February 4, 2013

 
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State's Prescription Drug Abuse Task Force Met on Tuesday, Jan. 29 in Augusta

The state's Prescription Drug Abuse Task Force met at the State House on Tuesday to hear reports from four subcommittees working in the areas of education, the prescription monitoring program, proper drug disposal and the diversion alert program.  Attorney General Janet Mills attended the meeting and is interested in continuing the work of the Task Force which was created more than a year ago by Governor LePage and former Attorney General William Schneider.

One of the more interesting items on the agenda was the possible expansion of the current diversion alert program so that prescribers from throughout the state may have access to the arrest and conviction information for drug related offenses in their geographic area.  Some Task Force members have expressed concern about patients being terminated inappropriately based upon arrest information.  The alerts, which would be sent by law enforcement to any prescriber interested in receiving this public information, have been well received by physicians in the four areas of the state where they have been utilized, including Waterville, Piscataquis County, Washington County and Aroostook County.

Other topics discussed at the meeting included an update on the Prescription Monitoring Program.  MMA representatives presented draft legislation to the group that would amend the mandatory participation date of March 1, 2014 by allowing automatic enrollment in the program at the time of licensure. 

Joe Bruno, a pharmacist and former legislator, is chair of the Task Force.  He also currently chairs the state Pharmacy Board.  The only physician on the group is Stevan Gressitt, M.D. Gordon Smith represents MMA on the Task Force.

POLITICAL PULSE: Budget Deliberations Continue, Committee Hearings Begin

The pace is picking up in Augusta as legislative committees complete introductory sessions with agencies and advocates and begin to schedule public hearings on bill proposals.  Budget deliberations also continue on the Fiscal Year 2013 Supplementary Budget.  Here are some highlights of what MMA followed this week: 

HEALTH AND HUMAN SERVICES REPORTS TO APPROPRIATIONS COMMITTEE ON BUDGET

This was a busy week for the budget.  The Appropriations Committee held public hearings on the Department of Health and Human Services (DHHS) aspects of the 2013 Supplemental Budget early in the week.  COO Andrew MacLean prepared testimony on behalf of the MMA expressing our concerns about cuts to the reimbursement for critical access hospitals (from 109% to 101% of costs) and for hospital outpatient services (a 10% cut).  He also raised questions about implementing targeted case management for the top 20% of high-cost MaineCare members and how those services would be coordinated with existing care coordination initiatives being implemented around the state.  Finally, he urged the Committee to consider restoration of reimbursement for Ambulatory Surgical Facilities and smoking cessation medication services, which were cut in last year's budget, and to add coverage for neonatal male circumcision. View his full testimony here

Beginning mid-week, the Health and Human Services Committee had the opportunity to consider the DHHS portions of the budget and reported their recommendations to the Appropriations Committee on Friday.  The Health and Human Services committee voted 8-5 to not cut funding for critical access hospitals and 10-3 to only implement the 10% outpatient rate cut for the remainder of the fiscal year.   In more controversial areas, the Committee also voted not to accept some of the administration's proposed cuts to drug assistance for the elderly and general assistance.   The Appropriations Committee spent Friday afternoon caucusing to discuss the budget and is expected to begin voting on budget items on Monday. 

LABOR COMMITTEE HOLDS PUBLIC HEARING ON VACCINATIONS 

The Labor, Commerce, Research and Economic Development (LCRED) Committee held one of the first public hearings of the session on LD 32, An Act To Expand the Types of Vaccines That May Be Administered by Pharmacists.  The bill proposes that pharmacist would be able to administer a vaccine licensed by the United States Food and Drug Administration to a person 18 years of age or older who has a primary care provider if the vaccine is outside the guidelines recommended by the United States Centers for Disease Control and Prevention Advisory Committee on Immunization Practices if a prescription from the primary care provider specifically states that the vaccine is medically necessary.  The issue was raised by a constituent who was unable to receive a shingles vaccine because she was under the age recommended by the Prevention Advisory Committee.  Mr. MacLean testified on behalf of the MMA stating that while physicians did not have major concerns with the proposal, more vaccines being administered by pharmacists raise issues of continuity of care and undermining the medical home.  

MMA MEETS ON TANNING BED LEGISLATION 

Representatives of the MMA, Maine Chapter American Academy of Pediatrics and American Cancer Society Cancer Action Network met with the Governor's health policy staff lastTuesday to introduce the topic of banning tanning bed use for minors.  Tanning bed use is strongly linked with the development of skin cancer and first exposure to tanning beds before the age of 35 is associated with a 75% increased risk of melanoma.  Physicians Janice Pelletier (a pediatrician from Bangor) and Robert MacNeal (dermatologist from Portland) joined for the meeting.  Senator Robert Gratwick, MD,  has sponsored the MMA/AAP bill to ban tanning bed use for all minors.  

EVENTS WEEK OF 2/4/13 

If you are interested in attending or learning more about any of the events taking place at the state house next week, please contact Jessa Barnard at jbarnard@mainemed.com or 622-3374 x 211.  For a full list of events taking place at the state house, visit the Legislative Calendar

Tuesday, 2/5, 8:30 am: American Heart Association Hall of Flags 

Tuesday 2/5, 1 pm: Insurance and Financial Services overview of insurance rate regulation and rating factors 

Tuesday 2/5, 7 pm: State of the State Address by Governor Paul LePage 

Wednesday 2/6,10 am: LCRED Committee Work Session on LD 32,  An Act To Expand the Types of Vaccines That May Be Administered by Pharmacists

Thursday 2/7, 1 pm: HHS Committee Hearing on LD 23, An Act To Lower the Cost of Copies of Medical Records

 

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MMA Joins Call for Action to Protect Kids from the Most Dangerous Chemicals

Last year, Maine named 49 Chemicals of High Concern, a list that identifies chemicals proven through strong, scientific evidence to cause cancer, reproductive problems, and hormone disruption.  But no action has been proposed to reduce exposure to these chemicals. Maine Senate Majority Leader Seth Goodall announced last week that he has introduced a new bill, “An Act To Further Protect Pregnant Women and Children from Toxic Chemicals”, in order to identify which products contain the 49 ”worst of the worst” chemicals and set priorities for action to get those chemicals out of household products that Maine children encounter every day.

“Protecting children’s health is a top priority for Maine families.  They are looking to the legislature to help them get good information about which household products contain the most harmful chemicals, and to get unnecessary, dangerous chemicals out of everyday products,” said Senator Goodall.  “This is an issue we can all come together on.  I look forward to working with my colleagues on both sides of the aisle to prevent disease, lower health care costs, and make a difference in the lives of Maine kids.”

At a press conference held last Tuesday, parents, health advocates, and a business owner made the case for action to reduce children’s exposure to harmful chemicals and spoke out in favor of Senator Goodall’s bill.

“The magnitude of our efforts should match the magnitude of the problem,” stated Dr. Lani Graham, a family physician, former chief public health officer for Maine, and co-chair of the MMA Public Health Committee.  “The Kid-Safe Products Act has the potential to continue the process of phasing out toxic chemical exposure.  We need to give it the teeth to make a big difference.”

For more information, click here[return to top]

MMA Legislative Committee Conference Call Tuesday, Feb. 5, 8 pm

The MMA Legislative Committee weekly phone calls will continue tomorrow, Tuesday, February 5th.  They will be held every Tuesday at 8 pm through the session. 

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:

Conference call number:  1-877-669-3239

Passcode:  23045263

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. 

If you have an opinion about any of these bills, but cannot participate in the call, please call or email Andrew MacLean, Deputy EVP at 622-3374, ext. 214 or amaclean@mainemed.com.

The following are bills of interest to the physician community printed last week.  We will discuss the priority bills marked with an asterisk (*) first:

 LD 123, An Act To Ensure Proper Anatomical Recovery of Human Bodies and Body Parts (monitor; Public Health Committee)

LD 129, An Act To Give Retroactive Effect to the State Employee Health Commission's Reconsideration of Hospital Ratings (monitor)

LD 132, Resolve, To Provide Organic Infant Formula through the Maine Women, Infants and Children Program (monitor; pediatricians)

LD 148, An Act To Amend the Laws Governing Drugs and Vaccines Administered by Pharmacists (oppose; pediatricians; Public Health Committee)*

LD 161, An Act To Prohibit a Health Insurance Carrier from Establishing a Separate Premium Rate Based on Geographic Area (support)

LD 162, An Act To Repeal the Maine Certificate of Need Act of 2002 (monitor)*

LD 164, An Act To Provide MaineCare Reimbursement for Pastoral Counselors (support; psychiatrists)

LD 166, An Act To Criminalize Importation of So-called Bath Salts Containing Synthetic Hallucinogenic Drugs (monitor; Public Health Committee)

LD 168, An Act To Establish Reasonable Restrictions on the Use of Fireworks (support; Public Health Committee; pediatricians; ophthalmologists)*

LD 171, An Act To Facilitate the Licensing of International Mail Order Prescription Pharmacies by the Maine Board of Pharmacy (monitor or oppose; Public Health Committee)*

LD 180, An Act Concerning the Use of Tobacco Settlement Funds for Children's Health Care (monitor; Public Health Committee)

LD 181, Resolve, To Require Hospitals To Provide Information Regarding Testing for Krabbe Disease for Parents of Infants (monitor or support; pediatricians; Public Health Committee)*

Two lists of bills submitted by legislators by the deadline now are available on the legislature's web site:

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Breach, Business Associate Obligations Biggest Changes in New HIPAA Rule

The long-awaited final rule updating several provisions in Health Insurance Portability and Accountability Act regulations was released Jan. 17 by the Department of Health and Human Services Office for Civil Rights.

A change to how covered entities must evaluate whether they are required to notify individuals when their personal information has been breached is being described as one of the most significant new provisions in the long-anticipated rule.  OCR removed the so-called risk of significant harm standard that, in the interim version of the rule required covered entities to notify individuals their protected health information (PHI) had been breached only if they determined through a risk assessment that the individuals could suffer financial, reputational, or other harm.

Although a majority of public comments to OCR on the data breach rule supported the standard, concerns were raised that the standard was too subjective and gave covered entities, in some instances, too much latitude to avoid notification.

OCR replaced the risk of significant harm standard with a provision that requires covered entities and business associates to notify individuals of a breach unless a risk assessment determines a “low probability” that the breached data were compromised.

OCR described four factors that risk assessments must consider:

  • the nature and extent of the PHI involved, including the likelihood data could be reidentified;
  • the unauthorized person who used the PHI or to whom an improper disclosure was made;
  • whether the PHI was actually acquired or viewed; and
  • the extent to which the risk to the PHI was mitigated.

The new standard is intended to be more concrete and leave less wiggle room for when a notification must be made.  There will now be a  presumption that a breach has occurred unless there is a demonstration of low probability of compromised PHI through a formal risk assessment, even if an entity does not believe a breach rises to a notifiable event.  A 60-day limit for notifying individuals of a breach is also retained in the final rule. 

The rule's broad requirements for business associates and their contractors also are among now-final HIPAA regulations, making  business associates, those organizations that do business with covered entities, liable for complying with many of the Privacy and Security rule and data breach notification obligations. The rule likewise finalized the definition of business associates to include subcontractors of business associates whose work involves PHI.

The final rule also will mean covered entities must rewrite all their business associate agreement to reflect obligations of those organizations.

Other changes include: 

  •  the right for patients to request electronic copies of their health records
  • prohibiting covered entities from sharing treatment information with health plans when the patients pay out of pocket

The rule becomes effective March 26, but covered entities and their business associates have until Sept. 23 to comply with most provisions. In the case of existing business associate agreements, covered entities have until September 2014 to make changes.

At a minimum, physician practices will have to update and redistribute their Notice of Privacy Practices and modify Business Associates Agreements to reflect changes in the rules.  The MMA will be preparing sample policies and will post them on www.mainemed.com when they are complete.  MMA attorneys are also available to provide on-site staff training on the rules. 

The final rule is available here[return to top]

Important Notice Regarding MaineCare PCP Rate Increase Self Attestation Form

If you faxed a form to MaineCare applying for an increased rate for your primary care services in calendar years 2013 and 2014, you may need to refax your Self Attestation form.  MaineCare's fax machine was out of order from Wednesday, January 16th through Tuesday, January 22nd.  If you faxed your form during this timeframe, MaineCare did not receive it and you should resend it as soon as possible. 

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]

Volunteers Sought for MMA Audit Committee

When the MMA's new bylaws were adopted by the membership in Sept., 2011, one of the changes called for the establishment of an audit committee.  The committee was charged with meeting at least annually with the MMA Finance Director and its outside auditor to review MMA finances.  The committee is being formed at this time and the association is seeking volunteers.  A majority of the committee needs to come from outside the 25 member Board of Directors.

If you are an MMA member with an interest or expertise in finance, please consider serving on this committee which is expected, at least initially, to meet only once or twice a year.  Interested members should furnish their name and CV to EVP Gordon Smith, Esq., at gsmith@mainemed.com.  For more information, contact Mr. Smith or Heidi Lukas, CPA, the Association's Finance Director (hlukas@mainemed.com). [return to top]

MaineCare Limits on Opioid Pain Medication In Effect; New Guidance for Patients with HIV/AIDS

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:

  1. 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.  Please note that MIHMS does not allow pharmacies to identify members with HIV/AIDS who have full MaineCare benefits. In order to avoid inappropriate denials for pain medication for members with HIV/AIDS, MaineCare suggests a work-around of completing a Prior Authorization (PA) with a diagnosis of HIV/AIDS or the code associated with the diagnosis. The PA will be in effect for one (1) year, and prescriptions will need to be completed per policy. The PA will be automatically approved with an HIV/AIDS diagnosis
  2. A MaineCare member who is receiving opioid medications during inpatient treatment in a hospital, in a nursing facility or during hospice care.
  3. A MaineCare member who is receiving 30 milligrams or less of morphine sulfate equivalents on a daily basis.
  4. 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, 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 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:

  • 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 gsmith@mainemed.com 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]

Annual White Mass For Health Care Professionals and Care Givers: Feb. 10 in Lewiston

The Annual White Mass for health care professionals and caregivers will be held at 10:00 am Sunday, Feb. 10, at the Basilica of Sts. Peter and Paul, 27 Bartlett St., in Lewiston.  The Mass celebrates health care professionals, including physicians, nurses, EMT's, physician assistants and other care givers from all religious denominations, by offering a blessing for their contributions to the healing mission and to ask for God's blessing upon their work.  The White Mass is named for the color of the vestments worn at the service.  Any interested health care professional or care giver is invited to attend.

The Mass is scheduled to coincide with the World Day of Prayer for the Sick on Feb. 11.  Since 1992, the Catholic Church has celebrated World Day of Prayer for the Sick to remind the faithful to pray for the sick, reflect upon and respond to human suffering and to recognize and honor all persons who work in health care and serve as caregivers.

For further information, contact Dave Guthro, communications director for the Roman Catholic Diocese of Portland at 321-7810. [return to top]

MGMA Third Party Payer Seminars

Payer representatives from the major payers will be speaking at this seminar and providing updates that affect your practice.   

February 13, 2013

8am - 4pm 

Fireside Inn & Suites 

81 Riverside Street 

Portland, ME

OR  

February 26, 2013

8am - 4pm 

Waterville Elks Club 

76 Industrial Street 

Waterville, ME

Pricing: $45 for MEMGMA Basic Members 

  FREE for MEMGMA Premium Members 

  $45 for MEMGMA Members’ Staff 

 $75 for Non-Members

For more information or to register contact: 

Linda Tardif, Education Chair 

Phone:  (207) 783-1449 

Email: LTardif@CentralMaineKidneys.com 

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Job Openings

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, smaxwell@hanfqhc.org.

2/4/13

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, mknowles@sfdchc.org.  

2/4/13

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 mknowles@sfdchc.org.

2/4/13

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 mknowles@sfdchc.org.

2/4/13

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 mlefay@kvhc.org or visit our website at http://www.kvhc.org.  KVHC is an equal opportunity employer.

2/11/13

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: dbennett@wcgh.org.

 2/11/13

VICE-PRESIDENT PHYSICIAN PRACTICES - Mayo Regional Hospital

Mayo Regional Hospital, located just 35 miles northwest of Bangor in Dover-Foxcroft, is seeking a VP of Physician Practices for its well-established hospital-based primary care practices. The VP of Physician Practices leads all aspects of the practices, and reports directly to the CEO.  Responsibilities include planning and coordination for six offices in Dover-Foxcroft and surrounding communities.  The position ensures that patients, providers, staff, insurance agreements and facilities meet the goals and objectives of the hospital.  Provider recruitment and retention experience is desired.  A degree in Business Administration or related field is required, with experience managing multiple physician office practices.  Knowledge and understanding of RHCs and the Patient Centered Medical Home Model is a plus.  This opportunity offers a competitive wage and benefits package that includes:  Group health/dental/life, 403(b) retirement plan with employer match, tuition assistance, educational loan payback eligibility, relocation assistance and a generous paid time off program.  Please send resume and cover-letter to: Mayo Regional Hospital, Attn: Joanne Leonard, Dept. B, 897 W. Main Street, Dover-Foxcroft, ME 04426 or E-mail to jleonard@mayohospital.com.  EOE  

2/25/13 

Orthopedic Surgeon - Maine Air National Guard

The Air National Guard Orthopedic Surgeon examines, diagnoses, and treats diseases and injuries of the musculoskeletal system by surgical and conservative means. In this role, you’ll perform surgery, manage orthopedic surgery services, oversee the administration of anesthetics, and provide diet recommendations.

Benefits
The Maine Air National Guard gives you the opportunity to serve your community and country with pride, and help people in a whole new way. If you still have student loans, you may be eligible for the Student Loan Repayment Program, or you can potentially get money for college that transfers to your dependents through the Montgomery G.I. Bill.

Besides a monthly paycheck, as a member of the Air Guard you’ll receive low-cost life insurance, a military retirement plan, and eligibility for VA home loans. With more than 140 Air Guard bases in the United States, Puerto Rico, Guam, and the U.S. Virgin Islands you’ll be able to serve where you live, without interrupting your civilian medical practice. And as an Air Guard member you’ll have access to Base Exchange and Commissary shopping as well as free space-available air travel.

Learn More Today
Go to GoANG.com/ME or call 1-800-TO-GO-ANG to find out how you can become an important member of America’s homeland defense in the Maine Air National Guard.

4/4/13 

Surgeon - Maine Air National Guard

As a General Surgeon in the Maine Air National Guard, you’ll adapt the skills and knowledge you’ve gained in your civilian career to the military environment. You’ll provide urgent treatment to Air Guard personnel sick or wounded during duty, and regular healthcare to personnel training in your unit.

Benefits
The Air National Guard gives you the opportunity to serve your community and country with pride, and help people in a whole new way. If you still have student loans, you may be eligible for the Student Loan Repayment Program, or you can potentially get money for college that transfers to your dependents through the Montgomery G.I. Bill.

Besides a monthly paycheck, as a member of the Air Guard you’ll receive low-cost life insurance, a military retirement plan, and eligibility for VA home loans. With more than 140 Air Guard bases in the United States, Puerto Rico, Guam, and the U.S. Virgin Islands you’ll be able to serve where you live, without interrupting your civilian medical practice. And as an Air Guard member you’ll have access to Base Exchange and Commissary shopping as well as free space-available air travel.

Learn More Today
Go to GoANG.com/ME or call 1-800-TO-GO-ANG to learn how you can become an important member of America’s homeland defense in the Maine Air National Guard.

4/4/13 


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