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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 Publishes Opioid Prescribing Report for Injured Workers

Between 2017-2023, opioid prescribing fell 34%, from 6.8 million members of the general population (17.3%) to 4.5 million (11.5%).
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October 28, 2024

McKinsey Close to Settling U.S. Opioid Investigations

A payment of over $500 million could soon be made to resolve federal investigations tied to the opioid epidemic.
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October 21, 2024

NCCI Publishes New Labor Market Insights Report

September saw the addition of 254,000 new jobs, with much of the growth in healthcare, leisure and hospitality, and construction.
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October 21, 2024

WCRI Publishes 25th Edition of CompScope Medical Benchmarks

The reports analyze trends in payments, prices, and medical care utilization across 17 states from 2017-2022.
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October 21, 2024

California P&T Meeting Reviews Pharmacy Fee Schedule and Formulary Updates

Public comments for the proposed changes to the fee schedule will be accepted until October 23rd.
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October 21, 2024

WCIRB Reports on Long-COVID

Approximately 5% of all California COVID-19 claims resulted in long COVID.
Read More →
October 14, 2024

Texas Adopts 2025 Fiscal Year Research Agenda

Three topics were selected, but the state may expand the scope of research to accommodate stakeholder suggestions.
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October 14, 2024

Colorado Bans the Physician Dispensing of Gabapentin

As part of new changes to the medical fee schedule, this rule will take effect January 1, 2025.
Read More →
October 14, 2024

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

Drug payments increased eight-fold since 2018.
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October 14, 2024
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 Further resources you may be interested in

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

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

Claims Q&A: RX Drugs of Abuse: Which Non-Opioid Drugs Present Concern?

Our clinicians answer common questions from claims professionals
Read More

Infographic: Medication Multiplication

How opioid side effects can cascade across the body
Read More
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