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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.
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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.

California DWC Launches Test Pilot for New Pharmacy Fee Calculator

The pilot test will run from April 24 to May 8, 2025, allowing stakeholders to provide feedback to the DWC.
Read More →
April 28, 2025

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.
Read More →
April 28, 2025

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.
Read More →
April 28, 2025

Nevada Provider Panel Bill Fails

Assembly Bill 469 missed a committee deadline, removing it from consideration this legislative session.
Read More →
April 28, 2025

WCRI Publishes Annual Report

The report summarizes 2024 activities, including over 40 studies that address topics such as psychosocial factors, attorney involvement, and more.
Read More →
April 28, 2025

California P&T Committee Meeting Recap

Healthe attended the April 16th meeting, capturing key updates regarding the pharmacy fee schedule and drug formulary.
Read More →
April 21, 2025

Montana to Allow Physician Assistants and Physical Therapists to Treat Injured Workers

Physician assistants will be able to conduct impairment ratings, while physical therapists are now included in the definition of treating providers.
Read More →
April 21, 2025

New York Bill Would Ensure Coverage During Disputes

Employers or insurers would be required to provide immediate medical treatment. If a claim is not compensable, they could seek reimbursement.
Read More →
April 21, 2025

CMS Publishes Update to NCCI Medically Unlikely Edits

The update includes a revised MUE value for certain HCPCS codes, retroactive to October 1, 2024.
Read More →
April 21, 2025
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 Further resources you may be interested in

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

Positive Marijuana Screenings Increase – What More to Expect with Rescheduling?

New data from Quest Diagnostics 2024 Drug Testing Index, and industry leaders discuss how rescheduling will impact workers’ comp.
Read More

Physician Dispensing Concerns in Workers’ Compensation

Physician dispensing represents an ongoing challenge for today’s workers’ comp payers – not only from a cost perspective, but from clinical and safety perspectives.
Read More

Triple Threat: Healthcare Fraud, Waste and Abuse in Workers’ Comp

Identifying and combating a multifaceted problem, including proven and developing strategies.
Read More

WCRI Publishes 24th Edition of CompScope Benchmarks

A total of 14 different reports examine workers’ comp system performance across 17 states from 2017-2022.
Read More

DEA to Reschedule Marijuana

While bureaucratic wheels may take time, marijuana will become a Schedule III drug soon.
Read More

Triple Threat: Healthcare Fraud, Waste and Abuse in Workers' Comp

A current look at fraud, waste and abuse in workers’ comp pharmacy and medical services with strategies for management, including next-generation strategies involving AI.
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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