Maine Medicine Weekly Update - May 15, 2017
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Anthem Asks U.S. Supreme Court to Overturn Rejection of Proposed Anthem-Cigna Merger

Last week Anthem announced that it would ask the U.S. Supreme Court to reverse the U.S. Court of Appeals for the District of Columbia upholding of 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.

 

Cigna Abandons Merger Efforts

On May 12th, Anthem announced that it is putting an end to its efforts to merge with Cigna. This announcement is being hailed as a victory for physicians and patients alike.

This decision is the result of nearly two years of tireless physician advocacy which featured a coalition of many state medical societies working in partnership with the American Medical Association (AMA) before the US Department of Justice, Congressional committees, federal courts, state attorneys general, and state insurance commissioners.

“With the finality of this decision, the Maine Medical Association, the American Medical Association and our partners throughout organized medicine, as well as our coalition partners, again prove we can make a major difference in the lives of physicians and those we care for,” said Charles Pattavina, M.D., MMA president. “Because of smart and tireless advocacy, we have at once protected access to care and the patient-physician relationship from two simultaneous existential threats.” 
 
MMA staff worked with attorneys from the U.S. Department of Justice and the Maine Attorney General's office to block this anti-competitive move by Anthem and Cigna and a similar, related attempt by Aetna and Humana.

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

Early bird registration rate available through Friday, May 19.

Join your professional colleagues at a day-long conference on the topic of professionalism on Saturday, June 17 from 8am-4:30pm at the Sheraton 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 are available on the MMA website.

New England AMA Delegation Meets in Providence, R.I.

AMA delegates from New England met together in Providence, RI on Saturday to discuss resolutions that will be presented to the AMA House of Delegates in June.

On Saturday, May 6, the New England Delegation to the AMA met in Providence, R.I., to consider proposed resolutions to present to the AMA House of Delegates at the Annual Meeting in June in Chicago. Attending from Maine were AMA delegate Maroulla Gleaton, M.D., MMA President and alternate AMA delegate Charles Pattavina, M.D. and EVP Gordon Smith. AMA delegate Richard Evans, M.D., who chairs the New England Delegation was unable to attend because of an illness in his family. 

Resolutions considered and receiving the two-thirds vote for endorsement of the delegation include the following:

  • Retail Prescription Bottle Label Privacy
  • Mandatory Public Health Reporting of Law-enforcement-Related Injuries and Deaths
  • Towards Eliminating ERISA State Preemption of Health Plan Liability
  • Policy and Economic Support for Early Child Care
  • Appropriate Placement of Transgender Prisoners
  • Protection of Clinician-Patient Privilege
  • Retail price of Drugs Displayed in Direct-to-Consumer Pharmaceutical Advertising
  • Out of Network Care

The AMA House of Delegates will convene on Saturday, June 10 in Chicago.

 
 
 

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.

  

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 for permission to share this article which first appeared in MHA's Friday Report)

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

MMA Leadership Listening Session in Machias on May 22

When: Monday, May 22 from 5:30 pm to 8:00 pm 

Where: Helen's Restaurant, 111 Maine Street in Machias

MMA members and their guests are cordially invited to join MMA officers and executive staff at a "Listening Session" at Helen's Restaurant on Monday, May 22 from 5:30 to 8pm.

Stop by for an appetizer and beverage on us and share with us your thoughts and opinions. We will also be recognizing Washington County physicians for being the first county where all practicing physicians are MMA members.

Please RSVP to Lisa Martin at lmartin@mainemed.com or at 622-3374 x221.

Updates on Opioid Health Homes, Pharmacist-Provider Meetings & Opioid Task Force

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

MaineCare's new Opioid Health Home (OHH) program has begun accepting applications from organizations wishing to be considered for the designation.  Amy MacMillan (previously Dix) at MaineCare can be reached at Amy.MacMillan@maine.gov.  Currently, Section 93 Emergency Rule is in effect at https://www1.maine.gov/sos/cec/rules/10/ch101.htm/  Comments are being taken until May 18th. We encourage groups to submit comments at http://www.maine.gov/dhhs/oms/rules/proposed.shtml#anchor741339

In addition, the Maine Office of Substance Abuse and Mental Health Services has a program to cover uninsured for MAT treatment. The coverage will be provided through contracts to agencies that are approved as providers for Opioid Health Homes. As applications are received and approved, the Office of Substance Abuse and Mental Health Services will reach out to OHHs to encumber funds.  Mike Parks, Associate Director, DHHS, Office of Substance Abuse and Mental Health Services, can be reached at michael.parks@maine.gov for questions about this part of the program.  

Pharmacist-Provider Meetings: Stephanie Nichols, Pharm.D., BCPS, BCPP, is organizing these meetings as a follow-up to the Caring for ME discussion last month. If you are interested in participating, please email Stephanie at nicholss@husson.edu. 

The next meeting of the Opioid Task Force will be on Friday, June 9, 2017 from 1-3pm in Room 127 at the State House in Augusta. Email Lock Kiermaier to be added to the meeting notification list and ask for the link to the broadcast.

Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network

Take Advantage of Online Learning Opportunities Offering CME Credits - Available 24/7 now from the Northern New England Practice Transformation Network (NNE-PTN)

Take Advantage of Online Learning Opportunities Offering CME Credits - Available 24/7 now from the Northern New England Practice Transformation Network (NNE-PTN)

The Northern New England Practice Transformation Network, led by Maine Quality Counts in collaboration with the Citizens Health Initiative at the University of New Hampshire's Institute for Health Policy and Practice, and Vermont Program for Quality in Healthcare, Inc., is funded through the Centers for Medicare and Medicaid Services' Transforming Clinical Practice Initiative to provide technical assistance to support you, your practice, and your consumers in the transition to value-based payment. The QC Learning Lab has been designed to support health care practitioners and professionals, and practice teams with a wide range of continuing education offers including online courses, webinars, and learning sessions.

Topics include:

  • Improving Patient Outcomes with Cost of Care Conversation in the Clinical Practice
  • How to Transform Practice Finances for Success with Advanced Payment Models
  • Seamless Care
  • Get a Grip on Change
Click here to register for these no cost online learning opportunities, available 24/7 at your convenience.
 
This project is supported by FONCMS-1L1-15-003 from the U.S. Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the author and do not necessarily represent the official views of HHS or any of its agencies or the Maine Medical Association.

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, May16th, 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.

As we approach the deadline (often honored in the breach) for committee votes on 100% of bills and the ramping up of House and Senate votes, a smaller part of the calls will be devoted to new bills while a larger portion will be dedicated to updates on "our" bills' progress through the system and occasional calls for members to contact your legislators on bills of particular importance to medicine.

LD 1594: An Act Regarding the Dispensing of Naloxone Hydrochloride by Pharmacists (Psychiatry, Family Medicine, Public Health) (Oppose) (discussed in last week’s call)

*LD 1600: An Act To Establish an Opioid Addiction Prevention and Rehabilitation Treatment Program Funded by a Tax Imposed upon the Sale of Opioids (Psychiatry, Family Medicine, Public Health) (monitor)

LD 1605: An Act To Increase Consumer Prescription Drug Protections (All) (monitor)

*LD 1607: An Act To Prioritize Family Members as Surrogates for Medical Decisions (All) (monitor)

Legislative Highlights of the Week

Read what happened this past week in the Maine Legislature: hearings, work sessions and more.

Health & Human Service

The HHS Committee has been working very hard toward its goal of reporting out all the bills assigned to it as soon as possible. The balance is tipping toward fewer public hearings and more work sessions as the time winds down. Last week saw public hearings on a few bills. LD 1556, which would require all mandatory reporters of child abuse to report suspicion of drug use by pregnant women, saw significant opposition from several groups including the MMA. There is real concern that such women will avoid prenatal care rather than run the risk of being reported to DHHS. There were also hearings on two bills, LD 1112 and 1496, related to the Maternal and Infant Death Review Panel. That panel has not met in many months, and there is a feeling among at least some members that there are significant barriers to their work. 

Work sessions were held on many bills dealing with mental health and opioids, MaineCare benefits, and persons with disabilities. The Committee carried over a bill, LD 1189, dealing with consent to treatment of minors, and it voted 10 - 0 "ought not to pass" on a bill that would have made ephedrine and pseudoephedrine prescription drugs, rather than "behind the counter" as they are now.

Education

The Education & Cultural Affairs Committee held work sessions on two gun bills this week. LD 988, which would have allowed firearms in cars when students are being dropped off at school, was voted "ought not to pass" 9 - 4. The "campus carry" bill, which would have allowed the unpermitted carrying of concealed weapons on college campuses, was the subject of an 11 - 2 "ought not to pass" vote. The Committee is taking good steps for the safety of Maine's children and college students.

Insurance & Financial Services

The IFS Committee was busy last week trying to finish up its public hearings and work sessions and a number of the bills remaining on their agenda raise complex issues. The Committee voted unanimously in favor of a bill (L.D. 1385) regarding direct primary care (DPC) practice and also on a bill (LD 1274) to conduct a comprehensive study of health care reform in Maine. LD 1274 initially proposed a single payer approach to health care reform in Maine. The Committee this week will continue work sessions on two other complex bills, LD 445 addressing the concept of rewarding patients with a financial credit towards their health insurance costs for "shopping" for certain health care services, and LD 1557 addressing "surprise bills" faced by patients who have received services from an out-of-network physician in an in-network hospital.

The legislature's committees are under tremendous pressure to complete their work so that the necessary processing of paperwork and debate of divided committee reports can take place in the House and Senate before the June 21st scheduled adjournment date.

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), the difficulty it would pose to the efficient operation of medical and dental practices, and the difficulty, inconvenience and expense for patients.   

The bill remains tabled in the Senate, while MMA staff continue to argue our case with every Senator we can contact. They have been listening to our explanations about how much physicians already participate in the judicial process, from serving as witnesses in far more cases than other professionals to serving without pay or even expense reimbursement on prelitigation screening panels in medical malpractice cases. We hope they hear the message: physicians are doing their share.

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 

Learn How You Can Be Ready for the E-Prescribing Mandate: Free Webinars on 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 24, 7-8pm:  Register Here 

June 7, 12-1pm: Register Here

 

 

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.

Family Medicine Physician - Pittsfield, ME

Sebasticook Valley Hospital is seeking a full time Family Medicine physician to join Sebasticook Valley Family Care a modern practice located just off I-95 in Pittsfield.

Sebasticook Valley Hospital is seeking a full time Family Medicine physician to join Sebasticook Valley Family Care a modern practice located just off I-95 in Pittsfield.  Be part of a ten member collegial medical staff providing primary care services in a rural community. Work schedule is 4 days per week, with limited telephone call from home.  This position comes with competitive compensation, fringe benefits, assistance with medical education debt, signing/relocation bonus negotiable. 

SVH is a 25-bed modern critical access hospital located in Pittsfield which is 20 minutes north of Waterville, and 40 minutes south of Bangor. The hospital serves a population of 30,000 in this central Maine area.  SVH takes a proactive approach in helping people in the Sebasticook Valley improve the quality of their lives. The hospital works with local businesses, schools, the religious community, other healthcare providers, area organizations, and private individuals to make the Valley a healthy place to live. SVH serves has a wide range of outpatient services, including over 20 specialty services.
 
For more information, please contact Sherry Tardy, PHR, DASPR, at 207-487-4085 or email a CV for review to stardy@emhs.org.

8/7/17

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.
 
6/12/17

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

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