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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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Florida Discusses Provider Reimbursement at Stakeholder Meeting

Healthesystems attended the meeting to capture key discussion updates.
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April 7, 2025

Connecticut Proposes Expansion to PTSD Presumption

A new qualifying event would include witnessing a serious physical injury that does not result in death or permanent disfigurement.
Read More →
April 7, 2025

California Considers Updates to Billing Disputes Over Contracted Discounts

These disputes would qualify for independent bill review, and contracts must be presented when justifying payments below fee schedule.
Read More →
April 7, 2025

WCRI Publishes Study on Degenerative and Comorbid Conditions

Approximately 38.8% of claims had one or more comorbidities, based on an analysis of 930,000 claims with at least 7 days lost time across 32 states.
Read More →
April 7, 2025

West Virginia May Allow Mental Health Nurse Practitioners to Diagnose PTSD

Mental health nurse practitioners must hold a master’s degree and a terminal license within their profession.
Read More →
March 31, 2025

Nevada Considers Update to Requirements for Provider Panels

The third such bill proposing updates, Assembly Bill 469 would divide the state into three geographic regions for the purpose of creating lists of physicians.
Read More →
March 31, 2025

Maryland Takes No Action on Drug Pricing Reform

A hearing from the Committee on Economic Matters saw back and forth discussion but yielded no progress.
Read More →
March 31, 2025

Louisiana Proposes Updates to Workers’ Comp Rates

The medical fee schedule would align reimbursement rates with those of similar neighboring states.
Read More →
March 31, 2025

California Pushes for Transparency in Workers’ Comp Contracts

Key provisions address billing disputes over contractual discounts.
Read More →
March 31, 2025
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 Further resources you may be interested in

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

Mental Health Injuries Gain Momentum in Workers’ Comp

Corrections officers in Nebraska benefit from a new law; will healthcare workers in Connecticut join them?
Read More

FDA Approves Kloxxado for Opioid Overdose

A new 8 mg naloxone nasal spray will soon be available, which is the largest naloxone dose approved by the FDA to date.
Read More

FDA Revokes Emergency Use Authorization for Bamlanivimab for COVID-19

Due to mutating viral strains, the potential benefits of this COVID-19 drug no longer outweigh the risks.
Read More

Department of Labor Hints at Changes to Worker Classification

While many states are making decisions regarding gig workers, federal action could soon change things.
Read More

A Brighter Tomorrow? Applying Pandemic Lessons Today

A message from the Chief Executive Officer
Read More

Making Telemedicine Work for Workers’ Comp

The future of telemedicine and practical tips to make it effective in workers' comp
Read More
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