Above & Beyond Dermatology

Learning from a Pioneer in Direct Pay Dermatology | Dr. Kathleen Brown


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Episode 009 | Kathleen Brown, MD, is a visionary and pioneer in bringing high quality, affordable, accessible dermatology care directly to the people without the interference of meddling third parties. Join us as we explore her career and learn how we too can build a successful direct specialty care business, practice medicine with joy, and make lots of people happy along the way.

In this episode:๐Ÿ”ฅ How to talk to people about direct care
๐Ÿ”ฅ Good faith estimates before they were mandated
๐Ÿ”ฅ "We want them to be raving fans."
๐Ÿ”ฅ Learning from our patients and seeking help from experts
๐Ÿ”ฅ The value of having some skin in the game
๐Ÿ”ฅ What about Medicare and Medicaid?
๐Ÿ”ฅ A walk-in dermatology clinic
๐Ÿ”ฅ A mobile dermatology clinic
๐Ÿ”ฅ Inspirational advice
๐Ÿ”ฅ The Seinfeld dermatologist joke ๐Ÿคฃ
๐Ÿ”ฅ Dr. Lewellis' WHY for this podcast
๐Ÿ”ฅ Integrity and not shortchanging people
๐Ÿ”ฅ Balancing family life and entrepreneurship
๐Ÿ”ฅ Servant Leadership
ย Kathleen M. Brown, MD, is a board-certified dermatologist who started a solo direct pay practice in 2011.ย 

Over 13 years in a group practice prior to that, arrangements with third party payers became more complex and difficult, making it almost impossible to continue practicing medicine as she saw fit. Dr. Brown wanted more control over the way she practiced medicine, and felt that physicians should not allow billing and diagnosis codes to affect or control the practice of medicine, and also that fees should be predictable and reasonable. Because of all this, in 2011 she opened her own solo direct pay dermatology practice, Oregon Coast Dermatology. It operated free from third-party payers such as insurance companies, Medicare, and Medicaid. For almost eight years, Dr. Brown worked directly for her patients by getting rid of the middlemen and posting prices in public, based on time spent with the patient.ย 

In 2019 she closed her practice in order to move with her husband to their property in Montana. They chose to have more time for life outside of medicine, including their time for family and outdoor recreation. She has continued to help other physicians succeed in third-party-free practices. She has also kept up with her specialty of dermatology and is ready to open a part-time mobile direct pay dermatology practice. She is a director on the board of the Frontier Institute, and stays involved with the Free Market Medical Association.ย 
To learn more about Dr. Brown, check out these links๐Ÿ‘‡

๐Ÿ”— Connect with Dr. Brown
๐Ÿ‘ฉโ€โš•๏ธ Montana Dermatology (website coming soon!)
๐Ÿ‘ฅ LinkedIn
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Need a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at [email protected] if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.

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Above & Beyond DermatologyBy Stephen Lewellis, MD, PhD

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