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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Senate to vote on Amy Coney Barrett's confirmation on Oct. 26

Senate Majority Leader Mitch McConnell in the Capitol on Oct. 20. Photo: Stefani Reynolds/Getty Images

The Senate will vote to confirm Judge Amy Coney Barrett to the Supreme Court next Monday, Oct. 26, Majority Leader Mitch McConnell (R-Ky.) announced Tuesday.

The big picture: The Senate Judiciary Committee will vote this Thursday to advance Barrett's nomination to the full Senate floor. Democrats have acknowledged that there's nothing procedurally they can do to stop Barrett's confirmation, which will take place just one week out from Election Day.

Updated 3 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Politics: Americans feel Trump's sickness makes him harder to trustFlorida breaks record for in-person early voting.
  2. Health: The next wave is gaining steam.
  3. Education: Schools haven't become hotspots.
  4. World: Ireland moving back into lockdown — Argentina becomes 5th country to report 1 million infections.

Meadows confirms Trump's tweets "declassifying" Russia documents were false

Photo: Tom Williams-Pool/Getty Images

White House Chief of Staff Mark Meadows confirmed in court on Tuesday that President Trump's tweets authorizing the disclosure of documents related to the Russia investigation and Hillary Clinton's emails "were not self-executing declassification orders," after a federal judge demanded that Trump be asked about his intentions.

Why it matters: BuzzFeed News reporter Jason Leopold cited the tweets in an emergency motion seeking to gain access to special counsel Robert Mueller's unredacted report as part of a Freedom of Information Act request. This is the first time Trump himself has indicated, according to Meadows, that his tweets are not official directives.