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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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McKinsey Close to Settling U.S. Opioid Investigations

A payment of over $500 million could soon be made to resolve federal investigations tied to the opioid epidemic.
Read More →
October 21, 2024

NCCI Publishes New Labor Market Insights Report

September saw the addition of 254,000 new jobs, with much of the growth in healthcare, leisure and hospitality, and construction.
Read More →
October 21, 2024

WCRI Publishes 25th Edition of CompScope Medical Benchmarks

The reports analyze trends in payments, prices, and medical care utilization across 17 states from 2017-2022.
Read More →
October 21, 2024

California P&T Meeting Reviews Pharmacy Fee Schedule and Formulary Updates

Public comments for the proposed changes to the fee schedule will be accepted until October 23rd.
Read More →
October 21, 2024

WCIRB Reports on Long-COVID

Approximately 5% of all California COVID-19 claims resulted in long COVID.
Read More →
October 14, 2024

Texas Adopts 2025 Fiscal Year Research Agenda

Three topics were selected, but the state may expand the scope of research to accommodate stakeholder suggestions.
Read More →
October 14, 2024

Colorado Bans the Physician Dispensing of Gabapentin

As part of new changes to the medical fee schedule, this rule will take effect January 1, 2025.
Read More →
October 14, 2024

CWCI: Are Migraine Drugs Becoming a New WC Cost Driver?

Drug payments increased eight-fold since 2018.
Read More →
October 14, 2024

California P&T Committee to Discuss Pharmacy Fee Schedule

The meeting takes place October 16th to discuss the fee schedule and other matters.
Read More →
October 14, 2024
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 Further resources you may be interested in

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

Kentucky Renews Order Expanding Pharmacist Powers

These provisions expire May 8, 2020, but may be regularly renewed as necessary.
Read More

Sandy Shtab: Regulatory Acceleration in Response to COVID-19

Healthesystems’ AVP of Advocacy & Compliance discusses regulatory action related to COVID-19 with WorkCompWire.
Read More

Could Convalescent Plasma Treat COVID-19?

The FDA, JAMA, and others think blood from those who recovered from COVID-19 could benefit those with the illness.
Read More

More States Make COVID-19 Compensable in Workers’ Comp

With frontline workers at risk, states are expanding coverage to healthcare workers, first responders, and other frontline workers.
Read More

Silvia Sacalis: 3 Evolving Clinical Trends in Workers’ Comp

Healthesystems’ VP of Clinical Services discusses population trends, non-opioid pain therapies, and comorbidities with WorkCompWire.
Read More

California Works to Track COVID-19 Claims

The WCIRB is partnering with workers’ comp organizations across the country
Read More
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