Maine Medicine Weekly Update - 08/06/2018  (Plain Text Version)

Return to Graphical Version


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


Maine Reinsurance Program Gets 1332 Waiver

The Centers for Medicare & Medicaid Services (CMS) this week approved a Section 1332 waiver for Maine to implement a five-year reinsurance program for the individual health insurance market beginning in 2019.


[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.