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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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New York Enacts Retail Worker Safety Law

Retailers with 500 or more employees must provide access to silent alarms by 2027.
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September 16, 2024

Oregon to Hold Rulemaking Advisory Committee Meeting

A November 5th meeting will review fee schedule revisions and certain reimbursement rules.
Read More →
September 16, 2024

California UR Doctors May Require Board Licensing

Senate Bill 636 awaits the Governor's signature.
Read More →
September 9, 2024

Connecticut Publishes Occupational Disease Report

Among 8,418 cases of occupational disease in 2022, musculoskeletal disorders were the most common, followed by infectious disease.
Read More →
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.
Read More →
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

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 Further resources you may be interested in

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

Top Challenges

What do you see as the biggest challenge for your workers’ comp program in 2019 and beyond?
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Major Trends

What industry trend do you think will have the biggest impact on your workers’ comp program in the next year?
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Program Priorities

Rank the below items in order of priority for your organization’s workers’ comp program.
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Program Successes

What workers’ comp program has your organization implemented that you’re finding the most success with?
Read More

By the Numbers

A collection of workers’ compensation facts and figures
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