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Consulting group Financial Insights predicts that 2007 will be the year health savings accounts (HSAs) take off. In a July report, the Framingham, Mass.-based firm is projecting an almost 10-fold surge in assets in HSAs by 2010, to $48 billion from $5.1 billion last year. But it is taking a confluence of high-profile endorsements and sophisticated new payment and settlement tools to make it happen.

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