July 6, 2015

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POLITICAL PULSE: Legislature Adjourns Until July 16th; Budget Passed Over Objection of Governor LePage

The 127th Legislature adjourned late last Wednesday night but will meet again on July 16th, likely for the final time until the Second Regular Session begins in January 2016, to consider any bills vetoed by Governor LePage during the ten-day period following adjournment.  Some of the bills prepared by MMA were vetoed but ultimately were approved when the vetoes were overridden.  

Bills vetoed but overridden included proposals advanced by MMA to clarify the child abuse reporting law (L.D. 483) and to allow the use of the term "M.D." by physicians who have earned an M.D. degree but do not have an active license (L.D. 834).  Unfortunately, a bill (L.D. 471) to encourage higher rates of childhood immunizations by amending the so-called philosophical exemption was vetoed and the veto was sustained by a very close margin.  The Legislature also again failed to expand Medicaid eligibility despite the funds being available from the federal government.  This failure adversely impacts the ability of approximately 70,000 Mainers to have health insurance coverage.  However, many successes were achieved in the two-year budget prepared by legislative leaders, including protecting the Fund for a Healthy Maine, retaining the ACA primary care "bump" in MaineCare reimbursement, and preserving MaineCare coverage for methadone.  Steep cuts to the hospitals also were avoided.

In the coming weeks MMA advocacy staff will prepare a summary of all the legislative action impacting physician practices and will make it available to all MMA members.

A special thank you is due to the many physicians who joined staff in the weekly conference calls of the Legislative Committee and to those who came to the State House to serve as Doctor of the Day.  Also a shout out to those MMA members who testified on the many bills impacting on the practice of medicine.  The Association ultimately reviewed and monitored more than two hundred of the approximately 1750 bills printed.


Fore! Join MMA at Augusta Country Club on Monday, July 20th for Scholarship Golf Tournament

 The MMA's 12th Annual Golf Tournament to benefit the Maine Medical Education Trust Scholarship Fund (providing scholarships to medical students from Maine) will take place at the beautiful Augusta Country Club on Monday, July 20th.  Tournament Chair Brian Jumper, M.D. invites all friends of MMA to join us for this event.  

The schedule for the day of the tournament follows:

  • 11:00 a.m., Registration and lunch on the ACC deck
  • 12:00 p.m., Tournament begins; shotgun start
  • 5:30 p.m., Hors d'oeuvres, cash bar, networking, and awards ceremony

The registration fees and sponsorship opportunities follow:

  • Individual player registration:  $125
  • Foursome registration:  $500
  • Hole sponsorship and foursome:  $1000
  • Hole sponsorship:  $500

Tournament prizes include:

  • Top 3 net scores
  • Top 3 gross scores
  • Men's and women's long drive
  • Men's and women's closest to pin on Par 3s

You can find online registration information on the MMA website, www.mainemed.com here.  Please plan to register by Monday, July 13th.

For more information, please contact Lisa Martin, Membership Coordinator, at 622-3374, ext. 221 or lmartin@mainemed.com.


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Advocate for Your Profession! MMA Nominations Committee is Looking for Volunteers

The MMA Nominating Committee is meeting regularly to review candidates for open positions on the MMA Board of Directors and all of its committees.  The Committee's charge is to:

  • Consider the needs of the Association and its members;

  • Ensure that the Board of Directors has the necessary balance of skills, talent, and representation to fulfill its mission; and

  • Nominate members for the Board of Directors, the Officers, AMA Representatives, and other committee leadership positions.

Nominations must be made by August 7th in order to be considered at the Annual Meeting in Bar Harbor on September 12th.  If you would like to be considered for a Board or committee position, please send your CV to Gordon Smith, Executive Vice President at gsmith@mainemed.com.   Any questions may also be directed to Mr. Smith at 215-7461 (cell) or to the Chair of the Nominations Committee Kenneth Christian, M.D. at 949-5700. Information on all the MMA Committees is also available on the MMA website at www.mainemed.com.

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SIM Healthcare Cost Workgroup Approves Principles and Criteria for Evaluating Realignment Proposals.

The Healthcare Cost Workgroup meeting with funding through the Maine State Innovation Model Initiative met on July 1st and reviewed the revised draft principles and criteria for workgroup review of realignment plans.  The group also discussed a revised draft scope of work document for establishment of a health resources inventory.

The revised Principles are as follows:

Proposals should:

  • advance the Triple Aim by improving or maintaining patient experience of care, including quality, improving or maintaining population health and reducing or maintaining per capita cost of health care;

  • minimize any negative impact on access to care;

  • better align resources with population needs;

  • promote cost-effective and coordinated care;

  • consider economic impact on the community; and

  • solicit and acknowledge community input.

The Workgroup is administratively supported by the Maine Health Management Coalition.

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3 Things the Supreme Courtís ACA Ruling Means for Physicians

An AMA Viewpoints post by AMA President Steven J. Stack, MD.

The Supreme Court of the United States delivered an historic decision Thursday morning in King v. Burwell.

In a 6-3 decision, the justices ruled that subsidies should remain available for lower-income people who purchase their health insurance through the Affordable Care Act (ACA) marketplaces, regardless of whether their marketplace is maintained by the federal or state government.

This ruling affects physicians in three ways I’d like to highlight:

1. The decision supports our chief goal of helping patients stay healthy.
The Supreme Court’s ruling means that about 6.4 million people in the 34 states that did not create their own marketplaces will retain their ability to purchase coverage going forward.  This is particularly important for low-income patients in states that did not expand their Medicaid programs. Without the subsidies, many of them could never afford health insurance.

As an emergency physician, I regularly see how important insurance coverage is to facilitate patients getting the medical care they need to recover from unexpected injury or illness.  It also enables them to lead healthier, happier lives through better care of chronic diseases that can be devastating for them and their families.

The decision also means that insurance premiums will remain more affordable for most patients than would have otherwise been the case.  A recent RAND study estimated that eliminating subsidies for patients who purchase their insurance through the federally run marketplace would result in a 47 percent increase in premiums.  In such a scenario, a 40-year-old nonsmoker who purchased an unsubsidized silver-level plan would have needed to pay $1,610 more next year.

2. The decision lets us move forward.
With this case behind us, we as a profession and as a nation now must focus on the issue at the heart of health care reform:  Ensuring every American has access to high-quality, affordable health care.

Regardless of differing opinions, access to high-quality, affordable health care is an issue we can all support.  And by continuing to work together toward this end—whether through refining individual elements of the ACA, such as repealing the Independent Payment Advisory Board, or making changes to the current health care system—we can improve the health of all Americans.

3. The decision means we can turn our attention to improving the practice environment.
In moving forward, we must also devote our attention to transforming the practice environment so that both patients and physicians are healthier and more satisfied.

At the AMA, we’re working to enhance professional satisfaction and practice sustainability by pressing for relief from the tsunami of regulatory burdens that gets in the way of providing the highest-quality care for our patients. Among those burdens are the electronic health record meaningful use program, implementation of ICD-10 and the value-based payment modifier.  Lawmakers, too, are now able to turn their attention to these pressing topics.

We’re also providing the tools physicians need to minimize professional stress and overcome barriers to providing the best possible care.  Our newly launched STEPS Forward website offers a free online series of proven solutions that are developed by physicians to make practices thrive.  We’ll be adding more modules over the coming months, so be sure to explore the website often.

Also, on the STEPS Forward website, we invite you to submit your own innovative solutions to clinical challenges to win $10,000 and help us create more modules to help physicians.

Even in these early years of health care reform, implementation of the ACA has affected much of the health care system.  To examine this issue further, I encourage you to check out the July issue of the AMA Journal of Ethics, which takes a look at how patient care has changed in the era of health care reform.   [return to top]

ICD-10 Prior Authorization (PA) Update for MaineCare Services

With the upcoming transition to ICD-10 codes on October 1, 2015, changes will be necessary in the PA process.

You can expect the following changes to the PA process due to ICD-10 implementation:

  • Any PA request must contain ICD-10 codes if the initial service will be delivered on, or after, October 1, 2015.
  • The PA request must contain ICD-9 codes if the initial service will be delivered on, or prior to, September 30, 2015.
  • Existing PAs with open service authorizations will be accepted for services provided on, or after, October 1, 2015 as long as the initial service is delivered prior to October 1, 2015.  

For example:

  • A PA is requested and approved on September 1, 2015. The initial service is performed on September 21, 2015. This scenario would require ICD-9 codes on the request.
  • A PA is requested and approved on September 16, 2015. The initial service is performed on October 5, 2015. This scenario would require ICD-10 codes on the request.
  • A PA is requested on October 1, 2015 for twelve services. This scenario would require ICD-10 codes as the initial service will occur on, or after, October 1, 2015.
  • A PA is requested and approved on January 12, 2015 for twelve services. On October 1, 2015, five services remain open on the PA. You can continue to utilize the PA for services after October 1, 2015, until the services expire. Any claims for services on, or after, October 1, 2015 need to be submitted with ICD-10 codes. You do not need a new PA until all services are utilized.

For more information about how ICD-10 will affect prior authorizations, please contact Provider Services at: 1-866-690-5585. Please send questions about ICD-10 to MaineCare’s ICD-10 email box.


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Sunshine Act Data Released Last Week

The second release of physicians’ financial data under the Physician Payments Sunshine Act, also known as the Open Payments program, was last Tuesday.  Learn the three questions patients or others may ask physicians about their 2014 financial data and how to answer them.

Visit the AMA’s Open Payments Web page for additional resources, including detailed talking points to help explain the June 30th data release to your patients and step-by-step instructions for how to register to review and dispute your data.

If you weren’t able to review and dispute your financial data by May 20th, you may see inaccuracies.  However, you still can review and dispute errors, and corrections will be reflected in the next scheduled update of the database.

CMS reported that drug and device manufacturers paid $6.49 billion to 607,000 physicians and 1121 hospitals during 2014.  The payments were in 3 categories:

  • general payments, including meals, entertainment, and honoraria;
  • research payments; and
  • ownership or investment interests.

Physician organizations, including the AMA, continue to express concerns about the accuracy of the data, as well as the context in which it is presented to the public. [return to top]

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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Improving eRx of Controlled Substances: Provide Your Feedback

More and more practices across the nation are e-prescribing (eRx) medications, but the rate of prescribing controlled substances electronically is significantly lower.  Physicians provided input on how the U.S. Drug Enforcement Administration (DEA) can break down barriers to electronic prescribing of controlled substances, and more physician input is needed.

Although eRx of controlled substances is viewed as a more secure method of prescribing these substances, in its current iteration, added technological requirements and workflow disruptions are impediments to physician participation.  In 2010, the DEA released an interim final rule on eRx of controlled substances that outlined various requirements for physicians, including two-factor authentication and identity proofing.  Five years later, the DEA is seeking industry feedback in preparation for a new round of rulemaking.

In a meeting with DEA officials, the AMA outlined its concerns, which had been highlighted in a 2010 joint comment letter.  The current requirements continue to be burdensome for physicians and have contributed to the low participation rates for eRx of controlled substances.  Concerns include:

  • Identity proofing.  The current process to verify physicians’ identities is complex and must be performed for each location where a physician wishes to e-prescribe.  The DEA should consider allowing physicians’ hospital credentialing to be used for identity proofing for eRx of controlled substances instead of having to use a separate process.  The AMA also suggested the DEA engage with initiatives like the White House’s National Strategy for Trusted Identities in Cyberspace identity management program.
  • Clearer guidance.  Access controls and other process requirements are not clearly explained in the interim final rule.  The DEA should further clarify, including examples, to help physicians understand exactly what is required to comply with eRx of controlled substances.
  • Two-factor authentication.  While authenticating through a combination of PINs, passwords and biometrics increases security, it also contributes to workflow disruptions and adds cost constraints for many physicians.  The DEA should reexamine the scope of technology that is compliant with controlled substance requirements and evaluate if lower-cost, high-performing biometric devices (such as fingerprint readers on laptop computers and mobile phones) could be used for two-factor authentication.
  • Audit requirements.  The requirement for physicians to report a compromised authentication protocol within one business day of discovery is not practical.  Additionally, the DEA should consider how health information technology vendors may support the review of audit logs.
  • Compliant software.  Currently there are about 12 products on the market that are compliant with eRx of controlled substances, and there is no central location where physicians may find a list of these products. The DEA should maintain an up-to-date list of all compliant products, including a clearly defined explanation of their functions and any fees associated with their purchase and maintenance.
  • Meaningful use participation.  The Centers for Medicare & Medicaid Services’ (CMS) meaningful use program currently does not count eRx of controlled substances toward a physician’s effort to meet the eRx objective.  While this has been proposed in Stage 3, the AMA asked the DEA to work with CMS to expand the option for physicians who wish to include eRx of controlled substances in their Stage 1 and 2 participation thresholds.
  • Fees and compliance costs.  In addition to the costs of coming into compliance with eRx of controlled substances, there are monthly fees.  As DEA registration fees ($731 for three years) are set to cover the costs of its diversion control program and eRx of controlled substances lowers the risk of drug diversion, the AMA urged the DEA to consider reducing DEA registration fees for registrants who are using eRx.
  • Prescription drug monitoring programs (PDMP).  Although the DEA does not have authority over state PDMPs, the AMA urged the agency to work with other agencies to encourage integration of state PDMP databases and electronic health records in order to improve the integration of these data into practice workflows and physicians’ clinical decision making.

What are your thoughts on eRx of controlled substances?  Give your input and help provide the DEA with a wider perspective of participation issues.  Please provide feedback on eRx of controlled substances, including:

  • Major disincentives for physicians who wish to participate
  • Changes to the current program requirements to increase uptake
  • Practical, functional or cost issues that should be considered


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Considering a Run for Office: Sign Up for AMPAC's 2016 Political Education Programs

AMA members and their spouses who are interested in politics should check out two workshops offered by AMPAC in Arlington, Va.  More than 30 past participants currently hold public office, including five members of the U.S. Congress.

Those considering a run for public office should attend AMPAC's Candidate Workshop Feb. 19-21.  The workshop includes training on campaign strategy and media advertising, as well as hands-on sessions in public speaking and fundraising.

The 2016 Campaign School, April 13-17, is for AMA members who wish to become involved in the political process as advocates and volunteers for medicine-friendly candidates. The school is organized around a simulated congressional campaign, where participants are put on campaign "staff" teams and attend daily lectures on campaign strategy, media advertising and political fundraising.  Each team participates in nightly exercises such as creating a campaign strategy, taping a radio commercial and writing a political fundraising letter.

For both programs, AMPAC covers all costs for AMA members except transportation to the Washington, D.C. metro area.  For more information on these programs or an application, please see the online registration form or email Jim Wilson of the AMA.
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Upcoming Events

American Academy of Pediatrics, Maine Chapter (MAAP) and the Atlantic Pediatric Society (APS)
Joint Conference

September 25 – 27, 2015,  Friday 5pm through Sunday 12:30 pm

Algonquin Resort, St. Andrew’s, New Brunswick

Agenda and information about the venue:  http://maineaap.org/conferences/

Registration:  http://atlanticpediatricsociety.ca/register

Key Topics include: Child Death Review, Transitions of Care Adolescent to Adult, Cystic Fibrosis Screening, Child Advocacy, Child Protection, Hot Topics in Pediatric Medicine, and Pediatrics and Population Health


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.  KVHC has sites in Ashland, Houlton, Island Falls, Patten and Millinocket.  Join our practice in one of the newly expanded facilities.  We are seeking physicians for all of our 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.


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


Medical Director/Psychiatrist - Woodfords Family Services

Woodfords Family Services http://www.woodfords.org, a not-for-profit social service agency serving individuals with autism, intellectual and developmental disabilities and mental health diagnoses since 1967 has an immediate opening for a Medical Director/Psychiatrist for 2-3 days/week contractual basis to support a program serving children, adolescents and adults.

The Medical Director/Psychiatrist is responsible for clinical oversight, supervision for a full-time Physician Assistant-C and consultation with Agency programs. Opportunities are available to provide assessment and medication management. Hours are flexible. Some on-call hours may be required. Job/Educational Requirements include:

  • Board Certification and a Maine license to practice medicine
  • DEA registration
  • Professional malpractice insurance certificate
  • Graduation from an accredited program
  • Certificate of completion from an accredited psychiatric residency training program or from a child psychiatry fellowship program

Candidates should mail or e-mail (dpatrick@woodfords.org) a letter of interest/resume to: Woodfords Family Services; P.O. Box 1768; Portland, ME  04104-1768; ATTN: Douglas Patrick; Medical Director/ Psychiatrist Search; EOE 

·      7/27/15

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