What if the people case-managing your care had a financial reason to keep you sicker? That's the uncomfortable question Scott Middleton puts on the table in this episode — recorded live from the American Case Managers Conference in Orlando, where Scott went to learn, and ended up being told Your Health didn't "fit" because they weren't a hospital.

Jamie and Scott unpack what the nurse case manager role actually looks like at Your Health — and why moving case management out of hospitals and into patients' homes isn't just better care, it's better economics. Scott shares the research proving the model works: 50% reduction in Medicare spend when patients are seen at the right frequency by the right people.

In this episode:

• Why hospitalists may be "the demise of the American healthcare system"
• The difference between nurse practitioners (diagnose and treat) and nurse case managers (assess and guide) — and why blurring them costs patients
• The 16.05-visits-per-risk-point model David Clemens' research validated
• How coding departments are quietly diagnosing patients with diseases they don't have
• Why Medicare's 6-year insolvency window may be the disruption we need
• Head-to-toe assessments, delegation rights, and the real job of an RN in the home

If you've ever suspected the system is working exactly as designed — just not for the patient — press play.

www.YourHealth.Org

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

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