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Commercial plan formulary designers have been especially tough on drugs for people with migraines, multiple sclerosis and multiple myeloma.

While AI strategy may be set at the executive level, HR determines whether it translates into meaningful, everyday work.

"Intelligence tools have changed what it means to build and run a company," said Jack Dorsey, the CEO of the company behind online payment platforms such as Square and Cash App.

Evanko, Cigna's president, believes the company can still make more use of technology to hold down employers' costs.

HR leaders do not need to wait for the economy to rebalance to address what workers are feeling. Compensation transparency, meaningful feedback structures and leaders who model vulnerability are tools available now.

While most care settings saw year-over-year growth between 1% and 5%, adult day health care services proved an outlier with a 5% decline.