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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.

Advocacy Opportunity Cost Containment

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.

November 4, 2024

Training Opportunity

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.

November 4, 2024

Industry Data Pharmacy Data

Pennsylvania Publishes Prescription Drug Trends Report

This report reviews drug payments between 2012 and 2022, reviewing usage and cost, generics, opioids, and topicals.

November 4, 2024

Advocacy Opportunity

Texas Seeks Input On 2025 Medical Quality Review Audit Plan

Comments will be accepted until 5:00 PM PST on November 22, 2024, and the Medical Advisor may adjust the plan based on feedback received.

November 4, 2024

Psychedelic Study Shows Improvements in Anxiety without Hallucinations

When injected into the hippocampus, the compound DOI reduced anxiety in mice without causing hallucinations.

November 4, 2024

CWCI Publishes Opioid Prescribing Report for Injured Workers

Between 2017-2023, opioid prescribing fell 34%, from 6.8 million members of the general population (17.3%) to 4.5 million (11.5%).

October 28, 2024

Advocacy Opportunity Mental Health

Minnesota Invites Public to Complete PTSD Survey to Identify Needed Changes

The survey takes 10-15 minutes to complete, and some respondents may be asked for follow-up interviews. All responses will remain anonymous.

October 28, 2024

Treatment Guidelines

Nevada Revises Rules on Provider Lists and Forms

Starting October 1, 2025, provider lists must be submitted through the Division’s CARDS system, set to launch next spring.

October 28, 2024

New York Issues Guidance on Cybersecurity Risks from AI

AI-enabled social engineering and AI-enhanced cybersecurity attacks are some of the many topics addressed in the guidance.

October 28, 2024

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Further resources you may be interested in

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

COVID-19 Telehealth Updates

Telehealth extensions in Colorado, Texas, and New York.

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.

California Releases Online COVID-19 Interactive App

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

Connecticut Enacts Major COVID-19 Presumption

Beyond first responders and healthcare workers, essential workers including grocery store workers are now covered by workers’ comp.

Department of Labor Audit: COVID-19’s Impact on Comp

A new report on how federal workers’ comp claims have been impacted.

Virginia Adopts Workplace Safety Standards for COVID-19

Standards are in place for PPE, social distancing, testing procedures, and more.

« Previous 1 … 29 30 31 32 33 … 46 Next »

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