Maine Medicine Weekly Update - 05/29/2018  (Plain Text Version)

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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


CMS Releases SIM Report

The Center for Medicare and Medicaid Innovation has released the Fourth Annual Report on State Innovation Models (SIM) Initiative Evaluation.

[from the Maine Hospital Association's May 2018 Hospital Update]

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