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Health savings accounts (HSAs) not making the impact many had hoped for

Despite being promoted by the current administration and being adopted by a growing number of businesses, health savings accounts (HSAs) are not making the impact many had hoped for. HSAs are a combination of a high-deductible health insurance plan coupled with a tax-free savings account. Money from the account can be used to pay the deductibles. Because the deductibles are higher, the monthly premiums are lower. Currently, 43% of large companies offer HSAs but the number is nearly one-third of that in the public sector.

Watson Wyatt Worldwide and the National Business Group on Health surveyed 573 companies and found that only 8% of their workers had signed on for the HSAs. The problem is that the option is viewed as a way of shifting rising health insurance costs to the employee instead of the employer.

Another potential problem is that HSAs do not always save money for the employers. In Michigan, for example, switching to an HSA and adding $1,000 into the account for each worker would cost the state an additional $4 million over what they are paying now. Because most of the state's workers spend less than $1,000 on health care and because the people who spend the most are unlikely to switch to an HSA, the state would not benefit from making the change at this point.


 

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