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

Transforming the workers’ compensation pharmacy and ancillary benefits management experience

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4 Ways PBMs Can Improve the Workers’ Comp Experience

PBMs can reduce burden for payers, provide intuitive claims tools, deliver effective customer support, and engage injured workers.
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rxinformer

Concerning Counsel: A Look at Litigation in Workers’ Comp

Understanding the characteristics and trends of litigation claims, as well as tips to reduce them.
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INDUSTRY SURVEY

2025 Industry Survey Report

This seventh annual survey report highlights the top challenges and priorities of 500 industry professionals.
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Rescheduling Questions: How the Marijuana Landscape Could Soon Change

A White House Executive Order to expedite the rescheduling of marijuana may introduce significant implications for clinical research, drug development, and downstream utilization.

Summer 2026

Influential Engagement: How Purposeful Digital Strategies Drive Positive Patient Participation

A review of strategies to help ignite desirable behaviors in injured workers and encourage active participation in recovery, including practical tips and metrics for achieving tangible results.

Summer 2026

A Troubling Knowledge Gap: Overcoming Unfamiliarity with Workers’ Comp

Unfamiliarity with workers’ comp is one of the biggest barriers to recovery for injured worker patients. How can we use meaningful engagement to help them navigate the system?

Summer 2026

Escalating Costs: Trends in Durable Medical Equipment (DME)

Demand for DME is rising, as are costs. What’s driving this growth, and how can the workers’ compensation industry contain costs?

Summer 2026

Deep Breath: Occupational Lung Diseases and Pharmacy Management

These diseases are infrequent in workers' comp, but they can incur significant costs as these diseases are often present for life, requiring ongoing monitoring, treatment, and medication.

Summer 2026

State of the Nation: Summer 2026

Healthesystems’ Sandy Shtab examines key workers’ comp policy trends, from PBM regulation and AI oversight to marijuana rescheduling and injured worker engagement.

Summer 2026

FDA Approves New Oral GLP-1 Tablets, Foundayo, for Treatment of Obesity

The once-daily tablet starts at an 0.8 mg dosage, which is then steadily increased at 30-day intervals, based on treatment response and tolerability.

Apr 2026

In the Long Run: How Long COVID Impacts Workers’ Comp

While severe cases are less common, they greatly impact costs, recovery, and return to work.

Apr 2026

Pennsylvania Proposes Reimbursement Caps for Compounds and Topicals

The bill would create a $400, 30-day supply cap for compound drugs.

Apr 2026

New Jersey Proposes Marijuana Reimbursement in Workers’ Comp and Group Health

Companion bills S3984 and A1023 would require health insurance coverage for the medical use of cannabis under certain circumstances.

Apr 2026

American Medical Association Reports on Increased Physician Use of AI

From a poll of 1,692 physicians, over 80% used AI in some context – twice the percent noted in 2023.

Apr 2026

AI and the Adjuster: Driving Efficiency Without Losing the Human Touch

Mike Theis, AVP of Product and Analytics, joins other industry experts featured in Risk and Insurance’s latest article on how AI can reduce clutter to allow for a more human touch.

Apr 2026

6 Degenerative Conditions Impacting Injured Workers

With the workforce growing older, degenerative conditions may have a growing impact on claims. Here are six common conditions that injured workers face.

Apr 2026

Wear and Tear: A Breakdown of Degenerative Comorbid Conditions

With the workforce growing older, degenerative conditions may have a growing impact on claims.

Mar 2026

Florida Appeals Court Rules in Favor of Carriers and Employers on Physician-Dispensed Drugs

While injured workers have an absolute choice over their pharmacist, physicians are not considered pharmacists and therefore not entitled to reimbursement.

Mar 2026

WCRI Publishes National Repository on Prescription Drug Regulations

While the report addresses multiple topics, a significant focus was given to the expanding role of pharmacists as a healthcare provider.

Mar 2026

Expert Q&A: What Utah’s AI Prescription Renewal Pilot Signals About the Evolving Role of AI in Treatment Decisions

Utah’s prescription renewal pilot is a groundbreaking use case for AI in healthcare. What are the potential benefits and pitfalls?

Mar 2026

NCCI Reports on Interstate Variation in Pain Management Trends

While opioid utilization has decreased, overall spending on pain management has increased, in part due to the use of high-cost topical medications.

Mar 2026

Inside Medical Experience: Signals, Trends, and System Impact

Healthe’s VP of Industry and State Affairs, Sandy Shtab, joins a panel presentation at the Pennsylvania/Delawaare 2026 Workers’ Compensation Symposium.

Mar 2026

Eighth Annual Industry Insights Survey Reveals Focus on Injured Worker Engagement

Explore the top five major findings from this year’s Workers’ Comp Industry Insights Survey.

Mar 2026

Expert Q&A: What Utah’s AI Prescription Renewal Pilot Signals About the Evolving Role of AI in Treatment Decisions

Utah’s prescription renewal pilot is a groundbreaking use case for AI in healthcare. What are the potential benefits and pitfalls?

Feb 2026

The Cost of Exposure: How Occupational Cancer Impacts Workers’ Compensation

The risk and impact of occupational cancers vary significantly depending on the nature of the exposure and the affected workforce.

Feb 2026

Utah Launches AI Prescription Renewal Pilot Program for Chronic Conditions

The pilot can approve a limited set of 192 medications and will be broken into three stages, each with different levels of review.

Feb 2026

Department of Justice Charges Zynex Executives with Health Care Fraud

The medical device supplier is charged with fraudulently submitting millions of dollars in billing for devices that were not necessary, covered, or agreed to by patients.

Feb 2026

States Seek to Limit AI-Generated Care Decisions, Despite White House Order

Legislators continue to introduce bills to limit AI-generated healthcare decisions, even as the U.S. Attorney General has been instructed to oppose them.

Feb 2026

New RAND Report Explores Psychedelics and Microdosing

Approximately 11 million adults used psilocybin in the last year, with an estimated 10 million adults microdosing with a psychedelic.

Feb 2026

WCRI Reports on Trends in Joint Replacement Surgery

Using data from 2 million claims across 32 states, the study found that the prevalence of these surgeries increased, driven by shoulder joint replacements.

Feb 2026

3 Ways Long COVID Impacts Workers’ Comp Claims

While cases may be few, long COVID can significantly impact workers’ comp claims in several ways.

Feb 2026

The New Weight Loss Pill: What You Need to Know

The FDA has approved the first oral version of a GLP-1 for the treatment of obesity. What do you need to know about safety, efficacy, and cost?

Feb 2026

FDA Approves Oral Tablet Formulation of Wegovy

This approval marks the arrival of the first oral GLP-1 semaglutide drug.

Jan 2026

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