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Paragon Health Institute
3,058 posts
Paragon Health Institute
@Paragon_Inst
Reforming government. Empowering patients. Pragmatic and market driven health policy solutions Americans can trust.
Joined September 2021
- Paragon's Kev Coleman has critiqued traditional training data certifications for AI medical devices and proposed a personalized safety approach that compares a patient's medical image to the device's training data.
- Drug purchases by hospitals and clinics at the 340B-discounted price rose from $5B in 2010 to $81.4B in 2024. Hospitals then sell these drugs at inflated prices to payers. This is how hospitals turn 340B into a profit-generating machine.
- 🚨 Fraud Watch 🚨 DOJ’s Health Care Fraud Unit secured 6 trial convictions involving more than $1.1B in health care fraud in under 3 weeks—tying its record for trial convictions in a single month. TRACK MORE:
- Why so little cost discipline in hospitals? Government distorts incentives to improve. And employers aren't pushing back against monopoly pricing and inefficiency. David Johnson's sharp take on fixing the system: #HospitalCostCrisis
00:00 - Waste, fraud, and abuse in Medicaid benefit bad actors at a steep cost to the truly vulnerable and hard-working Americans. New York offers a prime example: hundreds of millions of Medicaid dollars intended to improve nursing home care were diverted to union benefit funds.
- Replying to @Paragon_InstIn 2026, the shift became even more suspicious. Among 100–150% FPL sign-ups, silver selection in HealthCare.gov states fell from 76.2% to 54.4%, while bronze rose to 28.2% and gold to 17.4%. That pattern is highly consistent with improper enrollment, unauthorized
- Replying to @Paragon_InstIn 2021-2025, when silver plans were free for low-income enrollees, there should have been very few 100–150% FPL enrollees in bronze or gold plans, except in limited circumstances. Large non-silver enrollment points away from informed consumer choice and toward improper
- In 2025 and 2026, silver plans were the clear best value for the lowest-income ACA enrollees. In 2025, the average bronze deductible was $7,186, compared with $87 for a silver plan. In 2026, silver still had far lower combined premium and deductible exposure than bronze or gold.
- Paragon Health Institute reposted
Do brokers and enrollment intermediaries lead to more accurate applications? Not overall. A higher share of broker-assisted applications is highly correlated with more improper Obamacare enrollment. Read about the mechanics in @Paragon_Inst's new study: paragoninstitute.org/private-health…
- Paragon Health Institute repostedHospital systems and their lobbyists routinely invoke struggling rural hospitals to oppose efforts to reduce Medicaid waste, fraud, and abuse. But the numbers tell a very different story. New op-ed from @Paragon_Inst's Liam Sigaud. 1/2
- Paragon Health Institute reposted
.@Paragon_Inst digs into a Medicaid shell game playing out in New York -- where money that was supposed to improve nursing home care instead ended up subsidizing benefit funds affiliated with 1199.
