October 10, 2016

Subscribe to Maine Medicine eNewsletters
Manage Your Subscriptions
Email our Editor...
Maine Medical Association Home Page
. Search back issues
. Plain Text Version
Printer Friendly

MMA Board Confirms Position on Ballot Question 1, Reviews Question 2 and Elects Board Chair

The MMA Board of Directors met for its annual organizational meeting Wednesday, Oct. 5th.  Robert Schlager, M.D., CMO at Sebasticook Valley Hospital, was elected chair of the Board for the coming year.  The Board also approved the Resolution adopted at the Annual Meeting opposing ballot question one legalizing the recreational use of marijuana for adults 21 years of age and older.  The Board had previously voted support for ballot question 3 tightening up the gun show loophole in background checks.

Dr. Schlager is a family physician and will chair the Board until next September.  Drs. Amy Madden, Richard Flowerdew, and Mark McAllister were elected as members at large of the Executive Committee.  Michael Parker, M.D. of Wilton was re-elected as Treasurer and Deputy EVP & General Counsel Andrew MacLean was appointed as Secretary of the Board.

In approving Resolution 1, the Board followed a policy adopted in 2012 that established a Board process for vetting and approving or rejecting Resolutions passed by the general membership at the Annual Meeting.  The Board also considered ballot question 2 which would impose an additional 3% income tax on annual household income over $200,000 with the revenue dedicated to the state cost of K-12 education.  While not taking a position for or against the question, the Board expressed concern about the impact of the tax increase impacting on the recruitment and retention of health professionals in the state.

The Board also discussed plans for the President's Retreat in November.  The Retreat, held in Portland, will be used to prioritize MMA's work during the coming year.  Charles Pattavina, M.D., an emergency physician who serves as Director of the Emergency Department at St. Joseph's Hospital in Bangor, is the current MMA President. Jabbar Fazeli, M.D., a geriatrician in southern Maine, serves as President-elect.


Still Time to Register for MMA/MHMC Annual Symposium Oct. 27th in Portland

Register today on-line at www.mehmc.org/symposium.  At this year's symposium, we will continue to highlight and explore strategies that help improve health and lower costs.  Keynote speaker David Blumenthal, M.D., President of the Commonwealth Fund, will share his perspective on what direction health care may take nationally following this contentious presidential election.  Maine Attorney General Janet Mills will update attendees on the state's effort to address the opioid/heroin epidemic and U.S. Senator Angus King will close the day and offer comments on what to expect in the lame duck session of Congress following the election.  In addition, thirteen breakout sessions will provide the kind of information that health professionals and practice staff need to practice efficiently and in compliance with the law.  Particular topics to be addresses include MACRA, the new state law limiting prescribing for pain, other new laws and regulations including the new federal overtime rules, and new concepts and proposals for transparency in health care costs and quality.

This program encapsulates MMA's Practice Education Seminar which MMA will be presenting for the 26th year. Please register today at the website above and join us in Portland on the 27th!

[return to top]

Community Health Options Receives 2017 Marketplace Certification

The Centers for Medicare & Medicaid Services (CMS) have approved Community Health Options (Health Options) as a Qualified Health Plan Issuer to provide health insurance coverage on the Health Insurance Marketplace in Maine in 2017.  The certification signals that Health Options' plans fulfill all state and federal rate, benefit, and network standards. 

"We are pleased with the expressed confidence and stamp of approval of this recertification for Open Enrollment," stated Kevin Lewis, president and CEO of Health Options.  "Federal approval secures our position on the Marketplace and our continued ability to provide high quality benefits that promote health and well being."

Shoppers on the Marketplace who have a household income between 100% and 400% of the federal poverty level may be eligible for Advanced Premium Tax Credits (APTC) that reduce monthly premium costs for Qualified Health Plans purchased through the Marketplace.  To estimate the APTC, people are encouraged to go to www.healthoptions.org and click on "Compare and Quote Plans" to utilize the calculator and other tools to assist in decision making.

We encourage members who currently receive an APTC to plan ahead by updating their information on the Marketplace prior to open enrollment and to enroll by Dec. 15, 2016 to avoid a gap in coverage" noted Michael Gendreau, director, outreach. education and communication for CHO.  Open Enrollment for individual and family plans starts Nov. 1, 2016 and ends January 31, 2017.

In addition to the individual market, Community Health Options continues to support businesses with coverage solutions through small and large group sales.  For more information on group coverage, see https://www.healthoptions.org/employers.

[return to top]

ACA Non-discrimination Notice Requirements Take Effect Oct. 16th

The non-discrimination notice requirements under Section 1557 of the ACA are effective Oct. 16, 2016.  What do physicians and practices need to know to comply?

The law require health care providers and other covered entities to publicly post and disseminate non-discrimination notices, and the availability of qualified interpreters and language assistance services (e.g. translated documents and oral interpretation).

Section 1557 of the ACA makes it unlawful for any health care providers who receive funding from the federal government to refuse to treat an individual or to otherwise discriminate against the individual based on race, color, national origin, sex, age, or disability.  

The final rule, issued on May 13, 2016, included the non-discrimination notice requirement which covered entities, including any physician office receiving federal funds (Medicare, Medicaid, etc) are required to follow.

[return to top]

National Physician Assistant (PA) Week Observed Oct. 6-12

National PA Week takes place each year from Oct. 6-12 to celebrate the profession and its contributions to the nation's health.  Before it was a week-long event, National PA Day was first celebrated on Oct. 6, 1987, in honor of the 20th anniversary of the first graduating class of PAs from the Duke University PA program.  Oct. 6 is also the birthday of the profession's founder, Eugene A. Stead, Jr., M.D.  

MMA extends its congratulations and appreciation to all of Maine's Physician Assistants.  And, we send a special appreciation to the Maine Association of Physician Assistants and its leadership.  We treasure our relationship and our work with you!

[return to top]

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.

  [return to top]

MACRA Update from the AMA

As we await the release of the Centers for Medicare & Medicaid Services (CMS) final rule on the Medicare Access and CHIP Reauthorization Act (MACRA), we want to update you on our latest advocacy work and new physician resources. Through the MACRA Task Force and various work groups, the AMA and the Federation have been collaborating to develop strategic approaches to our advocacy, along with consistent messaging.

The AMA recently filed extensive comments on CMS’ proposed rule, emphasizing the need for greater flexibility and choice.

We saw further evidence that CMS has been listening to physician concerns, when CMS Acting Administrator Andy Slavitt announced that physicians can choose among four options to avoid payment penalties in 2019. Medicine welcomed CMS’ decision to allow physicians to pick their own pace for the initial MACRA reporting period in 2017 as a positive step toward giving all physicians a fair opportunity to succeed.

Although details on MACRA implementation will not be available until the final rule is released later this fall, we have developed a number of resources to help physician practices begin to prepare for the transition to the new payment system:

There is much more to come this fall as we release our new web-based tool to help physicians understand which MACRA pathway is best for them and assess its impact on their practice, and we develop new resources after the final rule is released. We are also planning regional seminars on MACRA, as well as webinars for physicians and “train the trainer” webinars for medical society staff.

[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).

[return to top]

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 MMA Board of Directors which considered it during a regular meeting on October 5th.  The Board has directed staff to produce a SurveyMonkey survey to solicit feedback from members.  MMA members who wish to review and comment on the draft Statement prior to the SurveyMonkey, 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.


[return to top]

Insulin List Price Hikes Going Primarily to Benefit Managers

According to the Wall Street Journal, “soaring” insulin prices are in large part benefiting middlemen, pharmacy benefit managers who negotiate rebates and fees based on list prices, rather than to the major insulin manufacturers.  The Journal reports that the US pricing system encourages high list prices with steep behind-the-scenes discounts.  This benefits some bill payers while others, particularly including uninsured patients, pay the higher costs.  These higher costs also lead to patients sharing more of the burden in the form of “co-pays” or “co-insurance.”

Lantus, which listed for $114.15 per vial in 2011, now costs $248.51.  Humalog now costs $254.80, more than twice its list price in 2011.  Approximately six million patients in the US currently use insulin.  Those with high deductible health insurance plans, along with the uninsured, are bearing the brunt of the price increases. Physicians worry that as prices increase, patients may unsafely reduce their dosages on their own, without medical guidance, in order to be able to afford their medications.

[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.

[return to top]

Job Openings


Mid Coast Medical Group is seeking a full time General Surgeon. This is a community hospital oriented job with needed skills in all core aspects of general surgery.  The surgeon will be part of a long standing 4-5 provider general surgery group. The office is conveniently located adjacent to Mid Coast Hospital. New graduates and experienced candidates are encouraged to apply.

Part of the Mid Coast–Parkview health family of services, Mid Coast Hospital offers competitive benefits and compensation package, along with an excellent work environment. Please send CV to Melanie Crowe, Physician Recruiter, at mcrowe@midcoasthealth.com or call (207) 406-7872, for more information.


PRIMARY CARE PHYSICIAN - Eastern Maine Medical Center

Eastern Maine Medical Center seeks a primary care physician, board-certified/board-eligible in internal medicine, to join our well-established, quality-driven, outpatient practice. Husson Internal Medicine is one of seven primary care practices operated by Eastern Maine Medical Center. Our practice was the second in the nation to achieve “Patient-Centered Medical Home” status with NCQA. All physicians are NCQA-certified in diabetes and cardiac care. Our primary care network, largest in our area, has adopted a new practice model to include teams of one physician, one nurse practitioner, two registered nurses, and two medical assistants.  
Eastern Maine Medical Center is a 411-bed, regional, tertiary care and level II trauma center serving the more than 500,000 residents living in central, eastern, and northern Maine We offer a collegial atmosphere, cutting-edge EMR, generous vacation and CME benefit, flexible work schedule, and reasonable call schedule. No hospital call required. Candidates in need of J-1 visa waivers welcome to apply. 
For confidential consideration, please contact: Amanda Klausing at Eastern Maine Medical Center Phone: 207-973-5358 emmccvs@emhs.org.


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.



[return to top]

Upcoming Events




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.


[return to top]

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