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Astonishing Healthcare breaks down the complex systems that move medicine, money, and care across the healthcare industry.
The show is built for the people doing the work.
For healthcare leaders, benefits professionals, pharmacy and medical claims stakeholders, employers, consultants, and anyone who needs to stay ahead of the forces shaping the healthcare ecosystem.

Clear, substantive conversations
We trade jargon and surface-level takes for clear, substantive conversations that help you understand what's happening and why it matters.
Sharper insight, practical context
You'll come away with sharper insight, practical context, and a better grasp of where the industry is headed.
Topics that move the needle
Each episode digs into the topics like: pharmacy benefit management, drug pricing & the supply chain, medical claims processing & adjudication, health benefits administration, and the regulatory shifts that change the rules overnight.
Latest episode
All episodes
AH118 - Chemo, Cars, & Where Health Plan Savings May be Hiding, with Brian Cotter
On Episode 118 of Astonishing Healthcare, Brian Cotter of Bright Spot Insights discusses how drug price variability impacts medical and pharmacy spend, assumptions plan sponsors should and shouldn't make about costs, the importance of data quality, and much more!
October 3, 2026
AH117 - Star Ratings Changes in 2027 Plans Can't Ignore, with Angela Kalantarova and Jay Tran
On Episode 117 of Astonishing Healthcare, we discuss what health plans and plan sponsors should expect for Medicare Star Ratings in 2027, including the return of Medication Therapy Management (MTM) as a Stars measure, the removal of Plan Finder, a proposed IOP-LD opioid measure, and more! We also share some results from a Medicare Stars Service pilot program.
September 19, 2026
AH116 - The Claims "Spin Cycle" & Battle Between PI & RCM, with Lynn Garbee
On Episode 116 of Astonishing Healthcare, Lynn Garbee joins us for a lively discussion about payment integrity (PI), revenue cycle management (RCM), and how plan sponsors can combat the waste and friction in the system.
September 4, 2026
AH115 - Achieving FedRAMP® Ready Status & Why Security is a Team Sport, with Shane Garoutte
On this episode of Astonishing Healthcare, Judi Health CISO Shane Garoutte discusses the path to FedRAMP® Ready status, why it matters for healthcare organizations, how leaders can build stronger security cultures, and what agentic AI means for the future of cybersecurity.
August 21, 2026








