Health savings accounts finished strong in 2013 — and they're starting off 2014 strong, too.

A report out Wednesday from investment consulting firm Devenir finds that HSAs grew to an estimated $19.3 billion in assets and 10.7 million accounts at year-end 2013 and have grown to more than $20 billion in assets during January.

"HSAs continue to grow as Americans increasingly see that the HSA based defined contribution approach to health care is the best way to curb health care cost inflation," Devenir president and cofounder Eric Remjeske said.

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