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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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California Proposes Statewide Network to Address Provider Shortage

Injured workers could utilize this network if their employer’s network cannot provide treatment within 30 days.
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March 10, 2025

Arizona Medical Fee Schedule Bill Passes Senate

The fee schedule would apply to medical care, dental care, and supplies received by injured employees.
Read More →
March 10, 2025

Oklahoma Bill Could Impact Pharmacy Benefits

Among other changes, the bill would ban effective rate contracts, making it difficult to forecast drug costs.
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March 3, 2025

WCRI Reports on the Pandemic’s Effect on Medical Utilization

Injury frequency increased for younger and less-tenured workers, who also saw higher use of emergency departments.
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March 3, 2025

New York Budget Bill Could Expand Access to Providers

Among many proposed changes, the bill would automatically allow licensed physicians, chiropractors, psychologists, and others to treat injured workers.
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March 3, 2025

Montana Bill Would Deny Workers’ Comp Benefits for Undocumented Workers

The bill would also allow insurers to close claims when the claimant leaves the United States – regardless of citizenship status.
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March 3, 2025

Montana Introduces PTSD Presumption Bill for First Responders

The bill applies to firefighters, law enforcement officers, certain prison workers, and others.
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March 3, 2025

Maryland Pharmacy Fee Schedule Bill Inches Forward

Introduced in January, the bill was discussed in a February 25th hearing, with supporters and opponents voicing concerns.
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March 3, 2025

Florida Proposes Employer-Run Comp Alternative

Employers must demonstrate financial ability to provide benefits, create written plans that provide no-fault benefits and adhere to certain criteria.
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March 3, 2025
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 Further resources you may be interested in

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

Classification Complications: Will Gig Workers Enter the Workers’ Comp Market?

Legislation could reclassify gig workers as employees, which could entitle them to benefits
Read More

The Long Haul: Chronic Health Complications of COVID-19

Those previously infected by coronavirus may face long-term health complications, potentially complicating workers' comp claims
Read More

How Opioid Policy Impacts Opioid Utilization and Disability

A new WCRI report explores the impact recent opioid legislation has had on injured worker care.
Read More

The Early Impact of COVID-19 on Workers’ Comp Claims

Another WCRI report looks at non-COVID-19 claims with injuries in the first two quarters of 2019 and 2020.
Read More

AMA Updates Impairment Rating Guidelines for the First Time Since 2008

Changes center around improving the assessment of mental and behavioral impairment.
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More Recreational Marijuana Legalization, More Positive Workplace Drug Tests

Connecticut legalizes recreational use, and NCCI expects even more states to follow suit.
Read More
1 … 22 23 24 25 26 … 47
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