April 6, 2015

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SGR repeal close—Senate to Take Action After Recess

While a bipartisan bill to eliminate the sustainable growth rate (SGR) is waiting for the U.S. Senate to take action when it returns from a two-week recess, the current SGR patch ended at midnight on March 31st.  As a result, all physician services provided from that date will be subject to a 21 percent cut.

After the U.S. House of Representatives last week overwhelmingly approved a bill to eliminate the flawed Medicare sustainable growth rate (SGR) formula, the U.S. Senate delayed giving its final approval to the bill.  Senate leaders said they will vote on the bill promptly after Congress’ two-week April recess.

The current Medicare payment patch expired last Wednesday, which means doctors will receive 21 percent cuts in Medicare reimbursements. Here’s what physicians need to know about these cuts:

  • The Centers for Medicare & Medicaid Services (CMS) is instructing its carriers to “hold” claims for 10 business days until legislation can be passed and signed into law that reverses the cut.
  • The 10-day hold means that claims will be held through April 14. This is not a departure from standard practice.
  • By regulation, CMS may not pay electronic claims prior to 14 days (29 days for paper claims).
  • It is possible that the situation will be resolved before any claims are actually processed at the reduced rate.
  • The AMA anticipates that when Congress passes a bill, the restored payment rates will be applied retroactively. 

By law, Medicare is required to pay physicians the lesser of the submitted charge or the Medicare approved amount.  For that reason, the AMA is advising against submitting claims with reduced amounts reflecting the 21 percent cut.

The bill, H.R. 2, would set into motion Medicare physician payment reforms that will support physician practices that serve our nation’s seniors and military families enrolled in TRICARE.  President Barack Obama said he would sign the legislation into law, intensifying pressure on the Senate to move the bill forward.  The Senate is expected to vote when it returns on April 13.  Read about the provisions of the bill at AMA Wire®.

AMA President Robert M. Wah, MD, in a statement said he was “extremely disappointed” that the Senate delayed its vote.

“Physicians are always working to provide the highest quality of care for their patients and the bipartisan bill passed by the House provides a clear pathway for them to do that,” Dr. Wah said.  “We urge the Senate to immediately address this issue upon their return and once-and-for-all lay this destructive issue to rest by building the stable and sustainable Medicare program that our nation’s patients and physicians need and deserve.”

Physicians can contact their senators and urge them to support H.R. 2 when they get back from their vacation in any of the following ways:

  • Call senators using the AMA’s toll-free Physicians Grassroots Hotline at 1-800-833-6354.
  • Send an urgent email to senators reinforcing the need for SGR repeal now.
  • Contact senators directly through their own social media channels.


Documentary Featuring Maine Physicians Loxterkamp & Kramer on MPBN Tonight

A new documentary, Rx:  The Quiet Revolution by David Grubin will premiere on MPBN tonight, Monday, April 6th at 9 p.m.  Grubin, who is the son of a general practitioner, traveled around the country, from Alaska to Maine to the Deep South, documenting the work of primary care clinicians and their connection to their patients.  

The documentary shows how a patient-centered philosophy can improve health outcomes and enrich the lives of patients.  It highlights Drs. David Loxterkamp and Christine Kramer, who both practice in the Belfast area, and their experiences and thoughts about the challenging practice of primary care.  

 Be sure to tune in tonight! [return to top]

Support Drs. Mills and Flanigan at WGME13 Vaccine Town Hall Forum this Wednesday

WGME Channel 13 Town Hall:  Vaccines in Maine

The live program starts Wednesday, April 8th at 7:30 pm.  It will last 90 minutes and will be streamed to the website, wgme.com.  It will be rebroadcast on Sunday, April 12th from 11:35 pm-12:30 am on CBS 13.

Doors will open at the station at 6:30 pm.  This will give everyone time to get settled and get any questions you may have answered.

The station has invited four panelists for the evening:

Ginger Taylor/Maine Coalition for Vaccine Choice

Dr. Meryl Nass/Mount Desert Island Hospital

Dr. Dora Anne Mills/University of New England

Dr. Kevin Flanigan/Director of the Office of MaineCare Services

The moderator is Mark Hyman, host of Behind the Headlines.

If you have any background information you would like to contribute to the town hall in advance, please email Mark mhyman@sbgtv.com

The station encourages all audience members to come to the town hall ready to participate.  The moderator will open the floor to questions and you should feel free to question and challenge the arguments you will hear.  The station wants to keep the discourse respectful, but enthusiastic at the same time.  It is also WGME’s policy to not allow firearms on WGME property.  Two Portland Police Department officers will be at WGME for security purposes and we will have a bag check at the front of the building to ensure a safe environment for everyone involved.  

Dress code for the evening is business casual.

We are located at 81 Northport Drive, Portland, Maine. 

Please tell your friends, associates and other “like minded” people that they can watch the town hall on our website as it happens.  They may also join the discussion by posting comments and questions to our Facebook page Facebook.com/wgme13 or through Twitter using the hashtag  #YourVoiceYourFuture

 WGME anchor, Jana Barnello, will be monitoring social media and presenting online questions to the panel.

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Join MMA and BayState Financial at Ri Ra in Portland, Wednesday evening, April 8 for Fiscal Fitness for Life

Are you beginning to wonder about how you will address the many issues which could challenge your ability to maintain your lifestyle throughout your years of retirement?

 If so, then why not enjoy an evening of Ri Ra’s relaxed hospitality and join us for a lively conversation regarding the many variables which may impact your financial well-being during retirement?

The evening’s theme is, Retirement Income Distribution Strategies: Avoiding the Potholes in Retirement.  This workshop is the first in a series of programs brought to you as part of MMA’s and Baystate’s Fiscal Fitness for Life initiative and is intended  to help you form a perspective from which you will be able to make informed decisions regarding the many complex and often confusing retirement planning issues such as:

  • Earned Income to Unearned Income -Coordinating  sources of cash flow while transitioning from your career into retirement.
  • Investment Risks - Understanding the various risks as they relate to your cash flow needs.
  • Income Taxes- Creating strategies to minimizing their impact.
  • Social Security Benefits - Choosing the timing that is best for you and your family.
  • Modeling – Comparing the effectiveness of various strategies available to you,

Finding the right balance in retirement between  maintaining your personal income, continuing to care for family member needs  and maybe a charitable commitment or two is no easy task.  It will take a good deal of forethought, why not jumpstart your thinking and join us on the 8th

Ri Ra, 72 Commercial St., Portland, ME

Please RSVP to Brian Falconer at bfalconer@baystatefinancial.com ; 401.432.8836

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Health Insurance Marketplace Tax Penalty Special Enrollment Period: March 15 through April 30, 2015

The Open Enrollment Period for 2015 Marketplace health coverage is over, but consumers may still be able to get covered and avoid a tax penalty next year. There is a new Special Enrollment Period (SEP) for consumers who find out they must pay a tax penalty because they did not have coverage in 2014.  You are eligible for this SEP if you:

  • are not currently enrolled in 2015 Marketplace coverage,
  • attest that when you filed your 2014 tax return you paid the fee for not having health coverage in 2014, and
  • attest that you first became aware of, or understood the implications of, the Shared Responsibility Payment after the end of open enrollment (February 15, 2015) in connection with preparing your 2014 taxes.

This SEP will begin on March 15th and end on April 30th. Consumers who qualify must complete the entire enrollment process (that is, including selecting a plan) by 11:59 pm E.S.T. on April 30th.

Other life events that may qualify you for a Special Enrollment Period include:

  • Getting married
  • Having a baby, adopting a child or placing a child for adoption or foster care
  • Losing other health coverage
  • Permanently moving outside your plan’s coverage area
  • Gaining citizenship or lawful presence in the U.S.
  • Gaining or continuing status as a member of an Indian tribe or an Alaska Native shareholder.
  • Leaving incarceration
  • For people already enrolled in Marketplace coverage: Having a change in income or household status that affects eligibility for premium tax credits or cost-sharing reductions

If you think you my qualify for a Special Enrollment Period, you can apply at healthcare.gov or by calling 1-800-318-2596. For free in-person help with your application go to www.enroll207.com to find an assister near you.  More information about Special Enrollment Periods is available at www.healthcare.gov/coverage-outside-open-enrollment/special-enrollment-period/

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MMA Legislative Committee Weekly Conference Call, Tuesday, April 7th at 8 p.m.

The next MMA Legislative Committee weekly conference call for the First Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, March 31st 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. 

LD 1145, An Act To Improve Maine's Involuntary Commitment Processes (support; psychiatrists, emergency physicians)*

LD 1149, Resolve, Directing the Maine Center for Disease Control and Prevention To Report on Progress toward Meeting Healthy Maine 2020 Goals Pertaining to Reproductive Health (support; OB/GYNs, pediatricians)*

LD 1150, An Act Regarding Maximum Allowable Cost Pricing Lists Used by Pharmacy Benefit Managers (monitor)

LD 1156, An Act Regarding the Board of Dental Examiners (monitor)

LD 1158, An Act To Improve the Ability of Mental Health Professionals To Assess the Risk of Suicide (monitor; psychiatrists)

LD 1165, An Act To Enact the Toxic Chemicals in the Workplace Act (monitor; Public Health Committee)*

LD 1170, Resolve, Regarding Legislative Review of Portions of Chapter 11: Rules Governing the Controlled Substances Prescription Monitoring Program, a Late-filed Major Substantive Rule of the Department of Health and Human Services (monitor)*

LD 1171, An Act To Protect Certain Information under the Maine Human Rights Act (monitor)

LD 1179, An Act To Prohibit the Selling of Humans (monitor)*

LD 1187, An Act To Specify the Record-keeping Requirements for Social Workers (monitor; psychiatrists)

LD 1193, An Act To Encourage Good Nutrition and Healthy Choices in the Supplemental Nutrition Assistance Program (monitor; Public Health Committee, pediatricians)

LD 1195, An Act To Amend the Laws Governing Workers' Compensation (monitor)

LD 1201, An Act To Standardize and Simplify the Process for Employers To Have a Drug-free Workplace Policy (monitor)

LD 1209,  An Act To Increase the Effectiveness of Peer Supports in the State (monitor; psychiatrists)*

LD 1210, Resolve, To Convene a Work Group To Propose Changes to the Statutes Governing Dental Practice (monitor)

LD 1211, An Act To Provide Rule-making Powers and Increased Authority over Dental Hygienists to the Subcommittee on Dental Hygienists (monitor)

LD 1214, An Act To Implement the Recommendations of the Mental Health Working Group (support; psychiatrists, emergency physicians)*

LD 1216, An Act To Improve the Authority of Guardians of Persons with Intellectual Disabilities or Autism (monitor)

LD 1218, An Act Regarding the Administration of Vaccines by Pharmacists (oppose; pediatricians, Public Health Committee)



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POLITICAL PULSE: House & Senate Split in Votes on Youth Tanning


Last week, the bill to prohibit minors from using tanning beds came up for initial debate and votes in both the House and Senate.  On Tuesday, the Senate voted 18-17 in favor of the minority "ought not to pass" report from the HHS Committee - a narrow vote contrary to physician and patient interests in the bill.  On Thursday, the House voted 87-59 in favor of the majority "ought to pass" report.  You can view the procedural summary and the roll call votes on the legislature's web site here. 


In a lengthy session last Tuesday afternoon, the HHS Committee presented its recommendations on the biennial budget to the Appropriations Committee.  You can find all budget documents, including the HHS Committee report, on the Office of Fiscal & Program Review web site here.  The biennial budget negotiations likely will occupy much of the rest of the session, some time in June.  The MMA continues its advocacy on behalf of Maine physicians and patients on various aspects of the budget proposal.

 You can find the documents on the Governor's proposed biennial budget on the Bureau of the Budget web site.

The following are high points from the “Medical Care - Payments to Providers” or “MAP” account, the primary account dealing with physician & hospital reimbursement:

  • Provider-base reimbursement, p. A-336.  Total cut in each year is $7.3 M state & federal.  Description says, “Reduces funding by eliminating the separate facility fee payments that are billed on a UB-04 claim form and paid to hospitals for the services of hospital-compensated physicians, and provides funding to equalize reimbursement rates of hospital-compensated physicians and non-hospital-compensated physicians and eliminates the cost settlement component of hospital-compensated physician reimbursement.  This would eliminate the two separate fee schedules of reimbursement and ensure all physicians billing under Section 90 of the MaineCare Benefits Manual would be reimbursed on the non-facility fee schedule.” There is no separate language in Part C, the language section of the budget.
  • Health Homes, p. A-336. Replaces lost federal funding, so GF amount is $5.6 M/$7.8 M in the first & second years of biennium respectively.  Description says, “Provides funding for Health Homes for adults with serious and persistent mental illness and children with serious emotional disturbance (Stage B) and Health Homes for individuals with one or more chronic conditions (Stage A) due to the elimination of the enhanced federal match of 90/10 under the ACA.”
  • Primary care fee increase, p. A-336.  The amount is $7.4 M GF, $12.5 state & federal funds in each year of biennium.  Description says, “Provides funding for the reimbursement of primary care physicians at an enhanced rate which replaces expiring funds provided through the ACA.”
  • Community-based behavioral health services provided by hospital-affiliated entities, p. A-337.  Reduces funding by $1.3 M in each year of biennium.  Description says, “Reduces funding by requiring all community-based behavioral health services, including those that are operating as part of a hospital or in an administrative unit of a hospitality to bill and receive rates of reimbursement under Section 65 of the MaineCare Benefits Manual.”
  • Critical Access Hospital (CAH) reimbursement, p. A-337.  Saves $4.2 M in each year of biennium by reducing reimbursement from 109% to 101% of costs.
  • Methadone treatment coverage eliminated, p. A-339. Savings is $1.2 M/$1.5 M state & federal.
  • ER rates, p. A-339. Savings is $1.9 M/$2.6 M state & federal.  Description says, “Reduces by changing reimbursement on non-emergent use of emergency services to be paid at an office visit rate.”
  • Medicare Shared Savings Program cuts, p. A-339.  Savings is $29 M/$34 M state & federal.  Description says, “Reduces funding by reducing the Federal Poverty Level (FPL) in the Medicare Savings Program (MSP) to the federal minimum.”
  • Section 65 BH services 10% reimbursement cut, p. A-337. Savings in this line is $10.4 M in each year of biennium state & federal.  There's also at least one line on this cut in the BDS part of the DHHS budget.  FYI, despite the merger in the Baldacci years, the BOB still breaks the DHHS budget down into 2 parts, “DHHS, formerly BDS” (behavioral & developmental services) & “DHHS, formerly DHS” (human services).


Last Tuesday afternoon, the Insurance & Financial Services Committee held a work session on two bills dealing with a single payer approach to health care reform in the State of Maine.  A majority of the committee members voted against the bill to establish a single payer system in Maine (LD 815), but a majority also supported a single payer study as suggested in LD 384.  The study proposal will be a legislative vehicle, rather than a bill, so it does not require the Governor's signature (though it would require both presiding officers' approval) and it would be funded privately so as to avoid a fiscal note.  At a work session on Wednesday afternoon, the Committee unanimously voted in favor of an amended version of LD 572, a bill brought on behalf of the Maine Society of Eye Physicians & Surgeons (MSEPS) to require Maine insurance carriers to cover early refills of prescription eye drops.  The amendment would establish the Medicare standard, meaning that the patient would have to have used 70% of the expected days' supply before obtaining a refill.


On Wednesday afternoon, the MMA joined other health care practitioner advocates in opposing an onerous bill (LD 327) that would require a clinician to check the Prescription Monitoring Program (PMP) for every patient at every prescription or renewal.  MMA EVP Gordon Smith spoke to the Committee about the MMA's efforts to educate the medical community about the value of the PMP and its important role in fighting our prescription drug abuse problem.  The bill had no support, other than the legislative sponsor.




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MMA's ICD-10 Training Sessions Scheduled for May 8th and 9th; Physician Organizations Continue to Press CMS on Transition Plans

Anticipating the October 1, 2015 deadline, physicians are concerned with preparations for transitioning to the ICD-10 diagnosis code set, 100 state medical societies and national specialty organizations, including the AMA, recently told the Centers for Medicare & Medicaid Services (CMS). 

A letter from the physician groups to CMS underscores the significant challenges of implementing ICD-10 and the need to have sound contingency plans in place to minimize claims and payment disruption for physicians. It presses CMS to release the detailed findings of the end-to-end testing conducted in January as soon as possible. 

The AMA will continue urging CMS to address the concerns outlined in the letter and to sensitize the administration to the challenges of moving to the new code set. Read more about the concerns physicians outlined in the letter at AMA Wire®.

While the AMA continues its push to reform the Centers for Medicare & Medicaid Services (CMS) ICD-10 implementation plans, physicians are reminded to stay abreast of Medicare coverage policies that are being updated by CMS on a rolling basis.

The most recently changed coverage policies can be accessed through the AMA's ICD-10 Web page under "Medicare Testing and Payment." Physicians are urged to review any policies that may impact them.

Following up on successful educational training sessions offered in 2014, the Maine Medical Association will again sponsor a two-day training session for coders and others involved in the transition to ICD-10 in a medical practice. Taught by experienced trainer Laurie Desjardins, CPC and offered through her firm, CDI Coding Strategies, the two-day course will be held at the MMA offices in Manchester on May 8th (Friday) and May 9th (Saturday).  Pricing will be similar to last year and the promotional materials for the course are being developed this week.  Watch your e-mail or next week's Update for further details.  This two-day training is to be distinguished from the Annual Coding Seminar April 3rd which is one of the regular First Friday education programs and is available both live in Manchester and via Webex.  The two-day training is only available on site.

Registration Form and for details on the two-day course, call Gail Begin at 207-485-1341.

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New Online CME: Preparing Patients for Cancer Genetic Testing

The Jackson Laboratory is pleased to announce a new web based CME series on cancer genetic testing. The first module, now available, focuses on preparing patients for cancer genetic testing.

For patients at high risk for having a hereditary cancer syndrome, genetic testing may be appropriate. This online CME focuses on the benefits and limitations of testing and provides the opportunity to practice deciding whether testing is the best choice for a specific patient.

Highlights of the program include:

  • Practice identifying the risks, benefits and limitations of genetic testing by working through cases.
  • Watch a real patient and provider discuss important issues to consider in shared decision-making around genetic testing.
  • Learn through 15-minute interactive Web cases and downloadable point-of-care tools that can be used in the clinic.
  • Free CME.

Visit Pre-Test Decisions & Considerations to explore the program and access point-of-care tools to use in your clinic!

The University of Connecticut School of Medicine designates this enduring material for a maximum of .25 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For more information, contact Emily Edelman: emily.edelman@jax.org [return to top]

New Patient Resources from HealthInfoNet

HealthInfoNet has released new patient consent forms and brochures, designed to be easier to understand.

The organization has also developed translations of the material available in Chinese, Arabic, Somali, French and Spanish. 

The new English forms will replace the following documents: the HealthInfoNet One Pager, the Opt-Out Form and the Mental Health/HIV Opt-In Form.  Providers should begin using these new English forms as soon as they run out of any printed copies of the older versions. 

All HealthInfoNet participants are required by Maine State Law to provide patients the Opt-Out form at least one time.  Providers that are unsure if they are in compliance and would like to speak with someone at HealthInfoNet should call 207-541-9250 or email CustomerCare@hinfonet.org.  There is also a brief overview video.

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Job Openings

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


MaineRockport, Maine  – Hospitalist

Located on the shore of the Atlantic Ocean in Rockport, Maine, Pen Bay Medical Center is seeking a BC/BE physician to join our Hospitalist team. Enjoy a dynamic practice opportunity featuring:

  • 7 on/7 off scheduling
  • Paid time off
  • Broad subspecialty support
  • Competitive salary with incentives 
  • 148 shifts per year - Additional pay for additional shifts
  • Comprehensive benefits including medical, life & disability insurance
  • Relocation & CME reimbursement
  • Generous medical school loan repayment program

Join us, where the quality of the work and quality of your life are exceptional!

Send CV and confidential inquiries to John Bragg, Director, Physician Recruitment at jbragg@penbayhealthcare.org or call (207) 921-5894.


Assistant Medical Director Sought - Lewiston, ME

The Assistant Medical Director is responsible assisting the Chief Medical Officer with all areas of medical and behavioral treatment policy, pharmacy, utilization review and management, disease / case management and quality management and for the medical oversight of daily case management and utilization management activities and decisions.

MD or DO with unrestricted medical license in Maine or New Hampshire required. Board certification in primary or specialty care. 

Minimum of five or more years of direct clinical experience in area of clinical practice, participation in a leadership role in medical staff organization activities, and management experience within a health care delivery system.  Minimum of three years’ experience in medical management in a managed care setting or the equivalent.

Apply online at www.JobsinME.com or email your information to blovejoy@maineoptions.org.


Family Practice Physician

The Bucksport Regional Health Center, a Federally Qualified Health Center, has a unique opportunity for an experienced Family Practice Physician to work at a small, independent, community-based primary care facility that offers great quality indicators, a team atmosphere, and excellent working conditions.  Responsibilities will include the diagnosis, treatment, coordination of care, preventive care and provision of health maintenance services to patients of all life cycles.  

Candidates must have graduated from an accredited medical school and completed a residency in Family Practice or Med/Peds, have a current State of Maine Medical License and D.E.A Certificate, and at least five years of experience in the practice of family or internal medicine. The successful candidate will be offered a generous compensation package, including a competitive salary and excellent benefits.  

The Bucksport Regional Health Center has been offering easy access to quality, affordable care for persons of all ages since 1974.  Interested applicants should apply with a resume and cover letter to Carol Carew, Executive Director, 110 Broadway, Bucksport, Me 04416 or via email at ccarew@brhc.info (or call 207-469-7371).


Family Medicine and Outpatient Internal Medicine Physicians

Katahdin Valley Health Center is recruiting dedicated Family Medicine and Outpatient Internal Medicine Physicians that are committed to providing quality health care services to the people in Central/Northern Maine.  Join our practice in one of the newly expanded facilities.  We are seeking physicians for our Millinocket and Brownville outpatient only practices.  KVHC is a fully electronic medical record site and offers a Four day work week with 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 and $2500 annually toward CME.  The call schedule is 1 in 9 with additional coverage from the Open Access Clinic.  Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.  HPSA scores at the KVHC sites increased in 2015.

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


Family Practice Opportunity:  Lincoln, ME Lakes Region·    

  • Prenatal skills preferred, but not required
  • BE/BC in Family Medicine
  • Flexible schedule/4-day work week, if desired
  • Typically 36 clinical hours/4 administrative
  • Average 18-22 patients per day; Light phone call of 1:8
  • Potential for leadership growth
  • Join 8 well-established  physicians and a podiatrist with superb support from multi-disciplinary team including LCSWs, NPs and Pas  in Federally Qualified Community Health Center with 6 locations
  • Practice at busy main FQHC site in Lincoln - modern facilities, up-to-date technology, on-site radiology/lab and integrated EMR
  • Help build and lead vital primary care services for under-served populations supporting 19 small, rural towns in North Central Maine; Service area population +/- 24,000
  • Work collaboratively with two local Critical Access Hospitals
  • Excellent salary and benefit package
  • Generous paid time off and CME benefits, recruitment bonus, paid moving expenses, as well as medical school loan repayment through the National Health Service Corps, and/or other student loan repayment programs
  • J1 visa candidates welcome

Lincoln, Maine: Home of 13 Lakes.  45 minutes from the Bangor Metro area with international airport. Maine’s border with Canada is only a little more than 1 hr away, and Quebec City is just a 5-hour drive. 2 hours to the Coast!  

Contact Jamie Grant at Health Search New England at JGrant@nehs.net or 207-745-7059.  www.HealthSearchNewEngland.com


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.









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Upcoming Events


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.


Please join us for the Northern Maine Interprofessional Collaborative Practice (IPCP) Summit

The University of New England (UNE) invites you to participate in the Interprofessional Collaborative Practice Summit, taking place on April 14, 2015 on the campus of Northern Maine Community College in Presque Isle.

Funded by UNE’s Maine AHEC Network (Area Health Education Center) and the Josiah Macy, Jr. Foundation, the Summit will host national and local experts to address the relationship between health professions education, clinical practice, and national healthcare reform.

During the course of the day healthcare providers will have an opportunity to learn more about:

  • Trends in and principles of interprofessional team-based practice 
  • Tools to implement interprofessional practice
  • How to develop interprofessional student clinical experiences that prepare the future workforce and help address healthcare shortages 

We encourage you to attend as individuals or as interprofessional teams!


Register online: https://www.surveymonkey.com/r/CYLZD32 and/or visit www.une.edu/ahec for more information

For assistance, please contact: Dawn Lovelace at 207-221-4561 or dlovelace1@une.edu or Dora Anne Mills at dmills2@une.edu or 207-221-4621



Maine Society of Eye Physicians and Surgeons Spring Meeting

FRIDAY, MAY 1, 2015

Harraseeket Inn, Freeport, ME

CODEquest:  The Ultimate Course for Combating Ophthalmic Coding Challenges

7:00am – 12:00pm

7:00 – 8:00 – Registration & Breakfast for CODEquest Program

8:00 – 9:30 – CODEquest Course

9:30 – 9:45 – Break

9:45 – 12:00 – CODEquest Course

REGISTER FOR CODEquest:  http://www.aao.org/codequest-maine.cfm

After the morning CODEquest program, we will begin the afternoon program (Staff are welcome to join us for the 12:15pm – 2:15pm portion of the afternoon, but MUST contact Shirley Goggin by 4/22 to indicate plans as we need accurate headcounts for the Harraseeket.  Please be sure to communicate this to your staff.)  The afternoon program will be as follows:

MSEPS Educational Program & Business Meeting

12:00pm – 4:30pm

12:00 – 1:15 – Lunch/Visit Exhibitors (Please Note:  We ask that everyone please take time to visit with the exhibitors during this time as they are showing their support of our Society and this will be the only time they get with you.)

1:15 – 2:15 –  Electronic Health Records:  The Promise and the Pitfalls (Presented By Ophthalmic Mutual Insurance Company) – Presenter:  Mark Lavoie, Esq., Norman Hanson & DeTroy 

NOTE: 10% discount on OMIC premium for current Maine Society Members who attend this risk management talk.  5% discount for non-Maine Society Members.  One discount per year applied upon renewal with OMIC.

2:15 – 4:30 –   MSEPS Business Meeting

A finalized agenda and form regarding your attendance plans for the OMIC Presentation and Business Meeting will be sent out next week. Make sure you plan accordingly.

OVERNIGHT ROOMS ARE AVAILABLE – The Harraskeet Inn has set aside a block of rooms for our group at a rate of $150 for Thursday evening, 4/30/15 based on the early start time and travel distance for some.  In order to reserve one of these rooms, please call the Harraseeket Inn at 207-865-9377 and tell them you are with the CODEquest or MSEPS Meeting taking place on May 1st.  If you run into any issues, contact Shirley at 207-445-2260 or sgoggin@mainemed.comI WOULD RECOMMEND YOU MAKE YOUR RESERVATIONS EARLY!



The Tides of Change in Health Care

Don't miss the boat to ride the tide!!!

Registration is now open for our New England Regional Conference being held at the beautiful Samoset Resort in Rockport Maine, May 13-15, 2015.

The 2015 New England MGMA Regional Conference features a wide range of speakers who will provide you with the insight and tools you need to help your practice thrive.

In addition to our great keynote and breakout speakers, we have pre-conference activities including ACMPE, Fellowship and Excel workshops and we are also holding a pre-conference golf tournament!   Won't it be nice to walk on grass instead of snow?

This is a great event for you and your colleagues to meet and network with members of Maine, Vermont, New Hampshire and Massachusetts/Rhode Island MGMA and our vendor sponsors.  On Wednesday evening we will be providing  a gift card so you can have an opportunity to visit the local restaurants.

Please go to the following link to begin your registration and review the conference agenda: http://www.newenglandmgma.com/registration-information/.

We accept all Visa, Master Card, Discover and American Express.  If paying by check, please make check out to NERC/NHMGMA.

If you have any questions please contact Pam Beaule at PBeaule@StMarysMaine.com.

We hope you will join us and help make this conference a success!

Denise Andrade, FACMPE, Marketing Chairperson



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