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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.

CWCI Publishes Opioid Prescribing Report for Injured Workers

Between 2017-2023, opioid prescribing fell 34%, from 6.8 million members of the general population (17.3%) to 4.5 million (11.5%).
Read More →
October 28, 2024

Minnesota Invites Public to Complete PTSD Survey to Identify Needed Changes

The survey takes 10-15 minutes to complete, and some respondents may be asked for follow-up interviews. All responses will remain anonymous.
Read More →
October 28, 2024

Nevada Revises Rules on Provider Lists and Forms

Starting October 1, 2025, provider lists must be submitted through the Division’s CARDS system, set to launch next spring.
Read More →
October 28, 2024

New York Issues Guidance on Cybersecurity Risks from AI

AI-enabled social engineering and AI-enhanced cybersecurity attacks are some of the many topics addressed in the guidance.
Read More →
October 28, 2024

Texas Publishes 2024 Insurance Carrier Performance Results

Approximately 44 carriers were high performers, 82 were average, and 4 were ranked poorly.
Read More →
October 28, 2024

NCCI Reports on Medical Inflation

After starting the year with 3.5% growth, the inflation moderated to around 2.5% in Q3, consistent with trends from 2022-2023.
Read More →
October 28, 2024

NCCI Reports on Adverse Weather and Workers’ Comp Claims

Using data from 35 states from 2001-2022, the report noted up to 10% higher claim frequency in both significantly hotter and colder temperatures.
Read More →
October 28, 2024

California P&T Meeting Reviews Pharmacy Fee Schedule and Formulary Updates

Public comments for the proposed changes to the fee schedule will be accepted until October 23rd.
Read More →
October 21, 2024

WCRI Publishes 25th Edition of CompScope Medical Benchmarks

The reports analyze trends in payments, prices, and medical care utilization across 17 states from 2017-2022.
Read More →
October 21, 2024
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 Further resources you may be interested in

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

Midterm Marijuana Legalization

Maryland and Missouri voters pass recreational legalization.
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State of the States

A roundup of regulatory activity around the country
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Federal Bill Could Settle Worker Classification Debate for Gig Workers

If enacted, this bill would create an exemption where gig workers do not receive employee benefits.
Read More

There Is No “Set it and Forget It” Amid Prescription Drug Trends

As opioid prescribing continues to decline, more nuanced and population-specific drug trends emerge as cost drivers.
Read More

The Cannabis Question: Marijuana and Workplace Safety?

With greater legalization and public approval, the question of safety grows more important.
Read More

Rhode Island Legalizes Recreational Marijuana

A total of 19 states now allow for recreational marijuana in adults aged 21 and older.
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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