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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 Tracking

To track relevant regulatory trends across the nation, access our interactive map.
Go to Map

Regulatory Recap

A weekly e-newsletter informed by our Advocacy & Compliance team to help keep our clients and industry contacts in the know on the latest legislation and policy updates impacting workers' comp. Explore our complete article repository below.

Ohio Issues Draft Rules for Outpatient Drug Payments

The AWP discount could go from a fixed 15% to a variable rate set by the BWC, with an annual review.
Read More →
September 9, 2024

Florida Proposes Prior Auth Requirements for Packs and Kits

Requiring prior authorization would likely reduce utilization, and by extension reduce spend.
Read More →
September 9, 2024

Connecticut Publishes Occupational Disease Report

Among 8,418 cases of occupational disease in 2022, musculoskeletal disorders were the most common, followed by infectious disease.
Read More →
September 9, 2024

California UR Doctors May Require Board Licensing

Senate Bill 636 awaits the Governor's signature.
Read More →
September 9, 2024

Montana Seeks Stakeholder Input on Marijuana Legislation

An August 29th meeting will gather public input on several draft bills for marijuana regulation.
Read More →
August 26, 2024

West Virginia Plans to Destroy 10-Year Old Closed Claim Files

Old files containing significant PHI increase cybersecurity risks, outweighing the need for retention.
Read More →
August 26, 2024

Congress Urges USPS to Adopt DOL’s Proposed Extreme Heat Protections

77 Congressmen are pushing for adoption after the death of a USPS letter carrier.
Read More →
August 26, 2024

FDA Rejects MDMA as PTSD Treatment

Despite rapid and clinically meaningful improvements in PTSD, the FDA cited insufficient data for rejection.
Read More →
August 19, 2024

Texas Invites Stakeholder Comments on Agenda, Rules, Quarterly Meetings

Stakeholders can submit written comments through September 16th.
Read More →
August 19, 2024
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 Further resources you may be interested in

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

WCRI Reports on Interstate Variation Trends in Drug Payments

Data from 28 states years found that NSAIDs and dermatological agents are seeing growth in spending.
Read More

States Limit COVID-19 Liability

Could Arkansas and Louisiana start a trend?
Read More

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
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 Interactive Map

To interact with this map, use the drop-downs to select a topic and type, then click the Display button. You can then roll over and click on individual states for more detailed information. This map represents legislation proposed during the most recent legislative cycle, typically spanning two years in most states. All current regulations are displayed up to present.
The content above is representative of topics Healthesystems proactively monitors and reports on. While not all topics are directly applicable to workers' compensation claims, some may have potential to impact workers' compensation in the future.
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