Growth of HSA-Qualified High-Deductible Health Plan Enrollment, Covered Lives (Millions), March 2005 to 2012 March 2005 1.0 2006 32 3.2 2007 4.5 2008 6.1 2009 8.0 2010 10.0 2011 11.4 2012 13.5 Individual Small Group Large Group Other Group Other Sources: AHIP Center for Policy and Research, 2005 2012 HSA/HDHP Census reports. * For this census, companies reported enrollment in the large- and small-group markets according to their internal reporting standards, or by state-specific requirements for each state. The "Other Group" category contains enrollment data for companies that could not break down their group membership into large- and small-group categories within the deadline for reporting. ** The Other category was necessary to accommodate companies that were able to provide information on the total number of people covered by HSA/HDHP policies but were not able to provide a breakdown by market category within the deadline for reporting. 1
HSA-Qualified High-Deductible Health Plan Enrollment, Covered Lives, March 2005 to 2012 Individual Small Group Large Group Other Group * Other ** Total March 2005 556,000 147,000 162,000 88,000 77,000 1,031,000 000 2006 855,000 510,000 679,000 247,000 878,000 3,168,000 2007 1,106,000 1,057,000 2,044,000 291,000 34,000 4,532,000 2008 1,502,000 1,816,000 2,777,000 13,000 10,000 6,118,000 2009 1,832,000 2,429,000 3,752,000 8,013,000 2010 2,053,000 000 2,970,000 000 4,986,000 10,009,000009 000 2011 2,358,497 2,779,208 6,299,460 11,437,165 2012 2,470,840 3,019,347 7,939,023 72,865 13,502,075 Sources: AHIP Center for Policy and Research, 2005 2012 HSA/HDHP Census reports. * For this census, companies reported enrollment in the large- and small-group markets according to their internal reporting standards, or by state-specific requirements for each state. The "Other Group" category contains enrollment data for companies that could not break down their group membership into large- and small-group categories within the deadline for reporting. ** The Other category was necessary to accommodate companies that were able to provide information on the total number of people covered by HSA/HDHP policies but were not able to provide a breakdown by market category within the deadline for reporting. 2
Percentage of Individuals in the Commercial Health Insurance Market Covered by an HSA-Qualified High-Deductible Health Plan, by Market Type, March 2005 to 2012 March 2005 64% 17% 19% 2006 42% 25% 33% 2007 26% 25% 49% 2008 25% 30% 45% 2009 23% 30% 47% 2010 20% 30% 50% 2011 21% 24% 55% 2012 18% 22% 59% Individual Small Group Large Group Sources: AHIP Center for Policy and Research, 2005 2012 HSA/HDHP Census Reports. Note: Columns may not sum to 100 percent due to rounding. 3
Number of Companies Reporting HSA-Qualified High- Deductible Health Plan Enrollees, by Enrollment Levels, March 2005 to 2012 Number of Companies 80 70 60 50 40 30 20 10 0 2 23 16 11 March 2005 7 15 35 2006 44 11 26 39 2007 51 48 62 37 37 14 16 2008 55 2009 67 21 45 63 2010 73 24 41 58 2011 69 29 50 74 68 2012 100,000+ 25,000+ 10,000+ 5,000+ Sources: AHIP Center for Policy and Research, 2005 2012 HSA/HDHP Census reports. Note: Each responding company may have multiple subsidiaries operating in many states. However, results for enrollment levels by company are reported only for the overall company, grouping data from all subsidiaries into one unit. 4
Age Distribution of People Covered by HSA-Qualified High- Deductible Health Plans, Individual Market, 2012 20 29 30 39 12% 13% 0 19 40 49 26% 18% 60 + 10% 50 59 21% Source: AHIP Center for Policy and Research. Notes: Most enrollees in the 0 19 age group were dependents covered under family plans. 5
Consumer Decision-Support Tools Available to HSA-Qualified High-Deductible Health Plan Enrollees, 2012 Member access to health savings account information (e.g. view balances) Health education information Hospital-specific quality data Physician-specific quality data General physician-specific p information (e.g. hospital affiliation, medical education) Provider cost information (e.g. negotiated rates, drug prices, procedures) Personal Health Record 86% 86% 84% 85% 93% 95% 92% 93% 90% 91% 94% 97% 98% 97% Percent of Companies Offering Tools Available to Enrollees Online Source: AHIP Center for Policy and Research. 6
Number of Lives Covered by HSA-Qualified High-Deductible Health Plans, by State, 2012 Source: AHIP Center for Policy and Research. 7
Lives Under Age 65 Covered by HSA-Qualified High-Deductible Health Plans as a Percent of Total Commercial Health Plan Enrollment, State 2012 by State, Source: AHIP Center for Policy and Research. 8