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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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Nevada CARDS Portal Down: State Issues Guidance Bulletin

There is no timeline for when the system will be back online, requiring various go-arounds for certain claims procedures.
Read More →
September 29, 2025

Florida Workers’ Comp Trends Highlighted in WCRI Webinar

The webinar covered topics ranging from claims costs to drug payments, heat-related injuries, and more.
Read More →
September 29, 2025

Tennessee: Formulary and UR Updates from the Medical Advisory Committee Meeting

Advocacy efforts by Healthesystems helped create a prior authorization for 300mg ibuprofen, as other cost-effective doses are readily available.
Read More →
September 29, 2025

Colorado Seeks Stakeholder Feedback for 2028 Comp Reform

Three listening sessions will give stakeholders the chance to comment on how to implement major workers’ comp reforms.
Read More →
September 29, 2025

Massachusetts Seeks Stakeholder Input on Medical Payment Rates

The EOHHS hopes to understand how current rates affect workers’ comp coverage, access to care, quality of care, and injured worker experience.
Read More →
September 22, 2025

NCCI Publishes 2025 Regulatory and Legislative Trends Report

NCCI tracked 950 bills impacting workers’ comp, highlighting key trends across the country.
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September 22, 2025

Texas Plans 2026 Carrier and Healthcare Provider Audit

Random audits will review timely and accurate benefit delivery, medical reimbursement, and the reporting of electronic data to the DWC.
Read More →
September 22, 2025

WCRI Publishes Report on Psychosocial Impacts on Physical Therapy Outcomes

The presence of psychosocial risks causes functional scores to decrease 33% for workers’ comp patients with shoulder injuries.
Read More →
September 22, 2025

CWCI Study Reports on Functional Restoration Programs

Only 42.8% of injured workers on FRPs had a chronic pain diagnosis, even though clinical guidelines recommend FRPs only for these cases.
Read More →
September 22, 2025
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 Further resources you may be interested in

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

2025 Workers’ Comp Industry Insights Survey Report

The seventh annual survey report highlights the top challenges and priorities for 515 industry stakeholders.
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Flurry of States Eye Updates for Cancer and PTSD Presumptions

Various states are proposing modifications to existing presumptions to expand coverage for first responders.
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A Hot Topic: The Latest News on Workers and Extreme Heat

Recent data insights, state proposals, and updates on federal rulemaking procedures.
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FDA Issues Draft Guidance for the Use of AI in the Creation of Drugs and Medical Devices

The guidelines provide recommendations on using AI to demonstrate drug safety and effectiveness, and recommendations for AI-enabled medical devices.
Read More

California Updates Pharmacy Fee Schedule

Among many changes, the state is replacing AWP with a new pricing model.
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Missouri Proposes Bill for Psilocybin Therapy

Medical use would be legalized, with legal protections for patients and physicians.
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