Maine Medicine Weekly Update - April 16, 2021
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Maine Medical Association Statement on Johnson & Johnson COVID-19 Vaccine Pause

The MMA released the following media statement shortly after Tuesday’s US FDA recommendation, and Governor Mills’ call the pause administration of the Johnson & Johnson COVID vaccine.

 

 

The MMA released the following media statement shortly after Tuesday’s US FDA recommendation, and Governor Mills’ call the pause administration of the Johnson & Johnson COVID vaccine.

News: For Immediate Release

Additional Information Contact: 

Dan Morin, Director of Communications & Government Affairs 

(207) 838-8613 – mobile 

DMorin@MaineMed.com 

MMA PRESIDENT STATEMENT ON JOHNSON & JOHNSON VACCINE 

MANCHESTER, (April 13, 2021) --- Today, the US Food and Drug Administration and Centers for Disease Control and Prevention recommended a pause in the use of the coronavirus vaccine developed by Johnson & Johnson out of an abundance of caution after six reported U.S. cases of a rare and severe type of blood clot in individuals after receiving the J&J vaccine. 

Shortly after, the Maine Center for Disease Control and Prevention announced they were not aware of any reports of these cases in Maine residents. Given this recommendation, the State of Maine is also advising that providers pause administration of the Johnson & Johnson vaccine until the U.S. CDC’s scientific advisory committee has further reviewed the safety data. 

MMA President, Karen Saylor, M.D., applauded the move but cautioned, “The reported events are extremely rare, and it has not yet been proven that the vaccine caused the reported blood clots.” She added, “Pausing administration of J&J doses is the right move as all safety concerns should be investigated immediately and thoroughly. This shows our regulatory agencies are doing their job and placing safety first.” 

About the Maine Medical Association:

The MMA was founded in 1853 and represents all of Maine's physicians, residents & medical students across all clinical specialties, organizations, and practice settings. 

 

 

FDA Update & Statement on Johnson & Johnson COVID-19 Vaccine Pause Recommendation

On Tuesday, the FDA and Centers for Disease Control and Prevention (CDC) issued a Statement regarding the Janssen (Johnson & Johnson) COVID-19 Vaccine.

 

On Tuesday, the FDA and Centers for Disease Control and Prevention (CDC) issued a Statement regarding the Janssen (Johnson & Johnson) COVID-19 Vaccine. Out of an abundance of caution, the FDA and CDC recommended a pause in the use of this vaccine while we review the data from six reported cases in the U.S. of a rare and severe type of blood clot in people who received the vaccine. This pause was recommended, in part, to ensure that the health care provider community is aware of the potential for these adverse events and can plan for proper recognition and management due to the unique treatment required with this type of blood clot. 

The FDA added three questions about the recommended pause in the use of this vaccine to the Janssen COVID-19 Frequently Asked Questions webpage and provided additional information and answered questions, Tuesday during an online media briefing. A recording of the call can be found on YouTube by clicking here.

American Medical Association President, Susan R. Bailey, MD, hosted a conversation with Peter Marks, MD, PhD, Director of the Center for Biologics Evaluation and Research at the Food and Drug Administration (FDA) as part of its ongoing webinar series for physicians on COVID-19 vaccines. The most recent webinar focused on the Johnson & Johnson (Janssen) vaccine.  You can view the webinar at this link.

An Emergency ACIP meeting will be held to discuss the Johnson & Johnson COVID-19 vaccine next Friday, April 23, 2021, 11:00 a.m. to 5:00 p.m. ET. The webcast link of the meeting can be found here.

Thrombotic Thrombocytopenia & J&J COVID Vaccine Response from the Manufacturer

The following letter from the manufacturer of Janssen Vaccines and Prevention, Leiden was published April 16, 2021 online by the New Journal of Medicine.

 

The following letter from the manufacturer of Janssen Vaccines and Prevention, Leiden was published April 16, 2021 online by the New Journal of Medicine. 

Thrombotic Thrombocytopenia after Ad26.COV2.S Vaccination

 

Over 30 Percent of US Adults Fully Vaccinated, Maine Leads the Nation

As of reports released midday Friday, more than 30 percent of U.S. adults are fully vaccinated for COVID-19 and nearly half of the U.S. adult population has received at least one dose, according to data from the Centers for Disease Control and Prevention (CDC).

 

As of reports released midday Friday, more than 30 percent of U.S. adults are fully vaccinated for COVID-19 and nearly half of the U.S. adult population has received at least one dose, according to data from the Centers for Disease Control and Prevention (CDC)

Roughly 78 million Americans ages 18 years and older have been fully vaccinated, representing 30.3 percent of the population of that age group, according to the data. Nearly 125 million adults have received at least one dose of a coronavirus vaccine, representing 48.3 percent of the adult population. 

US public health experts are seeking between 70 percent and 85 percent of the population to be vaccinated to reach herd immunity. To get there, 3 million vaccine doses per day on average would have to be administered. The threshold could be reached in June under the current pace, which is of course supply dependent. 

According to the Portland Press Herald, also on Friday, Maine leads nation in COVID-19 vaccination rate. About 31 percent of Mainers are fully vaccinated, but state leaders are concerned about currently but high infection rates and rising hospitalizations. New cases of COVID-19 topped 500 for the fourth day in a row on Friday, with Maine CDC reporting 572 cases and five additional deaths.

 

Maine CDC COVID-19 Update for Clinicians with Stephen Sears, MD

Dr. Sears is an epidemiologist and Maine CDC Clinical Advisor for the state’s COVID-19 Response Team. He has been holding Zoom clinical updates since early in the pandemic providing valuable insights on disease research, clinical standards, and Maine CDC guidance and procedures.

 

The next Maine CDC Clinical Update with Stephen Sears, M.D. will be Thursday, May 6, 2021. 

Dr. Sears is an epidemiologist and Maine CDC Clinical Advisor for the state’s COVID-19 Response Team. He has been holding Zoom clinical updates since early in the pandemic providing valuable insights on disease research, clinical standards, and Maine CDC guidance and procedures. 

MMA members are invited to join him again, Thursday, May 6th at 12:30 ET. 

Join Zoom Meeting https://zoom.us/j/92065911989?pwd=S29FN2w1NElycVhEbW56SnBFN1lzZz09 

Meeting ID: 920 6591 1989 

Passcode: 943353 

One tap mobile 

+13126266799,,92065911989# US (Chicago) 

+16465588656,,92065911989# US (New York)

 

Clinical Updates and Guidance Related to COVID-19

Find clinical updates and guidance related to COVID-19 here.

 

· COVID long haulers: Questions patients have about symptoms 

· US FDA Update: How many doses can be obtained from the multi-dose vials of Moderna? 

· Fitted Filtration Efficiency of Double Masking During the COVID-19 Pandemic (Research Letter, JAMA, Internal Medicine) 

· Accuracy of Practitioner Estimates of Probability of Diagnosis Before and After Testing (Original Investigation, JAMA, Internal Medicine) 

· Indoor Air Changes and Potential Implications for SARS-CoV-2 Transmission (JAMA Insights) 

 SARS-CoV-2–Specific Antibodies in Breast Milk After COVID-19 Vaccination of Breastfeeding Women (Research Letter, JAMA Network)

COVID long haulers: Questions patients have about symptoms

Many people with COVID-19 experience lingering symptoms. A physician expert answers questions patients might have about long-hauler COVID symptoms such as brain fog. Read more from the AMA.

US FDA Update: How many doses can be obtained from the multi-dose vials of Moderna?

The Moderna COVID-19 Vaccine is available in two multi-dose vials presentations; one in which the maximum number of extractable doses is 11, with a range of 10-11 doses, and a second in which each vial contains a maximum of 15 doses, with a range of 13-15 doses that can potentially be extracted.

Depending on the type of syringes and needles used to extract each dose, there may not be sufficient volume to extract more than 10 doses from the vial containing a maximum of 11 doses or more than 13 doses from the vial containing a maximum of 15 doses.

Because the Moderna COVID-19 Vaccine does not contain preservative, any further remaining product that does not constitute a full dose should not be pooled from multiple vials to create one full dose.

Moderna COVID-19 Vaccine Frequently Asked Questions

Letter Granting Moderna EUA Amendment

Fact Sheet for Healthcare Providers Administering Vaccine: EUA of the Moderna COVID-19 Vaccine to Prevent COVID-19.

Fitted Filtration Efficiency of Double Masking During the COVID-19 Pandemic (Research Letter, JAMA, Internal Medicine)

Accuracy of Practitioner Estimates of Probability of Diagnosis Before and After Testing (Original Investigation, JAMA, Internal Medicine)

Indoor Air Changes and Potential Implications for SARS-CoV-2 Transmission (JAMA Insights)

SARS-CoV-2–Specific Antibodies in Breast Milk After COVID-19 Vaccination of Breastfeeding Women (Research Letter, JAMA Network)

SARS-CoV-2–Specific Antibodies in Breast Milk After COVID-19 Vaccination of Breastfeeding Women (Research Letter, JAMA Network)

 

Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through December

An Act to Prevent Across-the-Board Direct Spending Cuts, and for Other Purposes, signed into law on April 14, 2021, extends the suspension period to December 31, 2021.

 

The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the sequestration payment adjustment percentage of 2% applied to all Medicare Fee-for-Service (FFS) claims from May 1 through December 31, 2020.  The Consolidated Appropriations Act, 2021, extended the suspension period to March 31, 2021. An Act to Prevent Across-the-Board Direct Spending Cuts, and for Other Purposes, signed into law on April 14, 2021, extends the suspension period to December 31, 2021. 

Medicare Administrative Contractors will: 

Release any previously held claims with dates of service on or after April 1. 

Reprocess any claims paid with the reduction applied. 

You don’t need to take any action. 

 

MaineCare Updates: Upcoming Accountable Communities Public Webinar & Primary Care 2.0 Presentation Available Online

The Office of MaineCare Services is holding a public webinar to provide an overview of the Accountable Communities (AC) program, which is Maine’s version of a Medicaid Accountable Care Organization.

 

Accountable Communities Public Webinar 

The Office of MaineCare Services is holding a public webinar to provide an overview of the Accountable Communities (AC) program, which is Maine’s version of a Medicaid Accountable Care Organization. Specifically, OMS is prepared to discuss AC program fundamentals, including program design and historic outcomes, how to participate in the AC program, and how it aligns with other MaineCare Value-Based Purchasing initiatives. 

Who should attend the session? 

Content in this session will be tailored toward stakeholders seeking an introduction to the AC program, including: 

· New staff of AC entities; 

· Health system administrators or clinicians interested in joining the AC program; and, 

· Community partners or health care providers that are exploring partnership opportunities with ACs in their area. 

This webinar will be held through Zoom on Monday, May 10th, 2021, from 1:00-2:00 pm.

Join Zoom Meeting: https://us02web.zoom.us/j/83913527531?pwd=bUdtK0JUNHk5ZnAwa242ZUkwaGdmdz09 

Meeting ID: 839 1352 7531 

Passcode: 7k98h5 

One tap mobile 

+13126266799,,83913527531#,,,,*186130# US (Chicago) 

+19292056099,,83913527531#,,,,*186130# US (New York) 

Dial by your location 

+1 312 626 6799 US (Chicago) 

+1 929 205 6099 US (New York) 

+1 301 715 8592 US (Washington DC) 

+1 346 248 7799 US (Houston) 

+1 669 900 6833 US (San Jose) 

+1 253 215 8782 US (Tacoma) 

Primary Care 2.0 Presentation Available If you were unable to attend the Primary Care 2.0 Presentation on March 19, 2021, please review the presentation, found on the Primary Care webpage. Please email MaineCare with questions. 

 

 

 

HealthCare Dive: Urgent Care Centers Draw Some ER Visits but Associated with Higher Spending Overall

While urgent care centers do keep some lower-acuity patients from visiting costly emergency departments, their presence is not associated with a drop in total healthcare costs, according to a report in Health Affairs.

 

 · While urgent care centers do keep some lower-acuity patients from visiting costly emergency departments, their presence is not associated with a drop in total healthcare costs, according to a report in Health Affairs

· Using commercial claims and enrollment data from 2008 to 2019, researchers found an increase of 1,000 lower-acuity urgent care visits resulted in 27 fewer lower-acuity ER visits. The entry of a high-volume urgent care center into a ZIP code was associated with a 31% drop in emergency visits. 

· However, while ER trips were far more costly ($1,716 vs. $178), each $1,646 ER visit was offset by $6,327 more in urgent care costs because the number of urgent care visits per enrollee required to reduce one ER visit was 37. 

The full article can be found here.

 

 

Webinar for Medical Students April 22: So You Are Employed, Now What?

Free webinar presentation by Baystate Financial on Thursday, April 22 at 6pm.

 

Webinar: So You Are Employed, Now What?
Free webinar presentation by Baystate Financial for the MMA Medical Student Section
Thursday, April 22, 2021 at 6:00pm

In this session we will discuss debt repayment, benefits, short term vs. long term disability insurance and all the other concerns that come your way as a new resident.

RSVP by 4/21 to Victoria Michaud at Baystate Financial at (207) 770-2028 or vmichaud@BaystateFinancial.com.

Baystate Financial is a Corporate Affiliate of the Maine Medical Association.

Next MMA Legislative Call Will Be Wednesday, April 21st

MMA Legislative Committee Chair, Jay Mullen, M.D. welcomes you to participate in the weekly conference calls of the MMA Legislative Committee.

 

MMA Legislative Committee Chair, Jay Mullen, M.D. welcomes you to participate in the weekly conference calls of the MMA Legislative Committee. 

The purpose of the weekly conference calls is to discuss 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 actions of the week. The calls rarely last longer than an hour. 

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. 

The next MMA Legislative Committee weekly conference call for the First Regular Session of the 130th Maine Legislature will take place Wednesday, April 21, at 7:00 p.m. via Zoom. 

You may now join the meeting with your computer or continue to connect by phone only. Please use the following Zoom meeting information. This will remain the same for every weekly call during the session. 

Legislative Committee Weekly Update Apr 21, 2021 7:00 PM 

Join Zoom Meeting: https://zoom.us/j/92954551629?pwd=WUF1L3BkMHY5SW1iYzhGSjdscGN6dz09

Meeting ID: 929 5455 1629

Passcode: 2021 

Dial by your location: +1 646 876 9923 US (New York) 

Find your local number: https://zoom.us/u/adD6zd4sZG

A list of the bills to be discussed during the weekly call will be e-mailed to committee members and those interested early next week.  If you would like to be added to this e-mail list, please contact Sarah Lepoff at  slepoff@mainemed.com

Maine Community Action Partnership is Working for a Successful Vaccine Roll Out for All

Maine Community Action Partnership (MeCAP) is working for a successful vaccine roll out for all, including the state’s most underserved residents. Joining forces with Maine CDC, DHHS and a broad coalition of community based organizations, MeCAP is meeting people where they are to “get shots in arms” as quickly and safely as possible.

 


Maine’s COVID-19 vaccine education is in high gear. Maine Community Action Partnership (MeCAP) is working for a successful vaccine roll out for all, including the state’s most underserved residents.  At the heart of MeCAP is a statewide network of community action agencies advocating a wide range of social services to improve the quality of life for Mainers. Joining forces with Maine CDC, DHHS and a broad coalition of community based organizations, MeCAP is meeting people where they are to “get shots in arms” as quickly and safely as possible.

If you are experiencing patients with hesitancy towards the COVID-19 vaccines, we have some updated research, education and messaging Please visit the https://mecap.org/vaxfax/ 

If you are interested in doing a pop-up clinic, please contact mleary@mecap.org 

If you are interested in having someone speak to your community, please contact mhannan@mecap.org 

If you’re interested in assistance with messaging, please contact erikagneaumann@gmail.com

 

Maine Medical Association & ActionPPE Partner Again; This Time for FDA Approved Rapid Antigen Tests

 Action PPE has negotiated a special group buy on FDA approved Covid Rapid Antigen Tests which can be done in a provider’s office in just 10 minutes and for as little as $15.55.

 


Action PPE has negotiated a special group buy on FDA approved Covid Rapid Antigen Tests which can be done in a provider’s office in just 10 minutes and for as little as $15.55. 

The MMMA is partnering with ActionPPE.org on a Covid Test group buy at below market prices. These FDA approved tests can be done in your office in just 10 minutes. 

The MMA has partnered with Action PPE for most of the pandemic on PPE access. 

Reserve your Covid test kits today as stock will be allocated on a first-come-first-serve basis for medical professionals only. 

Reserve yours today at: https://actionppe.org/mainemed 

Use the MMA discount code: MAINEMED-SAVE5

 

A Message from Maine Responds: Volunteer Opportunity

By registering with Maine Responds at maineresponds.org, you will join our listing of volunteers against which we search for any emergent volunteer workforce needs.

 

 A Message from Maine Responds:

We appreciate all of the offers coming in to assist in Maine CDC's COVID-19 response.  By registering with Maine Responds at maineresponds.org, you will join our listing of volunteers against which we search for any emergent volunteer workforce needs. Read on for the details of joining both Maine Responds, and our more involved volunteer opportunities through Maine Medical Reserve Corps - members of both start with the same first step: register at maineresponds.org.

The Maine Responds Emergency Health Volunteer System is the online registration system for public health, healthcare and emergency response volunteers for the State of Maine.

Maine Responds is a partnership that integrates local, regional, and statewide volunteer resources to assist our public health and healthcare systems. It is part of a national initiative to train, coordinate, and mobilize volunteers during an emergency. Maine Responds coordinates verified, pre-credentialed public health, healthcare and emergency response volunteers into a single database that can coordinate the need for volunteers across county, regional and state lines if needed.

Maine Medical Reserve Corps (MRC) volunteer programs reinforce our state's public health infrastructure and support low stress/no-fault exercise environments that test critical response capabilities.  Members of both Maine Responds and MRC start with the same first step: register at maineresponds.org. You will be able to select your local MRC unit in the drop-down menu under the "Organizations" section of the registration - refer to this link to determine your Public Health District(s).  Maine Responds ESAR-VHP is our volunteer communication and activation system.

Contact: Edward Molleo  edward.f.molleo@maine.gov

Public Health Emergency Preparedness
Department of Health and Human Services
Maine Center for Disease Control and Prevention

Maine Legislature Week 14 Update

The following is a summary of happenings during week 14 of the Maine Legislature.

 

Weekly Update

Week of April 12 - April 16

 Health and Human Services

            On Monday, the Committee heard testimony during a public hearing for LD 968, Resolve, to Expand Mental Health Crisis Intervention Mobile Response Services. The bill would expand the existing mobile response services to reach all corners of the State, with the idea being that mental health professionals are more often responding to those in crisis, rather than have law enforcement handling such calls. Mental health advocates and police were in support of the bill, while DHHS opposed the new measures.

            Public Hearing for LD 1262, Resolve, Directing the Department of Health and Human Services To Develop a Comprehensive Statewide Strategic Plan To Serve Maine People with Behavioral Health Needs throughout Their Lifespans, commenced on Monday. The bill directs the DHHS to develop a comprehensive statewide plan to serve behavioral health services. Many testified in favor of the proposed legislation. It was noted that the next step forward is to create a comprehensive strategic plan to solve the behavioral health crisis in Maine. Those in opposition agreed with the intent of the bill but asked for incorporating Anosognosia into the bill’s consideration.

            LD 1147, Resolve, To Enhance Access to Medication Management for Individuals with Serious and Persistent Mental Illness, seeks to raise the reimbursement rate for psychiatric medication management services so providers do not continue to have revenue losses and are able to expand care. Kennebec Behavioral Health’s Tom McAdam stated there were 395 people on their medical management waiting lists, they lost $500,000 last year in providing these essential services.. The cost to provide these services has more than doubled since 2008.

            Tuesdays public hearings of consideration were LD 1388  and LD 1385. LD 1388, An Act To Require Testing of Public Drinking Water Supplies for Toxic Perfluoroalkyl and Polyfluoroalkyl Substances and To Establish Maximum Contaminant Levels, would require water testing and sets a maximum contaminant level of 20ppt. All who testified noted this MCL should be lowered, as this level can still cause serious risk. They also noted there are many other PFAS that are of concern that this bill should address rather than simply address two. Dr. Lani Graham testified on behalf of MMA in support of the bill, noting it is essential a testing requirement be established and enforced as some schools have refused to test for PFAS when free testing was provided. LD 1385, An Act To Provide for Timely Placement with Respect to Violent Patients in Hospital Emergency Rooms, would provide the needed secure facilities to place violent patients that pose physicians, staff, and other patients danger. This bill had many proponents, including Northern Lights’ Lisa Harvey-McPherson  who spoke about the significant delays in discharge because the facility the patient had come from refused to take them back due to their violent behavior. There was concern echoed by DHHS’s Jessica Pollard and Malory Shaughnessy from the Alliance for Addiction & Mental Health Services that oftentimes the facilities cannot accept the patient back because they lack the necessary staff, training, and accommodations for the violent patient.

            LD 1113, Resolve, To Direct the Permanent Commission on the Status of Racial, Indigenous and Maine Tribal Populations To Study and Propose Solutions to Disparities in Access to Prenatal Care in the State, directs the Permanent Commission on the Status of Racial, Indegenous and Maine Tribal Populations to study disparities in access to prenatal care. The bill would be a combination of research on previous data and original research from the patients via interviews. Senator Baldacci added an amendment to report back to the HHS committee and to allow the committee to make legislation in response to the recommendations from the Commision. It was voted OTP-AM with 7 in favor, 2 against, and 4 absent. The minority report, presented by Representative Lemelin, was to strike the study of racial disparities from the bill so it would only include Indegenous and Tribal populations.

            On Wednesday, LD 432, Resolve, To Improve Behavioral Health Care for Children, was voted “ought to pass” with the amendment to change the previous 10 hours/year MaineCare reimbursement to 20 hours/year and cap hours at 24 per year. This bill will reimburse for collateral contacts for children’s home and community based-treatment. Public Hearing for LD 1386, Resolve, To Improve Access to Bariatric Care, was on Wednesday as well. This bill will provide sixteen bariatric beds for patients who are morbidly obese. The proponents of the bill spoke on the difficulty of finding bariatric beds for patients and the lack of these beds in Maine often forces the patients to move out of state.

            If there is one bill of the week it is LD 718, An Act To Improve the Health of Maine Residents by Closing Coverage Gaps in the MaineCare Program and the Children's Health Insurance Program. This bill would use state funds to cover the care for immigrants who are not eligible for federal Medicaid or CHIP. There were 71 pieces of testimony in support of this bill. All of which urged the passing of this bill because of the health inequalities amongst the immigrant population. LD 1282, An Act To Prevent Underage Tobacco and Nicotine Access and Use, received the opposite to that of LD 718 in that there were only opponents. This bill would limit the amount of liquid nicotine that can be solved in a single transaction and require sellers to have license scanning technology to verify IDs. Those who testified stated the bill would have adverse effects as it may increase the sales of nicotine products rather than limit sales to those who are underage. MMA submitted testimony in opposition to this bill’s failure to include any other nicotine products and its possible unintended consequences on sales.

            LD 196, Resolve, To Ensure Access to Community Mental Health Services, had its public hearing in the afternoon on Thursday. This bill directs the DHHS to increase reimbursement rates for sections 17 and 65 for direct care workers. All were in support of this proposed legislation. LD 360, Resolve, To Reduce Barriers to Recovery from Addiction by Expanding Eligibility for Targeted Case Management Services, removes special conditions around receiving services for substance use disorders. Current law only permits SUD services for adults who are pregnant, living with their own minor children, and/or using drugs intravenously –– excluding many adults from receiving this treatment. All supported this bill to address the rising number of SUD and fatal overdoses. LD 582, An Act To Support the Fidelity and Sustainability of Assertive Community Treatment, adjusts the definition of assertive community treatment to better align with evidence-based models of treatment and adds in a medical assistant as part of the ACT model. All were in support of this bill as well; specifically in that this bill would expand the hiring pool and access to ACT because it adds a medical assistant to those qualified.

            LD 979, An Act To Expand Maine's School-based Health Centers, provides ongoing funding of $600,000 to fund the expansion of school-based health clinics. The committee unanimously voted “ought to pass: with the fiscal note as the amendment!

Judiciary

            LD 861, Resolve, Directing the Department of Health and Human Services to Contract for Assessments for Involuntary Hospitalizations, was tabled on Friday to allow time for concerned parties to gather further materials for the work session.

Health Coverage, Insurance and Financial Services

            On Tuesday, the Committee held public hearings on a package of bills entitled, “The Making Healthcare Work Package.”  Its lead sponsor was Senate President Jackson. The package was made of five bills, including LD 120, LD 673, LD 675, LD 6868, and LD 1117.  LD 120 focused on creating the Maine Office for Affordable Healthcare, which would give Maine residents a place to turn to when dealing with insurance disputes. The bill was met with wide support and no direct opposition. LD 1117 aims to prohibit drug manufacturers from excessive price increases, as well as lets the Attorney General investigate price gouging. LD 673 had robust support, as it would allow pharmacists to supply a 30-day emergency supply of insulin and help avoid patients having to ration or go without necessary insulin. Finally, LD 675 had support from patients, but was opposed by pharmaceutical companies. The bill would make drug manufacturers subject to fines if the drug has been identified as having an unsupported price increase. All bill packages move on to a work session shortly.

            On Wednesday, the Committee held a lengthy public hearing on LD 1266, An Act to Improve the Value of Dental Insurance. Where medical insurance has to have a 80% minimum loss ratio, dental insurance is not required to have such a percentage. This bill looks to apply the same MLR to dental insurance, thus providing consumers with more value for their dental insurance. The bill had support from dentists and the Maine Dental Association, but hit lots of resistance from a host of dental insurance carriers. 

 

Maine Legislature Public Hearings, Work Sessions & New Bills

 The following bills of interest to MMA’s Legislative Committee are scheduled for public hearings, committee discussions (work sessions), and potential votes over the next two weeks.

 

 The following bills of interest to MMA’s Legislative Committee are scheduled for public hearings, committee discussions (work sessions), and potential votes over the next two weeks.

 (PH) = Public Hearing

(WS) = Work Session

Week of April 19 – April 23

Tuesday, April 20, 2021

9:30 AM—IDEA - PH

LD 1327 An Act To Create the Maine Health Care Provider Loan Repayment Program 

10:00 AM—ECA-PH

LD 772 An Act To Permit Naloxone Possession, Prescription, Administration and Distribution in Public and Private Schools – Draft MMA Testimony

LD 896 An Act Concerning Mental Health in Public Schools – concept

LD 452 An Act To Require Certain Schools To Provide Menstrual Products

10:00 AM—HCIFS – PH

LD 530, An Act To Consolidate Patient Bills by Directing Health Insurers To Collect Copayments and Deductibles - MHA

LD 951 An Act To Improve Transparency of Medical Billing

LD 1353 An Act To Require the Public Posting of the Costs of Medical Procedures, Services, Medications and Equipment Delivered in Hospitals and the Reporting of Those Costs upon Request

1:00 PM—IDEA - PH

LD 1493 Resolve, Directing the Department of Economic and Community Development To Create and Administer a Fund To Provide Seasonal and Tourism Industry Recovery Grants

1:00 PM—ECA-WS

LD 742 Resolve, To Track Youth Mental Health during the COVID-19 Public Health Emergency by Ensuring the Maine Integrated Youth Health Survey Is Conducted during the 2020-2021 School Year

Wednesday, April 21, 2021

10:00 AM—CJPS – PH

LD 663 An Act To Make Comprehensive Substance Use Disorder Treatment Available to Maine's Incarcerated Population

LD 759 An Act To Amend the Child Endangerment Laws To Include Certain Unauthorized Access to a Loaded Firearm 

11:00 AM—HCIFS – PH

LD 365, An Act To Protect Consumers from Surprise Medical Bills 

LD 749   An Act To Establish a Council on Health Systems Development

LD 750 An Act to Increase Transparency of and Lower Health Care Costs 

LD 1481 An Act To Clarify Surprise Billing Restrictions 

2:00 PM—HHS – WS

LD 360 To Reduce Barriers to Recovery from Addiction by Expanding Eligibility for Targeted Case Management Services

LD 718 An Act To Improve the Health of Maine Residents by Closing Coverage Gaps in the MaineCare Program and the Children's Health Insurance Program

LD 1282 An Act To Prevent Underage Tobacco and Nicotine Access and Use

2:00 PM—CJPS – PH

LD 994 An Act To Promote Public Health by Eliminating Criminal Penalties for Possession of Hypodermic Apparatuses

Thursday, April 22, 2021

9:30 AM—IDEA – WS

LD 942 An Act To Waive Professional and Occupational Licensing Fees for Calendar Year 2020

LD 992 An Act To Prevent the Denial or Revocation of a Professional or Business License for a Violation Not Related to That Profession or Business

10:00 AM—HCIFS – PH

LD56 An Act To Prohibit Insurers and Third-party Payors from Adjusting Their Fee Schedules for In-network Providers Unless the Adjustments Apply to All Specialties

10:00 PM—HHS – WS

LD 118 An Act To Address Maine's Shortage of Behavioral Health Services for Minors

11:30 AM—HCIFS – WS

LD 945   An Act Regarding Notice by Health Insurance Carriers of Policy Changes

Friday, April 23, 2021

9:00 AM—HHS – PH

LD 789 An Act To Expand Administration of Lifesaving Opioid Medication

LD 1177 An Act To Increase Access to Intranasal Naloxone Hydrochloride for Syringe Services Programs

LD 1333 An Act Concerning the Dispensation of Naloxone Hydrochloride by Emergency Medical Services Providers

LD 1428 An Act To Increase the Availability of Nasal Naloxone in Community Settings

LD 1487 Resolve, Directing the Department of Health and Human Services To Seek a Waiver for Additional Medication-assisted Treatment for Certain Persons with Substance Use Disorder up to 30 Days Prior to Their Release from Incarceration

9:00 AM—SLG – PH

LD 1366 An Act To Require a Majority Vote of the Legislature for Maine To Join Any Multistate Compact

Monday, April 26

1:00 PM—HHS – PH (Block for Dee/PEDS)

LD 62 An Act To Promote Cost-effectiveness in the MaineCare Program and Improve the Oral Health of Maine Adults and Children

LD 72 An Act To Improve Dental Health for Maine Children and Adults with Low Incomes

LD 996 An Act To Improve Dental Health Access for Maine Children and Adults with Low Incomes

LD 1501 An Act To Protect Oral Health for Children in Maine

NEW BILLS

LD 1419 An Act To Support Health Care Providers during State Public Health Emergencies

This bill provides a limitation on civil liability to certain health care professionals, health care facilities, behavioral and developmental services facilities, and emergency medical services persons in the event of a declared emergency related to public health. The bill is retroactive to the beginning of the state of civil emergency declared by the Governor.

LD 1423 An Act To Prevent and Reduce Tobacco Use by Ensuring Adequate Funding for Tobacco Use Prevention and Cessation Programs and by Raising the Tax on Tobacco Products and To Provide Funding To Reduce Disparities in Health Outcomes Based on Certain Factors

**Tobacco tax bill** MMA Coalition Platform issue & MMA Platform Foundational issue

This bill increases the cigarette tax from $2.00 per pack of 20 cigarettes to $4.00 per pack of 20 cigarettes, beginning November 1, 2021 and the taxes on products such as cigars and smokeless tobacco.

Provides funding in fiscal years 2021-22 and 2022-23 to CDC for:

tobacco use prevention and cessation, $7,000,000 annually, and

allow the center to research, identify and reduce health disparities in health care outcomes based on race, ethnicity, sexual orientation, gender identification, income, educational attainment or geographic location, $10,000,000 annually, but only for the 2022-2023 biennium.

LD 1428 An Act To Increase the Availability of Nasal Naloxone in Community Settings

Bill allows community organizations, which are defined as private or nonprofit organizations operating a facility that serves the community, to store and administer nasal naloxone hydrochloride upon a standing order from a licensed health care professional authorized by law to prescribe nasal naloxone hydrochloride.

LD 1454 An Act To Prohibit Untraceable and Undetectable Firearms

Regulates the manufacture, distribution, and possession of undetectable and untraceable firearms.

Defines "undetectable firearm" and "untraceable firearm.”

Prohibits the manufacture, import, sale, transfer, and possession with certain exceptions.

Prohibits dissemination of downloadable gun codes from which untraceable firearms can be made.

LD 1463 An Act To Make Health Care Coverage More Affordable for Working Families and Small Businesses Establishes the Maine Health Care Affordability Fund to fund activities and initiatives to reduce the cost of health insurance coverage for Maine residents.

Commissioner of Health and Human Services to adopt rules for administration.

Establishes the health care affordability assessment to provide funding.

Establishes the Affordable Health Care Advisory Group, which consists of the commissioner, the superintendent and 11 additional members.

Academic research professor with expertise in health care coverage

Representative from a hospital

Carriers, small biz, consumers, navigators, application counselor, State Employee Health Plan labor leader

LD 1470 Resolve, Regarding Reimbursement for Providing Inpatient Care to Individuals with Acute Mental Health Care Needs

Section 45.03 reimbursement for patients discharged from Southern Maine Health Care's psychiatric inpatient unit.

Directs DHHS to seek and apply for federal funds and funds to pay the costs of providing psychiatric services to uninsured patients.

LD 1487 Resolve, Directing the Department of Health and Human Services To Seek a Waiver for Additional Medication-assisted Treatment for Certain Persons with Substance Use Disorder up to 30 Days Prior to Their Release from Incarceration

Directs DHHS to seek a waiver from CMS authorizing federal Medicaid matching funds for additional MAT for persons with SUD who are incarcerated up to 30 days prior to the release of the persons from incarceration.

LD 1501 An Act To Protect Oral Health for Children in Maine

Changes the legislative goal from ensuring that children on Medicaid receive the same level of services as children with dental insurance to ensuring that all children in the State with Medicaid receive at least one annual preventive dental visit.

Requires DHHS to provide preventive oral health services through the CDC in all schools.

Begin a pilot project for an oral health value-based payment model within MaineCare that includes prevention, early intervention, disease management and care coordination services for oral care delivered in schools and early childcare settings.

Provides funding for an Oral Health Coordinator in the DHHS.

LD 1510 An Act Concerning Informed Consent of Minors' Authority to Release Health Care Information

If a health care facility or health care practitioner maintains the records of the minor's health care information electronically, any authorization to disclose health care information by a minor authorized pursuant to this section must include electronic access to the minor's health care records.

LD 1512 An Act To Create the Office of the Education Ombudsman and To Establish a Commission To Study the Creation of a Reporting and Response System To Assist Public Schools in Addressing Incidents of Bias, Discrimination and Harassment

Creates the Office of the Education Ombudsmann as an information resource and complaint facilitator for parents and students in public schools.

recommendations regarding parent and community involvement in school decision-making processes, and

strategies for improving the success rates of ethnic and racial minority students and students with disabilities identified with lower academic progress.

Also directs the DOE to establish a commission to study the creation of a diversity, equity and inclusion reporting and response system to assist schools, staff, students and families in addressing incidents of bias, harassment and discrimination. 

 

 

 

 

Upcoming Specialty Society Meetings

Below you will find an on-going list of Upcoming Specialty Society Meetings. Any questions should be referred to the contact person listed for each specialty.

 

Below you will find an on-going list of Upcoming Specialty Society Meetings.  Any questions should be referred to the contact person listed for each specialty.

UPCOMING SPECIALTY SOCIETY MEETINGS

May 1-2, 2021
Maine Chapter, American Academy of Pediatrics Virtual CME Spring Conference

The Provider Role in Mitigating Risk and Promoting Resilience in Youth
Contact:  Dee Kerry 207-620-0806 or dee.kerry@maineaap.org

May 7, 2021
Maine Society of Eye Physicians and Surgeons Spring Meeting

Virtual Meeting - 12:30pm - 4:00pm
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

May 21-22, 2021
29th Annual MAFP Family Medicine Update & Annual Meeting

Virtual Meeting
Full brochure and registration available after February 15, 2021 at www.maineafp.org
Contact: Deborah Halbach 207-938-5005 or maineafp@tdstelme.net

 

 

 

 

 

 

  


 

Maine CDC Physicians To Host Regular Clinician COVID Vaccine Info Sessions

CDC physicians, and MMA members, Stephen Sears, M.D, MPH, and Lisa Letourneau M.D., MPH will be hosting a series of 30-minute Clinician Info Sessions twice weekly (Tuesdays and Fridays) for the next couple of months to provide key information on the emerging COVID-19 vaccines & offer an opportunity for Q&A with clinicians statewide.

 

CDC physicians, and MMA members, Stephen Sears, M.D, MPH, and Lisa Letourneau M.D., MPH will be hosting a series of 30-minute Clinician Info Sessions twice weekly (Tuesdays and Fridays) for the next couple of months to provide key information on the emerging COVID-19 vaccines & offer an opportunity for Q&A with clinicians statewide. 

The sessions will start, Tuesday, December 15 and take place at 7:30 a.m., Tuesdays and 12 noon, Fridays until further notice. 

Dr. Sears is an epidemiologist & Maine CDC Clinical Advisor for the COVID-19 Response Team, while Dr. Letourneau is Senior Advisor for Delivery System Change at the Maine Department of Health and Human Services. We hope you’ will l take advantage of this opportunity to join these two well respected experts. 

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Join Zoom Meeting https://zoom.us/j/6218434986?pwd=dEJoNEVRSkVSN2dwZlJ5WEl3WjJsZz09 

Meeting ID: 621 843 4986 

Passcode: 338847 

One tap mobile: +13017158592,,6218434986#,,,,,,0#,,338847# 

AMA Designation Statement The Maine Medical Education Trust designates each Live Internet activity session for a maximum of .5 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. 

Joint Providership Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and the Maine Department of Health and Human Services. The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

 

 

"Prescribing to Reduce Opioid Overdose Risk: How to Impact the Epidemic Within the Pandemic"

Join the Maine Independent Clinical Information Service (MICIS), in partnership with the Maine Medical Association Center for Quality Improvement (MMA-CQI) for  "Prescribing to Reduce Opioid Overdose Risk: how to impact the epidemic within the pandemic".

 


Join the Maine Independent Clinical Information Service (MICIS), in partnership with the Maine Medical Association Center for Quality Improvement (MMA-CQI), on Tuesday April 27, 2021, from 12 – 1 p.m.  for "Prescribing to Reduce Opioid Overdose Risk: how to impact the epidemic within the pandemic" 

Overdoses in Maine increased 32% in 2020. While the primary focus of the country has been on a novel viral pandemic, the opioid pandemic has worsened. Prescribers can make a significant impact on the crisis by attending to five areas of prescribing. We hope you can join us! 

After attending this webinar, participants will:

1. Understand risk reduction in the context of opioid prescribing

2. Obtain familiarity with the benefits of buprenorphine for opioid use disorder

3. Describe recommendations for naloxone prescribing to increase patient safety

To register please navigate to: https://zoom.us/webinar/register/WN_Rg9W5-VjQaySSkaaTvUU8w

 

 

 

NAMI Maine Workshops in May & June: Suicide Prevention & Management for Clinical Staff

Two 6-hour courses offered (3 sections of 2 hours each):

  • Fridays: May 14, 21 and June 4th from 9:00-11:00am
  • Tuesdays: June 8, 15 and 22 from 2:30-4:30pm
 

Suicide Prevention and Management for Clinical Staff
Registration is open for two virtual 3-part workshops - $10
6 hours (3 sections of 2 hours each)

  • Fridays: May 14, 21 and June 4, 2021 from 9:00-11:00am
  • Tuesdays: June 8, 15 and 22, 2021 from 2:30-4:30pm

Presented by NAMI Maine
The ability to conduct an informed suicide risk assessment is a vital skill of any clinician working with high-risk populations.  Suicide Assessment is a virtual 3-part workshop designed to prepare a new or seasoned healthcare or mental health clinician to understand the risk of suicide, how to approach and complete an effective suicide risk assessment, intervention and ongoing management for an individual at risk.  Learning Objectives:

  • Articulate a rationale for a systemic approach to suicide assessment and management within a system of care.
  • Describe the components of a suicide risk assessment interview, using the C-SSRS tools.
  • Use the elements of risk assessment to determine level of care needs and corresponding appropriate resources.
  • Understand the rationale for and applicability of Collaborative safety planning, referrals and follow-up to help manage risk.

Workshop description and registration information:

Registration and information for workshop on Fridays May 14, May 21 and June 4.

Registration and information for workshop on Tuesdays June 8, 15 and 22.

 

Also available:
Suicide Prevention and Management in Healthcare Practice Settings:
A Comprehensive Evidence-Based Approach
Presented by Greg Marley, LCSW - Director of Suicide Prevention, NAMI Maine

To schedule this 1-hour presentation for your medical practice, contact the NAMI Maine Suicide Prevention Coordinator at mspp@namimaine.org or at (800) 464-5767 x2318.

A Maine citizen is 13.5 times more likely to die by suicide than by homicide (2016-2018), yet suicide is among the most preventable forms of death.  Healthcare practice settings provide an excellent venue for the identification and assessment of suicide risk and the provision of ongoing care to assist in the management of the drivers of suicide.

This 1-hour presentation will provide updated information on trends in suicidal behavior across the lifespan and an overview of the best-practice approach to suicide identification, assessment, and management of suicide within a practice or hospital setting.  Tools for practice will be offered to address assessment, Collaborative Safety Planning and coordinated follow-up.  This presentation is appropriate to any professional working in a medical, clinical or behavioral health role: medical providers, nurses, social workers and ancillary clinicians and support staff.

Attendees will leave able to

  • Articulate the rationale for a structured approach to suicide assessment and management in healthcare
  • Describe to elements of suicide assessment and Collaborative Safety Planning
  • Appreciate the recent trends in suicide across the lifespan in Maine

In collaboration with the Maine Suicide Prevention Program and NAMI Maine, the Maine Medical Association offers resources for physicians and medical practices at www.mainemed.com/suicide-prevention.

AMA Designation Statement: The Maine Medical Education Trust designates this live internet activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Joint Providership Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and NAMI Maine.  The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide Continuing Medical Education (CME) for physicians.

AAP EQIPP Course: Immunizations - Strategies for Success (for RURAL Health Providers)

The recently revised EQIPP immunization course is designed to identify immunization rates in your practice, uncover barriers to immunization delivery systems, and provide techniques to overcome those barriers using clear aims that reflect expert principles and proven quality improvement methods and tools.

 

The recently revised EQIPP immunization course is designed to identify immunization rates in your practice, uncover barriers to immunization delivery systems, and provide techniques to overcome those barriers using clear aims that reflect expert principles and proven quality improvement methods and tools. 

The online course features two tracks; the 19–23-month-old track and the adolescent track with data collection activities specific to each population. The course is eligible for PI CME, NAPNAP, MOC Part 2, and MOC Part 4 credits. 

The course is free to AAP members - and for a limited time, is being offered free to ALL rural health clinicians in Maine (Pediatricians AND Family Practice) through an AAP initiative.  Additional course information is available here

For rural health care providers that are non-AAP members and interested in taking this immunization course, contact Melissa Ponce at mponce@aap.org for additional information and to have your course fee waived through the Supporting Pediatricians to Improve HPV and Pediatric Influenza Vaccination Rates Initiative - again, the EQIPP immunization course is open to all Maine physicians serving youth, and the course fee is being waived for ruralhealth clinicians!

New Maine AAP Educational Webinar Series

The Maine AAP is launching an educational webinar series beginning at the end of March until the first of June.

 

The Maine AAP is launching an educational webinar series beginning at the end of March until the first of June. 

Sessions, which will be held on select Tuesday and Thursday evenings from 7 - 8pm, cover a wide variety of topics and feature speakers from Maine and beyond. Visit the Maine AAP's event page to view the topics. 

The cost for access to the series with 12 hours of CME included is $95.  

Details:  https://www.maineaap.org/news/2021/pediatrics-in-maine-spring-2021-educational-series

 

 

Nurse Practitioner

Nasson Health Care is seeking a qualified Nurse Practitioner to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

Nasson Health Care is seeking a qualified Nurse Practitioner to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

  • Provides direct clinical services in accordance with the highest standards of medical and nursing practices and in full accordance with health center policies and protocols.
  • Fully embraces and carries out all applicable NCQA Patient Centered Medical Home standards and Federally Qualified Health Center requirements.

Applicants must have a Master’s degree in nursing, an unrestricted Maine license to practice as an adult, family or pediatric nurse practitioner, as well as a U.S. Drug Enforcement Agency license.  Qualifications include:

  • A minimum of three years’ experience in a primary care medical practice required.
  • A working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology.

Visit www.yccac.org for an application. Completed cover letter, resume, and YCCAC employment application will be accepted until April 26, 2021.

York County Community Action Corp.
6 Spruce Street, P.O. Box 72
Sanford, ME 04073
(207)324-5762 or 1-800-965-5762
Fax (207)459-2811

apply@yccac.org

EOE

4/26/21

Executive Director

Our Executive Director leads a 25+ person team at Islands Community Medical Services (ICMS), a Federally Qualified Health Center on the island of Vinalhaven serving over 1,500 patients annually. 

Our Executive Director leads a 25+ person team at Islands Community Medical Services (ICMS), a Federally Qualified Health Center on the island of Vinalhaven serving over 1,500 patients annually.  We are mission-driven with a shared a passion for improving the health of our community - one person at a time.

The Executive works with the board and staff to develop strategic plans that ensure our mission is getting fulfilled and that our financial health is assured. The Executive builds robust operating systems and is the ICMS liaison to external partners; they attract and retain the competent staff who deliver quality care to the people of Vinalhaven.

Candidates should have an advanced degree in healthcare or another relevant field, or the equivalent in education and closely related work experience, with 5-10 years of progressively responsible management experience in mission-driven organizations. 

Candidates may request a copy of the job description from: Laurie Bouchard, SPHR at laurie@lbouchardllc.com.

5/14/21

Medical Director - ME License Required

Responsible for the administration of medical management services for company health plans and ensures clinical integrity of broad and significant clinical programs, including the overall medical policies of the Commercial business unit. Will be reporting to the Director of Medical Operations.

 Responsible for the administration of medical management services for company health plans and ensures clinical integrity of broad and significant clinical programs, including the overall medical policies of the Commercial business unit. Will be reporting to the Director of Medical Operations.

Primary duties may include, but are not limited to:

  • Evaluates requests for service coverage for medical necessity.
  • Interprets existing policies and develops new policies based on changes in the healthcare or medical arena.
  • Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.

Qualifications:

  • M.D. or D.O. required,
  • An active unrestricted ME state license required.
  • ABMS Board certification required.
  • 5 years clinical experience or any combination of education and experience, which would provide an equivalent background.

For more information and to apply visit:  https://anthemcareers.ttcportals.com/jobs/6345868-medical-director-me-license-required

4/22/21

Practice Administrator

Kennebec Anesthesia Associates is looking for a practice administrator to perform business management tasks at our medical practice.

Kennebec Anesthesia Associates is looking for a practice administrator to perform business management tasks at our medical practice.

To ensure success as a practice administrator you should demonstrate knowledge of practice administration and, ideally, have experience in a similar medical facility.

Practice Administrator Responsibilities

  • Assist with business planning and the improvement of administrative processes.
  • Act as financial manager of the practice.
  • Supervise, hire and train administrative staff.
  • Work closely with the President to recruit and hire medical staff and lead the onboarding and training process.
  • Keep informed of trends in practice administration and healthcare regulations.
  • Perform other administrative tasks as required.

Practice Administrator Requirements

  • Prefer at least five years’ experience in practice administration and personnel management in a similar environment
  • Experience in financial management
  • Proficiency using Excel
  • Organizational and time-management skills
  • In-depth knowledge of applicable healthcare regulations
  • Excellent leadership, interpersonal, and communication skills

Please send resume to: kwheeler@kennebecanesthesia.com

4/23/21

Physician

Nasson Health Care is seeking a qualified clinical leader to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery.

Nasson Health Care is seeking a qualified clinical leader to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery.  The Physician provides direct clinical services and works in partnership with members of the practice team to manage the care of patients, assuring a high standard of medical care.   

Applicants must have a degree from an accredited medical school in the U.S., Board certification in Family or Internal Medicine, an unrestricted Maine license to practice medicine, as well as a U.S. Drug Enforcement Agency license.  Qualifications include:

  • A minimum of three years’ experience in a primary care medical practice; 
  • Demonstrated respect for cultural diversity in serving patients and families;
  • Working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology;

Springvale is an iconic New England village located in western York County, Maine, less than an hour’s drive from Portland, Maine and Portsmouth, New Hampshire

Visitwww.nassonhealthcare.org for an application. Completed cover letter, resume, and YCCAC employment application will be accepted until April 26, 2021.

York County Community Action Corp.
6 Spruce Street, P.O. Box 72
Sanford, ME 04073           
(207)324-5762 or 1-800-965-5762
Fax (207)459-2811

apply@yccac.org

EOE

4/26/21

Psychiatric Nurse Practitioner

Nasson Health Care is seeking a qualified Nurse Practitioner to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

Nasson Health Care is seeking a qualified Nurse Practitioner to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

  • Provides diagnoses, conducts therapy and prescribes medication for patients with substance use disorder, psychiatric disorders and medical organic brain disorders.
  • Fully embraces and carries out all applicable NCQA Patient Centered Medical Home standards and Federally Qualified Health Center requirements.

Applicants must have a Master’s degree in nursing, an unrestricted Maine license to practice as an adult, family or pediatric nurse practitioner, as well as a U.S. Drug Enforcement Agency license.  Qualifications include:

  • A minimum of three years’ experience in a psychiatric or primary care medical practice required.
  • A working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology.

Visit www.yccac.org for an application. Completed cover letter, resume, and YCCAC employment application will be accepted until April 26, 2021.

York County Community Action Corp.
6 Spruce Street, P.O. Box 72
Sanford, ME 04073
(207)324-5762 or 1-800-965-5762
Fax (207)459-2811

apply@yccac.org

EOE

4/26/21