January 2, 2017

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The 128th Maine Legislature Re-Convenes on Wednesday, Jan. 4

The Maine Legislature will re-convene on Wednesday to begin its work scheduled for the First Regular Session. MMA has prepared a half dozen legislative proposals designed to make life easier for Maine's physicians. On Jan. 10, the MMA Legislative Committee will begin its weekly conference calls which will be held every Tuesday evening at 8:00pm until the end of the Session in June.

The MMA Legislative Committee, co-chaired by Katherine Pope, M.D. and Stephen Meister, M.D., will review all legislative proposals that touch upon an area of interest to physicians, patients or public health. The items to be discussed in each call will be announced in the Maine Medicine Weekly Update sent electronically every Monday to every MMA member for whom MMA has an active e-mail address. Practice managers may also ask to receive the electronic publication. Any MMA member is invited to join committee members and specialty society members on the weekly calls.

Among the bills MMA has prepared is a bill designed to reduce the administrative hassles associated with health plan requests for prior authorization of many medications and medical procedures. All of the MMA drafted bills will be placed on the MMA website at www.mainemed.com for review.

During the session, MMA and the Maine Osteopathic Association will again be responsible for having a Doctor of the Day attend each legislative session. If you would like to volunteer for this task for a half day, please contact Sarah Lepoff at MMA at slepoff@mainemed.com.

ALERT: New Opioid Prescribing/PMP Rule Released!

The Maine Department of Health and Human Services has released the new, statutorily required rule concerning opioid prescribing and use of the Prescription Monitoring Program (PMP). It can be found through this link.

The rule was promulgated on an emergency basis, meaning that it becomes effective immediately, with a period for public comment which will expire on an unspecified (as yet) date. The "routine technical" parts of the rule are effective for up to 90 days, while the "major substantive" parts are effective for up to 12 months while the Legislature conducts its review.

The MMA has held up publication of this Weekly Update while awaiting release of the rule, which was released mid-morning on January 3, 2017. The rule became effective on January 1st.

With apologies for any inaccuracies that may result from our rush to publish, here is a quick summary of the rule's highlights (with primary attention to prescriber requirements):

  1. The rule defines a number of terms, such as acute and chronic pain, benzodiazepine, controlled substance (Schedules II through IV), inpatient status, prescriber and dispenser, and several others. The term "opioid medication" is limited to those opioids in Schedule II, which would mean it does not apply to Tramadol, buprenorphine, some (but not all) forms of codeine, and others. Prescribers are cautioned to check the latest version of the controlled substances list from the US Drug Enforcement Administration (DEA) to determine the Schedule of any particular medication.
  2. Prescribers are required to include the ICD-10 diagnostic code "on the prescription for any opioid which will cause the patient to exceed the 100 Morphine Milligram Equivalent aggregate daily limit." Codes are not required on prescriptions that do not exceed the limits.
  3. If a patient is claiming an exemption from the 100 MME or time limits, prescribers must include the "exemption code" on the prescription. There are 7 such codes: A (active & aftercare cancer treatment, limited to 6 months post remission); B (palliative care in conjunction with a serious illness); C (end-of-life and hospice care); D (medication assisted treatment for substance use disorder, limited to 12 consecutive months); E (pregnant person with a pre-existing opioid prescription in excess of 100 MME, only during the duration of the pregnancy); F (acute pain for a patient with an existing opioid prescription for chronic pain, with conditions); G (person in active taper of opioids, with a 6 month maximum tapering period to below 100 MME).
  4. Opioids must be prescribed electronically beginning July 1, 2017, unless a waiver is obtained from DHHS.
  5. Prescribers must check the PMP as described in the statutory law, PL 2015 c.488 (opioids and benzodiazepines, initially and every 90 days thereafter). In so doing, prescribers must review aggregate MME for the patient (including the anticipated new prescription), the number of prescribers currently prescribing controlled substances (Schedules II, III or IV) to the patient, and the number of pharmacies currently filling controlled substance prescriptions for the individual. The inpatient and long-term care exceptions apply.
  6. The PMP may be checked by the prescriber, any staff member authorized by the prescriber and the PMP, any staff member of a hospital if authorized by the hospital's CMO (for ED or inpatient treatment). The PMP will issue credentials to prescribers and authorized staff members who register as data requesters
  7. Dispensers are required to notify the PMP coordinator and decline to fill a prescription before contacting the prescriber if the patient has a contemporaneous prescription for the same substance from a different prescriber, a contemporaneous prescription being filled for the same substance by a different dispenser, or if filling the prescription would result in exceeding the MME or time limitations. Those conditions are described as "fraudulent or duplicative" prescriptions, which is the statutory requirement. The rule does not address the criteria for filling a prescription after contacting the prescriber.
  8. Licensing boards, MaineCare, and the Chief Medical Examiner's office will have access to PMP data, after meeting certain requirements. Data will also be shared with other states and Canadian provinces. Strict confidentiality rules apply to all PMP information, with criminal sanctions for violations of confidentiality.
  9. De-identified data may be provided to researchers, and aggregate information based on PMP data may be made available to the public.
  10. The PMP information will be reviewed at least quarterly to determine cases of "questionable activity by patients or prescribers." This includes the following information, as determined by the DHHS: "high number" of prescribers in a short period; "high number" of doses in a short period; overlapping "days supply" prescriptions exceeding a few days; "inappropriate combinations" of controlled substances; multiple payment methods within a short time; multiple out-of-state prescribers in a short time; multiple pharmacies on the same day, more than one pharmacy in different public health districts within one month; and "dangerous levels of specific" (but unspecified in the rule) drugs.
  11. Prescribers are immune from liability for disclosing information under these rules, and pharmacists are immune from civil liability for dispensing medication in accordance with a prescription in excess of the limits.

Please note that this summary does not address in detail the requirements for dispensers, whether they be pharmacies, providers or institutions. The MMA will be reviewing the rule in more depth in the coming days. Anyone who has questions is encouraged to read the rule first, but do not hesitate to contact the MMA with any questions not answered by doing so.


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SAVE THE DATE: Confronting Maine's Opioid Crisis, Monday, March 6

Confronting Maine's Opioid Crisis

Monday, March 6, 2017

9:00am-3:30pm at the Augusta Civic Center, Augusta, Maine

With the enactment of PL Chapter 488 as part of the State's comprehensive efforts to address the opioid crisis, Maine has now joined an elite group of states earning a "Making Progress" distinction from the National Safety Council, the highest ranking bestowed by the Council in its Prescription Nation report. This conference will feature two of the National Safety Council's influential physicians as presenters who will provide insight into how we can stop these addictive painkillers from flooding our communities, alternative treatments for pain management along with evidence-based tapering options for those already prescribed opioids. The conference will also feature breakout sessions with Maine experts from multiple sectors reviewing the latest research, information, and initiatives being put into practice all across Maine in multiple sectors. Participants will gain information they will be able to put into practice and learn how they fit into the overall efforts to end Maine's opioid crisis.

AdCare will be submitting this activity for 5.50 hours continuing education for nursing education, CME and AAFP. Continuing education is also available for Dentists, Pharmacy Professionals and Veterinarians via the application for CME credits.

More information on registration will be available soon.

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Happy New Year and Predictions for 2017

The Maine Medical Association staff, board, and President Charles Pattavina, M.D. wish all our members and Weekly Update readers all the best for 2017. We appreciate your interest and support and look forward to preparing another 52 issues of Maine Medicine Weekly Update (and quarterly issues of Maine Medicine) during the coming year. If you have any new associates or staff members whom you would like to receive these publications, please contact Lisa Martin at MMA (lmartin@mainemed.com).

Before providing our predictions for 2017, here is a recap of our predictions from one year ago. Except for failing miserably in predicting the results of three of the five voter initiated ballot questions, we did reasonably well.

1.  National elections.  While we joined most of the professional pollsters in predicting the election of a Democratic president following a "campaign distinguished by its nastiness," we did correctly predict the re-election of Republican majorities in the House and Senate in Washington. We correctly predicted the re-elections of Maine's two congressional representatives, Chellie Pingree and Bruce Poliquin.

2.  State elections. We correctly predicted that Republicans would retain control of the Maine Senate and that Democrats would retain control of the Maine House in the 128th Maine Legislature.

3.  Health plan mergers.  We predicted that the Department of Justice would ultimately approve the mergers subject to conditions that would result in one of the mergers not going forward. At this point, the litigation brought by the Justice Department against the mergers has not yet been completed.

4.  MaineCare expansion.  Regrettably, we correctly predicted that Maine would remain the only New England State that did not expand Medicaid coverage under the provisions of the Affordable Care Act.

5.  Hospital market consolidation. We predicted that hospital mergers in Maine would continue and that one major system would merge into another. That has not happened, although discussions continue between hospitals of potential affiliations which could lead to further consolidation. MaineHealth did announce in the Fall its intention to move to a system governed by one Board of Trustees, potentially eliminating local hospital boards in the hospitals which are part of the MaineHealth system. Eastern Maine Healthcare System has taken steps to integrate the various employed physician groups in its hospitals organizing the groups around five different regions.

6.  Further attention to opioid prescribing. We correctly predicted the continuing focus on decreasing prescribing of opioid medication for chronic pain. There has been a continuing decrease in the number of opioid pills prescribed in both 2015 and 2016, based upon both IMS data and PMP data.

7.  Ballot questions.  One year ago, we predicted that anticipated ballot questions on ranked choice voting and recreational use of marijuana would fail. They both passed. We also predicted that the ballot question on background checks on gun sales would pass. It failed. So 0 for 3 on these.

8.  CMS payment reform.  We predicted that CMS alternative payment systems to traditional fee-for-service would struggle and be delayed. Late this year, CMS administrators did significantly alter the programs and lightened the reporting obligations required to avoid the penalties. The ability to "determine your own pace" with respect to these payment reforms was welcomed by the AMA and other national medical organizations.

9.  Riverview Psychiatric Facility. We predicted that Governor LePage and legislative leaders would eventually agree on the need for a step-down forensic unit to reduce pressure on Riverview. Just recently, the Governor announced that the unit would be built in Bangor on the grounds of the Dorothea Dix Psychiatric Facility. 

10.  2018 Gubernatorial election. We predicted a year ago that candidates would start lining up for the 2018 Governor's race but that many would be reluctant to announce until Senator Susan Collins determined whether she would return to Maine to run. That prediction still stands.

While some of the results do not qualify for a clean win, we think we averaged about 70 to 80% success. Here we go for 2017!

1.  Legislative Session. Despite mostly good intentions, the 1st Regular Session of the 128th Legislature becomes an extremely contentious session with the LePage Administration and the Republicans supporting budget priorities sharply differing from Democratic priorities. How to deal with the voter passed ballot questions involving the income tax increase (Question 2), the minimum wage (Question 4), and recreational use of marijuana (Question 1) take up a great deal of time and also become contentious. It will take all of the diplomacy available in Augusta to avoid a shut down of state government on July 1st.

2.  Health plan mergers. The Department of Justice prevails in the federal litigation challenging the Anthem-Cigna merger and the two health plans announce plans to terminate the agreement to merge. The Aetna-Humana merger, however, goes forward.

3.  ACA Repeal.  The Trump Administration and Republicans in Congress vote shortly after the inauguration to repeal the Affordable Care Act but to delay most of its implementation for two years in order to allow those individuals covered through the ACA to maintain coverage until the Republicans have an opportunity to enact their own version of healthcare reform. The Republican plan will come to be seen as reform-light with elimination of any mandate to purchase health insurance (both individual and employer mandates) while relying on tax incentives and more private coverage rather than expanded public coverage through Medicaid. Medicare will remain largely intact.

4.  DHHS Secretary. President Trump's HHS nominee, Thomas Price, M.D., is confirmed by the Senate following contentious confirmation hearings. His appointment continues to divide physician professional organizations.

5.  Hospital finances and consolidation. In the absence of MaineCare expansion, Maine's hospitals continue to take on more bad debt and charity care and more than half continue to operate in the red. As a result, more hospitals move into larger systems.

6.  U.S. Senate race 2018. Senator Angus S. King formally announces his campaign for re-election to the United States Senate. Governor LePage continues to make statements about his interest in running against Senator King with an announcement due in January of 2018.

7.  Riverview Psychiatric Center. Governor LePage is successful in locating a step-down forensic unit consisting of 28 beds on the grounds of the Dorothea Dix Psychiatric facility in Bangor. He is also successful in having the facility operated by a private company contracting with DHHS.

8.  Maine's Opioid Abuse Crisis. Maine and the nation continue to experience a high rate of overdose deaths, despite more treatment options becoming available through state and federal financial support. The work of the Maine Opiate Collaborative continues with emphasis on prevention, harm reduction, treatment and law enforcement.

We have only 8 predictions for 2017.  Feel free to add your own and we will publish in the update next week.  Send them to EVP Gordon Smith at gsmith@mainemend.com. And have a very Happy New Year!



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PMP Changeover 12/20/16--Delegates Must Re-register

Following is the verbatim text of a letter from the Maine PMP announcing the changeover to a new platform and the need for delegates to re-register:

Dear Account Holder:

As a reminder, tomorrow, December 20, 2016, the Maine Prescription Monitoring Program (PMP) will be upgrading software systems. Today, December 19, is the last day you will be able to use the existing system (https://mepdm-ph.hidinc.com/melogappl/bdmepdmqlog/pmqhome.html).

You will receive an email notification tomorrow, December 20, if your current PMP account successfully transfers to the new system. This notification will include your login information.

If you do not receive an email notification tomorrow, December 20, you will need to register in the new PMP system starting tomorrow.This will include delegates and users whose accounts are not able to be transferred to the new system. Please note that delegates will not be able to register themselves in the new system until their supervisor’s account (i.e., the account they wish to be a delegate for) has been approved by the state PMP administrator.

For more information about Maine’s new PMP system, including how to register, please see the Maine PMP AWARxE User Support Manual. For a quick guide to requesting patient reports, you may consult the Quick Reference Guide. These guides will also be posted on the Maine PMP website (http://maine.gov/pmp).Again, the new system will not be available until tomorrow, December 20.

Please note that there will be a delay in viewing prescription history from the two weeks prior to the transition in software systems. This history will be loaded in the new system within two weeks of the transition. Thank you for your patience during this time.

Starting tomorrow, December 20, you may call support directly at 1-844-4ME-4PMP (1-844-463-4767). Technical assistance is available 24 hours a day, 7 days a week, 365 days a year. Should you have any policy questions in the meantime, you may contact the Maine PMP at (207) 287-2595 or by email at SAMHS.PMP@maine.gov.

Best Regards,

Sheldon Wheeler

Director, Office of Substance Abuse and Mental Health Services


Evelyn Sharkey, PMP Coordinator

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MMA's Fiscal Fitness for Life 2017 Kick Off

In our continuing effort to provide members with quality financial educational opportunities, MMA in conjunction with Baystate Financial, is kicking off the third year of our Fiscal Fitness for Life seminar series at two locations, Auburn on Jan. 25 and South Portland on Jan. 26. At the two sessions, attorney Jennifer Shea, who leads Baystate's Estate and Business Planning Department will be discussing the SEVEN MISTAKES PEOPLE MAKE IN RETIREMENT PLANNING.  

Attendees at prior sessions have found them to be truly educational in nature and filled with information both useful and immediately actionable. So if paying more attention to financial planning issues is on your New Year's Resolution list, this presentation can serve as that "dreaded first step" we all need to take.

The Auburn presentation is at the Hilton Garden Inn, 14 Great Falls Plaza from 6:00pm to 8:00pm. The South Portland location is at the Saltwater Grille, 231 Front St., South Portland. Hors d'oeuvres and refreshments will be provided at both locations. There is no cost to attend but please register by Jan. 20 to cperry@baystatefinancial.com or call 207-770-2033.

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Significant Change to DEA Registration Renewal Process 1/1/17

Through a notice on its website, the Drug Enforcement Administration (DEA) recently announced significant changes to its registration renewal process. Effective January 1, 2017, the DEA is eliminating the informal grace period which the agency has previously allowed for registrants to renew their registrations. Only one renewal notice will be sent to each registrant’s “mail to” address approximately 65 days prior to the expiration date; no other reminders to renew the DEA registration will be provided. The notice also advises that online capability to renew a DEA registration after the expiration date will no longer be available, and that failure to file a renewal application by midnight EST of the expiration date will result in the “retirement” of the registrant’s DEA number. The original DEA registration will not be reinstated. In addition, paper renewal applications will not be accepted the day after the expiration date. If DEA has not received the paper renewal application by the day of the expiration date, mailed in renewal applications will be returned and the registrant will have to apply for a new DEA registration.

The AMA has strongly expressed its concerns to DEA about this change in policy and the problems it could create for both patients and their physicians. In letters sent Friday, December 9 to DEA Acting Administrator Charles Rosenberg and Louis Milione (Assistant Administrator for Diversion Control), the AMA urged DEA to reverse the change to the renewal process. 

Maine physicians should take note of this significant change  in process and act accordingly.

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PQRS and Value-based Modifier Reprieve Due to October 1st ICD-10 Update

The AMA several months ago learned that the yearly ICD-10 coding update could potentially affect successful 2016 Physician Quality Reporting System (PQRS) results and Value-based Modifier calculations. Due to a several-year freeze of ICD-10 codes, there was a larger than normal update of new codes on October 1, 2016—three-quarters of the way through the 2016 PQRS reporting period.

The AMA has been working with the Centers for Medicare and Medicaid Services (CMS) to reach a fair resolution that would ensure physicians would not be adversely penalized in 2018 due to the 2016 PQRS measure specifications failing to incorporate the updated information. Due to AMA advocacy, CMS will not apply the 2018 PQRS payment adjustments to any eligible professional (EP) or group practice that failed to satisfactorily report from October 1-December 31, 2016, due to the ICD-10 update. The Value-based Modifier program will also consider EPs as successful if they met PQRS reporting requirements.

CMS also addressed EPs who were part of a Shared Savings Program ACO participant TIN in 2015 and are now reporting outside of their ACO for the secondary reporting period because their ACO failed to report on their behalf for the 2015 PQRS reporting period. CMS will apply the same policy and EPs or group practices will not receive a penalty if their fourth quarter 2016 PQRS measure specifications were affected by the ICD-10 update.

For the 2017 quality measure specifications that are affected by the ICD-10 update, CMS will publish an addendum containing the relevant ICD-10 codes. The addendum should be published very soon and the AMA will provide an update once the information is released by CMS.

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VA Finalizes Rule Allowing Most APRNs to Practice Independently

The Department of Veterans Affairs (VA) December 13th published a final rule that permits full practice authority for three categories Advanced Practice Registered Nurses (APRNs): Certified Nurse Practitioner (CNP), Clinical Nurse Specialist (CNS) and Certified Nurse-Midwife (CNM). The Final Rule defines "full practice authority" to mean that an APRN working within the scope of VA employment would be authorized to provide services without the clinical supervision or mandatory collaboration of a physician, regardless of state or local law restrictions on that authority.

Certified Registered Nurse Anesthetists (CRNA) were carved out of the final rule— that is, CRNAs will be excluded from full practice authority— but the VA has requested further comment on this issue. The rule also clarifies that radiology studies should not be performed and read by APRNs who are not credentialed in radiology.

The AMA discussed its concerns with giving APRNs full practice authority in meetings with VA officials and in its comment letter. The AMA emphasized that providing physician-led, coordinated, patient-centered, team-based care is the best approach to improving quality care for our nation's veterans. The AMA will monitor the implementation of this policy and will engage the VA if issues arise.

The deadline to submit comments on the CRNA exclusion is January 13, 2017.

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Job Openings


Mt. Abram Regional Health Center (Kingfield) seeks a Physician who is BC/BE in Family Medicine to provide outpatient primary care and preventive services to people of all ages for 30-40 hours per week. As a NCQA Patient-Centered Medical Home, we offer accessible, high quality healthcare with integrated behavioral health services focused on the patient’s care experience. We offer check-ups for the entire family, care of acute and chronic conditions and referrals to specialty care and community services. In addition, our specialists assist patients with enrollment in programs that help pay for healthcare and medications.

The health center resides in a welcoming community near Sugarloaf USA and the University of Maine (Farmington) and is part of HealthReach Community Health Centers, a system of eleven practices in Central and Western Maine. HealthReach has been providing healthcare in rural and medically underserved communities for 42 years. Annually, 28,000 Maine residents access medical, dental and behavioral health services at our facilities, which are located in Albion, Bingham, Belgrade, Bethel, Coopers Mills, Kingfield, Livermore Falls, Madison, Rangeley, Richmond and Strong.

We offer competitive salary, generous benefits, 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.MTAbramCHC.org


DIRECTOR OF EMERGENCY CARE - Southern Maine Health Care

Southern Maine Health Care is seeking a qualified physician for Director of Emergency Medicine.  

This FT Director position involves working collaboratively with all clinical staff and senior administration to assure that the care of patients in the ED is of the highest quality.  The position involves 24 administrative hours/week, and approximately 53 clinical hours/ month. 

Candidates must be Board Certified in Emergency Medicine, possess excellent communication and organizational skills, an ability to work well within a changing and fast-paced environment, and a strong commitment to the medical community. 

SMHC is a member of MaineHealth. We are a nationally accredited, award-winning 200-bed medical center located on the beautiful southern coast of Maine. 

SMHC is among the largest health care groups in Maine, bringing together York County's largest medical center with over 40 primary care physicians and specialists.

For more information, please contact Kelley Johnson, SMHC Recruiter at (207) 294-8404 or kajohnson@smhc.org.



Maine Medical Partners Lakes Region Primary Care is seeking an Internal Medicine-Pediatrics or Family Medicine trained physician for their well-established outpatient practice located in Windham, just outside the greater Portland, Maine area.  Outpatient call only, with no attendance at deliveries or hospital call required.

This well established practice has been in the Windham community for almost 20 years and is part of Maine Medical Center’s Internal Medicine-Pediatrics residency program, with opportunities to teach Medicine-Pediatric Residents and medical students from the Maine Medical Center-Tufts University School of Medicine Medical School Program.

Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital and Level I Trauma Center, 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.


PHYSICIAN – Monmouth

DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time Physician, for our Monmouth location.

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 excellent clinical support staff.

This position requires a high degree of flexibility, good clinical skills and commitment to team work and open lines of communication. It is a full-time at 4 days per week.

This position combines making a difference in patients' lives with a family-friendly work life, please e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EEO

Requirements:  Current Maine license. Proficiency with electronic medical records.

Benefits:  Excellent benefit package: medical, dental, life, 401(k), flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.


FNP/NP – Monmouth

DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time FNP/NP, for our Monmouth location.

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 excellent clinical support staff.

This position requires a high degree of flexibility, good clinical skills and commitment to team work and open lines of communication. It is a full-time at 4 days per week.

This position combines making a difference in patients' lives with a family-friendly work life, please fax or e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EOE

Requirements:  Current Maine license. Proficiency with electronic medical records.

Benefits:  Excellent benefit package medical, dental, life, 401(k) , flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.


OUTPATIENT ONLY - BC/BE INTERNIST - Central Maine Medical Center

Central Maine Medical Center offers an exciting practice opportunity to a BC/BE Internist for its employed practice.  Join colleagues committed to excellence.  This office based position offers a 4 or 4 ½ day work week, outpatient only call (weekend call approximately 1:10 ) , and full EMR.    An attractive compensation and benefits package, including loan repayment and a generous sign on bonus, are enhanced by the scenic beauty and abundant outdoor adventure Maine lifestyle affords.  Combine your talent and skills with our established excellent reputation of the best physician care. Interested candidates, send CV or call: Gina Mallozzi, Central Maine Medical Center, 300 Main Street, Lewiston, Maine 04240.  Fax: 207-344-0696, E-mail: MallozGi@cmhc.org, or call: 800/445-7431.  Not a J1 opportunity.


NP or PA - Jackman Community Health Center

JCHC is a part of Penobscot Community Health Center which is a nationally recognized health care facility that focuses on patient-centered care, innovation and collaboration. Signing, retention, and relocation bonuses are up for grabs with this position! This site is also loan repayment eligible.

Give yourself the opportunity you deserve, by working for a healthcare facility that always puts the patient first…for you, for your family, for our community.

For more information, please contact Vanessa Sanderson, Recruitment Coordinator, Penobscot Community Health Center at (207) 404-8015 or vsanderson@pchc.com

If you want to enjoy Maine, the way it should be, come and experience the simple pleasures of small town medicine while being surrounded by over 250,000 acres of woodlands. Each season offers something for everyone except a traffic light. Jackman Community Health Center is in need of a full-time NP or PA to work in their highly unique primary care and urgent care facility.



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.


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

"Helping Patients Obtain Unaffordable Medicines"

 is a meeting scheduled for Friday morning, January 20, at the Bangor Public Library.

Despite Medicare drug plans and ACA marketplace insurance enrollment, 40% of patients still either cannot afford to fill their prescriptions at all or cut pills or skip doses to limit their drug expenses.

Medication nonadherence not only compromises individual and community health, but impacts the finances of hospitals that often must provide charity care for preventable ER and inpatient services.

Meeting attendees will learn how centralized medication access resources such as those now in 15 Maine communities can cost-effectively assist prescribers, patients, and hospitals by coordinating the burdensome prescription assistance process.

Register for this free meeting with Martha Morrison of non-profit MedHelp Maine at medhelpmain@gwi.net or (207) 793-4462.



25th Annual MAFP Family Medicine Update & Annual Meeting 

March 29 – April 1, 2017

at Hilton Garden Inn, Freeport, Maine 

  • Mar. 29 – Pre-conference SAM Study Group
  • Mar. 30-31 – Annual Update programming with Annual Meeting
  • **Just Added - April 1st – AM – Opioid Prescribing training (will meet Maine Medical Licensing requirements for new law)

Complete schedule and registration information available after January 15th on our website – http://www.maineafp.org/cme/mafp-cme-meeting [return to top]

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