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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 Accepting Public Comments on Proposed Billing and Processing Rule Repeals

Written comments will be accepted via email until November 10th.
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October 20, 2025

Massachusetts Recap: Updates From the Fee Schedule Stakeholder Input Session

Fee schedule rates haven’t changed since 2009, and the low rates have discouraged provider participation.
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October 20, 2025

Colorado Clarifies Provider List Sharing Rules For 2028 Reforms

While injured workers can choose any Level I or II provider from the DWC’s panel, employers and insurers may still share preferred or in-house lists.
Read More →
October 20, 2025

California Opens Public Comments on Proposed Updates to Traumatic Brain Injury Guidelines

Interested stakeholders must submit written comments by October 28th.
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October 20, 2025

Healthesystems at the IAIABC 111th Annual Convention 

A recap of conference highlights and key presentations.
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October 13, 2025

Quest Diagnostics Publishes 2025 Drug Testing Index

Positivity rates for fentanyl in random drug checks were 707% higher when compared to pre-employment drug tests.
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October 13, 2025

Cannabis Drug Beats Opioid in Phase 3 Clinical Trial for Low Back Pain

A lack of clinical research has been a barrier for the greater utilization of medical marijuana, but one cannabis-derived drug shows promise.
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October 13, 2025

Oregon and Washington Issue Guidance for Sign Language Interpreter Services

Considering recent and upcoming changes to the procurement of these services, both states have published bulletins to clarify procedures.
Read More →
October 13, 2025

California Expands Cancer, PTSD, and Cardiovascular Presumptions

Two recently enacted bills expand pre-existing presumptions to additional workers.
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October 13, 2025
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 Further resources you may be interested in

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

Healthesystems at WCI 2025

Visit Healthe at Booth #921 to learn about our solutions and how we reduce burdens for claims professionals.
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Expert Q&A with Sandy Shtab: The Emerging Role of AI in Workers’ Comp Healthcare – and the Regulations Surrounding It

AI is increasingly being used in healthcare delivery. What are its applications in workers’ comp? What are the benefits and risks?
Read More

WCRI Publishes Medical Price Index

The study compares prices for medical services across 36 states from 2008 to 2024, representing 88% of workers’ comp benefits in the U.S.
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Highlights from the NCCI Annual Insights Symposium 2025

In-depth reports cover topics ranging from an overview of the workers’ comp system to opioids, industry-specific trends, and more.
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Congressional Budget Bill Could Place 10-Year Ban on State AI Regulations

If passed, the bill would prevent the enforcement of laws on AI models and automated decision systems.
Read More

Then and Now: 8 Reflections from 15 Years of RxInformer

In celebration of the 15 year anniversary of RxInformer, the editorial staff looked back at past issues to understand what has changed – and what hasn’t.
Read More
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