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.

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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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Marijuana

WCRI Reports On the Impact Of Marijuana Laws On Workers’ Comp Benefits

While recreational marijuana laws may be tied to increases in claim frequency, medical payments and prescriptions decreased, including those for opioids.

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May 5, 2025

Wisconsin Workers’ Compensation Advisory Council Meeting Recap

Topics discussed include proposals for a fee schedule by 2027, employer direction of care, and allowing more providers to provide disability opinions.

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May 5, 2025

Advocacy Opportunity Cost Containment

Ohio Introduces New Outpatient Rules for Medication Reimbursement

After previous drafts of new rules were withdrawn last year, a revised set of rules have been introduced, based on stakeholder feedback.

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May 5, 2025

Access to Care Treatment Guidelines

Colorado Stakeholders Debate Over Physician Oversight

In a DWC meeting, stakeholders spoke regarding the timeline of when a physician evaluates a patient, versus other types of providers.

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May 5, 2025

Claim Costs Industry Data

WCRI Publishes CompScope Benchmarks Report

A total of 14 reports capture workers’ comp data from 2018-2023 for 18 states, with information on medical payments and other metrics.

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May 5, 2025

Industry Data

WCRI Publishes Annual Report

The report summarizes 2024 activities, including over 40 studies that address topics such as psychosocial factors, attorney involvement, and more.

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April 28, 2025

Access to Care

Nevada Provider Panel Bill Fails

Assembly Bill 469 missed a committee deadline, removing it from consideration this legislative session.

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April 28, 2025

Worker Safety

Nevada Heat Safety Rules to Take Effect April 29th

Employers with over 10 employees working outdoors, or indoors without climate control, must adhere to the new rules.

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April 28, 2025

Cost Containment

Louisiana Fee Schedule Bill Amended with Hopes of Compromise

In addition to bill amendments, the bill has been deferred for one week to allow for additional review and stakeholder input.

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April 28, 2025

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Further resources you may be interested in

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

Rebuilding the Recovery Model: Balancing the Patient and the Big Picture

A message from the Chief Executive Officer

Side Effects: COVID-19-Related Healthcare and Pharmacy Trends Impacting Workers’ Comp

The pandemic has disrupted access to care, but the industry has implemented reactive measures

Returning to Work in the COVID-19 Era

Considerations for infection prevention, unique population factors, and more

Moving Forward: How Should Opioid Guidance Continue to Evolve?

Opioid use has decreased, prompting calls for reform, but COVID-19 complicates opioid use

COVID-19 Infection Risks and Mental Health Impact Among Grocery Workers

Direct customer exposure is associated with a five-fold risk of infection, while less social distancing in the workplace is tied to depression and anxiety.