The Disrupted Podcast

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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 workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away.

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 workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away.

In this conversation, Jamie and Scott explore:

  • Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything
  • How to enter a building without threatening the provider they already love
  • Why billing isn't bureaucracy — it's how Medicare knows you made a difference
  • The art of giving people what they think they need now, and the rest over time
  • Advanced care planning, DNRs, and why the right message sometimes needs a different voice
  • This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires.

    • Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything
    • How to enter a building without threatening the provider they already love
    • Why billing isn't bureaucracy — it's how Medicare knows you made a difference
    • The art of giving people what they think they need now, and the rest over time
    • Advanced care planning, DNRs, and why the right message sometimes needs a different voice
    • This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires.

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      The Disrupted PodcastBy James Preston, Scott Middleton

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