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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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Oklahoma Considers Excluding Interns from Workers’ Comp

The bill excludes persons engaging in temporary work arrangements that allows them to observe a work environment and gain experience without expectation of financial compensation.
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January 7, 2025

Florida Considers Adding Leukemia to Firefighter Cancer Presumption

House Bill 87 would make acute myeloid leukemia the 22nd cancer covered in the firefighter presumption.
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January 7, 2025

Florida Rule Update Impacts Convenience Kits and Out-of-State Providers

Effective January 1, 2025, these rules are part of the DWC’s adoption of the 2024 Health Care Provider Reimbursement Manual.
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January 7, 2025

New York Proposes Pharmacy Network Rules

These regulations were proposed shortly after Governor Hochul vetoed a bill with similar intent.
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December 19, 2024

California Updates Pharmacy Fee Schedule

Among other key updates, AWP will be replaced by a new pricing benchmark.
Read More →
December 19, 2024

New York Rejects Pharmacy Network Bill

The bill would have allowed injured workers to fill prescriptions at any pharmacy of their choice, including outside of network pharmacies.
Read More →
December 16, 2024

South Carolina Considers Mental Injury Presumption for First Responders

Law enforcement officers and firefighters employed by state or local governments could receive workers’ comp benefits if they experience a qualifying traumatic experience.
Read More →
December 16, 2024

Ohio Delays Pharmacy Reimbursement Rulemaking to Allow for Stakeholder Input

The Bureau of Workers’ Compensation will take additional time to address stakeholder concerns and make necessary revisions.
Read More →
December 16, 2024

New York Enacts Mental Injury Presumption for All Workers

All workers will now have the right to file a claim for mental injuries, based upon extraordinary work-related stress incurred on the job.
Read More →
December 16, 2024
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 Further resources you may be interested in

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

CWCI Explores Integration of COVID-19 Claims

COVID-19 claim data was gathered in a survey to understand impacts to comp.
Read More

2020 Workers’ Comp Industry Insights Survey & Infographic

Results, insights, and various stakeholder perspectives on important industry issues
Read More

FDA Approves Elyxyb Oral Solution for Migraines

Elyxyb (celecoxib) is an NSAID for the acute treatment of migraine with or without aura.
Read More

Live Better, Heal Better: Employee Wellness in Workers' Comp

How comorbidities, fatigue, and mental health impact claims management.
Read More

Texas Reminds Providers Certain Exams Must Be Done in Person

Maximum medical improvement (MME) and impairment rating (IR) evaluations cannot be done remotely.
Read More

Remdesivir a Potential Treatment for COVID-19?

The FDA allows emergency use in response to positive trials, but more research is needed.
Read More
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