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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.

Marijuana Mental Health Presumptions

NCCI Publishes 2025 Regulatory and Legislative Trends Report

NCCI tracked 950 bills impacting workers’ comp, highlighting key trends across the country.

September 22, 2025

Billing & Payments Industry Data

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.

September 22, 2025

Ancillary Services Industry Data Mental Health

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.

September 22, 2025

Claim Costs Industry Data Treatment Guidelines

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.

September 22, 2025

Advocacy Opportunity Billing & Payments Cost Containment

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.

September 22, 2025

Advocacy Opportunity Cost Containment Treatment Guidelines

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.

September 22, 2025

NCCI Publishes Labor Market Insight Report

Job growth slowed to 22,000 in August, with declines in construction and manufacturing.

September 15, 2025

Pennsylvania Proposes Workplace Heat Protection Bill

The bill would require mandatory training on heat-related risks, emergency response planning, paid rest breaks and access to shade, and more.

September 15, 2025

Training Opportunity

Nevada Offers Training Webinar for ODG Formulary

The webinar will take place on November 5th at 11:00 AM PST.

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.

Midterm Marijuana Legalization

Maryland and Missouri voters pass recreational legalization.

State of the States

A roundup of regulatory activity around the country

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.

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.

The Cannabis Question: Marijuana and Workplace Safety?

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

Rhode Island Legalizes Recreational Marijuana

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

« Previous 1 … 22 23 24 25 26 … 51 Next »

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