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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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Texas Seeks Input on Telemedicine Expansion for MMI Certifications

Stakeholders can email written comments to the DWC until January 13, 2025.
Read More →
December 9, 2024

California Reports on Inflation’s Impact on State Fee Schedule

The CWCI notes that cumulative percent increases to the Official Medical Fee Schedule have been lower than economy-wide inflation.
Read More →
December 3, 2024

Nevada Enacts Worker Heat Protections

Businesses with more than 10 employees will be required to follow these regulations, 90 days after the filing date of November 15th.
Read More →
December 3, 2024

New Jersey Proposes Heat Protection Bills

Two identical bills were introduced to the Assembly and Senate, which would define excessive heat as 85 degrees or higher, with provisions for working in excessive heat.
Read More →
December 3, 2024

Oklahoma Issues Bulletin on Ethical AI Use in Insurance

While the bulletin outlines ways carriers can demonstrate compliance with state laws, it does not mandate specific practices or documentation.
Read More →
December 3, 2024

Texas Bill Could Make Infertility an Occupational Illness for First Responders

Senate Bill 454 proposes an infertility presumption for firefighters and EMTs for male and female reproductive systems.
Read More →
December 3, 2024

NCCI Publishes Injury Characteristics and Insights Dashboard

The dashboard examines data on cause of injury, nature of injury, body part grouping, and injury severity rankings.
Read More →
December 3, 2024

New York Adopts PBM Regulations, with Exemption for Workers' Comp

Healthesystems' Advocacy & Compliance team successfully engaged the DFS to create an exemption for workers' comp PBMs
Read More →
November 21, 2024

Texas Considers Mandatory Workers’ Comp Insurance for Construction Contractors

Two bills were pre-filed, with one applying to the general industry and the other applying to contracts for municipal projects.
Read More →
November 18, 2024
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 Further resources you may be interested in

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

New York Prepares to Launch New Claim Portal

Stakeholders will soon experience a streamlined digital process for managing claims.
Read More

FDA Approves Veklury for COVID-19, Issues EUA for Bamlanivimab

Veklury is approved for hospitalized patients, while bamlanivimab is being investigated in mild-to-moderate cases of COVID-19.
Read More

Side Effects: COVID-19-Related Healthcare and Pharmacy Trends Impacting Workers’ Comp

The pandemic has disrupted access to care, but the industry has implemented reactive measures
Read More

Returning to Work in the COVID-19 Era

Considerations for infection prevention, unique population factors, and more
Read More

Moving Forward: How Should Opioid Guidance Continue to Evolve?

Opioid use has decreased, prompting calls for reform, but COVID-19 complicates opioid use
Read More
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