Maine Medicine Weekly Update - 11/19/2018  (Plain Text Version)

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In this issue:
IN THE SPOTLIGHT
•  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
129th MAINE LEGISLATURE
•  Legislative Leaders Selected; Others Seek to Become Constitutional Officers
•  MMA Legislative Committee's Organizational Meeting Scheduled for December 6
128th MAINE LEGISLATURE
•  MMA Presentation on Healthcare Issues Considered by 128th Legislature Now Available
UPCOMING EVENTS
•  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
HEALTHCARE EMPLOYMENT OPPORTUNITIES
•  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

 

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).

 

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)