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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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California Proposes Statewide Network to Address Provider Shortage

Injured workers could utilize this network if their employer’s network cannot provide treatment within 30 days.
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March 10, 2025

Arizona Medical Fee Schedule Bill Passes Senate

The fee schedule would apply to medical care, dental care, and supplies received by injured employees.
Read More →
March 10, 2025

Oklahoma Bill Could Impact Pharmacy Benefits

Among other changes, the bill would ban effective rate contracts, making it difficult to forecast drug costs.
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March 3, 2025

WCRI Reports on the Pandemic’s Effect on Medical Utilization

Injury frequency increased for younger and less-tenured workers, who also saw higher use of emergency departments.
Read More →
March 3, 2025

New York Budget Bill Could Expand Access to Providers

Among many proposed changes, the bill would automatically allow licensed physicians, chiropractors, psychologists, and others to treat injured workers.
Read More →
March 3, 2025

Montana Bill Would Deny Workers’ Comp Benefits for Undocumented Workers

The bill would also allow insurers to close claims when the claimant leaves the United States – regardless of citizenship status.
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March 3, 2025

Montana Introduces PTSD Presumption Bill for First Responders

The bill applies to firefighters, law enforcement officers, certain prison workers, and others.
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March 3, 2025

Maryland Pharmacy Fee Schedule Bill Inches Forward

Introduced in January, the bill was discussed in a February 25th hearing, with supporters and opponents voicing concerns.
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March 3, 2025

Florida Proposes Employer-Run Comp Alternative

Employers must demonstrate financial ability to provide benefits, create written plans that provide no-fault benefits and adhere to certain criteria.
Read More →
March 3, 2025
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 Further resources you may be interested in

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

States Limit COVID-19 Liability

Could Arkansas and Louisiana start a trend?
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COVID-19: Hydroxychloroquine and Remdesivir Updates

The malaria drug loses an EUA for COVID-19, while the FDA warns of drug interactions that can reduce antiviral effectiveness.
Read More

Growing Pains: The Shift from Opioids to Other Pain Therapies

With opioid utilization decreasing, what concerns do other pain therapies pose?
Read More

WCRI Publishes Medical Price Index

With data from 36 states across 12 years, this report highlights the differences in prices paid for medical services across the nation.
Read More

Washington Issues Guidelines on COVID-19 Masks for Workers

Occupations are divided into risk categories where each category must utilize appropriate face coverings, masks, or respirators.
Read More
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