PIggy bank with coins Most employees don't understand that they can increase or decrease their own HSA payroll contribution during the plan year. (Photo: Shutterstock)

Health savings accounts (HSAs) continue to increase in popularity, but not without issues for both employees and employers. From 2008 to 2018, the total amount deposited in HSAs rose from $5.3 billion to $43.5 billion. That number is projected to keep growing as more employers offer high-deductible health plans (HDHPs) with HSAs.

Despite this, HSAs don't appear to have accomplished their original intent.

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