mark o'brien's slides from his presentation on the doctor

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Mark O’Brien MD www.markobrienmd.com

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Page 1: Mark O'Brien's slides from his presentation on the doctor

Mark O’Brien MDwww.markobrienmd.com

Page 2: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD CURRICULUM VITAE

CERTIFICATION: Board Certified in Internal Medicine - September, 1983 Board Certified in Nephrology - November 1986 Advanced Cardiac Life Support - American Heart Association, 1981   LICENSURE: Physician and Surgeon, State of Michigan   EDUCATION: Wayne State University School of Medicine - Doctor of Medicine, June 1980 University of Michigan -Bachelor of Science in Zoology, May 1976 Fellowship, Nephrology and Hypertension - Northwestern University School of Medicine June,

1985 Residency, Internal Medicine - Northwestern University School of Medicine - June, 1983

PUBLICATIONS: Effect of Spironolactone on the Renal Clearance of Digoxin in Dogs. Journal of Pharmacology and Experimental Therapeutics 234 (1): 190-4 July 1985. Pitfalls in, and New Methods for, the Radioimmunoassay for Digoxin in Urine. Clinical Chemistry

31 (1): 122-4 1985.   PRACTICE EXPERIENCE: Private practice of Internal Medicine and Nephrology - 1985 to present.   INSTRUCTORSHIP: Clinical Instructor, Blodgett Hospital, Northwestern University, Michigan

State University   MEMBERSHIPS: American College of Physicians, American Medical Association, Michigan State

Medical Society, Kent County Medical Society  

Page 3: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD

Page 4: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD

Page 5: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD

Page 6: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD

Doctor Patient Relationship – Will It survive? Us vs Them.Us = Patient & Doctor (PCP). Them = Big Business, Big Government, Big

Hospitals, Big Insurance Companies, Big Media.

Pressure applied to PCP – Monthly Net CostHospitalization RatesPharmacy Generic %

Who is your Consumer Representative?

Page 7: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD

MORE - Pressure applied to PCP

“QUALITY “(?) AUDITS:It’s NOT about quality – YES money money money. Best drugs are NOT available. Optimal tests are not available. Optimal referrals are denied. Red Tape Rationing.

Page 8: Mark O'Brien's slides from his presentation on the doctor

Will Primary Care Survive? Will YOU?Small number of BIG (conjoined) groups.

Bye Bye Independent Practice. Bye Bye STARK. Bye Bye Patient Confidentiality.

Primary Health Care – Mark OBrien MD

Page 9: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD

The Math: Premium - $400 / month – adultPCP - $10 / monthPlan – $390 / month

Pay: Self, company profit, commissions, uninsured,

hospital monopolies – real estate / financial

juggernauts.

Now What?

Page 10: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD

Patient Needs:1) Primary Care – Direct Contract – complete

package.2) Major Medical – Insurance – Competitive

Rates.

Page 11: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD Mark O’Brien MD PLC Phone: 4070 Lake Dr Suite 201 Fax: 774-8200 Grand Rapids MI 49546 774-0304 www.markobrienmd.com Primary Care Services Agreement Patient: ____________________________________________ Term: 1 Calendar Year, Beginning:___________________, Ending: _____________________. Fee: $360.00 – Adult 25 years and older, paid in advance ($30.00 per month for 12

months) or, $264.00 – Young Adult 12 - 25 years, paid in advance ($22.00 per month for 12 months). Definitions and Facts: 1. Mark O’Brien MD PLC, “Provider,” is a limited liability company providing medical services. 2. Provider is located at 4070 Lake Dr #201, Grand Rapids, MI 49546, “Office.” 3. Patient wishes to receive medical services from “Provider.” 4. Both Patient and Provider wish to simplify access to primary care medical services and limit unnecessary cost and administrative burden. Covered Services and Fees: 1. All professional, laboratory and procedural services (below) ordered and performed by Provider at Provider’s Office for named Patient. 2. Patient shall follow routine office scheduling procedures. 3. There will be no other billing, claims, co-payments or deductibles for covered services. Non-Covered Services and Fees: 1. Any fee from any other corporation or entity whether or not referred to or sent out to by

Provider. 2. Other immunizations not included as covered. 3. Imaging: eg. radiology, mammography, bone density, ultrasound, MRI, CT scans. 4. Hospital, walk-in-clinics or outpatient surgical services.

Page 12: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD Payment: $360.00 [ ] Cash or_____________ or _________________________ _________ $264.00 [ ] Check Number Credit Card: Name & Number Exp’ Date Accepted by: [ ] 1/3 of total for 3 months, if checked. ______________________________ ____________________________________ Mark O’Brien MD PLC or Staff Patient Signature 4070 Lake #201 Name: _________________________ Grand Rapids, MI 49546 Address: _________________________ Phone: 774-8200 City State _________________________ Fax: 774-0304 Zip / Phone _________________________ Date of Birth _________________________

Covered Lab / Procedures: Complete Blood Count, Sed Rate, Strep Screen, Urinalysis,

(Thyroid - TSH, Free-T4), (Prostate – PSA), HemoglobinA1c, Hemoccult, TB skin test. (Chemistry – Na+, K+, Cl-, CO2, BUN, Creatinine, Glucose, AST, ALT, GGT, Alk-Phos,

Total Bilirubin, Calcium, Albumin, Total Protein, Uric Acid, LDH, Creatine Kinase). Lipids - Cholesterol, Triglycerides, HDL, LDL. Immunizations - Tetanus / Diphtheria, Influenza, Pneumovax. Routine injections. Cardiology – ECG. Professional Fees: all outpatient evaluation and management fees. _________________________________________________________________________________

Page 13: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD

The New Math: PCP = $30/month – includes labs etcMajor Med = $150 / month (deductible)Total = $180 / month (versus $400/month)

H.S.A. Plans – Keep the difference.

Page 14: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MDWarning:Electronic Medical Records

Page 15: Mark O'Brien's slides from his presentation on the doctor

Primary Health Care – Mark OBrien MD

Patient Centered Medical Home - Big Brother on Steroids- 100% national database of YOUR private

medical records. - 100% e-prescribing – YOUR prescriptions. Data Mining – Protect your children’s

interest.Place Head in Lion’s Mouth - Ask That He

Not Bite Down !!!!