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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.
Go to Map

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.

CMS to Reduce Medicare Physician Fee

The physician fee schedule will be reduced by 2.93%, while other changes are in store for primary care, telehealth, and more.
Read More →
November 11, 2024

Department of Labor Reports a Decline in Worker Death Investigations

Workplace fatalities requiring OSHA investigation fell 11% from 2023 to 2024.
Read More →
November 11, 2024

AmTrust Publishes 2024 Restaurant Risk Report

The report reviews nearly 130,000 workers’ comp claims from 2018-2023 to identify injury trends the restaurant industry.
Read More →
November 11, 2024

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.
Read More →
November 4, 2024

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.
Read More →
November 4, 2024

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.
Read More →
November 4, 2024

Pennsylvania Publishes Prescription Drug Trends Report

This report reviews drug payments between 2012 and 2022, reviewing usage and cost, generics, opioids, and topicals.
Read More →
November 4, 2024

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.
Read More →
November 4, 2024

Psychedelic Study Shows Improvements in Anxiety without Hallucinations

When injected into the hippocampus, the compound DOI reduced anxiety in mice without causing hallucinations.
Read More →
November 4, 2024
1 … 11 12 13 14 15 … 19

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 Further resources you may be interested in

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

NCCI Publishes Research Brief on Firefighter Presumptions

Beyond PTSD, cancers, heart conditions, and communicable diseases are seeing legislative activity.
Read More

State of the States

A roundup of regulatory activity around the country
Read More

PTSD Legislation to Make Waves in 2023

Several states have submitted bills to expand presumptions for first responders.
Read More

2023 Workers’ Comp Industry Insight Survey Report

Over 500 stakeholders share their thoughts on industry challenges, priorities, and technologies.
Read More

Texas Division of Workers’ Compensation Publishes Biennial Report to Legislature

This report contains a high level report on the status of the Texas workers’ comp system.
Read More

CDC Publishes Updated Opioid Guidelines

An update to the 2016 guidelines has been issued, promoting greater flexibility for individualized patient-centered care.
Read More
1 … 11 12 13 14 15 … 41

 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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