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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 Pharmacy Data Treatment Guidelines

California P&T Committee Outlines Pharmacy Topics for Review

The meeting discussed proton pump inhibitors and the need to review utilization, and future meetings will address GLP-1 drugs, migraine drugs, and more.

January 26, 2026

Advocacy Opportunity Billing & Payments Cost Containment

Michigan Advisory Council Reviews Fee Schedule Ruleset Changes

Healthesystems played a significant role in reshaping policy surrounding reimbursement for physician dispensing.

January 26, 2026

Billing & Payments Cost Containment

New York Publishes 2026 Regulatory Agenda

Initiatives for 2026 could affect medical billing, pharmacy programs, treatment guidelines, and administrative processes.

January 26, 2026

Mental Health Presumptions

Virginia Could Cover Pre-Existing PTSD Exacerbated by Workplace Incidents

While this bill could expand coverage of PTSD, it is still limited to first responders.

January 26, 2026

Worker Classification

Georgia Could Classify Gig-Worker Nurses as Independent Contractors

Healthcare workers utilizing apps like CareRev, Clipboard Health, and NurseDash would not be entitled to benefits such as workers’ comp.

January 26, 2026

Utah Proposes Reduced Benefits for Positive Marijuana Tests

If enacted, this bill would go into effect May 6, 2026.

January 26, 2026

Bureau of Labor Statistics Publishes Workplace Injury Report

2.5 million nonfatal workplace injuries and illnesses were reported in 2024, a drop of 3.1% from 2023.

January 26, 2026

Access to Care Technology

Utah Will Allow AI Prescription Renewal for Chronic Conditions

High volumes of prescription renewals are cited as a driver in medication lapses and preventable health outcomes.

January 19, 2026

Advocacy Opportunity Cost Containment

Alaska Schedules Public Hearing for Fee Schedule Changes

After public feedback is received at the February 19th meeting, the fee schedule is expected to take effect March 15, 2026.

January 19, 2026

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Further resources you may be interested in

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

The Most Engaging RxInformer Articles from 2024

We checked the stats and reviewed our readers’ favorite articles from RxInformer magazine to bring you a list of our most engaging content from 2024.

Think Globally, Act Locally: Advocating for Administrative Simplification

Collaboration between national and regionally based stakeholders is one way to work towards improving the workers’ compensation system.

Minnesota Invites the Public to Complete a PTSD Survey

As part of a legislative-mandated study on work-related PTSD, the survey could influence regulator objectives for 2025.

Could Psychedelic Injections Help with Mental Illness While Avoiding Hallucinogenic Effects?

A recent study involving the compound DOI showed promising results in mice.

New York Allows Physical and Occupational Therapy Assistants to Treat Injured Workers

These assistants must be under the supervision of a board-authorized provider.

Thought Leadership from Healthesystems

A new issue of RxInformer magazine, plus Leaders Speak posts in WorkCompWire, featuring Sandy Shtab and Silvia Sacalis.

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