HSA News for September 28, 2026

HSA news is compiled weekly by Mr. HSA, Roy Ramthun

HSA Studies & Analysis

Morningstar Publishes 2026 Health Savings Account Landscape With Updated Provider Assessments and Industry Trends

Morningstar, Inc. published its 10th annual HSA Landscape Report, offering an analysis of industry trends and assessments of the top HSA providers. The research examines a rapidly maturing HSA industry marked by continued asset growth, lower fees, expanding investment options, and growing adoption of brokerage windows and other features designed to give participants greater flexibility in how they invest their HSA assets.

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HSA Assets Surge 19% as Lower Fees, Better Investments Fuel Growth

Morningstar’s latest annual report found that total HSA assets increased by 19% in 2025, with the industry taking in net financial inflows of $14.9 billion, roughly four times the amount held in HSA accounts in 2009. The report also tracks 11 different providers and the dual uses of HSA accounts, both as pre-tax spending accounts for medical costs and also as investment accounts. 

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Best Practices

Employers Can Take a Page from Retirement Playbook to Boost HSA Funding

Matching contributions and default elections are equally at home in the world of HSAs as they are with retirement savings. They are two different tools to help employees to prepare for the financial issues that each account addresses. Employers who choose to apply one or both to HSAs can provide additional peace of mind to their employees.

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How HR Can Reduce Healthcare Costs Through Smarter Benefit Design 

Employers continue to face significant healthcare cost pressures. HDHPs paired with HSAs remain one of the most effective strategies for managing healthcare costs while encouraging employee engagement. When implemented thoughtfully, HDHPs can help employees become more aware of healthcare spending and create opportunities to save for both current and future medical expenses through tax-advantaged HSA contributions. 

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It All Adds Up for HSA Day 

Most employers provide education around HSAs only during open enrollment and at new hire orientation but are not providing HSA-specific education at any other time. A new campaign this year, "It All Adds Up," is designed to help employees understand that every dollar and every receipt adds up to tax-free savings for future healthcare expenses.

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Industry News

Which HSA Providers Stand Out as the Best? Morningstar Weighs In

According to their latest annual HSA Landscape report, Morningstar ranked Fidelity as the best HSA spending account because Fidelity offered a “high interest rate and low costs.” HSA Bank was ranked as the best investment account for HSAs, due to “investment account offering, with strong investments, low costs, and no investment threshold.” 

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HSAs & Retirement

You Have Medicare and a Supplement -- Why Are Medical Bills Still Showing Up?

You enrolled in Original Medicare, added a Medigap policy, and probably expected the stream of medical bills to slow to a trickle. Then the bills start arriving. That doesn’t necessarily mean somebody made a mistake, because Medigap policies don't turn every healthcare service into a $0 expense. Here’s what every beneficiary needs to know about medical bills with Medicare and Medigap.

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Maximizing Your HSA

Choosing an HSA-Qualified Plan Can Increase Your Advance-Premium Tax Credit

If you are one of the 85% of buyers who qualify for advance-premium tax credits, you may be able to increase your subsidy by choosing a Bronze plan and contributing to an HSA to reduce your taxable income. The result: a higher subsidy, a lower net premium cost, and funds available to reimburse qualified expenses, including medical plan cost sharing.

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