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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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NCCI Reports on the Latest Trends in Medical Equipment Cost Share

Average medical equipment costs increased 87% from 2012-2024, with medical equipment representing 8.3% of total workers’ comp medical spend.
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November 10, 2025

Nevada Publishes FAQ for Upcoming Procedural Reforms

Among many things, the FAQ discusses processes for formulary changes, administrative fines, and provider lists.
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November 10, 2025

California Considers Rule Change for Greater E-Filing in Workers’ Comp

Proposed updates also allow for electronic filing and service of all WCAB case related documents in EAMS rather than requiring service by mail.
Read More →
November 10, 2025

Michigan Considers Infectious Disease Presumption for Essential Workers

The bill would apply to those required to work during a state of emergency to protect life or maintain critical operations.
Read More →
November 10, 2025

Michigan Introduces Bill to Strengthen Injured Worker Protections

The bill impacts required medical services, provider choice, preauthorization requests, and more.
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November 10, 2025

NCCI Reports on Remote Work and Workers’ Comp Frequency

According to the NCCI, remote work makes up 20–30% of the U.S. workforce, up from 4–7% pre-pandemic.
Read More →
November 3, 2025

Texas Releases 2026 Performance Based Oversight Assessment Plan

The assessment will be based on five key metrics of medical data reported to the DWC from January 1st to June 30th of 2026.
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November 3, 2025

South Dakota Reports on Fee Schedule and Medical Trends

2025 relative values for physicians will be incorporated, while NCCI medical data was reviewed to compare state trends to national trends.
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November 3, 2025

Nevada Clarifies Provider Choice Requirements for First Responders

Since October 1st, first responders have been able to select their own physician for heart and lung claims under certain conditions.
Read More →
November 3, 2025
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 Further resources you may be interested in

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

Flurry of States Eye Updates for Cancer and PTSD Presumptions

Various states are proposing modifications to existing presumptions to expand coverage for first responders.
Read More

A Hot Topic: The Latest News on Workers and Extreme Heat

Recent data insights, state proposals, and updates on federal rulemaking procedures.
Read More

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.
Read More

Missouri Proposes Bill for Psilocybin Therapy

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

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.
Read More
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