August 6, 2018

In This Issue
MMA Board Votes Opposition to Question One
Watch for Next Issue of Maine Medicine
CMS Rule Changes Advance Price Transparency & EHR
Maine Reinsurance Program Gets 1332 Waiver
MaineGeneral Offers X-waiver Training
California Insurance Commissioner Opposes CVS-Aetna Merger
CMS Releases Proposed 2019 Medicare Payment Rule
Licensing Boards Discuss Nursing Home Exception to Opioid Requirements
Prescription Monitoring Program User Survey
Time to Volunteer for an MMA Committee
MMA Presentation on Healthcare Issues Considered by 128th Legislature Now Available
Maine Quality Counts Offers Project ECHO Medication Assisted Treatment Course
Upcoming Specialty Society Meetings
MICIS 3-hour Opioid CME Presentations - registration open for August 21 in Brewer
17th Annual Downeast Ophthalmology Symposium - September 21-23, 2018
Hanley Center Offers New PELI Course Beginning in October
Northern New England Society of Addiction Medicine 2018 Annual Conference & Meeting - Nov 2-3
Division of Disease Surveillance Annual Infectious Disease Conference - November 14th
Hanley Center Offers Next Level Leadership Seminar Series and Advanced Practice Provider Leadership Institute
Advanced Hanley Center Training Available for PELI and HLD Alumni
Family Nurse Practitioner - Ellsworth
Behavioral Health Consultant
Clinical Cardiology Opportunity
Internal Medicine Outpatient Physician
Nurse Practitioner - Nasson Health Care
Medical Board Physician
Medical Director/Family Practice Physician - Relocate to Beautiful Southwestern Maine
Outpatient Internal Medicine Physician Bangor, Maine
Maine's Largest FQHC in need of Physician for Geriatric Program
Multiple Family Med Opportunities in Beloved Community Health Centers
Opportunities at the VA for Volunteer Physicians

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Maine Reinsurance Program Gets 1332 Waiver

[from Maine Hospital Association's Friday Report]

Maine had asked the federal government for permission to re-establish the Maine Guaranteed Access Reinsurance Association (MGARA), a high-risk pool that helped tamp down insurance premiums before it was made obsolete by the Affordable Care Act (ACA).  When the ACA was first enacted, it had provisions for high-risk pools but that portion of the law expired and Congress has not re-enacted them.

MHA submitted testimony in favor of the waiver.  While a regulatory hurdle has been eliminated by the waiver, the program still faces challenges.  Insurers are nervous about the program.  Meetings, which MHA plans to attend, will be held to hammer out the details of the program.  The MGARA board will have to vote to resume the program and, depending on the details of the new program, legislation may be required.

During the 18 months that the MGARA was operational, the average cost of health insurance on the individual market in Maine decreased.  Consumers don’t know that they’ve been assigned to the MGARA pool, which is funded by a $4 per member, per month payment. 


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