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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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Texas DWC Posts 2024 Network Report Card Results

The report analyzed 10 networks with 205,716 injured employees and 197,365 non-network claims, covering injuries from June 1, 2021, to May 31, 2023.
Read More →
October 7, 2024

Pennsylvania Workers’ Comp Trends

Key highlights from a WCRI webinar include prescription payment trends, with notable attention on dermatological agents.
Read More →
October 7, 2024

Nevada Proposes Changes to Provider Panel Rules

Payers could soon be required to change certain reporting processes.
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October 7, 2024

New York PT & OT Assistants Can Soon Treat Injured Workers

Effective October 27th, these professionals can treat injured workers under the supervision of a Board-authorized provider.
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October 7, 2024

Delaware Workers’ Comp Trends

A new WCRI report reviews claim costs, medical payments, prescription payments, and more.
Read More →
October 7, 2024

California Enacts AI Disclaimer Bill and AI Utilization Review Bill

Providers will have final approval of UR decisions when AI is used, and patients must receive notice if AI is used to generate claims communications.
Read More →
October 7, 2024

California Vetoes Heat Presumption for Farmworkers

Governor Gavin Newsome stated that heat safety enforcement falls under Cal/OSHA, not workers’ comp.
Read More →
October 7, 2024

Fair Health Releases New Opioid Tracker Tool

Based on 48 billion commercial healthcare claim records, this tool tracks opioid abuse and dependence.
Read More →
October 7, 2024

NCCI Opioid Webinar

NCCI found opioid utilization to be decreasing while opioid doses remained high.
Read More →
September 30, 2024
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 Further resources you may be interested in

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

Montana Delays Drug Formulary for Legacy Claims

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

JAMA Compares Effectiveness of Treatment Pathways for Opioid Use Disorder

A study of 41,000 adults finds that only treatment with buprenorphine or methadone reduced risk of overdose.
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Embracing Telehealth in Reaction to COVID-19

Several state workers’ comp programs are relaxing telehealth rules to promote social distancing.
Read More
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