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.
James Preston, Scott Middleton
Episode NotesWhat Health Connectors are and why they matter.The danger of a provider-centered workflow—and how to avoid it.Real examples of how proactive home visits catch problems early.Why vital signs can be the key to preventing 50% of heart attacks.The culture shift needed: salaried roles with responsibility, not clock-in/clock-out mindsets.Scott's challenge to all healthcare workers: “Go see your damn patients.” www.YourHealth.Org
Episode NotesScott shares a story about meeting a compliance pharmacist who unexpectedly became the solution to a major organizational challenge.The importance of pharmacy compliance and direct-to-manufacturer drug purchasing.Why God's timing plays a role in healthcare growth and leadership decisions.The danger of miscommunication across facilities and how to “season” a team for long-term effectiveness.How leaders can emerge from any position — from providers to CNAs to medical assistants.Why job descriptions must be clear, but leadership requires flexibility. www.YourHealth.Org
Episode NotesWhy disruption in healthcare often means simplifying, not complicating.The critical role of Senior Solutions Advisors as navigators, educators, and advocates.Real-world stories: from a weight loss patient's experience to common Medicare misunderstandings.How word-of-mouth becomes the best marketing strategy when patients feel truly cared for.Scott's challenge to SSAs: prioritize patient contact, ask deeper questions, and don't be afraid to admit when you don't know—just commit to finding the answer.Why employers and patients alike need value-based care models that prioritize health outcomes over hospital incentives. www.YourHealth.Org
Episode NotesWhy each patient-facing role at Your Health was created and the specific problems they solveHow Medicare's new Community Health Worker reimbursement is shaping care deliveryThe bonus structures that align staff incentives with patient outcomesReal-world examples of how metrics reveal opportunity — and lost income — for staffThe difference between “helping” and staying focused on core role responsibilitiesHow community health workers improve care by tackling social determinants of healthThe daily expectations and earning potential for nurses, pharmacists, social workers, and providersWhy facilitated visits dramatically increase provider efficiency and patient touchpointsHow sharing the wealth in healthcare creates stronger teams and better careThe direct connection between role clarity, accountability, and reduced costs for Medicare www.YourHealth.Org
Episode NotesBehind-the-scenes look at Your Health's move to a High-Needs Accountable Care Organization (ACO)How Medicare calculates risk scores and allocates funding for high-risk patientsWhy Your Health is delivering a 32% savings over Medicare's projected spend — at scaleThe flaw in most investment-backed healthcare models (and why they're losing millions)The urgency of same-day or next-day post-hospital visits to prevent readmissionsBlending leadership across divisions to improve care coordinationWhy Scott believes corporate thinking — not just individual effort — changes outcomesThe real role of community health workers and how to measure their impactHow South Carolina's primary care spend has shifted because of Your Health's approachA direct challenge to healthcare leaders: own the gaps and fix them together www.YourHealth.Org
Episode Notes (Key Takeaways)Why "customer satisfaction" can be the wrong metric in healthcareWhat Scott learned from a meeting with JPMorgan Chase CEO Jamie DimonThe difference between perceived value and actual healthcare needsA candid story about overprescribing pain meds and the cultural shift requiredWhy the healthcare "customer" is more complicated than we thinkBreaking down Your Health's value-based care results: $75M savedThe danger of over-collaboration and inefficiency in care coordinationRealigning roles: Why community health workers need to drive proactive careYour Health's shift toward specialty divisions and wellness clinicsThe staggering ROI of early interventions: $1.1 million in bonuses justifiedWhy United Healthcare and others may be falling behind on data access www.YourHealth.Org
Episode Show NotesWhy “Hyper Healing” could be the future of integrated specialty careHow telehealth and AI (like Naveena) are changing case managementWhat red flags (like a simple red spot) can mean for long-term patient healthWhy documentation isn't just clinical—it's legal protectionHow facility partnerships can avoid unnecessary hospice referralsThe real cost of doing nothing, and why implementation beats intention www.YourHealth.Org
Show NotesWhy traditional healthcare marketing has failed seniorsThe reemergence of Senior Solutions Advisors — and why they matter now more than everThe hidden costs behind "free" placement services like A Place for MomHow healthcare leaders can (and should) show up in the fieldReal stories about system failures — and how to fix themA peek into the future of Hospice, sitter services, and customized care at scaleHow title changes shift culture, mindset, and mission www.YourHealth.Org
In this episode:Scott's thoughts from a recent trip to Key West and GeorgiaThe shocking gaps in primary care coverage in assisted living facilitiesReal examples of care breakdowns that led to avoidable hospitalizations—and even deathThe power of the Your Health model: 3 visits per week in facilities, 5 visits post-dischargeHow early, coordinated care reduces ER visits and saves millionsWhy United Healthcare is making a $122 million mistake—and how it could be avoidedThe role of respiratory therapy, PT/OT, and sleep studies in aging careWhy primary care should be the centerpiece of healthcare fundingKey takeaway:If it was your mom or dad, would once-a-month visits be enough? www.YourHealth.Org
Episode NotesIn this episode:The biggest misconceptions about assisted living and MedicaidWhy “I'll never put my parent in a home” might do more harm than goodThe financial reality of nursing homes and long-term careHow to recognize early signs it's time for more supportThe power of independent living and nutritional careScott's creation of the Senior Solutions Advisor role and how it's changing the gameReal-world strategies to navigate elder care without guilt or guesswork
Podcast Show NotesWhy Medicare and supplemental insurance may not be the best combination — and what to consider instead.The myth that paying more for health insurance guarantees better care.Why value-based care plans like Humana are worth a closer look — especially for long-term cost and wellness.The emotional and financial weight of long-term care insurance — and who really needs it.Personal stories about estate planning, remarriage, and how inheritance issues can fracture families.Practical tips on reviewing your insurance plan yearly, using your agent wisely, and planning with clarity.How booking the Airbnb or family cruise now could shape who shows up for you later in life. www.YourHealth.Org
Podcast Show NotesScott updates us on Your Health's rapid growth in Florida and the unique gaps in senior care across new markets.Jamie and Scott reflect on the impact of nutrition, daily routines, and how aging alters our needs and habits.Why arguing with a parent with dementia doesn't help — and what to do instead.The emotional complexity of helping a parent shower — and how to preserve their dignity.Practical meal ideas, protein goals, and the surprising role of squats and puzzles in elder care.Stories of lipstick, cheesecake, and finding joy in the small things. www.YourHealth.Org
Episode Notes:Scott shares the recent rapid decline of his father's health and the emotional toll it has takenHow missed diagnostic details revealed a larger issue in communication and coordinationThe critical role of a Senior Solutions Advisor in bridging care gapsWhy primary care must evolve to become the quarterback of patient navigationA look back at models from 2012 and why older frameworks may hold the key to future innovationThe call to hire 287+ RN Case Managers for the 23,000+ homebound patients currently servedPersonal reflections on legacy, family, and the power of leading with empathy www.YourHealth.Org
Show Notes[00:01] Jamie and Scott Middleton discuss personal stories of emergency devices like the Apple Watch.[00:03] The resistance of seniors and some healthcare professionals to adopt wearable medical technology.[00:06] The critical role of remote patient monitoring (RPM) in improving healthcare decisions.[00:14] Real-life example where RPM detected sudden weight gain, preventing a serious health crisis.[00:18] Advances in at-home diagnostics: spirometers, sleep study rings, and cardiac patches.[00:23] How Your Health is rolling out RPM with 23,000 homebound patients and hiring respiratory and therapy staff.[00:25] Call to action for healthcare workers, patients, and caregivers: use technology to prevent hospitalization and improve quality of life.[00:33] Discussion on AI-driven predictive analytics and the untapped potential of connecting wearable data to providers.[00:35] Challenges with FDA timelines and the potential for AI to expedite drug development. www.YourHealth.Org
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