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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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Washington State Launches On-Demand Interpretation Service

WordBrige went live on January 2nd, while the CTS Lanugage Link will remain active through February.
Read More →
January 7, 2025

Texas Proposes AI Bill for Businesses and State Agencies

The bill would create new regulations and establish an Advisory Committee to oversee compliance, authorizing penalties of fines or license revocation.
Read More →
January 7, 2025

Oklahoma Considers Excluding Interns from Workers’ Comp

The bill excludes persons engaging in temporary work arrangements that allows them to observe a work environment and gain experience without expectation of financial compensation.
Read More →
January 7, 2025

Florida Considers Adding Leukemia to Firefighter Cancer Presumption

House Bill 87 would make acute myeloid leukemia the 22nd cancer covered in the firefighter presumption.
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January 7, 2025

Florida Rule Update Impacts Convenience Kits and Out-of-State Providers

Effective January 1, 2025, these rules are part of the DWC’s adoption of the 2024 Health Care Provider Reimbursement Manual.
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January 7, 2025

New York Proposes Pharmacy Network Rules

These regulations were proposed shortly after Governor Hochul vetoed a bill with similar intent.
Read More →
December 19, 2024

California Updates Pharmacy Fee Schedule

Among other key updates, AWP will be replaced by a new pricing benchmark.
Read More →
December 19, 2024

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.
Read More →
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
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 Further resources you may be interested in

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

Lavender Administration Shows Promise for Anxiety

A recent meta-analysis of over 100 trials and studies found lavender to significantly reduce anxiety levels.
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Keeping an Eye Out for CBD

With CBD products widely available and advertised for so many ailments, claimants could be using CBD without insurers knowing.
Read More

New Drug Developments Impacting Comp

A biosimilar to Humira is approved, the FDA Fast Tracks a PTSD drug, and more.
Read More

Questioning Costs: A Field Guide to Fee Schedules

Understand how prices are set for medical equipment and services, and how to scrutinize those costs.
Read More

How Declining Opioid Use Impacts Claims and Outcomes

According to the CWCI, reduced opioid utilization from 2010-2017 saved $6.5 billion in California comp costs.
Read More

Minnesota Proposes PTSD Treatment Guidelines

Beyond compensability, Minnesota considers rules for evaluation, treatment planning, acceptable psychotherapies, and more.
Read More
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