OPEN MINDS The Behavioral Health & Social Service Industry Analyst Ask the Expert OPEN MINDS Reader Question: Our state is moving to vouchers and cash accounts for a group of people with disabilities. What changes do we need to make in an era of consumer choice? There is a growing trend by purchasers to put more control for the purchase of health care services directly in the hands of consumers. For example, seven percent of the enrollees in employer health plans are in some type of consumer-directed health plan (CDHP) or health savings account (HSA) or “medical savings account . . .