Episode 325- How Michigan Medicine Sees The Path To Lower Costs. David Miller, M.D., MPH

Healthcare affordability is having a moment, and not the vague kind. From the Mackinac Policy Conference, we sit down with Dr. David Miller, Executive Vice Dean for Clinical Affairs at Michigan Medicine and President of the University of Michigan Health System, to talk about what it takes to lower the total cost of care while protecting access to top-tier clinical outcomes for patients across Michigan.We start with timely news: Michigan Medicine will continue its partnership with Blue Cross Blue Shield, easing uncertainty for people who rely on specialty care and were wondering whether they could even schedule their next visit. From there, we zoom out to the bigger policy and operational pressure points across the healthcare ecosystem: how to reduce complications in high-acuity care, why primary care and earlier intervention can prevent expensive crises later, and what “value-based insurance design” looks like when you’re serious about paying for treatments that are proven to work.Then we get practical about AI in healthcare. Dr. Miller explains where ambient AI documentation is already reducing administrative burden, why technology-enabled medical education is becoming essential across the health professions, and how evidence from imaging and stroke triage can move innovations from promising demos into real clinical policy. We also talk about rural hospitals and lower resource environments, and how a statewide network can use technology to spread expertise beyond urban centers. We close with the financial reality of medical education and student debt, and what Michigan can do to keep the next generation of clinicians here. If this conversation helps you think differently about affordability, share it, subscribe, and leave a review so more people can find it.Support the showEngage the conversation on Substack at The Common Bridge!