Governor Announces 2013 Supplemental and 2014-2015 State Budgets
Governor Paul LePage last Friday released a summary of the provisions in both the Supplemental and Biennial Budgets. The proposed two-year budget of $6.2 billion includes many reductions in the human service area and cuts reimbursement to critical access hospitals. The proposal also eliminates entirely the state-funded drug program for the elderly.
Last Friday, Governor Paul LePage's Cabinet held a briefing on the Administration's proposed 2013 Supplemental Budget and a State Fiscal Year 2014-2015 Biennial Budget. The budget contains initiatives in Health and Human Services, Education, Transportation, Natural Resources and other areas.
Below is a summary of the proposed changes in the Department of Health and Human Services. MMA staff continue to review the documents. Watch for future editions of the Weekly Update for further details and discussion of the impact of proposed cuts. Meanwhile, last week the Legislature's Appropriations Committee continued to receive briefings on the impact of cuts proposed in the Governor's Curtailment order for 2012-2013.
DHHS FY 13 Supplemental Initiatives
- $4.2 million in additional funding to address the 25 percent increase in children in the foster care assistance program.
- $2 million in funding for mental health services for individuals not eligible for MaineCare, in conformance with the consent decree. The services funded include Community Integration, Assertive Community Treatment, Daily Living Support, Medication Management, and WRAP. This funding complements other funds provided for Bridging and Rental Assistance Programs to facilitate safe and supportive housing for consumers.
- Eliminate Funding for Medically Needy Individuals in a Spend-Down Category: These individuals reside in certain Private Non-Medical Institutions but do not have enough monthly income to pay the private rate of the facility. These individuals have income over 100 percent of the federal poverty level ($931 monthly) and are under the asset limit of $2,000. The department currently uses all state dollars to fund their medical costs until they meet their deductible and become eligible for MaineCare. This initiative will grandfather current members; we will not be allowing new members into the eligibility group.
- Eliminate the State-Funded Drug Program. Eliminates the Drugs for the Elderly program which covers co-payments, Medicare Part D premiums, out-of-pocket costs, known as the donut hole, and the cost of excluded drugs. This program is 100 percent state funded.
Savings: $1.75 million
- Increase Care Management. 20 percent of MaineCare members account for 87 percent of the cost, and the top 5 percent account for 54 percent of the cost. Initiatives already under way assure appropriate services are provided in the proper settings and will expand with high utilizers, leading to intensive care management and savings.
- Reduce Reimbursement Rates for Critical Access Hospitals. Reduce reimbursement to Critical Access Hospitals from 109 percent of actual costs to 101 percent. This aligns with Medicare’s current reimbursement of 101 percent.
- Rate Reduction in Section 45, Hospital Outpatient Services. Reduce reimbursement for hospital outpatient services by 10 percent.
Savings: $1.2 million
- Manage to a $10.1 Million Cap in General Assistance
DHHS FY 14-15 Initiatives
- A 3.5 percent funding increase is included each year to account for growth in payments to providers. In comparison, the national annual average for growth is projected to be around 6 percent. (CMS Trend Report)
Funding: FY14: $13.1 million FY 15: $33 million
- Mental Health Consent Decree. Funding for mental health services for individuals not eligible for MaineCare in conformance with the Bates vs. Harvey Consent Decree. The services funded include Community Integration, Assertive Community Treatment, Daily Living Support, Medication Management, and WRAP. This funding works complementary to the additional funds provided for Bridging and Rental Assistance Programs to facilitate safe and supportive housing for consumers.
Funding: FY14: $2 million
- Wait Lists – Developmentally Disabled. Funding to reduce wait lists for individuals with intellectual disabilities and autism. These are home and community based services and supports provided under the Section 21 Waiver.
Funding: FY14: $3.3 million FY15: $3.4 million
Taken off the wait list: 85 people
- Reduce Medicare Savings Plan to Federal Minimums and Eliminate Crossover Payments. Maine is currently one of two states that provide coverage above the federal minimum. Recently, the federal government allowed a reduction in services by 10 percent.
Savings: FY 14: $11.7 million FY15: $12.1 million
- Limit Those Eligible for Medicaid and Medicare to Receive Services from Licensed Clinical Social Workers (LCSW). This initiative aligns with Medicare, which only reimburses LCSWs for Behavioral Health Services. Medicare does not reimburse for Licensed Clinical Professional Counselors (LCPCs) or Licensed Marriage and Family Therapists (LMFTs).
Savings: FY14: $3. 3 million FY15: $3.3 million
- Eliminate the State Funded Drug Program. Eliminate the Drugs for the Elderly program which covers co-payments, Medicare Part D premiums, out- of-pocket costs known as the donut hole and the cost of excluded drugs.
Savings: FY14: $7 million FY15: $7 million
- Manage to a $10.1 Million Cap in General Assistance. Establish changes in the General Assistance Program that will reduce costs, including standardized bed- night rates, standardized reimbursement to municipalities at 50 percent and exclusion of benefits provided to people who are not eligible for TANF due to the 60-month time limit.
Savings: FY14: $3.1 million FY15: $3.6 million
- Eliminate Cash Assistance for Legal Non-Citizens. Discontinue the state-funded cash assistance to legal non-citizens who are not entitled to Social Security Income (SSI) benefits.
Savings: FY 14: $552,000 FY15: $740,000
- Align Hospital Taxation with Nursing Facilities. Rebase the hospital tax annually to mirror existing practice with Nursing Facilities.
Revenue Increase: FY 14: $13.1 million FY15: $17.8 million
- Reduce Reimbursement to Critical Access Hospitals. Carry forward the change proposed in FY 13 Supplemental to reimburse Critical Access Hospitals at 101 percent of actual costs vs. 109 percent.
Savings: FY14: $2.4 million FY15: $2.4 million
- Increase Care Management. 20 percent of MaineCare members account for 87 percent of the cost, and the top 5 percent account for 54 percent of the cost. Initiatives already under way will expand, with all providing intensive care management of high utilizers to reduce cost.
Savings: FY14: $6.5 million FY15: Projected Biennial Savings: $15.6 million
Registration for the State's Prescription Monitoring Program No Longer Requires a Notarized Form
The State Office of Substance Abuse Services and MMA are pleased to announce that the services of a notary public will no longer be required in order to register to access on-line records in the Prescription Monitoring Program database. The requirement was a condition of a federal grant which has now expired. The necessity of seeking out a notary to sign the enrollment form was seen as a significant barrier to participation in the Program.
By virtue of legislation enacted in 2012 as part of the Supplemental Budget, enrollment will be required of all prescribers with the ability to prescribe controlled substances unless 90% of the prescribers in that licensing group are registered by Jan. 1, 2014. Legislation is being prepared to delay that date in favor of a process that would automatically enroll prescribers at the time they receive a professional license or a DEA license. That legislation is likely to be considered by the Health and Human Services Committee this session. [return to top]
2013 Medicare Payment Rates and Claims Processing Issues Outstanding
In an announcement released by the Centers for Medicare & Medicaid Services (CMS) on January 3 in response to enactment of the American Taxpayer Relief Act, the agency indicated that some carriers may not be posting updated 2013 Medicare physician payment rates and limiting charges on their web sites until later in the month.
As a result, physicians may experience some brief delays in processing claims at the updated 2013 Medicare approved amounts. The 2013 Medicare fee schedule amounts provided by carriers in November included the SGR and GPCI reductions, and thus significantly understate the current rates. Until carriers get the new rates posted, some practices have asked what they should charge. By law, Medicare is required to pay physicians the lesser of the submitted charge or the Medicare approved amount. To avoid having their Medicare payments cut, physicians should not base their billed charges on the previously posted 2013 Medicare fee schedules, but should either charge their 2013 retail rates or defer submission of claims for 2013 dates of services until the new 2013 rates are published. In addition, due to the relative value changes that will affect some 2013 payment amounts and limiting charges, practices should probably wait to bill patients directly for cost-sharing amounts until the new 2013 rates are published, especially for unassigned claims.
In light of the lateness of Congressional action to avert the scheduled SGR cut for 2013, CMS has also reopened the Medicare participation enrollment period until February 15, 2013. The AMA has developed a number of resources for physicians on their Medicare participation options, which are available at www.ama-assn.org/go/medicareoptions. [return to top]
Eastern Maine Health Care and Mercy Hospital Announce Definitive Agreement
As of our publication time, Eastern Maine Health Care and Mercy Hospital were expected to announce that they have successfully concluded preliminary discussions and negotiations and that a definitive agreement has been reached providing for the sale of Mercy Hospital in Portland to EMHC which is located in Brewer. Watch for more details in next week's Update. [return to top]
CMS Gives State Approval to Reduce Some Benefits, Denies Other Requested Cuts
The Centers for Medicare & Medicaid Services Jan. 7 gave Maine a split decision, approving some of the state's proposed cuts to its Medicaid program but denying others.
In transmittals sent to the Maine Department of Health Services, CMS approved Gov. Paul LePage's request to end prescription drug coverage and deny Medicaid coverage to some elderly adults with disabilities who also receive Medicare. CMS also approved a cut that reduced coverage for parents with incomes between 133 percent and 200 percent of the federal poverty level (FPL).
The cuts were approved under an exception to the so-called maintenance-of-effort (MOE) provision in the Affordable Care Act. The exception allows states to reduce certain categories of coverage if the state certifies that it has, or expects to have, a budget deficit in the current fiscal year. Maine sent its certification to CMS in August along with a proposed state Medicaid plan amendment specifying the cuts.
CMS denied the state's request to cut Medicaid coverage for low-income 19- and 20-year-olds. It also rejected the state's request to reduce Medicaid coverage for parents earning less than 133 percent of the FPL.
“The law gives states substantial flexibility when operating their Medicaid programs,” CMS said in a statement. “While some of the changes proposed by the state of Maine are permissible, others are not consistent with federal law.” [return to top]
MMA Legislative Committee Conference Call Tuesday, Jan. 15, 8 pm
The MMA Legislative Committee weekly phone calls will continue tomorrow, Tuesday, January 15th. They will be held every Tuesday at 8 pm through the session.
We apologize for those who may have tried to join last week and experienced technical difficulties. We have identified the source of the problem and should have no problems this week.
Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate. Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate. It is not necessary to RSVP for the calls.
Please use the following conference call number and passcode. These will remain the same for every weekly call during the session:
The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed that week, to hear the views of specialty societies on the new bills or their concerns about any health policy issues, and to discuss the highlights of legislative action that week. The calls rarely last longer than an hour and usually we can accomplish our business in much less time.
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If you have any questions about the conference calls, please contact Andrew MacLean, Deputy EVP at email@example.com or 622-3374, ext. 214.
Bills released this week:
LD 1, An Act To Amend the Maine Workers' Compensation Act of 1992 (monitor)
LD 3, Resolve, Regarding Legislative Review of Portions of the MaineCare Benefits Manual, Chapter III, Section 21: Home and Community Benefits for Adults with Intellectual Disabilities or Autistic Disorder, a Major Substantive Rule of the Department of Health and Human Services (monitor)
MaineCare Limits on Opioid Pain Medication In Effect; PA Forms for Chronic Pain Management Now Available
The limits impact both prescriptions for acute pain and chronic pain and will be effective retroactively. The proposal, which is being put into an emergency rule, is posted on the MMA website at www.mainemed.com (in Spotlight section). There are also new limits on methadone and Suboxone prescribed for treatment of addiction and those limits are discussed below in a separate article.
The proposal is divided into sections dealing with acute pain (pain expected to be resolved within 60 days) and non-acute or chronic pain. Exceptions to the limits are made for the following categories:
- A MaineCare member who is receiving opioid medications for symptoms related to HIV, AIDS and cancer and other qualifying diseases and conditions, as set forth on the Department's Preferred Drug List.
- A MaineCare member who is receiving opioid medications during inpatient treatment in a hospital, in a nursing facility or during hospice care.
- A MaineCare member who is receiving 30 milligrams or less of morphine sulfate equivalents on a daily basis.
- A MaineCare member for whom MaineCare reimbursement for opioid medications for the treatment of addiction is restricted by limits applicable to methadone and buprenorphine and naloxone combination medications.
While prescribers impacted by the limits are encouraged to review the details of the proposal on the MMA website (in Spotlight section) at www.mainemed.com, the essence of the proposal is a limit of 15 days of medication for acute pain, with the ability to receive up to three 14 day renewals through prior authorization so long as there is a face to face visit with the patient. A renewal beyond 57 days would require a treatment plan consisting of incorporation of non pharmacologic treatments and functional assessment of the member by the physician or other prescriber. In essence, treatment beyond 57 days will move the patient to the non-acute, or chronic pain limits.
For treatment for chronic pain, opioids will be covered by MaineCare only after one or more non-pharmacologic treatment alternatives are attempted. The proposed rule includes as such alternatives physical therapy, occupational therapy, chiropractic therapy, osteopathic manipulative treatment, cognitive behavioral therapy, and acceptance commitment therapy. Note that the Department may waive the requirement of a non pharmacologic intervention treatment through prior authorization when participation is not feasible and opioid treatment is medically necessary.
The following forms are now available in the Authorizations and Referrals folder of the Provider Forms page of the Health PAS Online Portal:
The forms can also be found on the Pain Management Program webpage on the MaineCare website.
- PA for Physical Therapy (PT) Services for Chronic Pain Form
- PA Fax Cover Sheet for Therapy Services Review
Post-surgical pain is treated as acute pain, but a more liberal provision applies as after the first fifteen day script, the surgeon may renew the script for a total of 60 days, in one or multiple prescriptions through prior authorization. But there is a requirement that the patient be seen by a provider (not necessarily the surgeon).
MMA staff is available to present CME programs on this topic to medical staffs and other interested groups. If your practice or staff is interested in a presentation, contact Gordon Smith, Esq., at firstname.lastname@example.org or by calling 622-3374, ext. 212. Dr. Flanigan is frequently able to present as well and he can be reached at his MaineCare office at 287-1827.
Finally, physicians are reminded that these limits imposed by the Legislature are limits on the ability of MaineCare to pay for the medication. The physician is free to write for whatever medication he or she believes is appropriate for the patient and the patient may pay cash for the medication if it is not covered by MaineCare. But in doing so, the prescriber may wish to consider whether these limits will eventually be considered the appropriate standard of care for treatment of pain. [return to top]
Attestation Form for MaineCare Primary Care Payment Bump Available; Must be Completed
As reported in previous issues of the Update, the Office MaineCare Services (OMS) is implementing Section 1202 of the Affordable Care Act, effective January 1, 2013 which requires Medicaid programs to pay “for primary care services furnished by certain physicians in calendar years (CYs) 2013 and 2014 at rates not less than the Medicare rates in effect in those CYs or, if greater, the payment rates that would be applicable in those CYs using the CY 2009 Medicare physician fee schedule conversion factor.”
In order to receive the increased rate, providers must fill out and submit a Self Attestation form. By completing the form, providers attest that s/he meets the criteria established by the ACA – specifically, that:
- they are appropriately Board certified; OR
- that 60 percent of their Medicaid claims are for evaluation and management (E&M) and vaccine administration codes as specified in the federal rule.
The Self-Attestation form can be found here (downloadable Word document) and provides detail on each of the above criteria.
Provider files will be updated once OMS has approved your form, and OMS will send you a confirmation via email. Please note that the increase will not occur until OMS has approved your form, and that payments will be retroactive to 1/01/13.
If you have any questions, please contact Donna Sutter at OMS at (207) 629-4280. [return to top]
HHS Releases Proposed Medicaid, Exchange Eligibility, Appeals Rule
The Department of Health and Human Services today, January 14th, released a proposed rule designed to promote consistent policies and processes for eligibility notices and appeals in Medicaid, the Children's Health Insurance Program, and insurance exchanges.
HHS also said the proposal will give states more flexibility when operating their Medicaid programs. It also includes information on how consumers will receive coordinated communications on eligibility determinations and can appeal eligibility determinations.
In a statement, HHS said the proposed rule “will help develop systems that will make it easy for consumers to determine if they are eligible for Medicaid or tax credits that make insurance more affordable.”
The proposal is set for publication in the Jan. 22 Federal Register and can be viewed at the Federal Register by clicking here. Comments on the proposed rule (CMS-2334-P) are due Feb. 13.
A fact sheet with additional information regarding the changes made through this proposed rule is available by clicking here. [return to top]
Maine Quality Counts Launches ACO Webinar Series
QC Brown Bag Forum
ACO Series: Introductory Session
Tuesday, January 22, 12N - 1PM
Recognizing the rapid changes occurring in the Maine health care landscape, Maine Quality Counts (QC) is partnering with the Maine Health Management Coalition (MHMC) to present a new webinar series designed to introduce Accountable Care Organizations (ACOs) and what they mean for health care stakeholders in Maine.
This ACO webinar series will be the focus of the QC Brown Bag Forum webinars for the first several months of the year, with an introductory session on Tuesday, January 22. Participants will learn about national and statewide ACO efforts, including brief overviews of several ACO efforts in Maine. Subsequent sessions held on the 4th Tuesday of each month will feature more detailed presentations by various health systems and provider groups sponsoring ACO efforts, providing opportunities to highlight these emerging models and share lessons learned.
QC Brown Bag Forum ACO Series Schedule (all 12N - 1PM):
- Tues, January 22 - Introductory Session
- Tues, February 26 - Beacon Health & MaineHealth ACO
- Tues, March 26 - Central Maine ACO & Maine Community ACO
- Tues, April 23 - MaineCare Accountable Communities & MaineGeneral / State Employee Health Commission ACO
Register today to learn how Maine's ACOs are transforming care across the state!
We appreciate advance registration. However, if you are unable to pre-register, you may join on the date of the webinar using following instructions:
- Lisa Letourneau, MD, MPH, Executive Director, Maine Quality Counts
- Elizabeth Mitchell, Chief Executive Officer, Maine Health Management Coalition
- William Kassler, MD, MPH, Chief Medical Officer, New England Region, Centers for Medicare and Medicaid Services
- Representatives from Beacon Health, Central Maine ACO, MaineCare Accountable Communities, Maine Community ACO, MaineGeneral / State Employee Health Commission ACO and MaineHealth ACO
Go to www.readytalk.com and login as a participant using access code 6223374
Dial 1.866.740.1260 and enter access code 6223374 [return to top]
Limited Number of Remote Sites Available for Feb. 1 Program on Opiates; Plenty of Room to Attend in Manchester
The MMA's First Fridays Educational Series for 2013 begins on Friday, Feb. 1 from 9:00am to 1:00pm and includes an unusual feature. THERE IS NO COST to attend, either in person at the MMA offices in Manchester or via webex from a laptop or desktop. Because of grant funding by the state Office of Substance Abuse and Adult Mental Health Services, we are able to present the program without charge. The number of sites available for webex have filled up, but there is space available to attend at the office in Manchester.
Faculty for the program includes Tamas Peredy, M.D. of the Northern New England Poison Center, John Lipovsky, the new coordinator of the Prescription Monitoring Program, Noel Genova, PA-C of the Chronic Pain Consultation Program, Stephen Kelleher, and Gordon Smith, Esq. of MMA. MaineCare Medical Director Kevin Flanigan will also be available to describe the MaineCare limits on opiate medication, effective Jan. 1, 2013.
Registration is available on the MMA website at www.mainemed.com. Although the registration form notes that a fee is charged, just complete your registration form without including that portion. A new form with a full agenda and goals and objectives will be available shortly and will be distributed electronically to all of the e-mail addresses we have available for members and their staffs.
Only twenty five remote sites are available so sign up as soon as possible if you know that your facility or practice would like to attend.
A complete list of all the 2013 First Friday programs is also on the website and was included with your Fall issue of Maine Medicine. [return to top]
MEDICAL DIRECTOR - Mercy Recovery Center, Westbrook, Maine
The Mercy Recovery Center
offers the largest substance abuse treatment center in Maine for adults treating
the entire spectrum of substance abuse from alcoholism to drug addiction.
Treatment services include detoxification, group therapy, treatment of
withdrawal symptoms, and long term therapies.
seeking a Psychiatrist
specializing in addiction medicine to serve as Medical Director
for the Recovery Center. Suboxone
certification is required. Previous experience running an addiction clinic is
strongly desired. This position oversees four physicians and 8 physician
extenders. Direct care responsibilities include a combination of office visits,
inpatient, and partial hospitalization coverage. Mercy offers a competitive
compensation and benefits package.
Mercy is the Greater Portland regional health care system
representing the highest standards of clinical excellence and compassionate
care. Because of a commitment to excellence, the nursing,
clinical and support services have consistently
achieved superior patient satisfaction ratings, and remain
committed to providing the highest quality healthcare for all.
FMI and to
apply online, please visit our website: www.Mercyhospital.org
send your CV to Alison Salerno, Provider Recruiter, at email@example.com, or Mercy Hospital, 144 State St., Portland, ME 04101. 207-879-3804 E.O.E.
HOSPITALIST - Belfast, Maine
Multi-specialty community hospital on the coast of Maine seeks full-time BC/BE Hospitalist to join an established group and provide full medical oversight of hospital inpatient and critical care activities. Belfast offers beautiful views of Penobscot Bay and is ideal for outdoor enthusiasts. Exceptional family environment with excellent schools.
Send CV to Dan Bennett, Director of Operations, Waldo County General Hospital, P.O. Box 287, Belfast, Maine 04915. Tel. 207-930-6741, Fax 207-338-6207, e-mail: firstname.lastname@example.org.
MEDICAL DIRECTOR/PHYSICIAN - Health Access Network - Lincoln, Maine
Health Access Network (HAN), a Federally Qualified Health Center (FQHC) in Lincoln, Maine, is seeking a dynamic physician leader to serve in the role of Medical Director to provide overall direction and oversight of our clinical team, as well as provide part-time direct patient care. The Medical Director will join the health center’s leadership team in meeting the goals and objectives of the health center’s mission. Responsibilities include, but are not limited to administrative and on is two days a week administrative and three days providing direct patient care.
Qualifications: Board Certified in family medicine, Maine License, and have at least five years primary care and leadership experience. A practicing physician wishing to transition to a part time medical-administrative/management role is encouraged to apply. Community health center experience a plus. Familiarity with disease registries and electronic medical records is required. Must have exceptional verbal and written communication skills, and possess compassion, innovation, integrity, and excellence which are the health center’s values.
For more information or to forward your curriculum vitae' contact: Sonia Maxwell, HR Director/Compliance Officer, P.O. Box 99, Lincoln, ME 04455, 207-794-6700, email@example.com.
NURSE PRACTITIONER - Dexter, Maine
Sebasticook Family Doctors is a Federally Qualified Health Care Center currently accepting applications for a Full Time Nurse Practitioner for our Dexter location. Ideal candidate will have two or more years experience with exceptional clinical, interpersonal and EMR skills. Maine License and DEA registration required. Excellent compensation, benefits and working environment.
Send resume and cover letter to: Melanie Knowles, Human Resources, Sebasticook Family Doctors, 18 Moosehead Trail, Suite 5, Newport, ME 04953, firstname.lastname@example.org.
MD/DO Position Available - Dexter, Maine
Sebasticook Family Doctors is accepting applications for a MD/DO at our busy Dexter location. Ideal candidate will have two or more years experience in a busy community health outpatient setting delivering high quality care. Exceptional clinical, interpersonal and EMR skills are required. SFD offers excellent compensation, benefits and working environment. Join our growing team!
Interested applicants should send resume and cover letter to: Melanie Knowles, Human Resources, Sebasticook Family Doctors, 18 Moosehead Trail, Suite 5, Newport, ME 04953 or at email@example.com.
PSYCHIATRIC NURSE PRACTITIONER Position Available - Dexter, Maine
Sebasticook Family Doctors is a Federally Qualified Health Care Center currently accepting applications for a Full Time Psychiatric Nurse Practitioner for our Dexter location. Position includes assessment, medical management, therapy and group work. Ideal candidate will have 3 or more years experience in a busy community health outpatient setting delivering high quality care. Excellent compensation, benefits and working environment.
Send resume and cover letter to: Melanie Knowles, Human Resources, Sebasticook Family Doctors, 18 Moosehead Trail, Suite 5, Newport, ME 04953 or at firstname.lastname@example.org.
FAMILY PRACTICE PHYSICIANS SOUGHT - Millinocket and Patten Maine Locations
Katahdin Valley Health
Center is recruiting dedicated Family Practice Physicians that are committed to
providing quality health care services to the people in Central/Northern
Maine. Join our practice in one of the newly
expanded facilities. We are seeking
physicians for our Millinocket and Patten locations. KVHC is a fully electronic medical record
site and offers a competitive salary and benefits package which includes sign
on bonus, generous amounts of paid time off, health insurance, life and disability
insurance as well as Federal Torts Claims Act (FTCA) malpractice coverage. No nights, no weekends, either limited or no
inpatient care and limited call coverage.
Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.
Physicians that join KVHC
will be providing quality care in a dynamic, cutting edge environment, within a
patient focused team of 11 Providers and 90 Staff Members. As one of New England’s highest performing
Federally Qualified Health Centers (FQHC), KVHC has a mission to provide
community accessible, quality healthcare with compassion and dignity.
To learn more about KVHC and
Practitioner Opportunities, please contact Michelle LeFay at email@example.com or visit our website at http://www.kvhc.org.
KVHC is an equal opportunity employer.
2/11/13 [return to top]