Unlocking HSA/FSA payments for vertical SaaS with Truemed’s Chris Shaw

April 21, 2026
The Payments Strategy Show

HSA and FSA cards represent $150 billion in consumer funds today, yet many vertical SaaS platforms serving healthcare, wellness, and fitness aren't set up to accept them. 

The challenge isn't just processing the cards; it's navigating the complex compliance requirements around eligibility, letters of medical necessity, and TPA administrator rules. 

In this episode, Truemed’s Head of GTM Partnerships, Chris Shaw joined host Aaron Steinberg, VP Revenue at Rainforest, to break down how HSA/FSA acceptance works, why compliance is the real moat, and how vertical software platforms can unlock this revenue opportunity for their merchants.

They discussed:

  • What HSA/FSA accounts are and the massive untapped payments opportunity
  • Why compliance is a big challenge and how the right payments partner makes it seamless
  • How enabling HSA/FSA acceptance increases average order value by 30%
  • The reason consumers are now starting their shopping journeys in HSA/FSA marketplaces
  • Everything platforms need to know about letters of medical necessity and dual eligibility

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