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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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CWCI: Are Migraine Drugs Becoming a New WC Cost Driver?

Drug payments increased eight-fold since 2018.
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October 14, 2024

California P&T Committee to Discuss Pharmacy Fee Schedule

The meeting takes place October 16th to discuss the fee schedule and other matters.
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October 14, 2024

Texas DWC Posts 2024 Network Report Card Results

The report analyzed 10 networks with 205,716 injured employees and 197,365 non-network claims, covering injuries from June 1, 2021, to May 31, 2023.
Read More →
October 7, 2024

Pennsylvania Workers’ Comp Trends

Key highlights from a WCRI webinar include prescription payment trends, with notable attention on dermatological agents.
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October 7, 2024

Nevada Proposes Changes to Provider Panel Rules

Payers could soon be required to change certain reporting processes.
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October 7, 2024

New York PT & OT Assistants Can Soon Treat Injured Workers

Effective October 27th, these professionals can treat injured workers under the supervision of a Board-authorized provider.
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October 7, 2024

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
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 Further resources you may be interested in

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

Mark of the Millennial: Managed Care for a New Generation

Millennial workers bring differentiated beliefs to healthcare vs previous generations
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The Growing Gig Economy: Questions of Compensation

Rapid growth in short-term or temporary “gig” work raises questions about employee benefits
Read More

New Pathways in Pain Management: Novel Non-Opioid Medications

Current research explores non-opioid neuropathways for pain management
Read More

6 Specialty Drug Trends Impacting Workers' Comp Right Now

Health and cost impacts of specialty drugs for chronic conditions seen in workers' comp
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Patient Age: More than a Number in Rx Management

Age, as well as overall health, must be considered in medication management
Read More

Reality Check: New FDA Initiatives Re-Examine Opioid Policies

The FDA acknowledges the need to shift opioid policies as overdose rates continue to rise
Read More
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