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On Feb. 1, the Grand Blanc Community School District, 10 miles south of Flynt, Mich., saw the future of healthcare, not fully formed, but the outline was there to behold. On that momentous day, 25 Grand Blanc school administrators shifted from the old managed care system to new health savings accounts (HSAs). Where they once struggled with co-pays and deductibles and referrals and precertified service, they now had only one thing to worry about–a $1,200 upfront deductible for singles or $2,500 if an administrator had a spouse or children. The district pays the deductible for the administrators. After the administrator uses up the deductible, then the insurance–on which premiums run signi-ficantly less–would kick in at 100%. “If you don’t use all that money, it’s yours,” says Dana Taylor, director of business affairs for the Grand Blanc Community School District. “That’s the savings account. As long as you spend it only on medical costs, it’s never taxable and you can keep it for your retirement.”

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