What happens when the rules everyone follows weren't actually rules to begin with?

In this episode, Scott Middleton — Owner of Your Health and Chief Disruption Officer — shares what he's seeing on the ground as the TCPA and Providence Care merger moves toward its final close. But the real conversation goes deeper: the quiet, dangerous habit of staff making up policies, enforcing phantom restrictions, and defaulting to "no" when the answer should have been "let's figure it out."

Key topics covered:

  • Why fabricated rules (like requiring a psych NP referral for talk therapy) become embedded in organizations — and how to stop it
  • How Scott is approaching the merger with radical transparency, and why "don't tell until it's done" has no place in his culture
  • The one thing that will get you fired fast: "don't tell Scott"
  • What TCPA's nursing home model is teaching Your Health about patient frequency, hospitalizations, and what actually works
  • Why the chaplain conversation changed Scott's entire philosophy — and how advanced care planning pays for it

The system doesn't need more rules. It needs more people willing to ask. Listen now and ask yourself: what rule in your organization did somebody just make up?

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