spons ors, which include a broad range of public and private organizations. For more information, visit www.ebri.org. • Younger enrollees are much more likely than older enrollees to be extremely or very interested in the new health account. Seventy percent of Millennials were extremely or very interested, compared with 46 Greenwa per ld R cent esea of r G ch en is a X ler eadi s and 33 ng ind per epec nd ent ent of cus Bab toy B m roo esea mer rch s. firm and consulting partner to the health and April 13, 2023, #464 wealth industries that applies creative quantitative and qualitative methods to help companies stay competitive and navigate industry change. Leveraging deep subject matter expertise and a consultative approach, Greenwald • One-half of enrollees with household incomes below $50,000 were extremely or very interested, and 56 offers comprehensive services to answer strategic business questions. For more information, go to percent of those with household incomes of at least $50,000 were extremely or very interested. The www.greenwaldresearch.com difference by enrollee income was not statistically significant. A New Kind of Health Account ### When it comes to ranking the various features of the new health account, nothing stood out as being a dominant One of the strongest trends in health benefits is the movement to health savings account (HSA)-eligible health feature (Figure 2). Being opened easily by anyone with health insurance was ranked highest by 28 percent of 1 plans. According to a recent survey, 24 percent of workers were enrolled in an HSA-eligible health plan in 2022. respondents; being funded by both the enrollee and the employer was ranked highest by 27 percent; and being The same survey found that deductibles are also prominent in non-HSA plans, with employee-only deductibles able to grow the account by investing in the stock market was ranked highest by 12 percent. There were no averaging $1,451 in HMOs and $1,322 in PPOs in 2022. In other words, many workers are enrolled in health meaningful differences in these rankings by age or income. plans with deductibles high enough to be HSA eligible but are not technically enrolled in an HSA-eligible health plan and thus are unable to contribute to an HSA. Som Figure ething i 2 s holding these employers back from offering HSA- eligible health plans to giIm ve po wor rtan kers t ce he of m V ea ariou ns to pay s Feat thei ures r outof -of New -pocke Healt t exph ens Ae cco s thr unt ough HSAs. In the recently released Employee Benefit Research Institute (EBRI)/Greenwald Research Consumer Engagement Opened Easily by Anyone With Health Insurance 28% in Health Care Survey, we decided to test enrollee interest in a new type of health account similar to an HSA. Like an HSA, the new health account could be funded by both workers and employers, could be invested in the stock market, and would be portable from job to job. Earnings would grow tax free, and contributions would be Funded by Both You and Your Employer 27% capped. Unlike an HSA, this new health account would not have to be paired with a high-deductible health plan; it could be paired with any health plan. Interest in these new health accounts is high. One-quarter of adults with private health insurance were extremely Has the Opportunity for Growth Through Stock Market Investments 12% interested, 28 percent were very interested, and another 28 percent were somewhat interested (Figure 1). Only 17 percent were not interested. Interest was a little higher among HDHP enrollees, which may be a combination of their familiaritHa y w s Ta itxh H AdvSA antag ses and/ on Earn or be ings ca (but use limi ts m oany n annu of al them do not have access to HSAs. 11% contributions) Figure 1 Interest in Health Account Similar to HSA 40% Stays Open Even if You Leave Your Employer 13% Total Traditional HDHP 34% 35% Moves With You to a New Employer 9% 29% 30% 28% 28% 28% 28% 27% 27% 24% 0% 5% 10% 15% 20% 25% 30% 25% Source: EBRI/Greenwald Research Consumer Engagement in Health Care Survey, 2022. 20% 15% 13% More information about the EBRI/Greenwald Research Consumer Engagement in Health Care Survey can be 12% found online. 10% 7% 6% 5% The 2022 Consumer Engagement in Health Care Survey was an online survey of 2,015 Americans ages 21 – 4% 5% 64 with private health insurance coverage. It was fielded in October and November of 2022. The survey is made possible with funding support from the following organizations: Blue Cross Blue Shield Association, 0% Extremely Interested Very Interested Somewhat Interested Not Too Interested Not at All Interested HealthEquity, Millennium Trust Company, Segal, TIAA, UMB Financial, and Voya Financial. Source: EBRI/Greenwald Research Consumer Engagement in Health Care Survey, 2022. The Employee Benefit Research Institute is a private, nonpartisan, and nonprofit research institute based in 1 Washington, D.C., that focuses on health, savings, retirement, and economic security issues. EBRI does not lobby See Figure 8.4 in https://www.kff.org/report-section/ehbs-2022-section-8-high-deductible-health-plans-with-savings- and does not take policy positions. The work of EBRI is made possible by funding from its members and option/. 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