November 16, 2015

 
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AMA Opposes Health Insurer Mergers; 2015 AMA Interim Meeting Underway in Atlanta

In a strongly worded, and extensively footnoted, 17-page letter to the head of the Justice Department’s Antitrust Division, AMA Chief Executive Officer James L. Madara, MD, voiced the opposition of organized medicine to the proposed acquisitions of Cigna by Anthem and of Humana by Aetna, mergers that would effectively reduce the number of national health insurance companies from five to three. Dr. Madara pointed out the significant risk of consumer harm, in terms of health care access, quality and affordability, presented by what he called the “anticompetitive effects of insurers’ exercise of market power.”


In a strongly worded, and extensively footnoted, 17-page letter to the head of the Justice Department’s Antitrust Division, AMA Chief Executive Officer James L. Madara, MD, voiced the opposition of organized medicine to the proposed acquisitions of Cigna by Anthem and of Humana by Aetna, mergers that would effectively reduce the number of national health insurance companies from five to three. Dr. Madara pointed out the significant risk of consumer harm, in terms of health care access, quality and affordability, presented by what he called the “anticompetitive effects of insurers’ exercise of market power.”

A summary of the major points in Dr. Madara’s letter, based on data compiled by the AMA and others, follows. (Quotations are from Dr. Madara’s letter.)

·       “The proposed mergers are occurring in markets where there has already been a near total collapse of competition.” Health insurance is a market that is extremely complex and costly for insurers to enter. In addition, insurers must start with sufficient business to permit the spreading of risk. The difficulty of entering this market is demonstrated, in part, by the recent difficulties encountered by health insurance co-ops created under the ACA. Those barriers, combined with the power inherent in one massive provider’s market position, would likely limit competition in this marketplace long into the future.

·       “A growing body of peer-reviewed literature suggests that greater health insurer consolidation leads to consumer price increases, as opposed to greater efficiency or lower health care costs.” This research indicates that the mergers would lead to a decrease in the quality of health insurance plans available to consumers and reduce the incentive to offer broader networks and compete through increased responsiveness to patients’ access needs. Narrower network plans limit patient access.

·       “Health insurer monopsony, or buyer power, acquired through the proposed mergers would, as the Department of Justice has found in earlier cases, likely degrade the quality and reduce the quantity of physician services.” Where there is essentially just one buyer of services in a particular marketplace, one health insurer, that buyer can exert a high degree of influence over the practices of the sellers of those services. Physicians, through pressure from limitations on income, would be forced to spend less time with patients, limit their investments on new equipment, staff and other practice infrastructure, and spend more time in “production” at the expense of additional education, quality and other practice improvements. Eventually such pressures could well motivate physicians to retire early or to seek more lucrative employments outside medicine, an opinion expressed by six in 10 physicians in a recent Deloitte survey. With our current shortage of primary care physicians in the U.S., those pressures cannot help to improve health care for patients. When single buyer power is combined with that buyer also being a monopoly seller of insurance to patients, the effect is multiplied and patient costs are increased, not decreased.

·       “There is no evidence supporting the insurer’s claim that the proposed mergers would lead to greater efficiencies and innovative payment and care management programs. There is also no economic evidence that consumers benefit when health insurers merge to respond to hospital consolidation by acquiring countervailing power.” In fact, studies of previous health insurer mergers demonstrate that they resulted in higher, not lower, insurance premiums. “There is… no economic evidence that the formation of bilateral hospital/health insurer monopolies—a battle between proverbial Sumo wrestlers—benefits consumers.”

·       “Fostering competition, not consolidation, benefits American consumers through lower prices, better quality, and greater choice.” A competitive market for physician services has been demonstrated to be best for patients’ pocketbooks.

The AMA has long held the view that increased competition in health insurance, not consolidation, is in the best interest of both physicians and patients. Competition fosters negotiation among involved parties rather than the imposition of terms by one tremendously powerful party upon a number of smaller and far less powerful parties. But according to Leemore Dafney, Ph.D., a professor at Northwestern University’s Kellogg School of Management who testified about health insurer consolidation before the Senate Judiciary Committee in September, “Consolidation leads to premium increases. This is true notwithstanding the growing body of research that finds insurers with larger local market shares pay lower rates to healthcare providers, particularly hospitals.”

The health insurance carrier mergers are among the highlights of the policy debates going on at the 2015 AMA Interim Meeting in Atlanta.  MMA's AMA Delegates, Richard Evans, M.D. and Maroulla Gleaton, M.D., are participating in the work of the House of Delegates which began on Saturday and concludes tomorrow.  MMA President Brian Pierce, M.D. also is representing Maine physicians at the meeting.  You can find more information about the meeting on the AMA web site here.

MMA Listening Session for Physicians in York County Wednesday Evening, Nov. 18
All physicians residing or practicing in York County are invited to join MMA officers and staff at an informal get together this coming Wednesday night at the Chapman Cottage in York. The event will begin at 5:30pm and conclude at 8:00pm but physicians may join us at any time during those hours.  This listening session is the sixth such event MMA has hosted around the state during the past 24 months.  The sessions have been well received and members and guests have expressed appreciation for the opportunity to get together informally with their professional colleagues.  MMA officers and staff are interested in the current needs of physicians in the state and the experiences they are having.

 
There is no cost to attend but please RSVP to Lisa Martin at MMA via e-mail to lmartin@mainemed.com or feel free to call Lisa at 622-3374 ext. 221.
 
 
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Last Chance to Register for MMA-MHMC Wednesday Program; LEADING CHANGE: How To Make the Switch from Volume to Value

Registrations can still be made through Monday for this program.

MMA has combined its 25th Annual Practice Education Seminar with the Annual Meeting of the Maine Health Management Coalition being held on Wednesday, Nov. 18 at the Holiday Inn by the Bay in Portland.  In addition to the break out sessions for practice managers that members have come to expect from MMA, attendees will also have the opportunity to hear from plenary speakers, such as author Dan Heath and Attorney General Janet Mills. Don't miss this rare opportunity to hear from one of America's most entertaining and insightful speakers. Heath will be keynoting the program, entitled, Leading Change: How to Make the Switch From Volume to ValueNot only is Heath a thrice-over New York Times best-selling author, he's also an educator, social entrepreneur, and one of the 50 most influential management thinkers in the US according to Thinkers50! The first 400 persons registering for the conference will receive a free copy of his book, Switch.   Learn More


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"Get Smart Week" Focuses Attention on Antibiotic Awareness

Each year in the United States, at least 2 million people become infected with bacteria that are resistant to antibiotics, and at least 23,000 people die as a direct result of these infections. Many more people die from other conditions that were complicated by an antibiotic-resistant infection. This week, several countries and international organizations are observing Get Smart Week, an annual observance to engage a variety of stakeholders, including professional societies, advocacy groups, for-profit companies, state and local health departments, the general public, the media and others in a discussion of antibiotic stewardship. This observance is a key part of the U.S. CDC’s efforts to raise awareness about the threat of Clostridium difficile and antibiotic-resistant bacteria.

In addition to the United States and European Union, other countries and international organizations are participating in antibiotic awareness activities during this week, including Canada, Australia and the Pan American Health Organization (PAHO). This year, Get Smart Week coincides with the European Union’s Antibiotic Awareness Day (Nov. 18) and the World Health Organization’s first World Antibiotic Awareness Week.

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Update on SIM (State Innovation Model) Grant Steering Committee
Healthcare professionals in the state are represented on the SIM Steering Committee by Rhonda Selvin, APRN, past president of the Maine Association of Nurse Practitioners and Noah Nesin, M.D., FAAFP, Medical Director at Penobscot Community Health Care.   The Committee met for its regularly scheduled meeting on Oct. 28 and Rhonda has shared the following notes.  Additional information is available on the SIM page of the Maine.gov website.  The Annual Meeting for the SIM grant will be held on Tuesday, Dec. 8, 2015 at the Augusta Civic Center from 8:30am to 2:00pm.  The public is welcome to attend.

 
The primary purpose of the Oct. 28th meeting was to review the recommendations of a subcommittee which reviewed the current status of the work advancing the core objectives. The subcommittee was made of of volunteers Noah Nesin, M.D., Jay Yoe, Katie Fullam Harris from Maine Health, Kris Ossenfort from Anthem and Dale Hamilton representing mental health providers.  The subcommittee interviewed each of the SIM grantees as a baseline for assessment.  This review was an opportunity to determine what the Steering Committee wants to accomplish in delivering healthcare as we go forward by stepping back, making a critical assessment and determining if changes or realignment need to place with respect to the work.
 
Background was provided by Katie Fullam Harris.  Some questions arose regarding the fact that the recommendations just became available so Steering Committee members have had only a short time to review them.  Therefor, final decisions will not necessarily be made today. Questions were also raised regarding the lack of consumers and employers on the subcommittee which was the result of there being no volunteers from these groups.  These voices can be active in the discussion today as the Committee reviews this initial draft.
 
The SORT analysis document was provided with items coded A (continue), B (may need to change focus of), C (progress not sufficient, needs course change) and D (not successful, suspend objective).  Not many programs have any outcome data yet thus it was difficult for the subcommittee to deal with specific measures.
 
CDC:   Deb Wigand presented on behalf of the CDC.  Recommendations were to continue the diabetes prevention work.   With respect to CHW four pilots, it was recommended to evaluate delivery and avoid duplication of services.  Evidence is good nationally that it works, we just need to determine in the state how to fund and sustain it.
 
With respect to any of the recommendations today, the grantees or programs will be allowed to review the recommendations and return to the Steering Committee prior to the recommendations being considered by the Maine Leadership Team (MLT) in December.
 
MAINE HEALTH MANAGEMENT COALITION (MHMC):  The coalition was represented by Andy Webber, Frank Johnson and Lisa Nolan.  With respect to publicly reported data, the recommendation was to more carefully vet and validate the data and that the process and methodology be more transparent.  This was coded C with more information to be presented next meeting.   The MHMC Health cost workbook and CEO summits received a D recommendation, with a suggestion that the summits cease entirely but that the workbook be produced once every two years.  Following discussion there was no consensus reached and the item will be bumped up to the MLT.  The Healthcare Cost Workgroup project received a C and MHMC will return with a workplan and will survey participants for feedback regarding the value of the work.
 
HEALTHINFONET:  Objective 1 Real time notifications:  A.  Objective 2 Access to BHH 20 reach outs:  A.  Need to continue to spread and bring more BHH on board and sustain. Objective 3 Helping overcome barriers to BHH.  More information to be available next meeting.  Objective 4 MaineCare clinical dashboard:  A.   Not yet incorporated into work flow and is on hold until next meeting for assessment but will continue into year 3.  Objective 5: Pilot completed.  HIN will return with recommendations and lessons learned next meeting.
 
State Health Improvement Plan (SHIP) presented by Deb Wigand and Crhis Pezzulo, D.O.  Draft was reviewed.  Clinical quality measures discussion.  SHIP is looking to Quality Counts and MaineCare for clinical quality measures but these have not yet been collected form Health Home practices.  A subcommittee will be formed to address this issue with Jim Leonard (MaineCare) as the lead.
 
There was insufficient time to consider the objectives from Quality Counts and these will be done at the next meeting.
 
Rhonda Selvin, APRN
rselvin@msn.com
 
 
 
 
 
 

 

 
 
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CompareMaine.org Website Launched by Maine Health Data Organization

The Maine Health Data Organization last week unveiled its new website intended to encourage consumers of health care to shop around and compare costs and quality data before choosing where to receive medical care.  The site, www.CompareMaine.org, has pricing information on 200 medical procedures at 170 healthcare facilities, including hospitals, ambulatory surgical centers, diagnostic imaging centers, labs and clinics. Next year the site will be expanded to include more cost comparisons. The data come from the state's All-Payer Claims Database. The site was paid for by a $3.7 million federal grant and has been in a design and construction phase for nearly two years.  A consumer advisory panel provided feedback on the content, design and functionality of the site.

In addition to pricing information, the site includes quality data which come from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys administered by the Agency for Healthcare Research and Quality, the Centers for Medicare & Medicaid Services and the federal Centers for Disease Control and Prevention.

In a media interview, MHDO Executive Director Karynlee Harrington noted that Maine is a leader in making health care costs transparent and the aim is to make the site as consumer friendly as possible.  "People want to know what their options are," Harrington said. "It's one tool in the toolbox, and it will allow patients to have informed discussion with their doctors." An article on the website in the Portland Press Herald on Saturday (Oct. 31) featured data on the cost of childbirth and showed variations across the state from a low of $5,402 to a high of $13,428 for a vaginal birth.

The MHDO is an independent state agency governed by a multi-stakeholder group appointed by the Governor from nominations from various interest groups.  Physicians are currently represented on the Board by Neil Korsen, M.D.  Dr. Korsen and Ms. Harrington have kept MMA staff apprised of the work on the site and have consistently asked for MMA input. While the site is only as good as the data provided through the claims and survey processes, it is a start and keeps Maine in the forefront of the effort to make the cost of medical care more transparent. MMA is interested in the feedback of members and member practices regarding the site and its use by your patients. Comments should be directed to EVP Gordon Smith at gsmith@mainemed.com.

Members are also reminded that this site should now be included in the information required to be provided to patients under the healthcare transparency law.  The law requires healthcare entities to "prominently display in a location that is readily accessible to patients information on the price transparency tools available from the publicly accessible website of the Maine Health Data Organization established pursuant to chapter 1683 to assist consumers with obtaining estimates of costs associated with healthcare services and procedures."  For healthcare entities that do not routinely provide services in an office setting, posting a link to the MHDO satisfies the law's requirements.

 
 
 

 
 
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Enrollment opens for McAfee Fellows/Advanced Physician Leadership Course

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

Physicians enrolling in the program are designated as McAfee Fellows, in honor of former AMA and MMA President Robert McAfee, M.D.  Participants gain knowledge, skills and tools in the core competency areas of: systems awareness; strategic focus; key management/business skills; self-awareness; healthcare trends; and teamwork and collaboration, best enabling them to lead and transform our healthcare delivery system.

Over the past four years, nearly 120 physicians have participated in the Advanced Program.   The fifth class will begin March 10, 2016 at the Brunswick Hotel & Tavern in Brunswick and continue through January, 2017.  There are six two-day sessions, each running from Thursday evening through late Saturday morning.    The Hanley Center is planning for the class to include 30 physician leaders from Maine, New Hampshire, and beyond. 

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

Deadline for enrollments at a discounted price:  December 15, 2015

To learn more, please visit www.hanleyleadership.org or contact the Hanley Center's Judiann Smith at:  judiannsmith@hanleyleadership.org or Kathy Vezina at kathrynvezina@hanleyleadership.org 

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DHHS Posts RFA for MaineCare Accountable Communities Initiative

The Department of Health and Human Services has posted the RFA for its MaineCare Accountable Communities Initiative at: http://www.maine.gov/dhhs/oms/vbp/accountable.html.

Following is the Department’s press release on the event:

Key dates are listed below:

1. Application due – January 15, 2016

2. Implementation – August 1, 2016

Background

The AC program is MaineCare’s version of Accountable Care Organizations (ACOs), under which groups of providers can share in savings for an assigned population, with the exact amount of any shared savings payments tied to the ACs score on a range of quality measures.

Under the program, DHHS enters a three-year AC contract with the AC “Lead Entity.” The Lead Entity – which does not need to be a provider -- represents the providers that comprise the AC. 

The AC must include providers that directly deliver primary care services, but beyond that and several other requirements, the program offers broad flexibility as far as what types of providers may be part of the AC and how the AC is structured and operates.

Choice of Two Payment Models

The program offers a choice of two models (in both models, Fee for Service continues unchanged).  One model requires minimum of 1,000 members and offers a maximum of 50% shared savings with no downside risk.  The other model requires minimum of 2,000 members and offers a maximum of 60% shared savings with 40-60% shared risk in years 2 and 3. 

Shared savings (or loss) payments are paid to (or paid by) the Lead Entity, which in turn can distribute the payment or costs to AC Providers however the Lead Entity and AC Providers decide.

Data Feedback to Providers

To assist the AC in managing members, MaineCare provides ACs with a range of data reports.  MaineCare has received extremely positive feedback regarding these reports from the four ACs participating in Round 1 (which started August 1, 2014). 

Further Detail

Further detail – including further AC requirements; further detail on the payment models and data reports; the list of quality measures and how quality scoring works; how members are attributed; core and optional services that are counted in Total Cost of Care (TCOC); how the benchmark TCOC from which savings are measured are calculated; and more – can be viewed in a presentation summarizing details of the program at www.maine.gov/dhhs/oms/vbp/accountable.html.


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Opioid/Heroin Prevention/Harm Reduction Task Force to Meet Dec. 3, 17, Jan. 7, 21, Feb. 4; Treatment Group to Meet Nov. 18 and Dec. 2

All three of the Task Forces of the Anti-Opiate/Heroin Initiative have now met at least once and are scheduled to meet again.   The Prevention/Harm Reduction Task Force met this past Thursday and will meet again from 9:00am to noon on Dec. 3.  Following that meeting, the Task Force will meet on Thursday from 1:00 to 3:00pm on Jan. 7, 21 and Feb. 4. The meetings will be held at the offices of the Maine Medical Association in Manchester, Maine.   The Treatment Task Force will meet again on Wednesday, Nov. 18 and Wednesday, Dec. 2.  These meetings will be held from 3:00pm to 5:00pm and will also be at the Maine Medical Association.

The meetings are all open to the public and the meetings will be posted on the U.S. Attorney's Website.

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Final 2016 Medicare Physician Fee Schedule Rule Issued

The Centers for Medicare & Medicaid Services (CMS) last week released the final Physician Fee Schedule rule for 2016, along with a fact sheet describing its provisions. Of particular note, the rule announces the Medicare fee schedule update for 2016 and finalizes a proposal to establish payments for advanced care planning.

The Medicare Access and Chip Reauthorization Act (MACRA), which was signed into law in April 2015, increased the conversion factor by 0.5 percent on July 1 and called for additional annual updates of 0.5 percent from 2016 through 2019. However, the Protecting Access to Medicare Act of 2014 enacted April 1, 2014, established an annual target for reductions in Medicare payment schedule expenditures that result from adjustments to misvalued codes.

The Achieving a Better Life Experience Act of 2014, enacted Dec. 19, 2014, accelerated the application of the expenditure reduction target, setting targets of 1 percent for  2016 and 0.5 percent for 2017 and 2018. These actions—which were opposed by the AMA—combined with other decisions made by CMS had an adverse impact on the update the MACRA established for 2016.

The Medicare fee schedule conversion factor will be adjusted by -0.29 percent in 2016. It will be reduced from $35.93 to $35.83.

CMS finalized Medicare payment for two Current Procedural Terminology® (CPT®) codes for advanced care planning services, which include conversations between patients and their physicians before an illness progresses and during treatment. The rule specifically referenced the AMA recommendations. This represents not only an achievement for CPT®, the Relative Value Scale Update Committee (RUC) and the AMA, but also a turning point toward a new approach to pay for advance care planning. [return to top]

CMS Extends Deadline to Contest 2016 PQRS and Value Modifier Results

Based on the AMA notifying the Centers for Medicare & Medicaid Services (CMS) of potential problems with 2014 Physician Quality Reporting System (PQRS) and value modifier calculations that determine 2016 PQRS results and adjustments, the agency has extended the informal review deadline to Nov. 23. The AMA strongly encourages physician practices to file a PQRS and value modifier informal review and download their PQRS feedback reports and Quality and Resource Use Reports (QRUR).

For groups with 10 or more PQRS-eligible professionals who are subject to the 2016 value modifier, the QRUR outlines how the value modifier will affect Medicare’s 2016 payments. All eligible professionals are subject to the PQRS payment adjustment in 2016. Value modifier cost and quality scores also will be provided in the QRURs for practices that are not yet subject to the value modifier. If physicians or group practices think an incentive payment or penalty was made in error, they must file an informal review via the quality reporting communication support page by Nov. 23.

The AMA continues to advocate for changes to the PQRS and value modifier programs and is actively encouraging CMS to automatically recalculate results.

Authorized representatives of group and solo practitioners can access the 2014 annual PQRS feedback reports and QRURs on the CMS Enterprise Portal using an enterprise identity management account (EIDM) account with the correct role.

For more information about how to access the 2014 annual QRURs, visit CMS’ Web page on how to obtain a QRUR. Additional information about the 2014 QRURs and how to request an informal review is available on the 2014 QRUR website and through the QRUR help desk at pvhelpdesk@cms.hhs.gov or (888) 734-6433 (select option 3).

For additional questions regarding the PQRS and value modifier informal review process, contact the QualityNet Help Desk at (866) 288-8912, TTY (877) 715-6222 or Qnetsupport@hcqis.org Monday-Friday from 8 a.m. to 8 p.m. Eastern time.

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NAIC Approves Model Bill on Network Adequacy

Insurance regulators at the National Association of Insurance Commissioners (NAIC) this week approved revisions to an outdated model bill on network adequacy that are intended for use by state legislatures in coming sessions.

The new model bill has a number of positive improvements, including regulation of provider directories, transparency requirements on network design and provider selection, a shift away from using accreditation to establish network adequacy and greater regulatory oversight in numerous areas. However, several new provisions in the model have raised serious concerns for the AMA and other medical associations.

In a new section of the model addressing out-of-network billing by physicians at participating hospitals, the NAIC language would likely result in the further narrowing of provider networks, as incentives for health plans to contract with physicians are threatened.

The AMA is concerned that language meant to recognize the growth of telemedicine may be interpreted by legislatures to allow telemedical providers to wholly replace in-person providers for the purposes of meeting the state’s network requirements.

A number of important priorities for the medical profession are missing from the model and will need to be addressed if it is considered by states, including:

  • Networks must be determined adequate before health plans are sold to patients.
  • Regulators should determine adequacy by using quantitative and objective standards.
  • Tiered networks should be more strongly regulated to prevent discriminatory network designs.

To help states get ready for possible introduction of the NAIC model bill, the AMA is preparing a detailed red-lined version of the act. This will include proposed amendments and additional resources to ensure that the model fully protects patient access to care and does not adversely affect physicians. These resources will be made available soon.

For more information, please email Emily Carroll or Daniel Blaney-Koen of the AMA.

 

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Job Openings

Medical Director

Catholic Charities Maine Behavioral Health Network in Maine has a Full Time opportunity for a Medical Director. The Medical Director's work is done primarily in office setting but may involve work in client's residences, hospitals, travel to Augusta and throughout the Greater Portland and Auburn area, some on-call availability. This person shall have completed three (3) years of post-graduate training in psychiatry approved by the American Medical Association and also have a working knowledge of American Society of Addiction Medicine Patient Placement Criteria. All applicants shall be eligible for a physician's license issued by the Maine Board of Licensure in Medicine and be certified by the American Board of Psychiatry and Neurology or be eligible for examination. The Medical Director will have a DEA waiver to prescribe buprenorphine. The applicants shall have a minimum of three (3) years of work experience with people in mental health or substance abuse treatment settings. You may submit your cover letter and resume via email (hroffice@ccmaine.org), fax (207-523-2789), or mail to Human Resources Office, Catholic Charities Maine P.O. Box 10660, Portland, ME 04104.

11/30/15

Full Circle Family Medicine Seeks Family Practitioner

An opportunity awaits you in the heart of Mid-Coast Maine - you are able to live, play and work in one of Maine’s beautiful coastal villages.  Our Medical Practice is in Damariscotta, just an hour northeast of Portland, Maine’s largest city, and three hours from Boston.

Full Circle Family Medicine, is in search of a Family Practitioner to wanting join our NCQA recognized Patient Centered Medical Home practice.  We are proud to be a physician owned, independent practice which includes three MDs and three PA’s.

Job Details and Requirements:

  • Provide a full range of care including: newborn and pediatric care, adult medicine, gynecology, geriatric and nursing home care
  • Telephone Call Coverage
  • Electronic Medical Records

Benefits of practicing at Full Circle Family Medicine include:

  • Competitive salary
  • Generous earned time program
  • Health Benefits
  • CME time and dollars
  • Retirement plans with employer match
  • Malpractice Coverage

For more information contact Wendy Williams, Practice Manager at wwilliams@fullcirclefamilymedicine.com or (207) 563-6623 option 7.  

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.

Requirements:
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 20 states with nearly 4,000 employees, including approximately 1,200 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)

Apply Today! 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 Requisition Number 7688
Phone: 800-992-4442 ext. 2659

EOE/Minorities/Females/Vet/Disability

11/30/15 

Primary Care - Rockport, Maine

Pen Bay Medical Center is seeking an IM/FM physician to join its hospital-employed Primary Care group. PBMC is a non-profit 99-bed, full service community hospital located on beautiful Penobscot Bay in Rockport, Maine.

  • Benefits include:
  • Four day work schedule
  • Paid time off
  • Generous loan repayment program
  • Competitive salary with productivity bonus
  • Relocation allowance
  • CME allowance
  • Impressive sub-specialty support

The Mid Coast region is a haven for outdoor recreation.  Whether you're a casual hiker, or a seasoned rock-climber, our landscape offers the right fit.  You can sail and kayak the world class waters of Penobscot Bay, swim, paddle, and fish in our pristine lakes and streams and bike our country lanes. Here you will find beautiful natural resources, excellent schools, unique shops, and rich cultural opportunities. Live, work, and play in a truly magnificent area, overlooking the picturesque Maine coastline.

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

11/30/15

Hospitalist - Rockport, Maine

Pen Bay Medical Center is seeking a BC/BE physician to join its Hospitalist team. PBMC is a non-profit 99-bed, full service community hospital located on beautiful Penobscot Bay in Rockport, Maine.

Benefits include:

  • 7 on/7 off scheduling
  • Paid time off
  • Generous loan repayment program
  • Competitive salary with incentives
  • Relocation assistance
  • 148 shifts per year - Additional pay for additional shifts
  • Impressive sub-specialty support

The Mid Coast region is a haven for outdoor recreation.  Whether you're a casual hiker, or a seasoned rock-climber, our landscape offers the right fit.  You can sail and kayak the waters of Penobscot Bay, swim, paddle, and fish in our pristine lakes and streams and bike our country lanes. Here you will find beautiful natural resources, excellent schools, unique shops, and rich cultural opportunities. Live, work, and play in a truly magnificent area, overlooking the picturesque Maine coastline.

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

11/30/15

Emergency Medicine - Rockport, Maine

Located on the shore of the Atlantic Ocean, Pen Bay Medical Center is seeking a Physician to join our Emergency Medicine staff. We have an Outstanding 12 bed Emergency Department that supports 23,000 patient visits annually with a well-rounded case mix. ABEM or AOBEM certification/qualification required and EM residency preferred.

Benefits include:

  • Equitable scheduling
  • Paid time off
  • Generous loan repayment program
  • Relocation allowance
  • CME allowance
  • Impressive sub-specialty support

Mid-Coast Maine offers some of the most spectacular natural beauty and outdoor recreation found anywhere. Sail and kayak the world-class waters of Penobscot Bay, hike the mountains that overlook the sea, swim and fish in our pristine lakes and streams, and bike on our country lanes. Enjoy rich cultural opportunities and great schools in a safe community environment. Live, work, and play in a truly magnificent area, overlooking the picturesque Maine coastline.

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

11/30/15

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).

11/30/15

FAMILY PRACTICE PHYSICIAN Sought In Oakland Maine!

Inland Hospital Family Practice is seeking a full time Family Medicine Physician without OB to join the employed practice in Oakland.

The practice has been serving the greater Waterville/Oakland area for many years. The practice provides care for infants, pediatrics through geriatric care. A competitive salary with incentives, plus full benefits is offered along with assistance with medical education debt, paid time off, paid CME, and relocation allowance. Qualifications: Board Certified/Eligible in Family Practice. This site is not eligible to sponsor a J-1 waiver.

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

For further information, please contact:

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

1/25/16

Direct Care Boston Family Physician

Opportunity to join a solo practicing Family Physician in direct care, concierge practice in the heart of Boston with a founding physician trained and practiced in Maine 15 years before coming to Boston. Seeking a collegial physician with highest level skills. The Harvard-affiliated practice gives full conventional as well as integrative/functional medical care.

Job Details:

  • See 2-8 patients per day
  •  Medical care of children, adults, geriatric homecare and international patients
  •  Clinical practice and/or interest in both Functional and Integrative Medicine
  •   Share weekend and vacation call

Requirements:

  •   MA license
  •   Family Medicine Board certification
  •   Internal Medicine Board certification

Compensation:

  •   Competitive compensation
  •    Health and Dental benefits
  •    Medical malpractice
  •    CME compensation

We are located 3 blocks from the Boston Common near the best-ranked schools and colleges. Harvard CME conferences are walking distance. The area offers many cultural, educational and academic opportunities.

Contact: Meghan at office@personalhealthmd.com.

Website: www.personalhealthmd.com. We would look forward to discussing this position.

11/23/15

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.

12/14/15

Physician

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

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

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

We are an equal opportunity employer committed to diversity in the workplace.  If you want additional information about this position, which combines making a difference in patients’ lives with a family-friendly work life, please fax (207-524-2459) or e-mail (Laurie.kane-lewis @dfdrussell.org) your resume as soon as possible to Laurie Kane-Lewis, CEO.

11/16/15

Surgeon

As a General Surgeon in the Air Guard, you’ll adapt the skills and knowledge you’ve gained in your civilian career to the military environment.  You’ll provide urgent treatment to Air Guard personnel sick or wounded during duty, and regular healthcare to personnel training in your unit.

Benefits

The Air Guard gives you the opportunity to serve your community and country with pride, and help people in a whole new way. If you still have student loans, you may be eligible for the Student Loan Repayment Program, or you can potentially get money for college that transfers to your dependents through the Montgomery G.I. Bill.

Besides a monthly paycheck, as a member of the Air Guard you’ll receive low-cost life insurance, a military retirement plan, and eligibility for VA home loans. With more than 140 Air Guard bases in the United States, Puerto Rico, Guam, and the U.S. Virgin Islands you’ll be able to serve where you live, without interrupting your civilian medical practice. And as an Air Guard member you’ll have access to Base Exchange and Commissary shopping as well as free available air travel.

Learn More Today

Go to GoANG.com/HP or call 1-800-To-Go-ANG to find out how you can become an important member of America’s homeland defense in the Air Guard.

1/18/16

Orthopedic Surgeon

The Air Guard Orthopedic Surgeon examines, diagnoses, and treats diseases and injuries of musculoskeletal system by surgical and conservative means. In this role, you’ll manage orthopedic surgery services as well as oversee the administration of anesthetics and provide diet recommendations in addition to performing surgical procedures.

Benefits

The Air Guard gives you the opportunity to serve your community and country with pride, and help people in a whole new way. If you still have student loans, you may be eligible for the Student Loan Repayment Program, or you can potentially get money for college that transfers to your dependents through the Montgomery G.I. Bill.

 Besides a monthly paycheck, as a member of the Air Guard you’ll receive low-cost life insurance, a military retirement plan, and eligibility for VA home loans. With more than 140 Air Guard bases in the United States, Puerto Rico, Guam, and the U.S. Virgin Islands you’ll be able to serve where you live, without interrupting your civilian medical practice. And as an Air Guard member you’ll have access to Base Exchange and Commissary shopping as well as free available air travel.

Learn More Today

Go to GoANG.com/HP or call 1-800-To-Go-ANG to find out how you can become an important member of America’s homeland defense in the Air Guard.

1/18/16

 

 

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