Order Form

    This individual Report HSA Growth Accelerates In Uncharted Waters is available for purchase. This Report is available to members of Mercator Advisory Group’s Prepaid Advisory Service. Please be advised that this Report is normally part of a research and advisory service that provides ongoing support throughout the year. As such, this Report contains significant depth of content that is selected for its strategic importance to our members. (For a description of these services, see our Advisory Services section).

    While the Report represents significant analyst time invested, there is no means of our ascertaining if it will fully meet your specific intended purposes. Typically, these Reports form the basis for future discussions with our clients where we are able to fine-tune additional information that we have gathered in the construction of the series of Reports (or locate new information rapidly due to our exclusive focus on gathering information in the payments industry) for specific member needs.

    Unfortunately, in fairness to our paying members, we are not able to offer this level of support for a single Report purchase. We will, however, credit any Research Document purchase against the future purchase price of the service should you become a member within 30 days of purchasing the document.

    The price for individual Report purchases is $2950 per document. 


    Use the form below to request this individual Report purchase or

    Click here for a fax-back order form




HSA Growth Accelerates In Uncharted Waters

Boston, MA
June 2007

HSA Growth Accelerates In Uncharted Waters

A Look at the Marketplace and the Applications of Prepaid Debit Cards to HSA

Significant investments are being made today to implement Prepaid HSA cards that will provide significant benefits to cardholders and Third Party Administrators (TPAs). The most important of these is the inventory information approval system (IIAS) that will deliver auto-adjudication, significantly reducing administration costs for TPAs while eliminating the need to submit and file records by the cardholder.

This report evaluates the size of the HSA market today and forecasts growth through 2011. It also offers a forecast of the number of HSAs that will likely be candidates for HSA Prepaid cards. Not all Health Spending Accounts will be candidates for a Prepaid HSA card. For instance, many HSAs are under funded. Many have very low transaction rates because the owner perceives the HSA more as an investment account than for health spending. Both of these consumer behaviors will reduce deployment of Prepaid HSA cards.

"It is not just account holder behavior that will delay adoption of Prepaid HSA cards", states Tim Sloane, Director of the Debit Service at Mercator Advisory Group. "The broad acceptance of the inventory information approval system is also critical to the value proposition these cards deliver to TPAs. Every time a transaction is not adjudicated it reduces the cost savings the HSA depends on and frustrates the cardholder. It will be years before IIAS works for services rendered at hospitals or doctor's offices - and these account for 51.7% of all healthcare related expenditures according to the AMA."

Highlights of the report include:

  • It is very likely that financial asset management firms will spend heavily to advertise the benefits of the HSA as an investment instrument, directly competing with banks for these account dollars.
  • It is possible that the next presidential campaign will again focus on healthcare and that a new administration will legislate an entirely new environment ??? making all existing forecasts obsolete.
  • While there are just over 1 million HSA accounts associated with a Prepaid HSA card today, this will increase to 6.5 million accounts in 2011 ??? a compound annual growth rate of just under 60 percent.
  • Broad deployment of IIAS is an important assumption that is built into this forecast. Any additional delays or balkanization of the market into competing systems would significantly lower the forecast.

One of the 13 Exhibits in this report:

This exhibit shows the number of properly funded HSA accounts that will be opened between 2006 and 2011. It also shows the predicted number of HSAs that will have prepaid HSA cards associated with them.

This report is 35 pages long and contains 13 exhibits, and tables.

Members of Mercator Advisory Group have access to these reports as well as the upcoming research for the year ahead, presentations, analyst access and other membership benefits. Please visit us online at

For more information, please call Mercator Advisory Group's main line: 781-419-1700 or send email to