It was 3 o'clock in the morning when Scott Middleton finally signed the papers. The merger was official. And within days, he was already on the road — visiting facilities, riding along with providers, and spotting the same gap everywhere he went: brilliant clinicians doing real work that was completely invisible to the system.

In this episode of The Disrupted Podcast, Jamie sits down with Scott Middleton, calling in from Boston, to unpack what he's discovering on the ground in the newly merged Your Health organization — and why tracking your time isn't about paperwork. It's about protection, proof, and getting paid for every minute of care you're already delivering.

What you'll hear in this episode:

• The Dr. Jeeve story: a high-producing doc who managed a nursing home crisis by phone, saved a patient from an unnecessary ER visit — and never billed for it, leaving Medicare with no record of his intervention
• Why not documenting a visit before a hospitalization doesn't just cost you revenue — it makes you look like a bad provider, even when you did everything right
• How insurance companies like United Healthcare boldly take 15% off the top of every healthcare dollar — and why that math means providers can't afford to give their time away for free
• The TCPA pattern Scott keeps seeing: 15,000–18,000 visits a month, almost entirely in nursing homes, with zero follow-up once patients go home
• The new post-discharge standard: every patient leaving a nursing home gets a telehealth visit within 48 hours, then weekly follow-up for four weeks — no one gets left in the gap

This episode is a masterclass in understanding that documentation isn't bureaucracy — it's how you tell your story, protect your reputation, and keep the care you've already given from disappearing.

www.YourHealth.Org

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, Scott announces 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

Most organizations will tell you their people are their greatest asset — then build compensation systems that prove they don't believe it.

In Part 2 of this conversation, Scott Middleton — owner of Your Health, founder, and Chief Disruption Officer — gets honest with Jamie Preston about what it actually takes to build, pay, and keep the team an administrator is going to lead.

In this episode:

• Why "can I have a raise?" is the wrong conversation — and what apprenticeship-based compensation solves
• How a nurse practitioner can quietly hit $200K by working the bonus structure the right way
• The math behind every hire: why every team member costs roughly $10,000 a month — and how to pay for yourself
• The 5,000-patient hospice gap no one wants to talk about — and what it's costing families
• Why every hospice patient gets a custom plan, not a copy-pasted template
• The DISC profile Scott looks for in administrators — and why it's not what you'd guess
• The honest state of hiring: 30 care groups, growing, and actively recruiting

If you lead people, hire people, or are thinking about stepping into healthcare leadership — this is the episode where the economics get real.

www.YourHealth.Org