# Paragon Health Institute: Health Policy Solutions Americans Can Trust

> Paragon Health Institute provides health care research as well as market\-based policy proposals for improved outcomes in the public and private sectors\.

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## Pages
- [Newsletter Signup](https://paragoninstitute.org/newsletter-signup-compact/)
- [Home](https://paragoninstitute.org/)
- [Test](https://paragoninstitute.org/test/)
- [Media Inquiry](https://paragoninstitute.org/media-inquiry/)
- [Health Care AI](https://paragoninstitute.org/initiatives/health-care-ai/)

## Posts
- [CMS’s 2027 OPPS Proposed Rule Advances 340B Payment Reform, Site Neutrality, and Program Integrity](https://paragoninstitute.org/medicare/cmss-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](https://paragoninstitute.org/medicare/restoring-fiscal-sustainability-to-federal-health-programs-reforming-the-incentives-that-drive-health-care-spending/)
- [Protecting Patients and Taxpayers: Combating Healthcare Fraud and Leakage to Strengthen Program Integrity](https://paragoninstitute.org/private-health/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](https://paragoninstitute.org/medicaid/the-hidden-cost-of-medicaid-provider-taxes-higher-prices-in-the-commercial-market/)
- [The Persistent Obamacare Enrollment Fraud](https://paragoninstitute.org/private-health/the-persistent-obamacare-enrollment-fraud/)

## Jobs
- [Call for Research: Smartphones, Digital Devices, and Improving Child Health, Focus, Learning, and Educational Outcomes](https://paragoninstitute.org/job/call-for-research-smartphones-digital-devices-and-improving-child-health-focus-learning-and-educational-outcomes/)
- [Initiative Director \& Senior Fellow – Life Sciences, Biopharma, and Medical Devices](https://paragoninstitute.org/job/initiative-director-senior-fellow-life-sciences-biopharma-and-medical-devices/)

## Bill Spotlight
- [Bill Spotlight: Utah MCO Transparency — Promoting Medicaid Transparency and Accountability](https://paragoninstitute.org/bill-spotlight/bill-spotlight-utah-mco-transparency-promoting-medicaid-transparency-and-accountability/)
- [Bill Spotlight: Indiana Senate Bill 1](https://paragoninstitute.org/bill-spotlight/indiana-senate-bill-1/)
- [Bill Spotlight: Rhode Island Ban on Smartphones](https://paragoninstitute.org/bill-spotlight/rhode-island-ban-on-smartphones/)

## Events
- [Insights from 12 Years on MedPAC: The Past, Present, and Future of Medicare Reform: A Conversation with Michael Chernew and Demetrios Kouzoukas](https://paragoninstitute.org/event/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](https://paragoninstitute.org/event/one-year-later-assessing-the-health-policy-reforms-in-the-obbb/)
- [A Conversation About "The Persistent Obamacare Enrollment Fraud"](https://paragoninstitute.org/event/a-conversation-about-persistent-fraud-in-the-obamacare-exchanges/)
- [A Conversation About The Hospital Cost Crisis and What To Do About It](https://paragoninstitute.org/event/the-hospital-cost-crisis-how-government-policies-drive-consolidation-undermine-competition-and-fuel-soaring-prices/)
- [A Discussion with CMS Administrator Oz: Combatting Health Care Waste, Fraud, and Abuse](https://paragoninstitute.org/event/a-discussion-with-cms-administrator-oz-combatting-health-care-waste-fraud-and-abuse/)

## Issues Library
- [Medicaid Reform](https://paragoninstitute.org/issue-library/medicaid-reform/)
- [Medicaid Money Laundering](https://paragoninstitute.org/issue-library/medicaid-improper-payments/)
- [Medicaid Expansion](https://paragoninstitute.org/issue-library/medicaid-expansion/)
- [Healthcare AI](https://paragoninstitute.org/issue-library/healthcare-ai/)
- [Medicare Advantage](https://paragoninstitute.org/issue-library/medicare-advantage/)

## News
- [Statement from the Paragon Health Institute on CMS Interim Final Rule Regarding Medicaid Work Requirements](https://paragoninstitute.org/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](https://paragoninstitute.org/news/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](https://paragoninstitute.org/news/paragon-is-proud-to-be-a-2025-finalist-for-the-gregor-g-peterson-prize-in-venture-philanthropy/)
- [Paragon Health Institute continues its focus on important Medicaid reforms](https://paragoninstitute.org/news/paragon-health-institute-continues-its-focus-on-important-medicaid-reforms/)
- [Paragon Health Institute directors Merkel and Zinberg appointed to roles in the Trump White House](https://paragoninstitute.org/news/paragon-health-institute-directors-merkel-and-zinberg-appointed-to-roles-in-the-trump-white-house/)

## Newsletters
- [Advancing Medicare Reform \+ Obamacare Enrollment and Medicaid Fraud Updates](https://paragoninstitute.org/newsletter/advancing-medicare-reform-obamacare-enrollment-and-medicaid-fraud-updates/)
- [As America Turns 250, It’s Worth Celebrating Last Year’s One Big Beautiful Bill](https://paragoninstitute.org/newsletter/as-america-turns-250-its-worth-celebrating-last-years-one-big-beautiful-bill/)
- [The Sustainability of Federal Health Programs \+ New ACA Enrollment Numbers](https://paragoninstitute.org/newsletter/the-sustainability-of-federal-health-programs-new-aca-enrollment-numbers/)
- [Combating Health Care Fraud](https://paragoninstitute.org/newsletter/combating-health-care-fraud/)
- [The Case Against Medicaid Managed Care](https://paragoninstitute.org/newsletter/the-case-against-medicaid-managed-care/)

## Paragon Pics
- [Affordable Care Act Subsidy Spending Will Remain Above Pre\-Biden Projected Levels, Per CBO](https://paragoninstitute.org/paragon-pic/affordable-care-act-subsidy-spending-will-remain-above-pre-biden-projected-levels-per-cbo/)
- [Medicaid Managed Care Now Accounts for the Majority of Medicaid Spending](https://paragoninstitute.org/paragon-pic/medicaid-managed-care-now-accounts-for-the-majority-of-medicaid-spending/)
- [HealthCare\.gov Enrollment Remains Far Above 2020 Levels](https://paragoninstitute.org/paragon-pic/healthcare-gov-enrollment-remains-far-above-2020-levels/)
- [Child Medicaid and CHIP Enrollment Remains Above Pre\-Pandemic Levels in 2026](https://paragoninstitute.org/paragon-pic/child-medicaid-and-chip-enrollment-remains-above-pre-pandemic-levels-in-2026/)
- [New ACA Data—Improper Enrollment Barely Changed while Out\-of\-Pocket Premiums Remain Very Low](https://paragoninstitute.org/paragon-pic/new-aca-data-improper-enrollment-barely-changed-while-out-of-pocket-premiums-remain-very-low/)

## Paragon Prognosis
- [Health Care Fraud Roundup: June 13–26, 2026](https://paragoninstitute.org/paragon-prognosis/health-care-fraud-roundup-june-13-26-2026/): As Paragon’s Health Care Fraud Dashboard continues to demonstrate, fraud drains billions of dollars every year from federal health programs, harming patients and taxpayers\.
- [New HHS Report Finds Decline in ACA Enrollment Results From Removal of Improper and Phantom Enrollees](https://paragoninstitute.org/paragon-prognosis/new-hhs-report-finds-decline-in-aca-enrollment-results-from-removal-of-improper-and-phantom-enrollees/): The assistant secretary for planning and evaluation \(ASPE\) at the Department of Health and Human Services \(HHS\) released an important report on Friday documenting widespread improper enrollment, phantom enrollees, broker misconduct, and weak eligibility verification in the Affordable Care Act \(ACA\) exchanges\. The report reaches a striking conclusion: exchange enrollment declined by 2\.9 million people between 2025 and 2026, and that entire net decline resulted from the removal of improper and phantom enrollees\. Despite the decline, ACA enrollment remains far above pre\-pandemic levels\. February 2026 effectuated enrollment was 85 percent higher than in February 2019—an increase of 8\.8 million enrollees\.
- [Defending the Paragon ACA Improper Enrollment Analysis](https://paragoninstitute.org/paragon-prognosis/defending-the-paragon-aca-improper-enrollment-analysis/): The analysis in The Persistent Obamacare Enrollment Fraud replicates and extends our prior work comparing open enrollment sign\-up levels with estimates of the plausibly eligible population derived from the Census Bureau’s American Community Survey \(ACS\)\.
- [Improper and Phantom Enrollment Predict Exchange Attrition](https://paragoninstitute.org/paragon-prognosis/improper-and-phantom-enrollment-predict-exchange-attrition/): States with the greatest amounts of improper and phantom enrollment consistently experienced the largest declines in effectuated enrollment after program integrity efforts intensified and zero\-premium plans became less prevalent\. That is what we would expect if much of the observed decline reflects the removal of duplicate, improper, and phantom enrollment rather than the loss of legitimate coverage\.
- [Joan Alker’s Narrative on Child Medicaid Enrollment Is Built on Speculation, Not Evidence](https://paragoninstitute.org/paragon-prognosis/joan-alkers-narrative-on-child-medicaid-enrollment-is-built-on-speculation-not-evidence/): Joan Alker, the Executive Director of the Georgetown Center for Children and Families, has theorized that falling Medicaid and CHIP enrollment among children is a troubling sign that the One Big Beautiful Bill \(OBBB\) is harming children\. More recently, Maya Goldman, citing Alker, repeated a similar argument in Axios, suggesting that declining child enrollment reflects “spillover effects” from the law even before its major provisions have been broadly implemented\. Both pieces rely on assumptions that are not demonstrated by the available evidence and overlook several alternative explanations that are at least as plausible—and in many cases more obvious—than the explanations they advance\.

## Profiles
- [Eric Sun](https://paragoninstitute.org/profile/eric-sun/)
- [Boris Vabson](https://paragoninstitute.org/profile/boris-vabson/)
- [John R\. Graham](https://paragoninstitute.org/profile/john-r-graham/)
- [Matt Robinson](https://paragoninstitute.org/profile/matt-robinson/)
- [Ryan Long](https://paragoninstitute.org/profile/ryan-long/)

## Testimonials
- [Chuck Blahous](https://paragoninstitute.org/?post_type=us_testimonial&p=2538)
- [Tomas Philipson](https://paragoninstitute.org/?post_type=us_testimonial&p=2537)
- [Paul Mango](https://paragoninstitute.org/?post_type=us_testimonial&p=2536)
- [Demetrios L\. Kouzoukas](https://paragoninstitute.org/?post_type=us_testimonial&p=2535)
- [Marty Makary](https://paragoninstitute.org/?post_type=us_testimonial&p=2534)

## Grid Layouts
- [Home: Featured Banner Right List](https://paragoninstitute.org/?post_type=us_grid_layout&p=11222)
- [Home: Newsletter Featured](https://paragoninstitute.org/?post_type=us_grid_layout&p=11218)
- [Paragon Pics](https://paragoninstitute.org/?post_type=us_grid_layout&p=3897)
- [Test Grid MS \(2\) \(2\)](https://paragoninstitute.org/?post_type=us_grid_layout&p=9318)
- [Highlighted post right](https://paragoninstitute.org/?post_type=us_grid_layout&p=9308)

## Glossary
- [Association Health Plan](https://paragoninstitute.org/glossary/association-health-plan/)
- [Artificial Neural Network](https://paragoninstitute.org/glossary/artificial-neural-network/)
- [AI](https://paragoninstitute.org/glossary/ai/)
- [Deep Learning](https://paragoninstitute.org/glossary/deep-learning/)
- [Cross Subsidies](https://paragoninstitute.org/glossary/cross-subsidies/): A brief definition and overview of cross subsidies in health care\.

## Event Types
- [Policy Reform Education Program](https://paragoninstitute.org/event-type/congressional-health-policy-education-program/)
- [Paragon Events](https://paragoninstitute.org/event-type/paragon-events/)
- [External Event](https://paragoninstitute.org/event-type/external-event/)

## External Media Outlets
- [National Review](https://paragoninstitute.org/external-media-outlet/national-review/)
- [The Wall Street Journal](https://paragoninstitute.org/external-media-outlet/wall-street-journal/)
- [City Journal](https://paragoninstitute.org/external-media-outlet/city-journal/)
- [New York Post](https://paragoninstitute.org/external-media-outlet/new-york-post/)
- [Forbes](https://paragoninstitute.org/external-media-outlet/forbes/)

## Featured
- [Featured](https://paragoninstitute.org/featured/featured/)

## Locations
- [New York](https://paragoninstitute.org/location/new-york/)
- [California](https://paragoninstitute.org/location/california/)
- [Florida](https://paragoninstitute.org/location/florida/)
- [New York City](https://paragoninstitute.org/location/new-york-city/)
- [Indiana](https://paragoninstitute.org/location/indiana/)

## Profile Types
- [Public Advisors](https://paragoninstitute.org/profile-type/public-advisors/)
- [Alumni](https://paragoninstitute.org/profile-type/alumni/)
- [Team](https://paragoninstitute.org/profile-type/team/)
- [Fellows](https://paragoninstitute.org/profile-type/fellows/)
- [Initiative Directors](https://paragoninstitute.org/profile-type/initiative-directors/)

## Publication Types
- [Op\-eds \& Commentary](https://paragoninstitute.org/publication-type/op-ed/)
- [Quotes / References](https://paragoninstitute.org/publication-type/quote-reference/)
- [Data Visualizations](https://paragoninstitute.org/publication-type/data-visualization/)
- [Policy Briefs](https://paragoninstitute.org/publication-type/policy-brief/)
- [Research Papers](https://paragoninstitute.org/publication-type/research-papers/)

## Testimonial Categories
- [Our Principles](https://paragoninstitute.org/us_testimonial_category/our-principles/)
- [Book Praise](https://paragoninstitute.org/us_testimonial_category/book-praise/)

## Media Categories
- [Logos](https://paragoninstitute.org/us_media_category/logos/)

## Optional
- [Sitemap index](https://paragoninstitute.org/sitemap_index.xml)