Health Savings Account Pilot Report: Cost-Effectiveness & Feasibility Analysis

May 2008 The Texas Health and Human Services Commission was charged with developing and implementing a Medicaid Health Savings Account (HSA) pilot program if it is determined to be feasible and cost effective. The analysis also assumed that the pilot would be located in an area with approximately 800 individuals eligible to participate in the pilot. In strictly monetary terms, the state would pay substantially more to develop and operate an HSA pilot than it would pay for the same individuals under traditional Medicaid. The analysis evaluated cost effectiveness from three vantage points: The total cost of implementing and operating . . .