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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 Considers Mandatory Workers’ Comp Insurance for Construction Contractors

Two bills were pre-filed, with one applying to the general industry and the other applying to contracts for municipal projects.
Read More →
November 18, 2024

AmTrust Publishes 2024 Restaurant Risk Report

The report reviews nearly 130,000 workers’ comp claims from 2018-2023 to identify injury trends the restaurant industry.
Read More →
November 11, 2024

Department of Labor Reports a Decline in Worker Death Investigations

Workplace fatalities requiring OSHA investigation fell 11% from 2023 to 2024.
Read More →
November 11, 2024

CMS to Reduce Medicare Physician Fee

The physician fee schedule will be reduced by 2.93%, while other changes are in store for primary care, telehealth, and more.
Read More →
November 11, 2024

Vermont Seeks Stakeholder Input on Medical Fee Schedule

Written comments from stakeholders who use the fee schedule will be accepted until December 15th.
Read More →
November 11, 2024

California to Hold Webinar on 2024 Geo Study

The December 4th webinar will cover regional differences in the California workers’ comp system.
Read More →
November 11, 2024

Department of Justice Reaches $21.5 Million Settlement Over Inflated AWP for Compound Ingredients

According to the DOJ, Medisca Inc. purchased resveratrol at $0.37 a gram, sold it for under $2.00 a gram, but reported an AWP of $777 per gram.
Read More →
November 11, 2024

Psychedelic Study Shows Improvements in Anxiety without Hallucinations

When injected into the hippocampus, the compound DOI reduced anxiety in mice without causing hallucinations.
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November 4, 2024

Texas Seeks Input On 2025 Medical Quality Review Audit Plan

Comments will be accepted until 5:00 PM PST on November 22, 2024, and the Medical Advisor may adjust the plan based on feedback received.
Read More →
November 4, 2024
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 Further resources you may be interested in

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

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

More States Make COVID-19 Compensable in Workers’ Comp

With frontline workers at risk, states are expanding coverage to healthcare workers, first responders, and other frontline workers.
Read More

Silvia Sacalis: 3 Evolving Clinical Trends in Workers’ Comp

Healthesystems’ VP of Clinical Services discusses population trends, non-opioid pain therapies, and comorbidities with WorkCompWire.
Read More

California Works to Track COVID-19 Claims

The WCIRB is partnering with workers’ comp organizations across the country
Read More

Montana Delays Drug Formulary for Legacy Claims

In response to the COVID-19 pandemic, the state issued a delay in adherence.
Read More

Keep Track of COVID-19 Developments

Healthesystems has created a developments webpage to track updates impacting workers’ comp.
Read More
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