Merchant Services

Order Form

    This individual Report The Growing Importance of Healthcare Accounts is available for purchase. This Report is available to members of Mercator Advisory Group’s Merchant Services 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




The Growing Importance of Healthcare Accounts

Use of healthcare accounts in the U.S. is booming as healthcare costs rise

New Mercator Advisory Group research explores the growth of healthcare accounts as U.S. consumers seek to bridge the gap between expenses and what health insurance covers.

Healthcare-related expenses are nearing 20% of GDP in the U.S. and the rise in costs show no signs of slowing. The persistent trend has left employers of all sizes to figure out how to offer meaningful healthcare benefits to attract good employees while keeping insurance costs at reasonable levels. The answer for many employers and consumers has be a reliance on healthcare plans with higher deductibles but lower premiums than traditional plans, coupled with a tax-advantaged account that the consumer uses to pay for healthcare-related expenses not covered by their health insurance plan. The dependency on consumer-driven accounts represents an opportunity for issuers and new market entrants that can amass scale and offer efficient, differentiated services, according to Mercator Advisory Group’s latest research, The Growing Importance of Healthcare Accounts.

The increase in healthcare costs and the impact of the Affordable Care Act are the primary drivers leading consumers and employers to embrace healthcare accounts. HRA (Health Reimbursement Accounts (HRAs), Health Savings Accounts (HSAs), and Flexible Spending Accounts (FSAs) have been in use for years, but the influx of new users is profoundly changing the way these accounts are being used. In the past, account users were primarily savers seeking to take advantage of the tax savings these accounts afford since contributions to fund the accounts are not taxed if withdrawals are for expenses permitted by the IRS. In contrast, the new users tend to be heavily reliant on their accounts to pay healthcare expenses and frequently they draw down their balances.

“The new users are active spenders, involved in how their healthcare dollars are spent and looking for the most effective way to use their healthcare account balances. The Affordable Care Act (ACA) is in part responsible for the wave of new users. Survival of the ACA is in question after the presidential election, but the use of healthcare accounts has been considered positive and will likely be front and center as new healthcare policies emerge,” commented Sarah Grotta, Director, Debit Advisory Service, author of the report.

This research report contains 17 pages and 6 exhibits. 

Keywords: healthcare, HSA, HRA, FSA, debit, prepaid, Affordable Care Act, ACA 

Companies mentioned in this report include: Bank of America, ConnectYourCare, Devenir, Evolution Benefits, HSA Bank, J.P. Morgan Chase Bank, Kaiser Family Foundation, M&T Bank, Optum Bank, The Bancorp Bank, UMB, Wage Works, and Wells Fargo Bank.

Highlights of the research report include:

  • Market trends boosting the growth of healthcare accounts

  • The ways that employers are incorporating health savings accounts (HSAs) into their employee benefit plans

  • The impact of government policy on the way health care accounts are being used 

  • Why the influx of new users is driving some providers to exit the market

  • Consideration of new capabilities or feature to help consumers maximize their healthcare account balances