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.
Episodes
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The Like Me Trap Part 2
Healthcare has been cut into pieces, with a specialist here and a hospital there, and nobody holding the whole patient. Scott Middleton says the same problem shows up inside our own teams. In Part 2 of this conversation, host Jamie Preston and Scott Middleton, owner and Chief Disruption Officer…
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The Like Me Trap Part 1
We hire the people we like. And we like the people who are like us. That’s exactly the problem. In Part 1 of this two-part conversation, host Jamie Preston sits down with Scott Middleton, owner and Chief Disruption Officer of Your Health, to talk about putting the right people in the right seats....
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Scott's Coaching Playbook
The best golfers in the world have a swing coach, a putting coach, and a mental coach. So why do so many leaders think they've outgrown one? Jamie Preston sits down with Scott Middleton, owner and Chief Disruption Officer of Your Health, to talk about where his coaching culture came from: opening...
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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...
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Know Your Vital Signs
If your doctor prescribes you medication without first asking about your diet, your sleep, your stress, or your vital signs — you don't have a doctor. You have a drug dealer. That's the provocation Scott Middleton brought to this episode of The Disrupted Podcast, and it's one that cuts straight…
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Specialty Care At Your Health, Use it!
Most healthcare organizations know specialty care matters. Almost none of them are actually using it at the level their patients need. In this episode of The Disrupted Podcast, Jamie Preston sits down with Scott Middleton — Founder and Chief Disruption Officer of Your Health — for an unfiltered...
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Wellness Wins
A hundred million Americans don't have a primary care provider. For most healthcare systems, that's a problem. For Scott Middleton, it's proof that the whole model needs to change. Scott, founder and Chief Disruption Officer at Your Health, joins Jamie for an unfiltered conversation about what...
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Log Your CCM
What if the single biggest lever on your paycheck wasn't a raise, a promotion, or a new contract — but three minutes a day of logging? Scott Middleton returns to break down the real math behind Your Health's bonus structure, and why so many care managers, CNAs, and nurses are unknowingly walking...
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The Bundled Payment Bomb: CMS Is About to Blow Up Orthopedic Care
What if your hospital billed $90,000 for your surgery — and no one on the surgical team had any idea what it cost, or whether you were okay after you went home? That's not a hypothetical. That's the system Scott Middleton walked into at a Boston conference of hospital administrators and…
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Presence vs. Popping In: Why Most Facility Relationships Are Failing Patients
Most nursing homes think they're measuring success by how many patients move through their building. What they're not measuring is how many of those same patients end up right back in the hospital — and who pays the price when they do. In this episode of The Disrupted Podcast, Scott Middleton —...
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Medicare Is Already Paying for This — Your Facility Just Isn't Collecting It
Most nursing home administrators don't realize they're sitting on one of the most underutilized revenue streams in all of Medicare — and until someone shows up and tells them what it's worth, they never will. In this episode, Scott Middleton — founder and Chief Disruption Officer of Your Health —...
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Closing The Merger
What does it look like the day a healthcare merger closes — not in a press release, but in real life? Scott Middleton was still signing DocuSign documents from his car when Jamie Preston hit record, and what followed is one of the most honest conversations yet about what it takes to grow a...
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Presence & Consistency
What if the most powerful growth strategy in hospice and primary care had nothing to do with your clinical protocols, your technology stack, or your marketing budget — and everything to do with who shows up, and how often? In this episode of The Disrupted Podcast, Scott Middleton — founder and...
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Lost In Misinterpretation
What if the reason your boss wants you in the office has nothing to do with your productivity — and everything to do with their ego? Scott Middleton admits it: he walked around his 30,000-square-foot corporate office on a Friday afternoon, found nobody, and got irritated. Then he caught himself....
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Stop Making Up Rules Already!
What happens when the rules everyone follows weren't actually rules to begin with? In this episode, Scott Middleton — Owner of Your Health and Chief Disruption Officer — shares what he's seeing on the ground as the TCPA and Providence Care merger moves toward its final close. But the real...
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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…
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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...
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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...
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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...
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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...
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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…
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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...
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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…
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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…
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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...
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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…
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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…
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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...
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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…
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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...
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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…
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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...
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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...
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Why More Visits Save More Lives: The ACO Shift for 2026
KEY TAKEAWAYS The 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...
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Why Atlanta Needs Your Health: Stories, Strategy, and a Broken Healthcare System
00:00 – Welcome & Atlanta Traffic Humor 03:12 – Why Atlanta’s Senior Healthcare System Is “Almost Nonexistent” 09:15 – Hospitals begging for help & broken discharge processes 14:00 – Upcoming cuts to home health and rehab penalties 18:45 – Why therapy services need massive, immediate expansion...
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Integrating Hospice Into Primary Care: Your Health’s Strategic Rollout
Show Notes / Summary Why launch hospice now: continuity, fewer hospitalizations, value-based alignment Clarifying myths: CNA hours on hospice, attending provider still leads care RAF & staffing logic: ~$6k/mo hospice per diem ↔ RAF ~5; translating RAF → weekly CNA/CHW hours Nurse incentives: $150...
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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...
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Go See Your Damn Patients: Redefining Transitional Care
Show Notes Why transitional care is at the heart of Your Health’s model How incentives for early post-hospital visits worked (and why they didn’t) Why in-person care matters more than telehealth alone The growing role of respiratory therapists, physical and occupational therapists, and community...
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Realigning Care Teams in a Broken System
Key Topics: How sudden insurance and policy changes disrupt patients and providers The importance of prevention and primary care in lowering long-term costs What fully staffed care teams look like and why they matter Balancing productivity and patient-centered care Why disruption is necessary for…
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From Facilitators to Connectors
Episode Notes What 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…
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Holy Disruptions
Episode Notes Scott 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...
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Simplifying Healthcare (The SSA)
Episode Notes Why 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...
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Meet the Dream Team That’s Disrupting Healthcare
Episode Notes Why each patient-facing role at Your Health was created and the specific problems they solve How Medicare’s new Community Health Worker reimbursement is shaping care delivery The bonus structures that align staff incentives with patient outcomes Real-world examples of how metrics...
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32% Savings and Still Growing
Episode Notes Behind-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 patients Why Your Health is delivering a 32% savings over Medicare’s projected spend — at scale The flaw in most...
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Stop Giving People What They Want
Episode Notes (Key Takeaways) Why "customer satisfaction" can be the wrong metric in healthcare What Scott learned from a meeting with JPMorgan Chase CEO Jamie Dimon The difference between perceived value and actual healthcare needs A candid story about overprescribing pain meds and the cultural...
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From Red Flags to Hyper Healing: Disrupting Specialty Care
Episode Show Notes Why “Hyper Healing” could be the future of integrated specialty care How telehealth and AI (like Naveena) are changing case management What red flags (like a simple red spot) can mean for long-term patient health Why documentation isn't just clinical—it's legal protection How...
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Leisure Suits & Life-Saving Healthcare
Show Notes Why traditional healthcare marketing has failed seniors The reemergence of Senior Solutions Advisors — and why they matter now more than ever The hidden costs behind "free" placement services like A Place for Mom How healthcare leaders can (and should) show up in the field Real stories...
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How Not to Kill Grandma: A Guide to Actual Healthcare
In this episode: Scott’s thoughts from a recent trip to Key West and Georgia The shocking gaps in primary care coverage in assisted living facilities Real examples of care breakdowns that led to avoidable hospitalizations—and even death The power of the Your Health model: 3 visits per week in...
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Living Options and Finances: Misconceptions about assisted living and Medicaid
Episode Notes In this episode: The biggest misconceptions about assisted living and Medicaid Why “I’ll never put my parent in a home” might do more harm than good The financial reality of nursing homes and long-term care How to recognize early signs it’s time for more support The power of...
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What No One Tells You About Medicare, Medicaid, and Dignity
Podcast Show Notes Why 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...
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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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Frequently Asked Questions
How many episodes does The Disrupted Podcast have?
The Disrupted Podcast currently has 153 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is The Disrupted Podcast about?
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.
How often does The Disrupted Podcast release new episodes?
The Disrupted Podcast publishes regularly with 153 episodes available. Check the episode list for the typical release schedule.
Where can I listen to The Disrupted Podcast?
You can listen to The Disrupted Podcast on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts The Disrupted Podcast?
The Disrupted Podcast is created and hosted by James Preston, Scott Middleton.
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