The independent dispute resolution process has generated at least $5 billion (about $2 billion to $2.5 billion annually) in total costs through the end of 2024.

"Understanding the characteristics and health burdens of high-cost claimants is essential for employers, insurers and policymakers aiming to design targeted strategies for care management, cost containment and improved health outcomes," said the report.

The plaintiffs argued that ERISA expressly preempts any state law that may relate to an employee benefit plan.

The top reason why employees requested accommodations last year was mental health conditions.

The website is part of a broader administration initiative to implement a most favored nation pricing model in which Americans pay no more for drugs than the lowest prices charged in other wealthy countries.

Despite proving at trial that the airline favored ESG goals in its 401(k) plan, the plaintiff failed to show that this resulted in financial losses, according to Judge Reed O'Conner of the U.S. District Court for the Northern District of Texas.

"This is going to be a fundamental shift in the program, because we're going to move away from that upfront discount program to a post-purchase rebate," said Dr. Urshlila Shah, former chief pharmacy officer at St. Joseph's Health in Paterson.

"We have seen a surge in federal agency enforcement, new rulemaking and litigation, as well as ongoing state developments that both challenge and reinforce these federal efforts," Laura Hancock, ERISA compliance and state law attorney for Lockton, wrote in a new report.