The Nurse Case Manager

The Nurse Case Manager

From The Disrupted Podcast by James Preston, Scott Middleton

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.

People in this episode

Hosts: James Preston, Scott Middleton

Guest: Scott

Topics covered

  • case management
  • healthcare
  • nurse case manager
  • Medicare spending
  • home-based care

Keywords

  • nurse case manager
  • Medicare
  • case management
  • healthcare costs
  • home-based model

Mentioned in this episode

Organizations: American Case Managers Conference, Your Health, Medicare

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