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A summary of the articles included in the September 2025 edition:

  • Maximizing HSAs’ Value
  • Is Recent Legislation a First Step to “Decoupling” HSAs from Rigid Designs?
  • A Hierarchy for Retirement Savings
  • Lively’s 2025 HSA Spend Report Highlighting How Americans Are Navigating Skyrocketing Healthcare Costs
  • Health Savings Account Adoption Spans Socioeconomic Spectrum


Maximizing HSAs’ Value

With the cost of health care continuing to rise, retirement savers need to use every tool available to save for their futures. But experts say one vehicle is not using to its maximum value: the health savings account.

HSAs are triple-tax-advantaged and can be used to save for health care costs decades down the road. However, experts say the benefits of these accounts—which have been around for about 21 years, but took off in the mid-2010s—are not widely understood.

Is Recent Legislation a First Step to “Decoupling” HSAs from Rigid Designs?

The One Big, Beautiful Bill Act, symbolically signed July 4 by President Trump, contains many important and controversial changes in federal fiscal policy. One important healthcare provision defines all Bronze and Catastrophic coverage available on federal- and state-facilitated insurance marketplaces as HSA-qualified plans.

How will this change affect the nongroup market? Will it mean more or fewer HSA-qualified options in public marketplaces? What is decoupling? Is this approach to decoupling justified?

A Hierarchy for Retirement Savings

It’s a rare newbie investor who has the financial wherewithal—and foresight—to hit the ground running on a retirement savings plan, making the maximum allowable IRA and 401(k) contributions at the same time she’s getting her career off the ground.

Instead, most investors tiptoe into retirement savings. They might start with token investments in their 401(k) plans (or get automatically enrolled in them, if they’re not paying attention). Then, as their finances allow, or if they’re dissatisfied with their 401(k)s, they “graduate” into other investment vehicles for their retirement nest eggs, such as IRAs and taxable accounts.

One question investors often ask is, if they have a fixed sum of money to invest every month or every year, how should they deploy that cash for their retirement savings? Which receptacle gives them the biggest bang for their buck?

Lively’s 2025 HSA Spend Report Highlighting How Americans Are Navigating Skyrocketing Healthcare Costs

Lively, Inc., a top-rated health and lifestyle benefits platform* known for building the modern Health Savings Account (HSA), today unveiled its latest and the 7th annual 2025 HSA Spend Report, revealing how U.S. account holders are using their HSAs to cope with record-high healthcare prices—and what it means for employers, brokers, and benefits teams.

“Amidst rising prescription costs and economic uncertainty, our account holders are proving that HSAs are more than a short‑term fix—they’re building longer‑term health and wealth stability,” said Shobin Uralil, Co‑founder & COO of Lively. “Our 2025 Spend Report highlights how informed benefits strategies—backed by an intuitive platform—can shift HSAs from healthcare wallets to wealth-building assets.”

Health Savings Account Adoption Spans Socioeconomic Spectrum

Assets in health savings accounts reached $146.64 billion at the end of 2024, according to the 2024 Devenir & HSA Council Demographic Survey, an increase of almost 16% from the year-end 2023 total of $123 billion.

Data from the Devenir Group, LLC estimates as of December 31, 2024, there were 39.3 million HSAs in the U.S., collectively providing coverage for roughly 59.3 million people.

HSAs are especially popular with Millennials: By the end of 2024, individuals in their 30s held approximately 30% of all HSAs.

Devenir also reported that older account holders (aged at least 55) contributed heavily to their accounts and accumulated more than $63 billion in their accounts by the end of 2024, a 21% increase from the previous year.