February 9, 2015

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

HHS Announces New Payment Models as MMA Features Current Issues in Payment Reform

The Patient-Centered Primary Care Collaborative applauded HHS' Announcement to Expand New Medicare Payment Models this past week as MMA's First Friday presentation featured "Current Issues in Payment Reform." Presenters Ben Townsend, Esq., Frank Johnson, and Lisa Letourneau, M.D., M.P.H. brought attendees up to date on the many initiatives in Maine promoting alternatives to the present fee for service system.

The Patient-Centered Primary Care Collaborative (PCPCC) applauded the U.S. Department of Health and Human Services’ (HHS) goal for 30 percent of Medicare payments to be in alternative payment models by the end of 2016 and 50 percent by the end of 2018.  Secretary Burwell also had set forth an aim to link 85% of all Medicare FFS payments to quality or value by 2016, and 90% by 2018.

HHS’ commitment to alternative payment models, like Accountable Care Organizations (ACOs) and bundled payments, as well as innovative care delivery models, like the Patient-Centered Medical Home (PCMH), signifies a positive shift in payment reform policy that moves away from the traditional fee-for-service (FFS) system, the Collaborative stated.

The broad and diverse membership of the PCPCC advocates for advanced models of primary care that are critical to improving population health and quality, which are not financially sustainable using the traditional FFS payment structure.  The PCMH is an ideal foundation for primary care delivery within ACOs and other alternative payment models in that the PCMH coordinates care with health providers within the medical neighborhood and prioritizes the role of the patient and their family as central.

Recent announcements about advanced primary care models, especially in multi-payer environments, have had a positive impact on Triple Aim outcomes.  Last week, the Centers for Medicare & Medicaid Services released first-year results from both the Comprehensive Primary Care Initiative and the Multi-Payer Advanced Primary Care Practice Demonstration that showed reductions in health care cost and unnecessary utilization.  This Friday, the PCPCC will release its annual report on the evidence from recent peer-reviewed studies, state government evaluations, and industry generated literature on the impact that PCMH has on health care costs, utilization, and quality - the encouraging news will underscore the promising results associated with investing in advanced primary care.

The HHS announcement included a new "Learning and Action Network" that will accelerate the transition to more advanced payment models by fostering collaboration between HHS, private payers, large employers, providers, consumers, and state and federal partners. 

During Friday's educational presentation at MMA, the three presenters noted the following developments:

  • Ben Townsend reviewed the Legal Tool Kit designed to assist physicians in preparing for payment reform. The Kit is available for free on the MMA website and has been prepared with support from the Maine Health Access Foundation.
  • Frank Johnson of the Maine Health Management Coalition discussed the Coalition's role in the SIM grant including the work of the SIM Payment Reform Subcommittee and the Accountable Care Implementation Steering Committee and the recommendations of the Measure Alignment Work Group.
  • Lisa Letourneau, M.D., MHP spoke of the future of primary care reform beyond the Patient Centered Medical Home Pilot.

MMA Announces Changes to First Friday Educational Sessions; 25th Annual Practice Education Seminar to be Held Nov. 18 in So. Portland

Because of declining attendance, MMA has decided to cancel the First Friday presentations scheduled for October, November, and December 2015.  We apologize for any inconvenience this may pose.  Any person registered for one or more of the sessions will receive a refund or can use the amount paid as a credit toward other educational programs, including MMA's 25th Annual Practice Education Seminar.  The Seminar will be held this year on Wednesday, Nov. 18 in So. Portland at the Doubletree Hotel.

The next two First Friday programs will go on as scheduled:  The Annual Coding Seminar/Transitioning to ICD-10 on April 3 and the Annual HIPAA Update on May 1.  Registration for these two programs is available on the MMA website at www.mainemed.com.

At the MMA Board retreat in January, Board members reviewed the performance of the First Friday series over the past few years and determined that the cost was not justified for the small number of attendees.  MMA will still be offering educational programming on legislative and regulatory issues, such as HIPAA, but how the information will be presented will change with more one-hour webinars than face-to-face programs.  As for the future of the yearly Practice Education Seminar, that decision will await the experience on Nov. 18, 2015.






[return to top]

MMA Legislative Committee Weekly Conference Call, Tuesday, February 9th at 8 p.m

The first MMA Legislative Committee weekly conference call for the First Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, February 3rd at 8:00 p.m.

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:  1-619-326-2772

Passcode:  729-7185

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week.  The calls rarely last longer than an hour.  The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill.  

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

The following are bills of interest to the physician community printed last week.  We will discuss the priority bills marked with an asterisk (*) first.  This will be important when the list grows in the next few weeks.

LD 211, An Act To Authorize a General Fund Bond Issue To Prepare Maine To Respond to a Disease Outbreak (support; Public Health Committee)

LD 213An Act To Ensure the Comprehensive Medical, Dental, Educational and Behavioral Assessment of Children Entering State Custody (support; Maine Chapter, AAP bill; pediatricians, psychiatrists)

LD 219An Act To Protect a Child from Misuse of Identity (monitor or support; pediatricians)

LD 230An Act To Allow a Person To Request a Pardon from the Governor for the Purpose of Restoring Gun Rights (monitor; Public Health Committee)

LD 231An Act To Ensure That Schoolchildren with Dyslexia Receive the Assistance Needed (monitor or support; pediatricians)*

LD 236An Act To Adjust Appropriations and Allocations from the General Fund and Other Funds for the Expenditures of the Department of Health and Human Services and To Change Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Year Ending June 30, 2015 (DHHS FY 2015 supplemental budget bill; support ACA primary care fee enhancement)*

LD 243An Act To Restore Consumer Rate Review for Health Insurance Plans in the Individual Market (support)*

LD 246An Act To Prohibit the Handling of a Mobile Telephone While Operating a Motor Vehicle (monitor; Public Health Committee)*

LD 251An Act To Limit Allowable Health Care Charges in Certain Specified Situations (monitor; anesthesiologists, radiologists, pathologists, emergency physicians)*

LD 252 An Act To Increase Transparency of Entities Receiving Substantial Amounts of Public Funding (monitor or oppose; OB/GYNs)*

LD 263An Act To Provide a Minor with a Defense to Prosecution in a Situation That Involves Risk of Alcohol Overdose(monitor; pediatricians; psychiatrists)

LD 266An Act To Allow Access for Law Enforcement Officers to the List of Registered Primary Caregivers for Medical Marijuana Patients (monitor)

LD 274Resolve, To Direct the Department of Health and Human Services To Address the Growing Deficit in Room and Board Allowances Paid to Agencies Providing Residential Services to Adults with Intellectual Disabilities or Autism (monitor; psychiatrists)

LD 277An Act To License Polysomnography (monitor)

LD 289An Act To Amend the Health Plan Improvement Law Regarding Prescription Drug Step Therapy(support)*

LD 292An Act To Require Hospitals To Allow Patients To Provide Their Own Medications (monitor)


  [return to top]

Supreme Court of Canada Removes Prohibition Against Assisted Suicide

Last Friday, the Supreme Court of Canada unanimously struck down laws banning physician-assisted suicide for patients with grievous and irreversible medical conditions.  The decision is of particular interest in Maine where several proposals are expected to be considered by the 127th Legislature that would allow physicians to actively assist in a patient's death.  

"The prohibition on physician-assisted dying infringes the right to life, liberty and security of the person in a manner that is not in accordance with the principles of fundamental justice," the court wrote, adding that an absolute ban was not needed to ensure that vulnerable people are not coerced "to commit suicide at a time of weakness."

Last summer, the Canadian Medical Association changed its previous position opposing physician-assisted death. Its new policy allows physicians, within the bounds of the law, "to follow their conscience when deciding whether to provide medical aid in dying."

The AMA's Code of Medical Ethics still prohibits actively assisting in a patient's death.  In 2000, MMA opposed a ballot question which would have authorized physician-assisted suicide.  The referendum narrowly lost.  Currently, five states allow such action through court decisions, legislative action, or public referendum.

[return to top]

POLITICAL PULSE: Minors Tanning and DHHS Supplemental Budget Hearings Highlight This Week


The Maine Chapter of the American Academy of Pediatrics, the MMA, and the American Cancer Society, Cancer Action Network (ACS CAN) will be coordinating proponent witnesses this coming Wednesday morning, February 11th at a public hearing before the Health & Human Services Committee on L.D. 123, An Act to Reduce Youth Cancer Risk.  Sponsored by Senator Geoffrey Gratwick, M.D., the bill would prohibit a minor from using a tanning facility in Maine.  The hearing is scheduled for 10:00 a.m. in Room 209 of the Cross State Office Building.  Should you wish to communicate with members of the HHS Committee about this bill, or if you would like to listen to the live stream of the hearing, you will find that information here.


The Appropriations Committee is scheduled to hear L.D. 236, a FY 2015 supplemental budget for the Department of Health & Human Services, on Wednesday, February 11th at 1 p.m. in Room 228 of the State House.  The HHS Committee will join the Appropriations Committee in the hearing.  The bill will ensure that the state budget remains in balance for the rest of the current fiscal year ending June 30th.  The next biennial budget will extend for 2 years from July 1st.  The supplemental budget bill includes two initiatives supported by MMA.  It includes approximately $1.9 M General Fund for the MaineCare Health Homes initiative and approximately $1.5 M General Fund for the ACA primary care fee enhancement for MaineCare.  MMA EVP Gordon Smith expects to testify in favor of these provisions on Wednesday afternoon.  You can find information about the Appropriations Committee and the link to the live stream of the hearing here.  The HHS Committee has scheduled a work session on the bill for this Thursday at 1 p.m.

[return to top]

Jennifer Reck, M.A. Assumes Program Manager Role at National Academy for State Health Policy

Jennifer Reck, M.A., an accomplished professional who has been managing MMA's Maine Independent Clinical Information Service (MICIS) and has served as MMA's Director of Grants Management, recently has assumed a new position as Program Manager at the National Academy for State Health Policy (NASHP) in Portland.  The MMA Board of Directors and staff thank Jennifer for her excellent work on our behalf and wish her well in her new position.  We are very pleased that Jennifer will remain active in health care policy in Maine. [return to top]

Open Enrollment Ends this Weekend for Health Insurance Marketplace

The Open Enrollment period to get health insurance for 2015 through the Marketplace ends on Sunday, February 15, 2015. Patients may be able to get help paying for insurance premiums and out-of-pocket costs for Marketplace health insurance.  

  • Consumers can apply online and get more information at www.healthcare.gov, and can ask questions and get enrollment help by calling the Marketplace Call Center at 1-800-318-2596.
  • Free in-person enrollment help is available in Maine.  Search for local assistance at www.enroll207.com.
  • Free brochures are available at enroll207.  Go to www.enroll207.com/material-order-form/ for free materials to help patients get covered and use their new insurance plan.

More information and links to Marketplace resources, including upcoming Health Insurance Marketplace 101 webinars, are available at the Maine Medical Association website.  For additional resources for your patients and updates or training for your practice, contact ACA Outreach Coordinator Sue Kring at skring@mainemed.com or 662-2364.

[return to top]

March 6 Enrollment Deadline For Hanley Center Advanced Physician Leadership Program

Enrollment is now under way for the Hanley Center's fourth annual Physician Executive Leadership Institute--Advanced Program.

Physicians enrolling in the program are designated as McAfee Fellows, in honor of former AMA and MMA President Robert McAfee, M.D.

Over the past three years nearly 90 physicians have participated in the Advanced Program.   The fourth class will begin April 9 at the Samoset Resort in Rockport and continue through January, 2016.  After the opening session, the remainder of the residential  program will take place in Brunswick.  There are six two-day sessions, each running from Thursday evening through late Saturday morning.    Sixteen physicians already have enrolled in the upcoming class.  The Hanley Center is planning for the class to include about 30 physician leaders from Maine and New Hampshire. 

More than 200 other providers have participated over the past three years in the Hanley Center's Foundational programs at 12 sites across Maine and New Hampshire. Programs are now under way at Mercy Hospital and York Hospital.  A program begins on January 28 at Central Maine Medical Center in Lewiston.  A pilot program aimed at physician-administrator Dyads was launched late last year at St.Mary's Regional Medical Center, also in Lewiston.

A distinguished five-member faculty team from the Heller School at Brandeis University delivers much of the program content, joining with Maine-based subject matter experts and physician leaders.  McAfee Fellows receive 80 hours of Category One CME for their participation in the full program.

Two important dates are coming up:

- 7 a.m.  Tuesday, February 10:                  Information Call/Webinar   866-740-1260, Code 5231501#

- Friday, March 6                                              Deadline for enrollments

To learn more, please visit www.hanleyleadership.org or contact the Hanley Center's Jim Harnar at jamesharnar@hanleyleadership.org or Kathy Vezina at kathrynvezina@hanleyleadership.org 

   [return to top]

New England QIN-QIO Announces Diabetes and Cardiac Health Projects

  • Everyone with Diabetes Counts (EDC) Project.  The project will improve the quality of life for your patients with diabetes and help them avoid complications.  Collaborate with key stakeholders in your community to identify and increase opportunities for Diabetes Self-Management Education (DSME) among under-served populations.
  • Improving Cardiac Health and Reducing Disparities in Care Initiative.  The initiative will help improve the quality of care for your patients with cardiac disease and position your practice for financial incentive programs including Meaningful Use and value-based payment programs.

The New England Quality Improvement Network – Quality Improvement Organization (NE QIN-QIO), CMS’s new Quality Improvement Organization (QIO) for the state of Maine and the six New England States region, will be working with a small number of provider practices on Medicare’s latest quality improvement initiatives to improve the quality of care for your patients with cardiac disease and diabetes.

Goal: The primary objective with these initiatives is to reduce disparities in diabetes and cardiac care and improve the quality care by partnering with providers to promote health literacy, engage patients and families in diabetic self-management, improve targeted clinical outcome measures and optimize the use of electronic health records. 

Benefits to your practice:   At no cost, the NE QIN-QIO will support eligible practices by offering training and technical assistance with important QI initiatives such as Meaningful Use, PQRS, and Value-Based Modifier, Everyone With Diabetes Counts and Million Hearts ® Initiative.

Healthcentric Advisors, is a Rhode Island-based not-for profit company that was recently awarded the CMS contract to provide healthcare quality improvement services in Maine.  It is the prime contractor, in partnership with Qualidigm (the former QIO for Connecticut), and serves as the CMS Quality Innovation Network – Quality Improvement Organization (NE QIN-QIO) for all 6 New England States.  Healthcentric Advisors opened a state office in Brunswick, Maine, with a team of quality improvement staff, who will be accessible to work with providers in all settings of care throughout Maine. 

To discuss how your practice may take advantage of this opportunity and participate in one of these initiatives, call Doreen Bedaw, Program Coordinator, NE QIN-QIO, at 877-904-0057 x3105 or email her at: dbedaw@healthcentricadvisors.org.

  [return to top]

Brief of the Week: Antitrust Laws

Each week through mid-February, the Weekly Update is featuring one from a series of policy briefs featuring content covered in the document Payment Reform Update: Current Context and Emerging Issues, prepared by health care attorney Ben Townsend for the Maine Medical Association. This week's topic is:

Health Care Payment Reform Models Can Satisfy the Antitrust Laws

This is the final brief in the series.  A complete set of the payment reform policy briefs can be accessed on the Payment Reform Resources webpage

  [return to top]

Job Openings: Note Posting of State Epidemiologist Position

Gastroenterologist Job in Central Maine

Challenging, Lucrative, Gastroenterologist job in central Maine - honoring and serving Veterans.  An experienced Gastroenterologist is needed in Augusta.  Develop your skills of diagnosing, treating, and managing patients, while living in an all-season recreational getaway!

Must-haves: Fellowship-trained and B/C specializing in Gastroenterology, fellowship-trained in Transplant Hepatology, and fellowship-trained in Advanced Endoscopy; experience in Upper Endoscopy (including EGD, Barrett's Esophagus diagnosis and treatment, vatical bleeding, bleeding ulcers, dilation, stent placement for esophageal strictures, and treating food impactions); experience in  Colonoscopy (diagnostic and therapeutic), ERCP, EUS with FNA (for both solid and cystic lesions), Push enteroscopy, Deep small bowel enteroscopy, Capsule endoscopy, and Combined Interventional and Endoscopic interventions (Rendezvous procedures); experience in hepatology and liver diseases; lastly, an unrestricted medical license and current BLS certification.

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.

Salary will be commensurate experience, using VA’s market-based physician pay system. 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.  Relocation expenses are not authorized.  Equal Opportunity Employer.  Disabled persons and/or veterans are encouraged to apply.

For more information contact John Poulin: john.poulin@va.gov


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 psychiatry.jobs@dartmouth.edu.  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.


Rockport, Maine - Internal Medicine - Primary Care

Located directly on the shore of the Atlantic Ocean, Pen Bay Medical Center seeks BC/BE IM physician to join one of its hospital-employed Primary Care groups.  We offer:

  • Competitive salary with productivity bonus
  • Four day work schedule
  • Comprehensive benefits
  • Generous Paid time off
  • CME Allowance
  • 1:7 outpatient only call
  • Impressive sub-specialty support
  • Relocation allowance
  • Loan repayment program

Come work and live where others go to vacation!

Please forward CV and confidential inquiries to:

John Bragg, Director, Physician Recruitment

Pen Bay Medical Center, 6 Glen Cove Drive, Rockport, ME  04856

(207) 921-5894    jbragg@penbayhealthcare.org


State Epidemiologist Sought

As State Epidemiologist in the Division of Infectious Disease, you will provide guidance and support to approximately 12-15 epidemiologists in the Infectious Disease Epidemiology Program for disease investigations and outbreak control, surveillance activities, and planned epidemiologic studies. Additionally, you will provide medical guidance, as needed, to all other programs within the Division; the Maine Immunization Program and the HIV, STD and Viral Hepatitis Program. You will be involved in formulation of statewide public health policy including providing legislative testimony by request for the Department. You will participate in the development of disease investigation protocols and the review of case investigations. You will consult with physicians and other health care professionals on disease prevention and control measures. You will respond to inquiries from the public and will coordinate response to media inquiries as directed by the Director of Maine CDC. You will interact with staff in the Division of Public Health System's, Public Health Emergency Preparedness Program, and the Health and Environmental Testing Laboratory, as well as the Division of Environmental Health's Health Inspections Program and other programs as requested. You will be part of the on-call rotation for nights and weekends (for telephone consultation, not on-site work) and provide technical support to other staff as needed when they are on call. As State Epidemiologist, you will supervise the medical epidemiology team which includes the Deputy State Epidemiologist and the Healthcare Associated Infections Coordinator. You will also provide medical guidance and oversight to the Tuberculosis Control Coordinator. You will serve as a liaison between federal CDC and Maine CDC on issues related to infectious disease. The State Epidemiologist will report to the Director, Division of Infectious Disease.


Graduation from an accredited school of medicine or osteopathy with board certification in an appropriate medical specialty. A twelve year combination of training and experience in medicine and public health, to include a minimum of four years experience as an epidemiologist, OR a Masters Degree in Public Health or a related field and six years experience in the field of medicine and public health, to include a minimum of four years of experience as an epidemiologist. 

SPECIAL REQUIREMENT: Applicants must be eligible for a license to practice medicine in the State of Maine and must have a valid license prior to the start of employment. 

APPLICATION INFORMATION:  For additional information about this position please contact Jeremy Wilson, Human Resources Assistant at (207) 287-1873 or by e-mail @ jeremy.p.wilson@maine.gov. To apply, please forward a completed State of Maine application form and cover letter to: 

Department of Health and Human Services 
J. Wilson, Human Resources Asst. 
#11 State House Station 
Augusta, ME 04333-0011 

Direct hire applications are available at www.maine.gov/dhhs/jobs 
Applications must be postmarked by March 2, 2015.



Inland Hospital is a dynamic healthcare organization that believes in putting the patient first in every way. We are a 48-bed community hospital in Waterville; Lakewood, a 105-bed continuing care center on the hospital campus; 18 primary and specialty care physician offices in Waterville and five surrounding communities. Inland has been a proud member of EMHS since 1998. Inland patients have seamless access to a higher level of care when needed.

Come to Waterville, Maine - home of Colby College! This dynamic community offers quality schools, safe neighborhoods, and affordable real estate - plus plenty of shopping, dining and other activities.  Waterville is situated near many lakes and rivers, and is centrally located between excellent skiing and the seacoast, 15 minutes from Augusta (Maine’s capital), an hour from Bangor, and 75 minutes from Portland.

Enjoy living in a scenic area with four-season activities including hiking, skiing, camping, kayaking, sailing, hunting and fishing, golfing, snowmobiling, whitewater rafting, snowshoeing, and much more!

For Further Information, please contact:

Sherry Tardy, Director Business Development/Provider Recruitment, Inland Hospital by email at:stardy@emh.org or by phone at: 207-487-4085.


Lincoln, ME:  Family Medicine Opportunity with Leadership Option

  • Federally Qualified Community Health Center with 6 Locations
  •  Medical Director opportunity if desired
  • Serves 19 small, rural towns in North Central Maine with over 14,000 active patients
  • Focused mission to serve/support underserved populations
  • Service area:  +/- 24,000
  • 4-day work week
  • Phone call 1:8
  • Excellent salary and benefit package, including FTCA malpractice insurance
  • Superb team of 25 multidisciplinary healthcare professionals, with collegial professional environment
  • On-site lab and radiology services
  • Work collaboratively with two local Critical Access Hospitals
  • National Health Service Corps, and/or other student loan repayment programs
  • J1 visa candidates welcome

Home of 13 Lakes. Thousands of miles of accessible recreational woodland and waterways appeal to those seeking nature, but this region is also within 45 minutes of Bangor, Maine’s third largest city, and UMaine’s flagship campus in Orono.

Contact:  Jamie Lynn Grant at JGrant@NEHS.net or (207)745-7059









   [return to top]

Upcoming Events



Webinar: Tackling Self-Pay: Strategies for Your Practice and Patients

When: Wednesday, February 11th at 12:00 p.m. ET

Description: Today, your patients are facing higher premiums, larger

co-payments and bigger deductibles than ever before. And with greater

financial burden for your patients means a greater collection burden for

your practice. But your first step towards thriving through the rise of

self-pay can begin right now. But your first step towards thriving through

the rise of self-pay can begin right now. In this free webinar, self-pay

expert Wendy Jacobs will discuss:

  • How to create a self-pay policy-and what every strategy should


  • The immediate need to implement a self-pay policy and train staff
  • Tactics, tools and technologies to improve self-pay patient

payments and reduce DAR

  • How a health care IT services partner can help you achieve your

self-pay goals

Register Today!

Registration link:




Dementia Care in Primary Care

Friday, March 13, 2015 

Join us to learn about, and work with colleagues, on the implementation of best practices for Dementia Care in Primary Care.  This symposium will be offered on Friday, March 13.  The focus of this symposium is on implementation of a standardized approach to memory related problems in Primary Care.  The symposium will be useful to all providers working in Primary Care.  It will be an all-day event, offering CME as well as an opportunity to engage in an office based Quality Improvement process.

The symposium is sponsored by the Office of Aging and Disability Services and is free to participants.  We encourage bringing a member of your support staff who might be integral to implementation of process improvement.

 The primary site will be at MaineGeneral in Augusta, but work is in progress to transmit to both EMMC in Bangor and MMC in Portland.

Cliff Singer, MD                                                                           Roger Renfrew, MD, FACP

Geriatric Mental Health and Neuropsychiatry                     Facilitator Clinical Geriatrics

Acadia Hospital and EMMC                                                   MaineGeneral Medical Center

207-973-7026                                                                         207-621-3699



Maine Concussion Management Initiative Training Programs – Level 1 and Level 2

General Information for 2015

When and where held:

              March 13, 2015 in Bangor at St. Joseph’s Hospital  

              May 1, 2015 in Machias at DownEast Community Hospital                       

              June 12, 2015 in Waterville at Colby College

              October 20, 2015 in Portland in conjunction with the Maine Brain Injury Conference

                             (Registration and fees will be through the Maine Brain Injury Conference for October 20)


Training Program: Training programs in 2015 will be updated.

              Level 1 - An Introduction to Concussions and Concussion Management

              Level 2 – Interpreting Neurocognitive Testing (Level 1 is a prerequisite for taking Level 2)

              8:00am – 8:15   Registration and Continental Breakfast (Level 1 and Level 2 are run simultaneously)

              8:15am-12:00pm            Level 1 – An Introduction to Concussions and Concussion Management

                                                          ○            The Diagnostic and Return to Play Dilemma

                                                          ○            Sport Related Concussion: Short and Long Term Sequelae

                                                          ○            Concussion Sideline Assessment

                                                          ○            Concussion Risk Factors, Treatment and Return to Function

                                                          ○            Tools in Concussion Management

                                                          ○            Concussion Case Studies

                                                          ○            Review and Wrap-up

              8:15am-12:00pm            Level 2 – Interpreting Neurocognitive Testing             

                                                          ○            Using ImPACT Testing in Concussion Management

                                                          ○            Interpreting ImPACT Test Results

                                                          ○            Case Reviews

                                                          ○            Review and Wrap-up

              Registration Fee:

              $100 for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, ATC, RN, PT, OT, SLP)


              $40 for school personnel and all other attendees

                             (School nurses, coaches, school athletic directors, administrators, parents, etc.)

              $20 for students – currently enrolled in a college program

Registration Fee Includes:

              1. Handouts

              2. Continental Breakfast and mid-morning break

              3. CEU/CME credits for Health Care Professionals

Registration Confirmation will be sent by email and will include:

              1. Directions to training location.            

              2. Training agenda.

For more information contact:

              Jan Salis, PT, ATC

              MCMI - Membership Committee Chair


              (207) 577-2018


SAVE THE DATE:  Maine Academy of Family Physicians Spring Events

23rd Annual MAFP Family Medicine Update – April 8-10, 2015, at the Atlantic Oceanside in Bar Harbor

April 11th (tentative) Certified Medical Examiner Training (for DOT Exams) – dependent on registration minimum met

For more information check our website:  http://www.maineafp.org/cme/mafp-cme-meeting

Complete schedule and registration available after January 15th. [return to top]

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