Most organizations will tell you their people are their greatest asset — then build compensation systems that prove they don't believe it.

In Part 2 of this conversation, Scott Middleton — owner of Your Health, founder, and Chief Disruption Officer — gets honest with Jamie Preston about what it actually takes to build, pay, and keep the team an administrator is going to lead.

In this episode:

• Why "can I have a raise?" is the wrong conversation — and what apprenticeship-based compensation solves
• How a nurse practitioner can quietly hit $200K by working the bonus structure the right way
• The math behind every hire: why every team member costs roughly $10,000 a month — and how to pay for yourself
• The 5,000-patient hospice gap no one wants to talk about — and what it's costing families
• Why every hospice patient gets a custom plan, not a copy-pasted template
• The DISC profile Scott looks for in administrators — and why it's not what you'd guess
• The honest state of hiring: 30 care groups, growing, and actively recruiting

If you lead people, hire people, or are thinking about stepping into healthcare leadership — this is the episode where the economics get real.

www.YourHealth.Org

Most healthcare organizations wait until they're drowning to add administrative support. Your Health is doing the opposite — and it's changing the math on what a primary care practice can actually deliver.

In Part 1 of this two-part conversation, Scott Middleton — owner of Your Health, founder, and Chief Disruption Officer — sits down with Jamie Preston to unpack why a dedicated administrator is now sitting beside the executive director of clinical services at every care group. With hospice added to the model, a single care group can now be responsible for more than 80 staff members across four care teams — bigger than most medical organizations in the country. Asking a nurse to run that alone was breaking people and burying clinical judgment under scheduling concerns.

In this episode:

• Why the care group exploded overnight — and what hospice changed about staffing ratios
• What the administrator does on Monday morning before the clinical team even looks at the dashboard
• The Bridget story: how a "we're not allowed to do one-on-ones" response nearly cost a dementia patient her home
• Why "what could we have done today" is the wrong question — and what to ask instead
• How fee-for-service quietly incentivizes the wrong decisions at the hospital level
• The team structure every administrator now sits inside: nurse, HR, marketing, engagement

If you've ever wondered what's actually supposed to stand between a great clinician and burnout, this is it.

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What if the people case-managing your care had a financial reason to keep you sicker? That's the uncomfortable question Scott Middleton puts on the table in this episode — recorded live from the American Case Managers Conference in Orlando, where Scott went to learn, and ended up being told Your Health didn't "fit" because they weren't a hospital.

Jamie and Scott unpack what the nurse case manager role actually looks like at Your Health — and why moving case management out of hospitals and into patients' homes isn't just better care, it's better economics. Scott shares the research proving the model works: 50% reduction in Medicare spend when patients are seen at the right frequency by the right people.

In this episode:

• Why hospitalists may be "the demise of the American healthcare system"
• The difference between nurse practitioners (diagnose and treat) and nurse case managers (assess and guide) — and why blurring them costs patients
• The 16.05-visits-per-risk-point model David Clemens' research validated
• How coding departments are quietly diagnosing patients with diseases they don't have
• Why Medicare's 6-year insolvency window may be the disruption we need
• Head-to-toe assessments, delegation rights, and the real job of an RN in the home

If you've ever suspected the system is working exactly as designed — just not for the patient — press play.

www.YourHealth.Org