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.
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Stop the Fragmentation: Integrating Hospice Into Primary Care
<p>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.</p><p>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.</p><p>This conversation is about building a care system where the patient do...
Find A Way To A Yes
<p>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.</p> <p><p>www.YourHealth.Org</p></p>
Healthcare Isn’t Complicated—Go See Your Patients
<p>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.</p><p>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
<p>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.</p><p>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
<p>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.</p> <p><p>www.YourHealth.Org</p></p>
The Map, the Model, and the Moment: Rethinking Regional Growth
<p>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.</p><p>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
<p>KEY TAKEAWAYS</p>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
<p>00:00 – Welcome & Atlanta Traffic Humor<br />03:12 – Why Atlanta’s Senior Healthcare System Is “Almost Nonexistent”<br />09:15 – Hospitals begging for help & broken discharge processes<br />14:00 – Upcoming cuts to home health and rehab penalties<br />18:45 – Why therapy services need massive, immediate expansion<br />23:18 – The dementia support group story and the power of proactive care<br />30:52 – How storytelling improves patient and family understanding<br />36:44 – Hospice misconceptions & how Your Health does it differently<br />43:17 – Explosive growth in Atlanta and why competition is failing<br />49:10 – Creativity as a core ingredient of healthcare<br />54:40 – Why every associate needs a mentor immediately<br />59:25 – A call to action: show up, ride along, and suppo...
Integrating Hospice Into Primary Care: Your Health’s Strategic Rollout
<p>Show Notes / Summary</p>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
<p>Key Takeaways (for on-air recap & social)</p>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. <p><p>www.YourHealth.Org</p></p>
