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All Episodes

The Astonishing Healthcare Podcast — 121 episodes

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Title
1

AH113 - From Legacy Mainframe to Judi Cloud™: Modernizing Claims Adjudication, with Andy Kageleiry

2

AH112 - From Transparent PBM to Unified Health Technology, with AJ Loiacono and Kristin Begley, PharmD

3

AH111 - Building a Single Source of Truth for Medical and Pharmacy Benefits, with Kevin Sundquist & Liya Lomsadze

4

AH110 - Inside the 2026 U.S. Medicine Use Trends Report with Michael Kleinrock

5

AH109 - Unlocking PGx: Evidence, Use Cases, and Implementation

6

AH108 - Fixing Healthcare Interoperability and Modernizing Digital Workflows, with Brendan Keeler

7

AH107 - How Good UX/UI Design Transforms Healthcare, with Adam Murphy and Michelle Chambers

8

AH106 - What You Need to Know About the DOL’s Proposed PBM Rules, with Julie Selesnick

9

AH105 - The Perfect Storm Driving the Future of Drug Pricing, With Josh Golden

10

AH104 - Biosimilars, GLP-1s, PBM Reform, and Other 2026 Pharmacy Drivers, with Bridget Mulvenna

11

AH103 - Proactive, Personalized, and Powerful: The Future of AI in Health Benefits, with Amit Srivastava

12

AH102 - PBM Reform Update: Health Policy Changes Slowly, Until it Doesn't, with Lloyd Fiorini

13

AH101 - Health Benefits 101: What's a Third-Party Administrator (TPA)?

14

AH100 - The End of the Age of Confusion, It's Time for Acceptance, with AJ Loiacono

15

AH099 - Providing the Right Level of Guidance & Expertise in this Business is About as Hard as Driving Change, with Hannan Allen

16

AH098 - Introducing The Judi Group: Mission-Driven Advocacy for Employers

17

AH097 - Stories from the Next Generation of Healthcare Disruptors, From Internship to Impactful Full-Time Work

18

AH096 - A Quick Government Programs Update: The IRA & MPPP, Managing D-SNPs, and More, with Jason Barretto

19

AH095 - What's in Store for the New Year? A Special Round-Robin Episode of Astonishing Healthcare

20

Best of '25! AH048 - High-Cost Orphan Drugs, Securing Claims Data, and More, with Dr. Eric Bricker

21

Best of '25! AH086 - Balancing Technology and a Human Touch in Member Service, with Lisa Ellerhorst and Sonia Pettis

22

AH094 - How Unified Claims Processing Evolved from Pharmacy: Improving Member Care & Operating Efficiency

23

AH093 - Health Benefits that Work for Everyone: Aligning Incentives & Focusing on Members’ Needs, with Susana Villegas Spillman

24

Best of '25! AH084 - Solving Pharmacy Benefits: Inside the RFP Process, with Josh Golden & Nic Bolitho

25

AH092 - Health Benefits 101: The Importance of Clear, Consistent Communications, with Samantha Custer

26

AH091 - Trends Shaping the Workplace: 2026 Forecast, with Dan Schawbel

27

AH090 - The Survey Says: Inflation is a Problem, and Change is Imminent, with Business Group on Health's Jim Winkler

28

AH089 - Some [Healthcare] Data Visualization Treats, with Andrew Tsang

29

AH088 - Celebrating Women Pharmacist Day 2025: A Discussion About Growth, Mentorship, Leadership, and More

30

AH087 - 2025 Flu Season Update, with Libbi Green, PharmD

31

AH086 - Balancing Technology and a Human Touch in Member Service, with Lisa Ellerhorst and Sonia Pettis

32

AH085 - Addressing Barriers to Drug Access & Affordability, with Valeris' Andy Glade

33

AH084 - Solving Pharmacy Benefits: Inside the RFP Process, with Josh Golden & Nic Bolitho

34

AH083 - Your PBM vs. Your Bottom Line: Biosimilars & Rebates, with Bridget Mulvenna

35

AH082 - Pharmacy Benefit Implementations: Have No Fear, Alignment & Process are Here

36

AH081 - Promoting Competition & Innovation: The Push for PBM Reform, with Rep. Jake Auchincloss

37

AH080 - Health Benefits 101: The Importance of "Smart" Care Navigation, with Andy Kageleiry

38

AH079 - Capital Equilibrium, a New Level-Funded Pharmacy Plan, with Mike Miele, FSA, MAAA

39

AH078 - More on Judi Health™ and the Unified Benefits Experience, with Dr. Sunil Budhrani and Mike Tate

40

AH077 - Rx Retro: An Approach to Safe & Effective Deprescribing, with Lauren Carroll, PharmD

41

AH076 - PBM 'Boogeymen' & Stopping the Madness Out There, with Jeff Hogan

42

AH075 - What Health Systems Need [From a PBM]: A Blend of Tech, Transparency, and Understanding, with Lindsey Butler, PharmD, and Chris England

43

AH074 - How Fast is the Way Consumers Search for Care Evolving? Almost Beyond Comprehension, with Carrie Liken

44

AH073 - How Low Cost Alternative Programs Can & Should Work, with Jackie Lolos, PharmD, and Haleh Campbell, PharmD

45

AH072 - The Benefits You Probably Didn't Know You Have, with Marsha Perry

46

AH071 - A Look at What's Really Driving Drug Spend, and How it Impacts Us, with IQVIA's Michael Kleinrock

47

Best of '25! AH058 - Building Judi®, the Healthcare Infrastructure of the Future, with Liya Lomsadze

48

AH070 - Inside Capital Rx's Acquisition of Amino Health: Creating the Health Benefits Platform of the Future, Today

49

AH069 - Poster Presentations: The Utility of ICD Codes, and How Text Messages & Pharmacist Outreach Aids Medication Adherence

50

AH068 - The Future of Health Benefits: Integrating the Power of Pharmacogenomics (PGx), with Burns Blaxall, PhD, and Caitlin Munro, PharmD

51

AH067 - Aligned Health Benefits and the Freedom to Unbundle, with Kristin Begley, PharmD

52

AH066 - The Evolving Health Benefits Market: Everyone is Getting Smarter, with Mike Tate

53

AH065 - The Bridge to Value-Based Care: Unified Claims Processing™, with Dr. Sunil Budhrani

54

AH064 - Empowering Plan Sponsors: Data Access & Analysis, with Bridget Mulvenna

55

AH063 - What's New with Medicaid PBM? With Jessin Joseph, PharmD, MBA

56

Best of '25! AH054 - Judi Health™: Going Beyond Pharmacy and into Medical Claims, with AJ Loiacono and Dr. Sunil Budhrani

57

AH062 - Navigating RxDC Reporting: Some Tips for Success, with Spencer Kramer

58

AH061 - Empowering Unions with Technology: A New "Hours Banking" System

59

AH060 - A New Approach to CRC Screening, with Geneoscopy

60

AH059 - Healthcare Sector Update & Outlook, with Bloomberg Intelligence's Jonathan Palmer

61

AH058 - Building Judi®, the Healthcare Infrastructure of the Future, with Liya Lomsadze

62

AH057 - How First-Movers are Taking Control of their Health Plans in 2025, with Jeff Hogan

63

AH056 - Medicare Star Ratings: Updates, How Judi® Helps, and More, with Angela Kalantarova, PharmD

64

AH055 - Pharmacy Benefits 101: Stop-Loss Insurance, with Mike Miele, FSA, MAAA

65

AH054 - Judi Health™: Going Beyond Pharmacy and into Medical Claims, with AJ Loiacono and Dr. Sunil Budhrani

66

AH053 - Selling Pharmacy Benefits: Relationships, Rebates, GLP-1s, and More, with Bridget Mulvenna

67

AH052 - ERISA Insights: Challenges & Compliance in Modern Healthcare, with Nick Welle

68

AH051 - Why Drug Prices & Modern Tech Matter in Hospice Care, Too, with Nick Opalich

69

AH050 - PBM Pain Points and Overcoming the Fear of Change, with Hope Nakazato, PharmD

70

AH049 - Pharmacy Benefits 101: Pharmacy Audits

71

AH048 - High-Cost Orphan Drugs, Securing Claims Data, and More, with Dr. Eric Bricker

72

Best of "24! AH041 - ERISA Litigation Outlook and Meeting CAA Requirements, What Can Plan Fiduciaries Do?

73

Best of '24! AH020 - Why NADAC is a "Ray of Sunshine," with AJ Loiacono and Antonio Ciaccia

74

AH047 - What Project 2025, RFK Jr., and Dr. Oz Could Mean for the Business of Healthcare Under Trump

75

AH046 - What's Hot In and Around the Pharmacy Supply Chain, with RSM's Tom Evegan

76

Best of '24! AH001 - Building a PBM: Tech, Navigating Growth, and Delivering Value with AJ Loiacono

77

AH045 - Pharmacy Benefits 101: Formularies & Formulary Management, with Nisha Bhide, PharmD

78

AH044 - Searching for Answers: Understanding Transparency, Alignment, and Incentives in Healthcare, with Andrew Gordon

79

AH043 - Pharmacy Benefits 101: DMP & MTM, Explained, with Nash Albadarin, PharmD

80

AH042 - Pharmacy Benefits 101: The Network, with Kasi Ortiz

81

AH041 - ERISA Litigation Outlook and Meeting CAA Requirements: What Can Plan Fiduciaries Do?

82

AH040 - Celebrating Women Pharmacist Day 2024

83

AH039 - Transition Benefits and the Relationship Between Communications and Product Management

84

AH038 - Navigating Flu Season! A Quick Update on Vaccines and Such, with Libbi Green, PharmD

85

AH037 - The Story of a Claim: Redefining the Benefit Experience, with Kevin Sundquist

86

AH036 - The Rise of GLP-1s & Partnering to Manage Chronic Diseases, with Vida Health

87

AH035 - Pharmacy Benefits 101: Clinical Programs, with Bonnie Hui-Callahan, PharmD

88

AH034 - Customer Care in Healthcare: Setting a Higher Bar, with Will Tafoya

89

AH033 – Never Move Again™, a Paradigm Shift in Pharmacy Benefits, with AJ Loiacono

90

AH032 - Prescription Rebates: Agreements, Guarantees, and More, with NPC's John O'Brien, PharmD, MPH, and Julie Patterson, PharmD, PhD

91

AH031 - Dissecting Pharmacy Cost Drivers and the Value of PMPM, with Kristin Begley, PharmD, and Mike Miele FSA, MAAA

92

AH030 - Plan Sponsors Need a Source of Truth; Get Your Data Now & Find It, with Jeff Hogan

93

AH029 - Selling Pharmacy Benefits: Building Relationships & Meeting Clients' Needs, with Nick Van Hook

94

AH028 - What is Pharmacy Benefit Management? With Jillian Lonson and Jean Beman, Part 2

95

AH027 - What is Pharmacy Benefit Management? With Jillian Lonson and Jean Beman, Part 1

96

AH026 - The Power of APIs in Healthcare, with Alfonso Martinez

97

AH025 - Empowering Pharmacists, with NASPA's Krystalyn Weaver, PharmD, JD

98

AH024 - PBMs in the News, Again, with Ryan Duffy and Josh Golden

99

AH023 - Compliance Matters, with Heidi McKinnon, PharmD, CHC

100

AH022 - Pharmacy Benefits 101: Pharmaceutical Rebates, with Ben Schuster

101

AH021 - Managing Pharmacy Costs in a GLP-1 World, with Bridget Mulvenna

102

AH020 - Why NADAC is a "Ray of Sunshine," with AJ Loiacono and Antonio Ciaccia

103

AH019 - Wrestling with Coverage of High-Cost CGTs, GLP-1s, and How to Meet Regulators' Intent, with Casey Stockman, PharmD

104

AH018 - What's the Right Path? Post-grad Options for Pharmacists

105

AH017 - Pharmacy Benefits 101: Prior Authorization

106

AH016 - The Intersection of Pharmacy, Government Requirements, and Medicaid, with Jessin Joseph, PharmD, MBA

107

AH015 - PBM Legislation, Contracting, and More, with Lloyd Fiorini

108

AH014 - The Rise of Conversational AI: Healthcare Search & Patient Journeys Will Never Be the Same

109

AH013 - Redefining Virtual Care: A Blueprint for Effective RPM, with Robert Longyear

110

AH012 - Revolutionizing Healthcare: Prime & Capital Rx's Game-Changing Alliance, with Mostafa Kamal & AJ Loiacono

111

AH011 - Navigating CMS' M3P, PDE, and Other Regulatory Changes, with Jason Barretto

112

AH010 - The Power of PMPM: Holding PBMs Accountable for Total Drug Spend, with Kristin Begley, PharmD

113

AH009 - Modern Technology in Healthcare: Enhancing Efficiency & Security, with Ryan Kelly

114

AH008 - Ask the Right Questions to Future-Proof Your Pharmacy Benefit Plan, with Josh Golden

115

AH007 - There’s No Value-Based Care Without Considering Pharmacy, with Sunil Budhrani, MD

116

AH006 - Pharmacy Benefits 101: Clinical Care Teams, with Amy Stockton, PharmD

117

AH005 - Star Ratings, MTM, & CMS Translation Requirements with Jay Tran, PharmD

118

AH004 - Data, Fiduciary Responsibility, and Reversing Trend with Jeff Hogan

119

AH003 - What's New in the Partner Channel, with Brian TenEyck

120

AH002 - A Former Pharmacy Program Director's View on Controlling Pharmacy Costs

121

AH001 - Building a PBM: Tech, Navigating Growth, and Delivering Value with AJ Loiacono