How a Side Hustle Evolved Into One of the Largest HSA Providers

Challenges in healthcare impact every player—payers, HSA providers, and patients. What’s the modern-day answer to rising costs and better care? It’s a complex answer, and Steve Neeleman, Founder & Vice Chairman of HealthEquity, spoke with I Don’t Care host Kevin Stevenson on the topic.

After working for Southwest Airlines, Neeleman graduated from medical school and served as a trauma surgeon. At the same time, he started HealthEquity. “The question was why don’t we treat our customers, patients, the same way we did at Southwest. The notion became consumer-directed healthcare, opening up opportunities for them to make better choices.”

Personal health issues also sparked the ideas around managing health savings accounts (HSAs). He and his daughter faced these, with high out-of-pocket costs. Something that many insured people experience every day.

“HIPAA had a pilot program for HSAs and then extended it. It’s your money, and you don’t pay taxes on it. It functions like a 401K,” Neeleman explained.

Neeleman described the future of HSA providers and healthcare spending, citing its need to connect with centers of excellence. He recalled that after passing his surgical boards, he wasn’t an expert at every surgery because medicine is complicated. “Centers of excellence have completed a procedure many times. If you marry that with consumer-directed healthcare, payers will direct patients there because it saves money, and the quality of care is better.”

Educating patients about health savings account and concepts of navigating their healthcare is part of the equation. Neeleman also speaks to doctors about them. “Doctors are trying to embrace consumerism. They didn’t use to have to be attractive to get patients.”

More Stories Like This:

Transforming How Lower-Middle Market Healthcare Firms are Represented

Which Innovations Are Set to Transform the Medical Device Market?

Regulation F Brings New Regulations to Debt Collection. Here’s How It Impacts Healthcare.

Follow us on social media for the latest updates in B2B!

Image

Latest

3Y0K DXpedition
Into Bouvet with 3Y0K: Wolfgang HB9RYZ Takes on the Challenge of Radio’s Rarest Frontier
December 5, 2025

Remote, icy, and battered by the South Atlantic, Bouvet Island is often called the most isolated place on Earth. This Norwegian territory, located roughly halfway between South Africa and Antarctica, has long captured the imagination of amateur radio operators because of its extreme inaccessibility and status as one of the rarest DXCC entities. In February…

Read More
personal branding
Personal Branding Now Drives B2B Success, Customer Trust, and Competitive Advantage
December 5, 2025

Personal branding has rapidly shifted from a “nice-to-have” to a strategic imperative in B2B marketing, reshaping how companies communicate, differentiate, and build trust. As industries evolve and professionals take on more dynamic, multi-stream careers, visibility and authenticity have become critical assets. Key findings from the Edelman + LinkedIn Thought Leadership Impact Report show that…

Read More
IT
Real-World IT Practices Are Streamlining AV Deployments and Raising the Bar for Consistency
December 4, 2025

For years, the AV industry has discussed the long-anticipated convergence with IT—but that shift is no longer theoretical. With cloud adoption accelerating, hybrid work normalizing, and organizations rebuilding digital infrastructure after years of rapid change, AV systems now sit squarely on the IT backbone. In fact, the majority of newly upgraded conference rooms require network-centric…

Read More
ROI
ROI Case Study
December 3, 2025

Denials are no longer a slow leak in the revenue cycle—they’re a fast-moving, rule-shifting game controlled by payers, and hospitals that don’t model denial patterns in real time end up budgeting around losses they could have prevented. PayerWatch’s four-digit, client-verified ROI in 2024 shows what happens when a hospital stops reacting claim by…

Read More