Interpreting The Regs

Most healthcare providers assume that if a regulatory agency approved it, they're protected. A recent court ruling just dismantled that assumption entirely — and if you haven't heard about it yet, this episode is your wake-up call. In this episode of The Disrupted Podcast, host Jamie Preston sits down with Scott Middleton, Chief Disruption Officer of Your Health, for one of the most practically important conversations in the show's history. Scott has three full-time healthcare attorneys on staff, has been investigated by the federal government — and won — and is now rolling out a care management compensation program that he's been legally stress-testing for six months. He knows how this world works, and he's not keeping it to himself. What you'll hear in this episode: Why courts can no longer defer to regulatory agencies to interpret the law — and what that means for every provider in America who's been operating under that assumption How chronic care management (CCM) is actually billed and why families and even some providers fundamentally misunderstand what they're paying for The real distinction between enticement and antitrust law — and why it's one $12 bottle of water away from a federal investigation How Scott's organization beat the federal government in court over proactive hospice placement — and how that single case dropped hundreds of similar cases across the country Why radical transparency, including open Power BI dashboards that anyone can examine, has become their most powerful legal defense The risk score gap that could unlock $100 million in additional annual Medicare revenue — and what providers are leaving on the table If you're in healthcare and you've ever assumed following regulatory guidance means you're safe, this episode will change how you think about compliance, courage, and what it actually means to do this work right. Press play. www.YourHealth.Org