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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.

WCRI Reports on Changes in The Medical Workforce

The provider shortage increased during the pandemic, but a shift to advanced practitioners saw minimal impacts to claims costs and other metrics.

February 3, 2025

Ketamine Therapy Bills in Hawaii, Missouri, & Texas

Hawaii considers partial coverage, Missouri wants stricter guidelines, & Texas proposes a grant program for military and first responders.

February 3, 2025

Florida Bills Could Clarify Heart Disease Presumption for First Responders

Statutes from 1965 did not define what constitutes “heart disease” and these new bills would provide definitions that expand the presumption.

February 3, 2025

Marijuana Bills in Massachusetts, Nebraska, and South Dakota

Massachusetts is considering reimbursement, Nebraska works on medical use, and South Dakota considers revoking medical use.

February 3, 2025

NCCI Publishes Labor Market Insight Report

The report covers trend in employment growth, wages, and sectors most impacted.

January 27, 2025

WCRI Explores the Lifecycle of Claims in New York

The study examines overall claim cost, timing of key indemnity payments, and other system performance indicators.

January 27, 2025

Mental Health Presumptions

New York, Oklahoma, Oregon, and Washington Propose Updates to PTSD Presumptions

The updates vary across each state and for different occupations, but the trend of more PTSD presumptions around the country continues.

January 27, 2025

Cost Containment

Hawaii Bill Could Cap Nonprescription Drugs Reimbursement

The bill would cap nonprescription, over the counter, and non-legend drug reimbursements at the drug’s cost plus 40%.

January 27, 2025

Four States Consider Expanding Cancer Presumptions

Connecticut, Hawaii, Mississippi & Nebraska each introduced bills that would create or expand cancer presumptions.

January 27, 2025

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Further resources you may be interested in

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

Recreational Marijuana Legalization Blazes On

In two months, three states legalized recreational marijuana, and more could soon follow.

Developing and Advancing Meaningful Connection in a Virtual Work Environment

Join Healthe’s Heather Stempien and Sandy Shtab for a panel presentation with IAIABC on April 28th!

FDA Approves New Acetaminophen Injection Dose

A new 500mg injection will soon be available.

2021 Workers’ Comp Industry Insights Survey Report

Over 600 stakeholders shared their thoughts on top industry challenges.

New York and New Hampshire Rule in Favor of Marijuana Reimbursement

Both State Supreme Courts ruled in favor of reimbursement.

FDA Approves Posimir for Post-Surgical Pain Relief

A novel bupivacaine formulation works as a 72-hour local anesthetic following shoulder surgery.

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