Why Health Care Costs So Much: Dr. Brian Miller on Hospital Mergers and State Health Plan Solutions from The SEANC View

Why Health Care Costs So Much: Dr. Brian Miller on Hospital Mergers and State Health Plan Solutions

40 minutes Posted Jun 26, 2026 at 2:10 pm.

Intro — Scenic View Podcast Opening

Hosts Introduced

Episode Theme — Why Health Care Costs So Much

Guest Introduction — Dr. Brian Miller

Dr. Miller’s Background and Training

Work in Federal Agencies and MedPAC

Joining the NC State Health Plan Board

Board Role, Member Focus, and Engagement

Administrative Costs vs. Clinician Pay

Purchasing for Value and Preferred Providers

Atrium–WakeMed Merger Concerns

Transparency and Public Process Issues

Anti‑steering Clauses and State Responses

Merger Impact on Members’ Costs

State Health Plan Reforms & Premiums

Drug Costs, Biologics, and Long‑Term Strategy

Price Transparency and Final Recommendations

Closing Remarks and Farewell

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Show notes

In this episode, Dr. Brian Miller, a hospitalist and health policy expert, discusses the complexities of healthcare costs, hospital mergers, and strategies to improve the North Carolina state health plan. He shares insights on transparency, administrative waste, and the importance of value-based purchasing.

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