Stop the Fragmentation: Integrating Hospice Into Primary Care
Scott explains why hospice should be integrated into primary care — and how staffing ratios, incentives, and care coordination can reduce hospitalizations and improve outcomes.
The Disrupted Podcast · Jamie Preston, Scott Middleton
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Show Notes
Healthcare didn’t get expensive because patients got worse — it got expensive because the system got fragmented. In this episode of The Disruptive Podcast, Scott Middleton breaks down why hospice can’t live “over there,” separate from primary care, nursing, therapy, and care management.
Scott explains the Your Health Hospice rollout, the staffing reality that determines whether integration is real, and the math behind a new model: caseload reductions for nurses when hospice patients are added, plus incentives that acknowledge the complexity of end-of-life care.
This conversation is about building a care system where the patient doesn’t have to juggle providers, phone numbers, and handoffs — because they shouldn’t have to. One team. One plan. One umbrella.