State's "Medicaid money laundering" scheme addressed in One Big Beautiful Bill (OBBB). Graphic and story by Paragon Health Institute. paragoninstitute.org/issue-library/… Brian Blase

Twila Brase, RN, PHN, Author Paragon Health Institute Brian Blase I used a bit of a different approach, using percent of GDP instead of budgets, and showed how much of the reductions states could make up for simply by contributing as much as they used to. cei.org/blog/states-ca…

Thanks to new reforms, every bronze and catastrophic Obamacare plan is now HSA-compatible. That means more freedom to save pre-tax, shop around, and take control of your care. Real reform, finally. forbes.com/sites/sallypip…

New DC EKG Podcast: Joe Grogan and Brian Blase unpack what the One Big Beautiful Bill really does, the myths behind the opposition, and how it protects the vulnerable while reversing reckless Biden-era policies. Full episode here: podcasts.apple.com/us/podcast/deb…

Critics of Medicaid reform constantly cite Arkansas as "evidence" of work requirements failing and instead damaging health. Unsurprisingly, when you look at the data: Work requirements do not harm population health. NEW from Paragon Health Institute⬇️ paragoninstitute.org/medicaid/arkan…

One important thing I will say, "There are NO Medicaid cuts." The One Big Beautiful Bill was about reversing reckless Biden administration policies and reducing waste, fraud, abuse, and corporate welfare in Medicaid. paragoninstitute.org/medicaid/myth-…

Key figure from my post on the rise in phantom Obamacare enrollees paragoninstitute.org/paragon-progno… Who is the phantom? Someone enrolled without their knowledge or someone with another form of coverage Phantom enrollees are a profit center for middlemen, who are lobbying for status quo

🚨In Paragon's most recent newsletter: • Recap of OBBB Event • Study finds no adverse health effects from AR’s work requirements • Defense of ACA fraud paper methodology • Biden rule enforcement paused for short-term plans • Hospital-employed docs drive costs and highlight

👻Before 2021, ACA and small-group markets looked alike. But then… the phantoms arrived From 2021–2024, the ACA individual market’s zero-claim rate jumped 16 points—4× the small-group increase. Biden’s COVID credits led to millions of phantom enrollees t2m.io/y1TZt8V

📊NEW: Paragon analyzed Arkansas’s real-world Medicaid work requirements. Figure 1 & 2 show ER visits and hospital admissions for adults subject to the policy. No increase. No harm to health—despite alarmist claims. Read the full analysis: t2m.io/XdmsZ64

The rise of the phantom ACA enrollees!

👻Haunted health plans: In 2024, 40% of enrollees in 94% AV silver & bronze ACA plans never used their coverage. The only thing these plans treated? Insurer and enrollment chain vendor profit margins. t2m.io/y1TZt8V

Paragon’s analysis is spot on. Look at 94% AV enrollees — these plans have no deductibles & no basic copays. Yet those enrollees w/o claims increased almost sevenfold since 2019. Biden’s COVID credits created massive new fraud & phantom enrollment is just one more sign of it.

👻Phantom math: From 2021–2024, the ACA added 8.17M more zero-claim enrollees. 🔹44% from 94% AV silver plans 🔹33% from bronze plans Billions went to insurers & brokers for coverage never used. t2m.io/y1TZt8V

“Paragon urges policymakers to ensure that this [Rural Health Transformation] fund serves its intended purpose: strengthening care in rural America, not enriching urban systems through regulatory loopholes,” Elle Minarik told InsideHealthPolicy insidehealthpolicy.com/daily-news/rur…