The Disrupted Podcast

00:47:00

Scott's Coaching Playbook

The Disrupted Podcast ·

2026/10/05

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,"

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00:40:56

Interpreting The Regs

The Disrupted Podcast ·

2026/09/28

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

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00:33:32

Know Your Vital Signs

The Disrupted Podcast ·

2026/09/21

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

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00:36:21

Specialty Care At Your Health, Use it!

The Disrupted Podcast ·

2026/09/14

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

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00:37:52

Presence & Consistency

The Disrupted Podcast ·

2026/07/27

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

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00:40:42

Lost In Misinterpretation

The Disrupted Podcast ·

2026/07/20

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 —

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00:34:50

Stop Making Up Rules Already!

The Disrupted Podcast ·

2026/07/13

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:

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00:46:00

A Value-Based Merger

The Disrupted Podcast ·

2026/06/29

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

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00:40:46

We NOT Them

The Disrupted Podcast ·

2026/06/22

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

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00:32:39

If You Didn't Document It, Medicare Thinks It Never...

The Disrupted Podcast ·

2026/06/08

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

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00:21:04

The Administrator Role Part 2

The Disrupted Podcast ·

2026/05/09

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

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00:28:52

The Administrator Role Part 1

The Disrupted Podcast ·

2026/05/02

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

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00:35:28

Social Services

The Disrupted Podcast ·

2026/04/10

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

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00:51:20

The Visit That Saves a Life Has No Diagnosis Code:...

The Disrupted Podcast ·

2026/03/06

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

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00:40:51

Find A Way To A Yes

The Disrupted Podcast ·

2026/01/31

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

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00:37:50

Healthcare Isn’t Complicated—Go See Your Patients

The Disrupted Podcast ·

2026/01/16

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

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00:48:30

The Facility Model Explained: Staffing, Hospice, and...

The Disrupted Podcast ·

2025/12/26

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

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00:44:08

The Map, the Model, and the Moment: Rethinking...

The Disrupted Podcast ·

2025/12/19

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

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00:32:58

Why More Visits Save More Lives: The ACO Shift for 2026

The Disrupted Podcast ·

2025/12/05

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

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00:48:20

The Mission: Keeping People out of The Hospital

The Disrupted Podcast ·

2025/10/31

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:

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