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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 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.
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August 12, 2024

WCRI Reports on Factors Associated with High-Cost Claims

High-cost claims are defined as the top 5% of medical payments within 36 months of injury.
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August 19, 2024

West Virginia Issues Bulletin on AI

Regulators endorsed the Principles of Artificial Intelligence adopted by the NAIC as a framework for insurers.
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August 19, 2024

Texas Invites Stakeholder Comments on Agenda, Rules, Quarterly Meetings

Stakeholders can submit written comments through September 16th.
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August 19, 2024

FDA Rejects MDMA as PTSD Treatment

Despite rapid and clinically meaningful improvements in PTSD, the FDA cited insufficient data for rejection.
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August 19, 2024

Congress Urges USPS to Adopt DOL’s Proposed Extreme Heat Protections

77 Congressmen are pushing for adoption after the death of a USPS letter carrier.
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August 26, 2024

West Virginia Plans to Destroy 10-Year Old Closed Claim Files

Old files containing significant PHI increase cybersecurity risks, outweighing the need for retention.
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August 26, 2024

Montana Seeks Stakeholder Input on Marijuana Legislation

An August 29th meeting will gather public input on several draft bills for marijuana regulation.
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August 26, 2024

Maryland Proposes Worker Heat Protections

The rules would go into effect at 80°F, with greater protections kicking in at 90°F and 100°F.
Read More →
July 29, 2024
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 Further resources you may be interested in

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

Questioning Costs: A Field Guide to Fee Schedules

Understand how prices are set for medical equipment and services, and how to scrutinize those costs.
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How Declining Opioid Use Impacts Claims and Outcomes

According to the CWCI, reduced opioid utilization from 2010-2017 saved $6.5 billion in California comp costs.
Read More

Minnesota Proposes PTSD Treatment Guidelines

Beyond compensability, Minnesota considers rules for evaluation, treatment planning, acceptable psychotherapies, and more.
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Healthe in the Media

Workers’ comp publications cover Healthesystems content surrounding aging physicians, successful return-to-work programs, and more.
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By the Numbers

A collection of workers’ compensation facts and figures
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State of the States

A roundup of regulatory activity around the country
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