Don't count consumer directed health plans out just yet.

A new report from Aite Group finds that the CDH market, including health savings accounts, health reimbursement accounts and flexible spending accounts, will rise from 29 million accounts in 2008 to 45 million accounts by year-end 2012.

According to the report, the rise can be attributed to a shift in costs onto the consumer and employers seeking to reduce their own healthcare costs. In addition, CDH plan premiums are increasing at an average of 3% per year, compared to approximately 8% per year for PPO and HMO plans have also helped spark growth in the CDH industry.

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