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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 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.
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Colorado Seeks Stakeholder Feedback for 2028 Comp Reform

Three listening sessions will give stakeholders the chance to comment on how to implement major workers’ comp reforms.
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September 29, 2025

Massachusetts Seeks Stakeholder Input on Medical Payment Rates

The EOHHS hopes to understand how current rates affect workers’ comp coverage, access to care, quality of care, and injured worker experience.
Read More →
September 22, 2025

NCCI Publishes 2025 Regulatory and Legislative Trends Report

NCCI tracked 950 bills impacting workers’ comp, highlighting key trends across the country.
Read More →
September 22, 2025

Texas Plans 2026 Carrier and Healthcare Provider Audit

Random audits will review timely and accurate benefit delivery, medical reimbursement, and the reporting of electronic data to the DWC.
Read More →
September 22, 2025

WCRI Publishes Report on Psychosocial Impacts on Physical Therapy Outcomes

The presence of psychosocial risks causes functional scores to decrease 33% for workers’ comp patients with shoulder injuries.
Read More →
September 22, 2025

CWCI Study Reports on Functional Restoration Programs

Only 42.8% of injured workers on FRPs had a chronic pain diagnosis, even though clinical guidelines recommend FRPs only for these cases.
Read More →
September 22, 2025

Oregon Seeks Stakeholder Recommendations for Medical Fee Schedule Rates

Public comments regarding fee and payment rules, medical services, and managed care organizations must be submitted by September 30th.
Read More →
September 22, 2025

Arizona to Hold Public Stakeholder Meeting on Topical Medications Regulation

The meeting will take place October 2nd and presents an opportunity to influence how topicals are regulated in the state workers’ comp system.
Read More →
September 22, 2025

NCCI Publishes Labor Market Insight Report

Job growth slowed to 22,000 in August, with declines in construction and manufacturing.
Read More →
September 15, 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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