An HSA card

For years, health savings accounts (HSAs) and flexible spending accounts (FSAs) have been championed as tools to help employees reduce out-of-pocket health care costs. It seems like common sense: money is being set aside on a pre-tax basis to cover future health care expenses. But a recent study published on the JAMA Health Forum website pokes holes in that theory.

Researchers at New York University found that HSAs could increase out-of-pocket spending by over $500 per family each year, while FSAs may drive costs even higher—raising out-of-pocket expenses by $500 per family and adding over $1,500 annually to a health plan’s expenses.

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