Do Health Accounts Promote Better Spending?

Tax-favored health accounts, including flexible spending accounts (FSAs) and health savings accounts (HSAs), are an increasingly popular way for employees to pay for some of their out-of-pocket health expenses using pre-tax dollars. Do such accounts improve the incentives for workers to purchase health care more carefully? Do employers providing FSAs offer health insurance plans with higher cost sharing? If so, do the accounts simply shift costs from the employer to the employee, or are employees better off?

William Jack, a professor of economics at Georgetown University, will address these and related questions as he presents his new study on FSAs, coauthored with Arik Levinson, also a professor of economics at Georgetown, and Sjamsu Rahardja of the World Bank. Following Jack's presentation, a panel of discussants will comment on the study and discuss the implications of their findings for both FSAs and HSAs.

About the Author

 

Robert B.
Helms
  • Robert B. Helms has served as a member of the Medicaid Commission as well as assistant secretary for planning and evaluation and deputy assistant secretary for health policy at the U.S. Department of Health and Human Services (HHS). An economist by training, he has written and lectured extensively on health policy and health economics, including the history of Medicare, the tax treatment of health insurance, and compared international health systems. He currently participates in the Health Policy Consensus Group, an informal task force that is developing consumer-driven health reforms. He is the author or editor of several AEI books on health policy, including Medicare in the Twenty-First Century: Seeking Fair and Efficient Reform and Competitive Strategies in the Pharmaceutical Industry.
  • Phone: 2028625877
    Email: rhelms@aei.org
  • Assistant Info

    Name: Catherine Griffin
    Phone: 2028625920
    Email: catherine.griffin@aei.org
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