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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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New York Rejects Pharmacy Network Bill

The bill would have allowed injured workers to fill prescriptions at any pharmacy of their choice, including outside of network pharmacies.
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December 16, 2024

South Carolina Considers Mental Injury Presumption for First Responders

Law enforcement officers and firefighters employed by state or local governments could receive workers’ comp benefits if they experience a qualifying traumatic experience.
Read More →
December 16, 2024

Ohio Delays Pharmacy Reimbursement Rulemaking to Allow for Stakeholder Input

The Bureau of Workers’ Compensation will take additional time to address stakeholder concerns and make necessary revisions.
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December 16, 2024

New York Enacts Mental Injury Presumption for All Workers

All workers will now have the right to file a claim for mental injuries, based upon extraordinary work-related stress incurred on the job.
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December 16, 2024

Missouri Proposes Bill for Psilocybin Therapy

Medical use would be legalized, with legal protections for patients and physicians.
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December 16, 2024

California Publishes 2024 Geo Study

The new WCRIB study focuses on regional disparities in workers’ comp claim patterns from 2013-2022.
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December 16, 2024

Texas Seeks Input on Telemedicine Expansion for MMI Certifications

Stakeholders can email written comments to the DWC until January 13, 2025.
Read More →
December 9, 2024

CMS Publishes 2025 Q1 Updates to NCCI Edits

Changes will impact DME supplier services, facility outpatient hospital services, and practitioner services.
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December 9, 2024

Wisconsin to Gather Stakeholder Input for Legislative Changes

A public hearing on December 10th will gather stakeholder input, with written comments accepted by January 10, 2025.
Read More →
December 9, 2024
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 Further resources you may be interested in

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

By the Numbers

A collection of workers' compensation facts and figures
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Future Opioids and the Injured Worker: Why “SAFER” is a Relative Term

More than ever these statistics crystalize the need to explore and develop alternative chronic pain therapies
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Under the Influence: Impacting Opioid Prescribing Behaviors

Analyzing opioid prescribing trends associated with different medical specialties.
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How Off-Label Prescribing Drives a Claim Off Course

Off-label prescribing, or the prescribing of drug therapies outside their approved use, occurs commonly with certain medications in workers’ comp
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Bridging the Gap Between Opioid Policy and Prescribing

State and federal governments have taken legislative action to reduce the harm caused by the opioid epidemic
Read More
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