Recently we have been notified of an opportunity to provide the names of active members in independent practice who have an interest in serving as a potential representative to the State of Maine advisory group involved in the Transformation of Medicare process by serving on the multi-stakeholder team tasked with the development of the Maine Medicare Alignment Proposal, with the Maine DHHS SIM Steering Committee becoming the "Convener" of this model. This group will be responsible for making recommendations that will significantly alter how we are paid for what we do.  The new emphasis coming out of the federal office of Medicare and Medicaid, will be to transition away from simple fee-for-service and use quality data to develop a new payment structure based on pay-for-performance.