Illustration: Rebecca Zisser/Axios

Employers will likely step up their efforts to rein in health care costs next year, a new PwC Health Research Institute report predicts, partially because they've nearly maxed out their ability to offload costs onto employees.

What they're saying: "2020 likely will be, in some ways, a turning point in the long arc of employer-sponsored insurance, a year in which more employers fight back," the report's authors write.

The big picture: Employers' medical costs are expected to rise by 6% next year, thanks to drug costs, chronic diseases and greater access to mental health care.

  • Employers have handled rising health care costs over the last decade primarily by increasing employees' cost-sharing, but that strategy may have run its course.
  • At least one-third of employees in the HRI survey said they didn't have enough money saved to pay their deductible.
  • Employers “are at a very interesting kind of crossroads ... and now it's time to get active and start working on price," said Ben Isgur, HRI's leader.

Between the lines: Nothing keeps business' health care costs in check better than healthy workers — and employers are getting increasingly hands-on in that pursuit.

  • They're getting more active in the delivery of primary care, including worksite health clinics. Some are also negotiating contract prices and setting up their own provider networks.
  • Employers can also nudge employees toward lower-cost providers and more efficient forms of care — for example, trying physical therapy before surgery.

The bottom line: Employers are the health care system's sleeping giant. Prices will go down when employers decide to use their massive political and financial leverage.

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White House economic adviser Larry Kudlow said on CNN's "State of the Union" Sunday that he regrets suggesting this week that unemployment benefits can only be extended by Congress.

Why it matters: President Trump's decision to bypass Congress to sign four executive actions, including one that provides $400 per week in extra unemployment benefits, has prompted outcry from Democrats and even some Republicans who believe he is overstepping his constitutional authority.

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Anti-government protesters in Beirut. Photo: STR/NurPhoto via Getty Images

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Why it matters: In her resignation letter, Manal Abdel-Samad called change "elusive" and apologized for not delivering more to the country, which had been devastated by a financial crisis and the coronavirus pandemic even before the blast destroyed much of the capital city.

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Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 7 a.m. ET: 19,655,445 — Total deaths: 727,353 — Total recoveries — 11,950,845Map.
  2. U.S.: Total confirmed cases as of 7 a.m. ET: 4,998,802 — Total deaths: 162,425 — Total recoveries: 1,643,118 — Total tests: 61,080,587Map.
  3. Politics: Trump signs 4 executive actions on coronavirus aid — Democrats, and some Republicans, criticize the move.
  4. Public health: Fauci says chances are "not great" that COVID-19 vaccine will be 98% effective — 1 in 3 Americans would decline COVID-19 vaccine.
  5. Science: Indoor air is the next coronavirus frontline.
  6. Schools: How back-to-school is playing out in the South as coronavirus rages on — Princeton, Johns Hopkins, Howard to hold fall classes online.