Info banner

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.

Go to Regulatory Recap News

Subscribe for Weekly Updates

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.

Billing & Payments Cost Containment

California Bill Would Require EORs to Include Contract Information

Provider EORs would require contract-specific info. Not providing a requested contract in 30 days allows bills to be reprocessed at full fee schedule rates.

September 15, 2025

Access to Care Ancillary Services

Delaware Approves 125% Medicare Reimbursement Rate for E&M Procedures

The adjustment aims to address longstanding underpayment for E&M services, as low reimbursement has contributed to provider shortages.

September 15, 2025

Study Finds Long COVID Linked to Productivity Loss

Participants who reported ongoing long COVID symptoms were more than three times more likely to report work productivity loss than those without persistent symptoms.

September 8, 2025

Cost Containment

CMS Publishes 2025 Q4 NCCI Edit Updates

The changes are effective October 1, replacing the 2025 Q3 versions.

September 8, 2025

Advocacy Opportunity Billing & Payments

Ohio BWC to Refile Outpatient Medication Rules

The BWC withdrew its proposed outpatient medication reimbursement rules for self-insured employer claims due to a technical error.

September 8, 2025

Cost Containment

NCCI Publishes New Research Brief on Medical Fee Schedules

The report reviews how changes to CMS reimbursement rules may impact medical costs in workers’ comp.

September 1, 2025

CPWR Publishes Report on Heat Injuries and Illness Among Construction Workers

While construction workers make up only 7% of the workforce, they account for more than one-third of occupational heat-related deaths in the U.S.

September 1, 2025

Mental Health Presumptions

New Jersey Now Requires Counseling for First Responders After Traumatic Incidents

Effective immediately, workers’ comp programs are required to pay for up to 12 hours of counseling following critical incidents.

September 1, 2025

Advocacy Opportunity Treatment Guidelines

California Proposes Updates to Medical Treatment Utilization Schedule

Public comments can be made on the proposed changes until September 26th, at which point a hearing will be held.

September 1, 2025

« Previous 1 … 6 7 8 9 10 … 38 Next »

Subscribe to Regulatory Recap

Get weekly legislation & policy updates straight to your inbox.

regulatory recap newsletter image

hello world!

Further resources you may be interested in

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

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.

California Updates Pharmacy Fee Schedule

Among many changes, the state is replacing AWP with a new pricing model.

Missouri Proposes Bill for Psilocybin Therapy

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

New York Enacts Mental Injury Presumption for All Workers

All workers will now have the right to file a claim for mental injuries, based upon extraordinary work-related stress incurred on the job.

Texas Considers Making Infertility an Occupational Illness for First Responders

A proposed bill would apply to male and female reproductive systems for firefighters and EMTs.

The Most Engaging RxInformer Articles from 2024

We checked the stats and reviewed our readers’ favorite articles from RxInformer magazine to bring you a list of our most engaging content from 2024.

« Previous 1 … 6 7 8 9 10 … 47 Next »

Back to Top

Workers' Comp Property and Casualty PBM
Expires 01/01/2028