a Board-authorized provider.
Read More →
October 7, 2024

Delaware Workers’ Comp Trends

A new WCRI report reviews claim costs, medical payments, prescription payments, and more.
Read More →
October 7, 2024
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 Further resources you may be interested in

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

By the Numbers: Covid-19 Edition

A collection of facts and figures surrounding the COVID-19 pandemic
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NCCI Publishes COVID-19 Resource Center

Lists of compiled information on telehealth, public notices, and more.
Read More

New York Postpones Formulary Deadlines

Providers receive more time in light of system disruptions due to COVID-19
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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.
Read More
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