Health and social policy analyst. Visiting Fellow @Paragon_Inst. Former @WaysandMeansGOP, @SenateAging, @HHS_ASPE, and @HHSRegion10
Joined December 2008
- Tweets 6,332
- Following 822
- Followers 881
- Likes 117
79 Photos and videos
John R. Graham retweeted
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.
t2m.io/6xAhnmM
1
2
106
Jun 11
Left, right, and center, we all agree: Hospitals are the biggest driver of health cost growth. To learn why read tinyurl.com/4fjjwcp4.
Jun 11
New federal data shows hospital revenues increased 7.6% in the first quarter of 2026 compared to 2025. Hospitals continue to be the biggest driver of health care cost growth.
1
45
John R. Graham retweeted
🚨 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: paragoninstitute.org/medicai…
1
2
6
398
John R. Graham retweeted
Jun 9
Hospital 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
thecentersquare.com/opinion/…
3
9
25
1,276
John R. Graham retweeted
Jun 8
LASIK isn’t covered by insurance. Neither is most cosmetic surgery.
Both got cheaper and better every single year for two decades.
The one corner of medicine where patients pay cash and see prices.
Funny how the “market failure” vanishes the second the market’s allowed to exist.
Friedman called this in 1980. The tape doesn’t lie.
130
757
6,649
256,309
John R. Graham retweeted
Jun 8
.@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.
paragoninstitute.org/paragon…
3
11
11
2,677
John R. Graham retweeted
Jun 9
The @washingtonpost editorial about our study, The Persistent Obamacare Enrollment Fraud, featured this figure based on our analysis.
The enrollment anomaly (suggestive of mass fraud) is overwhelmingly concentrated in HC.gov states. 1/3
washingtonpost.com/opinions/…
3
6
14
1,515
John R. Graham retweeted
Hospital prices have skyrocketed 3x faster than inflation, fueling the entire healthcare cost crisis.
Government policies, not markets, are to blame. Must-watch insights from @johnrgraham at Paragon
#HospitalCostCrisis #HealthcareReform
1
2
5
480
Hospital prices need to come down. The problem with doing by government imposing price controls is it does not improve incentives.
Jun 4
So…if you try to cap hospital prices they cut nurses. Shocker.
It took a study from an Ivy League university to tell us that water is wet.
Interestingly, the study fails to mention that administrator FTE headcount went up as did executive pay.
2
3
657
Good work in British Columbia!
Jun 4
When his wife says “do it” and you hear him unbuckle and put the car in park or pull the handbrake…
She knew what Dwayne needed to do!
1
45
John R. Graham retweeted
A recent report from @BeckersHR ranks hospital systems nationwide by total assets, noting the billions of dollars they carry.
Our 2025 Interim Semi-Annual Report found that several hospitals reviewed were linked to the wealthiest systems and failed to list cash prices. 🧵
1
7
11
1,834
John R. Graham retweeted
An ObamaCare fraud update: A new study finds some 6.2 million people are improperly enrolled.
on.wsj.com/4wVscrs
1
7
17
2,087
John R. Graham retweeted
Jun 3
This year, the large fraud scheme involves switching phantoms from $0 premium silver plans to $0 premium bronze plans. This table demonstrates why silver plans offer the lowest-income ACA enrollees the best deal. 3/5
1
1
2
265
John R. Graham retweeted
Jun 3
Improper enrollment & fraud soared under Biden's enrollment-at-any-cost strategy.
And the perverse automatic reenrollment system locked much of this in place.
Millions in $0 premium plans were simply rolled into another year of coverage—even many who filed no claims. 2/5
1
1
2
412
John R. Graham retweeted
Jun 3
Why did Obamacare fraud & improper and phantom enrollement explode?
Because everyone involved benefited.
Enrollee - free coverage.
Broker - commission.
Insurer - a taxpayer-funded subsidy to cover the entire premium.
The result? More than 25% of enrollees are improper. 1/5
🚨The Persistent Obamacare Enrollment Fraud🚨
We estimate 6.2 million improper ACA exchange sign-ups in 2026—27% of total sign-ups, an unchanged % from 2025.
Taxpayers will fund up to $25B in improper subsidies—nearly 1/4 of all projected ACA spending.
paragoninstitute.org/private…
4
14
22
2,730
John R. Graham retweeted
May 29
Before the Medicaid managed care plan lobbying organization in the fall of 2024, I debated Chris Jennings.
I said that I’ve seen no evidence that managed care in Medicaid improved quality or lowered costs. I asked for examples…and I’ve still not received anything!
May 29
Why do states subcontract Medicaid to private insurers if the government provides all the money, tells the insurers what they must cover and how much they have to pay for it, and doesn’t competitively bid the contracts?
city-journal.org/article/med…
3
4
11
2,897
John R. Graham retweeted
🚨The Persistent Obamacare Enrollment Fraud🚨
We estimate 6.2 million improper ACA exchange sign-ups in 2026—27% of total sign-ups, an unchanged % from 2025.
Taxpayers will fund up to $25B in improper subsidies—nearly 1/4 of all projected ACA spending.
paragoninstitute.org/private…
1
8
13
3,726
John R. Graham retweeted
These findings suggest that a substantial portion of ACA exchange enrollment since 2021 did not reflect increases in legitimate and eligible individuals.
Instead, excessive subsidies, weak verification controls, misaligned intermediary incentives, and permissive enrollment systems created conditions that enabled large-scale improper enrollment and phantom coverage to persist.
1
1
1
155