November 10, 2014

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

Notes on Election and Planning for 127th Maine Legislature by MMA Legislative Committee Will Take Place Nov. 18

Now that the elections are behind us, MMA and its various partners will begin to plan for the upcoming legislative session which convenes in December.  The state government will continue to be divided, with Governor LePage being re-elected to a second term, the State Senate having a Republican majority, and the House of Representatives continuing to be controlled by Democrats.

In other election news of interest, MMA was disappointed in losing Ann Dorney, M.D., who lost a close House race in the Madison area.  Dr. Dorney had served for one term on the Health & Human Services Committee.  We were pleased to see Geoffrey Gratwick, M.D. re-elected to a second term in the state senate representing the city of Bangor.  Dr. Gratwick is a practicing rheumatologist.  A third physician, Heidi Brooks, M.D. was elected to the House from Lewiston.  Heidi will be serving her first term.  And retired family physician Linda Sanborn, M.D. of Gorham was re-elected.  Dr. Sanborn served on the powerful Appropriations Committee during the previous Legislature.

On the evening of Tuesday, November 18th, the MMA Legislative Committee, chaired by Amy Madden, M.D., will meet at the Frank O. Stred Building in Manchester to prepare for the coming legislative session.  The meeting will begin with dinner at 6:00 p.m.  We will begin the substantive part of the meeting between 6:15 and 6:30 p.m. and will conclude by 8:30.  The agenda will include a review of election results and leadership races in the new Maine legislature and discussion of known or potential legislative initiatives for the coming session from the MMA, medical specialty societies, other health care advocacy organizations, as well as potential threats for organized medicine.  Any Maine physician who is interested in MMA's advocacy work is welcome to attend and medical specialty organizations are strongly encouraged to send one or more representatives to participate in the discussion.  The MMA staff and leadership will refine the organization's legislative agenda between this meeting and the "cloture deadline" or deadline for legislators to submit bills which is usually some time in mid-December.

We welcome participation by all, but please RSVP to Ashley Bernier (; 622-3374, ext. 213) so we can plan adequately for food.  For more information about the meeting, please contact Andrew MacLean, Deputy EVP & General Counsel at or 622-3374, ext. 214.

MMA and Baystate Financial Offer Free Education Event Nov. 19 on Planning for Retirement

MMA and Baystate Financial will present a program for health professionals and spouses on Nov. 19th at the Falmouth Country Club (1 Congressional Drive, Falmouth).  Entitled, Retirement Income Distribution Strategies:  Avoiding the Potholes in Retirement, the program will be presented from 6:00 to 8:00 pm.  Light appetizers will be provided.

 This educational seminar will provide guidance on:

  • Maximizing your cash flow;

  • Reducing investment risk;

  • Minimizing income tax; and

  • Maximizing social security.

As a general rule, people have a tendency not to focus on distribution planning until they are almost ready to retire which is way too late and a big mistake.  In this workshop, you will learn why that's the case.  This workshop focuses on the issues and risks associated with converting retirement capital into a dependable retirement income.  You will learn about the importance of making your income last for a lifetime as well as the difference between tax deferral and tax diversification.  In addition, you will learn the importance of measuring retirement success by the income you create and not necessarily by the level of wealth you create.  And finally, you will learn the importance of managing risk all along the way.

To register, contact Brian Falconer at or by calling 401-432-8836.


[return to top]

CMS Rleases Medicare Physician Fee Schedule Final Rule for 2015

The Centers for Medicare & Medicaid Services (CMS) on Oct. 31st released its Medicare Physician Fee Schedule final rule for 2015.  Under the rule, the conversion factor will fall to $28.2239 from the current rate of $38.8013 unless Congress acts to fix the sustainable growth rate (SGR) formula, effective April 1, 2015.  The conversion factor is a multiplier used to convert relative value units into dollars. MMA, the AMA, and all the national specialty societies continue to advocate for Congress to repeal the SGR this year during the lame duck session convening later this month.

Highlights of the final rule include the following:

  • CMS finalizes decision to eliminate global surgery periods in 2017;

  • CMS compromises on value-based modifier penalty; and

  • PQRS requirements to avoid penalties will increase in 2015.


[return to top]

MMA Partners with NAMI-Maine on Suicide Prevention

The Maine Medical Association is working with the Maine Chapter of the National Alliance for the Mentally Ill (NAMI-Maine) to train medical providers around suicide awareness and prevention.  There are several opportunities for practices to participate in this offering, and the majority of them provide CME credit for participation.

Eight practices will receive complimentary training for their staff on the Suicide Prevention in Primary Care Toolkit which was developed by the Suicide Prevention Resource Center and the Western Interstate Commission of Higher Education’s Mental Health Program.

Other offerings include:

  • Suicide Prevention Gatekeeper training for practice staff;
  • Clinical Assessment Lunch and Learn for Clinical practice staff;
  • Clinical Assessment Lunch and Learn for Behavioral Health staff; and
  • Technical Assistance to support practice integration of suicide screening, protocol development, and practice flow needs.

For more information about any of these options, please call Dee Kerry deHaas at the Maine Medical Association:  207-622-3374 x219 or email her at

  [return to top]

MMA and Board of Licensure in Medicine Present REMS Course on Saturday, Nov. 15 at Maine General and on the Web

The Maine Medical Association and the Maine Board of Licensure in Medicine are sponsoring a three-hour CME course on extended-release opioid analgesics on Saturday, November 15, 2014.  The course will be presented from 9:00 am to noon at MaineGeneral Medical Center but can be accessed through the web via webex as well. But the webex connection is available to only 25 remote sites so register ASAP.  Registration is available on the MMA website at  The cost of the program is just $15 for those physicians attending in Augusta (who will receive breakfast) and the program is free for those registering and participating through webex. 

The faculty for this Risk Evaluation and Mitigation Strategy are Noah Nesin, M.D., FAAFP, Chief Medical Officer at Penobscot Community Health Center and Elisabeth Fowlie Mock, M.D., M.P.H., past president of the Maine AFP and an academic detailer for MMA.

Any questions about the course can be directed to Gail Begin via e-mail to or by calling Gail at 485-1341.

[return to top]

Report from AMA Interim Meeting in Dallas: Ebola, MOC, and Request for Feedback from Those Denied EHR Hardship Waiver

Maine's delegation to the 2014 AMA Interim Meeting in Dallas, Texas is currently busy with an afternoon session of the House of Delegates.  The meeting began late Friday and continues through noon tomorrow.  Maine's delegation to this meeting includes MMA's AMA delegates Richard Evans, M.D. (New England Delegation Vice Chair) and Maroulla Gleaton, M.D. as well as plastic surgery delegate Jack McGill, M.D. and resident delegate Hani Jarawan, M.D.  MMA Deputy EVP & General Counsel Andrew MacLean accompanied the delegation.  

Chief among the the resolutions being debated were several sharply critical of the Maintenance of Certification (MOC) process.  Today, a reference committee reported out, and the New England Delegation agreed to support, a substitute Resolution 920 that is more moderately critical of the MOC process than some of the others.  The following is the substitute Resolution 920, being debated this afternoon and/or tomorrow morning (therefore is not yet final).


RESOLVED, that our AMA amend the Policy H-275.924, Principles on Maintenance of Certification (MOC), to include the following:

  • MOC should be based on evidence and designed to identify performance gaps and unmet needs, providing direction and guidance for improvement in physician performance and delivery of care.
  • The MOC process should be evaluated periodically to measure physician satisfaction, knowledge uptake and intent to maintain or change practice.
  • MOC should be used as a tool for continuous improvement.
  • The MOC program should not be a mandated requirement for licensure, credentialing, reimbursement, or network participation.
  • Actively practicing physicians should be well-represented on specialty boards developing MOC.
  • MOC activities and measurement should be relevant to clinical practice.
  • The MOC process should not be cost prohibitive or present barriers to patient care (Modify Current HOD Policy); and be it further

RESOLVED,  That our AMA encourage specialty boards to investigate and/or establish alternative approaches to MOC; (Directive to Take Action) and be it further

RESOLVED,  That our AMA prepare a yearly report regarding the maintenance of certification process.  (Directive to Take Action)

Late yesterday afternoon was a popular Special Session on Ebola and Health Care Workers.  As we have promoted in the last several editions of the Weekly Update, you can find resources developed by Ebola experts and assembled by the AMA in one convenient location.  Visit the AMA's online Ebola Resource Center for information from the CDC and other public health groups. Resources cover:

  • Understanding the virus
  • Preparing your hospital or practice
  • Screening and diagnosing Ebola
  • Treating patients with the virus

The resource center will be updated regularly to give you, your practice staff and your patients the most up to date information you need. Save to your favorites for an easy reference.

During the AMA Litigation Center open meeting yesterday afternoon, attendees witnessed a lively panel discussion on state court litigation about a recent Florida statute seeking to limit physicians' rights to counsel patients about firearms safety on the basis that it infringed on Second Amendment rights.

Finally, in support of a meeting of AMA representatives with CMS officials scheduled later this week, AMA Delegate Richard Evans, M.D. would like to hear from any Maine physician who has been denied a hardship waiver under the "meaningful use" EHR program.  If you are willing to share your experience with Dr. Evans, please contact him at ASAP.

  [return to top]

Health Insurance Marketplace Open Enrollment Begins This Sat., Nov. 15

Open Enrollment for health insurance through the Marketplace begins on November 15th and ends on February 15, 2015.  A one-page Guide to the Marketplace is available here.  Consumers can now review their plan options for 2015 here.  Consumers who have 2014 insurance coverage through the Marketplace are advised to review, update, compare, choose and enroll for 2015 coverage: 5 Steps to Staying Covered Through the Marketplace.

Enrollment assistance is available by phone, online, and in-person.  

  • Assistance is available by phone at the Marketplace Call Center 1-800-318-2596 and online at

  • In Maine, consumers can go to to search for free in-person assistance by zip code.

  • They can also call the Consumers for Affordable Care Maine Helpline at 1-800-965-7476 with questions and to get help with applications.

For more information, resources for your patients, or training for your practice, contact ACA Outreach Coordinator Sue Kring at or 662-2364.


[return to top]

Maine CDC, Diabetes Prevention & Control Program Hosts Maine NDPP Forum on Nov. 17
Maine CDC presents:  NDPP- A Real World, Cost Effective Solution to Type 2 Diabetes Prevention

When:  Nov. 17, 2014 from 1:30 to 5:00pm
Location:  UNUM, 2211 Congress St., Portland, Maine
To register:  http:www.surveymonkey,com/s/NDPPForum11172014  
Registration closes Wednesday, Nov. 12, 2014
The National Diabetes Prevention Prevention Program encourages collaboration among federal agencies, community-based organizations, employers, insurers, health care professionals, academia and other stakeholders to prevent or delay the onset Type 2 Diabetes among people with pre-diabetes in the United States.  
Speakers at the Forum include Ann Albright, PhD, Rd, Director of Division of Diabetes Translation at the US CDC and Omar Hasan, M.D., Vice President, Improving Health Outcomes, at the AMA.
[return to top]

Enrollment Webinar Recording Available

The October 28th Quality Counts Brown Bag Forum webinar, "Get Covered, Stay Covered: Looking Ahead to Open Enrollment 2015" is now available online. Click here for the full webinar recording, slides and links to resources and information about 2015 Health Insurance Marketplace Open Enrollment.

[return to top]

MMAs December 5th First Fridays Program: Annual Compliance Seminar

MMA Annual Compliance Seminar

AGENDA (Registration Form) 8:30 AM Registration

9:00 Introductions and HIPAA Update, Gordon Smith, Esq.

9:30 OSHA, including Bloodborne Pathogen Rule, Stacy Doten, RN

10:00 Employment Law Update, Michael Burian, Esq.

10:30 Break

10:45 Fraud and Abuse Update, Andrew MacLean, Esq.

11:30 Q & A

12:00 Adjourn


1.    To inform attendees of the new laws and regulations impacting on the operation of a medical practice.

2.    To specifically deal with laws and regulations regarding OSHA, Employment, Fraud and Abuse (ACA enhanced) and HIPAA.

3.    To demonstrate how risk of non-compliance can be reduced.


Michael Burian, Esq. joined Kozak & Gayer as an associate in 2010, and he maintains a general health care law practice assisting various types of health care entities. While in law school, Mike was an editor of the Maine Law Review and practiced as a student attorney for the Cumberland Legal Aid Clinic and the Maine Disability Rights Center. He also completed internships at the Maine Office of the Attorney General and the U.S. Attorney’s Office in Portland. Prior to law school, Mike was an AmeriCorps VISTA working for Wyoming Legal Services in Lander, Wyoming.

Stacey P. Doten, RN, CPHQ, HACP is a Senior Risk Manager with Medical Mutual Insurance Company of Maine. She has Associate Degrees in both Laboratory Science from the University of Maine at Augusta and Nursing from Northern Maine Community College. She has more than 20 years of healthcare experience, including healthcare quality and risk management. She is a Certified Professional in Healthcare Quality (CPHQ) and a Certified Professional in Healthcare Accreditation (HACP). She is a member of the Northern New England Society for Healthcare Risk Management (NNESHRM), National Association of Healthcare Quality (NAHQ), and the Maine Medical Group Management Association (MEMGMA).

Gordon H. Smith, Esq. is the Executive Vice President of the Maine Medical Association and has served Maine’s physicians since 1979. He is a native of Winthrop, Maine and a graduate of the University of Maine and Boston College Law School.

Andrew B. MacLean, Esq. is the Deputy Executive Vice President & General Counsel of the Maine Medical Association.  He provides health law and general legal advice to the Association. Mr. MacLean is an experienced health care attorney and lobbyist. He served six years as Mayor of the City of Gardiner and four years on active duty as a U.S. Marine Corps officer.  He is a graduate of Duke University and the University of Maine School of Law.  Disclosure: No significant or relevant financial disclosures.

  [return to top]

Upcoming Events


Join your colleagues for the Maine CRC Round Table on November 17th and help Maine reach an 80% colorectal cancer screening rate by 2018!

The American Cancer Society, The Maine Cancer Consortium and The Maine CDC Colorectal Cancer Control Program invite you to prevent more colon cancers and save more lives. We value your knowledge about colon cancer screening and encourage you to participate in our collaborative.

Please Join Us for Breakfast and Discussion

  • To better assess colorectal cancer screening rates in Maine
  • To identify significant barriers to colon cancer screening in Maine
  • To form partnerships in an effort to improve colon cancer screening rates statewide.

Dates & Times:

November 17, 2014

8:30am -10am at the Senator Inn in Augusta

8:15am check-in

8:30am program begins

Please RSVP

For more information, please contact or (207) 373-3716

We look forward to seeing you!

  [return to top]

Job Openings

Family Nurse Practitioner

Sacopee Valley Health Center is recruiting a Family Nurse Practitioner to provide walk-in care on Fridays, Saturdays and Sundays.  This 30 hour per week position involves no after-hours call with an excellent benefit package including health, disability and life insurance, 401k retirement plan, and a generous paid time off plan. Applicants must be a graduate of a Family Nurse Practitioner Program with current Maine licensure. Please submit resume to or mail to:  Human Resources Coordinator, Sacopee Valley Health Center, 70 Main Street, Porter, Maine 04068. Sacopee Valley Health Center is an Equal Opportunity Provider and Employer.


Seeking Physicians (Non Behavioral Health) to Participate in Ongoing Committees with MCHO

Maine Community Health Options (MCHO) is seeking physicians (Non Behavioral Health) to participate in ongoing committees with MCHO. 

Available committee roles are:

  1. Credentialing Committee
    • One specialty
    • One primary care physician (MD/DO)
Credentialing files are sent electronically for review prior to the meeting and participation can be in person or remotely. Meets once a month and the stipend is $250 for each meeting.
  1. Medical Management Committee
  • Two specialty physicians (MD/DO)
Agenda items are sent electronically for review.  Meets quarterly and can be attended remotely or in person.  Stipend is $250 for each meeting.
  1. Quality Assurance Committee
    • Two specialty physicians (MD/DO)
Agenda items are sent electronically for review.  Meets quarterly and can be attended remotely or in person.  Stipend is $250 for each meeting.
The physician committee members must hold an active, unrestricted license to practice medicine and be board certified (if applicable) by:
  • A specialty board approved by the American Board of Medical Specialties (doctors of medicine); or
  • The Advisory Board of Osteopathic Specialist from the major areas of clinical services (doctors of osteopathic medicine)

Please contact John Yindra or 207-402-3327 for more information.


Family Practice Physicians

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, Ashland and Houlton locations.  KVHC is a fully electronic medical record site and offers a competitive salary ($170,000 to $190,000 annual) and benefit package which includes: a 10% of first year salary sign on bonus, generous amounts of paid time off, $2500 annually toward CME as well as a completely outpatient site.  The call schedule is 1 in 8 with additional coverage from the Open Access Clinic.  Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.

To learn more about KVHC and Practitioner Opportunities, please contact Michelle LeFay at or visit our website at  KVHC is an equal opportunity employer.


Chief Dermatologist Job in Central Maine

Challenging, Lucrative, Chief Dermatologist job in central Maine - honoring and serving Veterans.  An experienced Dermatologist is needed in Augusta, Maine.  Must have an unrestricted medical license (from any U.S. state), and current BLS certification.  This is your opportunity to use and develop your skills of diagnosing, treating,and managing patients according to standard, usual, and acceptable methods and techniques.  

B/C or B/E specializing in Dermatology by the appropriate accrediting agencies.

This is the opportunity for you to receive a competitive salary, a generous leave package, excellent health & life insurance benefits, and retirement benefits. You'd be eligible to participate in a pension program as well as a matching Thrift Savings Plan which is similar to a 401K. If you are a veteran, you may be able to combine accrued military retirement credit with VA pension benefits.

Your salary will be determined by local Physician/Dentist Compensation Panel (commensurate with education, experience and qualifications). By law, U.S. Citizens will be given 1st preference but non-citizens will be considered in the absence of qualified citizens. A signing bonus may be available.  Equal Opportunity Employer. Disabled persons and/or veterans are encouraged to apply.

Contact John Poulin at 207-621-6913 or


Physician Sought

DFD Russell Medical Centers (DFDRMC) operates three community health centers in beautiful Central Maine. We are seeking a full time physician for immediate placement.  A current unencumbered Maine license and proficiency with electronic medical records are required.

Our three health centers serve a multicultural, rural population of about 10,000 patients and have a family practice focus serving pediatrics to geriatrics.  We have integrated behavioral health, care managers, a patient assistance coordinator and an excellent clinical support staff to support the candidate in delivering excellent clinical care.

Excellent benefits, including medical, dental, life insurance, 401K retirement plan, flexible spending accounts, generous paid time off and an incentive plan.  Salary is commensurate with experience.

We are an equal opportunity employer committed to diversity in the workplace.  If you want additional information about this position, which combines making a difference in patients’ lives with a family-friendly work life, please fax or e-mail your resume as soon as possible to Laurie Kane-Lewis, CEO.

Fax: 207-524-2459 and Email: 


Department of Psychiatry Faculty Position

The Geisel School of Medicine at Dartmouth, Department of Psychiatry, in a productive collaboration with the State of Maine, is seeking psychiatrists to join our faculty for inpatient responsibilities at the Riverview Psychiatric Center.

Riverview Psychiatric Center is a 92-bed acute psychiatric facility located in Augusta, ME and is the flagship inpatient treatment center for Maine’s public mental health system.  Psychiatrists with expertise in general inpatient psychiatry or forensic psychiatry are encouraged to apply.

Academic duties can include teaching and supervision of medical students and residents. Research opportunities available and encouraged.

Candidates should be board certified or eligible in Psychiatry. This position will include a faculty appointment at The Geisel School of Medicine at Dartmouth at a rank and salary commensurate with experience. Curriculum vitae and three letters of reference, addressed to Dr. William Torrey, Search Chair, should be e-mailed to  Please reference search number PS0314D.

Dartmouth College/Dartmouth Hitchcock Clinic/Geisel School of Medicine is an equal opportunity/ affirmative action employer with a strong commitment to diversity. In that spirit, we are particularly interested in receiving applications from a broad spectrum of people, including women, persons of color, persons with disabilities, veterans or any other legally protected group.









   [return to top]

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