New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

Navigating the Future: Addressing the Physician Shortage at CHS

'With the looming physician shortage and the wave of retirements, it's critical for CHS companies to consider innovative workforce solutions, including leveraging technology and expanding educational opportunities, to ensure the stability and efficiency of healthcare systems in the years ahead.' – Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement Group.

'To address the physician shortage and aging workforce, CHS companies must prioritize strategic workforce planning and the integration of advanced technologies, ensuring that healthcare systems remain resilient and capable of meeting future demands.' – Patrick Ray, a representative of The Retirement Group, a division of Wealth Enhancement Group.

In this article, we will discuss:

The demographic challenges and physician shortages facing the healthcare industry.
The role of technology and education reforms in addressing workforce gaps.
The economic, social, and cultural dynamics reshaping healthcare employment.

As CHS medical workforce nears retirement, a looming crisis threatens the stability of healthcare systems, exacerbated by an anticipated physician shortage. This pressing issue has become urgent as an aging population demands more frequent and sophisticated healthcare services.

Demographic Challenges and Rising Demand for Healthcare Professionals

By 2036, the elderly population in the United States is projected to increase significantly, with those aged 65 and older expected to rise by 34.1%, and those 75 and older by 54.7%. This demographic shift is set to dramatically expand the demand for healthcare, particularly for chronic conditions and surgical interventions. As the first generation to face such a stark shortage of physicians, Baby Boomers are likely to experience unprecedented pressures on healthcare systems. This year alone, a shortfall of 57,259 doctors has been projected, with expectations of this gap widening to 81,180 by 2035.

The Retirement Cliff in Healthcare

Currently, 20% of physicians are aged 65 or older, and more than 30% of all practicing doctors are at least 60. Certain specialties, such as pulmonology, have an even greater proportion of older practitioners, with 73% aged 55 and above. Systems like AdventHealth have implemented strategies to manage this aging workforce, including part-time roles and mentorship opportunities to uphold skills and competency.

Adapting Through Technology and Educational Reforms

Despite efforts to adapt, challenges persist, partly due to a constrained educational pipeline. Federal funding limits set by the 1997 Balanced Budget Act have severely restricted the growth of new physicians by capping Medicare funding for residency training. To address the growing demand, health systems are increasingly turning to technology like telemedicine and AI to streamline processes and extend the reach of current staff. The role of advanced practice providers, such as physician assistants and nurse practitioners, has become crucial in managing less critical cases.

Economic and Social Dynamics in Healthcare

Inflation-adjusted health spending per person has increased from $2,151 in 1970 to $14,570 in 2023. This economic burden is compounded by an increase in the prevalence of chronic diseases and the corresponding use of multiple prescription medications. The field is also grappling with evolving expectations around work-life balance, significantly impacting the career choices of medical professionals.

Cultural Shifts and Strategic Responses

The healthcare sector has witnessed a cultural shift away from the autonomy traditionally enjoyed by physicians, moving towards more structured organizational employment. This change has left many practitioners feeling less satisfied, noting increased regulatory oversight and corporatization, as highlighted by Dr. Peter Grape's reflections on his career in cardiology.

Looking Ahead: Innovation and Engagement

To navigate these challenges, leaders in the field recommend incremental changes to improve working conditions and boost the appeal of the medical profession. Embracing technological innovations, expanding training opportunities, and reevaluating organizational cultures are seen as critical steps toward sustaining healthcare delivery.

In summary, the healthcare system stands at a critical juncture. The combination of an aging population and a wave of retiring physicians could severely impact the system unless proactive, thoughtful changes are made. The early retirement trend among senior physicians, accelerated by pandemic-induced burnout, underscores the urgency of strategic reforms to maintain a capable healthcare workforce.

This comprehensive examination highlights the pressing challenges and potential strategies for sustaining healthcare excellence at CHS, emphasizing the need for strategic foresight and innovative solutions to maintain the continued well-being of its workforce and the broader community.

Featured Video

Articles you may find interesting:

Source:

1. Boyle, Patrick. 'Aging Patients and Doctors Drive Nation’s Physician Shortage.' Association of American Medical Colleges , 11 June 2021, www.aamc.org/news-insights/aging-patients-and-doctors-drive-nation-s-physician-shortage .

2. 'Health Care Workforce Shortages.' NIHCM Foundation , Oct. 2024, nihcm.org/publications/health-care-workforce-shortages.

3. Robeznieks, Andis. 'Doctor Shortages Are Here—And They’ll Get Worse if We Don’t Act Fast.' American Medical Association , 13 Apr. 2022, www.ama-assn.org/about/reports-studies/doctor-shortages-are-here-and-theyll-get-worse-if-we-dont-act-fast .

4. 'America’s Aging Population Is Leading to a Doctor Shortage Crisis.' CNBC , 10 May 2022, www.cnbc.com/2022/05/10/americas-aging-population-is-leading-to-a-doctor-shortage-crisis.html .

5. 'Aging Short Version.' University at Albany, SUNY , www.albany.edu/sph/cphce/phl_0214.shtml .

What are the specific criteria that determine eligibility for the various contributions within the CHS 401(k) plan, and how do these contributions affect an employeeâ€™s retirement savings over time at CHS? Understanding these criteria can help employees maximize their contributions to ensure they are making the most of the benefits offered by CHS.

Eligibility for 401(k) Contributions: CHS employees can contribute up to 75% of their eligible compensation to their 401(k), with an IRS limit of $18,000 (in 2017) plus an additional $6,000 for those aged 50 and older. CHS also provides a basic contribution of 2% and a performance-based contribution, which increases based on years of service(CHS_12_31_2017_Retireme…). Understanding these contributions can help maximize retirement savings.

How does the CHS Pension Plan work, particularly regarding the differences between the traditional account and the cash balance account? Employees might want to delve into how their choices and years of service will impact their retirement payout from either account.

CHS Pension Plan Structure: CHS offers a pension plan with both traditional and cash balance accounts. The traditional account is based on average pay and years of service, while the cash balance account accrues pay credits based on service. After December 31, 2017, pay credits ceased, but interest credits continue(CHS_12_31_2017_Retireme…). Employees should understand how these accounts affect their retirement benefits.

In what ways does the vesting schedule of CHS employer contributions influence an employee's retirement strategy? Employees at CHS need to understand how vesting affects their overall benefits and what steps they must take to ensure they are fully vested in time for retirement.

Vesting Schedule Impact: CHS has a three-year vesting schedule for its basic 401(k) contributions, while match and performance-based contributions are immediately vested(CHS_12_31_2017_Retireme…). Knowing the vesting rules is crucial for employees planning their retirement strategy, ensuring full benefits are realized.

Can you explain what "frozen" benefits mean for employees nearing retirement at CHS, and how this affects the calculations of future pension benefits? It's critical for employees to grasp the implications of a frozen pension account on their retirement plans.

Frozen Benefits: CHS employees with frozen benefits in the pension plan will not receive further pay credits after December 31, 2017, but interest credits will continue(CHS_12_31_2017_Retireme…). Understanding this freeze is essential for planning retirement payouts.

How can employees at CHS plan for their retirement withdrawals post-employment, particularly focusing on the pension distribution options that are available to them? Employees may find it beneficial to understand the long-term effects of these options on their financial health during retirement.

Retirement Withdrawals: CHS employees have the option to withdraw retirement savings via lump-sum payments or monthly annuities(CHS_12_31_2017_Retireme…). Choosing the right distribution option can significantly impact long-term financial health in retirement.

What actions should employees take if they want to change their contribution elections or investment strategies within CHS retirement plans? Knowledge of the processes for making changes can empower employees to take proactive steps in managing their retirement savings.

Changing Contribution Elections: Employees can change their contribution and investment elections online via the Empower Retirement portal or by calling Empower Retirement(CHS_12_31_2017_Retireme…). This flexibility allows for proactive management of retirement savings.

How does the ability to access and review pension benefits online through the Empower Retirement website enhance the retirement planning process for employees at CHS? This question can lead to discussions about the importance of staying informed about one's financial future.

Access to Pension Benefits Online: Employees can access their pension benefits through Empower Retirement’s website(CHS_12_31_2017_Retireme…). Regularly reviewing these accounts is crucial for staying informed about retirement planning.

What are the implications for CHS employees who are not 100% vested in the Pension Plan before the freeze date, and what alternative options do they have for their retirement savings? Understanding this will help employees make informed choices regarding their benefits.

Not Fully Vested Before Freeze: If employees were not fully vested in the pension plan before the freeze date, they are still eligible to receive vested benefits(CHS_12_31_2017_Retireme…). Exploring alternative retirement savings options is important for those affected.

How do fluctuations in national interest rates impact the retirement plans of employees at CHS, particularly in the context of cash balance accounts? Employees should consider how external economic factors can affect their financial future.

Interest Rate Impact: The interest rate used to calculate cash balance account credits is the 10-year Treasury constant maturity rate plus 2%. These rates fluctuate annually(CHS_12_31_2017_Retireme…). Employees should be aware of how changes in interest rates affect their pension growth.

How should employees contact CHS for more information regarding their retirement benefits, and what resources are particularly useful for navigating the complexities of the pension and 401(k) plans? Contacting the right departments or utilizing specific resources can be crucial for maximizing retirement benefits at CHS. These questions are designed to provide depth and complexity, enabling employees to better understand their retirement benefits and the policies at CHS.

Contacting CHS for Retirement Information: Employees can contact Empower Retirement for pension and 401(k) inquiries via the Empower Retirement website or by phone(CHS_12_31_2017_Retireme…). Utilizing these resources can help navigate complex retirement options.

Additional Articles

Check Out Articles for CHS employees

For more information you can reach the plan administrator for CHS at 5500 Cenex Dr Inver Grove Heights, MN 55077; or by calling them at (651) 355-6000.