June 22, 2015

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POLITICAL PULSE: Legislature Enacts Two-Year Budget and Completes Action on Several Health Related Bills

During a long and chaotic week, the 127th Maine Legislature enacted a biennial budget, L.D. 1019, over the objection of Governor Paul LePage and completed action on a number of bills of interest to physicians including L.D. 970 regarding CRNAs and APRNs and L.D. 1270 which would have authorized physician-assisted suicide.  Both bills were opposed by MMA and were defeated.

Although the scheduled date for adjournment was June 17th, the session will continue through much of this week, largely because of the actions of the Governor in exercising line-item veto authority with respect to the budget and also vetoing many other bills in retribution for the legislators not passing a bill which would have proposed a constitutional amendment to eliminate the state income tax.

In addition to L.D.s 970 and 1270 noted above, MMA achieved several other successes this week including passage of L.D. 483 amending the child abuse reporting laws and defeat of L.D. 83 which sought to change Maine's long-standing "adult involvement" law governing a minor's consent to an abortion.  Today, the House also voted down a "cigar bar" bill, L.D. 821, that would have eroded Maine's smoke-free public places laws.  The Senate had previously approved the measure.

There are still several bills of interest which will be considered this week including a bill to eliminate the qualifying conditions in the medical marijuana law, L.D. 23, (MMA opposes) and a bill to expand MaineCare consistent with the provisions of the ACA, L.D. 854.  As of late Monday afternoon, the House is expected to take up the Medicaid expansion bill tomorrow morning.

During this first session of the 127th Legislature, the Association through its Legislative Committee has monitored more than two hundred legislative proposals of some interest to physicians.  Many involved public health or professional regulation.  Many thanks to the numerous MMA members who joined the weekly conference calls or came to the State House to serve as Doctor of the Day.  And a special thanks to Legislative Committee Chair Amy Madden, M.D.  Dr. Madden practices family medicine at the Belgrade Health Center.

ACA Update: Supreme Court Decision on King v. Burwell Looms; House Votes Repeal of Medical Device Tax

The United States Supreme Court heard oral arguments on the King v. Burwell case in March and is expected to issue a ruling by the end of June.  The decision could come as early as today.  This ruling will decide the fate of the ACA's federal subsidies available in the federal insurance marketplace.  Maine has more than 70,000 individuals with policies purchased through the federal exchange and more than 60,000 of these individuals are receiving subsidies.  At least one study has estimated that approximately 50,000 of the insureds would give up their policies if the subsidies are eliminated.  

In other ACA news, on Thursday, June 18th, the U.S. House voted 280 to 140 in favor of legislation entitled, th Protect Medical Innovation Act that would eliminate the medical device tax which took effect in 2013 and was included as a "pay-for" in the 2010 ACA law.  Repeal supporters claim the tax has caused job losses and stifled research.  The legislation appears to have support in the Senate, but would likely face a presidential veto.


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Clayton Bell, MD Receives MHA 2015 Caregiver of the Year Award

For the first time in the history of the Award, the Maine Hospital Association has chosen a resident as its Caregiver of the Year.  Clayton Bell, M.D. is a third-year resident in the Rural Track Residency Program at Rumford Hospital and was presented the award last Wednesday evening before nearly 400 people attending the Annual MHA Summer Forum at the Samoset Resort in Rockport.  Dr. Bell was nominated for the award by MMA members Stephanie Sinclair, M.D. and Dieter Kreckel, M.D.  

Despite being in the training portion of his medical career, Dr. Bell has already made a significant impact through his voluntary efforts in Haiti and in his work with patients at Rumford Hospital.  Dr. Bell is part of Humanity First, an international organization that helps people around the world.  Following the Haitian earthquake in 2010, he contributed more than two years of exceptional service helping the Haitian people receive food, water, and medical care.  He also helped organize and build a school in a remote mountain village in Haiti.  In recognition of his service, Dr. Bell received the 2014 President's Volunteer Service Award.  He was also named a 2014 Rumford Hospital Hero.

Dr. Bell has also been acknowledged by his colleagues in Rumford as an exceptional patient motivator.  He participated in and eventually led a program called, "Walk with a Doc" and recruited other providers to give short talks to walkers before they began walking.  Dr. Bell and a fellow resident also led healthy cooking lessons during wellness week.


In receiving the award, Dr. Bell gave an inspiring talk to the audience that had attendees still talking about it the next day.  


MMA offers its heartiest congratulations to Dr. Bell for this notable achievement so early in his career.

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State Prescription Monitoring Program Moves From Weekly to Daily Data

The State's Prescription Monitoring Program (PMP) has completed rule-making requiring pharmacies to provide prescription data on a daily basis, effective July 11, 2015.  This enhancement to the PMP is a considerable benefit to physicians and other prescribers who use the data-base to monitor any prescribing to their patients by other physicians.  This major substantive rule change will replace a requirement of pharmacies to report to the PMP the filling of controlled substances within seven days to not later than the close of business on the next business day after dispensing (both filled and delivered).  The information required to be filed has been expanded to include the date the prescription was delivered.  The previous rule required only the date the script was filled, thus creating an erroneous impression in cases where the patient never picked up the filled prescription.  Because of the need for some technological changes at the PMP vendor, the effective date of the requirement to include the date the prescription is delivered may be delayed beyond July 11th.

This enhancement is one of several the PMP has undertaken in the last year, including being one of the first states to allow prescribers to set their own threshold for receiving reports.

Despite several activities aimed at impacting the state's opiate problem, recent announcements by the Attorney General of the 208 overdose deaths in 2014 demonstrate that the problem is still very serious.  MMA has recently put together an operational plan to address the directive in the 2014 Resolution passed at the Annual Meeting.  The Resolution directed the Association to take steps aimed at achieving a 25% annual reduction in the number of prescriptions for opiate-based medication.

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Doctors Call for Two-Year Grace Period for ICD-10 Implementation

With less than four months to go before the deadline for implementing the ICD-10 code set, physicians recently agreed to seek a two-year grace period to avoid financial disruptions to facilitate a smoother transition that would allow physicians to continue providing quality care to their patients.

Physicians at the 2015 AMA Annual Meeting recently passed policy calling on the Centers for Medicare & Medicaid Services not to withhold claim payments based on coding errors, mistakes or malfunctions in the system for two years directly following implementation.

Meanwhile, Rep. Gary Palmer, R-Ala., introduced the Protecting Patients and Physicians Against Coding Act, which aims to provide a two-year grace period during the transition.

Physicians have begun contacting their members of Congress through the AMA Physicians' Grassroots Network, urging them to adopt the grace period so that potential disruptions do not impact care delivery. Encourage members of your association to email their members of Congress using the AMA Physicians' Grassroots Network.

Read more about the AMA's new ICD-10 policies at AMA Wire.   [return to top]

Apply for Meaningful Use Hardship Exemptions by June 30th

Physicians can apply for a meaningful use hardship exemption by 11:59 p.m. Eastern time June 30th to avoid a 2016 penalty.  Some of the hardship exemptions require physicians to file accompanying documentation that may be hard to compile in a single day, so it is important not to wait until the last day to file.

Certain types of physicians designated by their Medicare Provider Enrollment, Chain and Ownership System (PECOS) code are not required to file for a hardship.  Instead, Medicare will automatically grant a hardship exemption to the following specialties:

  • Anesthesiology
  • Diagnostic radiology
  • Interventional radiology
  • Nuclear Medicine
  • Pathology

Get more information and instructions.

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Save the Date: MMA's 25th Annual Practice Education Seminar, November 18th in South Portland

The Double Tree Hotel across from the Maine Mall will be the site of this year's Annual Practice Education Seminar on Wednesday, November 18, 2015.  This year's program will be the 25th annual educational program that the Maine Medical Association has presented for the benefit of physicians and practice managers.  This year's program will include presentations from experts on the following topics:

  • Medicare in the post-SGR era
  • Payment models beyond fee for service
  • New laws from the 127th Legislature
  • Current issues in regulatory compliance 
  • Prescribing for pain while being cognizant of the state's opiate problems
  • Enhancements to the Prescription Monitoring Program
  • New obligations regarding Child Abuse reporting
  • Update on State Innovation Model (SIM) grant
  • Medicaid and Medicare update
  • Quality Improvement Initiatives for the Private Practice
Other topics may be added between now and the date of the program.  Registration materials for the conference will be available later this summer.  Information for interested attendees or exhibitors/sponsors are available from Gail Begin, Lisa Martin, or Gordon Smith at MMA.
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VA Announces Information about the Veterans Choice Program

                          DEPARTMENT OF VETERANS AFFAIRS

VA Maine Healthcare System

1 VA Center

Augusta, Maine 04330


                                                                                                                   January 10, 1996

In Reply Refer To:  BSL4B

Dear Community Medical Care Provider,

On August 7, 2014, the President and Congress enacted the Veterans Access, Choice, and Accountability Act of 2014, which established the Veterans Choice Program (Choice) to improve access to care for our nation’s Veterans by allowing Veterans who qualify for this program to receive health care in their communities rather than waiting for a Department of Veterans Affairs (VA) appointment or traveling to a VA facility.

VA is pleased to let you know that we have partnered with Health Net Federal Services to serve Veterans who qualify for the Choice program.  Health Net is working with providers to establish network capacity to provide eligible Veterans access to covered medical care when the local VA medical facility cannot readily provide the care due to lack of available specialists, long wait times, geographic inaccessibility, or other factors.  

I realize that you provide non-VA medical care to Veterans through programs other than our Choice network arrangement with Health Net and I greatly appreciate your willingness to provide medical services to our nation’s Veterans.  Moving forward, VA asks you to join the Health Net network to continue to provide services covered under the Choice Act.  In the future these networks will be the primary vehicle through which VA will authorize and pay for care for services covered under Choice.  

Reimbursement for medical services provided under the Choice program is 100% of Medicare rates. Claims and reimbursement are handled by Health Net and will be processed within 30 calendar days of receipt of claim and medical documentation per the agreement.

If you are a Medicare provider, it is easy to become a network provider for the VA Choice program. Simply go to Health Net’s website at: https://www.hnfs.com/content/hnfs/home/va/home/provider/options-for-providers/become-a-veterans-choice-participating-provider.html to complete and submit the provider agreement template found on the website.  If you have any additional questions for Health Net, please visit the website above or call 1-866-606-8198 and select option 2. 

I appreciate your support of our mission and look forward to continuing our relationship through these arrangements.


Ryan S. Lilly, Director, VA Maine Healthcare System

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Build Your Genetic Testing Skills in New CME Courses from The Jackson Laboratory

The Jackson Laboratory is pleased to announce two new free CME modules in a series on cancer genetic testing: Interpreting Genetic Testing Results & Genetic Testing Technology.

Interpreting Genetic Testing Results CME course

Accurately interpreting the results of genetic testing can identify patients who are at increased risk and would benefit from earlier or more frequent screening.  For some patients, genetic testing results can reduce their cancer risk, making additional interventions unnecessary.  Whether or not you are the ordering provider, you may be offering additional guidance and coordinating management changes based on the results.

In this CME course, you will practice making management decisions based on genetic testing results for breast, ovarian, and colorectal cancers.  Highlights of the program include:

  • Practice interpreting results and managing patients based on variants in the BRCA1, BRCA2, APC, and Lynch syndrome genes.
  • Explore genetic testing reports.
  • Downloadable point-of-care tools that can be used in the clinic.

Genetic Testing Technology CME course

Genetic testing technologies vary widely in the type of variant detected and the scope of analysis.  Cost-effective testing relies on the provider’s ability to select the right test for the clinical question.

In this CME course, you will practice weighing the benefits, risks, and limitations of different tests within specific patient contexts. Highlights of the program include:

  • Navigate targeted mutation, single gene, multi-gene panel, and whole genome sequencing testing options for patients with breast, colon, and ovarian cancers.
  • Identify strategies for efficient and cost-effective genetic testing.
  • Downloadable factsheets and point-of-care tools.

Visit Interpreting Genetic Testing Results and Genetic Testing Technology 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

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Make Plans Now to Attend 162nd MMA Annual Meeting, September 11-13, 2015 in Bar Harbor

Registration material for MMA's upcoming Annual Session in Bar Harbor, from September 11-13, 2015 is in the mail to each MMA member this week.  The meeting once again will be at the Harborside Hotel & Marina and opens with a reception on Friday evening, September 11th.  Three hours of category one CME has been applied for and the focus of the meeting will be "Advocating for the Profession."  Please make plans soon to join your professional colleagues to discuss issues of common interest and to conduct the annual business of your association.  Anyone wishing to submit a Resolution for consideration should send it to EVP Gordon Smith via e-mail to gsmith@mainemed.com no later than August 15th.

On Saturday evening, September 12th, MMA President Lisa Ryan, D.O. will pass the President's gavel to Brian Pierce, M.D.  Dr. Pierce is a family physician practicing in Rockport.

Any questions about the meeting may be directed to Diane McMahon in the MMA office.  Her phone number is 207-622-3374, ext. 216 and her e-mail address is dmcmahon@mainemed.com.   Potential exhibitors and sponsors should contact Lisa Martin at 622-3374, ext. 221 or via e-mail to lmartin@mainemedcom.


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MMA Legislative Committee Weekly Conference Call, Tuesday, June 23rd 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, June 23rd 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. 

There are no new bills for review this week, but we will hold the call for updates on the latest action at the State House.  It is likely that this will be the last call of this session.

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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:                           

              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


6th Annual Patient Safety Academy
Wednesday, September 23, 2015
9:00am - 3:30pm
USM Abromson Center

At the 6th Annual Patient Safety Academy this year, Dr. Bryan Sexton, Director of the Duke Patient Safety Center, will present a 2-part seminar on the science of enhancing resilience. Dr. Sexton's research on safety culture, teamwork, and resilience have resulted in assessment tools used world wide. He will discuss practical strategies to manage stress in the healthcare workplace, cope with change, and manage fatigue.

For more information, visit www.usm.maine.edu/muskie/psa


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Job Openings

Medical Director - Physician III - Maine Office of Child & Family Services  (click to link to full job description)

Recruitment efforts are underway for the position of Medical Director/Physician III within the Office of Child and Family Services at the Maine Department of Health & Human Services. 

Description:  As the Medical Director you will be part of a talented team responsible for behavioral health services in Maine. The Medical Director is the liaison that provides oversight and technical assistance in the area of behavioral health services for children to the Office of Child and Family Services, the Office of MaineCare Services and other DHHS Offices, as well as statewide contractors, acute psychiatric hospitals, residential treatment centers, and crisis centers. As Medical Director you will evaluate and assist in determining policy criteria for the eligibility of services for those who have behavioral health needs; oversee the provision of services and second level reviews regarding the provision of services; oversee and provide consultation related to the delivery of home and community based treatment, Early Childhood Autism Specialized Habilitation Services and Habilitation Consultation Services. You will also evaluate and approve out-of-home placements for members under 18 years old and perform utilization and review of out-of-state placements in Residential Treatment Centers; and develop and implement Clinical Guidance documents, policies, procedures and plans. 

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.


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.


Medical Director - Scarborough, ME - Full-time 

We are seeking an experienced Medical Director with interest in occupational medicine to work full-time at our Scarborough, Maine clinic. The Medical Director will be able to practice medicine in a supportive environment while providing oversight to mid-level practitioners.


Candidates must be either a MD or DO. Experience in either Industrial Medicine, Emergency Medicine or General Practice is preferred.

About U.S. HealthWorks:

U.S. HealthWorks Medical Group is a leading national provider of occupational medicine and urgent care services. Operating over 200 locations in 19 states with nearly 3,300 employees, including approximately 1100 medical providers; U.S. HealthWorks serves thousands of patients each day.

In addition to competitive salaries we offer:

  • Occupational Medicine Focus
  • Incentive plans
  • Opportunity to grow and learn with an industry-leading healthcare organization
  • Flexible hours and excellent work environment
  • Benefits for full-time employees to include: health, dental, vision, 401(k)


If you’re interested in joining a company that is dedicated to your professional growth — look no further than U.S. HealthWorks!

Email: providerrecruitment@ushworks.com

Online: www.ushealthworks.com

Phone: (661) 678-2659



Waterville Pediatrics - Waterville, ME

Seeking both a Pediatrician and Pediatric Nurse Practitioner to join our expanding practice.  We provide pediatric care to thousands of Maine children of all ages.

Waterville Pediatrics is a well established practice with locations in Waterville and Madison.

Minimal call, competitive salary and benefits.

Please send letter of interest and CV to hsgentile@maine.rr.com


Winthrop Family Medicine Family Practitioner

MaineGeneral Medical Center in Augusta, Maine is seeking a full-time, outpatient BC Family Practitioner to join our nationally recognized Advanced Medical Home practice that delivers care in a team model. Join a collaborative group made up of 11 MDs, DOs, NPs and PAs and practice in an “Open Access” model of scheduling. Provide a full range of care including: OB, newborn and pediatric care, adult medicine, gynecology, geriatric and nursing home care. Technology includes an electronic medical record, online digital radiology program, and online hospital records and ordering. MaineGeneral offers a comprehensive benefits package. The brand new, state-of-the-art, 192-bed MaineGeneral Medical Center at the Alfond Center for Health offers comprehensive inpatient and outpatient services for the surrounding communities. We’re located just an hour north of Portland, Maine’s largest city, and three hours from Boston. Contact Tiffiny Lamarre, Physician Recruiter at tiffiny.lamarre@mainegeneral.org.


Family Medicine Physician

Oakland Family Medicine, a hospital-employed outpatient Family Medicine practice located in Oakland, Maine, is recruiting for an experienced Family Medicine Physician to join our growing team. Responsible for providing care for pediatric through adult patients while working in collaboration with our practice administrator, providers and senior management team as Oakland continues the transition to Patient Centered Medical Home. Join our team of four family medicine physicians and one physician assistant and collaborate with a unique mix of seasoned physicians who have practiced in the area over 10 years, and new team members who have recently joined our group. Weekly schedule will be 32 hours of patient contact time and up to 8 hours of administrative time. MaineGeneral offers a comprehensive benefits package. We’re located just an hour north of Portland, Maine’s largest city, and three hours from Boston. Contact Tiffiny Lamarre, Physician Recruiter at tiffiny.lamarre@mainegeneral.org.


Family Practice Physician – Bucksport Regional Health Center                                                                

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).


Physician/Medical Director – Nasson Health Care

Nasson Health Care is seeking a qualified clinical leader to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery.  

The Physician/Medical Director: 

  • Provides advice and counsel regarding a broad range of clinical, clinical policy, programmatic and strategic issues required to achieve the short and long-term strategies and objectives of Nasson Health Care; 
  • Provides direct clinical services and oversees physicians and advanced practice nurses; works in partnership with members of the practice team to manage the care of patients, assuring a high standard of medical care.

Qualifications include:

  • A minimum of three years’ experience as a Medical Director of a primary care medical practice;  A degree from an accredited medical school in the U.S.,
  • Board certification in Family or Internal Medicine;  An unrestricted Maine license to practice medicine, as well as a U.S. Drug Enforcement Agency license;
  • Working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology.
Visit www.yccac.org for an application. Completed cover letter, resume, and employment application will be accepted until position is filled.


Assistant Medical Director

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 JobsinME.com or email your information to blovejoy@maineoptions.org


Emergency Room Position at Sebasticook Valley Health in Central Maine

Sebasticook Valley Hospital is a 25-bed modern critical access hospital located in Pittsfield which is 20 minutes north of Waterville, home of Colby College, and 45 minutes south of Bangor, Maine’s second largest city. The hospital serves a population of 30,000 in this central Maine area of beautiful rolling hills. The ER is staffed by an Emergency Medicine trained Director and three other physicians. This is an experienced staff. ER volume is 15,000. Physicians have a flexible schedule working 12 `hr shifts. We are seeking either an emergency residency trained physician, can be resident, or board certified FP with ED experience. The hospital has EMR, and is CPOE. The compensation and fringe benefits package is highly competitive. Sebasticook Valley is an affiliate of Eastern Maine Medical Center, the tertiary care center in Bangor. The hospital has a helipad for transporting trauma cases by Life Flight.  For more information regarding this opportunity, please contact Sherry Tardy, AASPR, 207-487-4085 or email stardy@emhs.org

Sebasticook Valley Health is an integral member of the communities it serves. SVH takes a proactive approach in helping people in the Sebasticook Valley improve the quality of their lives. The hospital works with local businesses, schools, the religious community, other healthcare providers, area organizations, and private individuals to make the Valley a healthy place to live. SVH serves has a wide range of outpatient services, including over 20 specialty services. 





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