Maine Medicine Weekly Update - June 5, 2017
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Physicians' Day a Success!

At least 35 physicians, along with a few medical students and Physician Assistants were present in the halls of the State House for this year's Physicians' Day at the Legislature.

White coats were evident throughout the building as doctors gathered for Physicians' Day. After convening in the Hall of Flags among displays by the MMA, the MOA, and various specialty societies, attendees met with Governor LePage for over an hour in the cabinet room. It was a fine opportunity for us to make known to the Governor our concerns about major issues affecting public health and the practice of medicine, and it also afforded the Governor an opportunity to explain to us the reasons for his positions on a variety of pending bills. The discussion was thorough, positive, and very cordial.

Later in the day groups of doctors met with Speaker of the House Sarah Gideon and with Senate President Michael Thibodeau and assistant Senate minority leader Andre Cushing. The meetings were excellent opportunities to explain matters such as medication assisted treatment and public health nursing to legislative leaders in greater detail than they usually are afforded.


The doctors present also had a chance to speak with their individual legislators and to attend sessions of the House and Senate to observe the sometimes baffling process by which bills become law. "Talking point" sheets were available for members to learn the bases for MMA positions on three bills of particular importance before meeting with legislators.

 

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

Don't miss this important conference which is intended to focus attention on many of the stresses in medicine today.  This program, put together with the assistance of the well-known Lown Institute in Brookline, MA, will bring together physicians, physician assistants and nurse practices from across Northern New England.

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.

Register online

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.

Conference Brochure and Agenda

 

 

MMA Board of Directors to Meet on Wednesday, June 7

The 25 member MMA Board of Directors will meet on this coming Wednesday, June 7 at 4:00pm for a regularly scheduled meeting at MMA offices in Manchester. Priority topics include the Task Force being established to review MMA's position on the Death with Dignity legislation and other legislative topics of concern and significance.

The Death with Dignity Task Force is expected to meet between now and the Annual Session Sept. 8-10. The goal of the group is to review the current ethical provisions regarding physician-assisted death and to review the experience in those states which have permitted the practice, including most recently, the State of Vermont.

 
The proposal advanced this session by Sen. Roger Katz (R, Augusta) passed the state senate by one vote but was defeated in the House by a significant margin. The bill is expected to be introduced again in 2019. A survey of MMA members revealed an even split in opinion by the members so the Association did not take a position on the final proposal this year.
 
Volunteers are being sought for the Task Force. If you are an MMA member and interested in serving, please communicate directly with either MMA President Charles Pattavina, M.D. at President@mainemed.com or EVP Gordon Smith, Esq. at gsmith@mainemed.com.
 
Legislative items will include L.D. 456 regarding pharmacists attempts to broaden their scope of practice to include childhood immunizations, L.D. 46 which would eliminate the current exemption for physicians from jury duty, L.D. 445 which is an amended version of the so-called right to shop (for medical services) bill and L.D. 1557 limiting charges of out of network providers in circumstances where the patient would not have made a knowing choice to use an out of network provider (emergency services are exempt).
 
The Board is chaired by Robert Schlager, M.D., a family physician serving as CMO at Sebasticook Valley Hospital in Pittsfield.
 
 
 
 

Harvard Pilgrim Seeks 39.7% Premium Increase in the ACA Marketplace, Smaller Increases Sought by Anthem and CHO

Harvard Pilgrim Health Care announced Friday (June 2) that it would be requesting an average premium increase of 39.7% for individual plans in the ACA Marketplace for 2018. Anthem Blue Cross and Blue Shield is seeking a 21.2% increase, and Community Health Options is looking for a 19.6% increase.

Republican efforts in Washington to replace the ACA has resulted in uncertainly about the future of the subsidies and the large increases are partially a result of this uncertainly. Nearly 90 percent of the 86,000 Mainers who receive coverage in individual plans through the exchange receive a subsidy to help with the cost of the premium. The subsidies are available to individuals earning between 100 percent and 400 percent of the federal poverty level.

Community Health Options stated 15 percent of its requested premium increase is due to individual plans issued to “an anticipated smaller, and sicker, pool of insureds.” CHO has approximately 42,000 policyholders in Maine. It said its need for this level of rate increase is basically driven by the lack of an insurance mandate and the resulting impact of higher premiums. The CHO small group rate increase (for those plans continued from 2017 into 2018) is 7.8%.

Harvard Pilgrim and Anthem cited higher costs and market instability as reasons for their rate increases, and Harvard Pilgrim also suggested it may leave the Maine marketplace completely. A Harvard Pilgrim spokesperson said, “While we remain committed to the principle of everyone having access to affordable coverage, we can only continue to participate in the exchanges if there is stability in this market, and that will only come with immediate action from Washington.”

In prior years federal subsidies based on income have largely offset increases in out-of-pocket costs for low- to moderate-income policyholders. Those subsidies are now in doubt based on recent efforts in Congress to repeal the ACA and its associated subsidies.

Physician-Owned Practices Dip Below 50 Percent

For the first time, fewer than 50% of medical practices are physician-owned.

Less than half of practicing physicians own their own practice, according to 2016 data collected in a nationally representative survey of 3,500 U.S.-based physicians who provide at least 20 hours of patient care per week and are not employed by the federal government.

2016 marks the first year in which physician practice ownership is no longer the majority arrangement. According to data drawn from the AMA's Physician Practice Benchmark Surveys, 47.1 percent of physicians are practice owners. The same percentage of physicians are employed, while 5.9 percent are independent contractors.

The data reflect a trend that has been evident in recent years. In 2012, the first year in which this AMA survey was conducted, 53.2 percent of physicians were owners. That figure dropped three percentage points to 50.8 percent in 2014. The AMA conducted similar surveys in the 1980s, when physician practice ownership was the dominant arrangement. For example, in 1983, by comparison, 76.1 percent of physicians were practice owners, as noted in a 2015 report.

"Patients benefit when physicians practice in settings they find professionally and personally rewarding, and the AMA strongly supports a physician's right to practice in the setting of their choice," said AMA President Andrew W. Gurman, MD. "The AMA is committed to helping physicians navigate their practice options and offers innovative strategies and resources to ensure physicians in all practice sizes and setting can thrive in the changing health environment."
 

U.S. Senate Deliberates on Health-System Reform Legislation

The U.S. Senate will focus on the AHCA in the health care reform debate, probably for the next several months.

The Senate has begun deliberations on drafting health-system reform legislation that will comport with the procedural rules associated with budget reconciliation legislation. On May 24, the Congressional Budget Office (CBO) released a revised score for the American Health Care Act (AHCA) (H.R. 1628). The CBO stated that the House-passed version of the bill would reduce the federal deficit by $119 billion over 10 years and increase the number of uninsured people relative to current law by 23 million in 2026.

Under the budget rules, the Senate health care reform legislation will be required to save at least as much as the House measure. Now that the CBO has rescored the House-passed bill, the Senate parliamentarian will begin the process of examining H.R. 1628 to determine which provisions of the bill meet the requirements of the Senate budget-reconciliation rules. The rules generally require that provisions in the bill must have a direct effect on the federal budget. It is possible that some provisions of the House-passed version of the AHCA will be stripped away during this process before the bill is considered on the Senate floor.

Separately, on May 23, the AMA sent Senate Finance Committee Chairman Orrin Hatch a letter in response to his May 12 request for recommendations on health system reform. The letter restates the AMA's objectives for health reform legislation, such as ensuring that any proposals to replace portions of current law do not result in individuals who currently have coverage becoming uninsured. The letter makes specific suggestions to improve the health care system in the areas of tax-credit structure and health insurance affordability, stabilizing the individual market, and Medicaid.

It is not yet known when the Senate will consider its version of health care reform legislation. The AMA will continue to work with the Senate to advance proposals consistent with AMA policy and AMA health care reform objectives.
 

CMS Releases New Resources to Help Clinicians Successfully Participate in QPP

See also "CAHPS for MIPS" conditionally approved survey vendor list.

CMS has recently revamped the look of the QPP website and also posted new resources to help clinicians successfully participate in the first year of the QPP. The following new resources have been posted to the website:

  • MIPS quick start guide: Outlines the steps clinicians participating in the Merit-based Incentive Payment System (MIPS) need to take between now and March 2018 to prepare for and participate in MIPS, including checking participation status, choosing to participate as an individual or as part of a group, deciding how to submit data, and selecting measures and activities.

  • Medicare Shared Savings Program and QPP fact sheet: Explains how the Shared Savings Program and the QPP align reporting requirements for participating ACOs and MIPS clinicians, and how certain tracks in Shared Savings Program ACOs meet Advanced Alternative Payment Model (APM) criteria under the QPP.

  • MIPS APM fact sheet: Provides an overview of a specific type of APM, called a "MIPS APM," and the special APM scoring standard used for those in MIPS APMs.

CMS releases "CAHPS for MIPS" conditionally approved survey vendor list

Physicians who plan on reporting the CAHPS for MIPS measure as one of their quality measures to satisfy MIPS requirements in 2017 must use a CMS-approved CAHPS for MIPS survey vendor. As conditionally approved survey vendors, these organizations have demonstrated they have the facilities, project experience and staff expertise required to conduct the 2017 survey administration with appropriate rigor, given the demands of the survey procedures and timeline.

Final approval of these organizations is dependent on satisfactory completion of CMS training and submission of a Quality Assurance Plan. A final list of the CAHPS for MIPS survey vendors approved by CMS to administer the 2017 survey will be made publicly available this summer.

Keep in mind, physicians who are reporting the CAHPS for MIPS measure must register and inform CMS by June 30, 2017.

  

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, June 13th, 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.

No new bills of interest to medicine were printed last week. During this week's call MMA staff will discuss current status of bills discussed earlier and updates on floor debates and other action in the House and Senate.


Legislative Highlights of the Week

Read what happened this past week in the Maine Legislature: floor votes in the House and Senate, budget negotiations, and more.

Except for the Appropriations Committee's work on the budget and fiscal notes and the Judiciary Committee's work on the "errors and omissions" bill, committee work has been completed. Now the action moves to the floors of the House and Senate, where many bills will pass or fail "under the hammer" (without floor debate), while other, more controversial matters will be debated and voted on by roll call. To check on how your legislators voted on any particular matter, you can check the roll call lists here.

Many bills have at least partially worked their way through the system. Last week the House narrowly passed an amended bill, LD 456, that would allow pharmacists to give adult vaccines on a statewide standing order, and childhood (11 to 18) boosters with a prescription. MMA, the Maine AAP, and other opponents argued that such a system would interfere with the pediatric health home and that children are not merely small adults--their reactions to vaccines can be quite different, both physiologically and psychologically. MMA has learned that the fiscal note on the House amendment shows a biennial cost to the State of almost $800,000. In the same day's session, the House even more narrowly defeated a bill, LD 572, that would include pharmacists in the definition of "health care providers." Several representatives who voted in favor of LD 456 voted against LD 572. Stay tuned for more developments as the bills make their way to the Senate.

A bill to repeal Maine's Certificate of Need law also failed in the House, as did LD 1556, a bill that would have required mandatory reporters to report to the DHHS any pregnant woman suspected of using controlled substances (whether legal or illegal, including MAT). MMA argued successfully that this bill would create a disincentive to obtaining essential prenatal care. The House also defeated a bill that would have fined communities if they failed to charge persons administered naloxone by public safety officials a second or subsequent time.

The bill that would remove physicians' exemption from jury service, LD 46, remains tabled in the Senate, as does LD 1108, which would restore the public health nursing system. MMA staff are actively lobbying both of those bills.

Call Your Legislators: 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 providing psychiatric evaluation and testimony in criminal cases to serving without pay or even expense reimbursement on prelitigation screening panels in medical malpractice cases. It is essential that MMA members contact our legislators so that they hear the message: physicians are doing their share.

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.

Time is Running Out...Will You Be Compliant on July 1st With The New E-Prescribing Mandate? Free Webinars on June 7 & June 14

With the e-prescribing mandate quickly approaching on July 1st, the Maine Medical Association wants to support our members with the information you need to be prepared to comply with this important step in the fight against opioid abuse. 

With the e-prescribing mandate quickly approaching on July 1st, the Maine Medical Association wants to support our members with the information you need to be prepared to comply with this important step in the fight against opioid abuse. 

As a service to our members, we have chosen DrFirst as our preferred e-prescribing platform and negotiated a generously discounted price of $500 per annual license for MMA members (a $299 discount). DrFirst offers a superior clinical workflow that is easy to use and affordable. Their package includes Rcopia® for legend drug e-prescribing, EPCS Gold 2.0for controlled substance e-prescribing, and iPrescribe℠, an app for mobile e-prescribing.

Aside from legend drug and controlled substance e-prescribing within a single workflow, you’ll also get

  • 24 months of patient medication history
  • real-time benefit check (formulary data, drug cost, suggestions for cheaper alternatives)
  • clinical alerts (e.g., duplicate therapy and allergy warnings)
  • one-on-one guidance through DEA identity proofing and authentication
  • patient adherence monitoring
  • electronic prior authorization

To help answer your questions, DrFirst and Maine Medical Association are hosting two webinars this month to help you learn more the patient safety and workflow benefits of using controlled substance e-prescribing.

Wednesday, June 7, 12-1pm: Register Here

Wednesday, June 14, 12-1pm: Register Here 

For more information, MMA members can visit DrFirst’s website at www.drfirst.com/mainemed or contact David Fisher at 301-231-9510, ext. 2864.

 

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.

June 20 Webinar: Recognizing When Patients Have Concerns About the Cost of Their Health Care

Webinar: Tuesday, June 20 12:00-1:00pm  

Recognizing When Patients Have Concerns About the Cost of Their Health Care

Peter A. Ubel, M.D. is a physician and behavioral scientist whose research and writing explores how people make decisions related to health and health care.  He is the Madge and Dennis T. McLawhorn University Professor of Business, Public Policy and Medicine at Duke University.  He is the director of the Program for Improving Healthcare Consumerism and core faculty at the Duke-Margolis Center for Health Policy.  He uses the tools of decision psychology and behavioral economics to explore topics like informed consent, shared decision making and health care cost containment.  He has authored over 250 academic publications, he majority of which involve empirical explorations of decision psychology as it pertains to health care.  He has written for the New York Times, the Los Angeles Times, the Atlantic, the New Yorker, and is a regular contributor at Forbes.  His books include Pricing Life (MIT Press 2000), Free Market Madness (Harvard Business Press, 2009) and Critical Decisions (HarperCollins, 2012).  You can find his blogs and other information at http://www.peterubel.com/. 

Register here

 

National Medicare Education Program June 28

Save the date, June 28th, for a CMS Medicare webinar.

There will be a National Medicare Education Program conference call and webinar on Wednesday, June 28, 2017. from 2:00 to 3:30 Eastern time. The program is free and is sponsored by the Centers for Medicare and Medicaid Services (CMS). Watch for agenda and registration information coming soon.

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

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/.
 
9/18/17
 
 

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/ 
 
9/4/17

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

7/3/17

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

7/3/17

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.

7/3/17

Family Medicine Physician/Clinician Leader - Portland, ME

The Maine Medical Center (MMC) and Maine Medical Partners (MMP) are seeking an outstanding clinician-leader to serve as practice leader for the Portland Family Medicine Center. 

The Maine Medical Center (MMC) and Maine Medical Partners (MMP) are seeking an outstanding clinician-leader to serve as practice leader for the Portland Family Medicine Center.  This practice is the location for the main outpatient clinical sites for MMC’s Family Medicine Residency Program.   The residency program has a regional and national reputation for excellence in family medicine training, innovative faculty development and is recognized as a desirable training program for students. 

The successful candidate will be Board Certified in Family Medicine with at least 3 years of experience, with demonstrated leadership, organizational, and mentoring skills. 

Situated on the Maine coast, Portland offers the best of urban sophistication combined with small-town friendliness.  Just two hours north of Boston, this is an exceptionally diverse and vibrant community. 

Please submit a cover letter and CV to:  Alison C. Nathanson, Director, MaineHealth Physician Recruitment at (207) 661-7383 or nathaa@mainehealth.org.

7/31/17

Family Medicine - Windham, ME

Maine Medical Partners Lakes Region Primary Care is seeking an Internal Medicine-Pediatrics or Family Medicine trained physician for their well-established outpatient practice located in Windham, just outside the greater Portland, Maine area.  Outpatient call only, with no attendance at deliveries or hospital call required.

Maine Medical Partners Lakes Region Primary Care is seeking an Internal Medicine-Pediatrics or Family Medicine trained physician for their well-established outpatient practice located in Windham, just outside the greater Portland, Maine area.  Outpatient call only, with no attendance at deliveries or hospital call required.

This well established practice has been in the Windham community for almost 20 years and is part of Maine Medical Center’s Internal Medicine-Pediatrics residency program, with opportunities to teach Medicine-Pediatric Residents and medical students.

Windham is the largest town in the Sebago Lake Region and represents the diversity and character expected of a community 10 miles west of Portland, Maine's largest city.  The area is ideal for outdoor sports and recreation, offering hiking, boating, agricultural fairs and festivals, ice fishing and snowmobiling. 

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 661-7383 or nathaa@mainehealth.org.

7/31/17

Family Nurse Practitioner/Physician Assistant Wanted

Family Nurse Practitioner/Physician Assistant wanted to join rural health clinic practice located in beautiful coastal DownEast Maine.  Seeking FNP or PA with experience treating acute and chronic illnesses for patients of all ages.

FAMILY NURSE PRACTITIONER/PHYSICIAN ASSISTANT WANTED to join rural health clinic practice located in beautiful coastal DownEast Maine.  Seeking FNP or PA with experience treating acute and chronic illnesses for patients of all ages.  Maine Licensure required.  Will work with eligible candidate to secure participation in Loan Repayment programs.  Excellent compensation package available.  Please send resume, references, and salary requirement to: HealthWays/Regional Medical Center at Lubec, Attn: Human Resources, 43 South Lubec Road, Lubec, Maine  04652. Email: trier@rmcl.org   For more information contact :Terry Rier (207) 733-1090 ext 2116 An Equal Opportunity Employer.

7/3/17

Physician - Lubec, ME

Regional Medical Center at Lubec seeks a physician willing to lead and expand our Medication Assisted Treatment services program. 

Regional Medical Center at Lubec seeks a physician willing to lead and expand our Medication Assisted Treatment services program.  As a key member of the team including medical assistants and onsite substance abuse and behavioral health counselors, the physician will provide evaluation and medical management of patients struggling with opiate addiction.  Current unencumbered license to practice medicine in Maine and Suboxone Certification (or willingness to take the certification program) required.  Familiarity with evidenced-based chemical dependency care and risk management strategies a plus.  Position is part time but can be combined with family practice to be a full time position. Salary negotiable, commensurate with qualifications and experience.  Please send CV and cover letter to: Regional Medical Center at Lubec, Attn: Human Resources, 43 South Lubec Road, Lubec, Maine 04652 or email: trier@rmcl.org.  For more info contact: (207) 733-1090 ext 2116.  Equal Opportunity Employer.

7/3/17

Nurse Practitioner - Swift River Family Medicine - Rumford, ME

The Nurse Practitioner is responsible for providing primary healthcare to patients and families of all ages, focusing on health maintenance, disease prevention, patient education and counseling.

New Grads are encouraged to apply!

The Nurse Practitioner is responsible for providing primary healthcare to patients and families of all ages, focusing on health maintenance, disease prevention, patient education and counseling. Provider will be involved with Occupational Health, Employee Health and DOT physicals (training available). Expectations are to see between 16-20 patients per day, depending on experience.  Current practice holds 4900 patients with 5 Medical Doctors and one OB GYN.  We also host a rural track residency program with 1-4 resident providers on any given day.   

Current Registered Nurse and Advanced Practice Nurse License in the State of Maine.

Full Time, Monday-Friday;busy family medicine practice located in Rumford, Maine. Call ratio 1/8 with clinical staff doing 1st call assist.

Contact: Donna Lafean, CMMC Associate Professional Recruiter

Phone: 888-832-4057

Fax: 207-344-0658

E-mail: lafeando@cmhc.org

7/31/17

Physician Assistant/Nurse Practitioner - Bridgton, ME

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.
 
7/31/17

 

UNE Graduates First Class of Dentists

Sixty-two students received the Doctor of Dental Medicine (D.D.M.) degree.

The University of New England recently graduated its first class from the College of Dental Medicine, a group of 62 students.  The College is the first dental school in Northern New England having been founded in 2013.  47% of the students who have announced their first career plans have stated their intention to practice in New England.  24 members of this class are from Maine and at least 11 of those have stated their intention to stay in Maine to practice or to obtain further professional training.  Several others have expressed a desire to return to Maine to practice following residency programs or other specialty training elsewhere.