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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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Department of Justice Reaches $21.5 Million Settlement Over Inflated AWP for Compound Ingredients

According to the DOJ, Medisca Inc. purchased resveratrol at $0.37 a gram, sold it for under $2.00 a gram, but reported an AWP of $777 per gram.
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November 11, 2024

California to Hold Webinar on 2024 Geo Study

The December 4th webinar will cover regional differences in the California workers’ comp system.
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November 11, 2024

Vermont Seeks Stakeholder Input on Medical Fee Schedule

Written comments from stakeholders who use the fee schedule will be accepted until December 15th.
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November 11, 2024

CMS to Reduce Medicare Physician Fee

The physician fee schedule will be reduced by 2.93%, while other changes are in store for primary care, telehealth, and more.
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November 11, 2024

Department of Labor Reports a Decline in Worker Death Investigations

Workplace fatalities requiring OSHA investigation fell 11% from 2023 to 2024.
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November 11, 2024

AmTrust Publishes 2024 Restaurant Risk Report

The report reviews nearly 130,000 workers’ comp claims from 2018-2023 to identify injury trends the restaurant industry.
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November 11, 2024

Arizona Offers Medical Resource Training Opportunities for Workers’ Comp Stakeholders

A four-part series of 30-minute training webinars are available for adjusters, payers, healthcare providers, and TPAs.
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November 4, 2024

Mississippi Requests Stakeholder Input for 2025 Fee Schedule

No deadline for feedback has been given, but the Commission will consider feedback for fee schedule changes for 2025.
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November 4, 2024

Nevada to Hold Four Workers’ Comp Training Webinars

The webinars will cover basic orientation, the C-4 process and using the coverage verification system, the D-35 form, and medical billing.
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November 4, 2024
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 Further resources you may be interested in

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

U.S. Executive Order Signed for Telemedicine

A wide-sweeping order on national telehealth policy requires federal agencies to begin making plans for change.
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Florida COVID-19 Report

Data from nearly 12,000 COVID-19 claims breaks down coverage among industries, telemedicine insights, and more.
Read More

Workers’ Comp Industry Insights Survey

2020 has been a year of disruption, and we want to know what the industry thinks about COVID-19, telehealth, opioids, AI, and more!
Read More

COVID-19 Telehealth Updates

Telehealth extensions in Colorado, Texas, and New York.
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FDA Issues Naloxone Recommendations for Opioids and OUD Drugs

The FDA recommends healthcare professionals co-prescribe the opioid overdose reversal drug with all opioid prescriptions.
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California Releases Online COVID-19 Interactive App

Information from nearly 15,000 COVID-19 claims broken down by industry, demographics, and more.
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