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Sharing information with the industry is an important part of our mission. Our subject matter experts translate today’s news into comprehensive informational pieces to help you better understand the impact of a recent industry update, trend, or issue.

August 22, 2024 · Public Policy & Regulatory Affairs Team
In Florida, the Division of Workers’ Compensation continues to revise its Healthcare Provider Reimbursement Manual. The Texas Division of Workers’ Compensation is likewise revising its pharmacy benefit rules. The Delaware Department of Labor has posted its Workers’ Compensation health care practice guidelines on its website. The Idaho Industrial Commission is still conferring with  stakeholders on potential rule changes. Read more...
July 31, 2024 · Public Policy & Regulatory Affairs Team
Colorado proposes prohibiting physician dispensing of gabapentin and mandating eBilling; Alaska first responder PTSD presumption enacted; Michigan work comp advisory committee meeting reviews medical fee schedule changes and discusses pharmaceutical issues; Idaho work comp rulemaking meetings address medical fees and disputes; Kentucky bills add to PBM and insurer requirements; Minnesota renews electronic eligibility transaction exemption for work comp and auto. Read more...
July 10, 2024 · Public Policy & Regulatory Affairs Team
California work comp proposed UR rule changes; Montana fee schedules and drug formulary updated; Michigan bill applying false claims law to PIP advances; Idaho legislation adds to PBM requirements. Read more...
June 27, 2024 · Public Policy & Regulatory Affairs Team
After years of attempts, New York lawmakers finally passed legislation impacting the ability of employers and insurers to direct workers’ comp pharmacy care. Read more...
June 20, 2024 · Public Policy & Regulatory Affairs Team
The California DWC now invites further comments to yet more proposed changes to its already proposed changes to the state’s workers’ comp pharmacy fee schedule rules. Rely on Optum to make sense of it all. Read more...
June 12, 2024 · Public Policy & Regulatory Affairs Team
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