November 19, 2018

In This Issue
Expectations High for Mills Administration on Health Care Issues
Legislature’s Coverage Task Force Issues Report
Athenahealth Inc. Sold
Maine Suicide Prevention Program/NAMI Maine Presents 2 Programs for Clinicians Nov. 30
Rule Amends Blood Test Requirement for Newborns
AMA Urges OIG to Create Value-Based Anti-Kickback Safe Harbor
New Web-based Decision Support Tool Helps With Chronic Pain Treatment
Visits to Physicians for Primary Care Declined From 2012 to 2016
Health Insurance Marketplace 2019 Open Enrollment Now Through December 15, 2018
Legislative Leaders Selected; Others Seek to Become Constitutional Officers
MMA Legislative Committee's Organizational Meeting Scheduled for December 6
MMA Presentation on Healthcare Issues Considered by 128th Legislature Now Available
Upcoming Specialty Society Meetings
MaineGeneral to Offer X-waiver Course Dec. 11
MICIS 3-hour Opioid CME Presentation - 11/26 Portland & 11/28 Brewer
Enrollment Underway for Maine’s Physician Executive Leadership Institute - The Advanced Course - Deadline for Enrollment at Discounted Price: November 30th
11/27 Webinar - Opioid Use Disorder & Medication Assisted Recovery: Caring for Our Communities
Identifying Substance Use Early Saves Lives! - SBIRT with Motivational Interviewing Training - 1-day Sessions Offered on Dec 8, Feb 2, Mar 2, Apr 6
Emergency Medicine Physician Assistants or Nurse Practitioners in multiple locations – BlueWater Emergency Partners
Seeking Medical Director for Family Medical Practice in Waterville, ME
Physician – Leeds
Psychiatric Mental Health NP - Leeds
Psychiatric Nurse Practitioner - Nasson Health Care
Primary Care Physician
PCHC wants to add more Family Physicians at Multiple Locations!
Outpatient Internal Medicine Physician – Bangor, Maine
OB/GYN Physician Opportunity
Franklin Health Behavioral Services is seeking a BC/BE Psychiatrist/Medical Director
Internal Medicine MD or DO (BE/BC)
Internal Medicine Outpatient Physician
Internal Medicine Physician
Opportunities at the VA for Volunteer Physicians

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AMA Urges OIG to Create Value-Based Anti-Kickback Safe Harbor

In a comment letter responding to the "Request for Information regarding the Anti-Kickback Statute, and Beneficiary Inducement Civil Monetary Penalty," the AMA urged the Office of Inspector General (OIG) to create a new value-based anti-kickback safe harbor to facilitate coordinated care and to promote well-designed alternative payment models (APMs). AMA calls for the safe harbor to be broad, covering both the development and operation of a model to allow physicians to transition to an APM, and to provide adequate protection for the entire care delivery process—including downstream care partners.

The AMA also recommended that OIG create an anti-kickback safe harbor for the sharing of cybersecurity tools and resources. The AMA stressed that any cybersecurity safe harbor be easy to understand, interpret and enforce so that donors and recipients can readily distinguish permissible activities from those that violate the anti-kickback statute. The AMA suggested that the current EHR safe harbor may act as template for a new cybersecurity safe harbor.

Other recommendations from the AMA include:

  • Allowing personal services and management contracts that reward value and allow for incentive payments for efficient and better care
  • Expanding the warranty safe harbor to include bundled payments
  • Making the EHR safe harbor permanent and include covering replacement technology
  • Creating policy guidance that meeting the promoting access to care Civil Monetary Penalty (CMP) exception gets Anti-Kickback Statute protection
  • Establishing a new CMP exception from remuneration to allow for beneficiary incentives for adherence and management activities
  • Asking for policy guidance to waive cost-sharing when the amount is nominal (i.e., when reasonable collection efforts cost more than would be collected)


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