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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 Billing & Payments

Texas Accepting Public Comments on Proposed Billing and Processing Rule Repeals

Written comments will be accepted via email until November 10th.

October 20, 2025

Advocacy Opportunity Cost Containment

Massachusetts Recap: Updates From the Fee Schedule Stakeholder Input Session

Fee schedule rates haven’t changed since 2009, and the low rates have discouraged provider participation.

October 20, 2025

Access to Care Advocacy Opportunity Claims Procedures

Colorado Clarifies Provider List Sharing Rules For 2028 Reforms

While injured workers can choose any Level I or II provider from the DWC’s panel, employers and insurers may still share preferred or in-house lists.

October 20, 2025

Advocacy Opportunity Treatment Guidelines

California Opens Public Comments on Proposed Updates to Traumatic Brain Injury Guidelines

Interested stakeholders must submit written comments by October 28th.

October 20, 2025

Advocacy Opportunity

Healthesystems at the IAIABC 111th Annual Convention

A recap of conference highlights and key presentations.

October 13, 2025

Industry Data Worker Safety

Quest Diagnostics Publishes 2025 Drug Testing Index

Positivity rates for fentanyl in random drug checks were 707% higher when compared to pre-employment drug tests.

October 13, 2025

Cannabis Drug Beats Opioid in Phase 3 Clinical Trial for Low Back Pain

A lack of clinical research has been a barrier for the greater utilization of medical marijuana, but one cannabis-derived drug shows promise.

October 13, 2025

Ancillary Services Claims Procedures

Oregon and Washington Issue Guidance for Sign Language Interpreter Services

Considering recent and upcoming changes to the procurement of these services, both states have published bulletins to clarify procedures.

October 13, 2025

Mental Health Presumptions

California Expands Cancer, PTSD, and Cardiovascular Presumptions

Two recently enacted bills expand pre-existing presumptions to additional workers.

October 13, 2025

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Further resources you may be interested in

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

FDA Rejects MDMA for PTSD – Clinical Research to Continue for Psychedelics

The FDA requested additional trial data, with researchers eager to continue psychedelic trials.

In Person, In Print, and On Stage: Connect with Healthe at National Comp 2024!

Stop by our educational session or visit our booth for the latest issue of RxInformer magazine.

Worker Heat Protections Continue to Make Waves

The U.S. Department of Labor proposed new rules, while other states introduce legislation.

WCRI Reports on Drug Payment Trends

Dermatologicals made up the largest share of drug payments, with NSAIDs coming in second.

Massachusetts Publishes Study on Opioid Overdose Deaths

Approximately 741 injured workers died of opioid overdose deaths in Massachusetts.

New Jersey Proposes Expansion to Medical Marijuana Law

A new bill would give providers more discretion in what medical conditions could qualify a patient for medical cannabis.

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