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The Disrupted Podcast

The Disrupted Podcast

Di: James Preston Scott Middleton
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A proposito di questo titolo

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 Disturbo fisico e malattia Economia Gestione e leadership Igiene e vita sana Leadership Successo personale Sviluppo personale
  • The Care Group Model
    Apr 18 2026

    What if the reason healthcare teams burn out isn't the workload — it's the org chart?

    On this episode of The Disrupted Podcast, Jamie and Scott, break down the evolution of The Care Group Model — and why the instinct to build a "separate hospice team" is exactly the wrong move. Scott walks through what a true care team looks like when nurse practitioners, nurses, community health workers, social workers, chaplains, and triage nurses are orchestrated around the patient — not siloed around a diagnosis.

    Inside the episode:

    • Why adding hospice to existing care groups beats building a parallel hospice division
    • The new non-clinical "administrator" role Your Health is rolling out — and why every nurse needs one at their side
    • Using DISC assessments to build teams that actually function (and why nurses aren't the same personality type)
    • How mutual accountability and group-based bonuses fix the "don't bill too much CCM" problem
    • Why matching a chaplain to a patient's faith tradition matters more than checking the box
    • The $110 million Medicare savings story the industry still doesn't understand

    If you lead a clinical team, run an operation, or care about what healthcare could look like when it's built around people instead of paperwork — press play.

    www.YourHealth.Org

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    41 min
  • Social Services
    Apr 10 2026

    A man is dying — literally in his last hour, the death rattle audible — and the hospital team arrives to take him for a radiation treatment. His family had no idea. No one had told them. No one had started the conversation. This is not a rare exception. This is what happens when social services is treated as an afterthought.

    In this episode of The Disrupted Podcast, host Jamie Preston and Scott Middleton, Owner and Chief Disruption Officer of Your Health, go deep on one of the most overlooked levers in healthcare — social services. From the social determinants that drive healthcare costs more than healthcare itself, to the care team structures Your Health is building to close the gap, this is a candid, unfiltered look at what's broken, what's possible, and what it actually costs when we don't act.

    What you'll hear in this episode:

    • Why social determinants of health — food access, medication literacy, housing instability, social isolation — are the real drivers of healthcare spending, and why most systems still ignore them
    • The truth about advanced care planning: why it's quietly dropping, why every patient within two to three years of death needs that conversation, and the story of Janet Denino's cousin that makes the cost of silence impossible to ignore
    • How the mental health stigma is shifting generationally — and how telehealth, AI-assisted tools, and a smarter therapy cadence are changing who actually gets support
    • The billing math behind 280,000 possible care management hours that were built down to 110 — and why that gap isn't just a business problem, it's a human one
    • What it actually takes to build a social services program that works: the right roles, the right ratios, and why getting out to see patients is non-negotiable

    The system won't fix itself. But the people in it can. This episode shows you how.

    www.YourHealth.Org

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    35 min
  • The Role That Could Eliminate Most Hospitalizations: The Care Manager
    Mar 13 2026

    In this episode of The Disrupted Podcast, Jamie and Scott have a raw, specific, and deeply personal conversation about Care Managers: who they are, what they're actually supposed to do, and why getting this role wrong is costing patients their health and organizations millions of dollars.

    Scott opens with a story that hits hard: his 91-year-old father's recent hospitalization, the mistakes that nearly happened, and what it cost him — financially and emotionally — to navigate a system that wasn't built for the patient.

    What you'll hear in this episode:

    • Why care managers are controllers, not schedulers — and what happens when organizations get that wrong
    • The medication reconciliation crisis: how discharge errors are sending patients straight back to the ER
    • How Your Health's new geographic mapping tool is transforming how care teams schedule 30 days of visits in advance
    • The shared bonus model designed to stop care team members from fighting over visits — and start winning together
    • What care managers should never be doing — and the analytical skill set that separates great ones from average ones

    If you're building care teams, leading a healthcare organization, or just trying to keep a loved one safe in a broken system, this episode will change how you think about the people standing between your patients and the hospital.

    www.YourHealth.Org

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    54 min
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