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However, consumers often take out second mortgages or credit cards to pay for medical services. Heywood Healthcare system in Massachusetts donated $800, 000 of medical debt to RIP in January, essentially turning over control over that debt, in part because patients with outstanding bills were avoiding treatment. Linkle uses her body to pay her debt to one. Her first performance is scheduled for this summer. We want to talk to every hospital that's interested in retiring debt. The pandemic, Branscome adds, exacerbated all of that. "A lot of damage will have been done by the time they come in to relieve that debt, " says Mark Rukavina, a program director for Community Catalyst, a consumer advocacy group.
Sesso says the group is constantly looking for new debt to buy from hospitals: "Call us! A quarter of adults with health care debt owe more than $5, 000. This time, it was a very different kind of surprise: "Wait, what?
Its novel approach involves buying bundles of delinquent hospital bills — debts incurred by low-income patients like Logan — and then simply erasing the obligation to repay them. Now a single mother of two, she describes the strain of living with debt hanging over her head. Linkle uses her body to pay her debt consolidation. Soon after giving birth to a daughter two months premature, Terri Logan received a bill from the hospital. The "pandemic has made it simply much more difficult for people running up incredible medical bills that aren't covered, " Branscome says. "I avoided it like the plague, " she says, but avoidance didn't keep the bills out of mind. 6 million people of debt.
Some hospitals say they want to alleviate that destructive cycle for their patients. To date, RIP has purchased $6. Rukavina says state laws should force hospitals to make better use of their financial assistance programs to help patients. RIP is one of the only ways patients can get immediate relief from such debt, says Jim Branscome, a major donor. It undermines the point of care in the first place, he says: "There's pressure and despair. Yet RIP is expanding the pool of those eligible for relief. It's a model developed by two former debt collectors, Craig Antico and Jerry Ashton, who built their careers chasing down patients who couldn't afford their bills. "Hospitals shouldn't have to be paid, " he says. They were from a nonprofit group telling her it had bought and then forgiven all those past medical bills. "I don't know; I just lost my mojo, " she says. RIP CEO Sesso says the group is advising hospitals on how to improve their internal financial systems so they better screen patients eligible for charity care — in essence, preventing people from incurring debt in the first place. "Basically: Don't reward bad behavior.
Sesso emphasizes that RIP's growing business is nothing to celebrate. They are billed full freight and then hounded by collection agencies when they don't pay. Then a few months ago — nearly 13 years after her daughter's birth and many anxiety attacks later — Logan received some bright yellow envelopes in the mail. Numerous factors contribute to medical debt, he says, and many are difficult to address: rising hospital and drug prices, high out-of-pocket costs, less generous insurance coverage, and widening racial inequalities in medical debt.
"They would have conversations with people on the phone, and they would understand and have better insights into the struggles people were challenged with, " says Allison Sesso, RIP's CEO. It means that millions of people have fallen victim to a U. S. insurance and health care system that's simply too expensive and too complex for most people to navigate. And about 1 in 5 with any amount of debt say they don't expect to ever pay it off. "So nobody can come to us, raise their hand, and say, 'I'd like you to relieve my debt, '" she says. The debt shadowed her, darkening her spirits. Logan, who was a high school math teacher in Georgia, shoved it aside and ignored subsequent bills.
Recently, RIP started trying to change that, too. Sesso says it just depends on which hospitals' debts are available for purchase. Depending on the hospital, these programs cut costs for patients who earn as much as two to three times the federal poverty level. She recoiled from the string of numbers separated by commas. Then, a few months ago, she discovered a nonprofit had paid off her debt. Eventually, they realized they were in a unique position to help people and switched gears from debt collection to philanthropy.
That money enabled RIP to hire staff and develop software to comb through databases and identify targeted debt faster. The group says retiring $100 in debt costs an average of $1. "I would say hospitals are open to feedback, but they also are a little bit blind to just how poorly some of their financial assistance approaches are working out. Ultimately, that's a far better outcome, she says. As NPR and KHN have reported, more than half of U. adults say they've gone into debt in the past five years because of medical or dental bills, according to a KFF poll. Sesso said that with inflation and job losses stressing more families, the group now buys delinquent debt for those who make as much as four times the federal poverty level, up from twice the poverty level. Terri Logan says no one mentioned charity care or financial assistance programs to her when she gave birth. "As a bill collector collecting millions of dollars in medical-associated bills in my career, now all of a sudden I'm reformed: I'm a predatory giver, " Ashton said in a video by Freethink, a new media journalism site. RIP bestows its blessings randomly. A surge in recent donations — from college students to philanthropist MacKenzie Scott, who gave $50 million in late 2020 — is fueling RIP's expansion.