The effect went beyond medicine. Folks enrolled in Medicaid under the ACA saw their overall debt in collections fall by about $1,140 through 2015, according to a Journal of Public Economics analysis. People in low-income neighborhoods also saw significant reductions in unpaid bills and debt sent to collectors after the Medicaid expansion, the analysis found.
“Expanding Medicaid could help a lot, but these states just don’t do it,” Braga told us. “And they don’t realize how much of an impact that actually has on people’s lives and their financial well-being — even access to employment. If you have a bad credit history, employers might deny you work, you know?”
Credit-rating agencies and their partners — such as Fair Isaac Corp. (FICO) of Bozeman, Mont. — reduced the role that medical debt plays in their scores in 2017 following a settlement between credit-rating agencies and 31 states’ attorneys general. Still, the share of residents with overdue medical debt remains more strongly linked to a county’s credit score than any other factor we considered, including debt related to car loans, credit cards and student loans.