States Are Erasing Billions in Medical Debt. North Carolina Did $6.5 Billion. Here’s What That Actually Means.

State Medical Debt Forgiveness Programs

State-level medical debt relief programs in places like North Carolina and Illinois are currently erasing billions of dollars in patient debt without requiring an application. These initiatives operate on a “passive forgiveness” model, meaning state governments purchase portfolios of hospital debt for pennies on the dollar and simply mail patients a letter stating their balance … Read more

The $14 Billion Hospitals Should Be Giving Away (And What I Saw Inside)

Unclaimed Hospital Charity Care

Nonprofit hospitals fail to provide at least $14 billion in financial assistance annually to patients who legally qualify for it. A 2024 study found that 71 percent of eligible patients never receive this debt relief, primarily because nobody tells them the program exists. From inside the billing department, the system is designed to collect revenue … Read more