February 13, 2017

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

Federal Court Strikes Down Proposed Anthem-CIGNA Merger

A federal judge last Wednesday ruled against Anthem Inc.'s proposed $54 billion merger with CIGNA Corp., halting a deal that was opposed by the AMA, MMA, and many other state medical societies.  If approved, the merger would have created the largest U.S. health insurer.  Anthem officials stated the company would appeal.

Judge Amy Berman Jackson of U.S. District Court for the District of Columbia issued the ruling saying the merger would have worsened an already highly concentrated market and was likely to raise prices.  Last month, a different US. District Court Judge ruled against Aetna's proposed merger with Humana.

Government antitrust officials argued that both deals would lead to less competition and higher prices.  The mergers would have reduced the number of large national insurers from five to three.  Judge Jackson's ruling focused only on that portion of the legal case involving the ability of large national employers to get competitive rates for the health coverage they purchase for their employees.

CIGNA is entitled to receive from Anthem a $1.85 billion break-up fee if the deal fails to win regulatory approval. The two companies are now likely to fight over the break-up fee as the agreement required CIGNA to put forth its best effort re regulatory approvals and the relationship between the companies deteriorated several months ago and CIGNA disagreed with Anthem on some key issues during the trial, ultimately refusing to sign off on Anthem's interpretation of how the companies could achieve savings.

In July 2016, MMA joined a group of organizations led by the AMA and the Connecticut State Medical Society in urging the Department of Justice (DOJ) to carefully review the impact of the mergers on individual states and the country as a whole.  MMA attorneys also talked with DOJ staff in January of 2016, providing information on how the merger could impact adversely both physicians and patients.  The DOJ filed suit against the companies on July 21, 2016 and the ruling this past week is the outcome.  MMA thanks those physicians who took the time to talk with DOJ investigators and lawyers and also the Maine Attorney General, Janet Mills, who also joined the litigation.

An AMA Viewpoint from AMA President Andrew W. Gurman, MD

Both decisions are in and trial courts have blocked Anthem's acquisition of Cigna and Aetna's acquisition of Humana, deeming them a threat to the affordability, accessibility and quality of health care. These rulings are victories of great magnitude for our patients and the health care system. They are the result of one important factor—that physicians came together to protect patients, our profession and our health care system from further consolidation.

These attempted health insurance mergers reflect the industry-held belief that by joining together, insurers can gain added negotiating leverage over physicians and hospitals. In Anthem, the court concluded that an enhanced ability to coerce physicians to accept lower reimbursement is not an efficiency defense, would not benefit patients, and "would erode the relationship between insurers and providers" and "reduce the collaboration" that is essential to innovation in payment and delivery.

I testified before the House Judiciary Committee on Sept. 29, 2015, when the proposition of the mergers was only beginning to meet the resistance that would carry through the next 15 months.

At the beginning of the hearing, the committee chair read the biographies of the witnesses into the record. There wasn't much attention paid to this process. I was the fourth of six witnesses that day, and when the chairman said, "And representing the American Medical Association …" everyone looked up. They wanted to know who was the doctor in the room. And that goes to show you that, when physicians are in a position to speak up for our patients and ourselves, people listen.

It is difficult for individual physicians to battle with industry giants alone, to have our voices outweigh theirs. But when we create a unified voice through the AMA and other medical societies, we have the depth and breadth of expertise to accumulate the facts necessary to support our position.

The AMA's annual analysis of competition in the marketplace was pivotal in backing up the testimony that I and several other physicians delivered during that time.

These past 18 months are also a time when many claimed that our country was divided. But for this cause—to defend our patients and protect our health care system—physicians came together. In the Aetna-Humana case, we secured a decision that the merger would greatly erode competition in the sale of individual Medicare Advantage plans in 364 counties. U.S. District Judge John D. Bates also set a notable legal precedent by recognizing Medicare Advantage as a separate and distinct market that is not in competition with traditional Medicare—a major focus of our efforts.

Don't ever forget that this major win for patients, physicians and the entire health care system was a result of a physician coalition led by the AMA and several other representative medical societies. When we physicians put our minds toward a cause, we can make a difference.  

Public Hearing on Opioid Prescribing Rule Postponed Until Thursday, February 16th

Because state government was shut down as a result of the storm today, the public hearing on DHHS Rule Chapter 11, Rules Governing the Controlled Substances Prescription Monitoring Program and Prescription of Opioid Medications will be held at 9:00 am on this coming Thursday, February 16th, at the Augusta Armory (2nd floor). The public is invited to attend and make comment on the rule. Questions regarding the hearing can be addressed by MaineCare Provider Services at 1-866-690-5585.  Written comments on the rule will also be accepted until February 21st.  

The 19-page rule is extensive but provides important exceptions to Chapter 488 which was enacted by the legislature in 2016 and signed into law by Governor LePage in April.  MMA attorneys have prepared comments to be delivered at the hearing and these comments are available on the MMA website.  Any reaction to these draft comments are welcome and should be sent to Gordon Smith, Esq., at gsmith@mainemed.com.

MMA members and practice managers are also reminded that MMA has considerable funding from the state and foundations to provide education on Chapter 488 and the emergency rule.  If you would like a presentation, which is approved for category one CME (and also counts toward the three-hour CME requirement in the law) please contact with Mr. Smith or Gail Begin, MMA's CME and Accreditation Coordinator at gbegin@mainemed.com.   Because of the state and grant funding, all these programs are offered live without charge.



[return to top]

Registration Now Available for June 17th Program on Professionalism

Check for the inserts in your quarterly issue of Maine Medicine for a flyer with registration information for the June 17th program on professionalism being held in Portsmouth, N.H. and being sponsored by MMA, the Lown Institute and several other organizations.  CHALLENGES TO PROFESSIONALISM IN A TIME OF CHANGE features keynote presentations by Thomas Bodenheimer, M.D., M.P.H. and Eric Campbell, Ph.D. with panel presentations by five leading clinical ethicists from Maine, New Hampshire, and Vermont. 

This conference has been a collaborative effort among the Lown Institute and the state professional societies in Maine, New Hampshire, and Vermont representing physicians, nurse practitioners and physician assistants.  The conference will examine the current barriers to busy health clinicians conducting themselves as members of a learned profession.  Attendees will learn of the major trends in health care which may impact on professionalism and will explore acceptable approaches to challenges such as collegiality, conflicts of interest, electronic medical records, productivity, and gifts from industry. 

Dr. Bodenheimer is a professor at UCSF and has written and co-authored several books on health policy including Understanding Health Policy and Improving Primary Care.  Dr. Campbell is a Professor of Medicine at Harvard Medical School and is Director of Research for the Mongan Institute for Health Policy at Massachusetts General Hospital.  He is a sociologist with an expertise in survey science who conducts research relating to physician conflict of interest and professionalism.

Clinical Ethicists participating include James Bernat, M.D., Frank Chessa, PhD, Robert Maccauley, M.D., Julien Murphy, PhD and Jessica Miller, PhD.  The panels will be moderated by Vikas Saini, M.D., President of the Lown Institute and Gordon Smith, Esq., EVP of MMA.



[return to top]

POLITICAL PULSE: State House Democratic Leadership and LePage Administration Near Agreement on Funds for Opioid Health Homes

Following some back room meetings the middle of last week, the Democratic leadership and the LePage administration appear close to agreeing to free up $3 million as part of the supplemental budget process.  HHS has proposed setting aside the $3 million in state money this year and leveraging up to $5 million in federal money to treat approximately 600 individuals suffering from substance use disorders. These patients would be treated with Suboxone  in combination with clinical therapy or counseling.  In late 2016, HHS announced a $2.4 million program for similar treatment for 359 individuals.

These two developments suggest a change in position for the Governor who has been critical of all types of medication assisted therapy in the past.  The Appropriations Committee will hold a work session this coming week on the proposal.


Winter weather caused some disruptions in work at the State House last week, but the MMA was involved in several public hearings and work sessions.  On Tuesday, February 7th, the LCRED Committee voted unanimously against L.D. 13, a bill that would have required certain health professions licensing boards to report sexual misconduct by a licensee to law enforcement or DHHS.  MMA and MHA had opposed the bill.  The Committee also voted in favor of a bill to fund the Certified Professional Midwives (CPM) licensing law (L.D. 130) and to permit podiatrists to conduct pre-surgical histories and physical exams within their scope of practice (L.D. 132).  Also on Tuesday, MMA testified against a so-called "cigar bar" bill (L.D. 34) and "neither for nor against" a bill regarding testing for CMV in newborns (L.D. 87).  On Thursday, February 9th, MMA was prepared to testify in opposition to a bill to require EMS personnel to recognize a tattoo'd DNR order (L.D. 125), but this hearing was postponed because of weather.  Finally, during an Appropriations Committee hearing Friday, February 10th on the tax provisions of Governor LePage's biennial budget proposal, MMA expressed concern about the negative impact on physician recruiting and retention of the 3% income tax surcharge to fund education that passed at referendum in November.  The Governor is pursuing strategies to mitigate the effect of this tax surcharge.

[return to top]

MMA Weekly Legislative Call Tuesday, February 14th, 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, February 14th, 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 458: Resolve, Regarding Legislative Review of Portions of Chapter 101: MaineCare Benefits Manual, Chapter III, Section 97, Private Non-Medical Institution Services, a Late-filed Major Substantive Rule of the Department of Health and Human Services (Pediatrics, Family Medicine) (Monitor)

LD 470: An Act To Strengthen Maine's Hospitals and Increase Access to Health Care (All) (Monitor)

o LD 475: An Act To Require That a Person Who Has Been Treated by a Law Enforcement Officer with Naloxone Be Informed about Drug Addiction Treatment (Psychiatry, Public Health)

o LD 479: An Act To Inform Patients of the Dangers of Addicting Opioids (All) (Oppose)

*LD 482: An Act To Repeal the Maine Certificate of Need Act of 2002 (All) (Monitor)

LD 489: An Act To Ensure Firefighters Receive Cancer Treatment Pursuant to the Maine Revised Statutes, Title 39-A (Oncology, Public Health) (Monitor)

*LD 490: An Act To Exempt Chiropractic Assistants from Being Required To Hold Licenses as Radiographers, Nuclear Medicine Technologists or Radiation Therapists (Radiology) (Oppose)

m LD 498: An Act Regarding Marijuana Licensing (Public Health)

m LD 499: An Act To Allow Municipalities To Prohibit Retail Marijuana Facilities in Safe Zones (Public Health)

LD 501: An Act To Increase Firearm Safety (Public Health) (Monitor)

*LD 502: An Act Regarding Hospital Charges and Statements (All) (Monitor)

*LD 503: An Act To Continue the Doctors for Maine's Future Scholarship Program (All) (Support)

o LD 504: An Act To Support Evaluation of Opioid Diversion Efforts (All)

LD 517: An Act To Amend Principles of Reimbursement for Nursing Facilities and for Residential Care Facilities (Geriatrics, Family Medicine) (Monitor)

*LD 530: An Act To Ensure Medical Assessments for Youth in Foster Care (Pediatrics) (Support)

*LD 531: An Act Regarding the Drug Crisis and Ensuring Access to HIV Testing (Public Health) (Support)

LD 534: An Act To Amend the Laws Governing the Circumstances of Death That Must Be Reported to the Office of Chief Medical Examiner (All) (Monitor)

*LD 538: An Act To Allow Advanced Practice Registered Nurses Who Have Attained Certain Degrees To Use the Title of Doctor (All) (Oppose)

m LD 545: An Act To Ensure Maine's Unorganized Townships and Plantations Maintain Local Control under Laws Legalizing Marijuana (All)

LD 546: An Act To Authorize a General Fund Bond Issue To Support Biological Research in Maine (All) (Monitor)

*LD 550: An Act Requiring Communication of Mammographic Breast Density Information to Patients (Radiology) (Oppose)

*LD 551: An Act To Expand the Authority of Naturopathic Doctors To Prescribe Certain Medications (All) (Oppose)

LD 556: Resolve, Regarding Legislative Review of Portions of Chapter 191: Health Maintenance Organizations and of the Final Repeal of Chapter 750: Standardized Health Plans, Major Substantive Rules of the Department of Professional and Financial Regulation, Bureau of Insurance (All) (Support)

LD 560: An Act To Amend the Laws Governing the Department of Health and Human Services (All) (Monitor)

LD 562: An Act Concerning the Department of Health and Human Services (All) (Monitor)

o LD 565: An Act To Address Maine's Opiate Addiction Crisis (All)

[return to top]

Webinar: Learn How You Can Be Ready for the E-Prescribing Mandate: Free Webinars February 21st and 22nd

Join the Maine Medical Association and DrFirst as we discuss what you need to know to become compliant with opioid prescribing legislation by the July 1st deadline.  Bring your questions and concerns for the DrFirst e-prescribing expert to answer, and see a demo on the solution that can help you comply in time.

Upcoming webinars:

  • Tuesday, February 21, 2017 at 12:00pm   Register Here   Presented by Eric Zimtbaum, DrFirst Sales Consultant 
  • Wednesday, February 22, 2017 at 7:00pm   Register Here   Presented by Eric Zimtbaum, DrFirst Sales Consultant 
[return to top]

SAVE THE DATE: MMA Legislative Committee to Host Forum on Physician-Assisted Death on Tuesday, March 14th

MMA Legislative Committee Co-Chairs Katherine Pope, M.D. and Stephen Meister, M.D. invite interested physicians to join members of the MMA Legislative Committee for a discussion of physician-assisted death.  The focus of the discussion will be a bill submitted for consideration in the 128th Legislature by Senator Roger Katz (R-Kennebec):  L.D. 347, An Act to Support Death with Dignity.

The meeting will take place at the Frank O. Stred Building (MMA headquarters) in Manchester from 6:00 to approximately 8:30 p.m. on Tuesday, March 14th.  Dinner will be available at 6 p.m.  All are welcome, but please RSVP to Sarah Lepoff at slepoff@mainemed.com for our meal planning.
[return to top]

Congressional Committees Consider ACA in New Political Landscape

Congress examines the ACA landscape

Both chambers of Congress recently held several hearings to examine the current landscape of the Affordable Care Act (ACA). Among the panels holding hearings, the House Energy & Commerce Committee examined potential changes to the Medicaid program as well as opportunities to strengthen the ACA exchange insurance market.

The Senate Health, Education, Labor and Pensions (HELP) Committee also held a hearing to seek immediate solutions to stabilize the individual health insurance market. Congress will continue to examine issues surrounding the ACA, although it is not yet clear when legislative activity related to the ACA will occur.

IPAB repeal legislation introduced in the House and Senate

Legislation to repeal the Independent Payment Advisory Board (IPAB) last week was introduced on a bipartisan and bicameral basis. Representatives Phil Roe, MD, R-Tenn., and Rep. Raul Ruiz, D-Calif., introduced H.R. 849, while Senators John Cornyn, R-Texas, and Ron Wyden, D-Ore., introduced S. 260 and S. 251, respectively.

Separately, the same members last week introduced resolutions in the House (H.J. Res. 51) and Senate (S.J. Res. 16 and S.J. Res. 17) that would discontinue automatic implementation of IPAB recommendations. These resolutions, which were prescribed by provisions in the Affordable Care Act, enjoy several procedural protections relative to the standard repeal legislation.

It is not yet known when or how the House and Senate will consider this issue. The AMA continues to strongly support repealing the IPAB and will be working with the House and Senate in this effort.


[return to top]

CMS Extends 2016 Meaningful Use and PQRS Reporting Deadlines

CMS extends deadline for 2016 Meaningful Use reporting

The Centers for Medicare and Medicaid Services (CMS) has given physicians an extra two weeks to submit meaningful use data from 2016, extending the deadline to March 13. The original deadline was Feb. 28. The reporting period for returning participants is a minimum of any continuous 90-day period between Jan. 1 and Dec. 31, 2016.

CMS extends deadline for 2016 PQRS electronic submissions

The Centers for Medicare and Medicaid Services (CMS) is extending the deadline for submission of 2016 Physician Quality Reporting System (PQRS) data through all mechanisms except claims—including reports submitted through electronic health records (EHR), qualified registries and qualified clinical data registries.

The original submission deadline was Feb. 28, and claims-based reporters still must submit all their claims by that date. Eligible professionals (EPs) who do not satisfactorily report 2016 quality measure data to meet the 2016 PQRS requirements will be subject to a downward PQRS payment adjustment on all Medicare Part B Physician Fee Schedule (PFS) services rendered in 2018.

A complete list of 2016 data submission timeframes is below. Submission ends at 8 p.m. Eastern Time on the end date listed.

March 13 deadlines:

  • EHR Direct or Data Submission Vendor (QRDA I or III) – Jan. 3 – March 13
  • Qualified Clinical Data Registries (QRDA III) – Jan. 3 – March 13

March 17 deadline:

  • Web Interface – Jan. 16 – March 17

March 31 deadlines:

  • Qualified Registries (Registry XML) – Jan. 3 – March 31
  • QCDRs (QCDR XML) – Jan. 3 – March 31

An Enterprise Identity Management (EIDM) account with the "Submitter Role" is required for these PQRS data submission methods. If reporting through the EHR, it is highly recommended that practices work with their EHR vendor to submit data on practices' behalf and not for practices to submit data directly to CMS. Please see the EIDM System Toolkit for additional information.

For questions, please contact the QualityNet Help Desk at (866) 288-8912 or via email at Qnetsupport@hcqis.org from 8 a.m. - 8 p.m. Eastern Time. Complete information about PQRS is available on CMS' website.

  [return to top]

Register to Attend AMA's Alternative Payment Model (APM) Workshop

With the Medicare Access and CHIP Reauthorization Act (MACRA) Quality Payment Program starting this year and the new Physician-focused Payment Model Technical Advisory Committee (PTAC) reviewing specialties' APM proposals, now is the time to join your colleagues at the AMA's APM Workshop, to be held Mon., March 20, in Washington, D.C.

Physicians who are working on APMs or interested in learning more about them should register now to:

  • Share how your organization is designing APMs
  • Learn about physician-focused APMs that others are proposing
  • Develop solutions to challenges in APM design, such as risk adjustment and patient attribution

Participants will also have opportunities to inform policy makers about the data, technical assistance, registries and information technology needed for APMs. Discussion leaders for the APM Workshop include physician leaders from the American College of Surgeons, the Centers for Medicare and Medicaid Services and the AMA, as well as a PTAC member.

To register, contact Ela Cameron at ela.cameron@ama-assn.org with your name, email address, organization, city and state. There is no charge to attend, but space is limited.


[return to top]

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.


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.


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.



[return to top]

Upcoming Events


TARGET: BP - Help Your Patients Move Toward Controlled Blood Pressure

Thursday, February 16, 2017 from 12-1pm  Register Now

Nearly 80 million adults (approximately 1 in 3) in the United States have high blood pressure.  Research shows that 45.9% of those with high blood pressure are not controlled.  In an effort to raise awareness about high blood pressure, the American Heart Association and the American Medical Association launched Target: BP.  This initiative offers physicians and care teams evidence-based resources and tools to help patients reach and sustain blood pressure control. 

Join the American Heart Association for a webinar that will discuss Target: BP in further detail on Thursday, February 16 from 12pm-1pm EST, presented by Michael Rakotz, MD, Vice President Chronic Disease Prevention & Management, American Medical Association. 

Register Now


[return to top]

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