What if the most powerful growth strategy in hospice and primary care had nothing to do with your clinical protocols, your technology stack, or your marketing budget — and everything to do with who shows up, and how often?

In this episode of The Disrupted Podcast, Scott Middleton — founder and Chief Disruption Officer of Your Health — unpacks the real-world lessons shaping how your Health is staffing, growing, and rebuilding trust as it integrates the newly merged TCPA and Providence Care organizations. Scott spent the week in the field — Monroe, Georgia; Beaufort, South Carolina; Atlanta and beyond — sitting in care team meetings, talking to nurses, watching exercise classes, and rethinking everything from staffing ratios to personality matching. What he found is both a warning and a blueprint.

In this episode:

• Why minor service failures — a nurse who didn't show up once — can cost you an entire facility relationship, and what it actually takes to earn it back
• The strategic case for pulling a nurse off a shared caseload and planting her full-time in a single building — even when the numbers don't fully justify it yet
• The story of a nurse so embedded in one facility that an administrator told Your Health: "I will cut you if you move her"
• How DISC personality profiles should determine which staff member walks into which building — and why getting it wrong creates friction that kills referrals
• Why the best talent you'll ever hire is already living in the community you serve — and why your recruiters will never find them on Indeed
• The centralize-then-decentralize model Your Health deploys every time it launches something new — and why it's the only way to scale without losing quality

If you lead a care team, run a hospice program, manage a building, or are trying to grow in any direction in healthcare right now — this episode is your field guide.

www.YourHealth.Org

What if the reason your boss wants you in the office has nothing to do with your productivity — and everything to do with their ego? Scott Middleton admits it: he walked around his 30,000-square-foot corporate office on a Friday afternoon, found nobody, and got irritated. Then he caught himself. The data said his team was productive. The irritation was his ego talking.

That moment of self-awareness opens a much bigger conversation about what happens when leaders — in business and in healthcare — stop reading the evidence and start acting on assumption. In this episode of The Disrupted Podcast, Scott and Jamie dig into:

• Why most CEOs pushing return-to-office mandates are solving for ego, not outcomes — and the New York Times data that proves it
• How Your Health is shifting from counting patients to measuring risk scores — and why that changes everything about how care teams are built
• The "legs grow back on January 1st" problem: how the Medicare system loses patient diagnoses every year and why hospice patients often appear healthier right before they die
• Why misinterpreting hospice rules is putting patients on the wrong track — and costing providers in ways they don't see coming
• The role of chaplains in advanced care planning, and why getting that right could reduce hospitalizations and change end-of-life outcomes
• South Carolina's jump from 49th to 26th in healthcare quality rankings — and what it means for the rest of the country

Scott closes with a mission statement that's hard to argue with: at 67, he could have retired. He didn't. If this conversation lights something up in you, share it with someone who needs to hear it.

www.YourHealth.Org

What happens when the rules everyone follows weren't actually rules to begin with?

In this episode, Scott Middleton — Owner of Your Health and Chief Disruption Officer — shares what he's seeing on the ground as the TCPA and Providence Care merger moves toward its final close. But the real conversation goes deeper: the quiet, dangerous habit of staff making up policies, enforcing phantom restrictions, and defaulting to "no" when the answer should have been "let's figure it out."

Key topics covered:

• Why fabricated rules (like requiring a psych NP referral for talk therapy) become embedded in organizations — and how to stop it
• How Scott is approaching the merger with radical transparency, and why "don't tell until it's done" has no place in his culture
• The one thing that will get you fired fast: "don't tell Scott"
• What TCPA's nursing home model is teaching Your Health about patient frequency, hospitalizations, and what actually works
• Why the chaplain conversation changed Scott's entire philosophy — and how advanced care planning pays for it

The system doesn't need more rules. It needs more people willing to ask. Listen now and ask yourself: what rule in your organization did somebody just make up?

www.YourHealth.Org