October 3, 2016

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MMA Board to Meet on Wednesday, Oct. 5th

The MMA Board will hold its organizational meeting on Wednesday, October 5th at MMA offices in Manchester.  In addition to electing a new chair, the Board will elect three at large members of the Executive Committee, a Treasurer, and a Secretary.  The Board will also discuss the upcoming ballot questions and consider Resolution 1 passed at the Annual Meeting calling on MMA to oppose the legalization of marijuana.

Jabbar Fazeli, M.D. currently chairs the Board but will hand the gavel to a new chair following the election as Dr. Fazeli now is the President-elect.  

The Board will also determine the process of consideration of the draft Statement on health care reform..  

Any MMA member may attend a Board meeting, whether on the Board or not.

At this meeting, the Board will welcome four new Board members elected at the Annual Meeting including medical student Nicholas Knowland, resident member Ryan Best, M.D., and Drs. Henk Goorhuis, M.D. and Raymond Hicks, M.D.   Dr. Goorhuis is an emergency physician at Central Maine Medical Center and Dr. Hicks is an occupational medicine physician at Maine General. 

Following the meeting, the Board members will have dinner at MMA with the governing council of the Maine Chapter, American Academy of Pediatrics.

Spectrum Medical Group Celebrates 20th Anniversary

At events in Portland and in Bangor this past week, Spectrum Medical Group celebrated the 20th year of its founding in 1996.  The group was founded as a multi-specialty group and opened with 65 physicians from the merger of five practices.  Today, SMG is the largest independent medical practice in the state consisting of 222 board certified physicians and 64 advanced practice providers.  MMA extends its congratulations to the Spectrum Medical Group on the occasion of its anniversary and we appreciate the support you provide to MMA! [return to top]

Enrollment is OPEN for the Hanley Centerís Physician Executive Leadership Institute Advanced 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 16, 2016 at the Brunswick Hotel & Tavern in Brunswick and continue through January, 2018.  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:  November 15, 2016

To enroll, please visit:  http://www.hanleyleadership.org/uploads/2017%20Advanced%20Enrollment%20Form.pdf      

To learn more, please contact the Hanley Center's Judiann Smith at:  judiannsmith@hanleyleadership.org (207-553-9852) or Kathy Vezina at kathrynvezina@hanleyleadership.org (207-553-9854).

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MACRA Penalties Can Now be Avoided, CMS Says

Avoiding penalties under the Medicare Access and CHIP Reauthorization Act (MACRA) just got easier.  The Centers for Medicare and Medicaid Services (CMS) Acting Administrator Andy Slavitt last Thursday announced that the final MACRA regulation will exempt physicians from any risk of penalties if they choose one of three distinct reporting options in 2017.

In a blog post, Slavitt announced that CMS heard physicians’ concerns about the proposed start date for performance reporting under the new Medicare payment system and that the agency will offer three reporting options for the Merit-based Incentive Performance System (MIPS)—and if you choose one for 2017, you will not receive a negative payment adjustment in 2019.

The options will be described fully in the final rule, but here are the basics:

  • Option one:  Test the program
    As long as you submit some data to the Quality Payment Program, including data from after Jan. 1, you will avoid a negative payment adjustment, Slavitt said. This option is intended to ensure that the system is working and that physicians are prepared for broader participation in the coming years as they learn more.
  • Option two:  Partial-year reporting
    Physicians can choose to report Quality Payment Program information for a reduced number of days. Your first performance period could begin well after Jan. 1 and your practice could still qualify for an incentive payment.

    Slavitt offered an example. “If you submit information for part of the calendar year for quality measures, how your practice uses technology and what improvement activities your practice is undertaking,” he said, “you could qualify for a small positive payment adjustment.”
  • Option three:  Full-year reporting
    If your practice is ready to get started on Jan. 1, you can choose to report Quality Payment Program information for the full calendar year. Your first performance period would begin on Jan. 1, and if you submit information for the entire year your practice could qualify for a modest positive payment.
  • Advanced Alternative Payment Model (APM) option.
    This option is still available and qualified participants in advanced APMs will be eligible for five percent incentive payments in 2019.

Choosing any of these options guarantees that you will not receive a negative payment adjustment.

The announcement confirms that physician input is playing a critical role in the development of the final MACRA rule. Slavitt stated his appreciation for the constructive participation of physicians in the feedback process and added that CMS looks forward to further engagement with physicians to make sure the new Medicare payment system works for everyone, including patients.

"By adopting this thoughtful and flexible approach, the Administration is encouraging a successful transition to the new law by offering physicians options for participating in MACRA,” said AMA President Andrew W. Gurman, MD, in a statement commending Slavitt and Department of Health and Human Services Secretary Sylvia Mathews Burwell.

“This approach better reflects the diversity of medical practices throughout the country,” he said. "The AMA believes the actions that the Administration announced today will help give physicians a fair shot in the first year of MACRA implementation.”

This kind of flexibility is what physicians were seeking throughout the draft rule comment period—and now it is a reality. The only way to receive a negative payment adjustment now is by not participating at all.


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New Data Shows Complexity of Opioid Epidemic

Three new reports may be useful to states as they work to help reverse the nation’s opioid epidemic, and highlight progress so far.

Growth in the use of buprenorphine to treat opioid use disorders has slowed over the past five years and varies widely by state, according to a new study from the IMS Institute for Healthcare Informatics. Claims for opioid use disorder, however, have increased more than 3,200 percent, according to FAIR Health, with claims varying greatly by age.

A research letter in the Journal of the American Medical Association found there is a large, untapped physician capacity to treat patients with an opioid use disorder. Newly compiled data shows multiple signs of progress, including that physicians’ use of prescription drug monitoring programs has increased nearly 40 percent from 2014 to 2015, while opioid prescriptions have decreased by nearly 11 percent in the same period.

For more information about how to use this information in your state efforts, please contact Daniel Blaney-Koen of the AMA. 

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New Analyses Support Blocking Pending Insurance Mergers

Two analyses demonstrate further that the proposed Anthem-Cigna and Aetna-Humana health insurance mergers would exceed federal antitrust guidelines designed to preserve competition and jeopardize patient access to affordable coverage and care.

The analyses are based on data from the 15th edition of Competition in Insurance: A Comprehensive Study of U.S. Markets, published today by the AMA, which continues to find the majority of commercial health insurance markets in the United States are highly concentrated.

High market concentration can lead to enhanced market power by health insurers on physicians and patients, wherein payments to physicians are lower than those resulting in a competitive market and premiums charged to patients are higher with no added benefits.

The most complete picture of competition in health insurance
Using 2014 data from captured from commercial enrollment in fully and self-insured plans, Competition in Insurance presents the two largest insurers’ commercial market shares and the market concentrations for 388 metropolitan statistical areas (MSAs), the 50 states and the District of Columbia.

“This is the most complete picture available of competition in health insurance markets,” the report said.

In terms of market concentration, it shows:

  • Seventy-one percent of the combined health maintenance organization (HMO), preferred provider organization (PPO), point-of-service (POS) and health exchange (EXCH) markets are highly concentrated
  • Ninety-three percent of HMO markets are highly concentrated
  • Eighty-seven percent of PPO markets are highly concentrated
  • One hundred percent of POS markets are highly concentrated
  • Ninety-five percent of exchanges are highly concentrated

In terms of market shares, it found:

  • In 40 percent of the MSAs, one insurer had a combined HMO+PPO+POS+EXCH market share of 50 percent or greater
  • In 64 percent of the MSAs, one insurer had an HMO market share of 50 percent or greater
  • In 59 percent of the MSAs, one insurer had a PPO market share of 50 percent or greater
  • In 86 percent of the MSAs, one insurer had a POS market share of 50 percent or greater
  • In 75 percent of the MSAs, one insurer had an exchange market share of 50 percent or greater

Pending mergers would cause harm across numerous markets
In 2015, Anthem announced its intent to acquire Cigna, and Aetna announced plans to acquire Humana. All are among the five largest commercial health insurers in the country.

The motivation for Competition in Insurance has been to help identify markets where mergers would cause competitive harm. The analyses of those mergers using data from this year’s report calculated the changes in market concentration that would result from the mergers and then classified markets based on how anticompetitive the mergers would be.

They found:

  • The Anthem-Cigna merger would diminish competition in 121 metropolitan areas located in all of the 14 states where Anthem is licensed to provide commercial coverage, including California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin.
  • The Aetna-Humana merger would diminish competition in 57 metropolitan areas in 15 states, including Arizona, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Mississippi, Ohio, Tennessee, Texas, Utah, West Virginia and Wisconsin.

“The AMA analyses show that the Anthem-Cigna and Aetna-Humana mergers would significantly compromise market competition in the health insurance industry and threaten health care access, quality and affordability,” said AMA President Andrew W. Gurman, MD. “With existing competition in health insurance markets already at alarmingly low levels, federal and state antitrust officials have powerful reasons to block harmful mergers and foster a more competitive marketplace that will operate in patients' best interests."

The AMA and state medical societies have worked behind the scenes in opposition to the two mergers. The AMA has encouraged the Department of Justice (DOJ) and a number of state attorneys general to oppose both on antitrust grounds.

The AMA believes more can be done in states where state regulators have not yet taken a strong stance against the mergers, and it will work to expand the bi-partisan group of state attorneys general that has already joined the DOJ to block the massive deals.

Competition in Insurance: A Comprehensive Study of U.S. Markets is free to AMA members. It is also available to non-members. To order a copy, visit the AMA store or call (800) 621-8335 and mention OP number 427116.


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MMA Seeks Your Feedback on Draft Statement on Reform of the U.S. Health Care System

Earlier this year, the MMA Board of Directors decided to update the Association's policy on health care reform which consisted of a Resolution passed by the membership at the 2002 Annual Session and a White Paper dated in 2003 drafted in anticipation of the Maine legislature's debate of the Baldacci Administration's Dirigo Health Program legislation. 

Accordingly, the Board established an Ad Hoc Committee on Health Care Reform last Spring and MMA solicited volunteers for this Committee through this e-newsletter.  The membership of this Committee is as follows:




1.       Hani Jarawan, M.D., Chair, Portland

2.       Maroulla Gleaton, M.D., Palermo

3.       Scott Hanson, M.D., M.P.H., Lewiston/Auburn

4.       Jabbar Fazeli, M.D., Portland

5.       Paul Cain, M.D., Lewiston/Auburn

6.       Philip Caper, M.D., Brooklin

7.       Cathleen London, M.D., Robbinston

8.       Richard Swett, M.D., Dover-Foxcroft

9.       Thomas Sneed, M.D., Readfield

10.   Samuela Manages, M.D., F.A.A.F.P., St. David

11.   Lani Graham, M.D., M.P.H., Freeport

Staff:  Andrew MacLean, Deputy EVP & General Counsel

This Ad Hoc Committee met several times during the course of the summer and produced a draft Statement on Reform of the U.S. Health Care System that it presented to the Board of Directors prior to the Annual Session. During the General Membership meeting at the Annual Session, MMA President-elect Jabbar Fazeli, M.D. announced the draft Statement and solicited feedback from members.  The MMA Board of Directors will discuss the draft Statement at its next scheduled meeting from 4-6 p.m. on Wednesday, October 5th.  MMA members who wish to review and comment on the draft Statement may find it on the MMA web site here, and may provide feedback by contacting Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com, 622-3374, ext. 214 (O), or 215-7462 (C).  The MMA Board also is very interested in hearing comments from any medical specialty society that might have comments specifically relating to that specialty.


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Bloomberg Health-Care Efficiency Index Cites US Poor Health Care Efficiency

The Bloomberg Healthcare Efficiency Index has once again listed the US near the bottom of its list of countries in terms of health care spending in relation to life expectancy. "America was 50th out of 55 countries in 2014, according to a Bloomberg index that assesses life expectancy, health-care spending per capita and relative spending as a share of gross domestic product.  Expenditures averaged $9,403 per person, about 17.1 percent of GDP, that year — the most recent for which data are available — and life expectancy was 78.9.  Only Jordan, Colombia, Azerbaijan, Brazil and Russia ranked lower."  The entire article may be read here. [return to top]

Reports Show 2017 Medicare Payment Adjustments

Medicare has made available two new reports with information on 2015 cost and quality data that indicate which physicians or practices will see related Medicare payment adjustments in 2017.

The 2015 Physician Quality Reporting System (PQRS) Feedback Reports and 2015 Annual Quality and Resource Use Reports (QRUR) were released on Sept. 26. The Centers for Medicare & Medicaid Services (CMS) is mailing 2015 PQRS penalty letters to physicians beginning Sept. 26.

2015 PQRS penalty letters notify physicians and groups who are scheduled to receive a two percent penalty in 2017 based on 2015 PQRS reporting. The PQRS feedback report allows physicians to look up whether they will receive the two percent 2017 PQRS penalty, and contains detailed information on program year 2015 PQRS reporting results. 

The 2015 Annual QRURs provide information on how practices performed on quality and cost measures used in the Value Modifier (VM) and whether their VM payment adjustment will be positive, negative or neutral and the specific amount. VM penalties can range from -1 to -4 depending on practice size and performance. Bonus payments depend on how much money is collected from penalties and to date the 2017 bonus size has not been publically announced by CMS. Drill-down tables in the reports contain detailed information on care delivered to individual patients by other providers as well as the physicians in the practice.

The payment adjustments detailed in these reports are associated with current performance-based Medicare payment incentives that will be replaced in 2019 with a new system created under the Medicare Access and CHIP Reauthorization Act (MACRA). Practices that believe there are errors in the report or calculation of the payment adjustment should file for an informal review prior to midnight Eastern Time on Nov. 30.

How to access the reports:

  • An Enterprise Identity Management (EIDM) account with the appropriate role is required for participants to obtain 2015 PQRS feedback reports and 2015 Annual QRURs.
  • If you already have an EIDM account, visit the CMS website to sign up for the appropriate EIDM role or contact QualityNet Help Desk to determine if someone in the practice already has that role.
  • To sign up for an EIDM account, visit the CMS Enterprise Portal and click “New User Registration” under “Login to CMS Secure Portal.”
  • Both reports can be accessed on the portal using the same EIDM account.
  • For more information on viewing the reports, view the PQRS Analysis and Payment webpage and How to Obtain a QRUR webpage.

Information on the informal review process:

  • To request an informal review of a 2017 PQRS negative payment adjustment, view the “2015 Physician Quality Reporting System (PQRS): 2017 Negative Payment Adjustment - Informal Review Made Simple” guide on the PQRS Analysis and Payment webpage.
  • To request an informal review of the 2015 QRURs or the 2017 Value Modifier calculation, see the 2015 QRUR and 2017 Value Modifier webpage.

CMS Help Desk information:

  • For additional assistance regarding EIDM or the content or data contained in the PQRS Feedback Reports, contact the QualityNet Help Desk at 866-288-8912 (TTY 877-715- 6222) from 7:00 a.m. to 7:00 p.m. Central time, Monday through Friday, or via email.
  • For additional assistance regarding the QRUR or the Value Modifier, or if you are having trouble accessing the PQRS Feedback Reports, email the Physician Value Help Desk or call (888) 734-6433 (select option 3).

ICD-10 update complicates PQRS reporting and value modifier adjustments

The yearly update to ICD-10 coding on Oct. 1 will affect Physician Quality Reporting System (PQRS) reporting for some measures. The update is larger than the traditional yearly ICD update due to a several year freeze on new codes as the healthcare system transitioned from ICD-9 to ICD-10.

Many of the codes involved were not finalized until August 2016 and PQRS measure specifications were not updated to include the coding changes. As a consequence, some codes that are part of the PQRS measures and are necessary to report use of the measure will no longer be included, which may lead to confusion for correct reporting.

PQRS data is also used to calculate Value Modifier adjustments, which means these adjustments might also be affected. Since learning about the issue, the AMA has been working diligently with the Centers for Medicare & Medicaid Services (CMS) toward a resolution. Although CMS is still in the process of developing a solution, the agency has assured the AMA that every effort will be made to prevent physicians from being penalized for issues resulting from the ICD-10 coding update.

We encourage physicians and specialty societies to review the list of affected measures to determine whether the update will affect your specialty area. We will continue to work with CMS on this issue and will update the Federation as we have additional information.  

EHR contract guide and Health IT Playbook released

The U.S. Department of Health and Human Services’ (HHS) Office of the National Coordinator for Health Information Technology (ONC) has released two tools to help physicians maximize their electronic health records (EHR).

The new EHR contract guide, “EHR Contracts Untangled: Selecting Wisely, Negotiating Terms, and Understanding the Fine Print,” explains important concepts in EHR contracts and includes example contract language to help physicians and health administrators in planning to acquire an EHR system and negotiating contract terms with vendors.

The AMA has provided specific feedback to the ONC on EHR vendor contracts related to interoperability limitations, costs and the need for further clarity on EHR capabilities and functionality.

The Health IT Playbook is a web-based tool intended to make it easy for physicians and their practice administrators to find practical information and guidance on specific topics as they research, buy, use or switch EHRs. The Playbook features a collection of specific tools, resources and guides that can help physicians implement and use health information technology that best serves their practices—including supporting transitions toward alternative payment models. The AMA continues to urge HHS to reduce the EHR reporting burden on physicians.

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2 Programs on Cancer Survivorship for Primary Care Physicians

The American Cancer Society, in collaboration with George Washington University Cancer Institute, is offering a FREE Cancer Survivorship E-Learning Series for Primary Care Physicians.

The Cancer Survivorship E-Learning Series for Primary
Care Providers features the following content:

  • The role of clinical generalists and specialists in providing follow-up care to survivors of adult-onset cancers
  • Managing long-term and late physical and psychosocial effects of cancer and its treatments
  • Survivorship care planning and care coordination

The series is available at no cost and offers continuing education credits for physicians, physician assistants, nurse practitioners, and nurses. New content will be added on an ongoing basis. Each webinar is led by national experts and features a cancer survivor story.

According to ACS staffers who work with Maine hospital systems, this is a great benefit since medical oncology and radiological oncology patient panels are carrying a large number of survivors and the need to transition them back to primary care physicians is needed.

The two links below will offer more insight to this resource.



Maine Quality Counts and the Maine Health Management Coalition are also sponsoring a webinar on October 13th from 12:00 to 1:00 p.m. entitled  "What Now? Guidelines for Cancer Survivorship After Treatment." The featured speaker is Neil Maniar, PhD, MPH, Vice President, Health Systems for the American Cancer Society, who will will share new survivorship guidelines for clinicians managing the health of cancer survivors.  You can register here. [return to top]

Job Openings

PEDIATRICIAN - Stephens Memorial Hospital, Norway, Maine

Western Maine Pediatrics, a department of Stephens Memorial Hospital, is currently seeking a BC/BE Pediatrician to join our exceptional team of providers. Western Maine Pediatrics is a NCQA recognized Level Three - Patient Centered Medical Home committed to providing high quality care to our patients and families.

Stephens Memorial Hospital is a 25-bed critical access hospital that has been recognized by the Leapfrog Group as one of the top rural hospitals in the nation three times in the last six years. Our Pediatricians provide care to newborns in the level one newborn nursey and provide pediatric ER consult service and inpatient care to low risk pediatric patients.

This position offers an opportunity to teach and mentor Medical Students and Pediatric Residents from Maine Medical Center.  Stephens Memorial Hospital, a member of MaineHealth, the premier healthcare system in Maine which includes Maine Medical Center, is a teaching site for the Maine Medical Center-Tufts University School of Medicine Rural Medicine Clerkship Program. 

We are currently in the process of remodeling our practice and will move into our brand new office space at the end of 2016. Our new space will offer state of the art surroundings and will be designed as a Patient Centered Medical Home.

This position offers a competitive salary and benefits, to include student loan repayment.  For more information, please contact: Abbie Graiver, Stephens Memorial Hospital Phone: 207-744-6052 or graiverab@wmhcc.org.


BC/BE FAMILY PRACTICE PHYSICIAN - Sheepscot Valley Health Center

Sheepscot Valley Health Center (Cooper Mills - between Augusta and the Maine coast) seeks a BC/BE Family Practice Physician to provide primary care and preventive services in an outpatient family practice. Join two physicians, three family nurse practitioners and a physician assistant serving 3,700 people annually. Integrated behavioral health, psychiatric medication management, podiatry, and care management are also provided on site.

The practice has been a vital part of the community since 1980 and is part of HealthReach Community Health Centers, a group of eleven Federally Qualified Health Centers in Central and Western Maine serving 28,000 residents in 80 Maine towns each year.

We offer competitive compensation and malpractice coverage. The site is eligible for loan repayment. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901. (207) 660-9913. Fax: (207) 660-9901. 

Communications@HealthReach.org  -   www.SheepscotCHC.org.



Excellent Work Life Balance!  Katahdin Valley Health Center is in search of a Psychiatric Mental Health Nurse Practitioner.  These openings are a result of our continued growth. KVHC is Federally Qualified Health Center with sites in Ashland, Houlton, Island Falls, Patten, Millinocket and now Brownville.   Join our practice in one of the newly expanded facilities. KVHC is a fully electronic medical record site and offers a competitive salary and benefit package which includes: a 10% of first year salary sign on bonus, generous amounts of paid time off, CME, Life and Disability as well as FTCA malpractice coverage. No nights weekends or holidays! Family Medicine Practitioners who join KVHC are eligible to apply for NHSC Loan Repayment. 

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



Dynamic multi-subspecialty physician-owned and -led orthopaedics group seeks a fellowship trained, board certified or board eligible Primary Care Sports Medicine Physician to join Maine’s premier orthopaedic practice - OA Centers for Orthopaedics.  We are an established group with our own surgery center and all ancillary services (PT, MRI, and Imaging).  If you are interested in joining a growing, high volume, quality-focused group practice with no call, then this is the opportunity for you!

The ideal candidate will have substantial orthopaedic experience and comfort with acute orthopaedic conditions. We are searching for a physician leader to be part of a growing acute walk-in clinic, OrthoAccess, with a full spectrum of surgical subspecialty support. We offer a generous compensation and benefits package, including vacation, CME stipend, relocation allowance, and 401(k) plan with profit sharing.  Partnership-track position with eligibility after 5 years for full-time physicians. Walk-in clinic hours are Monday – Friday, 1:00PM – 8:00PM; Saturday, 9:00AM – 2:00PM. Rotating Saturday coverage required; approximately 5 shifts per year. Flexible part-time or full-time weekday schedule, between the walk-in clinic and routine clinical days.

Send inquiries or CVs to:

Aileen Kiwior, PHR, Senior HR Generalist

OA Centers for Orthopaedics
33 Sewall Street
Portland, ME 04102

EMAIL: hr@orthoassociates.com





Dynamic multi-subspecialty physician-owned and -led orthopaedics group seeks a board certified or board eligible Orthopaedic Surgeon who has completed a Foot & Ankle fellowship to join Maine’s premier orthopaedic practice - OA Centers for Orthopaedics.  We are an established group with our own surgery center, all ancillary services (PT, MRI, and Imaging).  If you are interested in joining a growing, high volume, quality-focused group practice with minimal call, then this is the opportunity for you!

OA Centers for Orthopaedics is searching for a surgeon to join our established Foot & Ankle Center to help meet the needs of this growing service line.  We offer a generous compensation and benefits package, including 6 weeks of vacation, CME stipend, relocation allowance, and 401(k) plan with profit sharing.  Partnership-track position with eligibility after 2 years.

Send inquiries or CVs to:

Aileen Kiwior, PHR, Senior HR Generalist

OA Centers for Orthopaedics
33 Sewall Street
Portland, ME 04102

EMAIL: hr@orthoassociates.com




INTERNAL MEDICINE PHYSICIAN - Maine Medical Partners Internal Medical Clinic

Maine Medical Partners is seeking a PT BC/BE internal medicine physician for their Internal Medicine Outpatient Clinic at Maine Medical Center in Portland, Maine. 

The Clinic is the primary outpatient teaching site for Maine Medical Center’s Internal Medicine Residency Program and is the medical home for a culturally diverse population.  The ideal candidate will have an interest in residency education and international/immigrant patient care.  The clinical portion of the position involves a mix of direct patient care and the precepting of Internal Medicine Residents. 

Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School. 

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 661-7383 or nathaa@mainehealth.org.



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Upcoming Events

MaineGeneral Medical Center's 2016 Geriatric Symposium

October 6, 2016 

7:45am - 4:30pm

Alfond Center for Health - Augusta, ME

This year’s keynote speaker will be Dr. Michael LaMantia MD, MPH, the new Section Chief of Geriatrics at the University of Vermont.  There will also be talks by Cliff Singer MD, Annette Beyea DO MPH, Sarah Hallen MD, Kim Church RN & Jane O’Rourke LMSW, Nancy Rushton APRN and Noreen Flanagan MD. Lunch will be provided and CMEs are available.  


The 2016 Geriatrics Symposium is free for MaineGeneral employees. A $50 registration fee for non-MaineGeneral employees will support the MGMC Key Trust Educational Endowment. 

Registration is limited to 225 participants, on a first come, first served basis.  If paying by check, please make checks payable to “2016 Geriatrics Symposium.”  All checks must be received by 9/30/16.

For more information and to register online visit: https://mainegeneral.coursestorm.com/course/maine-general-annual-geriatrics-symposium-update-on-dementia-carePlease contact Karen Garcia at 626-1151 or at karen.garcia@mainegeneral.org with any questions regarding the Symposium.




Register Here

The conference features national and local speakers on topics including:

·         Neonatal Abstinence Syndrome and care for drug affected babies and their mothers

·         Strategies from VT and CT to address the influx of drug affected infants

·         Addiction as a Pediatric Disease

·         Immunization Controversies: influenza, meningococcal B and HPV

·         The Impact of Chronic Disease and Health on Child’s School Attendance, Education and Well-Being

·         The Use of Proton Pump Inhibitors

·         The Status of Foster Care in Maine

·         OB Thresholds of Viability

·         and more!


MCMI Training Programs - Level 1 and Level 2

October 25, 2016

When and where held:  On October 25, 2016, the Maine Concussion Management Initiative will present Level 1 and Level 2 Training as the Youth Concussion Track at the Brain Injury Association of America-Maine Chapter's 7th Annual Conference on Defining Moments in Brain Injury in Portland at USM.

Training Programs:             

Level 1 – An Introduction to Concussions and Concussion Management

Speaker: Deb Nichols, CPNP or Peter Sedgwick, MD or Bill Heinz, MD

Level of Difficulty: beginner

Content:  The Diagnostic and Return to Play Dilemma, How Concussion Occurs and Pathophysiology, Concussion Signs and Symptoms, Concussion Evaluation Tools, Concussion Treatment, Recovery Epidemiology, Return to Function – Academics and Play, Risk Factors and Protective Equipment, Short and Long Term Sequelae, Neurocognitive Testing, Concussion Sideline Assessment, Key Points

Level 2 – Advanced Concussion Management (Level 1 is a prerequisite for taking Level 2)

Speaker: Paul Berkner, DO

Level of Difficulty: intermediate

Content: Updates from Zurich 2012, Using ImPACT Testing in Concussion Management, Interpreting   

ImPACT Test Results, Concussion Case Reviews

Schedule: Conference - 7:30pm to 4:30pm

MCMI Level 1: 9:30am to 1:00pm

MCMI Level 2: 1:30pm to 4:30pm                                                   


Fee: $100 for all participants for the entire day

How to register: online atwww.biausa.org then click on BIAA-Maine (in the menu on the left)

CMEs will be provided. Exact contact hours not determined at this time

For more information contact:

Jan Salis, PT, ATC, MCMI - Membership and Education Committee - Chair

jsalis@aol.com or (207) 577-2018


Maine Health Management Coalition and Maine Medical Association's 2016 Symposium

Thursday, October 27 

Holiday Inn By The Bay, Portland

About the Symposium

For this year's symposium we will be continuing to highlight and explore actionable strategies that each of us can take to help improve health and lower costs.  Our keynote speaker, David Blumenthal, MD, President of The Commonwealth Fund, will share examples of how organizations around the country are getting more value from their health care dollars, and breakout sessions will dive into the details to highlight individual efforts that organizations in our state can emulate.  There will be presentations on tackling prescription drug abuse for providers and employers, alternative payment arrangements being tested through employer/provider partnerships, an overview of how MACRA will impact the payment landscape in our state, and more!

When: Thursday, October 27, 2016, 8am - 5pm

Where: Holiday Inn By The Bay, 88 Spring Street, Portland ME 04101

Register Here!



A Message from The Daniel Hanley Center for Health Leadership

We are pleased to invite you to attend our 2016 Hanley Forum, Community Innovations to Address Stress & Depression In Our Young Adults on November 2nd at the Hilton Garden Inn.  Far too many of Maine’s adolescents and young adults are in need.  Far too many won’t ask for help.  Please join us and lend us your experience, perspective, time and hope.

WHO:                  Primary Care, Emergency Medicine and Behavioral Health Providers

WHAT:                Hanley Forum 2016

Register Today at:www.hanleyforum.eventbrite.com

WHEN:                November 2, 2016, 9:30am-4:00pm

WHERE:               Hilton Garden Inn, Freeport

As with all Hanley initiatives, the spirit of collaboration in creating positive change will be key to the success of the day!  We hope you will join us as we bring together primary care & other providers, health leaders, educators, parents, consumers, law enforcement, behavioral health professionals, and community & business leaders for a day of learning, networking and innovating.

At the end of the day, we hope to have 3-5 concepts that either attempt something new or expand upon a current community collaboration to better support Maine’s high school and college age young adults challenged by anxiety and/or depression.

Keynoting the day will be Dr. Gene Beresin, MD, MA, Executive Director of The Clay Center for Young Healthy Minds.  Dr. Beresin will ground us in this work and energize us to come together as a community to share perspective and generate new ideas to support Maine’s young adults.  We will also hear from a few consumers, parents and community collaborators.

We know that this challenge touches the lives of each and every one of us in some way through our work, our families, our friends and neighbors and our communities.  We also know that you can help.  Please join us and register today at: www.hanleyforum.eventbrite.com .  To learn more or support the Forum through corporate sponsorship, please call Judiann Smith at 207-553-9852.


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