The Disrupted Podcast

The Merger


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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 approximately 55,000 active patients — not patients on a list, but people being seen regularly — and Scott lays out exactly how he's going to run it.

What you'll hear in this episode:

  • Why Scott's family owning 80% of the merged company changes everything about how decisions get made — and who they get made for
  • The difference between fee-for-service and value-based care, and why the ACO model means every unnecessary hospitalization literally comes out of Your Health's pocket
  • How Your Health's risk-adjustment-based visit model (16 visits per year per risk point) was independently validated by a new government study — and why it works
  • The three things Scott is asking every new employee to do in the first weeks: align with a nurse practitioner, track every minute of care management, and recruit like their livelihood depends on it — because it does
  • Why Scott's new management philosophy is six words: "Keep them out of the hospital and see your damn patients"
  • This isn't a corporate announcement. It's a playbook for how healthcare can actually work when operators run the company, providers see their patients, and every minute of care gets counted.

    www.YourHealth.Org

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    The Disrupted PodcastBy James Preston, Scott Middleton

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