May 29, 2018

In This Issue
Harvard Pilgrim Health Care, Community Health Options to Continue Participation in ACA Marketplace
Wording Proposed by Secretary of State for Home Health Referendum
MMA Past President Dr. Charles Pattavina Testifies to U.S. Senate Committee
CMS Releases SIM Report
Shaun Alfreds Appointed as Head of HealthInfoNet
Update Will Change Buprenorphine MME Display in Most State PMPs
Int’l Mediterranean Diet Month: Making the Case for a Healthy Diet as a Tool for Diabetes Prevention
New Interactive Online Course Ups Physicians’ Nutrition Knowledge, Supports Patients in Diabetes Prevention
Legislative Report: Appropriations Committee Meets May 30th
One River, One Ocean: June 2-14, 2018
HPV Summit in Brewer June 7th
Wednesday, June 13 in Augusta: Next Steps in Addressing Maine's Opioid Crisis
X Waiver Course in Waterville June 16th
MCMI Training Programs - Level 1 and Level 2 - June 22
New Free CME on Alzheimer's Risk, Detection, and Management
Peer Navigation Program from Facing Our Risk of Cancer Empowered (FORCE)
Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network
Northern New England Society of Addiction Medicine 2018 Annual Conference & Meeting - Nov 2-3
Behavioral Health Consultant
Internal Medicine Outpatient Physician Opportunity
Ob/Gyn Physician Opportunity
Outpatient Internal Medicine Physician – Bangor, Maine
Family Practice Physician - Bucksport Regional Health Center
Relocate to Beautiful Southwestern Maine - Medical Director/Family Practice Physician
Psychiatry Faculty, Division of Child & Adolescent Psychiatry
Psychiatric Medical Director
Maine's Largest FQHC in need of Physician for Geriatric Program
Multiple Family Med Opportunities in Beloved Community Health Centers
Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus
Internal Medicine Outpatient Physician
Clinical Cardiology Opportunity
Opportunities at the VA for Volunteer Physicians

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CMS Releases SIM Report

The report, the fourth of five that are planned, examines ongoing implementation efforts (through 2017) and provides impact estimates based on the most recent available data on costs and utilization for Medicaid beneficiaries after the first and second performance years (2014-2016, depending on the state).

The SIM initiative is testing the ability of state governments to transform their health systems into value-based payment systems. 

For Round 1, the Center for Medicare and Medicaid Innovation awarded $33 million to $45 million per state in 2013 to six model test states:  Arkansas, Maine, Massachusetts, Minnesota, Oregon and Vermont.

Maine created patient-centered medical homes and behavioral health homes.  Maine also implemented an integrated care model through accountable care organizations.  In Maine, only between 15 and 17 percent of Medicaid patients were involved in an integrated care model.

The report found, among other findings, care coordination improved in most of the value-based payment models (VPM).  However, these improvements generally did not result in fewer emergency department visits or hospitalizations, lower expenditures or improved quality of care for patients served by VPM-participating providers during the early SIM test period. 

The report cited the use of Maine’s health information exchange (HIE).  In Maine, Medicaid care managers and providers participating in Maine’s behavioral health homes have used emergency department and hospital notifications offered through the HIE to develop work flows. 

MHA Contact:  David Winslow

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