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A significant part of the Healthesystems vision is to create a more integrated experience for our customers

Category: Workers Comp

609 posts found
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Suzetrigine’s Early Impact for Pain Management

Data presented at PAINWeek 2026 indicates that the novel, non-opioid pain medication may be shaking up prescribing patterns for acute pain.
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Tipping the Scales? GLP-1 Considerations for Workers’ Comp

Rising GLP-1 use is slowly creeping into claims, requiring a review of clinical considerations.
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WCRI Publishes Report on Mental Health Claims

Frequency for mental health claims was higher among longer-tenure workers, higher-wage earners, women, and those in clerical and professional occupations.
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NCCI Publishes Legislative and Regulatory Trends Report

Trending topics include worker classification, portable benefits, mental injuries, single-payer insurance, marijuana, and psychedelics.
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Updates from the IAIABC’s 112th Convention

In addition to recapping roundtable discussions, the event saw Sandy Shtab, Healthesystems VP of Industry and State Relations, receive the IAIABC President’s Award.
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Novel Drug Approvals Supported by Fewer Studies

A study from PLOS One examined trends in drug approvals before and after implementation of new federal regulations for evidentiary standards.
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Coming Up Short: When Drug Shortages Become a Claims Problem

Shortages can increase costs, delay or alter treatment, increase complexity, and impact claims outcomes.
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Alaska Proposes Significant Pharmacy Reimbursement Changes

Impacted drugs include physician-dispensed and repackaged drugs, topicals, compounds, and OTC medications.
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SAMHSA Recommends States Plan for Legal Implications of FDA-Approved Psychedelics

States are encouraged to plan now for the implications of potential psychedelic therapies, including Medicaid coverage obligations.
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Hidden Comorbidities Complicate Workers Comp Claims

Business Insurance recaps an educational presentation held at WCI 2026, featuring Healthesystems VP of Clinical Services, Silvia Sacalis, PharmD, BS.
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Generic Drug Tariffs Announced for 2028

A 100% tariff will take effect August 1, 2028 for generic drugs imported into the U.S., followed by a 200% tariff in August 2029.
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6 Steps for More Effective Pharmacy Workflows

Effective pharmacy workflows pair greater efficiency with better health outcomes, reducing burden for claims professionals while increasing impact.
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WCRI Reports on Trends in Non-Price-Controlled Medical Services

The study focused on DME and professional services billed by nonhospital providers from January 1, 2019 through June 30, 2025.
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New York Broadens Pay Without Prejudice Rules

Effective January 1, 2027, payers may voluntarily cover medical treatment for up to one year while compensability determination is under review.
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FDA Seeks Input on Potential Therapeutic Use of Psychedelic Drugs

A public hearing will be held on September 14th, with written comments accepted until October 5th.
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