
32% Savings and Still Growing
In this episode of the Disrupted Podcast, Jamie and Scott jump head first into a groundbreaking shift in healthcare delivery. Scott shares how Your Health’s home-based model — supported by chronic care management, community health workers, and coordinated transitions — is delivering the highest Medicare savings in the country at scale. They unpack why other models are failing financially, the critical importance of same-day or next-day post-hospital visits, and how blending leadership across divisions is key to improving outcomes. Along the way, Scott calls for a culture of ownership, explains why corporate thinking matters as much as individual effort, and issues a challenge to the healthcare industry: stop talking about value-based care and start living it.
The Disrupted Podcast · Jamie Preston, Scott Middleton
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Show Notes
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