Scott Middleton breaks down exactly how Your Health's hospice bonus pool is built — from the raft score and the $6,000-a-month billing per patient down to the simple habit of logging care management minutes — and why so many care managers are leaving thousands of dollars on the table without realizing it. Along the way, he pulls back the curtain on healthcare's stranger incentives, from hospitals that profit off imaging machines to a system that sometimes pays providers more to keep patients sick than to help them get well.

Scott Middleton returns from a Boston conference of hospital executives and orthopedic surgeons with breaking intelligence on CJX — the new CMS bundled payment program for hip and knee surgeries that goes live January 1, 2028 — and breaks down exactly how it will reshape every hospital, nursing home, surgeon, and primary care practice in America. The jaw-dropping insight buried in the policy: because patient risk scores are captured 180 days before surgery, the window to win or lose this game is already open — and the organizations that start managing patients proactively right now will be the ones still standing when the penalties hit.

In this episode of The Disrupted Podcast, Scott Middleton breaks down Your Health's facility partnership model — from care coordination contracts that can pay nursing homes up to $240,000 a year, to a bold September 1st shift that replaces individual provider rewards with team-based quality bonuses. The insight that lingers: presence isn't measured in visits — it's measured in relationships, and the facilities willing to build them are the ones that will actually keep patients out of the hospital for good.

Recorded live from the road in rural Georgia — days after closing a landmark merger — Scott Middleton breaks down two of the most powerful and most ignored revenue and care tools in Medicare: chronic care management (CCM) and ACO cost savings programs, and exactly how Your Health is building the infrastructure to make both work at scale. The episode's central revelation is both simple and staggering: the government is already paying $65 an hour for care management that most physician groups and nursing homes are barely touching — and the organizations that move first are about to rewrite the financial and clinical model of long-term care.

Scott Middleton joins Jamie Preston fresh off the closing of a landmark merger bringing TCPA and Providence Care under the Your Health umbrella — adding 32 nursing homes, 900+ patients, and an immediate need for 64 nurses across Georgia. What unfolds is a raw, inside look at what it actually takes to integrate broken healthcare systems: from the financial logic of self-funded nursing teams to the uncomfortable truth that hospice patients are going unseen by providers for months — and what Your Health is doing to fix it right now.

In this episode of The Disrupted Podcast, Scott Middleton — fresh off a week of field visits across Georgia and South Carolina — breaks down the single strategy reshaping how Your Health builds trust, grows census, and integrates two merging organizations: putting the same person in front of the same patients, in the same building, every single day. The insight is simple, almost obvious — and yet almost nobody does it — and Scott reveals why presence and consistency aren't a philosophy, they're the highest-leverage clinical and business decisions a healthcare leader can make.

In this episode, Scott Middleton gets refreshingly unfiltered about the week's disruptions — from calling out CEO ego in the remote-work debate (including his own) to exposing how widespread misreading of hospice rules is quietly failing patients who never get properly diagnosed, compensated, or cared for. The core takeaway: when a system consistently misinterprets its own rules — whether in leadership, data, or end-of-life care — the people who pay the price aren't administrators, they're patients.

Scott Middleton pulls back the curtain on one of healthcare's quietest problems: well-meaning people inventing rules that never existed and creating organizational chaos in the process. The real disruption isn't the merger — it's building a culture where transparency isn't optional and no one is ever afraid to say "I don't know."

Scott Middleton takes listeners behind the scenes of Your Health's merger with TCPA and Providence Care, breaking down the contracts, the new provider pay structure, and the technology rollout reshaping care delivery ahead of the July 15th close. The episode's central revelation: the patients you stop seeing still belong to you under value-based contracts — and failing to follow them is quietly costing the organization millions in unclaimed cost savings.

Fresh off a merger with TCPA and Providence Care, Scott Middleton breaks down what it actually takes to integrate two healthcare organizations without alienating the providers, patients, and facilities caught in the middle. The throughline: you don't win buildings by walking in and changing everything — you win by listening to what people think they need, adding staff before you add demands, and letting trust compound over months until "them" finally becomes "we."