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

Regulatory Tag: Advocacy Opportunity

October 27, 2025
Texas Proposes Rule Change for Death Investigator Claims

The DWC is accepting public comments on rules that expedite medical benefits and the dispute resolution process until November 24th.

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October 27, 2025
Maryland Provides Update on Prescription Fee Guide

The Medical Fee Guide Committee also discussed PPO practices, psychiatric IMEs, and more.

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October 27, 2025
Texas: Key Updates from Quarterly Carrier Meeting

Findings from a gabapentin/pregabalin audit are expected in early 2026, the DWC addressed billing discrepancies, and more.

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October 27, 2025
Colorado Discusses Exclusions from Treating Provider List

Stakeholders provided feedback on the DWC’s proposed rules.

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October 20, 2025
Texas Accepting Public Comments on Proposed Billing and Processing Rule Repeals

Written comments will be accepted via email until November 10th.

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October 20, 2025
Massachusetts Recap: Updates From the Fee Schedule Stakeholder Input Session

Fee schedule rates haven’t changed since 2009, and the low rates have discouraged provider participation.

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October 20, 2025
Colorado Clarifies Provider List Sharing Rules For 2028 Reforms

While injured workers can choose any Level I or II provider from the DWC’s panel, employers and insurers may still share preferred or in-house lists.

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October 20, 2025
California Opens Public Comments on Proposed Updates to Traumatic Brain Injury Guidelines

Interested stakeholders must submit written comments by October 28th.

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October 13, 2025
Healthesystems at the IAIABC 111th Annual Convention 

A recap of conference highlights and key presentations.

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October 6, 2025
Oregon Considers Stakeholder Feedback for Improving Access to Care

Stakeholders discussed inefficiencies in claim procedures, and regulators will continue to review feedback prior to finalizing recommendations.

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October 6, 2025
Ohio Resubmits Outpatient Medication Rules: Comments Accepted Until October 9th

BWC resubmits outpatient medication rules with unchanged compound provisions, sets February 2026 start date, and reopens public comments.

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October 6, 2025
Arizona Study Prompts Stakeholder Feedback for High-Cost Prescription Topicals

A small group of prescribers and out-of-network pharmacies are driving utilization of costly drugs with affordable alternatives.

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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.

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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.

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September 22, 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.

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