Go See Your Damn Patients: Redefining Transitional Care
On this episode of the Disrupted Podcast, Scott breaks down how Your Health is evolving its model into what he calls a “transitional care physician practice.” From hospital discharges to weight loss programs, the core focus is helping patients successfully move from one stage of health to the next. Scott shares candid stories about failed incentives, lessons learned from case management bottlenecks, and why seeing patients quickly — and in person — is the key to reducing hospitalizations. He also explores how therapy, respiratory care, and community health workers play critical roles in the future of patient care. This conversation pulls back the curtain on what it really takes to transform healthcare delivery.
The Disrupted Podcast · Jamie Preston, Scott Middleton
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Show Notes
Show Notes
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.”