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Illustration: Rebecca Zisser/Axios

Employers have more power over our health care system than anyone else, and they're getting more creative with how to wield it to lower costs, according to a new survey of large employers.

Why it matters: U.S. health care spending is going to become increasingly unsustainable until employers — which cover a plurality of Americans — decide they've had enough.

  • The survey, conducted by the National Business Group on Health, is another sign that they're getting closer to that point.
  • A PwC report recently predicted that 2020 will be "a year in which more employers fight back."

Details: The survey reflects 147 large employers covering 15 million people.

  • It found that employers are increasingly focused on primary care, as prevention is a lot more cost-effective than treatment.
  • 34% of the employers said primary care will be available on or near the worksite next year, and 24% said they'll steer patients to physician-based alternative care organizations or high performance networks.

Additionally, employers are grappling with how to handle the services that do drive their high costs.

  • More than a quarter are expanding their use of centers of excellence in areas like orthopedics and fertility, and many said they're considering alternate ways of paying for new million-dollar specialty drugs.

Yes, but: Even with these strategies, costs are still expected to rise by 5%.

Go deeper: If there's a turning point on health costs, it'll come from employers

Go deeper

Updated 1 hour ago - Sports

Swimmer Chase Kalisz first American to win Olympics gold medal

Chase Kalisz of Team United States celebrates after winning the Men's 400m Individual Medley Final on day two of the Tokyo 2020 Olympic Games at Tokyo Aquatics Centre in Tokyo, Japan. Photo: Al Bello/Getty Images

Swimmer Chase Kalisz became on Sunday the first Team USA Olympian to win gold at the Tokyo Games.

The big picture: The Rio 2016 silver medalist's winning time in the men's 400 meters Individual Medley Final was 4 minutes 9.42 seconds. His teammate Jay Litherland took silver .86 seconds later.

California's largest wildfire razes homes as 88 huge blazes burn in U.S.

Firefighters on the scene as dozens of homes burn during the Dixie Fire in the Indian Falls neighborhood of unincorporated Plumas County, California, on July 24. Photo: Josh Edelson/AFP via Getty Images

Flames from California's biggest wildfire were engulfing homes in the state's north overnight — one of 88 large blazes raging in the U.S.

Driving the news: The Dixie Fire, which erupted July 14 near the origin of the deadly 2018 Camp Fire in Butte County, was tearing through the community of Indian Falls in the neighboring Plumas County, per AP.

Golfer Bryson DeChambeau will miss Olympics after testing positive for COVID

Bryson DeChambeau of the United States on the 18th tee during Day Two of the 149th Open at Royal St George’s Golf Club on July 16 in Sandwich, England. Photo: Andrew Redington/Getty Images

Bryson DeChambeau has tested positive for COVID-19 and will miss the Tokyo Olympic Games, USA Golf announced late Saturday.

What he's saying: "I am deeply disappointed not to be able to compete in the Olympics for Team USA," DeChambeau said in a statement.