Happy Valentine's Day!
Highlights from our E-newsletter for February 14th, 2019:
- MOA News: The MOA held its Midwinter Symposium last weekend at the Holiday Inn by the Bay! We send our thanks to all involved for a great winter conference and we hope to see you in June at the Annual Convention: June 7-9, 2019 at the Samoset Resort.
- Legislative Updates: Update from the MOA Legislative Team, Gov. Mills Issues Executive Order on Opioid Crisis & announces plan for the budget
- News to Use: Overdose in Maine still at a critical issue, Hot Topic: Vaccination, News shorts, AOA updates & more!
- Practice Management: Due to MOA Advocacy CHO Changes Policy on OMT Prior Notification/Approval for Specialists
- Classified Ads, Jobs posting, events & more: Northern Light Health seeks MD/DO to join Sebasticook Hospital Team. Contact firstname.lastname@example.org
Thank you to all of our generous sponsors, exhibitors and all those that attended our Midwinter Symposium last weekend!
Click here for event follow-up information.
SAVE THE DATE:
MOA Annual Convention
Samoset Resort, Rockport, ME
June 7-9th, 2019
Terence Gray, D.O. Opens New Pain Management Practice in Scarborough
January 17, 2019
Terence K. Gray, DO
Maine Comprehensive Pain Management, P.C.
400 Enterprise Drive, Suite 101
Scarborough, ME 04074
At Maine Comprehensive Pain Management (MCPM) we focus on Non-Narcotic options to treat chronic pain. Our philosophy at MPCM is to service you and treat your patients with empathy, respect and great care. As our Moto says, we are truly “ Specialists in Getting Your Life Back”. We are proud to represent the Osteopathic Community.
At MCPM we treat the following conditions and more:
- Low Back Pain
- Chronic Headaches, Migraines, Neck Pain and Spasm
- Iliotibial Band Syndrome
- Piriformis Syndrome
- Hip, Knee, Shoulder and Elbow Joint Pain
- Epicondylitis of the Elbow
- Chronic Neck and Back Pain After Spinal Surgery
- Chronic Knee Pain After Total Knee Replacement
- Herniated Discs
- And Many More Conditions...
Charles Radis, D.O. writes book about years as the island doctor for Casco Bay Islands: Go By Boat. Read the first chapter here.
MOA Legislative Update
02/08/2019--James Bass of Soltan Bass Smith, LLC (MOA Contract Lobbyist)
With January in the rearview mirror and the Governor’s proposed budget due, we’re officially at the end of the honeymoon period! While I don’t suspect there will be big policy differences between the Legislature and Executive Branch, this will be the key marker placed by Gov. Mills stating what her goals are for the next two years. And with her pledge not to raise taxes—but to increase government spending—all eyes will be on her address to the Legislature. Update from Portland Press on that Monday address can be found here.
As you saw earlier this week, Gov. Mills offered more details on how her administration will address the opioid crisis. As the BDN stated:
In an executive order signed Wednesday, Mills signaled heightened focus on addiction treatment. The order also allocates $1.6 million to expand access to an overdose antidote and recovery coaches in health care settings. Gordon Smith, Mills’ opioid response director, said the $1.6 million, taken from existing state funding, will be used to buy 35,000 doses of naloxone to distribute throughout the state and train 250 recovery coaches — and install coaches in 10 emergency rooms. Many of the changes that Mills wants to make will require legislation. On Wednesday, she said she is targeting the state’s two-year caps on Medicaid treatment using methadone and suboxone. She has also called for raising Medicaid reimbursement rates for treatment.
A busy week was lined up for MOA this week as HHS and the Health Coverage committees will take up some of the anti-tobacco bills and the scope/reclassification bills involving podiatry, massage therapists, and pharmacists. HHS will also hear LD 234 which we oppose but would increase chiropractic reimbursement rates under MaineCare.
As presented by Dr. Scaccia at the Midwinter Symposium, so far this session the MOA has reviewed more than 50 bills. The MOA Legislative Committee has prepared written testimony on 12 bills (details on positions here.).
The MOA Legislative Committee is chaired by David Scaccia, D.O. and will hold weekly calls when the legislature is in session on Wednesday nights at 7:30 p.m. If you have an interest in joining this call or committee, please email Amanda Richards at email@example.com.
Be a Rock-Star! Sign up for The Doctor of the Day Program!
Learn More Here!
Augusta State House, Hall of Flags
Augusta, ME 04330
Please join your colleagues on Wednesday, March 13, 2019 from 9-3 p.m. at the State House, Hall of Flags (2nd floor) for
Physicians' Day at the Legislature.
This is your opportunity to speak with your legislators about issues important to your profession and patients. You will also be able to participate in the legislative process.
Be sure to secure your place at this year's program by clicking on the Register Now link below. or if you prefer, click here for a paper copy.
We look forward to seeing many of you on March 13th.
Gordon Smith, Executive VP, MMA
Amanda Richards, Director of Operations, MOA
News to Use
AUGUSTA - In the wake of figures released by his office and the Office of Chief Medical Examiner, Attorney General Aaron M. Frey says the latest drug overdose fatalities indicate that Maine's opioid crisis continues to claim lives at a distressing rate, even though the overall number of deaths has decreased slightly compared with 2017.
According to the report, during the first three quarters of 2018, fentanyl continued to be the number one driver of drug fatalities in Maine.
The report compiled by Dr. Marcella Sorg of the University of Maine's Margaret Chase Smith Policy Center, showed that while the total of 282 drug fatalities during the first three quarters of 2018 was slightly fewer than the 297 deaths reported in 2017 during the same period, at least 89 percent of those deaths were attributed to accidental overdoses. Consistent with 2017's numbers, heroin caused 19% of the 2018 deaths to date. However, cocaine or crack was on the rise, causing 25% of total deaths, continuing to increase from 16% in 2016 and 22% in 2017. Additionally, most (228, 81%) drug deaths were caused by two or more drugs in combination. On average, the cause of death involved three drugs. 82% of overdoses were caused by at least one opioid. Non-pharmaceutical fentanyl and/or its analogs caused 61% of deaths either alone or in combination with other drugs. Compared to 2017 as a whole, deaths due to non-pharmaceutical fentanyl are slightly more likely to include other drugs, but less likely to include pharmaceutical opioids.
Hot Topic: Vaccination
Measles outbreaks and vaccination rates across the country are getting plenty of media attention. Maine has one of the country's worst vaccination rates, prompting a bill in the Maine legislature that aims to remove philosophical and religious exemptions. Here are some highlights of the vaccination issue headlines across the country and here in Maine.
Bill Would End Non-Medical Vaccine Exemptions In Maine
MainePublic--Jan 18, 2019 - AUGUSTA, Maine - Lawmakers in Maine will consider a bill designed to end non-medical exemptions from childhood vaccinations this year.
Officials say ignore fliers on vaccination Portland Press (02/12/2019), People should ignore anti-vaccination fliers – alleged to have come from the federal Centers for Disease Control and Prevention – that have shown up in big box stores in southern Maine, state public health officials said Monday. “Misleading fliers such as these are concerning – especially when that information pertains to something as important to public health as vaccines,” said Dr. Bruce Bates, director of the Maine Center for Disease Control and Prevention. “I encourage anyone who comes across one of these fliers to disregard it.” The fliers were not issued or endorsed by the Maine CDC or federal CDC, officials said.
Unvaccinated Children Seek Advice On Getting Vaccinated Without Parents’ Consent.
Newsweek (2/1) reports, “unvaccinated children worried that they are vulnerable to catching infectious diseases are asking online how they can get shots without their parents’ consent.” Newsweek adds that last year, the US had “the second-highest rates of measles since the disease was eliminated in 2000.” According to Newsweek, social media “users pointed out that minors are allowed to consent to vaccinations in Alabama, Alaska, Arkansas, Delaware, Idaho, Illinois, Kansas, Louisiana, Maine, Massachusetts, Montana, Nevada, Oregon, Pennsylvania, South Carolina, Tennessee, Washington and West Virginia.”
Idaho Prepares For Measles After Washington Governor Declares Emergency
A measles outbreak in Washington has prompted medical professionals in neighboring Idaho to be on alert. Vaccinations are key to helping prevent the spread of measles, says Kevin Wilson, DO, assistant dean at the Idaho College of Osteopathic Medicine.
Vaccine Exemption “Hot Spots” Described In Study Match Current Measles Outbreak Locations.Newsweek (2/6) reports a study published last June in PLOS Medicine identified specific “anti-vaxx hot spots” and cities that match closely with a number of recent measles outbreaks. These areas have lower rates of vaccinations among children due to more parents exercising nonmedical exemptions, which are available in 18 states and “are fairly easy to get.” For example, in Oregon, parents are only required to “watch an online education module and submit a certificate of completion.”
Number of DOs has more than tripled since 1990, new report finds
The DO. by AOA Staff. Monday, Jan. 14th, 2019
The osteopathic profession continues to rank among the quickest-growing health care professions in the country and shows no signs of slowing down, with 1 in 4 American medical students choosing an osteopathic medical school in 2018. In total, the AOA’s 2018 Report on the Osteopathic Medical Profession found more than 114,000 DOs in the U.S. and nearly 31,000 students enrolled in a college of osteopathic medicine, while nearly 22,000 new DOs participated in residency training during the 2017-18 academic year. Since 1990, the number of DOs in the U.S. has more than tripled, and the profession saw a 54% increase from 2010-2018.
American Lung Association Report Shows that Tobacco Use Remains the Leading Cause of Preventable Disease and Death in the United States, Killing More Than 480,000 Americans a Year: Through our annual 2019 "State of Tobacco Control" report we have been tracking efforts to reduce tobacco use by state and federal governments for 17 years. We invite you to check out the report to see if your state and the federal government made the grade. This year’s report also highlights the alarming issue of e-cigarettes
Demand For IUDs Increased After Trump’s Election, Study Indicates.
The New York Times (2/4) reports that soon after the 2016 presidential election, “there was an increase in the insertion rate of long-acting reversible birth control devices,” according to a studypublished in JAMA. The research, “which only looked at women enrolled in commercial health insurance, found a 21.6 percent increase in the insertion rates of long-acting reversible contraceptive methods among women ages 18-45 in the 30 days after President Trump was elected.”
On its website, CNBC (2/4) reports that “the researchers said that if they projected their findings to the 33 million insured women in the age group, the number would rise from an expected 4,716 insertions per day to 5,416, or 700 more per day.”
Important Update on CHO Policy:
Prior Notification/Approval NO LONGER required for OMT services.
MOA Medical Economics Committee Succeeds in Altering CHO OMT PA/Notification Policy for OMT Specialists
Through the strong advocacy of Maine Osteopathic Association (MOA) Medical Economics Committee, and individual members, Community Health Options has decided to remove Notification and Prior Approval requirements for specific CHIRO and OMT services.
As some of you may know, the MOA was informed by Community Health Options in fall 2018 that OMT services performed by OMT specialists would be subject to prior notification and prior authorization by CHO as of January 1, 2019. Since that initial contact, the MOA has remained in touch with CHO and held a webinar to educate members about this change. In January 2019, representatives from the MOA met with the Bureau of Insurance (BOI) and challenged the directive that led to the CHO change. As a result of this meeting, the BOI agreed to undertake further internal discussion. On February 8th, 2019, the MOA was informed that CHO would be issuing letters to NMM specialists announcing that the Notification/Prior Approval policy would no longer be in effect and that the benefit cap for OMT would now be a stand alone 40 visits per member per calendar year, separate from the Chiropractic 40 visit cap.
We thank the strong work of Stephanie Collins, DO; Boyd Buser, DO; Angela Westhoff and the rest of the Medical Economics Committee for their commitment and dedication to this cause.
[This does not impact any other Notification/Prior Approval requirements (e.g., advanced imaging authorization requirements).]
REPEAT: Notification/Prior Approval is no longer required for 2019 CHIRO/OMT manipulation Services.
This will take effect immediately and will apply to 2019 CHIRO/OMT claims submitted for dates of service January 1, 2019 or later.
CHO is also modifying annual benefit limits. Rather than having a combined CHIRO/OMT annual benefit limit per eligible Member, separate limits for CHIRO and OMT services will apply as follows:
40 CHIRO visits/per eligible Member/per calendar year
40 OMT visits/per eligible Member/per calendar year
For more information on this change, please refer to the
transition letter from CHOand FAQ page here.
The MOA is committed to continuing our partnership and consultation with CHO and will be identifying clinical leaders to help evaluate utilization patterns and clinical outcomes.
If you have any questions about this virtual meeting, please contact Amanda Richards at firstname.lastname@example.org.
IMPORTANT DATES: Quality Payment Program (QPP) Data Submission
The QPP data submission window opened January 2 and will run until April 2 for those reporting via the Centers for Medicare & Medicaid Services (CMS) QPP Portal, registry/qualified clinical data registry (QCDR) or EHR.
If you are using the CMS Web Interface, you will be able to report from January 22 through March 22.
UPCOMING LEARNING OPPORTUNITIES
OPEN CALL: Quality Payment Program
January 23, 11:30am - 12:30pm
February 6, 11:30am - 12:30pm
Sign up for the Open Calls
WEBINAR: Providing Equitable Care Across New England: Understanding the Unique Experiences and Needs of LGBT Patients
January 24, 11:00am - 12:00pm
WEBINAR: QPP Portal – Preparing for 2018 Data Submission
February 4, 1:00pm - 2:00pm
AOA Whitecoat Practice Management Essential Business of Medicine Series - Improving Revenue
Running a successful medical practice is not only based on excellent patient care, but also on good financial management. It is not how much you make; it is how much you hang onto. This webinar series will provide the information you need to succeed.
Mark your calendars! Registration opening soon for the rest of the webinars in the series:
April 10, 2019 - Work Life Balance
June 12, 2019 - Putting it All Together
Register Now for one or more of the Whitecoat Practice Management Essential Business of Medicine Series.
Earn Your CME Credits Online, On Your Time & from Anywhere!
NEW Programs Available NOW!
Over 150 Osteopathic Programs Available Online, (including 1-A Credits & Specialty Credit) On-Demand: Click Here!
Upcoming QC Caring for ME Webinars- Earn the 3 hours of CME you need for BOLIM!
- New Opioid Trainings for Providers: Initiating Opioid Therapy and Implementing the CDC Guideline:
- CDC launched two new opioid trainings that support providers in safer prescribing of opioids for chronic pain. The modules are part of a series of interactive online trainings that feature recommendations from the CDC Guideline for Prescribing Opioids for Chronic Pain:
- AAP project to promote SBIRT/SUD screening for youth & adolescents:
- The Maine AAP will be offering one day Saturday sessions in several regions of Maine, providing training and coaching to Pediatricians and Pediatric Specialists in SBIRT (Screening, Brief Intervention and Referral to Treatment) and effective conversational skills in Motivational Interviewing. Plan to join us for the session in your region.
Saturday, April 6, 2018 - Biddeford/Saco - REGISTER NOW
OSTEOPATHIC CRANIAL ACADEMY CME OFFERINGS
February 16-20, 2019 Midwinter Introductory Course in
Osteopathy in the Cranial Field
Course Director: Zina Pelkey DO FCA
Associate Director: Daniel A. Shadoan DO
Crowne Plaza Astor
New Orleans, Louisiana
February 22-24, 2019 Pediatric Course
Course Director: Margaret A. Sorrel DO FCA
Associate Director: Mary Anne Morelli-Haskell DO FACOP
Crowne Plaza Astor
New Orleans, Louisiana
The Osteopathic Cranial Academy
3535 E. 96th Street, Suite 101 Indianapolis, IN 46240
(317) 581-0411 FAX: (317) 580-9299
Web site: www.cranialacademy.org
Registration now open for AOAAM's Advanced Addiction Medicine Course - Spring 2019.
The Advanced Program in Addiction Medicine will include hot topics affecting seasoned addiction medicine physicians. Those who have completed the Essentials of Addiction Medicine Course and those who have a CAQ in addiction medicine are encouraged to attend.
Dates: Saturday, March 2, 2019 at 7:45am - 4:45pm. (8 hrs CME)
Conference location: Thomas Starzl Biomedical Science Tower, Room S123, 200 Lothrop Street, Pittsburgh, PA 15213
27th Annual Family Medicine Update & Annual Meeting
April 3 - 6, 2019 in Bar Harbor, Maine
- April 3 th – 1-5pm - KSA Study Group
- April 4 th & 5 th – 8am – 5pm each day –
- 27 th Annual Family Medicine Update
-Annual Business Meeting
- Sat. April 6 th – (Tentative) Opoid
Education Session – FREE to MAFP Members! (meets Maine Licensure CME requirements)
Full brochure & registration information available after January 15, 2019 on the web at:
Need a Change of Scenery? Find Osteopathic CME Live Programs All Over the US!
Download NOW! Android Users: Google Play Store Apple Users: Apple Store
Classified Ads & Job Postings
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Full-time Board Certified/Board Eligible MD/DO
Northern Light Inland Hospital is seeking a full time board certified/board eligible MD/DO to join a well-established outpatient practice for outpatient internal medicine and geriatrics. Role would include as Medical Director for Long term Care facility on site. Provider would divide time for outpatients and nursing home panel. At Northern Light Inland Hospital, we believe in putting the patient first in every way. Northern Light Inland is a 48-bed acute care hospital with 14 primary and specialty care physicians in Waterville and the surrounding communities. A patient centered approach is alive and well here where staff provide the kind of care we all want for our own families. We offer a collegial atmosphere, cutting-edge EMR, generous vacation and CME benefit, medical tuition loan support, relocation reimbursement and sign-on bonus. Enjoy the best of both worlds-practicing at a smaller community hospital in a comfortable environment while having the support of a large medical center.
For confidential consideration, please contact:
MaryKate Friend, RMA (AMT), Physician Recruiter
Northern Light Health
Email: email@example.com or firstname.lastname@example.org
Outpatient Family Medicine - Brunswick, Maine
Mid Coast Medical Group is seeking a full-time BC/BE Family Medicine Physician to join a well-established practice located at Brunswick Station. Admitting is through the hospitalist service. New graduates and experienced candidates are encouraged to apply.
A department of Mid Coast Hospital, Mid Coast Medical Group provides high quality primary and specialty care with more than 100 providers. All MCMG primary care practices are NCQA Patient-Centered Medical Home certified.
Part of the Mid Coast–Parkview health family of services, Mid Coast Medical Groupoffers competitive benefits and compensation package, along with an excellent work environment. Please send CV to Melanie Crowe, Physician Recruiter, at email@example.com or call (207) 406-7872, for more information.
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Maine Osteopathic Association, PO Box 315, Manchester, ME 04351
www.mainedo.org | P. 207.623.1101 | F. 207.623.4228