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

In this episode, Dr. Brian Miller — hospitalist, policy advisor, and vice chair of the North Carolina State Health Plan Board — explores why health care is so expensive and what can be done about it. We discuss hospital consolidation and the Atrium–WakeMed merger, steering and preferred provider strategies, income‑adjusted premiums, price transparency, drug costs, and practical steps the state health plan is taking to lower costs and protect members.