Maine Medicine Weekly Update - February 19, 2018
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AMA Advocacy Conference Highlights High Drug Costs, Regulatory Relief and Coverage Concerns

MMA President Robert Schlager, M.D., Past President Charles Pattavina, M.D. and EVP Gordon Smith were on Capitol Hill last week meeting with all four members of the Maine Congressional Delegation and attending the 2018 AMA National Advocacy Conference. 

 

Several issues were discussed with one or more members of the Maine Congressional Delegation, including the following:

  • The need for Congress to take action to address the high cost of drugs, including both brand-name products and generics. Drs. Schlager and Pattavina were able to bring several real life examples of extreme increasesEdit in costs including several in the field of rheumatology. 
  • The state by state distribution of the $6 billion dollars included earlier this month for responses to the opioid crisis.
  • Regulatory relief and the need for standardization of the increasingly burdensome prior authorization requirements.
  • Concern with the recently released President's budget which would make major cuts to the Office of National Drug Control Policy and to the CDC Prevention Fund, which was also negatively impacted by the spending bill already passed.
On the Senate side, we discussed with both Senator Collins and King the need to pass the two federal bills pending which would stablilize the insurance marketplace exchanges for two years. Second District Congressman Bruce Poliquin asked the opinion of MMA on the state's 1115 waiver application which would require that MaineCare patients, excluding certain vulnerable categories, either obtain work or provide community service of twenty hours per week. MMA's position is that while persons able to work should do so, they should not lose healthcare coverage if they are not in compliance with the requirement.
 
We also noted the pending issue of MaineCare expansion in Maine as a result of the passage of the ballot question in November of 2017. Governor LePage has until April 5 to file documents with CMS beginning the process.

 

 

MMA Board to Address Several Critical Issues at Annual President's Retreat in March

The 29 member Physician Board will hold its Annual President's Retreat at the Regency Hotel in Portland March 9-11, 2018.  

 

Among the topics to be discussed during the retreat portion of the weekend are the following:

 
  • Potential renovations to the Frank Stred Building in Manchester, which houses the MMA offices and conference rooms.  One purpose of the renovations would be to make the building handicapped accessible and compliant with the Americans with Disabilities Act.
  • Succession planning in advance of EVP Smith's retirement at the end of 2019.
  • Increasing the engagement of board members.
  • Increasing the engagement of MMA members.
An optional session regarding physician health and wellness will take place on Saturday afternoon.
 
The retreat will be facilitated by Derek Ahl of the Hanley Center for Health Leadership.  Current MMA President Robert Schlager, M.D. will lead the weekend.  Dr. Schlager is a family physician serving as Senior Physician Executive at Sebasticook Valley Hospital in Pittsfield.

Use EMR System Defaults to Reduce Opioid Prescribing

You can use your technology to help nudge you toward reduced prescribing of opioids. It's simple. Here's how:

 

Researchers at the University of Pennsylvania in Philadelphia noticed a problem with overprescribing of opioids in their emergency departments. Many patients were not talking nearly as many opioid pills as they were being prescribed. As the institution changed its EMR provider, Dr. M. Kit Delgado and others took advantage of a feature in the new system that allowed them to set a default number of recommended doses right in the system. They set the default to half the number of pills generally prescribed in their departments, 10 as opposed to 20. The individual prescriber remained free to prescribe whatever number she or he deemed clinically appropriate.

The effect was dramatic. After 41 weeks, the number of physicians prescribing 20 doses declined from 22.8% to 16.1%. Prescriptions for 10 doses increased from 20.6% to 43.3%. The number of prescribers ordering 11 to 19 doses also decreased, from 33.5% to 20.1%. Dr. Delgado noted that the number of prescriptions for fewer than 10 doses declined, though, as more physicians followed the default recommendation.

The researchers tweaked the system to provide for defaults of different opioid/acetominophen combinations and including options for different numbers of doses. They found that the number of opioid doses being prescribed was cut in half, with patients reporting fewer pills left over after their pain resolved.

CMS Projects Health Care Spending to Increase Significantly in Next Decade

U.S. health care spending is projected to rise an average of 5.5% annually from 2017 to 2026, caused by many factors including an aging population and increasing prices for medical goods and services.

In addition to increasing expenditures, CMS has also projected the insured rate would drop from 91% to 89.3%, partially the result of repealing the individual mandate established in the Affordable Care Act.  Spending is expected to increase 5.3% in 2018, which would represent a significant increase from the 4.6% increase in 2017.  The total spend is expected to be nearly $3.5 trillion.

 
If the projections turn out to be accurate, health care spending in 2026 would make up 19.7% of the U.S. economy.  

Purdue Pharma Announces Cessation of Marketing Oxycontin to Prescribers

Oxycontin manufacturer Purdue Pharma LP announced last week that it has cut its sale force in half and will stop promoting opioids to prescribers.

The privately held company based in Stamford, Ct. made the announcement following criticism of the way that opioid manufacturers market controlled substances.  The company's remaining sales force of 200 detailers will now focus on Symproic, a drug for treating opioid-induced constipation and other potential non-opioid products.

 
Purdue and other manufacturers have been fighting lawsuits by state, counties and cities that have alleged that the companies deceptively marketed their opioid products. Purdue and three executives pleaded guilty in 2007 to federal charges related to the misbranding of oxycontin and paid $634.5 million to settle charges brought about by a U.S. Justice Department investigation.  Purdue also reached a $19.5 million settlement that same year with 26 states and the District of Columbia.  It agreed in 2015 to pay $24 million to resolve a lawsuit in Kentucky.
 
In an interview with Maine Public radio one week ago, MMA President Robert Schlager, M.D. noted that while the action by the company was a good step, it was one that should have taken place many years ago and expressed concern that the company has arrangements with companies marketing their product internationally and that those companies are allegedly using the same marketing tactics as were used in this country.  Family physician Noah Nesin, M.D. of Bangor in the same story noted that the company begin this marketing over 20 years ago and that as a result hundreds of thousands of patients developed opioid use disorder and many have been victims of overdose deaths.  
 


 
 

Health Access Network Names New Chief Executive Officer

Health Access Network (HAN), a Lincoln based community health center has named Nicole Morrison, RN, as their new Chief Executive Officer.  Morrison was appointed by the Board of Directors as the permanent CEO effective February 5, 2018. 

 

Nicole Morrison, RN

Health Access Network (HAN), a Lincoln based community health center has named Nicole Morrison, RN, as their new Chief Executive Officer. Morrison was appointed by the Board of Directors as the permanent CEO effective February 5, 2018. 

Morrison has served Health Access Network as Operations Director since 2012, and was tapped as the interim CEO in August, 2017 before becoming the Chief Executive in February. Morrison has 20 years of management experience in healthcare. Her leadership career began as Clinical Coordinator of a 50-bed multifunctional rehabilitation, long-term facility in Portland, Maine and grew to include over 12 years as the Director of Nursing for two local area rehabilitation, long-term care facilities.

“I am excited and honored to lead the Health Access Network team. This is a dynamic, growing organization that is well positioned to meet the healthcare needs of the communities we serve,” said Morrison. “I believe in making a difference in the lives of our patients and arrive at work every day with the motivation and drive to achieve this goal.”

Morrison is currently enrolled in Husson University’s MBA program with a concentration in Healthcare.

##

Founded in 2003, HAN is a federally funded community health center providing primary care, walk-in care, dental care, prenatal care, podiatry services, occupational health, mental health counseling, prescription drug assistance, and numerous patient support services.  The health center employs physicians and staff offering services in West Enfield, Lee, Lincoln, Medway, and Millinocket.  HAN is an equal opportunity program.  For more information, please visit www.http://www.hanfqhc.org/.


Notes from the American Medical Association

A few notes, with links to longer articles, from the AMA's Morning Rounds publication.

 


AMA Viewpoints » Action to address gun violence is long overdue
“Gun violence in America today is a public health crisis, one that requires a comprehensive and far-reaching solution,” AMA President David O. Barbe MD, MHA, writes in the wake of this week’s mass shooting in Parkland, Florida. “That is not just my own sentiment; that is the determination of the AMA House of Delegates. With more than 30,000 American men, women and children dying from gun violence and firearm-related accidents each year, the time to act is now.” Read more at AMA Wire®.

Nutritional fixes for patients with high BP: What you should know
To help physicians improve their knowledge and understanding of nutrition and lifestyle recommendations for their patients, the AMA partnered with suburban Chicago-based Gaples Institute for Integrative Cardiology. The institute provides an interactive, self-paced, three-hour online course that begins with a module on the magnitude and rapidity at which dietary changes can impact patient health. Read more at AMA Wire.

·    This story is part of a topic hub that centralizes the AMA’s essential tools, resources and content to help you in Targeting Hypertension. Explore other Medical Topics That Matter.

Inside the case of U.S. personnel in Cuba: “Like a concussion without a concussion”
JAMA study co-author and brain-injury rehabilitation specialist Randel Swanson, DO, PhD, says the government workers’ symptoms were very similar to those of patients who “had a traumatic brain injury from being in a car accident or a blast in the military.” Advanced neuroimaging techniques could help unravel the medical mystery. So far, a “unifying explanation” for what caused the problems found in objective assessments “remains elusive.” Read more at AMA Wire.

This week’s other top articles from The JAMA Network®

·    Screening for ovarian cancer not recommended: Study

·    Is risk of fatal crashes increased on 4/20 counterculture holiday celebrating marijuana? Study

·    ACA dependent coverage provision associated with increased use of prenatal care, reduction in preterm births: Study

·    Examination of postincarceration fatal overdoses after addiction treatment medications in correctional system: Study

US health care spending will hit $5.7 trillion annually by 2026

The Washington Post (2/14, Johnson) reports that according to an analysis conducted by CMS actuaries and published in Health Affairs, prescription drug spending will increase “faster than any other major medical good or service over the next decade.” Data indicate that “by 2026, national health spending will climb to $5.7 trillion, or nearly a fifth of the economy.” Prescription drug spending is expected “to grow at 6.3 percent per year, on average, between 2017 to 2026.”

        The AP (2/14) reports that the actuaries point to “an aging population and an uptick in prices for health care services and goods as factors behind the ongoing growth in costs.” Health care spending is expected “to rise by an average of 5.5 percent annually through 2026, or about 1 percentage point faster than economic growth.” The article says such increases make it more difficult “for government to pay for programs like Medicare and Medicaid, and for employers to keep financing medical coverage for workers and their families.”

       Bloomberg News (2/14, Tozzi) reports that for 2018, “price increases for personal health expenditures are projected to rise 2.2 percent, compared with 1.9 percent for overall inflation.” The article says that recently, “increases in health spending have been driven by volume, as millions more people gained insurance coverage under the Affordable Care Act,” and “overall price hikes have been historically low, increasing by an average of 1.1 percent annually between 2014 and 2016.” But that trend is expected to reverse.

       Reuters (2/14, Abutaleb) reports that this projected “increase represents a sharp uptick from 2017 spending, which the U.S. Centers for Medicare and Medicaid Services (CMS) now estimates to have been a 4.6 percent climb to nearly $3.5 trillion.” The previous estimate for 2017 had been a 5.4-percent increase. 

Visit AMA Wire Online

Connect with the AMA online: 

       

 

3 Ways to Maximize Employer Diabetes Prevention Tools for Your Patients

For many of your patients, work makes up—and takes up—a great deal of their lives. In fact, it’s probably where they spend most of their time. So it only makes sense that their jobs would support them in their health, especially when it comes to type 2 diabetes prevention.

 

Type 2 diabetes is looming large over your patient population. According to the Centers for Disease Control and Prevention (CDC), 84 million U.S. adults have prediabetes, elevated blood sugar levels, not high enough to be classified as diabetes. Nine out of 10 people don’t know they have the condition, but with prevention efforts, prediabetes is reversible.

An effective prevention tool is the CDC’s National Diabetes Prevention Program (National DPP), an evidence-based lifestyle change program that reduces disease progression by promoting healthy eating and increased physical activity.

Getting patients enrolled in the program, however, can be a challenge so providing proper support can have a major impact. Here are three ways physicians can work with patients to encourage enrollment through the workplace and provide additional support after enrollment.

1. Screen patients for prediabetes to determine their eligibility.

In as little as five years, prediabetes can progress to type 2 diabetes. So an important first step is to screen your patients to determine if they have prediabetes[1] .

To make the process easier, the American Medical Association, along with the CDC, has developed the Prevent Diabetes STAT toolkit, which provides resources that help physicians screen and refer patients to a National DPP provider.

The toolkit includes such information as:

●     A roadmap on how to conduct screening, testing and referrals

●     A 1-minute prediabetes risk test for patients, available online or on paper

●     Handouts that explain next steps for patients once they’ve been diagnosed

●     Fact sheets that provide case study evidence on the effectiveness of lifestyle change programs

2. Encourage them to sign up for an employer-sponsored diabetes prevention program.

Once it’s been determined that a patient has prediabetes, the next step is ensuring that they enroll in a National DPP to make lifestyle adjustments to prevent type 2 diabetes. Participation in a National DPP reduces the risk of developing type 2 diabetes by up to 58 percent, according to a study published in the New England Journal of Medicine.

Employers typically bear much of the costs of type 2 diabetes for their employees. According to a 2017 study in Population Health Management of commercially insured adults, during the first three years an individual progresses from prediabetes to type 2 diabetes, the average medical cost incurred is $8,000.

The toolkit offers information on where patients may be able to find a National DPP in their community. However, encouraging patients to talk with their companies about an employer-sponsored National DPP could increase their likelihood of enrolling.

The AMA recently launched the National DPP Employer Toolkit to provide helpful information to employers about offering the program to their employees. Employers may cover the cost of programs and build in incentives for enrollment and completion as well.

3. Provide additional support for patients when they do sign up for a National DPP.

When patients have enrolled in the program, it’s important that they complete it. As a physician, you can serve as a motivator and provide additional support and counseling to help ensure patients follow through the program to completion.

Without lifestyle changes, many patients with prediabetes will fall prey to type 2 diabetes, which can lead to other life-threatening conditions including heart attack, stroke and kidney failure. Now is the time to support your patients in making a change in support of their health.[2] 

You can find additional resources at the MMA's diabetes web page,

https://www.mainemed.com/diabetes-prevention .


 

Legislative Call This Tuesday, February 20th

The Maine Legislature has returned to Augusta. That means public hearings and work sessions have resumed, and it's time for our weekly Legislative Committee calls to continue. The next call will be Tuesday, February 20th, at 8 p.m.

 

MMA Legislative Committee Chair Stephen Meister, M.D. and Vice Chair Katherine Pope, 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 Second Regular Session of the 128th Maine Legislature will take place tomorrow, Tuesday, February 20th, 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.

Following are the bills of the week:

LD 1842: An Act To Require Education and Training Regarding Harassment for Legislators, Legislative Staff and Lobbyists.

(Again there is only one bill printed this week that relates to medicine.)

Legislative Report: "Conversion therapy" and More

A brief summary of some of the hearings and work sessions that took place during the last week, and a look ahead.

 

  • Health & Human Services Committee: The Health and Human Services Committee continues to discuss using the Fund for a Healthy Maine to fund both one-time and ongoing expenses for school based health centers and obesity counseling. They also held a work session on LD 565, a concept draft that may serve as a receptacle for various opioid related matters. The discussion focused on naloxone availability and the possible elimination of the sunset provision in last year's law allowing pharmacists to prescribe the life-saving opioid antagonist.
  • Judiciary Committee:  The Judiciary Committee continues to work a drug price transparency bill carried over from the First Regular Session (LD 1406). There is considerable interest in proceeding with the bill among Committee Democrats, but some Republican members, including Senate Chair Lisa Keim (R-Oxford), also have shown interest in the topic. Sen. Keim has taken an active role in work sessions on the bill.
  • Labor, Commerce, Research & Economic Development Committee: The LCRED Committee had a packed room on Wednesday for public hearings on LD 912, a bill that would prohibit the use of "conversion therapy" on patients under the age of 18. This controversial method is used by some counselors in an attempt to change a patient's sexual orientation or gender identity. There were several witnesses on each side of the issue, with the MMA joining the AAP, the AMA, and MAPP in supporting the bill.  During a work session last Thursday, the Committee voted unanimously "ought to pass as amended" on LD 958, a bill to adopt a version of the Uniform Emergency Volunteer Health Practitioners Act (UEVHPA).  MMA supported the bill.

Upcoming public hearings and work sessions this week:

EDU Presentation:

  • Opioid Task Force

HHS Work Sessions:

  • Continued discussion in the medical marijuana subcommittee
  • LD 1063 SUD & Pregnancy
  • LD 1189 Consent for Children's Mental Health Treatment
  • LD 1682 Recovery Residences
  • LD 1711 Homeless Opioid Users Pilot
  • LD 1713 Bridging Rental
  • LD 1730 Veterinarians & PMP
  • LD 1737 Medication Management
  • LD 1712 Healthcare Ombudsman
  • LD 1820 Child Habilitative Services Rates

JUD Work Session:

  • LD 1406 Drug Pricing Transparency

LCRED Work Session: 

  • Rep. Golden presentation on Veterans' Credits

Healthcare Suicide Prevention Protocol Development Training - half day workshop - March 2

Did you know that approximately half of those who die by suicide are seen by a medical provider in the month before their death? Attend Healthcare Suicide Prevention Protocol Development Training to learn how your medical staff can be prepared.

 

HEALTHCARE Suicide Prevention PROTOCOL DEVELOPMENT TRAINING on Friday, March 2, 2018 from 8:30am – 12:30pm at the Maine Medical Association, 30 Association Drive, Manchester.

Instructor: Greg Marley, LCSW, Clinical Director, NAMI Maine

Description: Approximately half of those who die by suicide are seen by a medical provider in the month before their death.  Few events are more painful or potentially disruptive to an organization or community than suicide. Suicide prevention protocols provide guidance on steps to safely assess and manage suicidal behavior and increase ongoing safety through a systemic approach to suicide management.   Suicide prevention is part of everyone’s role and protocols support training and implementation to save lives.   *This training is most effective if an organization sends both clinical and administrative staff. 

TO REGISTER: 

https://namimaine.site-ym.com/events/EventDetails.aspx?id=1060557&group

If you have questions, please email the Program Director, Dee Kerry at  dkerry@mainemed.com

28th Annual Winter Conference - Contemporary Topics in Orthopedics - March 16-18

Join us for the 28th Annual Winter Conference - Contemporary Topics in Orthopedics at the Sugarloaf Resort & Conference Center.

Join us for the 28th Annual Winter Conference - Contemporary Topics in Orthopedics at the Sugarloaf Resort & Conference Center.

DATES:  March 16-18, 2018

BROCHURE/REGISTRATION

ROOM RESERVATION FORM

For more information or questions, contact Laurie King at 207-307-8902 or lking@downeastortho.com.  

QC2018: Building Communities of Practice through Innovation - Wednesday, April 4, 2018

Maine Quality Counts (QC) will host their annual conference at the Augusta Civic Center. QC has decided to host a half-day conference this year, focused on a select number of topical innovations that are of strategic importance to QC’s members, partners, and stakeholders.

Maine Quality Counts (QC) will host their annual conference at the Augusta Civic Center. QC has decided to host a half-day conference this year, focused on a select number of topical innovations that are of strategic importance to QC’s members, partners, and stakeholders.

The Keynote Speaker will be Sanjeev Arora, MD, FACG, MACP – Distinguished Professor of Medicine in the Department of Internal Medicine at the University of New Mexico Health Sciences Center, as well as Director and Founder of Project ECHO (Extension for Community Healthcare Outcomes): a revolutionary, guided-practice model whereby primary care clinicians retain the responsibility of managing their patients, while also increasing their independence and self-efficacy.

Other topics include: Real-Life Applications of the ECHO Model; Reaching Diverse/Rural Populations through Telehealth; Best Practices and Workflows around Lung Cancer Screening; Addressing Healthcare Affordability; Building Communities of Practice around Older Adults; and an overview of lessons learned from Maine CDC’s Chronic Disease Improvement Collaborative. Registration opens 2/1 - space will be limited, so register early.

MMA and Jackson Laboratory Seeking Volunteers to Assist with 2018 Maine Cancer Genomics Initiative Forum

The Maine Cancer Genomics Initiative will hold its 2018 Forum April 6-8 at the Samoset Resort in Rockport, Maine.  MMA has been asked to help staff the Forum and is seeking 4 or 5 volunteers from the ranks of our retired members to assist with registration and hosting of the attendees. In exchange, the volunteers will receive housing and free registration to the conference.

Any MMA member wishing to take advantage of this opportunity should communicate with MMA EVP Gordon Smith at gsmith@mainemed.com.  

 
The Maine Cancer Genomics Initiative (MCGI) is a collaboration of leading Maine and New England clinical and research institutions focused on advancing cancer care and research in Maine. The Initiative is supported by the Harold Alfond Foundation in partnership with The Jackson Laboratory. Learn more at www.jax.org/mcgi.  The Program is directed by Andrey Antov, Ph.D., M.B.A. with medical direction from Jens Rueter, M.D.
 
Cancer is the leading cause of death in the state and new tests and treatments for cancer are increasingly based on the genetic testing of tumors. MCGI is designed to foster this emerging approach to cancer care, also known as Precision Medicine, and to support Maine cancer clinicians and patients.

New Free CME on Alzheimer's Risk, Detection, and Management

Discussing memory concerns with your patients can be difficult. Alzheimer's and other dementias are complex, and patients often have many questions and concerns.

 

To help you prepare for these visits, the Alzheimer's Association® presents Challenging Conversations About Dementia. In this free course, you'll receive information to confidently approach the detection, diagnostic and care-planning process for your patients with cognitive impairment and dementia.

For more information and to complete this course, go to www.alz.org/FreeCME. Other tools on the website include the Cognitive Impairment Toolkit.

Peer Navigation Program from Facing Our Risk of Cancer Empowered (FORCE)

Free program for those affected by hereditary breast and ovarian cancers.

The mission of Facing Our Risk of Cancer Empowered (FORCE) is to improve the lives of individuals and families affected by hereditary breast, ovarian, and related cancers.

The FORCE Peer Navigation Program helps match people facing hereditary cancer with support and resources.  This free program connects cancer survivors, people at high risk and their caregivers to support and resources personalized for them.

For more information visit the FORCE website at http://www.facingourrisk.org

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.

Associate Director/Director of Compliance, Privacy, Risk and Legal Affairs for Penobscot Community Health Care in Bangor, Maine

PCHC is looking for an individual with some combination of expertise in implementing, modifying, and/or overseeing PCHC’s compliance plan, privacy program, risk management activities, and coordinating its day-to-day legal affairs in close partnership with PCHC’s general counsel and senior leadership.

This position will manage, in some combination, the following substantive work:

  • Compliance activities;
  • Privacy program;
  • Risk management/patient safety activities;
  • Legal/litigation support

The title, salary, and job duties will vary depending upon the successful candidate’s skill set, number of competencies demonstrated, years of experience in the functional areas listed above, and educational level.  Applicants with expertise in two or more functional areas listed above are specifically encouraged to apply.  PCHC is looking for an individual with some combination of expertise in implementing, modifying, and/or overseeing PCHC’s compliance plan, privacy program, risk management activities, and coordinating its day-to-day legal affairs in close partnership with PCHC’s general counsel and senior leadership. The position ensures that PCHC achieves consistently high levels of compliance with all laws and regulations while supporting the growth of PCHC. The position provides training, advice, and direction to PCHC’s Board of Directors, senior management, and employees on preventing, identifying, and resolving compliance and/or privacy issues. If interested, please apply online at www.pchc.com/careers or email our Recruitment Coordinator at recruitment@pchc.com

2/26/18

MD/DO - Lewiston, ME

Community Health Options is interested in contracting with a MD/DO, licensed in Maine, to assist in the Prior Approval process. 

Community Health Options is interested in contracting with a MD/DO, licensed in Maine, to assist in the Prior Approval process.  The predetermined schedule of hours will begin in May 2018 and will typically include 4 hours per day of Prior Approval work.  Work can be completed from home office.  Interested candidates should forward their resume and letter of interest to Joyce McPhetres, Chief Human Resources Officer, at jmcphetres@healthoptions.org.

2/19/18

Chief Executive Officer CEO at Greater Portland Health

Dynamic, experienced, leader sought by a growing Federally Qualified Health Center (FQHC) in beautiful Portland Maine.

Dynamic, experienced, leader sought by a growing Federally Qualified Health Center (FQHC) in beautiful Portland Maine.  Applicants must have FQHC experience and be familiar with laws and regulations related to FQHCs and Board governance.  Enthusiasm for fundraising and public relations is required.  The CEO will demonstrate a commitment to a diverse workforce that reflects the community served by the health center.

Qualifications:

  • Masters in Healthcare Administration or similar advanced degree.
  • A minimum of eight (8) years of senior management experience in a healthcare setting, with FQHC required. Prior experience as a CEO preferred.
  • Demonstration of successful leadership of fundraising efforts.

To Apply: Qualified applicants should submit a letter of interest describing in detail why they are applying, a resume or curriculum vitae, and a writing sample to Sarah Pesa, Human Resources Generalist, spesa@greaterportlandhealth.org

2/12/18

Outpatient Internal Medicine Physician Bangor, Maine

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.

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. We also offer a relocation bonus and sign-on bonus in addition to our generous educational loan repayment program.

Candidates in need of J-1 visa waivers welcome to apply.

For confidential consideration, please contact:

Amanda Klausing, AASPR, Physician Recruiter

Eastern Maine Medical Center

Phone: 207-973-5358

ProviderJobs@emhs.org

 3/26/18


Relocate to Beautiful Southwestern Maine - Medical Director/Family Practice Physician

Sacopee Valley Health Center has a position available for a Medical Director/Family Practice Physician for our multi-service, progressive, rural federally qualified community health center located in a medically underserved area.

Sacopee Valley Health Center has a position available for a Medical Director/Family Practice Physician for our multi-service, progressive, rural federally qualified community health center located in a medically underserved area. This position allows for the medical director to apply leadership skills while partnering with health center staff and colleagues to provide optimal health care for our patients on a daily basis. Services on site include integrated primary care, dental services, family planning, mental health counseling, psychiatry, nutritionist, optometry, podiatry, social services support, sliding fee coverage, care management, radiology and lab services. NextGen EMR. Practice is outpatient only with no OB. On-call rotation is 4-5 times per month. NCQA Level III PCMH. Competitive salary and benefits package; physicians are eligible to apply for NHSC loan repayment. We are located in Porter, ME, between Portland and the White Mountains. Area is known for terrific four season recreational activities. Just two and one-half hours from Boston. Submit CV to: Linda Watson, Director of Operations or, (lwatson@svhc.org), Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068. EOE. www.svhc.org Sacopee Valley Health Center is an equal opportunity provider and employer.

3/26/18

Clinical Cardiology Opportunity

Maine Medical Partners MaineHealth Cardiology is seeking an invasive clinical cardiologist (non-interventional) for their practice located in their Augusta and Waterville, Maine locations

Maine Medical Partners MaineHealth Cardiology is seeking an invasive clinical cardiologist (non-interventional) for their practice located in their Augusta and Waterville, Maine locations.  Selected candidates will join a growing team of over 50 cardiologists who provide inpatient, outpatient and consultative services. 

Maine Medical Partners MaineHealth Cardiology is a growing practice, with office locations in Augusta, Waterville, Lewiston, Rockport, and Scarborough, and is affiliated with the nationally recognized cardiac services at Maine Medical Center and its parent organization MaineHealth. 

This integrated practice includes Maine General Health, Maine’s third largest health care system.  The Alfond Center for Health, MaineGeneral Medical Center’s state-of-the art, 192-bed regional hospital, has a cardiac catheterization lab and full on site imaging, including echocardiography and nuclear testing.  The Augusta/Waterville practice consists of 9 cardiologists and 2 advanced practice providers.

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

3/19/18

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/.
 
3/26/18
 
 

Opportunities at the VA for Volunteer Physicians

Take advantage of this opportunity with the Veterans' Administration to thank our veterans in a concrete way for their service and their sacrifices.

The Physician Ambassador Program was created by the Department of Veterans Affairs as a best practice recruitment and placement initiative seeking fully licensed physicians and clinicians to enhance health care services for Veterans.

The Physician Ambassador Program is a without compensation program that provides civilian physicians and clinicians an opportunity to give back to the Veteran community by serving in a volunteer role to deliver health care services to Veterans. 

If you are interested in participating in this program at VA Maine Healthcare System, please contact Jonathan Barczyk at (207) 621-4886.