The Disrupted Podcast

Fresh off a merger with TCPA and Providence Care, Scott Middleton breaks down what it actually takes to integrate two healthcare organizations without alienating the providers, patients, and facilities caught in the middle. The throughline: you don't win buildings by walking in and changing everything — you win by listening to what people think they need, adding staff before you add demands, and letting trust compound over months until "them" finally becomes "we."

Growth doesn’t stall because of a lack of patients — it stalls when teams wait to be told what to do. This episode challenges healthcare leaders to stop managing from a distance and start winning through presence, ownership, and coordination.

In this episode we have Scott —in the middle of Atlanta traffic—to uncover what’s really happening inside big-city healthcare systems. After spending two weeks in Atlanta, Scott shares shocking discoveries: assisted livings with no medical providers, hospitals desperate for help, and rehab centers penalized for discharging patients to home health. Scott paints a vivid picture of how Your Health’s model, perfected in South Carolina, is filling a massive gap. Through powerful stories—like an 88-year-old caring for his wife with Lewy Body dementia—Scott explains why proactive visits, interdisciplinary teams, and human-centered communication matter more than ever. The episode also explores mentorship, rapid growth, and why storytelling must be foundational to the Your Health culture. If you want to understand the future of home-based senior care — and what Atlanta’s healthcare crisis reveals about the entire country — this is an episode you don’t want to miss.

In this episode of The Disrupted Podcast, Scott And Jamie talk about the heart of Your Health’s mission — keeping people out of the hospital. Scott breaks down how true growth in healthcare isn’t about adding layers of administration or chasing volume; it’s about presence. He shares stories from the field about moving staff from offices into senior living communities, embedding teams on-site, and rethinking what it means to “be there” for patients every day. From daily chair yoga and vital sign checks to coordinating caregivers and therapy visits, Scott shows how small, consistent actions build trust, prevent hospitalizations, and transform outcomes for patients and families. This conversation is a reminder that disruption isn’t about doing more — it’s about doing what matters most. Because when every team member, every decision, and every process aligns around one mission — keeping people out of the hospital — everything changes.

This week on The Disrupted Podcast, Jamie and Scott talk about one of the hardest weeks in healthcare leadership. Major changes in insurance contracts have forced providers to make tough decisions—realigning care teams, reducing staff, and helping patients navigate new realities. Scott opens up about the strain these shifts place on both patients and providers, and why the current system is broken. Together, Jamie and Scott discuss: Why patients often face unexpected out-of-pocket costs. How rapid insurance changes disrupt access to primary care. What a fully staffed care team looks like—and how it improves outcomes. The hidden costs of “affordable” insurance plans. Why prevention and strong provider relationships are the real keys to lowering costs. This candid conversation exposes the hard truths of today’s healthcare system—and why disruption is the only way forward.

In this episode of the Disrupted Podcast, Jamie Preston talks with Scott Middleton about how disruption often comes disguised as opportunity. Scott shares a powerful story about meeting a pharmacist who almost walked away from a job — only to discover she was the missing piece to a major compliance and cost-saving strategy. They also dive into building strong care groups, preventing miscommunication across facilities, and why leadership is not about titles but about influence. This is a practical and inspirational conversation that will challenge you to look differently at the people and resources around you.