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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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Connecticut Publishes Occupational Disease Report

Among 8,418 cases of occupational disease in 2022, musculoskeletal disorders were the most common, followed by infectious disease.
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September 9, 2024

Florida Proposes Prior Auth Requirements for Packs and Kits

Requiring prior authorization would likely reduce utilization, and by extension reduce spend.
Read More →
September 9, 2024

Ohio Issues Draft Rules for Outpatient Drug Payments

The AWP discount could go from a fixed 15% to a variable rate set by the BWC, with an annual review.
Read More →
September 9, 2024

California’s Indoor Heat Protections Go into Effect

When temperatures reach 87°F, employers must implement work-rest schedules and provide personal heat protective equipment, where feasible.
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July 29, 2024

WCRI Publishes Behavioral Health Report for New York State

About 3% of claims had services for behavioral health, representing 8% of total medical payments
Read More →
August 5, 2024

California WCRIB Releases State of the System Report

Pharmaceutical costs decreased 88% since 2012, but medical costs are increasing due to longer claim durations and inflationary updates to fee schedules.
Read More →
August 5, 2024

California Supreme Court Rules Rideshare Drivers are Contractors

Proposition 22's exemption for rideshare drivers was upheld after four years of litigation.
Read More →
August 5, 2024

WCRI Webinar on Interstate Variation in Drug Trends

Healthe attended the August 1st webinar to capture key findings.
Read More →
August 12, 2024

Massachusetts Considers Psychedelics Initiatives

A Voter Initiative may allow for therapeutic use, while a new bill could allow for a working group would explore treatment for veterans.
Read More →
August 12, 2024
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 Further resources you may be interested in

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

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

Montana Delays Drug Formulary for Legacy Claims

In response to the COVID-19 pandemic, the state issued a delay in adherence.
Read More

Keep Track of COVID-19 Developments

Healthesystems has created a developments webpage to track updates impacting workers’ comp.
Read More

FDA Approves Two Migraine Drugs and Two NSAIDs

Anjeso and a new Advil formulation target pain, while Nurtec™ and Vyepti™ target migraines.
Read More

2020 Workers’ Comp Industry Insights Survey

Healthesystems collaborated with Risk & Insurance to survey 669 workers’ comp professionals on top trends and challenges.
Read More
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