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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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Massachusetts Considers Extreme Temperature Protections

The bill includes rules for temperatures above 80 degrees Fahrenheit and below sixty degrees Fahrenheit.
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March 17, 2025

Arizona and Illinois Bills Push for Extreme Temperature Protections

While Arizona is only considering extreme heat protections, Illinois considers both extreme heat and extreme cold protections.
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February 17, 2025

New York Continues Efforts to Expand Access to Providers

Governor Hochul reiterates proposals made in her budget bill, with additional efforts to align fee schedules with Medicare automatic updates.
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March 10, 2025

Iowa Could Allow Primary Care Providers to Treat Workplace Injuries

Employers would be required to inform workers of their right to designate their primary care provider as the physician for their workplace injury.
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March 10, 2025

Florida Publishes Annual Workers’ Comp Report

While pharmacy payments are dropping, physician dispensing remains high.
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March 10, 2025

Florida Announces Public Meeting to Discuss Reimbursement Manual

The virtual meeting will take place April 1, 2025 at 10:00 AM to discuss outstanding issues related to the Health Care Provider Manual.
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March 10, 2025

California Proposes Statewide Network to Address Provider Shortage

Injured workers could utilize this network if their employer’s network cannot provide treatment within 30 days.
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March 10, 2025

Arizona Medical Fee Schedule Bill Passes Senate

The fee schedule would apply to medical care, dental care, and supplies received by injured employees.
Read More →
March 10, 2025

Oklahoma Bill Could Impact Pharmacy Benefits

Among other changes, the bill would ban effective rate contracts, making it difficult to forecast drug costs.
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March 3, 2025
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 Further resources you may be interested in

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

WCRI Reports on Interstate Variation Trends in Drug Payments

Data from 28 states years found that NSAIDs and dermatological agents are seeing growth in spending.
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States Limit COVID-19 Liability

Could Arkansas and Louisiana start a trend?
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COVID-19: Hydroxychloroquine and Remdesivir Updates

The malaria drug loses an EUA for COVID-19, while the FDA warns of drug interactions that can reduce antiviral effectiveness.
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Growing Pains: The Shift from Opioids to Other Pain Therapies

With opioid utilization decreasing, what concerns do other pain therapies pose?
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WCRI Publishes Medical Price Index

With data from 36 states across 12 years, this report highlights the differences in prices paid for medical services across the nation.
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