February 18, 2013

Subscribe to Maine Medicine eNewsletters
Manage Your Subscriptions
Email our Editor...
Maine Medical Association Home Page
. Search back issues
. Plain Text Version
Printer Friendly

POLITICAL PULSE: Supplemental Budget Agreement Reached & Other Highlights of the Week

The Appropriations and Financial Services Committee last week unanimously approved a supplemental budget (L.D. 250) to address a $153 million shortfall in the current fiscal year ending June 30, 2013.  The committee unanimously rejected the LePage administration's proposals to reduce MaineCare hospital reimbursement for critical access hospitals and reduce MaineCare outpatient reimbursement.  The House and Senate are expected to enact the legislation this coming week by a veto-proof margin. 

Here are some highlights of what MMA's advocacy team followed at the State House the week of February 11th: 


The Appropriations and Financial Affairs Committee last Wednesday unanimously approved a supplemental budget to address a $153 million shortfall in the current fiscal year. The budget shortfall is a result of a downturn in revenue due to a lagging economy and cost overruns in the Department of Health and Human Services. The committee unanimously rejected the administration's proposals to reduce hospital reimbursement rates and outpatient services, and also proposed cuts to private non-medical institutions, such as assisted living facilities.  In other DHHS areas, the committee kept the Drugs for the Elderly program intact and rejected a cap on general assistance.  The full Legislature is expected to vote on the supplemental budget this week. The Appropriations Committee will begin work on the two-year budget later this month.


Current law allows health care practitioners or facilities to charge $10 for the first page of providing medical records and $.35 for each additional page.  Last week, the Health & Human Services Committee held a work session on LD 23, An Act To Lower the Cost of Copies of Medical Records, a bill that proposes to lower the allowable charge for the first page to $5.  At the public hearing, the Committee had requested that Mr. Smith work with the sponsors, the Hospital Association,and others to come to some compromise of changes to the current law that might be acceptable to all.  At the work session, MMA came to a compromise position that the charge for the initial page could be reduced to $5 if the charge for subsequent pages was increased to $.45.  In addition, the Committee decided to move forward with an overall $250 cap on the cost of copying paper records and to add language into Maine law that mirrors new HIPAA requirements that practices provide patients electronic copies of their records, if the patient so requests, and only allows practices to charge for actual labor costs and costs of materials for providing electronic copies of records. The bill now moves to the floor of the House and Senate. Members should continue to monitor the Update as well as our end-of-session summary of laws to review the final requirements that pass and when they take effect. 

The same day the majority of the HHS Committee also voted "ought to pass" on LD 22, An Act To Promote Equity in Business Opportunity for Tobacco Specialty Stores.  The American Heart Association, American Lung Association, American Cancer Society Cancer Action Network, and others have stated that this bill creates a significant loophole to Maine's smoke free bar and restaurant laws.   


The Health & Human Services Committee held a public hearing on Wednesday on LD 77, An Act To Require Health Care Practitioners To Distribute Free Samples of Medication in Certain Circumstances.  The bill would require that health care practitioners distribute free samples of medication to a patient subject to availability, appropriateness and timeliness.  Andrew MacLean testified on behalf of the Maine Medical Association in opposition to the proposal.  Dr. Elisabeth Fowlie Mock with MMA's Academic Detailing program also testified in opposition; both focused on the increase in drug costs likely if patients are required to start on brand name sample medication.  Their testimony can be found here on the MMA website.  The Committee will hold a work session on the bill this week. 


Last Tuesday, the Transportation Committee held a public hearing on LD 66, An Act to Require that Motorcyclists Wear Helmets.  MMA testified in favor of the proposed bill, along with Preston Bjorn, a trauma nurse from EMMS, the Brain Injury Information Network, and a brain injury survivor.  Several motorcyclists testified against the proposal, which requires all motorcyclists to wear helmets regardless of age.  MMA testimony on the bill can be found here and an Associated Press Story on the hearing can be found here.  The work session on the bill will be held this Tuesday.  The Committee also tabled a work session on LD 57, An Act To Exempt Occupants of Antique Autos from Seat Belt Requirements. 


If you are interested in attending or learning more about any of the events taking place at the State House this 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, 2/19, 1 pm, Transportation Committee work session on LD 66, An Act to Require that Motorcyclists Wear Helmets & LD 68, An Act To Prohibit the Use of a Handheld Mobile Telephone while Operating a Motor Vehicle

Wednesday, 2/20, 9 am, Health and Human Services Committee work session on LD 77, An Act To Require Health Care Practitioners To Distribute Free Samples of Medication in Certain Circumstances

Thursday, 2/21, 1:30 pm, Health and Human Services Committee public hearing on 

  • LD 162, An Act To Repeal the Maine Certificate of Need Act of 2002
  • LD 198, An Act To Clarify Physicians' Delegation of Medical Care
  • LD 230, An Act To Establish the Commission on Health Care Cost and Quality


MMA Legislative Committee Conference Call Tuesday, Feb. 19, 8 pm; In-person Meeting, Feb. 25.

The MMA Legislative Committee weekly phone calls will continue tomorrow, Tuesday, February 19th.  They will be held every Tuesday at 8 pm through the session.  Next week, we will have a  face to face meeting at the MMA offices in Manchester on Monday evening, Feb. 25th beginning at 6:00 pm and we will not have our regular call on Feb. 26th.

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 328, An Act Relating to Radon Testing and Disclosure to Tenants (monitor; Public Health Committee)

LD 335, An Act To Review Firearm Laws in the State (monitor; Public Health Committee)

LD 337, An Act To Require That Burn Injuries and Wounds Be Reported to the Office of the State Fire Marshal (oppose; pediatricians, ophthalmologists, Public Health Committee)*

LD 338, Resolve, Directing the Department of Health and Human Services To Amend Its Rules Governing the Use of Certain Antipsychotic Drugs by Children Enrolled in MaineCare (monitor until directed by MAPP; psychiatrists; pediatricians)*

LD 345, An Act To Ensure the Confidentiality of Concealed Weapons Permit Holder Information (monitor; Public Health Committee)

LD 347, An Act To Amend Insurance Coverage for Diagnosis of Autism Spectrum Disorders (monitor or support; pediatricians; psychiatrists)*

LD 348, An Act Concerning the Scope of Practice of Cardiovascular Technologists (monitor; radiologists; cardiologists; orthopaedic surgeons)*

LD 365, An Act To Define "Contaminant" in the Laws Governing Toxic Chemicals in Children's Products (support; pediatricians; Public Health Committee)

LD 373, An Act To Provide Clarity to Priority Chemical Reporting Requirements (support; Public Health Committee)

LD 379, An Act To Require Institutions To Report Knowledge or Suspicion of Criminal Violations to a Law Enforcement Agency (oppose)*

LD 386, An Act To Reduce Tobacco-related Illness and Lower Health Care Costs in MaineCare (support; Public Health Committee)

LD 388, An Act To Amend the Controlled Substances Prescription Monitoring Program Participation Requirements (MMA bill; support)*

LD 390, An Act To Restore MaineCare Coverage for Ambulatory Surgical Center Services (MMA bill; support)*

LD 411, An Act To Amend the Health Care Practitioner Licensing, Disciplinary and Reporting Laws Regarding Alcohol and Drug Abuse (MMA bill; support; Public Health Committee; MPHP)*

LD 416, An Act To Allow Complainants in Disciplinary Actions To Attend Informal Conferences Held by the State Board of Nursing in Executive Session (monitor)

LD 420, An Act To Implement the Recommendations of the Right To Know Advisory Committee Concerning Public Records Exceptions (monitor)

LD 426, An Act To Provide for the Continuity of a Veterinary Practice Subsequent to the Death or Incapacitation of the Owner (monitor)

LD 434, An Act To Provide a Safe Working Environment for Home Care Workers (monitor)

LD 440, An Act To Support Community Health Centers through Tax Credits for Dentists and Primary Care Professionals Practicing in Underserved Areas (MePCA bill?; support; Public Health Committee)*

LD 443, An Act To Amend the Maine Workers' Compensation Act of 1992 To Provide Benefits to Seriously Injured Workers (monitor)

LD 444, An Act To Improve Workers' Compensation Coverage for All Injured Workers (monitor)

LD 445, An Act To Improve Efficiencies in Dental Offices (monitor; Public Health Committee)

LD 447, An Act To Increase Patient Choice in Health Care Facilities and Health Care Settings (oppose; check with MHA)*

LD 448, An Act To Authorize the State Employee Health Commission's Preferred Provider Program (monitor)

LD 449, An Act To Ensure Consumer Choice in the Purchase of Prescription Drugs (monitor)

LD 454, An Act Relating to Health Care Provider Liability Claims Reports (monitor)

LD 458, An Act Regarding Comparative Negligence (monitor until further coordination with MHA & Medical Mutual)*

LD 460, An Act To Protect Newborn Infants by Requiring Birthing Facilities To Screen for Congenital Heart Disease Using Pulse Oximetry (monitor or oppose; coordinate with MHA; OB/GYNs, pediatricians)*

LD 463, An Act To Prohibit the Sale and Purchase of Human Fetal Tissue (monitor or oppose; OB/GYNs)*

LD 468, An Act To Protect Public Health at Public Institutions of Higher Education (support; Public Health Committee)

LD 478, An Act To Require a Local Permit for the Use of Fireworks (monitor; pediatricians; ophthalmologists; Public Health Committee)

LD 480, An Act To Establish Fees under the Maine Medical Use of Marijuana Act (monitor; Public Health Committee)

LD 487, Resolve, To Establish MaineCare Eligibility for Young Adults Who Were Formerly in Foster Care (monitor or support)

LD 488, An Act To Improve Access to Home-based and Community-based Care in the MaineCare Program (monitor)

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

[return to top]

MMA Launches Vibrant New Website

MMA announced its newly designed website last week and since that time, hundreds of members and practice support staff have visited the site which was re-designed and re-built over a nearly two year period.  All content has been updated and several new content areas and features have been added.  With the members only section eliminated, all visitors will have access to the physician finder feature, the popular Physician's Guide to Maine Law, the monthly poll question and agendas and minutes for all MMA committees.  Physicians will be able to register online for all MMA events and continuing education courses will be available on the site.  The new site is just one element of a communications strategy intended to find the most effective way to communicate with members, corporate affiliates and all others interested in the work of the Association.

There is a lot of content on the site and it will be a priority at MMA to keep the content up to date.  Other features will be added in the future as feedback from members is received.

This newly designed website would not have been possible without the diligence and hard work of Shirley Goggin of the MMA staff.  Many thanks to Shirley and also to Medical Mutual Insurance Company of Maine (and webmaster Mark McGhie particularly) which hosted the previous site for many years.  A thank you as well to Paul Klainer, M.D. and members of the Association's Committee on Technology and Communications which began the process of redesign with the issuance of an RFP two years ago.

We welcome your comments on the site.  Could you find what you were looking for?  How easy was the site to navigate?  Send your comments to Gordon Smith, Executive Vice President at gsmith@mainemed.com or to Shirley Goggin at sgoggin@mainemed.com. [return to top]

MMA Participates in AMA National Advocacy Conference

MMA President Dieter Kreckel, M.D. and EVP Gordon Smith joined colleagues from across the country last week at the National Advocacy Conference of the American Medical Association.  In addition to hearing from leading legislators from Capitol Hill, attendees were briefed by AMA advocacy staff regarding the numerous federal issues impacting medical practice.  Speakers included HHS Secretary Kathleen Sebelius, NBC political correspondent Chuck Todd, and Congressman Fred Upton (R-Michigan) who serves as the Chair of the powerful House Ways and Means Committee.

On Wednesday, Dr. Kreckel and Mr. Smith visited with Senator Angus King, Representative Mike Michaud, and health staff for Senator Collins and Rep. Pingree.   Among items on the agenda for those meetings was the continuing need to eliminate the flawed sustainable growth rate formula for paying physicians who treat Medicare patients and the need to avoid automatic cuts through the sequestration process.  Other issues discussed included funding for Graduate Medical Education (GME) and the need for continued funding of the programs addressing prescription drug abuse.

On Monday evening, Dr. Kreckel and Mr. Smith had the pleasure of joining Babbette (Wit) Davis, a medical student at the University of New England College of Osteopathic Medicine who received an award for her leadership in providing voluntary medical care to the people of Haiti.  Congratulations to Wit!

Dr. Kreckel is a family physician practicing at Swift River Primary Care in Rumford.  He is a former President of the Maine Academy of Family Physicians.

See personal reflections of Dr. Kreckel on the conference in a separate article in this Update.


Senator Angus King pictured with MMA President, Dieter Kreckel, MD [return to top]

Personal Reflections of My Week in Washington, D.C., by Dieter Kreckel, M.D.

Last week, I spent four days in Washington D.C. attending the Annual Leadership Conference and National Advocacy Conference of the American Medical Association.  The leadership conference included a discussion of how medical societies such as MMA might be able to succeed in the near and far future.  Many of the ideas we have already been discussing and acting upon!  These changes include a new set of bylaws, elimination of the traditional House of Delegates, and creation of a new Board structure aimed at being more representative of physicians practicing in our state.  Other ideas offered at the conference included setting priorities, as our Board is working on presently.  The good news is that MMA is on the right track for making it as responsive as possible in this ever changing world of healthcare.  We may not have all the answers but I believe strongly that we are asking the right questions and attempting to remain relevant, useful and progressive for the physicians in our state.

The second conference involves advocacy and offers tips on how to be more effective resources for the Congress when it comes to making decisions on healthcare.  The bad news is that the climate in Washington continues to favor regulation and micro-management of our practices, with the government assuming they know how to do this!  The good news is that our local representatives are very accessible and we are able to communicate with them effectively.  On Wednesday, we met with Senator Angus King, Rep Mike Michaud,and health staffers for Senator Collins and Rep. Pingree.  We were able to deliver the good news that the cost of permanently repealing the Medicare sustainable growth rate (SGR) formula is down to "only" $138 billion, a very significant drop from what the Congressional Budget Office (CBO) was estimating just last Fall.  This new projection is seen by many observers and participants as the impetus to finally eliminate the flawed formula and replace it with something that properly recognizes how medicine is practiced today.  We also talked with our representatives about the need to adequately fund graduate medical education (GME) and the effect that further reductions would have on the number of physicians able to practice in the future.  Presently, there is a projected shortfall of 90,000 physicians by the year 2020.

Lastly, I would like to reflect for a moment on my concerns about our profession.  While I remain worried about the direction certain trends are leading us in, I also find room for hope and optimism. Part of the conference was devoted to honoring students, residents, physicians, and even non-physicians who have helped to promote the ideals which, if not all, most of us believe in.  The stories of the commitment and energy the individuals pour into their endeavors to help their fellow human beings are very inspiring.  We had the pleasure of supporting one of our own students, Babbette (Wit) Davis, a student at the University of New England College of Osteopathic Medicine.  She received a well-deserved award for leadership in her work helping the people of Haiti receive medical care.  I had the pleasure of having Wit in my office as a student last year so was particularly pleased to be able to accompany her to the dinner and awards ceremony.

We share a great profession and I am grateful for the opportunity to help the people around us.  I hope you will continue to join with me in this important endeavor.

Dieter Kreckel, M.D., President, Maine Medical Association

[return to top]

MMA Lauches Payment Reform Resource Page; Seeks Volunteers for Payment Reform Committee

MMA is pleased to launch a new payment reform resource page on its website. Visit this page for “how-to” manuals for physicians such as “Evaluating and Negotiating Emerging Payment Options” and much more.

More payment reform resources, forums and webinars to come

The new webpage is the first of many tools MMA will offer physicians seeking to better understand emerging payment reform models and to prepare their practices to engage in payment reform initiatives such as Accountable Care Organizations (ACOs). This initiative is made possible by a grant to the Maine Medical Education Trust by the Maine Health Access Foundation (MeHAF).  The payment reform initiative will also offer educational forums and webinars as well as legal resources such as sample contracts and a database of healthcare attorneys available to work with small, independent practices.  

Volunteers Sought for MMA Payment Reform Committee

The MMA is seeking volunteers for a new ad hoc Payment Reform Committee. This committee will build off the work of the former Payer Liaison Committee but will have a different focus and structure. Supported by funding from the MeHAF grant, this committee will engage practitioners interested in payment reform models such as accountable care organizations.  Committee members will hear from public and private payers, employers, and others who will keep them informed of developments at the state and national level and may also be asked to advise the MMA on the development of educational programming and other resources on payment reform for Maine’s physician population. 

The committee will meet no more than four times a year on a flexible schedule over the next 1-2 years of the grant cycle and will allow for phone or video participation.  The first meeting will be in April.  If you are an MMA member with an interest in payment reform, please consider serving on this committee.  To volunteer, or to ask questions or be added to our email list for notification of upcoming educational events and new payment reform resources please contact Project Manager Jennifer Reck, MA at jreck@mainemed.com. [return to top]

Draft Report of LD 1818 Work Group on Health Care Data Now Available

The draft report of the LD 1818 Work Group  is now available from state Office for Health Information Technology.  The Work Group was the result of proposed legislation submitted in 2011 that was originally intended to revamp the Maine Health Data Organization (MHDO) operations but was changed to a Resolve, Chapter 109 (2011) which called for the establishment of a working group led by DHHS to evaluate and report on options to "improve the availability and access to health care data."

The Resolve identified four areas for evaluation:

  1. Review the current structures of and relationships among the Maine Health Data Organization, the Maine Health Data Processing Center and OnPoint Health Data in order to evaluate the timeliness and effectiveness of the data received;
  2. Review the current purposes and uses of the data and limitations on access to the data and consider additional uses for the data and changes that might be necessary to achieve and facilitate additional uses;
  3. Consider federal and state privacy and security laws regarding the use and release of protected health information, including policy and technical changes needed to allow increased access to protected health information and the feasibility of those changes; and 
  4. Consider the availability of the data, the most appropriate sources of the data and the cost of providing the data.

Resolve Chapter 109 was later amended to provide the Work Group additional time to complete its work.  A complete record of committee meetings and documents is available at http://www.maine.gov/hit/ld_1818/index.html.

The Work Group was co-chaired by Josh Cutler, M.D. and Colin McHugh.  Dr. Cutler also served as the MMA representative on the Working Group.  MMA also provided testimony to the group regarding the desired structure of the relationships of the organizations and the need to provide transparency but protecting patient confidentiality.

The draft report will be considered by the group at an upcoming meeting and then presented to the 126th Legislature.  The draft does not contain any suggested legislation, although legislation is expected from the Department of Professional and Financial Regulation which would result in a decrease in the number of board members on the MHDO.  

Many of the changes anticipated by the group have already been accomplished by virtue of decisions of the MHDO and the awarding of a new contract to a data partner to replace the work of the Data Processing Center and Onpoint.  So the actual work product of the group is quite modest in its recommendations.

MMA will continue to report on the presentation of the final report to the Legislature, as the submission of health data and its use in the state are important issues to Maine's physicians. [return to top]

Deadline Passes for Partnering with the Federal Government on an Insurance Exchange

Friday, February 15th, was the deadline for states to notify the federal Department of Health and Human Services of their interest in partnering with the federal government in the establishment and operation of an insurance exchange, now called an insurance marketplace.  The marketplace is intended to be a place where individuals can shop for health insurance and learn about the subsidies that may be available to them through the Affordable Care Act (ACA).  The marketplace is to be operational and ready to take applications for coverage by Oct. 1, 2013 with the coverage then beginning on Jan. 1, 2014.  

Governor LePage had consistently declined to have Maine partner with the federal government on the marketplace and had returned planning grant funds back to DHHS.  So, Maine will join more than twenty other states in having a federally operated marketplace.  There will be opportunities in the future to have more state involvement in the marketplace following its establishment.

[return to top]

Biddeford Free Clinic Looking for Physician Volunteers

The Biddeford Free Clinic, one of the handful of such clinics operating in the state, is in need of physician volunteers.  Even volunteering one evening every two or three months would be extremely helpful in assisting the clinic to meet its mission of providing treatment and medication to individuals without health insurance. Interested physicians should contact the Clinic Director Joan Gordon at 207-590-3142 or bfc1@gwi.net or gear2@roadrunner.com. [return to top]

DHHS Drafting Major Revision to MaineCare Physician Services Rule

The DHHS Office of MaineCare Services is drafting a major revision to Chapter II, Section 90, Physician Services, the physician services portion of the MaineCare Benefit Manual.  The proposed rule amendments have not yet been published through the Administrative Procedures Act (APA) process.  When it is formally published, the public will have an opportunity to comment on it.  The Department is proposing numerous changes to this rule.  The proposed rule will implement a CMS requirement that anesthesiology services be billed in one (1) minute rather than fifteen (15) minute units of value and that anesthesia administered by a Certified Registered Nurse Anesthetist (CRNA) be supervised by the operating doctor of medicine or osteopathy in accordance with 42 C.F.R. sec. 482.52(a)(4).

Also, the proposed rule will delete Section 90A-04 regarding prior authorization for transplants, establish new criteria for reimbursement and require the nationally accredited United Network for Organ Sharing (UNOS) to recommend that a transplant be performed.  The rule will allow In-State kidney and corneal transplants to be performed without prior authorization.  When medically necessary, bone marrow or stem cell transplants are covered.

Moreover, the following changes have been proposed:

  • Definitions for the terms "Face-to-Face Encounter" for Durable Medical Equipment (DME) and Home Health Services were added;
  • Provider qualifications for obstetrical services have been amended;
  • Orthognathic surgery will only be approved where there is a medical necessity;
  • Certified Nurse Midwives, Dentists (General, Orthodonture, Pedodontist) and Dental Hygienists practicing within the scope of their certification and licensures can be employed in a physician's practice;
  • Surgical services for post-operative treatment will be amended to comply with the CMS standard fee schedule for durational global surgical periods (0-10-90 days).
  • Bariatric procedures must be performed at a nationally certified center recognized by the American College of Surgeons or the Surgical Review Corporation;
  • In general, BRCA1 and BRCA2 testing are covered;
  • Restricted services for circumcision will be covered if medically necessary and not cosmetic, except when deformities are the result of cancer, disease, trauma, or birth defects;
  • Disclosure requirements in Section 90.08-1 will be amended to ensure confidentiality and comply with the Health Insurance Portability & Accountability Act (HIPAA) and Privacy Rule;
  • Protection of privacy when using Qualified Electronic Health Records (EHR).

Also within Section 90 is the ACA's Primary Care Physician Payment Rate Increase.  This mandatory ACA initiative will increase the current Medicaid Rate for certain primary care physicians to 100% of the Medicare fee schedule in calendar years 2013 and 2014.  This will apply to specified primary care services furnished by a physician with a specialty designation of family medicine, general internal medicine, or pediatric medicine.  This initiative will also apply to all subspecialties related to those three specialty categories to the extent that they provide E&M services.

Eligible services provided by advance practice clinicians providing services within their scope of practice and under the supervision of an eligible physician will be eligible for higher payment; this includes those not specifically mentioned in the proposed rule auch as nurse midwives; independently practicing advance practice clinicians (i.e., those not under the supervision of an eligible physician) are not eligible for increased payment.

Physicians will be required to self-attest that they are either board certified in family medicine, general internal medicine or pediatric medicine or a subspecialty within those specialties or that 60% of all Medicaid services they bill for a specified E&M or vaccine administration codes.  Physicians recognized by the American board of medical specialties, the American Osteopathic Association are included.  In order to receive the higher payment, qualifying physicians and advance practice clinicians must be providing services under the following pay-to/service location provider types:  35-Hospital/062-Hospital Based Professionals; 51-Physicians; and 54-Physician Group. [return to top]

Job Openings


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  


Full-time House Manager

Hospice of Southern Maine seeks a full time House Manager responsible for the management and coordination of the Gosnell Memorial Hospice House, ensuring continuity, cost effectiveness and quality of operations.  This position is also responsible to facilitate communication, provide leadership to the Gosnell House staff and other areas of HSM, and directly supervise all Gosnell House Staff (nurses, home health aides, social workers, cooks, housekeepers, house assistants).

Requirements:  Active Registered Nurse license in the State of Maine.  Bachelor’s degree in nursing, public health, health services or business administration, or related field such as public administration preferred. CHPN preferred. Minimum of 3-4 years of progressively responsible experience in acute care nursing (oncology and/or hospice) required.  Experience managing staff on a shift basis and recent experience in a skilled facility or as a case manager of hospice patients required.  Valid driver's license with an automobile that is insured according to state and/or agency requirements and is in good working order.

Contact Information:  You may submit your resume, cover letter and salary requirement to:  hr@hospiceofsouthernmaine.org or by fax to (207) 883-1040.

Hospice of Southern Maine is an equal opportunity employer, and does not discriminate against applicants or employees on the basis of race, color, sex, sexual orientation, religion, national origin, age, veteran status, disability or any other characteristic protected by applicable law. All employment decisions shall be consistent with the principles of equal employment opportunity. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act, the Vietnam Veterans Readjustment Act, the Maine Human Rights Act, and Title I of the Americans with Disabilities Act, applicants that require accommodation in the job application process may contact the Human Resources Office at 207-289-3640 or by e-mail at hr@hospiceofsouthernmaine.org for assistance.


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.

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.


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.

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  [return to top]

Upcoming Events

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 26, 2013

8am - 4pm 

Waterville Elks Club, 76 Industrial Street, Waterville

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,(207) 783-1449, LTardif@CentralMaineKidneys.com 


Medical Professionals Health Program 

1st Annual Professionals Conference:

Health, Wellbeing and Awareness, Fostering Wellness in the Workplace

April 5, 2013

Holiday Inn By The Bay, Portland

For more information, or to register, click here.


Adverse Childhood Experiences and the Development of Adult Health-risks, Violence, Disease & Premature Death 

presented by Maine Association of Psychiatric Physicians

April 19, 2013

8-4:30 pm 

Mariott at Sable Oaks, South Portland 

Presenter: Vincent J. Felitti, MD 

For more information or to register, contact Dianna Poulin at dpoulin@mainemed.com or 622-7743 


Save the Date

Healthcare Transformation Learning Symposium

Advancing Change: Healthcare System Transformation in Northern New England

 Tuesday, May 21, 2013

8 am  - 4 pm

University of New Hampshire, Durham, NH

Topics: Data  to Drive System Change,  Regional Tools & Learning, Funders' Perspectives on Supporting Transformation

For more information, click here.


Save the Date:  

One-day Conference on Aging, Dementia, and Developmental Disabilities

Sponsored by the Charlotte White Center and Co-sponsored by the Maine Developmental Disabilities Council, Momentum Services, and University of Maine Center on Aging

Thursday, May 23, 2013

8:00 a.m. – 4:30 p.m.

Spectacular Events Center, 395 Griffin Road, Bangor

 This event is designed to provide helpful information to families, direct care workers, clinicians, program staff, and administrators concerned about adults with intellectual and developmental disabilities who are affected by dementia. 

For more information, click here

[return to top]

For more information or to contact us directly, please visit www.mainemed.com l ©2003, Maine Medical Association