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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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Montana May Recognize Physical Therapists as Treating Physicians

If Senate Bill 109 is passed, physical therapists would have the same rights as treating physicians, letting them deliver and coordinate care.
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January 20, 2025

California Report Finds Dermatological Agents Rank Highest in Drug Spend

According to claim data from the CWCI, in 2024 dermatological agents made up 12.6% of prescriptions and 18.9% of drug spend.
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January 20, 2025

Maryland Proposes Pharmacy Fee Schedule with Actual Acquisition Cost

If enacted, this fee schedule would replace the current usual and customary charges, going into effect October 1, 2025.
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January 20, 2025

WCRI Publishes New Report on Heat-Related Illnesses

Approximately 210 out of every 100,000 claims were for heat-related illness, but the rate increases for inexperienced workers and outdoor workers.
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January 13, 2025

Virginia Proposes Longer and Expanded Benefits for PTSD Among First Responders

Three separate bills were introduced, two which increase maximum duration of benefits, while one would expand benefits to dispatchers.
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January 13, 2025

New York Introduces Psilocybin Therapy Bill

Senate Bill 495 seeks to legalize medical psilocybin under strict conditions with state-regulated training, research, reporting, and more.
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January 13, 2025

New York Bill Seeks to Limit Recently Enacted Mental Injury Presumption

A bill passed in December 2024 created a mental injury presumption for all workers, but now regulators seek to limit that law with a new bill.
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January 13, 2025

Maine Considers Permanent Extension to PTSD Legislation for First Responders

House Bill 82 would indefinitely extend presumptions that are set to expire October 1st.
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January 13, 2025

Florida Panel to Issue Policy Recommendation for Fee Schedule

The three-member panel will recommend to legislators that the DWC be allowed to update fee schedules without legislative approval.
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January 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.

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.
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Minnesota Proposes PTSD Treatment Guidelines

Beyond compensability, Minnesota considers rules for evaluation, treatment planning, acceptable psychotherapies, and more.
Read More

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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Questioning Costs: A Field Guide to Fee Schedules

Understanding how prices are set for medical equipment and services, and how to scrutinize those costs
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