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.

All episodes

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.
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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.
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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.
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August 21, 2026
AH114 - How Employers Can Use Clinical Programs to Reduce Cost and Complexity, with Nash Albadarin, PharmD
On this episode of Astonishing Healthcare, Nash Albadarin (Associate Director, Clinical Programs) returns to the studio to discuss how combining medical and pharmacy claims data surfaces savings employers didn't know existed; how programs like Rx Smart Save, Rx Ally, and the newly launched CareShift Health are driving measurable results; and what it takes to deploy a proactive, data-driven clinical strategy.
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August 7, 2026

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