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State-Level Solutions to the Growing Medical Debt Crisis

Medical debt is a widespread issue in the U.S., exacerbated by high healthcare costs and fragmented systems. In North Carolina, Medicaid expansion and new policies aim to reduce the burden of medical debt for low- and middle-income individuals, providing debt relief and preventive measures. The program, which received federal approval in July 2024, offers a model for other states. Click here for article.

  • Medicaid Expansion: Over 600,000 North Carolinians became eligible for Medicaid in 2023, reducing the risk of future medical debt but many still carry past debt.

  • Debt Relief and Protections: North Carolina's program provides one-time medical debt relief and introduces policies to prevent future debt, including enhanced charity care.

  • Hospital Participation: All 99 eligible hospitals in the state have signed on to the program, receiving incentives through enhanced Medicaid payments.

  • Nationwide Impact: The initiative serves as a potential model for other states, combining financial support for hospitals with consumer protections.

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