Excerpt: AmericanExpress, one of several financial institutions to develop an HSA product, introduced 'HealthPay Plus,' a debit card linked to HSAs that customers could use to pay for health care. Insurance giants WellPoint and Cigna had signed onto the program, according to American Medical News. But that wasn't enough to save the plan, which American Express will discontinue by the end of the year, citing high costs and low uptake among consumers.  MORE >>