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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.

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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.

Advocacy Opportunity Cost Containment

Vermont Seeks Stakeholder Input on Medical Fee Schedule

Written comments from stakeholders who use the fee schedule will be accepted until December 15th.

November 11, 2024

California to Hold Webinar on 2024 Geo Study

The December 4th webinar will cover regional differences in the California workers’ comp system.

November 11, 2024

Cost Containment

Department of Justice Reaches $21.5 Million Settlement Over Inflated AWP for Compound Ingredients

According to the DOJ, Medisca Inc. purchased resveratrol at $0.37 a gram, sold it for under $2.00 a gram, but reported an AWP of $777 per gram.

November 11, 2024

Psychedelic Study Shows Improvements in Anxiety without Hallucinations

When injected into the hippocampus, the compound DOI reduced anxiety in mice without causing hallucinations.

November 4, 2024

Advocacy Opportunity

Texas Seeks Input On 2025 Medical Quality Review Audit Plan

Comments will be accepted until 5:00 PM PST on November 22, 2024, and the Medical Advisor may adjust the plan based on feedback received.

November 4, 2024

Industry Data Pharmacy Data

Pennsylvania Publishes Prescription Drug Trends Report

This report reviews drug payments between 2012 and 2022, reviewing usage and cost, generics, opioids, and topicals.

November 4, 2024

Training Opportunity

Nevada to Hold Four Workers’ Comp Training Webinars

The webinars will cover basic orientation, the C-4 process and using the coverage verification system, the D-35 form, and medical billing.

November 4, 2024

Advocacy Opportunity Cost Containment

Mississippi Requests Stakeholder Input for 2025 Fee Schedule

No deadline for feedback has been given, but the Commission will consider feedback for fee schedule changes for 2025.

November 4, 2024

Training Opportunity

Arizona Offers Medical Resource Training Opportunities for Workers’ Comp Stakeholders

A four-part series of 30-minute training webinars are available for adjusters, payers, healthcare providers, and TPAs.

November 4, 2024

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Further resources you may be interested in

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

Claims Q&A: Hyaluronic Acid Injections: What is Their Place in Work Comp Claims?

Our clinicians answer common questions from claims professionals

Occupational Illness and Drug Therapy

Workplace risk factors can lead to complex diseases that require unique drug therapy

Perspectives: Value in Workers’ Comp Shouldn't have to Wait

Industry thought leaders share their insights

Valuable Assets: Appreciation and Care Considerations for Older Workers

Employees aged 55+ bring positive traits to the workforce and some unique care considerations

Mark of the Millennial: Managed Care for a New Generation

Millennial workers bring differentiated beliefs to healthcare vs previous generations

The Growing Gig Economy: Questions of Compensation

Rapid growth in short-term or temporary “gig” work raises questions about employee benefits

« Previous 1 … 46 47 48 49 50 51 Next »

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Workers' Comp Property and Casualty PBM
Expires 01/01/2028