Maine Medicine Weekly Update - May 1, 2017
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MMA Board Withdraws Opposition to Death with Dignity Legislation

As has been reported by the media today, MMA's Board of Directors voted last week to withdraw its opposition to L.D. 347, An Act to Support Death with Dignity and to take a position of neutrality on the pending legislation. The Board also voted to appoint an ad hoc task force to prepare a White Paper on the issue to take to the membership at the Annual Meeting on September 9.

The Board vote came in response to a membership survey in which nearly 600 members voted on the question of whether MMA's standing opposition to physician-assisted suicide or death with dignity should stand. The question also noted that opposition was consistent with the current provisions of the AMA Code of Medical Ethics. The results of the survey showed a sharp division within the membership on the question, with only three votes separating those members wishing to maintain opposition vs. those members supporting a change in the position. Given the division in the membership, with that division of opinion also replicated at the Board, the Board voted to withdraw its opposition but not to support the bill. Instead, MMA will remain neutral this session and review the issue through an ad hoc task force to be appointed by MMA President Charles Pattavina. The task force is expected to review the issue in depth and to prepare a White Paper on the topic for consideration at the MMA general membership meeting on September at the Annual Meeting.

MMA members wishing to volunteer to serve on the task force should contact MMA President Charles Pattavina at president@mainemed.com or EVP Gordon Smith at gsmith@mainemed.com.

 

Appeals Court Upholds Rejection of Proposed Anthem-Cigna Merger

Last week, the U.S. Court of Appeals for the District of Columbia upheld a lower court ruling halting the proposed $54 billion mega insurance merger between Anthem and Cigna. The decision was seen as a victory for both patients and physicians.

Both the American Medical Association and the Maine Medical Association had opposed the proposed merger since it was announced and both had worked with the Justice Department to build a case against it. MMA lawyers had met with the Justice Department back in January of 2016 and expressed concern about the impact of the merger on Maine physicians and their patients. The AMA submitted an amicus brief to the appellate court in support of preserving the merger injunction issued in February of this year.  Based on existing policy established by the AMA House of Delegates, the AMA advocated in 2016 that the Department of Justice block the two proposed mergers between health insurers Aetna and Humana and Anthem and Cigna.

Maine Attorney General Janet Mills also entered the litigation against the Anthem and Cigna merger. In July, 2016, MMA joined a group of organizations led by the AMA and Connecticut State Medical Society in urging the DOJ to carefully review the impact of large insurance company mergers on individual states and the country as a whole. Ultimately, the trial court found that the Anthem-Cigna merger would harm patients because ti would likely lead to higher premiums, eliminate the existing head-to-head competition between Anthem and Cigna, reduce the number of national carriers from four to three, and diminish innovation.  

The ruling is the result of 21 months of advocacy by the AMA and the coalition of physician organizations, including MMA, before the DOJ, congressional leaders, state attorneys general, insurance commissioners, and federal court. Barring an appeal to the U.S. Supreme Court, the decision last week concludes a successful campaign by the AMA and 17 state medical associations - on behalf of patients and physicians - to stop the Anthem-Cigna merger.

 

MMA, Lown Institute and Colleagues Present Challenges to Professionalism in a Time of Change, in Portsmouth, June 17

Join your professional colleagues at a day-long conference on the topic of professionalism on Saturday, June 17 in Portsmouth.

Keynote speakers are Thomas Bodenheimer, M.D., MPH and Eric Campbell, PhD.  Five of the leading clinical ethicists in northern New England will also participate on two panels moderated by Vikas Saini, M.D., President of the Lown Institute of Brookline, MA and MMA EVP Gordon Smith, Esq. Following lunch, a special presentation of the one act play, Side Effects, will be performed by actor Michael Milligan. The play tells the story of a physician stressed out by the many administrative responsibilities that can interfere with taking care of a patient.

A complete agenda and registration materials will be included with the next issue of Maine Medicine arriving around May 10. But registration is available now on the MMA website.

Watch for the Upcoming Issue of Maine Medicine Arriving this Week

MMA members and practice managers should watch for the upcoming issue of Maine Medicine which will be mailed this week. Included as an insert is the registration material for MMA's 164th Annual Meeting in Bar Harbor Sept. 8-10, 2017

Maine Medicine is published four times per year and can contain up to six inserts promoting upcoming events. This issue also contains an update on the Association's work on the opioid legislation.  In addition to the insert regarding the Annual Session, there is also a four page brochure detailing the June 17th Conference on Professionalism being held in Portsmouth, N.H. The conference is sponsored by MMA, the Lown Institute and several additional medical, nursing and PA societies in Maine, New Hampshire and Vermont. Keynote presenters include Thomas Bodenheimer, M.D., MPH and Eric Campbell, PhD. Five clinical ethicists from the Northern New England region also will be panelists. The discounted early bird registration is available through May 15.

Registration for the June 17th program is also available on the MMA website at www.mainemed.com.

 
 

MIPS Web-interface and CAHPS for MIPS Registration Open Until June 30

See guidance for group practices that intend to use the CMS Web Interface or administer the Consumer Assessment of Healthcare Providers Systems (CAHPS) for Merit-based Incentive Payment System (MIPS) survey to meet 2017 Quality Payment Program (QPP) requirements.

Group practices that intend to use the CMS Web Interface or administer the Consumer Assessment of Healthcare Providers Systems (CAHPS) for Merit-based Incentive Payment System (MIPS) survey to meet 2017 Quality Payment Program (QPP) requirements must register with CMS by June 30. To register or learn more information, visit CMS' QPP website. Registration is open now. 

For 2017, only groups of 25 or more eligible clinicians that have registered can report via the CMS Web Interface. Groups or individuals that participate in MIPS through claims, qualified registry, qualified clinical data registry, or electronic health record (EHR) data submission mechanisms do not need to register. For 2017, only groups of two or more eligible clinicians that have registered can participate in the CAHPS for MIPS survey.

Of note, CMS automatically registered groups for the CMS Web Interface for the 2017 performance period that previously registered for group reporting under the Physician Quality Reporting System (PQRS) via the Group Practice Reporting Option (GPRO) Web Interface. If you need to remove your registration for Web Interface submission because your group now has fewer than 25 eligible clinicians or is reporting through a different mechanism, you must cancel your registration. If your group wants to administer the CAHPS for MIPS survey, your group will need to make an election via the registration system. 

Groups that participate in a Shared Savings Program accountable care organization (ACO) are not required to register or report; the Shared Savings Program ACO is required to report quality measures on behalf of participating eligible clinicians for purposes of MIPS.

To register, visit the QPP website. You will need a valid Enterprise Identity Management (EIDM) account with a Physician Value-Physician Quality Reporting System (PV-PQRS) role in order to register.

EIDM account information

  • Open a new account: To create or modify an EIDM account, review the CMS guide on this topic.

  • Reactivate an account: To reactivate or confirm the status of an account, contact the Quality Payment Program at (866) 288-8292 (TTY: (877) 715-6222) or qpp@cms.hhs.gov, Monday –Friday, 8 a.m.–8 p.m. EDT and provide the group name and TIN.

  • Use a current account: To request a role to access the "Physician Quality and Value Programs" application in the CMS Enterprise Portal, review the CMS guide.

  

May is Lyme Disease Month

A message and resource list for physicians from the Maine CDC about Lyme disease: help your patients to protect themselves.

Be Tick Smart

Lyme disease remains the most common tick-borne disease in Maine, with 1,473 cases reported in 2016 (preliminary as of 3/1/17). While ticks can be active at any temperature above freezing, they are most active in warmer months. May is Lyme Disease Awareness Month in Maine, and we ask you to please help us stress the importance of tick education. Specifically, we ask you to encourage patients to “be tick smart” when spending time outdoors.  This includes daily tick checks, wearing protective clothing, using EPA approved repellents, and using caution in areas where ticks may be.

Important Things to Remember

·       Lyme disease is preventable by avoiding contact with infected ticks and tick infested areas.

·       Lyme disease is caused by the bacteria Borrelia burgdorferi, which is transmitted through the bite of an infected deer tick (Ixodes scapularis). The tick must be attached to an individual for 24-48 hours before Lyme disease can be transmitted.

·       The most common early symptom of Lyme disease is an erythema migrans (EM), a “bull’s eye” rash that appears 3-30 days after transmission (seen in about 60 to 80 percent of cases nationwide). Other early symptoms include: fatigue, fever, headaches, arthralgia, and myalgia.

·       Disseminated symptoms include: arthritis including joint swelling, Bell’s palsy and other cranial neuritis, encephalitis, lymphocytic meningitis, radiculoneuropathy, and second- or third-degree atrioventricular block.

·       Antibiotic therapy is effective for the treatment of Lyme disease. Clinical treatment guidelines are available at the Infectious Diseases Society of America (IDSA)’s website.

Lyme disease is not the only disease that can be carried by Ixodes scapularis. Anaplasmosis, babesiosis, and Powassan are three other tickborne infections found in Maine. The number of cases of anaplasmosis rose to 372 (preliminary as of 3/1/17) and the number of babesiosis cases rose to 82 (preliminary as of 3/1/17) in 2016. The majority of tickborne illnesses occur during the summer months when ticks and humans are active outdoors. If you see a patient with “summer flu,” especially if their WBC is low - think anaplasmosis and send samples for PCR testing.

Thank you for your invaluable help in preventing tickborne diseases here in Maine.

Resources:

·       IDSA treatment guidelines available at http://cid.oxfordjournals.org/content/43/9/1089.full

·       Lyme disease case report form available on the web at http://www.maine.gov/lyme under Resources for Physicians

·       “Tick-Borne Disease in Maine:  A Physicians Reference Manual” is available online at http://www.maine.gov/lyme under Tick Resources.  Paper copies can be requested through disease.reporting@maine.gov 

·       University of Maine Cooperative Extension Tick ID Lab submission instructions found at http://extension.umaine.edu/ipm/tickid/

·       To continue getting updates throughout May please like our Facebook page at https://www.facebook.com/MaineCDC

·       For additional questions, please call Maine CDC at 1-800-821-5821 or email disease.reporting@maine.gov

·       Tickborne videos can be found on our website www.maine.gov/lyme on the left hand side of the page

 

Maine DHHS Now Accepting Applcations for Opioid Health Homes

MaineCare's new Opioid Health Home (OHH) program has begun accepting applications from organizations wishing to be considered for the designation.   

The Opioid Health Homes are a new component of MaineCare’s Value-Based Purchasing Initiative, providing counseling, care coordination, medication-assisted treatment, peer support and medical consultation for individuals who have been diagnosed with an opioid dependency.

This OHHs will provide services to MaineCare members and the uninsured through grant-funded contracts with the Department of Health and Human Services’ Office of Substance Abuse and Mental Health. The upcoming application and the program requirements apply to programs serving both the MaineCare population and the uninsured (with a few minor exceptions).

To be an OHH, an organization must:

  • Be currently using an Electronic Health Record (EHR)system;
  • Have a full team at time of application, to include at least the following personnel:
    • Clinical Team Lead;
    • Medication-Assisted Treatment Provider;
    • Nurse Care Manager;
    • Certified Clinical Supervisor;
    • Licensed Alcohol and Drug Counselor; and
    • Peer Recovery Coach.
  • Have full implementation of the Core Standards as evidenced by reporting examples of current work for the following:
    • Demonstrated leadership;
    • Team-based approach to care;
    • Population risk stratification and management;
    • Enhanced access;
    • Practice integrated care management;
    • Behavioral-physical health integration;
    • Inclusion of patients and families;
    • Connection to community resources and social support services;
    • Commitment to reducing waste, unnecessary healthcare spending, and improving cost-effective use of healthcare services; and
    • Integration of health information technology (Access to HeathInfoNet for OHHs serving uninsured members). 
  • Demonstrate that they:
    • Can monitor treatment adherence and sustain recovery for their OHH members;
    • Have an infrastructure within the organization to perform population risk stratification and population management; and
    • By using a report, have a way to track their own performance over time.

More information is at http://www.maine.gov/dhhs/oms/rules/emergency.shtml.

There are two options for reimbursement:

  • Option A:  Opioid Health Homes directly administering buprenorphine, buprenorphine derivatives and naltrexone in an office setting with a pharmacist on site will be reimbursed at a rate of $1,000 per member, per month. 
  • Option B:  Opioid Health Homes providing a prescription for buprenorphine, buprenorphine derivatives and naltrexone to be filled at an outside pharmacy will be reimbursed at a rate of $496 per member, per month.

(Thanks to Dr. David McDermott and the Maine Hospital Association)

Physician-focused Payment Models Recommended to Secretary Price

Group recommends that Secretary Price approve two proposals: Project Sonar and the Episode Grouper for Medicare. Learn more here!

In April, the Physician-Focused Payment Models Technical Advisory Committee (PTAC) had its first meeting to review and vote on proposals it has received. Following an in-depth review and discussion with the physician leaders who had submitted the proposals, the PTAC voted to recommend two proposals to Health and Human Services Secretary Tom Price, MD, for limited testing. 

The first, called Project Sonar, has been spearheaded by Lawrence Kosinski, MD, an Illinois gastroenterologist. With support from a private payer, it has demonstrated significant improvements in care for patients with inflammatory bowel disease (IBD). Project Sonar engages these patients in an interactive process that allows the gastroenterology team to take steps to reduce exacerbations that would otherwise lead to emergency visits and hospital admissions. 

The second model recommended by PTAC for testing is the Episode Grouper for Medicare (EGM) developed by the American College of Surgeons and Brandeis University. The EGM model will provide data to teams of physicians managing episodes of care that can help them to improve quality and outcomes of care and lower avoidable spending. 

Both models hold promise for improving patient care as well as providing a means for specialist physicians who have had few opportunities to participate in alternative payment models to effectively do so. In remarks at the PTAC meeting, Secretary Price strongly encouraged the physician community to submit additional proposals for new models to the PTAC. He emphasized the need to avoid a one-size-fits-all approach and noted that we are in a time of great innovation in clinical medicine that requires innovation in payment models as well.

Learn more about both of these models at AMA Wire, and listen to a podcast interview with Dr. Kosinski about Project Sonar. The AMA website offers additional details on APMs and how to develop APMs

Weekly MMA Legislative Committee Conference Call Information

MMA Legislative Committee Chairs Katherine Pope, M.D. and Stephen Meister, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee. In addition to discussing newly printed bills, MMA staff will report on the status of bills which have come up for public hearing or work session.

MMA Legislative Committee Chairs Katherine Pope, M.D. and Stephen Meister, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee.

The next MMA Legislative Committee weekly conference call for the First Regular Session of the 128th Maine Legislature will take place tomorrow, Tuesday, May 2nd, at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate. Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate. It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode. These will remain the same for every weekly call during the session.

Conference call number:  207-480-4790
Passcode:  057614#

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week. The calls rarely last longer than an hour. The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill. 

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 480-4187, or Peter Michaud, Associate General Counsel at pmichaud@mainemed.com or 480-4199.

The following are bills of interest to the physician community printed last week. We will discuss the priority bills marked with an asterisk (*) first. This will be important when the list grows in the next few weeks.

NOTE: The MMA positions stated in parentheses after the bill titles are simply staff suggestions. They are not necessarily the positions taken by the Legislative Committee or the MMA.

This year is marked by two topics that have been the subjects of an inordinately large number of bills: recreational marijuana legalization and opioids. In order to allow clearer discussion of these bills during the legislative calls, the marijuana bills will be marked with a superscript "m" and the opioid bills with a superscript "o". We welcome your comments on whether this makes things easier or more difficult for you. Following are the bills of the week: 

LD 1537: An Act To Replace the Educational Opportunity Tax Credit with the Student Loan Repayment Credit for Maine Residents (All) (Monitor)

* m LD 1539: An Act To Amend Maine's Medical Marijuana Law (All) (Oppose)

LD 1542: An Act To Support Lead Abatement in Older Residential Properties (Public Health, Pediatrics, Family Medicine) (Monitor)

LD 1545: An Act Regarding Disclosure of Health Care Information of a Deceased Person (All) (Monitor)

* o LD 1546: An Act To Clarify the Language Defining Schedule W Drugs and To Add Drugs to the List of Schedule W Drugs (Gastroenterology, Internal Medicine, Psychiatry, Family Medicine) (Oppose)

LD 1550: An Act To Tax Sugar-sweetened Beverages To Fund Programs To Provide Resources for Veterans and Others (All) (Monitor)

* o LD 1556: An Act To Protect Children from Prenatal Drug and Alcohol Exposure (OB/GYN, Family Practice, Pediatrics, Internal Medicine, Public Health) (Monitor)

*LD 1557: An Act To Protect Maine Consumers from Unexpected Medical Bills (All) (Monitor)

o LD 1558: An Act To Require That Municipalities and Counties Recover the Cost of Opioid Antagonist Treatment from Repeat Recipients (Psychiatry, Public Health, Family Medicine) (Monitor)

*LD 1563: Resolve, To Establish the Maine Health Advisory Committee (All) (Monitor)

 

Legislative Highlights of the Week

Read what happened this past week in the HHS Committee and in the meningococcal vaccine rule hearing.

Health & Human Service

The HHS Committee held several work sessions this past week, on a variety of topics. On two bills dealing with obesity, LD 1111 and LD 1162, they tabled the broader bill for further discussion and voted "ought not to pass" (ONTP) on the one oriented to children. They also tabled LD 1108, which would mandate a full complement of public health nurses. LDs 1031 and 1363, dealing with opioids, were tabled, and LD 1325 (palliative care exemption) was voted ONTP. (This action does not affect the existing palliative care exemption, which remains in the statute and rules.) LD 479, which would have enacted a new law concerning informed consent for opioid prescribing, was amended and will, in its eventual form, require practices to establish policies for warning patients of the risks of opioids. 

DHHS

The Department of Health and Human Services, in conjunction with the Department of Education, held a hearing on a proposed rule change to add the meningococcal vaccine to the list of required vaccinations. Testimony in favor of the rule change, with suggested amendments, was provided by the Maine Immunization Coalition, the National Meningitis Association, and a vaccine manufacturer. All suggested that a 12th grade booster be added to the required 7th grade vaccination. There was no testimony in opposition to the rule.

Save the Date! Physicians' Day at the Legislature, May 31st

It's a great opportunity to meet  and talk with your state senator and representative, and maybe even the Governor.

The annual "Physicians' Day at the Legislature" will be on May 31st this year. Wear your white coat, come to the Legislature for the day, and demonstrate the political commitment of Maine's physicians to great health care for Maine's people. Your presence on that day not only gives you a chance to share with your representatives the issues that matter most to you, it also puts a strong exclamation point on the work your MMA advocacy staff does all year. So come on down to Augusta and make a statement!

L.D. 46 Eliminating Physician Exemption from Jury Duty Poses Threat to Physician Practices

In an ironic but dangerous twist, legislation to add nurse practitioners to the list of individuals exempt from jury duty has resulted in a near unanimous recommendation from the Judiciary Committee to eliminate all the current exemptions, including the exemption for physicians and dentists in active practice.

L.D. 46, An Act to Provide Consistency Among Medical Professionals with Regard to Jury Duty Exemption, was introduced at the request of the Maine Nurse Practitioner Association. MMA took no position on the bill, following discussion during one of the weekly calls of the Legislative Committee. But when the bill was heard before the Joint Standing Committee on the Judiciary, the lobbyist for the Judicial branch presented an amendment which eliminated all of the current exemptions. When MMA representatives were advised of the amendment, we attended the work session but none of the outside interests were provided an opportunity to present the arguments against the amendment at the work session. The bill, now with the amendment, has strong support from the Judiciary Committee but strong opposition from the sponsor of the original bill, Senator Nate Libby (D., Lewiston). As a member of leadership (Assistant Democratic Leader in the Senate) Senator Libby will seek to kill the bill in the Senate.

 
A recent survey by MMA of membership on the question of whether physicians should remain exempt from jury duty showed strong support for retaining the exemption (68% in favor, 20% opposed and 12% with no opinion). Along with Senator Libby, MMA will seek to defeat the bill on the Senate floor in the coming days. For MMA members regularly in contact with their State Senators, it would be helpful if you would mention this bill and both the process issue (no hearing on the amendment, despite it being directly contrary to the bill's intent) and the difficulty it would pose to the efficient operation of medical and dental practices.   

 A vote in the Senate is expected on Tuesday or Thursday of this week.

MPHP Medical Professionals Conference - May 5

MPHP Medical Professionals Conference - May 5th, 2017. Make plans to participate in a valuable discussion on the impact substance use illnesses, mental health illness, stress and depression are having on heath practitioners’ safety, focus, decision-making, and job satisfaction.

The Medical Professionals Health Program (MPHP) is inviting all health care providers to join us for a comprehensive 1-day wellness conference designed to help professionals, employers, treatment providers and colleagues better understand the factors affecting recovering professionals and provide strategies for creating healthier working experiences for all medical professionals. This conference will provide valuable continuing education for health care providers, whether treating patients in recovery, looking to enhance your own recovery efforts, or seeking to better understand colleagues struggling with addiction and mental health illnesses. Learn More

Register Today!

Medical Professionals Conference: Health Wellbeing and Awareness

May 5th, 2017, 8:00 AM to 5:00 PM

Holiday Inn By The Bay


Maine Chapter, American Academy of Pediatrics Spring Meeting May 6-7

REGISTRATION IS OPEN - May 6 & 7, 2017

Maine Chapter, American Academy of Pediatrics Spring Conference

VIEW THE AGENDA

May 6 & 7, 2017

Sable Oaks Marriott, Portland, ME

Contact:  Dee Kerry at 207-480-4185 or dakerry@aap.net

Learn How You Can Be Ready for the E-Prescribing Mandate: Free Webinars on May 10, May 24, and June 7

Join the Maine Medical Association and DrFirst as we discuss what you need to know to become compliant with opioid prescribing legislation by the July 1st deadline.

Join the Maine Medical Association and DrFirst as we discuss what you need to know to become compliant with opioid prescribing legislation by the July 1st deadline.  Bring your questions and concerns for the DrFirst e-prescribing expert to answer, and see a demo on the solution that can help you comply in time.

May 10, 12-1pm: Register Here  

May 24, 7-8pm:  Register Here 

June 7, 12-1pm: Register Here

 

 

Maine Society of Eye Physicians and Surgeons Spring Educational Program & Business Meeting - May 12

SAVE THE DATE - Friday, May 12th

SAVE THE DATE

Maine Society of Eye Physicians and Surgeons Educational Program and Business Meeting

May 12, 2017

Brunswick Hotel & Tavern, 4 Noble Street, Brunswick, ME

Contact:  Shirley Goggin at 207-445-2260 or sgoggin@mainemed.com 

Maine Chapter, American College of Surgeons Annual Meeting - May 19-21

SAVE THE DATE - May 19-21, 2017 - REGISTER NOW!

SAVE THE DATE
 
Maine Chapter, American College of Surgeons Annual Meeting
 
May 19-21, 2017
 
Harborside Hotel & Marina, Bar Harbor, ME
 
Contact:  Shirley Goggin at 207-445-2260 or maine@mainefacs.org 

BROCHURE WITH REGISTRATION FORM

REGISTER ONLINE 

How Can I Choose Wisely? A Community Conversation on Healthcare Changes and Rising Costs June 8

Thursday, June 8, 2017 at the Brunswick Hotel & Tavern, 4 Noble Street in Brunswick

5:00 - 6:30 pm Town Hall Meeting

6:30 - 7:30 pm Quality Counts Member Mingle & Networking

Join community members in Brunswick on June 8 from 5:00 to 6:30 pm at the Brunswick Hotel & Tavern to hear different perspectives on healthcare changes and rising costs.  How can you protect yourself against rising health care costs?  What are current challenges in Maine healthcare?  How can you become more informed about health care costs before you receive treatment?  Panelists will share their thoughts to help all choose wisely when it comes to one's own health care.

Free Event - Please register by June 2nd at www.mainequalitycounts.org or by calling 620-8526 x1011.

Ship's Physician for Transatlantic Cruise

Ship’s Physician needed for 45-day transatlantic cruise aboard Maine Maritime Academy’s Training Ship State of Maine (TSSOM). 

Ship’s Physician needed for 45-day transatlantic cruise aboard Maine Maritime Academy’s Training Ship State of Maine (TSSOM).  Maine Maritime is looking for a Physician to sail on the second half of the summer training cruise departing Portland, Maine on June 18, 2017 returning to Castine, Maine on July 31, 2017.  Ports include: Scotland, Ireland and New York City. 

The ship's physician is responsible for the basic, emergency and primary care medical treatment of the nearly 300 students and crew aboard while underway.  The physician directly supervises the ship's nurse. Comfortable and private accommodations provided. Per diem.

For more information contact: Janet Acker, janet.acker@mma.edu or 207-326-2250

5/15/17

Physician Assistant - Newcastle

Lifespan Family Healthcare is seeking a part-time Certified Physician Assistant, with full-time potential in the area.

Lifespan Family Healthcare is seeking a part-time Certified Physician Assistant, with full-time potential in the area.  We are a growing family practice which sees patients of all ages for acute and chronic care.  No inpatient.  Located in the beautiful coastal Maine village of Newcastle, this Patient Centered Medical Home is looking for someone to join our highly productive care team.   The ideal candidate would need at least 1 year of clinical experience and have a current Maine license. 
 
Please send a cover letter and your resume to:  Sandy Lovley at sandy@lifespanfamilyhealthcare.com or fax it to 207-563-3393.
 

5/8/17

Physician Assistant or Nurse Practitioner Hospitalist - Full Time or Per Diem, Bridgton Hospital

Bridgton Hospital, part of the Central Maine Medical Family, seeks a physician assistant or nurse practitioner to join its well-established hospitalist program.

Bridgton Hospital, part of the Central Maine Medical Family, seeks a physician assistant or nurse practitioner to join its well-established hospitalist program. The full time hospitalist PA/NP would be responsible for two regular weeknight shifts and every fifth weekend, allowing for a healthy work/life balance. The candidate would be responsible for overnight admissions and care of acute inpatients and swing bed patients in our 21-bed critical access hospital. This is a contracted position with opportunities for loan repayment and additional per diem hours. Previous hospital experience necessary.

 
For more information visit our website at ww.bridgtonhospital.org. Interested candidates should contact Donna Lafean, CMMC Associate Professional Staff Recruiter, 300 Main Street, Lewiston, ME 04240; email: lafeando@cmhc.org; call: 800/445-7431; fax: 207/344-0658.
 
5/22/17

Family Medicine Physician - Maine Medical Partners Primary Care - Standish, ME

Maine Medical Partners Primary Care is seeking a Family Medicine trained physician for their new outpatient practice located in Standish, just outside the greater Portland, Maine area. 

Maine Medical Partners Primary Care is seeking a Family Medicine trained physician for their new outpatient practice located in Standish, just outside the greater Portland, Maine area. Candidates will have the opportunity to help establish this new primary care office which will be closely linked to our Windham practice located 10 miles away. 
 
The successful candidate will be employed by Maine Medical Partners (MMP), a subsidiary of Maine Medical Center and Maine’s largest multi-specialty group.  This high quality team of more than 500 physicians and 200 advanced practice professionals provides a wide range of hospital based, primary, specialty, and sub-specialty adult and pediatric care delivered throughout a network of 30 locations.
 
For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 661-7383 or nathaa@mainehealth.org.
 
5/29/17

Primary Care Physician - Eastern Maine Medical Center

Eastern Maine Medical Center seeks a primary care physician, board-certified/board-eligible in internal medicine, to join our well-established, quality-driven, outpatient practice. 

Eastern Maine Medical Center seeks a primary care physician, board-certified/board-eligible in internal medicine, to join our well-established, quality-driven, outpatient practice. Husson Internal Medicine is one of seven primary care practices operated by Eastern Maine Medical Center. Our practice was the second in the nation to achieve “Patient-Centered Medical Home” status with NCQA. All physicians are NCQA-certified in diabetes and cardiac care. Our primary care network, largest in our area, has adopted a new practice model to include teams of one physician, one nurse practitioner, two registered nurses, and two medical assistants.

 
Eastern Maine Medical Center is a 411-bed, regional, tertiary care and level II trauma center serving the more than 500,000 residents living in central, eastern, and northern Maine We offer a collegial atmosphere, cutting-edge EMR, generous vacation and CME benefit, flexible work schedule, and reasonable call schedule. No hospital call required. Candidates in need of J-1 visa waivers welcome to apply.
 
For confidential consideration, please contact: Amanda Klausing, Eastern Maine Medical Center, Phone: 207-973-5358 or email emmccvs@emhs.org.
 
5/8/17

Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus

The Central Maine Medical Group seeks BE/BC Internal Medicine physician to join cohesive, well-established, hospital-employed practice in Lewiston, Maine. 

The Central Maine Medical Group seeks BE/BC Internal Medicine physician to join cohesive, well-established, hospital-employed practice in Lewiston, Maine.  We offer:
  • Up to $200K in medical student loan repayment
  • $50K sign on bonus
  • Up to $12K moving allowance
  • 4 day work week/generous outpatient call
  • Healthy work/life balance
Central Maine affords easy access to the coast and mountains where you can enjoy four seasons of outdoor activities.  We have a growing arts and restaurant scene in a very safe affordable area to live and raise a family.  To join our growing team, contact Gina Mallozzi, Central Maine Medical Center, 300 Main Street, Lewiston, ME  04240.  Email:  MallozGi@cmhc.org; Fax: 207/344-0696; Call:  800/445-7431; or visit our website:  http://recruitment.cmmc.org/.
 
6/19/17
 
 

Part-time Clinical & Part-time Research Position in Central Maine

Central Maine Medical Center and Maine Research Associates seek a physician to work 50% in your specialty and 50% as medical director of its clinical research company.  

Central Maine Medical Center and Maine Research Associates seek a physician to work 50% in your specialty and 50% as medical director of its clinical research company.  Maine Research Associates is a full service clinical trial research center with certified coordinators, over 25 years of experience, and is physician led.  Central Maine Medical Center, located in Lewiston, is a 250 bed, Level II trauma center and is part of a three hospital system serving populations of western and central Maine.   
 
Qualified candidates will be BE/BC in your specialty.  Candidates will possess experience as a Principal Investigator on clinical trials and will understand the clinical research industry, institutional review boards (IRB’s), and the general regulatory requirements of safe & responsible clinical research. 
 
Interested candidates should contact Julia Lauver, CMMC, 300 Main Street, Lewiston, ME  04240.  Fax: 207/755-5854. Email: LauverJu@cmhc.org .  http://www.maineresearchassociates.com/  
https://www.cmmc.org/ 
 
6/5/17

SALES - Regional Representative for Maine Rx Card

Maine Rx Card is seeking a part-time (opportunity to move up to full-time) employee to create awareness of the program through pharmacy and clinic relations, while increasing utilization of the program. 

Maine Rx Card is seeking a part-time (opportunity to move up to full-time) employee to create awareness of the program through pharmacy and clinic relations, while increasing utilization of the program.  This is a contract position with a base salary + opportunity for commission bonus’.  Must be willing to travel - 85% travel is required (you are compensated) + 15% home/office work.  Must be professional in appearance and speech, self-motivated and organized.  Must own a laptop or computer and must be proficient in Microsoft excel.  Pharmaceutical sales experience is beneficial, but not required.  Visit www.mainerxcard.com to read more about the program and how it can be utilized.  For more information on the job description or to submit your resume, please email abass@mainerxcard.com.

5/1/17

Family Medicine Physician - Winthrop, ME

Winthrop Family Medicine in Winthrop, Maine is recruiting a Family Medicine Physician!

Winthrop Family Medicine in Winthrop, Maine is recruiting a Family Medicine Physician! We are a MaineGeneral Health hospital-owned outpatient practice with four MD/DOs, three NPs, a PA, and integrated behavioral health with an LSW and LCSW. We are one of the original practices in Maine’s Patient Centered Medical Home pilot. We deliver team-based care to a full range of patients spanning newborns to geriatrics, including two local nursing homes, home visits, osteopathic manipulation and functional medicine consultation. There are lab, imaging and physical therapy services on site. We also routinely teach and precept medical, nurse practitioner, physician assistant and medical assistant students. Our patients are admitted by the hospitalist team at MaineGeneral’s Alfond Center for Health, Maine's newest hospital, completed in November of 2013. There are 192 private rooms at the Augusta facility. Generous benefits package offered.

Contact Tiffiny Parker, Physician Recruiter, tiffiny.parker@mainegeneral.org

5/29/17

DO or MD Physician - Augusta, ME

Maine-Dartmouth Family Medicine Residency (MDFMR), a community of allopathic and osteopathic physicians in Augusta, Maine who love to teach, is seeking a DO or MD Physician to join our faculty.

Maine-Dartmouth Family Medicine Residency (MDFMR), a community of allopathic and osteopathic physicians in Augusta, Maine who love to teach, is seeking a DO or MD Physician to join our faculty. Come teach and practice family medicine in a community and hospital system where you will be well supported! Ideal candidate has strong clinical skills and a passion for teaching. Must be willing to practice in both inpatient and outpatient settings and practice of full spectrum family medicine is a plus. We are looking for an enthusiastic, flexible candidate dedicated to high quality patient care. Maine-Dartmouth Family Medicine Residency is a successful and innovative dually accredited, community based, thirty-resident program. MDFMR is a mission-driven organization that provides healthcare to patients of all ages, with an emphasis on underserved and rural people. Our graduates go on to practice in Maine and across the country. Generous benefits package offered. 

Contact Michelle Bragg, michelle.bragg@mainegeneral.org

5/29/17

Family Medicine Physician - Waterville, ME

Waterville Family Practice, a five provider private practice in downtown Waterville, Maine, is seeking a Family Medicine Physician to join the all outpatient practice.

Waterville Family Practice, a five provider private practice in downtown Waterville, Maine, is seeking a Family Medicine Physician to join the all outpatient practice. Enjoy the many advantages and flexibility of a private practice in a brand new facility. You will be joining three other doctors and two physician assistants with an option to remain an employee or buy-in and shared ownerships after 2-4 years. Practice the full scope of family practice without OB care with the support of exceptional specialists in the Waterville area. 

Contact jphelps@watervillefp.com or call 207-873-1185.

5/29/17