EPISODE · Dec 5, 2025 · 32 MIN
Why More Visits Save More Lives: The ACO Shift for 2026
from The Disrupted Podcast · host Scott Middleton, Jamie Preston
KEY TAKEAWAYSThe new ACO model increases funding for high-risk Medicare patients but requires disciplined execution.Visits — frequent, short, meaningful ones — are the #1 driver of reduced hospitalizations and better outcomes.The target is four visits per patient per month for those with a 2.4–2.8 risk score.Current numbers show only 2.5 visits per patient per month — leaving savings and outcomes on the table.Facilitators are essential: their job is to start conversations, gather information, and initiate telehealth visits.Notes, Mobius recordings, and consistent communication make providers more effective over time.Small, weekly touchpoints outperform long, infrequent visits in both outcomes and cost savings.Every team member plays a role in preventing hospitalizations and improving patient stability. www.YourHealth.Org
What this episode covers
In this episode of The Disrupted Podcast, Jamie and Scott dive into the major shift happening as the organization enters a new Accountable Care Organization (ACO) in January. The new model offers a 30% increased allotment for high-risk traditional Medicare patients — but with that opportunity comes responsibility. Scott breaks down the data that matters most: visits drive outcomes. The analytics are clear — patients who are seen more frequently cost the system less in emergency and hospital spending. Yet the current numbers show a gap: 2.5 visits per patient per month when the model requires four. Scott explains why every facilitator needs to initiate visits, how telehealth fits seamlessly into day-to-day care, and why therapists, NPs, doctors, and specialists all play interconnected roles in preventing hospitalizations. The conversation highlights efficiency, accountability, and simple, repeatable workflows that make care better — and dramatically more cost-effective. This episode is a call to action for every person who steps into a patient’s home: your visit is not just a touchpoint — it’s prevention, protection, and partnership.
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Why More Visits Save More Lives: The ACO Shift for 2026
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