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


Harvard Pilgrim Health Care, Community Health Options to Continue Participation in ACA Marketplace

Both Harvard Pilgrim Health Care and Community Health Options are preparing to file rate requests for 2019 ACA-compliant health insurance policies sold on the ACA Marketplace. Previous years have seen double-digit increases and 2019 may be the same given the action by the Congress in repealing the individual mandate.


A report issued on May 23 by the Congressional Budget Office estimates that Congress's repeal of the ACA individual mandate penalty as part of the tax reform law will cause individual policy premiums to increase by an average of about 10 percent nationwide. Other studies have estimated that the Trump administration's plan to allow short-term, limited-covered health insurance policies to be used as a replacement for ACA insurance in 2019 will cause individual premiums to increase by another 6 percent for the average 40 year old in Maine.

Approximately 76,000 Mainers had individual coverage in the first quarter of this year, compared with 85,000 a year earlier, according to Maine Bureau of Insurance data. In addition, another 60,000 Mainers had ACA-compliant coverage through their employers in the small group market, also representing a reduction of 8 percent from the previous year.
The two plans have until June 4 to submit their 2019 rate requests to the Bureau.
The federal Department of Health and Human Services recently issued rules for the 2019 Health Insurance Market Place as well as the 2019 Letter for issuers on the federally facilitated exchange. Changes include providing states with more flexibility to alter the essential health benefits provided for in the ACA, modifying the availability of special enrollment periods and expanding the types of entities that may be navigators.