Hello, I'm Dr. Mark Molckovsky, a family doctor who supports using technology and systems to improve primary care. I worked at an FQHC for three years before becoming the Director of Clinical Operations at Fold Health.

My personal story is located here.

Fold Health

As the Direct of Clinical Operations at Fold Health, I have tremendous impact on crafting the primary care tools of tomorrow that will be used to provide comprehensive care for patients.

Primary Care Physician

I practice part time via Clearfield Jefferson Primary Care Associates. My practice is not open to the public.

If you would like to join a waitlist for primary care services in State College, sign up here.

What I Do…

Explore Your Product or Processes with Curiosity

I dive into your product with rigorous curiosity. Understand its intricacies, features, and functionalities. Ask questions, experiment, and discover its hidden potential.

User Acceptance Testing and Bug Reporting

Just because there’s no bug in the code doesn’t mean the product is ready for prime time.

Design Team Collaboration

Collaborate closely with your design team. Guide them toward precision from the outset. By providing valuable insights and catching potential design flaws early, you contribute to a smoother development process.

Customer Support

Troubleshoot customer queries and address support requests promptly. Your responsiveness and problem-solving skills enhance customer satisfaction, fostering loyalty and trust.

Who I do it for

  • Fold Health, Director of Clinical Operations (2022 to present)

Why I do it

  • Elevating Health Outcomes in America: Achieving better health outcomes in the United States necessitates placing primary care at the forefront of our healthcare system.

  • Empowering Primary Care: To enhance primary care, we must provide primary care physicians with the autonomy, necessary tools, robust support, and appropriate incentives.

Core Beliefs

There’s a need to fill gaps of care between visits.

 

Conversations about your health shouldn’t be confined to <20min semi-annual PCP visits. (If you are even lucky enough to have a good PCP) Primary care should include daily or weekly touch points. You can achieve this through digital tools to extend the care between visits.

Effective primary care involves leveraging caregivers to move the clinical needle.

 

Changing individual habits is hard. Following up on healthy diet choices, exercise reminders and improved lifestyle habits requires persistence and someone “on the inside”. Leveraging caregivers and loved ones is essential to moving the clinical needle.

Prevent doctors from saying the same thing over again.

 

A PCP will have around 100,000 patient visits in their careers. There’s no way HPI gathering and patient counseling for patient #100,000 will be as in depth as for patient #1. Help doctors take comprehensive HPIs and provide backup for patient counseling.

Fee-for-Service (FFS) Medicine discourages quality primary care.

 

Incentivizing quick visits, not reimbursing asynchronous communication, and maintaining a narrow focus on immediate concerns, FFS favors quick care and penalizes meaningful time spent with patients.

It’s time for primary care providers to take on risk.

 

Whether risk is in the form of Value-Based Care contracts or Direct Primary Care combined with Healthshares, quality preventative medicine needs to be rewarded if healthcare costs are going to come down.

The best and brightest med students need to start picking primary care.

 

The burden of paperwork and lower compensation for PCP’s often steers the most talented medical students toward ROAD specialties. Better physicians will lead to better care and more primary care innovation.

Current DPC physicians are leading the way in primary care innovation.

 

I’ve met them. I’ve worked with them. The best and most innovative primary care in America is found within the DPC movement.

Virtual Primary Care needs local flair.

 

Successful virtual primary care hinges on possessing local knowledge—understanding where to access cost-effective lab work and imaging, familiarity with local specialists and physical therapists. A clinician without local insight operates with a significant disadvantage.

For virtual primary care to thrive, it needs reliable point of care data.

 

Virtual visit information gaps including obtaining reliable vital signs, physical exam findings, point-of-care lab values, caregiver insights, and other verifiable data from smartwatches or phones.

Healthcare data needs to be portable.

 

Enough said. The Data is still not easily portable in a cost effective way.

COVID-19 has really made clinicians think twice about in-person visits.

 

Covid has changed the game when it comes to acute sick visits. Keeping providers safe and healthy is now a priority. For example, the oropharyngeal exam puts providers at risk. Nobody thought about aerosolized viral particles in the exam room prior to Covid. There’s tremendous opportunity in making in person care safer.