January 30, 2017

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HHS Announces Feb. 13 Hearing Date for Opioid Rule Making

The Department of Health and Human Services announced this past week that the public hearing on the emergency rule establishing additional exceptions to the Chapter 488 opioid law will be held on Monday, Feb. 13 at 9:00am in conference room 209B in the Augusta Armory, 179 Western Ave., Augusta.

The rule-making hearing is open to the public and anyone may testify on the emergency rule which became effective on Jan. 1, 2017.  Written comments on the rule will be received until Feb. 23.  Here is a link to the rulemaking:    http;//www.maine.gov/dhhs/oms/rules/samhs-rules.shtml.  You can also send your comments directly to Thomas.Leet@maine.gov.

MMA will testify on the 13th and will also file written comments.  The Association will propose an additional exception for patients who have failed an attempted taper and who have objective evidence of loss of function as a result.  We will also propose some clarification on who is considered a dispenser and will propose that day surgical units be exempt from the maximum dosage limits. Perhaps most importantly, the Association will oppose the durational limit on the cancer pain exception as that limitation is not even legally permissible in the opinion of MMA lawyers. We will also propose to expand the 7 day period for post-surgical and other break through pain when a patient is already at the maximum daily dose. Other recommendations will be developed in the coming days with the assistance of many of the physicians and practices involved in the development of the emergency rule.

If you or your patients have opinions on the emergency rule, we encourage you to attend the hearing and make the comments orally or to provide them in writing during the comments period.  We hope you will also copy the Association on your comments (cc to gsmith@mainemed.com).

In addition to the rulemaking proceeding, there are many bills in the legislature that propose changes to the law.  These bills are likely to be considered by a Task Force to be announced by legislative leaders in the coming days.  The Talk Force would review the existing law and all the proposed opioid bills (including the bills providing funds for prevention and treatment) and make recommendations to the committees of jurisdiction.  TheTask Force would consist of some legislators and also representatives of interested parties.  The appointments would be made by the President of the Senate and the Speaker of the House.




POLITICAL PULSE: Governor Signs Moratorium on Recreational Marijuana Law

On Friday, January 27th, Governor LePage signed into law L.D. 88 which delays retail marketing of marijuana in Maine and closes a loophole that would have allowed persons under age 21 to possess marijuana.  The bill also prohibits consumption of marijuana whilea vehicle is in operation (includes both automobiles, boats, snowmobiles and ATVs). The proposal had received a unanimous favorable vote in the Veterans and Legal Affairs Committee and in both the Senate and House.

In signing the bill, the Governor also pledged to move oversight of licensing and enforcement of marijuana sales from the Maine Department of Agriculture, Conservation and Forestry to the Maine Bureau of Alcoholic Beverages and Lottery Operations.

With L.D. 88 now enacted, the 17-member Joint Select Committee on Marijuana will now begin its work.

The 128th Legislature continues with committee orientation, though some committees are starting to hold public hearings.  Public hearings on the Governor's proposed State FY 2018-2019 biennial budget are anticipated to begin in February.


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MMA Weekly Legislative Call Tuesday, January 31st, 8:00 p.m.

MMA Legislative Committee Chairs Katherine Pope, M.D. and Stephen Meister, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee.

The next MMA Legislative Committee weekly conference call for the Second Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, January 31st at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate. Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate. It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode. These will remain the same for every weekly call during the session.

Conference call number:  207-480-4790

Passcode:  057614#

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week. The calls rarely last longer than an hour. The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill.  

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 480-4187, or Peter Michaud, Associate General Counsel at pmichaud@mainemed.com or 480-4199.

The following are bills of interest to the physician community printed last week. We will discuss the priority bills marked with an asterisk (*) first. This will be important when the list grows in the next few weeks.

This year is marked by two topics that have been the subjects of an inordinately large number of bills: recreational marijuana legalization and opioids. In order to allow clearer discussion of all the bills on each topic together during the legislative calls, the marijuana bills will be marked with a superscript "m" and the opioid bills with a superscript "o". We welcome your comments on whether this makes things easier or more difficult for you. Following are the bills of the week:

LD 213: An Act To Provide Funds for Access for Veterans Seeking Health Care (Geriatrics, Internal Medicine, Public Health) (monitor) m

LD 215: An Act To Require a License for the Possession, Sale, Cultivation or Transportation of Marijuana for Recreational Use (Psychiatry, Public Health) (monitor)

LD 226: An Act To Protect and Improve the Health of Maine Citizens and the Economy of Maine (Public Health) (monitor)

LD 231: An Act To Allow Municipalities To Regulate the Growing of Marijuana (Psychiatry, Public Health) (monitor)

o LD 232: An Act To Establish an Exemption to the 30-day Supply Limitation on Certain Pain Medication (Psychiatry, Public Health) (monitor)

LD 238: An Act To Amend the Maine Medical Use of Marijuana Act (Psychiatry, Public Health) (monitor)

m LD 243: An Act To Change the Oversight Agency for Recreational Marijuana from the Department of Agriculture, Conservation and Forestry to the Department of Administrative and Financial Services, Bureau of Alcoholic Beverages and Lottery Operations and To Allocate Funds for Implementation (Psychiatry, Public Health) (monitor)

o LD 249: An Act To Fund and Enhance the Maine Diversion Alert Program (Psychiatry, Public Health) (support)

*LD 265: An Act Concerning Screening of Newborns for Lysosomal Storage Disorders (Pediatrics, Obstetrics, Genetics) (oppose)

*LD 266: An Act Regarding Funding for Children's Behavioral Health Day Treatment (Pediatrics, Psychiatry) (support)

LD 267: Resolve, To Increase Certain Chiropractic Reimbursement Rates under the MaineCare Program (Orthopedics) (monitor)

*LD 269: An Act To Provide Training for Caregivers of Children with Autism and Related Disorders (Pediatrics, Psychiatry) (support)

LD 271: An Act for Providers across Multiple Sectors To Inquire of Clients and Customers about Former Military Service (Family Practice, Geriatrics, Internal Medicine) (monitor)

*LD 272: An Act Requiring Meningococcal Meningitis Vaccinations for Teenagers (Pediatrics, Public Health) (support)

o LD 273: An Act To Add an Exception to Prescription Monitoring Program Requirements (Psychiatry, Public Health) (support)

*LD 277: An Act Regarding the Use of Helmets by Minors Riding in an All-terrain Vehicle with an Adult (Pediatrics, Public Health) (oppose)

*LD 291: An Act To Maintain the Income Tax Rate on Persons with Taxable Income above $200,000 (all) (support)

LD 301: An Act To Protect Children from Marijuana Sales by Prohibiting Retail Marijuana Establishments and Social Clubs near Schools (Pediatrics, Public Health) (support)

o LD 307: An Act To Facilitate the Implementation of Mobile Narcotic Treatment Programs in Rural Counties in the State (Psychiatry, Public Health) (monitor)

m LD 310: An Act To Responsibly Implement an Adult Use Cannabis Program (Psychiatry, Public Health) (monitor)

LD 320: An Act To Provide MaineCare Coverage for Chiropractic Treatment (Orthopedics) (monitor)

*LD 323: An Act To Fully Fund the Waiting List for the Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorder Waiver (Psychiatry, Pediatrics) (support)

o LD 324: An Act To Allow Corrections Officers To Administer Naloxone (Psychiatry, Public Health) (support)

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Question for our Readers Regarding Question Two and the Retention and Recruitment of Physicians

One of the referenda that passed on November 8th created a 3% surtax on all household (not just individual) income over $200,000. Here at the MMA we have heard rumors of businesses planning to leave the state because of this surtax.

Are there physicians who are actively planning to leave Maine because of its new, highest-in-the-nation state income tax? If so, we would like to know. We're talking about concrete plans, not just musings. If you know of any specific situations where such plans are being made, please contact one of the MMA lawyers. We would also like to know if any of your recruitment efforts have failed specifically because of the surtax. We will protect your individual identifying information, but we plan to make the collective numeric information available to others. As always, we would like to hear your comments as well.

Gordon Smith: gsmith@mainemed.com  (207) 480-4197

Andrew MacLean: amaclean@mainemed.com  (207) 480-4187

Peter Michaud: pmichaud@mainemed.com (207) 480-4199 [return to top]

Physician Work Helps Halt Insurance merger, Preserve Competition

A federal judge last week handed down his decision to block Aetna's acquisition of Humana, ruling that the proposed health insurer merger violates federal merger law because it is likely to lessen competition in the health insurance marketplace. This caps 18 months of physician advocacy opposing the merger, during which time a coalition of medical societies provided state attorneys general and the Department of Justice (DOJ) with compelling evidence to challenge the merger in court.

U.S. District Judge John D. Bates Monday ruled that the proposed merger would greatly erode competition in the sale of individual Medicare Advantage plans in 364 counties. Additionally, the court held that the merger violates antitrust law in individual commercial insurance markets on the public exchanges in three counties in Florida where Humana and Aetna compete.

The court's ruling sets a notable legal precedent by recognizing Medicare Advantage as a separate and distinct market that does not compete with traditional Medicare. This characterization of Medicare Advantage as a separate and distinct market in which competition is important was a focus of AMA state and federal advocacy in Congressional hearings and state departments of insurance. And this point also proved influential with state attorneys general and the DOJ that ultimately brought the legal challenge. In support of its position, the AMA secured the opinions of 20 leading academic health economists with expertise in health insurance competition.

Judge Bates found that the merger would threaten the quality, accessibility and affordability of health care for millions of seniors. Judge Bates's ruling acknowledges the important role of antitrust in protecting consumers within health insurance markets.

"Federal regulation would likely be insufficient to prevent the merged firm from raising prices or reducing benefits," Judge Bates wrote. "The court is unpersuaded that the efficiencies generated by the merger will be sufficient to mitigate the anticompetitive effects for consumers in the challenged markets."

"Aetna's strategy to eliminate head-to-head competition with rival Humana posed a clear and present threat to the quality, accessibility and affordability of health care for millions of seniors," AMA President Andrew W. Gurman, MD, said in a statement. A spokesman for Aetna reportedly said the company is "giving serious consideration to an appeal."

Physicians join forces, provide evidence
The Aetna- Humana merger was announced in July 2015, as was a separate merger involving two other health insurance giants, Anthem and Cigna. In September of that year, the AMA released the 14th edition of its report, Competition in Health Insurance: A Comprehensive Study of U.S. Markets. The study offered the largest and most complete picture of competition in health insurance markets for 388 metropolitan areas, as well as the 50 states and the District of Columbia.

In that same month, AMA leaders testified against the mergers. Barbara L. McAneny, MD, member of the AMA Board of Trustees, testified at the Sept. 10 hearing of the House Judiciary Committee arguing for the need to provide patients with more choices for health care services and coverage. AMA President Andrew W. Gurman, MD, testified at the Sept. 29 hearing of that committee on examining the proposed mergers and the consequent impact on competition. He urged a close scrutiny of the mergers.

AMA representatives met with the DOJ Antitrust Division to discuss the "Competition in Health Insurance" report late in the fall. In November, the AMA submitted responses to supplemental questions from the House Judiciary Committee on the state of competition in the health care marketplace. The answers highlighted past consolidation experiences and the negative consequences for patients. And later that same month, the AMA, in a comprehensive letter addressing all of the issues today decided by Judge Bates, publicly urged the DOJ to block the proposed megamergers.

In December, a coalition to oppose the mergers began forming. The AMA convened all state and national specialty societies to propose a comprehensive advocacy strategy, urged the National Association of Attorneys General (NAAG) and its merger work group to work within their respective authority to block the mergers, identified states to focus grassroots strategy and held multiple calls with state medical associations in high-concentration states.

The AMA continued to engage the NAAG last year in an effort to convince key state attorneys general to join the DOJ in blocking the mergers. In coordination with state medical societies across the country, the AMA conducted extensive physician surveys, to gauge the mergers' potential impact on patient care. Included in this effort were nationally recognized economists and legal experts who offered support for physician arguments. Some of these experts testified and attended meetings with state regulators alongside AMA and state medical society representatives opposing the mergers.

The release of the 15th edition of "Competition in Health Insurance: A Comprehensive Study of U.S. Markets" in September of last year appears to have been a final nail in the coffin. The study presented clearly the most complete picture of competition in the market and helped to identify the markets where the proposed mergers would erode competition.

"The AMA's stand against this anticompetitive merger shows again that when doctors join together, the best outcome for patients and doctors can be achieved," Dr. Gurman said. "Given the troubling consolidation trends in health insurance industry, the AMA will continue to advocate on behalf of patients and physicians to foster more competitive health insurance markets."

What's next?
With one megamerger stopped in its tracks, U.S. District Judge Amy Berman Jackson is expected
to deliver soon her decision on Anthem's proposed acquisition of Cigna. Much of the evidence that led the DOJ and state attorneys general to file to block the Anthem-Cigna merger came from physician efforts to prove it was anticompetitive.

The main argument of the Anthem-Cigna merger, however, is that it would grant Anthem monopsony power, which is "a buyer with too much buyer power," Rich Feinstein, former director of the Bureau of Competition at the Federal Trade Commission said recently. Feinstein is one of many experts who supported physician efforts to block the mergers.

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Senator Collins Introduces Patient Freedom Act as Alternative to Repealing ACA

One week ago, Maine Senior Senator Susan Collins, along with Senator Bill Cassidy of Lousiana (a physician) introduced legislation which would give states three options to manage their health care programs, including an option to retain the ACA as it currently exists.  The other options include replacing it with high deductible insurance plans supplemented with health savings accounts and going it alone with little or no federal support.  MMA appreciates the efforts of the Senator to work with members of the Republican Senate Caucus to slow down the President's effort to repeal the ACA without any definitive replacement in place.

To date, the Patient Freedom Act has received mixed reviews nationally, but has been well received by many in Maine and most national observers have commented on the fact that the bill is at a minimum a thoughtful approach to be considered with others likely to come forward.

MMA's priority in the national health care debate was set forth in the statement approved by the Board and included in last week's update.  It is also located on the MMA website at www.mainemed.com.

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MMA Board Approves Action Plans for 2017

At its meeting on January 18, the 26-member MMA Board of Directors voted to approve two additional action plans for 2017 following the approval of the plan for action on the opioid crisis at its December meeting.  The plans were called for at the President's Retreat held in November in Portland.  The two additional plans are for initiatives in helping physicians treat their patients and in promoting professionalism.  The three actions plans can be found on the MMA website at www.mainemed.com.


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New Guidance Issued on How HIPAA Permits Disclosures of PHI

The U.S. Department of Health and Human Services Office of Civil Rights (OCR) recently released a series of clarifying guidance documents on how the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule permits disclosures.

The new FAQs clarifies that physicians may disclose protected health information (PHI) to a patient's loved ones, regardless of whether they are recognized as relatives under applicable law (e.g., a patient's partner to whom he/she is not married). The FAQs make clear that the permissive disclosures are not limited by the sex or gender identity of the person. Concurrently, OCR is in the process of updating existing guidance to make clear that the terms marriage, spouse, and family member include, respectively, all lawful marriages, whether same-sex or opposite-sex, lawfully married spouses and the dependents of all lawful marriages, and clarifies certain rights of individuals under the Privacy Rule.

The OCR and the Office of the National Coordinator for Health Information Technology  also released a Fact Sheet explaining HIPAA permits disclosures of PHI to support public health activities conducted by public health agencies, as authorized by state or federal law. It provides a few examples of sharing PHI in support of public health policies.

The AMA has consistently urged policymakers to increase their education efforts to assist physicians in their understanding of how HIPAA permits clinicians to share PHI. The AMA has also created a toolkit on related aspects of HIPAA, which includes requirements around privacy and security.

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Mastering the Art of Improvement Activities: An Open Webinar on the Quality Payment Program Feb. 8 at noon

The Quality Payment Program (QPP) is now live. Are you prepared for all of the Merit-based Incentive Payment System (MIPS) performance category requirements? 

Join the New England QIN-QIO for the Quality Payment Program February Webinar, to learn what you need to know about Improvement Activities, the new performance category. This webinar will emphasize patient engagement and population health focused activities, and will also include:

  • A brief overview of the Quality Payment Program
    • Merit-based Incentive Payment System
    • Alternative Payment Models
  • Improvement Activities and Patient Engagement
    • How to work with the New England QIN-QIO to meet reporting requirements

Click here to register  


This webinar is an opportunity to get answers to questions regarding the QPP, the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs).

If you have any questions that you would like to submit in advance, please contact Leila Volinsky

We look forward to your active participation and connecting with you on February 8 from 12:00 pm-1:00 pm! 

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Are You Ready To E-Prescribe? Find Out More About DrFirst and their E-Prescribing Products

July 1, 2017, is when Maine’s new EPCS (e-prescribing controlled substances) law takes effect for the prescribing of opioids. Despite the limited application of the law, the benefits of e-prescribing are significant, which is why MMA encourages our members to implement eprescribing technologies in their practices now instead of waiting for the legislative deadline.

To save you the time of vetting potential vendors and offer you another tangible membership benefit, we have chosen DrFirst as our preferred e-prescribing platform and negotiated a generous discount for MMA members. DrFirst offers a superior clinical workflow that is easy to use and affordable (especially with the discount we have negotiated for MMA members). Their package includes Rcopia® for legend drug e-prescribing, EPCS Gold 2.0℠ for controlled substance e-prescribing, and iPrescribePro℠, an app for mobile e-prescribing.

Aside from legend drug and controlled substance e-prescribing within one workflow, you’ll also get

  • 24 months of patient medication history

  • real-time benefit check (formulary data, drug cost, suggestions for cheaper alternatives)

  • clinical alerts (e.g., duplicate therapy and allergy warnings)

  • one-on-one guidance through DEA identity proofing and authentication

  • patient adherence monitoring

  • electronic prior authorization

For more information, MMA members can visit DrFirst’s website and/or contact DrFirst’s Eric Landry, a New Gloucester resident, at 888-481-4303. [return to top]

Upcoming Events

Choosing Wisely: MOC Application Due February 8

Maine Quality  Counts is pleased to offer ABMS Maintenance of Certification (MOC) for physicians interested in Choosing Wisely® (CW).  Credit is available for physicians involved with Choosing Wisely and certified by one of the 24 specialty boards by the American Board of Medical Specialties (ABMS). 

If interested, physicians will need to sign up and return a signed Memorandum of Understanding (MOU) by February 8, 2017 (extended date).  

Interested physicians can review the CW MOC application outlining the MOC requirements and educational interventions here.  The CW MOC project cycle is January 2017-December 2017.

Please join us for the first webinar in the Choosing Wisely series: 

February 8, 2017 12:00-1:00pm  Register Here

How Does Choosing Wisely Help Reduce Unnecessary Care in the Practice Setting?

If you have questions about Choosing Wisely, contact Kellie Slate Vitcavage, Project Manager, at kslatevitcavage@mainequalitycounts.org or by phone at 207-620-8526 x1011.



Maine's Marijuana Law and Its Impact on Youth

Saturday, March 4, 2017 at Sunday River Resort ~ 4:00pm

Dr. John Knight, a leading researcher in adolescent substance use and abuse is the developer of the CRAAFT Screening Test (a short clinical assessment tool designed to screen for substance-related risks and problems in adolescents and he has developed an informational website for teens which has proved quite effective in changing attitudes and behavior. In addition to reviewing the science of what is known about effects of marijuana on youth, Dr. Knight will also summarize what is known about screening, prevention, and early intervention of adolescent substance abuse (alcohol, marijuana, and opioid)

Following his talk, there will be an expert panel (which includes Gordon Smith, Esq) discussing policy implications, prescribing issues, penalties, DHHS regulations, and how the law will be implemented.

To register:http://events.r20.constantcontact.com/register/event;jsessionid=0A40478B82B9F1AB2798844A7308AE87.worker_registrant?llr=yz5qzmuab&oeidk=a07ednyzs0q4a66acff



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


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Job Openings

FAMILY MEDICINE PHYSICIAN - Maine Medical Partners Primary Care

Maine Medical Partners Primary Care is seeking a Family Medicine trained physician for their new outpatient practice located in Standish, just outside the greater Portland, Maine area.  Candidates will have the opportunity to help establish this new primary care office which will be closely linked to our Windham practice located 10 miles away. 

The successful candidate will be employed by Maine Medical Partners (MMP), a subsidiary of Maine Medical Center and Maine’s largest multi-specialty group.  This high quality team of more than 500 physicians and 200 advanced practice professionals provides a wide range of hospital based, primary, specialty, and sub-specialty adult and pediatric care delivered throughout a network of 30 locations.

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


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, Eastern Maine Medical Center, Phone: 207-973-5358 or email emmccvs@emhs.org.


PHYSICIAN ASSISTANT OR NURSE PRACTITIONER HOSPITALIST - Full Time or Per Diem, Bridgton Hospital, Bridgton, Maine

Bridgton Hospital, part of the Central Maine Medical Family, seeks a physician assistant or nurse practitioner to join its well-established hospitalist program. The full time hospitalist PA/NP would be responsible for two regular weeknight shifts and every fifth weekend, allowing for a healthy work/life balance. The candidate would be responsible for overnight admissions and care of acute inpatients and swing bed patients in our 21-bed critical access hospital. This is a contracted position with opportunities for loan repayment and additional per diem hours. Previous hospital experience necessary.

For more information visit our website at ww.bridgtonhospital.org. Interested candidates should contact Donna Lafean, CMMC Associate Professional Staff Recruiter, 300 Main Street, Lewiston, ME 04240; email: lafeando@cmhc.org; call: 800/445-7431; fax: 207/344-0658.



Down East Community Hospital would like to find a quality focused Board Certified Physician to join our Outpatient Clinic team in Machias, Maine. We welcome Family Practice/Internal Medicine physicians with experience to share as well as new graduates looking to start their career.  We offer comprehensive benefits, aggressive incentive plans, and a four day workweek.

Whether you’re a weekend wanderer or an avid outdoorsperson, the communities of Downeast Maine have a lot more to offer than sailing craggy coastlines, hiking to spectacular vistas, and fishing vast river systems and lakes. Machias is community oriented town with an endless opportunities to explore a rich historical past as the site of the first naval battle of the American Revolution, art galleries, antique shops, traditional cultures, artisanal foods, and performing arts.

Contact Information: Elizabeth Hines Human Resources 207.255.0468 elizabeth@dech.org  EOE 



A Psychiatric Mental Health Nurse Practitioner is needed for the Hope House Health and Living Center in Bangor, Maine! Requirements include a Master’s Degree in Nursing (Psychiatric Mental Health NP), Maine Advanced Practice Registered Nurse License, Certification by the American Nurses Credentialing Center as a Psychiatric Mental Health Nurse Practitioner, Certification in Healthcare Provider Basic Life Support, and 24 months’ experience as a Psychiatric Mental Health Nurse Practitioner. Please visit www.pchc.com/careers to access our Career Portal and apply today! For additional questions, contact Vanessa Sanderson, Recruitment Coordinator at (207)404-8015 or vsanderson@pchc.com. PCHC is an equal opportunity/affirmative action employer.


NP or PA - Jackman Community Health Center

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.

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



Katahdin Valley Health Center (KVHC) is seeking a Family Nurse Practitioner for the Urgent Care/Open Access practice located in Houlton Maine.  Open Access hours are 11am – 7pm, Monday – Friday, and 9am – 7pm, Saturday and Sunday.  Weekends are rotated between providers.  This position requires knowledge, experience and active support for rural, community oriented primary care.

With the mission of providing community accessible, quality healthcare with compassion and dignity, KVHC is the largest Federally Qualified Health Center organization in Northern Maine.  KVHC offers integrated, comprehensive, and affordable healthcare for the whole family through six Patient Centered Medical Homes. 

Benefits:  competitive salary and benefits package, generous paid time off, 401K, CME reimbursements, medical, disability and life insurance and FTCA malpractice coverage.  Practitioners at KVHC are eligible for NHSC Loan Repayment. 

Requirements: Current Maine License

Submit Cover Letter and Provider Application to http://www.kvhc.org/wpSite/wp-content/uploads/jobs/ProviderApp.pdf or email your resume to linda.mcgee@kvhc.org.



Sebasticook Valley Hospital is seeking a full time Family Medicine physician to join Sebasticook Valley Family Care a modern practice located just off I-95 in Pittsfield.  Be part of a ten member collegial medical staff providing primary care services in a rural community. Work schedule is 4 days per week, with limited telephone call from home.  This position comes with competitive compensation, fringe benefits, assistance with medical education debt, signing/relocation bonus negotiable. 

SVH is a 25-bed modern critical access hospital located in Pittsfield which is 20 minutes north of Waterville, and 40 minutes south of Bangor. The hospital serves a population of 30,000 in this central Maine area.  SVH takes a proactive approach in helping people in the Sebasticook Valley improve the quality of their lives. The hospital works with local businesses, schools, the religious community, other healthcare providers, area organizations, and private individuals to make the Valley a healthy place to live. SVH serves has a wide range of outpatient services, including over 20 specialty services.

For more information, please contact Sherry Tardy, PHR, DASPR, at 207-487-4085 or email a CV for review to stardy@emhs.org.



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 - INTERNAL MEDICINE with Loan Repayment & Sign-on Bonus 

The Central Maine Medical Group seeks BE/BC Internal Medicine physician to join cohesive, well-established, hospital-employed practice in Lewiston, Maine.  We offer:

  • Up to $200K in medical student loan repayment
  • $50K sign on bonus
  • Up to $12K moving allowance
  • 4 day work week/generous outpatient call
  • Healthy work/life balance

Central Maine affords easy access to the coast and mountains where you can enjoy four seasons of outdoor activities.  We have a growing arts and restaurant scene in a very safe affordable area to live and raise a family.  To join our growing team, contact Gina Mallozzi, Central Maine Medical Center, 300 Main Street, Lewiston, ME  04240.  Email:  MallozGi@cmhc.org; Fax: 207/344-0696; Call:  800/445-7431; or visit our website:  http://recruitment.cmmc.org/.


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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