The Disrupted Podcast

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 starts with data, not guesses.

In this episode:

• Why a team call about who's visiting Mrs. Smith today is a scheduling meeting, not coaching
• How fewer visits connect directly to more hospitalizations, and what the numbers reveal
• Why collecting vital signs 12 times a month could catch sepsis up to five days sooner
• How a passing comment turned into a workplace "rule," and why coaches have to verify before they repeat
• Why the hospitalist model broke continuity of care, and how palliative consults could help restore it

If you lead people, this conversation will change what you bring to your next team call. Listen now, then go coach.

www.YourHealth.Org

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 been legally stress-testing for six months. He knows how this world works, and he's not keeping it to himself.

What you'll hear in this episode:

• Why courts can no longer defer to regulatory agencies to interpret the law — and what that means for every provider in America who's been operating under that assumption
• How chronic care management (CCM) is actually billed and why families and even some providers fundamentally misunderstand what they're paying for
• The real distinction between enticement and antitrust law — and why it's one $12 bottle of water away from a federal investigation
• How Scott's organization beat the federal government in court over proactive hospice placement — and how that single case dropped hundreds of similar cases across the country
• Why radical transparency, including open Power BI dashboards that anyone can examine, has become their most powerful legal defense
• The risk score gap that could unlock $100 million in additional annual Medicare revenue — and what providers are leaving on the table

If you're in healthcare and you've ever assumed following regulatory guidance means you're safe, this episode will change how you think about compliance, courage, and what it actually means to do this work right. Press play.

www.YourHealth.Org

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 most doctors have become de facto salespeople for pharmaceutical companies — and how to change that
• The staggering math of remote patient monitoring: how vital signs three times a week could prevent 50% of heart attacks and hospitalizations
• The GLP-1 opportunity hiding in plain sight — and why missing a patient's height is costing thousands of people access to life-changing care
• How self-insured employers are bleeding money on avoidable hospitalizations — and what accountability actually looks like
• Scott's mission beyond the bottom line: a United Methodist minister who got into healthcare to save souls, not just bodies

If you've ever left a doctor's appointment feeling like a transaction rather than a patient, this episode is for you. The data already exists to change that — we just have to decide to use it.

www.YourHealth.Org

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 clinical priority, it's a survival strategy.

What you'll hear in this episode:

• Why a 400-pound patient in a nursing home had never been offered a GLP-1 for weight loss — and what that reveals about how providers think about specialty
• The exact communication chain (DPH → EDCS → Care Manager → Provider) and precisely where it breaks down
• How 80% of Your Health patients have behavioral health needs while psych providers sit with open schedules — and how to fix that paradox
• Why texts and emails don't cut it in care coordination — and why voice-to-voice is the only real standard
• The lawsuit that should have been prevented with a single chest x-ray, and what it means for provider accountability going forward
• Why Scott banned the word "no" inside Your Health — and the mindset shift that comes with replacing it

Specialty is what separates Your Health from every other provider in the market. If you're a DPH, a care manager, or a provider inside this system — this episode is for you. If you're a healthcare leader watching specialty care fall through the cracks anywhere, it might be for you too.

www.YourHealth.Org

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, Scott holds nothing back — and makes clear he's willing to take the fight to court.

In this episode:

• Why wellness is a specialty — not an alternative to primary care — and why the distinction changes everything about how patients should seek care
• The South Carolina Board of Medical Examiners' peptide ruling, why Scott believes it violates the First Amendment, and what he plans to do about it
• How clinical pharmacists and nurse practitioners are filling the gaps physicians are being pressured to leave
• Scott's own transformation: from 425 pounds to 216, cholesterol from 280 to 189, and what specific peptides and protocols drove those results
• Why employers like Bank of America — spending $2 billion a year on employee health — are the sleeper stakeholders in the wellness revolution

If you've been told to "come back when something's wrong," this episode is the permission slip to demand something better.

www.YourHealth.Org

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 economics, and why "showing your work" is the whole game.

In this episode, you'll hear:

If you've ever wondered why the system pays for what it pays for, or you're leaving money on the table because you're not tracking your own work, this conversation will change how you think about both. Press play — and then go log your hours.

www.YourHealth.Org

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 hospitals financially accountable for everything that happens to a Medicare surgical patient from 30 days before the OR to 90 days after they go home. And the hidden detail that changes everything: the risk score that determines how much a hospital gets paid is captured 180 days before the surgery even happens.

The system that's coming will reward the organizations that have been doing the right thing all along — and penalize everyone who's been gaming fee-for-service. Press play to find out which side you're on.

www.YourHealth.Org

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 is already doing, while creating the kind of presence that actually moves the needle on outcomes.

Scott and Jamie cover the mechanics, the competitive landscape, and the cultural shift required to make it all work:

If you work in a nursing facility, lead a care team, run a healthcare organization, or believe the system needs a fundamentally better architecture — this is what building it actually looks like. Press play.

www.YourHealth.Org

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 specific reasons most of the industry is getting both wrong.

In this episode, you'll hear:

If you lead a nursing home, an assisted living facility, a physician group, or any organization inside the long-term care ecosystem, this episode will change how you look at what you're already doing — and what you're leaving behind.

www.YourHealth.Org

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 buildings, 900 new patients, and the enormous operational lift of pulling it all together under one roof.

In this episode, Scott and Jamie cover:

This is what disruption actually sounds like — not a keynote, not a case study, but a leader in motion, making decisions in real time, building something the healthcare system has never seen. If you're in healthcare, business, or just believe the way things have always been done is not good enough — this one's for you.

www.YourHealth.Org