PODCAST · business
The Disrupted Podcast
by James Preston, Scott Middleton
Entrepreneur and Chief Disruption Officer Scott Middleton share's his experiences of how he uses disruption to innovate and keep an organization moving forward and growing. Scott shares these weekly stories on The Disrupted Podcast with Scott Middleton.
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137
A Value-Based Merger
What if the patient you discharged three years ago is still costing you money today? In this episode of The Disrupted Podcast, Scott Middleton pulls back the curtain on the mechanics of value-based care most providers never see — and the merger bringing it all into focus. With the July 15th closing date approaching, Scott walks through what the merger of Your Health with TCPA and Providence Care actually means on the ground: new contracts, new provider numbers, a reimbursement model built on RAF scores and revenue rather than guesswork, and a technology stack — from the Clini app to QR-coded patient wristbands — designed to capture what was previously left on the table. In this episode: Why patient attribution under value-based contracts follows you for years — and what hospice discharges are really costing the organization How the new bonus structure ties pay to billing, RAF scores, and quality measures (and why you can never be paid to put someone on hospice) The difference between care management, facilitated visits, and what providers have been under-billing all along How skilled nursing facilities became the highest-leverage opportunity in the entire model Why advanced care plans aren't just clinical — they're a 30% income increase hiding in plain sight If you've ever wondered why the "why" behind a process matters more than the process itself, this episode is the answer. Press play. www.YourHealth.Org
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136
We NOT Them
What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. In this conversation, Jamie and Scott explore: Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. www.YourHealth.Org
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135
If You Didn't Document It, Medicare Thinks It Never Happened
It was 3 o'clock in the morning when Scott Middleton finally signed the papers. The merger was official. And within days, he was already on the road — visiting facilities, riding along with providers, and spotting the same gap everywhere he went: brilliant clinicians doing real work that was completely invisible to the system. In this episode of The Disrupted Podcast, Jamie sits down with Scott Middleton, calling in from Boston, to unpack what he's discovering on the ground in the newly merged Your Health organization — and why tracking your time isn't about paperwork. It's about protection, proof, and getting paid for every minute of care you're already delivering. What you'll hear in this episode: The Dr. Jeeve story: a high-producing doc who managed a nursing home crisis by phone, saved a patient from an unnecessary ER visit — and never billed for it, leaving Medicare with no record of his intervention Why not documenting a visit before a hospitalization doesn't just cost you revenue — it makes you look like a bad provider, even when you did everything right How insurance companies like United Healthcare boldly take 15% off the top of every healthcare dollar — and why that math means providers can't afford to give their time away for free The TCPA pattern Scott keeps seeing: 15,000–18,000 visits a month, almost entirely in nursing homes, with zero follow-up once patients go home The new post-discharge standard: every patient leaving a nursing home gets a telehealth visit within 48 hours, then weekly follow-up for four weeks — no one gets left in the gap This episode is a masterclass in understanding that documentation isn't bureaucracy — it's how you tell your story, protect your reputation, and keep the care you've already given from disappearing. www.YourHealth.Org
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134
The Merger
What does it actually cost when a doctor writes a verbal order over the phone instead of seeing the patient? Scott Middleton has the receipts — and the answer is going to make you rethink everything about how American healthcare spends its money. In this episode of The Disrupted Podcast, Scott announces a landmark three-way merger bringing Your Health together with Transitional Care Professionals of America (TCPA) out of Georgia and Providence Care, a hospice organization in South Carolina. The combined organization will serve approximately 55,000 active patients — not patients on a list, but people being seen regularly — and Scott lays out exactly how he's going to run it. What you'll hear in this episode: Why Scott's family owning 80% of the merged company changes everything about how decisions get made — and who they get made for The difference between fee-for-service and value-based care, and why the ACO model means every unnecessary hospitalization literally comes out of Your Health's pocket How Your Health's risk-adjustment-based visit model (16 visits per year per risk point) was independently validated by a new government study — and why it works The three things Scott is asking every new employee to do in the first weeks: align with a nurse practitioner, track every minute of care management, and recruit like their livelihood depends on it — because it does Why Scott's new management philosophy is six words: "Keep them out of the hospital and see your damn patients" This isn't a corporate announcement. It's a playbook for how healthcare can actually work when operators run the company, providers see their patients, and every minute of care gets counted. www.YourHealth.Org
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133
The Administrator Role Part 2
Most organizations will tell you their people are their greatest asset — then build compensation systems that prove they don't believe it. In Part 2 of this conversation, Scott Middleton — owner of Your Health, founder, and Chief Disruption Officer — gets honest with Jamie Preston about what it actually takes to build, pay, and keep the team an administrator is going to lead. In this episode: Why "can I have a raise?" is the wrong conversation — and what apprenticeship-based compensation solves How a nurse practitioner can quietly hit $200K by working the bonus structure the right way The math behind every hire: why every team member costs roughly $10,000 a month — and how to pay for yourself The 5,000-patient hospice gap no one wants to talk about — and what it's costing families Why every hospice patient gets a custom plan, not a copy-pasted template The DISC profile Scott looks for in administrators — and why it's not what you'd guess The honest state of hiring: 30 care groups, growing, and actively recruiting If you lead people, hire people, or are thinking about stepping into healthcare leadership — this is the episode where the economics get real. www.YourHealth.Org
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132
The Administrator Role Part 1
Most healthcare organizations wait until they're drowning to add administrative support. Your Health is doing the opposite — and it's changing the math on what a primary care practice can actually deliver. In Part 1 of this two-part conversation, Scott Middleton — owner of Your Health, founder, and Chief Disruption Officer — sits down with Jamie Preston to unpack why a dedicated administrator is now sitting beside the executive director of clinical services at every care group. With hospice added to the model, a single care group can now be responsible for more than 80 staff members across four care teams — bigger than most medical organizations in the country. Asking a nurse to run that alone was breaking people and burying clinical judgment under scheduling concerns. In this episode: Why the care group exploded overnight — and what hospice changed about staffing ratios What the administrator does on Monday morning before the clinical team even looks at the dashboard The Bridget story: how a "we're not allowed to do one-on-ones" response nearly cost a dementia patient her home Why "what could we have done today" is the wrong question — and what to ask instead How fee-for-service quietly incentivizes the wrong decisions at the hospital level The team structure every administrator now sits inside: nurse, HR, marketing, engagement If you've ever wondered what's actually supposed to stand between a great clinician and burnout, this is it. www.YourHealth.Org
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131
The Nurse Case Manager
What if the people case-managing your care had a financial reason to keep you sicker? That's the uncomfortable question Scott Middleton puts on the table in this episode — recorded live from the American Case Managers Conference in Orlando, where Scott went to learn, and ended up being told Your Health didn't "fit" because they weren't a hospital. Jamie and Scott unpack what the nurse case manager role actually looks like at Your Health — and why moving case management out of hospitals and into patients' homes isn't just better care, it's better economics. Scott shares the research proving the model works: 50% reduction in Medicare spend when patients are seen at the right frequency by the right people. In this episode: Why hospitalists may be "the demise of the American healthcare system" The difference between nurse practitioners (diagnose and treat) and nurse case managers (assess and guide) — and why blurring them costs patients The 16.05-visits-per-risk-point model David Clemens' research validated How coding departments are quietly diagnosing patients with diseases they don't have Why Medicare's 6-year insolvency window may be the disruption we need Head-to-toe assessments, delegation rights, and the real job of an RN in the home If you've ever suspected the system is working exactly as designed — just not for the patient — press play. www.YourHealth.Org
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130
The Care Group Model
What if the reason healthcare teams burn out isn't the workload — it's the org chart? On this episode of The Disrupted Podcast, Jamie and Scott, break down the evolution of The Care Group Model — and why the instinct to build a "separate hospice team" is exactly the wrong move. Scott walks through what a true care team looks like when nurse practitioners, nurses, community health workers, social workers, chaplains, and triage nurses are orchestrated around the patient — not siloed around a diagnosis. Inside the episode: Why adding hospice to existing care groups beats building a parallel hospice division The new non-clinical "administrator" role Your Health is rolling out — and why every nurse needs one at their side Using DISC assessments to build teams that actually function (and why nurses aren't the same personality type) How mutual accountability and group-based bonuses fix the "don't bill too much CCM" problem Why matching a chaplain to a patient's faith tradition matters more than checking the box The $110 million Medicare savings story the industry still doesn't understand If you lead a clinical team, run an operation, or care about what healthcare could look like when it's built around people instead of paperwork — press play. www.YourHealth.Org
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129
Social Services
A man is dying — literally in his last hour, the death rattle audible — and the hospital team arrives to take him for a radiation treatment. His family had no idea. No one had told them. No one had started the conversation. This is not a rare exception. This is what happens when social services is treated as an afterthought. In this episode of The Disrupted Podcast, host Jamie Preston and Scott Middleton, Owner and Chief Disruption Officer of Your Health, go deep on one of the most overlooked levers in healthcare — social services. From the social determinants that drive healthcare costs more than healthcare itself, to the care team structures Your Health is building to close the gap, this is a candid, unfiltered look at what's broken, what's possible, and what it actually costs when we don't act. What you'll hear in this episode: Why social determinants of health — food access, medication literacy, housing instability, social isolation — are the real drivers of healthcare spending, and why most systems still ignore them The truth about advanced care planning: why it's quietly dropping, why every patient within two to three years of death needs that conversation, and the story of Janet Denino's cousin that makes the cost of silence impossible to ignore How the mental health stigma is shifting generationally — and how telehealth, AI-assisted tools, and a smarter therapy cadence are changing who actually gets support The billing math behind 280,000 possible care management hours that were built down to 110 — and why that gap isn't just a business problem, it's a human one What it actually takes to build a social services program that works: the right roles, the right ratios, and why getting out to see patients is non-negotiable The system won't fix itself. But the people in it can. This episode shows you how. www.YourHealth.Org
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128
The Role That Could Eliminate Most Hospitalizations: The Care Manager
In this episode of The Disrupted Podcast, Jamie and Scott have a raw, specific, and deeply personal conversation about Care Managers: who they are, what they're actually supposed to do, and why getting this role wrong is costing patients their health and organizations millions of dollars. Scott opens with a story that hits hard: his 91-year-old father's recent hospitalization, the mistakes that nearly happened, and what it cost him — financially and emotionally — to navigate a system that wasn't built for the patient. What you'll hear in this episode: Why care managers are controllers, not schedulers — and what happens when organizations get that wrong The medication reconciliation crisis: how discharge errors are sending patients straight back to the ER How Your Health's new geographic mapping tool is transforming how care teams schedule 30 days of visits in advance The shared bonus model designed to stop care team members from fighting over visits — and start winning together What care managers should never be doing — and the analytical skill set that separates great ones from average ones If you're building care teams, leading a healthcare organization, or just trying to keep a loved one safe in a broken system, this episode will change how you think about the people standing between your patients and the hospital. www.YourHealth.Org
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127
The Visit That Saves a Life Has No Diagnosis Code: The Community Health Worker
What if the most powerful person on your care team isn't a nurse, a doctor, or a specialist — but someone showing up at 8:00 AM to check blood pressure, eat lunch with residents, and play vital signs bingo? In this episode, we go deep on the Community Health Worker role: what it is, what it isn't, and why most organizations are dramatically underusing it. Scott pulls no punches on the disconnect between what CHWs are doing and what they should be doing — and why the difference is costing patients their health and workers their bonuses. What you'll hear in this episode: Why the #1 complaint about CHW visits ("you're seeing our patients too much") is actually a communication failure, not a frequency problem — and how to fix it The specific visit types every community health worker should be scheduling: vital signs, medication reconciliation, lab draws, wound care, advanced care plans, and more How Mary White, a CHW in Gainesville, Georgia, goes in with 5 patients on her list and leaves having seen 15 — and what her approach reveals about what this role is really for Why buildings that aren't growing have either the wrong person or not enough people — and how to think through both The full compensation breakdown: base salary, guaranteed bonus, and how the right CHW can earn close to $80,000 a year If you hire, manage, or are a community health worker, this episode will reshape how you think about the role. Hit play. www.YourHealth.Org
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126
The Yeses Have Butts: How to Find the Yes in Every Healthcare Conversation
What does it actually take to say yes in healthcare when the system is wired to say no? In this episode of The Disrupted Podcast, Scott takes you straight into the field — from a brand-new administrator in Marietta, Georgia who's already revolutionizing her building eight days in, to a 190-patient facility in Charleston where the real conversation isn't about hospice referrals, it's about whether you have the staff to back it up. Scott gets honest about the moments where healthcare organizations talk a big game but fold when it matters — refusing acute visits to non-panel patients, locking providers into rigid workflows, and hiring bodies instead of talent. He challenges all of it. And he does it with the kind of clarity that only comes from someone who's actually in the buildings, at the dinner tables, and on the phone doing the hard work every day. From a nurse who deserves a Tesla to a wristband that could change emergency response forever, this episode is packed with real stories, bold ideas, and a simple but radical belief: that getting to the yes isn't just good business — it's the whole point of healthcare. If you're a provider, administrator, nurse, or healthcare leader who's tired of the way things have always been done, this one's for you. www.YourHealth.Org
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125
Stop the Fragmentation: Integrating Hospice Into Primary Care
Healthcare didn’t get expensive because patients got worse — it got expensive because the system got fragmented. In this episode of The Disruptive Podcast, Scott Middleton breaks down why hospice can’t live “over there,” separate from primary care, nursing, therapy, and care management.Scott explains the Your Health Hospice rollout, the staffing reality that determines whether integration is real, and the math behind a new model: caseload reductions for nurses when hospice patients are added, plus incentives that acknowledge the complexity of end-of-life care.This conversation is about building a care system where the patient doesn’t have to juggle providers, phone numbers, and handoffs — because they shouldn’t have to. One team. One plan. One umbrella. www.YourHealth.Org
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124
Find A Way To A Yes
In this episode, Jamie and Scott discuss a simple leadership posture that changes outcomes: default to “yes” when it protects patients—then solve the obstacles. Scott shares real examples from winter-storm outreach, hospice and palliative care misconceptions, and operational “rules” that block care (often driven by language, software, or habit—not true limitations). They dig into how patient-centered thinking, clearer communication (ditch the acronyms), and smarter systems—like a new mapping tool—can drive more visits, better coordination, and better results. www.YourHealth.Org
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123
Healthcare Isn’t Complicated—Go See Your Patients
In this episode of The Disrupted Podcast, Scott Middleton returns from the JP Morgan healthcare conference with a blunt takeaway: the future of care is not a magic pill, another telehealth platform, or a clever financial structure — it’s showing up. Scott breaks down why healthcare has become unnecessarily complicated, how fee-for-service incentives distort decision-making, and why “easy-entry” models won’t hold up long-term.He makes the case that Your Health’s home-based care model is hard to replicate because it requires operational excellence—routing, scheduling, team coordination, and intentional touchpoints. Scott also challenges internal culture issues: finger-pointing, poor communication, inefficient scheduling, and employees misunderstanding the mission. The solution is both simple and demanding: build systems that make weekly in-person encounters possible for high-risk patients and hold the line on execution. www.YourHealth.Org
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122
The Stakes Are High: Why Facilitated Visits Will Save the System
In this first Disrupted Podcast episode of 2026, Jamie and Scott unpack the reality of a new “High Needs ACO” and what it demands from frontline care teams. Scott explains why spending more in primary care reduces total cost, how care management codes are expanding, and why the real win is keeping patients out of the hospital through proactive, consistent engagement.The centerpiece is a clear operational playbook for facilitated visits: facilitators gather the full story in the home or facility, loop in the provider through audio/video when possible, document in the system, and never delete encounters—because billing isn’t just revenue, it’s the data trail that proves prevention works. The conversation closes with the bigger picture: this isn’t a workflow tweak—it’s a way to reduce hospital dependency, protect families, and help stabilize the healthcare economy. www.YourHealth.Org
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121
The Facility Model Explained: Staffing, Hospice, and the Power of Proactive Care
In this episode of The Disrupted Podcast, Jamie and Scott break down what’s really happening inside healthcare facilities—and why the problem isn’t complexity, but misalignment. Through a real-world walkthrough of one provider’s experience, Scott unpacks the Facility Model, explaining how proper staffing, proactive care, and smarter use of hospice, telehealth, and community health workers can radically improve outcomes for patients, providers, and facilities alike. This conversation pulls back the curtain on how healthcare systems unintentionally block good care—and how simple, human-centered adjustments can change everything. www.YourHealth.Org
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120
The Map, the Model, and the Moment: Rethinking Regional Growth
In this episode of The Disrupted Podcast, Jamie sits down with Chief Disruption Officer Scott Middleton to unpack what’s really holding healthcare organizations back from sustainable growth — and it’s not demand. From inefficient scheduling and fragmented care teams to missed opportunities in behavioral health, hospice, and regional expansion, Scott lays out a candid blueprint for how ownership thinking, smarter systems, and physical presence in communities can radically improve outcomes.Through real-world examples, Scott explains how a new map-based scheduling model, regional restructuring into divisions, and empowered frontline teams can increase productivity by 20% overnight — while simultaneously reducing ER visits, hospitalizations, and burnout. The conversation ultimately reframes growth not as a staffing problem, but as a leadership, coordination, and accountability challenge. www.YourHealth.Org
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119
Why More Visits Save More Lives: The ACO Shift for 2026
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
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118
Why Atlanta Needs Your Health: Stories, Strategy, and a Broken Healthcare System
00:00 – Welcome & Atlanta Traffic Humor03:12 – Why Atlanta’s Senior Healthcare System Is “Almost Nonexistent”09:15 – Hospitals begging for help & broken discharge processes14:00 – Upcoming cuts to home health and rehab penalties18:45 – Why therapy services need massive, immediate expansion23:18 – The dementia support group story and the power of proactive care30:52 – How storytelling improves patient and family understanding36:44 – Hospice misconceptions & how Your Health does it differently43:17 – Explosive growth in Atlanta and why competition is failing49:10 – Creativity as a core ingredient of healthcare54:40 – Why every associate needs a mentor immediately59:25 – A call to action: show up, ride along, and support Atlanta providers www.YourHealth.Org
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117
Integrating Hospice Into Primary Care: Your Health’s Strategic Rollout
Show Notes / SummaryWhy launch hospice now: continuity, fewer hospitalizations, value-based alignmentClarifying myths: CNA hours on hospice, attending provider still leads careRAF & staffing logic: ~$6k/mo hospice per diem ↔ RAF ~5; translating RAF → weekly CNA/CHW hoursNurse incentives: $150 per admission; double telehealth-assist credit on hospice patientsSoftware + workflow: Athena ↔ WellSky (care plans, documentation, pull-through)Facility model: converting buildings; estimating FTEs from hospice census + RAFChaplain/social work: leverage in-region LSWs; connect to patient’s faith communityRespite options: Medicare respite/GIP + GUIDE program for dementia (up to $2,500yr)Therapy as palliative strength: weekly PTA/COTA; telehealth supportAfter-hours model: optional call, $300 RN death/critical visit; $150 for non-nurse critical checksGuardrails: clinical judgment first; financials inform—not dictate—care www.YourHealth.Org
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116
The Mission: Keeping People out of The Hospital
Key Takeaways (for on-air recap & social)Presence prevents: Being in the building daily beats any remote administrative stack.Rituals > heroics: Small, repeatable actions (exercise + vitals + lunch checks) compound.Caregivers stabilize: A modest weekly schedule creates 40 hours of reliable on-site support.Therapy cadence matters: Spread the care; keep people moving longer to reduce falls.Document to decide: Specific behavioral notes → faster NP decisions → fewer crises.Mission creates growth: Aligning to “no hospitalizations” reduces noise and increases referrals. www.YourHealth.Org
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115
Go See Your Damn Patients: Redefining Transitional Care
Show NotesWhy transitional care is at the heart of Your Health’s modelHow incentives for early post-hospital visits worked (and why they didn’t)Why in-person care matters more than telehealth aloneThe growing role of respiratory therapists, physical and occupational therapists, and community health workersThe challenge of patient perception: “too many visits” vs. “too many calls”Why insurance companies trying to become providers is dangerous for patientsScott’s philosophy: nothing should be written in stone — adapt and evolveThe simple but powerful call to action for providers: “Go see your damn patients.” www.YourHealth.Org
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114
Realigning Care Teams in a Broken System
Key Topics:How sudden insurance and policy changes disrupt patients and providersThe importance of prevention and primary care in lowering long-term costsWhat fully staffed care teams look like and why they matterBalancing productivity and patient-centered careWhy disruption is necessary for a healthier futureTakeaway: Healthcare continues to be shaped more by profit and red tape than by prevention and patient outcomes. But with innovative care models and a relentless focus on what patients truly need, leaders can shift the system toward better health and lower costs. www.YourHealth.Org
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113
From Facilitators to Connectors
Episode NotesWhat Health Connectors are and why they matter.The danger of a provider-centered workflow—and how to avoid it.Real examples of how proactive home visits catch problems early.Why vital signs can be the key to preventing 50% of heart attacks.The culture shift needed: salaried roles with responsibility, not clock-in/clock-out mindsets.Scott’s challenge to all healthcare workers: “Go see your damn patients.” www.YourHealth.Org
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112
Holy Disruptions
Episode NotesScott shares a story about meeting a compliance pharmacist who unexpectedly became the solution to a major organizational challenge.The importance of pharmacy compliance and direct-to-manufacturer drug purchasing.Why God’s timing plays a role in healthcare growth and leadership decisions.The danger of miscommunication across facilities and how to “season” a team for long-term effectiveness.How leaders can emerge from any position — from providers to CNAs to medical assistants.Why job descriptions must be clear, but leadership requires flexibility. www.YourHealth.Org
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111
Simplifying Healthcare (The SSA)
Episode NotesWhy disruption in healthcare often means simplifying, not complicating.The critical role of Senior Solutions Advisors as navigators, educators, and advocates.Real-world stories: from a weight loss patient’s experience to common Medicare misunderstandings.How word-of-mouth becomes the best marketing strategy when patients feel truly cared for.Scott’s challenge to SSAs: prioritize patient contact, ask deeper questions, and don’t be afraid to admit when you don’t know—just commit to finding the answer.Why employers and patients alike need value-based care models that prioritize health outcomes over hospital incentives. www.YourHealth.Org
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110
Meet the Dream Team That’s Disrupting Healthcare
Episode NotesWhy each patient-facing role at Your Health was created and the specific problems they solveHow Medicare’s new Community Health Worker reimbursement is shaping care deliveryThe bonus structures that align staff incentives with patient outcomesReal-world examples of how metrics reveal opportunity — and lost income — for staffThe difference between “helping” and staying focused on core role responsibilitiesHow community health workers improve care by tackling social determinants of healthThe daily expectations and earning potential for nurses, pharmacists, social workers, and providersWhy facilitated visits dramatically increase provider efficiency and patient touchpointsHow sharing the wealth in healthcare creates stronger teams and better careThe direct connection between role clarity, accountability, and reduced costs for Medicare www.YourHealth.Org
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109
32% Savings and Still Growing
Episode NotesBehind-the-scenes look at Your Health’s move to a High-Needs Accountable Care Organization (ACO)How Medicare calculates risk scores and allocates funding for high-risk patientsWhy Your Health is delivering a 32% savings over Medicare’s projected spend — at scaleThe flaw in most investment-backed healthcare models (and why they’re losing millions)The urgency of same-day or next-day post-hospital visits to prevent readmissionsBlending leadership across divisions to improve care coordinationWhy Scott believes corporate thinking — not just individual effort — changes outcomesThe real role of community health workers and how to measure their impactHow South Carolina’s primary care spend has shifted because of Your Health’s approachA direct challenge to healthcare leaders: own the gaps and fix them together www.YourHealth.Org
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108
Stop Giving People What They Want
Episode Notes (Key Takeaways)Why "customer satisfaction" can be the wrong metric in healthcareWhat Scott learned from a meeting with JPMorgan Chase CEO Jamie DimonThe difference between perceived value and actual healthcare needsA candid story about overprescribing pain meds and the cultural shift requiredWhy the healthcare "customer" is more complicated than we thinkBreaking down Your Health’s value-based care results: $75M savedThe danger of over-collaboration and inefficiency in care coordinationRealigning roles: Why community health workers need to drive proactive careYour Health’s shift toward specialty divisions and wellness clinicsThe staggering ROI of early interventions: $1.1 million in bonuses justifiedWhy United Healthcare and others may be falling behind on data access www.YourHealth.Org
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107
From Red Flags to Hyper Healing: Disrupting Specialty Care
Episode Show NotesWhy “Hyper Healing” could be the future of integrated specialty careHow telehealth and AI (like Naveena) are changing case managementWhat red flags (like a simple red spot) can mean for long-term patient healthWhy documentation isn't just clinical—it's legal protectionHow facility partnerships can avoid unnecessary hospice referralsThe real cost of doing nothing, and why implementation beats intention www.YourHealth.Org
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106
Leisure Suits & Life-Saving Healthcare
Show NotesWhy traditional healthcare marketing has failed seniorsThe reemergence of Senior Solutions Advisors — and why they matter now more than everThe hidden costs behind "free" placement services like A Place for MomHow healthcare leaders can (and should) show up in the fieldReal stories about system failures — and how to fix themA peek into the future of Hospice, sitter services, and customized care at scaleHow title changes shift culture, mindset, and mission www.YourHealth.Org
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105
How Not to Kill Grandma: A Guide to Actual Healthcare
In this episode:Scott’s thoughts from a recent trip to Key West and GeorgiaThe shocking gaps in primary care coverage in assisted living facilitiesReal examples of care breakdowns that led to avoidable hospitalizations—and even deathThe power of the Your Health model: 3 visits per week in facilities, 5 visits post-dischargeHow early, coordinated care reduces ER visits and saves millionsWhy United Healthcare is making a $122 million mistake—and how it could be avoidedThe role of respiratory therapy, PT/OT, and sleep studies in aging careWhy primary care should be the centerpiece of healthcare fundingKey takeaway:If it was your mom or dad, would once-a-month visits be enough? www.YourHealth.Org
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104
Living Options and Finances: Misconceptions about assisted living and Medicaid
Episode NotesIn this episode:The biggest misconceptions about assisted living and MedicaidWhy “I’ll never put my parent in a home” might do more harm than goodThe financial reality of nursing homes and long-term careHow to recognize early signs it’s time for more supportThe power of independent living and nutritional careScott’s creation of the Senior Solutions Advisor role and how it’s changing the gameReal-world strategies to navigate elder care without guilt or guesswork🔗 Learn more about Parent Talk the book on Amazon🔗 Connect with a Senior Solutions Advisor at Your Health🎧 Catch up on the full Parent Talk series in previous episodes www.YourHealth.Org
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103
What No One Tells You About Medicare, Medicaid, and Dignity
Podcast Show NotesWhy Medicare and supplemental insurance may not be the best combination — and what to consider instead.The myth that paying more for health insurance guarantees better care.Why value-based care plans like Humana are worth a closer look — especially for long-term cost and wellness.The emotional and financial weight of long-term care insurance — and who really needs it.Personal stories about estate planning, remarriage, and how inheritance issues can fracture families.Practical tips on reviewing your insurance plan yearly, using your agent wisely, and planning with clarity.How booking the Airbnb or family cruise now could shape who shows up for you later in life. www.YourHealth.Org
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102
Parenting Our Parents: Food, Hygiene, and the Power of Presence
Podcast Show NotesScott updates us on Your Health’s rapid growth in Florida and the unique gaps in senior care across new markets.Jamie and Scott reflect on the impact of nutrition, daily routines, and how aging alters our needs and habits.Why arguing with a parent with dementia doesn’t help — and what to do instead.The emotional complexity of helping a parent shower — and how to preserve their dignity.Practical meal ideas, protein goals, and the surprising role of squats and puzzles in elder care.Stories of lipstick, cheesecake, and finding joy in the small things. www.YourHealth.Org
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101
The Guide We All Deserve: Reinventing Primary Care’s Purpose
Episode Notes:Scott shares the recent rapid decline of his father’s health and the emotional toll it has takenHow missed diagnostic details revealed a larger issue in communication and coordinationThe critical role of a Senior Solutions Advisor in bridging care gapsWhy primary care must evolve to become the quarterback of patient navigationA look back at models from 2012 and why older frameworks may hold the key to future innovationThe call to hire 287+ RN Case Managers for the 23,000+ homebound patients currently servedPersonal reflections on legacy, family, and the power of leading with empathy www.YourHealth.Org
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100
Why Every Senior Should Have Remote Patient Monitoring
Show Notes[00:01] Jamie and Scott Middleton discuss personal stories of emergency devices like the Apple Watch.[00:03] The resistance of seniors and some healthcare professionals to adopt wearable medical technology.[00:06] The critical role of remote patient monitoring (RPM) in improving healthcare decisions.[00:14] Real-life example where RPM detected sudden weight gain, preventing a serious health crisis.[00:18] Advances in at-home diagnostics: spirometers, sleep study rings, and cardiac patches.[00:23] How Your Health is rolling out RPM with 23,000 homebound patients and hiring respiratory and therapy staff.[00:25] Call to action for healthcare workers, patients, and caregivers: use technology to prevent hospitalization and improve quality of life.[00:33] Discussion on AI-driven predictive analytics and the untapped potential of connecting wearable data to providers.[00:35] Challenges with FDA timelines and the potential for AI to expedite drug development. www.YourHealth.Org
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99
The TEAM Model: A Smarter Way to Keep Seniors Home
www.YourHealh.org www.YourHealth.Org
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98
Side Effects May Vary — Especially Without a Pharmacist
www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
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97
Doctors and Diagnosis – Managing Physicians & Primary Care
www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
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96
Why I Am My Loved One’s Keeper
Parent Talkwww.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
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95
5 Things We Can Do Better to Understand Our Parents As They Age
Parent Talk Bookwww.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
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94
Inside the “4322 Plan”: The Strategy Keeping Seniors Healthier and at Home
www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
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93
How Your Health is Disrupting Senior Living Care Models
www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
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92
Medicaid, Medicare & Money: Breaking Down the True Cost of Healthcare
www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
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91
From Cotton Fires to Healthcare Failures: Are We Still Burning Money?
www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
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90
The #1 Fix Healthcare Needs: Follow Up or Fail!
www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
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89
CHI: The Game Changer in Healthcare for 2025
www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
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88
Why Primary Care Deserves a Raise
www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
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ABOUT THIS SHOW
Entrepreneur and Chief Disruption Officer Scott Middleton share's his experiences of how he uses disruption to innovate and keep an organization moving forward and growing. Scott shares these weekly stories on The Disrupted Podcast with Scott Middleton.
HOSTED BY
James Preston, Scott Middleton
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