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

Regulatory Tag: Treatment Guidelines

July 21, 2025
Michigan Advisory Council Discusses 2026 Ruleset

The meeting covered fee schedule policies impacting physician-dispensed medication, electronic delivery for EOBs, and more.

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July 21, 2025
California P&T Committee Reviews Topical Analgesics 

The next meeting in October will deliver an expanded formulary list, with a review of the top five to ten exempt drugs based on utilization.

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July 14, 2025
California P&T Committee Reviews Drug List Changes

The July 16th meeting will review upcoming MTUS changes, which go into effect August 6th.

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June 16, 2025
Arizona Commission Discusses Trends and Solutions for Topical Prescriptions

Fee schedule clarity and defined reimbursement caps were discussed as ways to reduce ambiguity and prevent payment disputes.

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June 16, 2025
Nevada Enacts Formulary and Changes for Provider Panels

The DIR must adopt the ODG formulary by July 1, 2027.

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June 9, 2025
Connecticut, Nebraska, Nevada, and Texas Introduce AI Regulation Bills

These different bills would prevent AI from denying, delaying, modifying, or making clinical decisions in healthcare.

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June 9, 2025
Arizona Seeks Stakeholder Input on Prescription Topicals

The meeting will take place on June 12th, aiming to explore current trends, challenges, and proposed solutions related to these drugs.

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May 22, 2025
Tennessee Medical Advisory Committee Meeting Highlights

Topics addressed included changes to the fee schedule, utilization review, spinal therapy guidelines, and more.

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May 2, 2025
Wisconsin Workers’ Compensation Advisory Council Meeting Recap

Topics discussed include proposals for a fee schedule by 2027, employer direction of care, and allowing more providers to provide disability opinions.

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May 2, 2025
Colorado Stakeholders Debate Over Physician Oversight

In a DWC meeting, stakeholders spoke regarding the timeline of when a physician evaluates a patient, versus other types of providers.

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April 21, 2025
California P&T Committee Meeting Recap

Healthe attended the April 16th meeting, capturing key updates regarding the pharmacy fee schedule and drug formulary.

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April 14, 2025
Nevada Now Considering Evidence-Based Formulary After Bill Hearing

Senate Bill 317 originally focused on provider panels, but a recent hearing amended the bill to include a workers’ comp formulary.

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April 14, 2025
California P&T Committee to Meet on April 16th

The hybrid meeting will cover the pharmacy fee schedule, biosimilars, cannabis coverage, and payments for topical drugs.

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March 24, 2025
Colorado Considers Changes to Provider Choice, Disputes, and More

Among many changes, the bill would shift the burden of proof to insurers in medical treatment disputes.

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March 24, 2025
California Considers Adopting ACOEM Recommendations Against Medical Marijuana

The ACOEM cannabis guideline from late January 2025 recommend against medical marijuana for the treatment of pain.

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