New HealthEquity survey: Healthcare Affordability Pulse

HealthEquity’s Fall 2025 Healthcare Affordability Pulse reveals healthcare cost trends facing employees and explores how benefits teams can help their people save, spend, and invest with confidence

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Healthcare affordability and cost is top of mind when HR is planning compensation and benefits packages.

The HealthEquity Healthcare Affordability Pulse report examines the healthcare affordability crisis facing American workers. Based on a survey of 618 employed healthcare consumers, the research reveals that 79 percent are concerned about the economy and 59 percent have increased financial worries compared to six months ago.

The report uncovers critical insights about how Health Savings Account (HSA) holders demonstrate better financial preparedness and lower workplace stress compared to non-HSA holders. It also highlights generational differences, with younger workers showing higher HSA adoption rates but greater economic anxiety.

The white paper provides actionable recommendations for employers, including prioritizing benefits education, offering well-designed HDHPs, benchmarking HSA contributions, considering default enrollment strategies, and implementing Health Payment Accounts to help employees navigate rising healthcare costs projected to increase by 6.5 percent in 2026.

Key highlights

  • Learn how healthcare costs affect workplace performance.
  • Discover concrete evidence showing the benefits experienced by HSA holders.
  • Understand the unique needs of Gen Z and Millennial workers.
  • Get specific implementation guidance.
  • See the correlation between employee benefits understanding and reduced stress.
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