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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.
Subscribe

Delaware Workers’ Comp Trends

A new WCRI report reviews claim costs, medical payments, prescription payments, and more.
Read More →
October 7, 2024

California Enacts AI Disclaimer Bill and AI Utilization Review Bill

Providers will have final approval of UR decisions when AI is used, and patients must receive notice if AI is used to generate claims communications.
Read More →
October 7, 2024

California Vetoes Heat Presumption for Farmworkers

Governor Gavin Newsome stated that heat safety enforcement falls under Cal/OSHA, not workers’ comp.
Read More →
October 7, 2024

Fair Health Releases New Opioid Tracker Tool

Based on 48 billion commercial healthcare claim records, this tool tracks opioid abuse and dependence.
Read More →
October 7, 2024

NCCI Opioid Webinar

NCCI found opioid utilization to be decreasing while opioid doses remained high.
Read More →
September 30, 2024

Texas Releases 2025 Audit Plan

Audits will focus on timely and accurate reimbursement, bill reporting, and delivery of benefits.
Read More →
September 30, 2024

California Vetoes UR Doctor Licensing Bill

Doctors performing utilization review for private employers will not have to be board certified.
Read More →
September 30, 2024

Washington DOL Sued Over Unpaid Interpreter Wages

Interpreters claim they are owed $380,000 for services provided to injured workers at self-insured businesses.
Read More →
September 23, 2024

Federal Telehealth Rules Face Impending Deadline

Pandemic-era telehealth rules will expire at the end of the year, with advocates pushing for a two year extension.
Read More →
September 23, 2024
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 Further resources you may be interested in

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

New York Postpones Formulary Deadlines

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

Louisiana Issues Emergency Prescription Rules

Emergency rules expiring April 13th expanded indefinitely.
Read More

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

Sandy Shtab: Regulatory Acceleration in Response to COVID-19

Healthesystems’ AVP of Advocacy & Compliance discusses regulatory action related to COVID-19 with WorkCompWire.
Read More

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.
Read More
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