Health Savings Accounts HSAs: Stakeholder Perspectives

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Health Savings Accounts (HSAs)Stakeholder
Perspectives

• May 11, 2005

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What Are We Talking About?HSAs, HRAs, Health FSAs
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What Are We Talking About?HSAs, HRAs, Health FSAs
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What Are We Talking About?HSAs, HRAs, Health FSAs
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What Are We Talking About?HSAs, HRAs, Health FSAs
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What Are We Talking About?HSAs, HRAs, Health FSAs
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Anticipated Growth in Account Based Plans
Health Savings Account
Health Reimbursement Account
Likely to offer an HRA-based CDHP in 2006
Likely to offer an HSA- based CDHP in 2006
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Some of the Growth Will Come From Conversion
Will convert HRA to HSA or add HSA in 2005
Used HSA in 2004
Used HRA in 2004
Among those using HRA only in 2004
Based on 84 CDHP sponsors responding to the 2004
survey with 500 employees
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Does This Match Reality?
Source Mercer and 9/24/2004 Inside
Consumer-Directed Care
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The New, New Thing in Account-based PlansAre
HSAs Replacing HRAs as the Favored Funding
Vehicle?

• Not yet, but wait until 2006 for 1/1/2005
• Definity/United
• Definity 95 clients 5 with HSAs, at least 2
  with both HRAs and HSAs
• Uniprise 175 clients 50 with HSAs
• Lumenos
• 85 clients 7 with HSAs, 1 with both HRA and
  HSAs
• Aetna
• 350 clients about 300 with HRAs and 50 with
  Integrated HSAs
• Another 250 HSA-compliant HDHP small group
  clients referred to HSA Bank
• CIGNA
• 50 clients approximately 35 HRA, 15 HSA
• Mercer
• 100 clients 30 with HSAs (funded and
  unfunded), 2 with HRAs and HSAs

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Some Early Reported Success Stories
Carrier book of business studies(mostly slice
offerings)
Individual Employers(full replacement offerings)
There was only an 8 7 increase
respectively for a similar population in a
traditional managed care plan
Note Self-reported, un-audited results
directional evidence only not projectable to
other groups
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Stakeholder Perspectives