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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 Discusses Interpreter Reimbursement at Stakeholder Meeting

The cost of interpreter services now surpasses prescription drug expenses, which has sparked much concern across different stakeholders.
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June 2, 2025

Arizona Issues Executive Order for Workplace Heat Safety Task Force

The taskforce will have until December 31, 2025 to issue employer guidelines.
Read More →
June 2, 2025

WCRI Publishes Medical Price Index

The study compares prices paid for medical services across 36 states from 2008 to 2024, representing 88% of workers’ comp benefits in the U.S.
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May 27, 2025

Tennessee Medical Advisory Committee Meeting Highlights

Topics addressed included changes to the fee schedule, utilization review, spinal therapy guidelines, and more.
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May 27, 2025

Maryland Enacts AI Bill for Health Insurance Utilization

The law requires carriers, pharmacy benefit managers, and private review agents to ensure AI decisions are based on an individual's clinical information.
Read More →
May 27, 2025

Colorado Provider Choice Bill Reaches Governor

If enacted, injured workers may choose from any level I or level II accredited physician through the division of workers' compensation.
Read More →
May 27, 2025

DEA Releases 2025 National Drug Threat Assessment

The most common source of controlled prescription drug (CPD) misuse was a prescription from a single doctor or theft from providers.
Read More →
May 27, 2025

Recapping the NCCI Annual Insights Symposium

Healthesystems attended the event, summarizing major highlights from the symposium.
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May 19, 2025

New York PBM Bill Enacted with Exemption for Workers’ Comp

The exemption reduces unnecessary burden and grows recognition that workers’ comp PBMs operate differently from traditional PBMs.
Read More →
May 19, 2025
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 Further resources you may be interested in

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

CDC Publishes Updated Opioid Guidelines

An update to the 2016 guidelines has been issued, promoting greater flexibility for individualized patient-centered care.
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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.
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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
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