Paragon Health Institute - Reforming government. Empowering patients.

Health Care Spending, Government Control, and Medicare for All’s Return

Over the past week, Paragon’s latest research generated significant national attention following the release of Medicaid…

Medicaid Expansion’s Growing Improper Enrollment Crisis: Nearly H…

Health Care Spending Continues to Outpace the Economy

Health Care Fraud Roundup: July 11–July 24, 2026

08/12/2026

Health Care Spending, Government Control, and Medicare for All’s Return

Medicaid, Medicare, Private Health

Research Papers

08/03/2026

Medicaid Expansion’s Growing Improper Enrollment Crisis: Nearly Half of Expansion Enrollees Likely Do Not Meet Eligibility Requirements

Medicaid

Data Visualizations

08/12/2026

Health Care Spending Continues to Outpace the Economy

Medicaid, Medicare, Private Health

Blog

07/31/2026

Health Care Fraud Roundup: July 11–July 24, 2026

Medicaid

We are an Independent, Nonpartisan Policy Institute Dedicated to Enhancing American Well-being.

FEATURED WORK

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Public Comments

07/31/2026

PUBLIC COMMENT — Medicaid Program: Community Engagement Requirement for Certain Individuals

Medicaid

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Public Comments

07/21/2026

PUBLIC COMMENT — Medicaid Program: Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments

Medicaid

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Policy Briefs

07/14/2026

CMS’s 2027 OPPS Proposed Rule Advances 340B Payment Reform, Site Neutrality, and Program Integrity

Medicare

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Research Papers

07/01/2026

Restoring Fiscal Sustainability to Federal Health Programs: Reforming the Incentives that Drive Health Care Spending

Medicare

RECENT HIGHLIGHTS

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Policy Briefs

11/14/2024

Health Care for a Lame Duck

Private Health

Policy Briefs

11/06/2024

Biden’s Medicaid Changes: High Costs, Misguided Policy

Medicaid

Op-eds & Commentary

10/30/2024

The Illegal-Immigrant Burden on Medicaid and Tax-Subsidized Care Is Growing

Medicaid

Op-eds & Commentary

10/28/2024

Long-term care policies matter

Medicaid

Testimonies

08/04/2026

Testimony of Brian Blase before the Senate Committee on the Budget — Medicaid: The Reality

Medicaid, Private Health

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Testimonies

06/24/2026

Testimony of Brian Blase before the Joint Economic Committee — Protecting Patients and Taxpayers: Combating Healthcare Fraud and Leakage to Strengthen Program Integrity

Medicaid, Private Health

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Policy Briefs

06/24/2026

The Hidden Cost of Medicaid Provider Taxes: Higher Prices in the Commercial Market

Medicaid

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Research Papers

06/02/2026

The Persistent Obamacare Enrollment Fraud

Private Health

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Reforming Government. Empowering Patients.

Public Health and American Well-Being

WE DEVELOP strategies that improve Americans’ health and well-being, through evidence-based policymaking and the promotion of medical innovation.

Private Health

WE INFORM and develop policies that restore the rights and ability of Americans to control their health finances and make cost-conscious decisions, leading innovators to develop services and products that best meet Americans’ needs and improve health care and health.

Medicare Reform

WE EMPOWER Medicare beneficiaries by increasing their control of their decisions and finances while improving health outcomes and lowering costs.

Medicaid and Health Safety Net Reform

WE WORK TO TRANSFORM Medicaid and the safety net to improve the well-being of the recipients and ensure that it is accountable to the taxpayers.

For the Record

December 11, 2025

Media, Radio

Private Health

Obamacare Is Failing! Brian Blase on The Sean Hannity Show — December 11, 2025

December 10, 2025

Media, Radio

Private Health

How Insurance Companies Made Big Profits Off ‘ObamaCare’ — Brian Blase on The Fox News Rundown Podcast – December 10, 2025

December 10, 2025

Media, Podcasts, Videos

Private Health

Exposing Obamacare’s Hidden Fraud Crisis | Dr. Brian Blase, Paragon Health Institute

In the News

June 1, 2026

Statement from the Paragon Health Institute on CMS Interim Final Rule Regarding Medicaid Work Requirements

September 5, 2025

Paragon is proud to be a 2025 finalist for the Gregor G. Peterson Prize in Venture Philanthropy

Events

July

2026

Insights from 12 Years on MedPAC: The Past, Present, and Future of Medicare Reform: A Conversation with Michael Chernew and Demetrios Kouzoukas

1:00 pm

July

2026

One Year Later: Assessing the Health Policy Reforms in the OBBB

12:00 pm

June

2026

A Conversation About “The Persistent Obamacare Enrollment Fraud”

1:30 pm

May

2026

A Conversation About The Hospital Cost Crisis and What To Do About It

1:00 pm

Paragon Papers

Cutting-edge research for health policy advancement

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Generalization Uncertainty in AI-Enabled Medical Devices: A Safer Way Forward

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The Hospital Cost Crisis: How Government Policies Drive Consolidation, Undermine Competition, and Fuel Soaring Prices

Preserve and Improve Medicaid: State Action to Protect the Most Vulnerable and Taxpayers

Rural Health Transformation Fund Offers States a Way to Improve Rural Health Care Access: Here’s What States Should Do

Targeted Postmarket Surveillance: The Way Toward Responsible AI Innovation in Health Care

Arkansas’ Medicaid Work Requirements Associated with No Significant Changes in Health Measures

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The Greater Obamacare Enrollment Fraud

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Fixing the Engine of American Science: Why NIH Needs Urgent Reform

Addressing Medicaid Money Laundering: The Lack of Integrity with Medicaid Financing and the Need for Reform

Beginning to Stem the Red Ink Tide: Health Care Concepts for a Conservative Congress

Healthcare AI Regulation: Guidelines for Maintaining Public Safety and Innovation

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What Matters for Health: Insurance is Less Important Than You Think

View All

Policy Briefs

Key insights advancing public policy

Oregon’s New Medicaid Financing Scheme: Combining Provider Taxes and IGTs to Maximize Federal Funds

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Medicaid Waste, Fraud, and Abuse: Why CMS’s Improper Payment Rate Can’t Be Trusted

Limiting Medicaid Waste, Fraud, and Abuse: A Checklist for States to Protect Medicaid for the Vulnerable and the Taxpayers Who Finance It

Beyond Minnesota: Four Medicaid Services Vulnerable to Fraud and the Case for Stronger CMS Enforcement

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Advancing Choice, Competition, and Fiscal Sustainability in Medicare: A Roadmap for CMS

PBM 101: What They Are and How They Affect Drug Prices

Banning Smartphones in Schools: Review of the Literature Shows Positive Impact

Platinum-Standard Science: FDA’s New Streamlined Framework for Biosimilars and Interchangeability

The Local Loop: How States Turn Medicaid into a Government Provider Payday Scheme

GAO Probe Finds ACA at High Risk for Fraud: 96% of Fake Applications Approved

Problems with ACA Subsidies Compounded by COVID Credits: Unfair to Americans with Employer-Based Insurance, Punish Work, and Incentivize Employers to Drop Coverage

How to Reform the CMS Innovation Center with a Choice and Competition Approach

View All

Stay Current with Health Care Insights

Help us improve health care

Paragon is grateful for the support of individuals and foundations who support our mission to improve health care and lower prices for all Americans by empowering patients, expanding competition in the market, and increasing innovation.

Donate

We are an Independent, Nonpartisan Policy Institute Dedicated to Enhancing American Well-being.

FEATURED WORK

PUBLIC COMMENT — Medicaid Program: Community Engagement Requirement for Certain Individuals

PUBLIC COMMENT — Medicaid Program: Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments

CMS’s 2027 OPPS Proposed Rule Advances 340B Payment Reform, Site Neutrality, and Program Integrity

Restoring Fiscal Sustainability to Federal Health Programs: Reforming the Incentives that Drive Health Care Spending

RECENT HIGHLIGHTS

Health Care for a Lame Duck

Biden’s Medicaid Changes: High Costs, Misguided Policy

The Illegal-Immigrant Burden on Medicaid and Tax-Subsidized Care Is Growing

Long-term care policies matter

Testimony of Brian Blase before the Senate Committee on the Budget — Medicaid: The Reality

Testimony of Brian Blase before the Joint Economic Committee — Protecting Patients and Taxpayers: Combating Healthcare Fraud and Leakage to Strengthen Program Integrity

The Hidden Cost of Medicaid Provider Taxes: Higher Prices in the Commercial Market

The Persistent Obamacare Enrollment Fraud

Reforming Government. Empowering Patients.

Public Health and American Well-Being

Private Health

Medicare Reform

Medicaid and Health Safety Net Reform

For the Record

Obamacare Is Failing! Brian Blase on The Sean Hannity Show — December 11, 2025

How Insurance Companies Made Big Profits Off ‘ObamaCare’ — Brian Blase on The Fox News Rundown Podcast – December 10, 2025

Exposing Obamacare’s Hidden Fraud Crisis | Dr. Brian Blase, Paragon Health Institute

In the News

Statement from the Paragon Health Institute on CMS Interim Final Rule Regarding Medicaid Work Requirements

Statement from the Paragon Health Institute on The Great Healthcare Plan

Paragon is proud to be a 2025 finalist for the Gregor G. Peterson Prize in Venture Philanthropy

Events

Insights from 12 Years on MedPAC: The Past, Present, and Future of Medicare Reform: A Conversation with Michael Chernew and Demetrios Kouzoukas

One Year Later: Assessing the Health Policy Reforms in the OBBB

A Conversation About “The Persistent Obamacare Enrollment Fraud”

A Conversation About The Hospital Cost Crisis and What To Do About It

Paragon Papers

Policy Briefs

Stay Current with Health Care Insights

Help us improve health care

Reforming Government. Empowering Patients.