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Morningstar report names only one HSA provider high quality

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Morningstar’s annual report card for the providers on the menu of so-called “triple-tax-free” health savings accounts is in, and most did not earn very high grades.

Only one HSA firm — Fidelity Investments — out of 11 reviewed by the independent investment research firm as part of its yearly “Health Savings Account Landscape” report last month got an assessment of being “high” quality for the purposes of paying for medical costs and acting as a long-term investment account. Just three others — HealthEquity, HSA Bank and Saturna — received “above average” ratings on both measures. 

First American Bank, Lively, UMB, Associated Bank, NueSynergy, Optum and Bank of America came out “average” or “below average” in covering health costs or being a long-term investment account. Importantly, Morningstar used public data and a survey, so the report noted that it was not evaluating specific employer-offered HSAs that vary based on their size and relationships with providers.

Low interest rates for client cash holdings and higher relative fees for custody and the underlying investments drove the poor grades for most of the providers, according to Greg Carlson, a senior manager research analyst for equity strategy with Morningstar and one of the authors of the report. An average expense ratio of 24 basis points on the available investment funds in the plans offered one bright spot from the report, since the decline from 29 bps last year added up to “a significant one-year decline” and “the biggest change we’ve seen,” he said.

“Part of it is Fidelity just beating everyone in terms of fees pretty much, and that’s a big advantage,” Carlson said. “They have come down across the board. Just like in other areas of asset management, competition has intensified on the fee side.”

READ MORE: IRS adjusts HSA amounts for 2025

The often-discussed advantages of HSAs from getting pretax contributions, untaxed investment returns and tax- and penalty-free withdrawals for medical purposes come with some challenges. Only high-deductible health insurance plans are eligible, every provider besides Fidelity and Lively require participants to put a minimum level of assets into the HSA before they can do any investing, and Fidelity is the only one out of the group of 11 to pay interest rates on cash assets above 1%. 

HSAs are often “sub-par regarding interest on cash balances,” said planner Autumn Knutson of Tulsa, Oklahoma-based Styled Wealth.

“HSAs are a powerful vehicle for tax-advantaged healthcare savings, but most consumers are stuck with whatever provider their employer chooses if they want to benefit from payroll deductions toward their HSA,” Knutson said in an email. “As if the nuances of understanding how to qualify for, contribute to and invest within an HSA were not tricky enough, an additional layer of complexity for HSA providers is within the interface, navigating minimum cash balance requirements and fees for other services or selections.”

HSA assets have soared by a factor of 22 between 2006 and 2023 to $123 billion as the share of workers using employer-sponsored plans that have high-deductible health insurance plans jumped from 7% to 31%. HSAs started in 2003 as an effort “to make high-deductible plans more attractive,” according to the report. 

In another finding that’s consistent with other studies but crucial to financial advisors and tax professionals working with clients who have HSAs, an average of 74% of the plan participants among surveyed providers used the accounts to cover medical expenses but didn’t take advantage of the ability to invest through them. 

The participants “may not be able to meet and maintain the minimum investment account balances most providers require” or have enough left over for stocks and bonds after paying medical bills, the report said. The average American had about $13,500 in healthcare expenses in 2022, according to Centers for Medicare and Medicaid Services figures cited by Morningstar.

“Plans have gotten better in important ways,” the report said. “Both investment and spending account fees have continued to decline, for example, and investment option quality keeps improving. HSA transparency and ease of use could still improve, though, and costs — particularly investing and custodial fees — could drop further. The process of investigating, signing up for and funding accounts remains complicated. Fewer top providers charge maintenance fees, but some still do — and they often require minimum account balances before participants can invest. Most providers also pay paltry interest rates on spending account balances below relatively lofty levels, even two years after rates began rising.”

READ MORE: HSAs should be promoted as way to supplement retirement savings

While high-deductible plan participants can use a different HSA provider than the one chosen by their employer, that one is “likely most convenient and financially advantageous” because “your contributions are deducted before Social Security and Medicare taxes,” Knutson noted. More often, the participants will move to an alternate provider once they change employers.

As for the investing side of HSAs — or the lack thereof — “some of the biggest problems I see” in the accounts are savers who are “accruing large balances and not investing the cash amounts at all,” Knutson said.

“This is a function less on the HSA provider and more on investors understanding that funds in an HSA are not invested by default, but rather need to be invested after they are contributed,” she said. “Just as 401(k)’s now have a default investment option to protect investors from having decades of funds accidentally uninvested, an idea for improving HSAs could be to have any excess beyond a planned out-of-pocket max be invested, as this would cover any expenses incurred through health insurance and allow any excess amounts saved into an HSA to be invested for longer term goals.”

Companies and lawmakers “can do more to motivate HSA participants to take advantage of their plans’ investment features,” according to the Morningstar report. 

“While employers can automatically enroll employees in employer-sponsored retirement plans, the government has not yet allowed them to do the same for employees who are eligible for HSAs. Automatic enrollment has boosted retirement plan participation,” the report said. “Another barrier to increased HSA investing is that participants sometimes aren’t aware of investment-account options. Providers could simplify the account-opening process and better teach participants both how to transfer between the two account types and about the benefits of long-term investing. Providers that offer better guidance and tools tend to have higher average investment account balances.”

In addition, Morningstar gave advisors, tax pros and their clients some best practices to seek out from their providers when using HSAs. For medical expenses, they should look for “no ongoing maintenance fees,” “competitive interest rates on account balances,” “few or no additional fees” and “FDIC insurance on the spending account.” 

When thinking about the long-term investment side of HSAs, they should find providers who have “investment menus that cover core areas and limit overlap and volatile or niche strategies,” “investment options that earn Morningstar Medalist Ratings of bronze or higher,” “low fees” and “no minimum balance in a spending account required before investing.”

READ MORE: The HSA ‘deathbed drawdown’: Making tax-efficient distributions when there isn’t much time

Advisors can guide clients through their HSA decisions with an eye toward the lowest-cost investments and an understanding that even a core bond fund could bring higher return than cash, according to Carlson. One method to lock in some intermediate and longer-term gains would be to set aside the “money you’ll need in the short term,” he said. 

“Obviously, health care costs are high and rising, so you do want to make sure that, first and foremost, you’re not taking a lot of risk with money you may need to use immediately or in the short term,” Carlson said. “You want to probably try to separate pools of money.”

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Developing future leaders in accounting: the new imperative in an AI and automation driven era

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As technology continues to automate routine tasks, the role of finance professionals is evolving, demanding deeper capabilities in critical thinking, communication and business acumen. 

Many of PrimeGlobal’s North American firms are focused on cultivating these skills in their future leaders. Carla McCall, managing partner at AAFCPAs, Randy Nail, CEO of HoganTaylor, and Grassi managing partner Louis Grassi shared their views with PrimeGlobal CEO Steve Heathcote on the need for future leaders to balance technological proficiency with human-centered skills to thrive.

AI is transforming the sector by streamlining workflows, automating data analysis and reducing manual processes. However, rather than replacing accountants, AI is reshaping their roles, enabling them to focus on higher-value tasks. In the words of Louis Grassi, AI can be seen as a strategic partner, freeing accountants from routine tasks, enabling deeper engagement with clients, more thoughtful analysis, and ultimately better decision-making. 

Nail emphasized the importance of embracing AI, warning that those who fail to adapt risk being replaced by professionals who leverage the technology more effectively. HoganTaylor’s “innovation sprint” generated over 100 ideas for AI integration, underscoring why a proactive approach to adopting new technologies is so necessary and valuable.

McCall advocates for an educational shift that equips professionals with the skills to interpret AI-generated insights. She stressed that accounting curricula of the future must evolve to incorporate advanced technology training, ensuring future accountants are well-versed in AI tools and data analytics. Moreover, simulation-based learning is becoming increasingly crucial as traditional methods of education become obsolete in the face of automation.

Talent development and leadership growth

As AI reshapes the profession, firms must rethink how they develop and nurture their future leaders. To attract and retain top talent, firms need to prioritize personalized development plans that align with individual career goals. 

HoganTaylor’s approach to talent development integrates technical expertise with leadership and communication training. These initiatives ensure professionals are not only proficient in accounting principles but also equipped to lead teams and navigate complex client interactions.

Nail underscored the growing importance of writing and presentation skills, as AI will handle routine tasks, leaving professionals to focus on higher-level analytical and decision-making responsibilities.

Soft skills are the success skills

While technical proficiency remains vital, future leaders must also cultivate critical thinking, communication and adaptability — skills McCall refers to as the “success skills.” McCall highlights the necessity of business acumen and analytical communication, essential for interpreting data, advising clients and making strategic decisions. 

Recognizing teamwork and collaboration remain crucial in the hybrid work environment, McCall explained in detail how AAFCPA fosters collaboration through structured remote engagement strategies such as “intentional office time,” alcove sessions and stand-up meetings. Similarly, HoganTaylor supports remote teams by offering training for career advisors to ensure effective mentorship and engagement in a dispersed workforce.

McCall emphasized why global experience can be valuable in leadership development. Exposure to diverse markets and accounting practices enhances professionals’ adaptability and broadens their perspectives, preparing them for leadership roles in an increasingly interconnected world.

Grassi reminded us that an often-overlooked leadership skill is curiosity. In his view the most effective leaders of tomorrow will be inherently curious — not just about emerging technologies but about clients, market shifts and global trends. Encouraging curiosity and continuous learning within our firms will distinguish the true industry leaders from those simply reacting to change.

A balanced future

What’s clear from speaking to our leaders is PrimeGlobal’s role in fostering trust, community and knowledge sharing. McCall recommended member-driven panels to discuss AI implementation and automation strategies and share best practice. Nail, on the other hand, valued PrimeGlobal’s focus on addressing critical industry issues and encouraged continuous evolution to meet professionals’ changing needs.

The future of leadership in the accountancy profession hinges on a balanced approach, leveraging AI to enhance efficiency while cultivating essential human skills that technology cannot replicate, which Grassi highlights skills including leadership and building client trust.

As McCall and Nail advocate, the next generation of accountants must be agile thinkers, skilled communicators and strategic decision-makers. Firms that invest in these competencies will not only stay competitive but will also shape the future of the industry by developing well-rounded leaders prepared for the challenges ahead.

By investing in both AI capabilities and essential human skills, firms can not only future proof their leadership but also shape a resilient and forward-thinking profession ready to meet the challenges of the future.

As Grassi concluded, while technical skills provide the foundation, leadership in accounting increasingly demands emotional intelligence, empathy and adaptability. AI will change how we perform our work, but human connection, trust and nuanced judgment are irreplaceable. Investing in these human-centric skills today is critical for firms aiming to build resilient leaders of tomorrow. To remain relevant and thrive, professionals must prioritize developing strong success skills that will define the leaders of tomorrow.

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On the move: KPMG adds three asset management, PE leaders

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Wipfli appoints new chief growth officer; Illinois CPA Society installs latest board of directors; and more news from across the profession.

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Employers added 228K jobs in March, but lost 700 in accounting

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Employment rose by a stronger than expected 228,000 jobs in March, although the unemployment rate inched up one-tenth of a point to 4.2%, the U.S. Bureau of Labor Statistics reported Friday.

Despite the mostly upbeat jobs report, the stock markets nevertheless plunged amid widespread concern over the steep “reciprocal” tariffs announced Wednesday by President Trump. 

The professional and business services sector added 3,000 jobs, but lost 700 jobs in accounting, tax preparation, payroll and bookkeeping services. The biggest job gains occurred in health care, social assistance, transportation and warehousing. Employment also grew in the retail trade industry, in part due to the return of workers from a strike in the food and beverage industry. But federal government employment declined by 4,000 in March, after a loss of 10,000 in February, amid job cuts ordered by the Elon Musk-led Department of Government Efficiency. However, the Internal Revenue Service is reinstating approximately 7,000 probationary employees who had been placed on paid administrative leave and asking them to return to work by April 14.

Average hourly earnings rose in March by 9 cents, or 0.3%, to $36.00. Over the past 12 months, average hourly earnings have increased 3.8%.

Trump boasted about the jobs report in an all-caps post on Truth Social, writing, “GREAT JOB NUMBERS, FAR BETTER THAN EXPECTED. IT’S ALREADY WORKING. HANG TOUGH, WE CAN’T LOSE!!!”

Congressional Democrats disagreed. “Unemployment is rising, and this seems to be the last report buoyed by Democrats’ blockbuster job creation,” said House Ways and Means Committee ranking member Richard Neal, D-Massachusetts, in a statement. “Recession odds are getting higher by the day as Trump plagues our economy with the largest tax hike in decades. Wages would need to skyrocket for the people to weather Trump’s higher prices and needless uncertainty. This report doesn’t yet reflect the dangerous firings of thousands of public servants or the layoffs that started hours after he announced the Trump Tariff Tax. This administration is ruling through the lens of billionaires — sacrificing workers’ paychecks, destroying trillions of dollars in savings and retirement wealth, readying more than $7 trillion in tax giveaways to primarily benefit the rich, all to bring down interest rates, and ultimately, pad their own pockets.”

Economists are predicting fallout from the historic tariff increases announced by Trump. “We now have more clarity on the trade policy following ‘Liberation Day’ on April 2,” wrote Appcast chief economist Andrew Flowers. “The average effective tariff rate is now above the level set by the Smoot-Hawley tariffs in 1930. This is one of the largest changes to economic and global trade policy since President Nixon’s decision to move away from the gold standard more than 50 years ago. The impending fallout from retaliatory tariffs from our trading partners across Europe and Asia will radically shift employment growth across manufacturing, retail and construction as consumer goods prices rise.”

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