The SEANC View

Latest Episodes:

Inside the State Health Plan's fight for lower costs Jul 24, 2026

Show notes

This episode of The SEANC View podcast discussed the new tier system of the State Health Plan, highlighting the controversy surrounding the exclusion of Atrium and WakeMed from preferred provider status. The plan aims to cap hospital reimbursements, which can sometimes reach over 800% of Medicare rates. Without the tier system, approved by the State Health Plan Board of Trustees, members faced premium increases of up to 21%. The discussion also touched on the financial reserves of these hospitals, the impact on rural healthcare, and the need for transparency in hospital pricing.

State Health Plan Shakeup: Premium Increase, Provider Tiers, and Blue Cross’s Return Jul 16, 2026

Show notes

State Treasurer Brad Briner and Plan Executive Administrator Thomas Friedman join us this week to recap the State Health Plan Board of Trustees meeting and explain major changes: a premium increase, a new three-tier provider network (preferred, access, non-preferred), and the decision to return Blue Cross Blue Shield of North Carolina as the third-party administrator and pharmacy benefit manager in 2028.

They discuss why the changes are needed to control costs, how tiers work for members across urban and rural areas, protections for patients in active treatment, and next steps for implementation and member engagement.

Signed Budget, Small Raises: Why State Employees Are Angry Jul 10, 2026

Show notes

Hosts break down the newly signed state budget — what the 3% raise really means, why raises and bonuses are delayed, and how step pay plans affect probation, parole, and correctional staff. They also cover retiree reactions and the controversy over who receives bonuses.

The episode previews the State Health Plan Board meeting, reviews the Public Workforce Modernization Act (including extended parental leave), answers Facebook viewer questions, and asks listeners how they would spend a proposed $1 billion for state needs. Send your answers to podcast@seanc.org

State budget passes, but state employees and retirees deserve better Jul 03, 2026

Show notes

This week, we break down the newly passed state budget: modest 3% raises for most state employees, targeted larger increases for law enforcement and corrections, bonuses for workers and retirees, and concerns about cuts and hundreds of vacant positions.

The episode discusses rising state health plan costs, the $1 billion left unappropriated (and speculation about public funding for a sports team), member outrage, and the importance of voting and civic involvement ahead of the November election.

Why Health Care Costs So Much: Dr. Brian Miller on Hospital Mergers and State Health Plan Solutions Jun 26, 2026

Show notes

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.

$148.3B and Counting: Treasurer Briner on AI, Timber Troubles, and the Hurricanes Jun 18, 2026

Show notes

State Treasurer Brad Briner joins the SEANC View podcast to explain how the pension reached a record $148.3 billion, discuss recent investment moves, including AI stakes like Anthropic, and explain why the office passed on buying part of the Carolina Hurricanes. He also covers portfolio changes, timber holdings, and efforts to improve returns for retirees and taxpayers.

The conversation addresses health plan challenges, recent Medicare Advantage cost adjustments for retirees, transparency around fees and holdings, and broader initiatives—from power affordability to America 250 outreach—that affect state employees and retirees.

Stanley Cup Frenzy, Budget Blues, and the Atrium–WakeMed Showdown Jun 12, 2026

Show notes

This week, we start with Raleigh's Stanley Cup fever before diving into state politics and budget delays that are stalling lawmakers.

The episode examines rising healthcare costs for retirees, the controversial Atrium–WakeMed merger and its impact on competition and patient bills.

Also covered: disputes over early voting sites at Western Carolina University, community vs. campus tensions, plus lighter culture segments on Taylor Swift, Toy Story 5, concert ticket prices, and mental health concerns.

Staffing challenges, budget talks and 'Pension Fight Club' Jun 05, 2026

Show notes

Hosts Jonathan Owens, Ardis Watkins, Suzanne Beasley, and Sammy Cline discuss the latest on the state budget, workforce reforms, and staffing challenges across North Carolina government.

Also, we discussed 'Pension Fight Club,' a first-of-its-kind investigative documentary about the threat to public pensions across the country, which features Watkins among dozens of pension leaders, board members, and advocates demanding greater transparency and accountability.

We also cover a tragic child welfare case prompting oversight, the state auditor’s planned review of the Opportunity Scholarship program, pension gains and COLA prospects, and a debate over social media and AI protections for minors.

Correctional Pay Crisis & Budget Gridlock: Who’s Left Holding the Tab? May 29, 2026

Show notes

Hosts dive into North Carolina’s budget stalemate, including the controversy over large raises for correctional officers and the resulting wage compression and staffing problems, stalled projects like the zoo’s Asia expansion and major hiring delays, and the ongoing debate over hospital consolidations and pension concerns.

Then, in an interview, SECU outlines changes to payroll deduction and previews a new mobile app with budgeting and money-transfer tools — members are urged to know their login before the upgrade.

The episode also covers GLP-1 drug funding, public pension issues, a light Gen Z segment on influencers, and the popular theme-park ticket program.

Budget Raises, Tax Amendment, and the Craggy Closure May 22, 2026

Show notes

Hosts Jonathan Owens and Suzanne Beasley break down the latest at the legislature, including proposed budget raises, a looming income tax constitutional amendment, retiree COLA concerns, and SEANC’s new vacant-jobs dashboard. They discuss the staffing crisis across state agencies and how pay compression is driving vacancies.

Guest Tammera Hill, Chief Operating Officer of the Department of Adult Correction, details the planned closure of Craggy Correctional Institution, employee transfers, recruitment challenges, and the need for meaningful pay solutions. Visit SEANC.org to contact your legislators.

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