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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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CMS Publishes 2025 Q3 Updates to NCCI Edits

Medically unlikely edits were updated across DME, outpatient hospital services, and more.
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June 9, 2025

Tennessee Expands PTSD Benefits for First Responders

Law enforcement officers and emergency medical responders will receive the same benefits previously granted to fire fighters.
Read More →
June 2, 2025

Delaware Proposes 3% Fee Schedule Increase for E&M Services

Supporters of the bill believe it will alleviate a shortage of physicians willing to accept workers’ comp patients.
Read More →
June 2, 2025

Colorado Discusses Interpreter Reimbursement at Stakeholder Meeting

The cost of interpreter services now surpasses prescription drug expenses, which has sparked much concern across different stakeholders.
Read More →
June 2, 2025

Arizona Issues Executive Order for Workplace Heat Safety Task Force

The taskforce will have until December 31, 2025 to issue employer guidelines.
Read More →
June 2, 2025

WCRI Publishes Medical Price Index

The study compares prices paid for medical services across 36 states from 2008 to 2024, representing 88% of workers’ comp benefits in the U.S.
Read More →
May 27, 2025

Tennessee Medical Advisory Committee Meeting Highlights

Topics addressed included changes to the fee schedule, utilization review, spinal therapy guidelines, and more.
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May 27, 2025

Maryland Enacts AI Bill for Health Insurance Utilization

The law requires carriers, pharmacy benefit managers, and private review agents to ensure AI decisions are based on an individual's clinical information.
Read More →
May 27, 2025

Colorado Provider Choice Bill Reaches Governor

If enacted, injured workers may choose from any level I or level II accredited physician through the division of workers' compensation.
Read More →
May 27, 2025
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 Further resources you may be interested in

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

U.S. Executive Order Signed for Telemedicine

A wide-sweeping order on national telehealth policy requires federal agencies to begin making plans for change.
Read More

Florida COVID-19 Report

Data from nearly 12,000 COVID-19 claims breaks down coverage among industries, telemedicine insights, and more.
Read More

Workers’ Comp Industry Insights Survey

2020 has been a year of disruption, and we want to know what the industry thinks about COVID-19, telehealth, opioids, AI, and more!
Read More

COVID-19 Telehealth Updates

Telehealth extensions in Colorado, Texas, and New York.
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FDA Issues Naloxone Recommendations for Opioids and OUD Drugs

The FDA recommends healthcare professionals co-prescribe the opioid overdose reversal drug with all opioid prescriptions.
Read More

California Releases Online COVID-19 Interactive App

Information from nearly 15,000 COVID-19 claims broken down by industry, demographics, and more.
Read More
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