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

<description>&lt;p&gt;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.&lt;/p&gt;
&lt;p&gt;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.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;What you'll hear in this episode:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
 &lt;li&gt;Why care managers are controllers, not schedulers — and what happens when organizations get that wrong&lt;/li&gt;
 &lt;li&gt;The medication reconciliation crisis: how discharge errors are sending patients straight back to the ER&lt;/li&gt;
 &lt;li&gt;How Your Health's new geographic mapping tool is transforming how care teams schedule 30 days of visits in advance&lt;/li&gt;
 &lt;li&gt;The shared bonus model designed to stop care team members from fighting over visits — and start winning together&lt;/li&gt;
 &lt;li&gt;What care managers should &lt;i&gt;never&lt;/i&gt; be doing — and the analytical skill set that separates great ones from average ones&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;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.&lt;/p&gt;
&lt;p&gt;&lt;p&gt;&lt;a href="https://www.yourhealth.org/"&gt;www.YourHealth.Org&lt;/a&gt;&lt;/p&gt;&lt;/p&gt;</description>

In this episode, Jamie and Scott pull back the curtain on one of the most misunderstood roles in healthcare — the care manager — unpacking why it's not a scheduling job, but a command center role that sits at the heart of every high-performing care team. Scott makes the case that if every care manager did their job the way it was designed — from geographic visit scheduling to relentless medication reconciliation — hospitalizations would drop to near zero.

The Role That Could Eliminate Most Hospitalizations: The Care Manager

What if the most powerful person on your care team isn't a nurse, a doctor, or a specialist — but someone showing up at 8:00 AM to check blood pressure, eat lunch with residents, and play vital signs bingo?
In this episode, we go deep on the Community Health Worker role: what it is, what it isn't, and why most organizations are dramatically underusing it. Scott pulls no punches on the disconnect between what CHWs are doing and what they should be doing — and why the difference is costing patients their health and workers their bonuses.
What you'll hear in this episode:
<ul>
 <li>Why the #1 complaint about CHW visits ("you're seeing our patients too much") is actually a communication failure, not a frequency problem — and how to fix it</li>
 <li>The specific visit types every community health worker should be scheduling: vital signs, medication reconciliation, lab draws, wound care, advanced care plans, and more</li>
 <li>How Mary White, a CHW in Gainesville, Georgia, goes in with 5 patients on her list and leaves having seen 15 — and what her approach reveals about what this role is really for</li>
 <li>Why buildings that aren't growing have either the wrong person or not enough people — and how to think through both</li>
 <li>The full compensation breakdown: base salary, guaranteed bonus, and how the right CHW can earn close to $80,000 a year</li>
</ul>
If you hire, manage, or are a community health worker, this episode will reshape how you think about the role. Hit play.
<a href="https://www.yourhealth.org/">www.YourHealth.Org</a>

<description>&lt;p&gt;What if the most powerful person on your care team isn't a nurse, a doctor, or a specialist — but someone showing up at 8:00 AM to check blood pressure, eat lunch with residents, and play vital signs bingo?&lt;/p&gt;
&lt;p&gt;In this episode, we go deep on the &lt;strong&gt;Community Health Worker&lt;/strong&gt; role: what it is, what it isn't, and why most organizations are dramatically underusing it. Scott pulls no punches on the disconnect between what &lt;strong&gt;CHWs&lt;/strong&gt; are doing and what they &lt;i&gt;should&lt;/i&gt; be doing — and why the difference is costing patients their health and workers their bonuses.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;What you'll hear in this episode:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
 &lt;li&gt;Why the #1 complaint about CHW visits ("you're seeing our patients too much") is actually a communication failure, not a frequency problem — and how to fix it&lt;/li&gt;
 &lt;li&gt;The specific visit types every community health worker should be scheduling: vital signs, medication reconciliation, lab draws, wound care, advanced care plans, and more&lt;/li&gt;
 &lt;li&gt;How Mary White, a CHW in Gainesville, Georgia, goes in with 5 patients on her list and leaves having seen 15 — and what her approach reveals about what this role is really for&lt;/li&gt;
 &lt;li&gt;Why buildings that aren't growing have either the wrong person or not enough people — and how to think through both&lt;/li&gt;
 &lt;li&gt;The full compensation breakdown: base salary, guaranteed bonus, and how the right CHW can earn close to $80,000 a year&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;If you hire, manage, or &lt;i&gt;are&lt;/i&gt; a community health worker, this episode will reshape how you think about the role. Hit play.&lt;/p&gt;
&lt;p&gt;&lt;p&gt;&lt;a href="https://www.yourhealth.org/"&gt;www.YourHealth.Org&lt;/a&gt;&lt;/p&gt;&lt;/p&gt;</description>

Scott Middleton breaks down the Community Health Worker role in full — what they actually do, how they should structure their days, why relationship-building (not billing codes) is the real engine of patient outcomes, and how this one position can transform an entire facility from the inside out. The core insight: the number one complaint from families isn't that CHWs visit too often — it's that nobody explains why they're there, and fixing that single communication gap changes everything.

The Visit That Saves a Life Has No Diagnosis Code: The Community Health Worker

What does it actually take to say yes in healthcare when the system is wired to say no?
In this episode of The Disrupted Podcast, Scott takes you straight into the field — from a brand-new administrator in Marietta, Georgia who's already revolutionizing her building eight days in, to a 190-patient facility in Charleston where the real conversation isn't about hospice referrals, it's about whether you have the staff to back it up.
Scott gets honest about the moments where healthcare organizations talk a big game but fold when it matters — refusing acute visits to non-panel patients, locking providers into rigid workflows, and hiring bodies instead of talent. He challenges all of it. And he does it with the kind of clarity that only comes from someone who's actually in the buildings, at the dinner tables, and on the phone doing the hard work every day.
From a nurse who deserves a Tesla to a wristband that could change emergency response forever, this episode is packed with real stories, bold ideas, and a simple but radical belief: that getting to the yes isn't just good business — it's the whole point of healthcare.
If you're a provider, administrator, nurse, or healthcare leader who's tired of the way things have always been done, this one's for you.
<a href="https://www.yourhealth.org/">www.YourHealth.Org</a>

<description>&lt;p&gt;What does it actually take to say yes in healthcare when the system is wired to say no?&lt;/p&gt;
&lt;p&gt;In this episode of The Disrupted Podcast, Scott takes you straight into the field — from a brand-new administrator in Marietta, Georgia who's already revolutionizing her building eight days in, to a 190-patient facility in Charleston where the real conversation isn't about hospice referrals, it's about whether you have the staff to back it up.&lt;/p&gt;
&lt;p&gt;Scott gets honest about the moments where healthcare organizations talk a big game but fold when it matters — refusing acute visits to non-panel patients, locking providers into rigid workflows, and hiring bodies instead of talent. He challenges all of it. And he does it with the kind of clarity that only comes from someone who's actually in the buildings, at the dinner tables, and on the phone doing the hard work every day.&lt;/p&gt;
&lt;p&gt;From a nurse who deserves a Tesla to a wristband that could change emergency response forever, this episode is packed with real stories, bold ideas, and a simple but radical belief: that getting to the yes isn't just good business — it's the whole point of healthcare.&lt;/p&gt;
&lt;p&gt;If you're a provider, administrator, nurse, or healthcare leader who's tired of the way things have always been done, this one's for you.&lt;/p&gt;
&lt;p&gt;&lt;p&gt;&lt;a href="https://www.yourhealth.org/"&gt;www.YourHealth.Org&lt;/a&gt;&lt;/p&gt;&lt;/p&gt;</description>

Scott doesn't take no for an answer — and he doesn't think you should either. In this episode, he unpacks real stories from the field that reveal how getting to "yes" in healthcare is less about policy and more about listening, staffing smart, and having the courage to solve the problem in front of you.

The Yeses Have Butts: How to Find the Yes in Every Healthcare Conversation

Healthcare didn’t get expensive because patients got worse — it got expensive because the system got fragmented. In this episode of The Disruptive Podcast, Scott Middleton breaks down why hospice can’t live “over there,” separate from primary care, nursing, therapy, and care management.Scott explains the Your Health Hospice rollout, the staffing reality that determines whether integration is real, and the math behind a new model: caseload reductions for nurses when hospice patients are added, plus incentives that acknowledge the complexity of end-of-life care.This conversation is about building a care system where the patient doesn’t have to juggle providers, phone numbers, and handoffs — because they shouldn’t have to. One team. One plan. One umbrella.
<a href="https://www.yourhealth.org/">www.YourHealth.Org</a>

<description>&lt;p&gt;Healthcare didn’t get expensive because patients got worse — it got expensive because the system got &lt;strong&gt;fragmented&lt;/strong&gt;. In this episode of &lt;i&gt;The Disruptive Podcast&lt;/i&gt;, Scott Middleton breaks down why hospice can’t live “over there,” separate from primary care, nursing, therapy, and care management.&lt;/p&gt;&lt;p&gt;Scott explains the &lt;strong&gt;Your Health Hospice rollout&lt;/strong&gt;, the staffing reality that determines whether integration is real, and the math behind a new model: &lt;strong&gt;caseload reductions for nurses when hospice patients are added&lt;/strong&gt;, plus incentives that acknowledge the complexity of end-of-life care.&lt;/p&gt;&lt;p&gt;This conversation is about building a care system where the patient doesn’t have to juggle providers, phone numbers, and handoffs — because they shouldn’t have to. &lt;strong&gt;One team. One plan. One umbrella.&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&lt;p&gt;&lt;a href="https://www.yourhealth.org/"&gt;www.YourHealth.Org&lt;/a&gt;&lt;/p&gt;&lt;/p&gt;</description>

Scott explains why hospice should be integrated into primary care — and how staffing ratios, incentives, and care coordination can reduce hospitalizations and improve outcomes.

Stop the Fragmentation: Integrating Hospice Into Primary Care

In this episode, Jamie and Scott discuss a simple leadership posture that changes outcomes: default to “yes” when it protects patients—then solve the obstacles. Scott shares real examples from winter-storm outreach, hospice and palliative care misconceptions, and operational “rules” that block care (often driven by language, software, or habit—not true limitations). They dig into how patient-centered thinking, clearer communication (ditch the acronyms), and smarter systems—like a new mapping tool—can drive more visits, better coordination, and better results.
<a href="https://www.yourhealth.org/">www.YourHealth.Org</a>

<description>&lt;p&gt;In this episode, Jamie and Scott discuss a simple leadership posture that changes outcomes: &lt;strong&gt;default to “yes” when it protects patients—then solve the obstacles.&lt;/strong&gt; Scott shares real examples from winter-storm outreach, hospice and palliative care misconceptions, and operational “rules” that block care (often driven by language, software, or habit—not true limitations). They dig into how patient-centered thinking, clearer communication (ditch the acronyms), and smarter systems—like a new mapping tool—can drive more visits, better coordination, and better results.&lt;/p&gt;
&lt;p&gt;&lt;p&gt;&lt;a href="https://www.yourhealth.org/"&gt;www.YourHealth.Org&lt;/a&gt;&lt;/p&gt;&lt;/p&gt;</description>

Stop hunting for reasons you can’t—and start building the path to yes. Jamie and Scott unpack real hospice and care-management myths, the power of clearer language, and how smarter systems can quickly increase visits and improve patient outcomes.

Find A Way To A Yes

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.

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