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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.

Mental Health Presumptions

Minnesota Releases PTSD Report

At over 200 pages, this comprehensive report includes a review of PTSD claims in the workers’ comp system.

August 11, 2025

Pennsylvania Proposes Cannabis Reimbursement Bill

If enacted, insurers would be required to reimburse up to $250 per month for qualified medical use.

August 11, 2025

Senate Introduces Federal Heat Standard Bill

If enacted, OSHA would be required to adopt a federal standard for enforceable protections.

August 11, 2025

Cost Containment

South Dakota Approves Rulemaking for Physician Fee Schedule

The 2025 Optum RVPs for medical services and treatments will be adopted, but with current conversion factors.

August 11, 2025

Claim Costs Industry Data

NCCI Reports on Medical Inflation Highlights

While overall medical inflation remains low, certain tariffs are still pending, which could impact long-term costs.

August 4, 2025

Claim Costs Cost Containment Industry Data

California Publishes 2025 State of the System Report

Medical costs went up 8% in 2024, driven by increased utilization, fee schedule inflation, and growth in medical-legal services.

August 4, 2025

Advocacy Opportunity Cost Containment

California Sees Delay to Utilization Review Regulations

The Office of Administrative Law informed the DWC that seven areas of the proposed update required additional clarification or public notice.

August 4, 2025

NCCI Publishes Labor Market Insights

147,000 new jobs were reported in June, though half were driven by likely-seasonal education jobs.

July 28, 2025

NCCI Publishes Industry Trends Report

While claim severity decreased across all industries, construction saw the steepest decline since 2015.

July 28, 2025

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Further resources you may be interested in

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

FDA and CDC Recommend Resuming Use of Johnson & Johnson COVID-19 Vaccine

After reviewing six rare cases of blood clots after 7 million doses, current data indicates the vaccine is safe.

Making Telemedicine Work for Workers’ Comp

Applications, benefits and tips for success.

Provider Choice Bills Introduced Across the Country

More states consider allowing injured workers to choose their treating physician.

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.

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