Maine Medicine Weekly Update - 01/22/2018  (Plain Text Version)

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In this issue:
•  Changing of the Guard at MMA Board Meeting: A New President Takes Over
•  Senior Section Luncheon January 24 Features Speakers on Precision Medicine
•  2017-18 Flu Season a Bad One
•  5 tips to help your patients make their new year a healthy one
•  US DHHS Proposes New Conscience and Religious Freedom Rules for Health Care
•  Administration Extends Opioid Emergency Declaration
•  Lyme Disease Continues to Rise in Maine
•  Important Update on MaineCare Provider Enrollment Applications: New Application Fee Amount for 2018
•  Claims-Based Quality Reporting for MIPS: Submitting MIPS Quality Codes on CMS-1500 Claims
•  Community Health Options Sues Federal Government for $5.7 Million
•  Legislative Call This Tuesday, January 23rd
•  Legislative Report: Hospital Program Closures, School-based Health Centers
•  Healthcare Suicide Prevention Protocol Development Training - half day workshop - March 2
•  28th Annual Winter Conference - Contemporary Topics in Orthopedics - March 16-18
•  QC2018: Building Communities of Practice through Innovation - Wednesday, April 4, 2018
•  New Free CME on Alzheimer's Risk, Detection, and Management
•  Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network
•  MD/DO
•  Chief Executive Officer CEO at Greater Portland Health
•  Outpatient Internal Medicine Physician Bangor, Maine
•  Relocate to Beautiful Southwestern Maine - Medical Director/Family Practice Physician
•  Chief Executive Officer - Pines Health Services
•  Clinical Cardiology Opportunity
•  Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus
•  Opportunities at the VA for Volunteer Physicians


Community Health Options Sues Federal Government for $5.7 Million

Maine's insurance cooperative Community Health Options sued the federal government this week for $5.7 million seeking reimbursement the company alleges should have been paid during the last three months of 2017.  


The lawsuit was filed in federal court and claims that the government illegally stopped the reimbursement payments. Federal officials have stated that the payments were stopped as Congress had not appropriated funds for the payments.

Under the provisions of the Affordable Care Act, insurers selling policies in the marketplace exchange reduce premiums for policy holders who are eligible for tax credits and the federal government is required to reimburse insurers for those reductions in premium.  
"The statutory guarantee of reimbursement is one of the ACA's linchpins," notes the plaintiff's filing in the U.S. Court of Federal Claims.  
Community Health Options also sued the federal government in 2016 for $23 million over a program designed to shield insurers from losses and is appealing a federal judge's ruling against it in that case.
(From Portland Press Herald, Jan. 13)