The Disrupted Podcast

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 a...

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. On...

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 Mi...

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...

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...

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 n...

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...

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 T he 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...

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 Mi...

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 n...

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 b...

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...

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 r...

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-cente...

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” m...

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 o...

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 ra...

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 t...

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 2.4–2.8 risk score. Current numbers show only 2.5 visits per patient per month — leaving savings and outco...

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 23:18 – The dementia support group story and the power of proactive care 30:52 – How storytelling improve...

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 per admission; double telehealth-assist credit on hospice patients Software + workflow: Athena ↔ WellS...

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. Docu...

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 health workers The challenge of patient perception: “too many visits” vs. “too many calls” Why insuranc...

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 a healthier future Takeaway: Healthcare continues to be shaped more by profit and red tape than by pre...

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 roles with responsibility, not clock-in/clock-out mindsets. Scott’s challenge to all healthcare workers: “G...