The Nurse Case Manager

The Nurse Case Manager

April 25, 2026 · 26 min · Episode 135

About this episode

Scott discusses the underutilization of nurse case managers and the impact of hospital-run case management on Medicare costs.

Live from the American Case Managers Conference in Orlando, Scott pulls back the curtain on why hospital-run case management is quietly costing Medicare billions — and why the nurse case manager, done right, may be the single most underused role in modern healthcare. He breaks down Your Health's home-based model, the 16.05-visits-per-risk-point ratio that's cutting Medicare spending in half, and why the future of care won't happen inside a hospital at all.

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