Most healthcare organizations know specialty care matters. Almost none of them are actually using it at the level their patients need.

In this episode of The Disrupted Podcast, Jamie Preston sits down with Scott Middleton — Founder and Chief Disruption Officer of Your Health — for an unfiltered look at one of the most critical gaps in care delivery: specialty services. Your Health currently routes about 10% of its patient appointments through specialty providers. The national average is 20%. Scott makes the case — with real stories from nursing homes, lawsuits, and the road across South Georgia — that closing that gap isn't just a clinical priority, it's a survival strategy.

What you'll hear in this episode:

• Why a 400-pound patient in a nursing home had never been offered a GLP-1 for weight loss — and what that reveals about how providers think about specialty
• The exact communication chain (DPH → EDCS → Care Manager → Provider) and precisely where it breaks down
• How 80% of Your Health patients have behavioral health needs while psych providers sit with open schedules — and how to fix that paradox
• Why texts and emails don't cut it in care coordination — and why voice-to-voice is the only real standard
• The lawsuit that should have been prevented with a single chest x-ray, and what it means for provider accountability going forward
• Why Scott banned the word "no" inside Your Health — and the mindset shift that comes with replacing it

Specialty is what separates Your Health from every other provider in the market. If you're a DPH, a care manager, or a provider inside this system — this episode is for you. If you're a healthcare leader watching specialty care fall through the cracks anywhere, it might be for you too.

www.YourHealth.Org

A hundred million Americans don't have a primary care provider. For most healthcare systems, that's a problem. For Scott Middleton, it's proof that the whole model needs to change.

Scott, founder and Chief Disruption Officer at Your Health, joins Jamie for an unfiltered conversation about what wellness actually is — and why it's not the same as primary care. Your Health's wellness program has exploded from zero to 4,100 patients in just two years, and Scott is just getting started. From GLP-1s and hormone replacement to peptides and the controversial South Carolina ruling that tried to silence physicians, Scott holds nothing back — and makes clear he's willing to take the fight to court.

In this episode:

• Why wellness is a specialty — not an alternative to primary care — and why the distinction changes everything about how patients should seek care
• The South Carolina Board of Medical Examiners' peptide ruling, why Scott believes it violates the First Amendment, and what he plans to do about it
• How clinical pharmacists and nurse practitioners are filling the gaps physicians are being pressured to leave
• Scott's own transformation: from 425 pounds to 216, cholesterol from 280 to 189, and what specific peptides and protocols drove those results
• Why employers like Bank of America — spending $2 billion a year on employee health — are the sleeper stakeholders in the wellness revolution

If you've been told to "come back when something's wrong," this episode is the permission slip to demand something better.

www.YourHealth.Org

What if the single biggest lever on your paycheck wasn't a raise, a promotion, or a new contract — but three minutes a day of logging? Scott Middleton returns to break down the real math behind Your Health's bonus structure, and why so many care managers, CNAs, and nurses are unknowingly walking away from serious money every month.

Scott, Owner of Your Health and its Chief Disruption Officer, walks through a live coaching conversation he had with a team member confused about how hospice bonuses actually get calculated — and turns it into a masterclass on incentive design, healthcare economics, and why "showing your work" is the whole game.

In this episode, you'll hear:

• How the hospice bonus pool is actually calculated, from raft scores to the $6,000-a-month billing baseline per patient
• A simple system for logging care management minutes in under five minutes a day — and why skipping it quietly shrinks every bonus check on the team
• Why 600+ patients on competitor hospices represent a multi-million-dollar opportunity Your Health is leaving on the table
• The uncomfortable truth about physician ego, referral economics, and why hospitals actually lose money in the ER
• Why some healthcare incentives are secretly built to keep patients sicker longer — and one patient's remarkable recovery story that exposes it

If you've ever wondered why the system pays for what it pays for, or you're leaving money on the table because you're not tracking your own work, this conversation will change how you think about both. Press play — and then go log your hours.

www.YourHealth.Org