Medical Debt Inequities
This episode explores the pervasive issue of medical debt in the United States and how it disproportionately impacts communities of color and low-income patients. Our guests share how their organizations reduce medical debt through different but complementary approaches—one by buying and abolishing debt in bulk, and the other by helping patients access hospital charity care. We discuss why hospital financial assistance programs are hard to navigate, the systemic flaws that create medical debt, and how both nonprofits advocate for more equitable, patient-centered solutions.
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About Our Guests
Alisson Sesso
Allison Sesso became the President / CEO of Undue Medical Debt, also known as RIP Medical Debt, in January of 2020. Undue Medical Debt is a nonprofit, charitable institution that relieves medical debt across the U.S., providing financial, physical, and emotional relief to people saddled with medical debt. Undue has relieved $22,849,672,373 to date for over 14.72 million people.
Under Allison’s leadership, Undue Medical Debt has expanded its reach by working with a wide range of health care providers to purchase medical debt, working in partnership with states, counties, and cities on local medical debt relief initiatives, developing its capacity to highlight the impact of medical debt on families, and contributing effectively to the larger conversation around the root causes of medical debt. She has become a prominent voice on the topic of medical debt and is frequently interviewed by media outlets, including CBS Sunday Morning, NPR, the New York Times, and others.
Prior to joining Undue Medical Debt, Allison served as the Executive Director of the Human Services Council of New York (HSC), an association of 170 nonprofits delivering 90% of human services in New York City.
Under her leadership HSC pioneered the development of nationally recognized tools designed to illuminate risks associated with government contracts, including an RFP rater and government agency grading system. She led negotiations with New York City and State government on behalf of the sector and successfully pushed for over $500 million in investments to address the nonprofit fiscal crisis.
During her tenure at HSC, Allison also led a commission of experts focused on social determinants of health and value-based-payment structures and published the report, Integrating Health and Human Services: a Blueprint for Partnership and Action, that examines the challenges of operationalizing relationships between health and human services providers. She also served on the New York State Department of Health’s Social Determinants and Community Based Organizations (CBO)
More About Ms. Sesso
Jared Walker
Jared Walker is the founder of Dollar For, the nonprofit dedicated to eliminating medical debt by making hospital financial assistance known, easy, and fair. Inspired by his own family’s struggles with medical bills, Jared started Dollar For. Since 2021, it has grown into a nationwide movement, erasing over $110 million in hospital debt.
More About Mr. Walker
