Why transitional care is at the heart of Your Health’s model

How incentives for early post-hospital visits worked (and why they didn’t)

Why in-person care matters more than telehealth alone

The growing role of respiratory therapists, physical and occupational therapists, and community health workers

The challenge of patient perception: “too many visits” vs. “too many calls”

Why insurance companies trying to become providers is dangerous for patients

Scott’s philosophy: nothing should be written in stone — adapt and evolve

The simple but powerful call to action for providers: “Go see your damn patients.”

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Key Topics:

• How sudden insurance and policy changes disrupt patients and providers
• The importance of prevention and primary care in lowering long-term costs
• What fully staffed care teams look like and why they matter
• Balancing productivity and patient-centered care
• Why disruption is necessary for a healthier future
• Takeaway: Healthcare continues to be shaped more by profit and red tape than by prevention and patient outcomes. But with innovative care models and a relentless focus on what patients truly need, leaders can shift the system toward better health and lower costs.

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• What Health Connectors are and why they matter.
• The danger of a provider-centered workflow—and how to avoid it.
• Real examples of how proactive home visits catch problems early.
• Why vital signs can be the key to preventing 50% of heart attacks.
• The culture shift needed: salaried roles with responsibility, not clock-in/clock-out mindsets.
• Scott’s challenge to all healthcare workers: “Go see your damn patients.”

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• Scott shares a story about meeting a compliance pharmacist who unexpectedly became the solution to a major organizational challenge.
• The importance of pharmacy compliance and direct-to-manufacturer drug purchasing.
• Why God’s timing plays a role in healthcare growth and leadership decisions.
• The danger of miscommunication across facilities and how to “season” a team for long-term effectiveness.
• How leaders can emerge from any position — from providers to CNAs to medical assistants.
• Why job descriptions must be clear, but leadership requires flexibility.

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• Why disruption in healthcare often means simplifying, not complicating.
• The critical role of Senior Solutions Advisors as navigators, educators, and advocates.
• Real-world stories: from a weight loss patient’s experience to common Medicare misunderstandings.
• How word-of-mouth becomes the best marketing strategy when patients feel truly cared for.
• Scott’s challenge to SSAs: prioritize patient contact, ask deeper questions, and don’t be afraid to admit when you don’t know—just commit to finding the answer.
• Why employers and patients alike need value-based care models that prioritize health outcomes over hospital incentives.

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• Why each patient-facing role at Your Health was created and the specific problems they solve
• How Medicare’s new Community Health Worker reimbursement is shaping care delivery
• The bonus structures that align staff incentives with patient outcomes
• Real-world examples of how metrics reveal opportunity — and lost income — for staff
• The difference between “helping” and staying focused on core role responsibilities
• How community health workers improve care by tackling social determinants of health
• The daily expectations and earning potential for nurses, pharmacists, social workers, and providers
• Why facilitated visits dramatically increase provider efficiency and patient touchpoints
• How sharing the wealth in healthcare creates stronger teams and better care
• The direct connection between role clarity, accountability, and reduced costs for Medicare

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Episode Notes

• Behind-the-scenes look at Your Health’s move to a High-Needs Accountable Care Organization (ACO)
• How Medicare calculates risk scores and allocates funding for high-risk patients
• Why Your Health is delivering a 32% savings over Medicare’s projected spend — at scale
• The flaw in most investment-backed healthcare models (and why they’re losing millions)
• The urgency of same-day or next-day post-hospital visits to prevent readmissions
• Blending leadership across divisions to improve care coordination
• Why Scott believes corporate thinking — not just individual effort — changes outcomes
• The real role of community health workers and how to measure their impact
• How South Carolina’s primary care spend has shifted because of Your Health’s approach
• A direct challenge to healthcare leaders: own the gaps and fix them together

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• Why "customer satisfaction" can be the wrong metric in healthcare
• What Scott learned from a meeting with JPMorgan Chase CEO Jamie Dimon
• The difference between perceived value and actual healthcare needs
• A candid story about overprescribing pain meds and the cultural shift required
• Why the healthcare "customer" is more complicated than we think
• Breaking down Your Health’s value-based care results: $75M saved
• The danger of over-collaboration and inefficiency in care coordination
• Realigning roles: Why community health workers need to drive proactive care
• Your Health’s shift toward specialty divisions and wellness clinics
• The staggering ROI of early interventions: $1.1 million in bonuses justified
• Why United Healthcare and others may be falling behind on data access

www.YourHealth.Org