The Disrupted Podcast
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.
Group Therapy Reimagined
What if the thing keeping your grandmother out of the hospital isn’t a new drug, but a circle of chairs and a story about sharing lunch?
Behavioral health is tangled up in a striking share of hospital stays. Scott cites data that nearly a third involve a mental health or substance use condition, and “altered mental status” is one of the most common reasons older adults get admitted. On this episode of The Disrupted Podcast, Your Health founder and Chief Disruption Officer Scott Middleton walks Jamie Preston through a model he calls “therapy in a box.” It’s a fac...
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 of Your Health, move from hiring philosophy to the frontline care team. Scott explains why clinical teams lean heavily toward C and S personalities, what that meant when Your Health launched hospice, and why the people who coordinate the team need a different wiring altogether.
In this...
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. Scott explains why Your Health has an unwritten rule against hiring your own direct reports, and Jamie breaks down what happens when a team is built from a single DISC personality type.
In this episode:
Why leaders should let others hire th...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 his first assisted living facility the month he turned 40, scaling to more than 600 employees, and finally admitting he didn't know what he was doing. Scott makes the case that anyone with "leader," "director," or "president" in their title is a coach, and that real coaching...
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 b...
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 to the heart of everything wrong — and everything possible — in modern healthcare. Scott is the Founder and Chief Disruption Officer of Your Health, a healthcare organization built on the radical idea that prevention is cheaper, smarter, and more humane than reaction.
In this conversation, Scott unpacks:
Why...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 look at one of the most critical gaps in care delivery: specialty services. Your Health currently routes about 10% of its patient appointments through specialty providers. The national average is 20%. Scott makes the case — with real stories from nursing homes, lawsuits, and the road across South Georgia — that closing that gap isn't just a c...
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 wellness actually is — and why it's not the same as primary care. Your Health's wellness program has exploded from zero to 4,100 patients in just two years, and Scott is just getting started. From GLP-1s and hormone replacement to peptides and the controversial South Carolina ruling that tried to silence physicians, Sc...
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 away from serious money every month.
Scott, Owner of Your Health and its Chief Disruption Officer, walks through a live coaching conversation he had with a team member confused about how hospice bonuses actually get calculated — and turns it into a masterclass on incentive design, healthcare econ...
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 orthopedic surgeons — and what he found will change how you understand every hip replacement, every knee surgery, and every nursing home stay on Medicare.
In this episode, Scott unpacks the incoming CJX bundled payment program — the sweeping CMS policy set to take effect January 1, 2028, that will hold h...
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 — Owner of Your Health and Chief Disruption Officer — pulls back the curtain on the facility partnership model Your Health is rolling out across the Southeast. It's a model that doesn't just serve patients in skilled nursing facilities; it pays those facilities for the care coordination work their staff...
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 — calls in from the road as he travels across rural Georgia on a multi-day facility tour, fresh off completing a major merger with TCPA. What follows is an unfiltered, on-the-ground breakdown of two transformational opportunities Scott is actively building: chronic care management (CCM) reimbursement and ACO cost savings — and the very spe...
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 healthcare organization without losing the soul of why you started.
Scott Middleton, Owner of Your Health and Chief Disruption Officer, joins the show to break down the just-completed acquisition of TCPA and Providence Care — and what it means to suddenly be responsible for 32 nursing home...
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 Chief Disruption Officer of Your Health — unpacks the real-world lessons shaping how your Health is staffing, growing, and rebuilding trust as it integrates the newly merged TCPA and Providence Care organizations. Scott spent the week in the field — Monroe, Georgia; Beaufort, South Carolina; Atlanta and beyond — sitting in care team...
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. The data said his team was productive. The irritation was his ego talking.
That moment of self-awareness opens a much bigger conversation about what happens when leaders — in business and in healthcare — stop reading the evidence and start acting on assumption. In this episode of The Disrupted Podcast, Scott...
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 conversation goes deeper: the quiet, dangerous habit of staff making up policies, enforcing phantom restrictions, and defaulting to "no" when the answer should have been "let's figure it out."
Key topics covered:
Why fabricated rules (like requiring a psych NP referral for talk therapy) become embedded in o...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 Q...
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 wo...
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 gett...
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...
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, Jamie sits down with Scott Middleton, owner and Chief Disruption Officer of Your Health, to announce 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 ap...
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.Â
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...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 mos...
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...
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 para...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 d...
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 sched...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...
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 pati...
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 do...
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
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-pointin...
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—becaus...
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
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...
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 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...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
23:18 – The dementia support group story and the power of proactive care
30:52 – How storytelling improves patient and family understanding
36:44 – Hospice misconceptions & how Your Health does it differently
43:17 – Explosive growth in Atlanta and why competition is failing
49:10 – Creativity as a core ingredient of healthcare
54:40 – Why every associate needs a mentor immediately
59:25 – A call to action: show up, ride along, and suppo...
Integrating Hospice Into Primary Care: Your Health’s Strategic Rollout
Show Notes / Summary
Why 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...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
Government Shut Down
Key Quotes
“We’re killing people right now with this shutdown — and it’s going to get worse if we don’t fix it.” — Scott Middleton
“A family of four making $88,000 will see their premiums jump from $800 to $3,200 a month — that’s 60% of their income.” — Scott Middleton
“Telehealth isn’t a luxury — it’s what keeps people alive.” — Scott Middleton
“Therapists have the power to change lives more than almost anything else in healthcare.” — Scott Middleton
“We need leaders who aren’t in it for themselves — leaders who bring back compassion and integrity.” — Scott Middleton
www.YourHealth.Org
