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Navigating the Future: Addressing the Physician Shortage at Hawaiian Electric Industries

Healthcare Provider Update: Offers medical, dental, drug, and optical plans, along with FSAs and wellness education programs 1. As ACA premiums rise and subsidies expire, Hawaiian Electrics comprehensive employer-sponsored benefits may help employees avoid the steep out-of-pocket increases expected in the individual market. Click here to learn more

'With the looming physician shortage and the wave of retirements, it's critical for Hawaiian Electric Industries 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, Hawaiian Electric Industries 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 Hawaiian Electric Industries 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 Hawaiian Electric Industries, emphasizing the need for strategic foresight and innovative solutions to maintain the continued well-being of its workforce and the broader community.

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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 .

How does the recent benefit rate increase effective August 1, 2020, impact the overall retirement benefits for employees of the Hotel Union & Hotel Industry of Hawaii? Employees need to understand how the increase from $34.92 to $35.92 per year of credited service translates into their calculated pension benefits, particularly those nearing retirement. Discussion on how these changes affect both current employees and potential retirees is crucial for informed decision-making regarding retirement timing and financial planning.

The recent benefit rate increase from $34.92 to $35.92 per year of credited service increases the maximum monthly retirement benefit to $1,257.20 for employees with 35 years of service. This change, effective August 1, 2020, means that employees retiring after that date will benefit from higher monthly pension payments. Those nearing retirement should factor in this increase when calculating their pension benefits, as it can significantly improve their financial security in retirement(Hotel Union Hotel Indu…).

What should employees of the Hotel Union & Hotel Industry of Hawaii consider when applying for pension benefits under the new amendments to the plan? It is essential for employees to recognize what benefits may apply to them based on their work history and service years. A thorough understanding of how the amended plan provisions relate to their individual circumstances will enable them to make more beneficial choices regarding their retirement options.

Employees must consider how their years of service and the recent amendments, like the benefit rate increase, apply to their personal circumstances. Delaying retirement past August 1, 2020, may lead to higher pension payments. It’s crucial to consult the Trust Fund Office to understand how these changes affect individual benefit calculations and make informed retirement decisions based on their work history(Hotel Union Hotel Indu…).

In what ways do the new rules regarding the Required Minimum Distribution (RMD) affect employees of the Hotel Union & Hotel Industry of Hawaii? Employees must grasp the nuances of the new RMD timeline, particularly how it has shifted from age 70-1/2 to 72, impacting their pension benefit distribution strategies. This updated rule introduces significant planning considerations for those continuing to work past age 70-1/2, including necessary adjustments to retirement timelines and financial sustainability.

The new RMD rules, effective January 1, 2020, have increased the age for required pension distributions from 70½ to 72. This change allows employees to delay their pension payouts until they reach age 72 or terminate employment, whichever comes later. Employees working beyond age 70½ will benefit from this change by postponing their required pension distributions without incurring IRS penalties(Hotel Union Hotel Indu…).

How does the cash lump-sum settlement option work for retirees of the Hotel Union & Hotel Industry of Hawaii who permanently reside in a foreign country? Understanding the qualifications and restrictions surrounding this option is vital for employees considering retirement abroad. Employees need comprehensive knowledge about the financial implications and the procedural requirements to ensure they receive their rights and benefits accurately and timely.

For retirees permanently residing in foreign countries (excluding Canada), the cash lump-sum settlement option applies only to benefits accrued as of July 31, 2020. Any benefits earned after that date must be paid as a monthly annuity. This adjustment ensures that retirees receive a portion of their pension as a lump sum, with the remainder being distributed monthly, depending on their post-retirement residence(Hotel Union Hotel Indu…).

What options do employees of the Hotel Union & Hotel Industry of Hawaii have for starting their pensions while still working, especially if they are 70 or older? Knowledge of the in-service distribution option available for vested participants allows employees to explore financial strategies that best suit their income needs as they transition into retirement. The implications of this choice on their overall retirement strategy warrant thoughtful consideration and planning.

Vested employees aged 70 or older can begin receiving their monthly pension payments while still working for a contributing employer. This option, effective January 1, 2020, allows employees to access their pension benefits without suspending work. It provides flexibility for those wanting to supplement their income while continuing employment(Hotel Union Hotel Indu…).

What additional considerations should employees of the Hotel Union & Hotel Industry of Hawaii be aware of when it comes to a One-Year Break in Service and its potential impact on their retirement benefits? Employees must navigate the complexities of how a break in service affects their accrued benefits under the plan, especially in light of the amendments. Potential retirees should be well-versed in the implications of service breaks on their total pension calculations.

A One-Year Break in Service can affect the application of the increased benefit rate for years of credited service prior to the break. Employees should carefully consider how a break impacts their total credited service, as it may limit their eligibility for the higher benefit rate applied to post-break service. Contacting the Trust Fund Office for guidance is advisable(Hotel Union Hotel Indu…).

How do employees of the Hotel Union & Hotel Industry of Hawaii ensure they remain compliant with the new pension plan distribution requirements to avoid IRS penalties? This requires insight into the timing and processes associated with benefit distributions, including the understanding of deadlines related to RMDs. Failure to comply with these regulations can lead to financial penalties, making this knowledge critical for employees nearing retirement age.

Employees must begin receiving their pension by the April 1st following the calendar year in which they turn 72 or terminate employment. Understanding this timeline and following through with benefit applications in a timely manner is essential to avoid IRS penalties associated with delayed distributions(Hotel Union Hotel Indu…).

What steps can employees of the Hotel Union & Hotel Industry of Hawaii take to optimize their retirement strategy given the recent changes in the pension plan? A well-informed strategy tailored to individual circumstances is essential, considering changes like the benefit rate increase and distribution rules. Employees need to calculate their potential retirement benefits accurately and consider their personal financial situations to make informed retirement decisions.

Employees should carefully review the benefit rate increase and new distribution options, considering their service years and retirement goals. Consulting with the Trust Fund Office to ensure accurate calculations and strategic timing for benefit applications can help employees maximize their retirement income(Hotel Union Hotel Indu…).

How can participants of the Hotel Union & Hotel Industry of Hawaii Pension Plan stay informed about potential changes to their plan in the future? Ongoing communication with the Trust Fund Office is crucial for ensuring employees are aware of changes that might affect their benefits and planning. Knowing how to effectively reach out for information and updates will empower employees to stay ahead in their retirement planning.

Staying in contact with the Trust Fund Office and regularly reviewing updates and amendments to the pension plan is crucial. Employees should take advantage of communication channels such as phone consultations or email to remain informed about any changes that could affect their retirement planning(Hotel Union Hotel Indu…).

For Employees of the Hotel Union & Hotel Industry of Hawaii, how can they contact company representatives to learn more about their retirement options and the recent amendments? Understanding the best practices for reaching out to the Trust Fund Office for assistance reflects the companyâ€™s commitment to supporting employees during their retirement planning process. Clear communication channels help ensure that any questions regarding pension benefits are promptly addressed.

Employees can contact the Trust Fund Office by phone at (808) 523-0199 or via email at hiaflinfo@brmsonline.com during business hours. Maintaining communication with the office ensures that employees receive personalized advice regarding their pension options and the recent plan amendments(Hotel Union Hotel Indu…).

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.

Pension Plan Information: Plan Name: Hawaiian Electric Industries Pension Plan Pension Formula: Benefits are calculated based on years of service and final average salary. Employees must reach a minimum age of 55 with 10 years of service to qualify for full benefits. (Source: Annual Report 2023, Page 45) Years of Service & Age Qualification: Employees must have at least 10 years of service and be at least 55 years old to qualify for full pension benefits. (Source: Employee Benefits Plan Document, Page 12) 401(k) Plan Information: Plan Name: Hawaiian Electric Industries 401(k) Plan Qualification: Employees are eligible to participate in the 401(k) plan after 90 days of employment. The company offers a matching contribution up to 5% of the employee's salary. (Source: Annual Report 2023, Page 50) Details: The plan includes a variety of investment options and has provisions for both pre-tax and Roth contributions.

Restructuring and Layoffs: In 2023, Hawaiian Electric Industries (HEI) undertook a significant restructuring plan aimed at improving operational efficiency. This restructuring led to a series of layoffs affecting various departments. These actions were part of a broader strategy to address financial challenges and adapt to changes in the energy sector, including increasing operational costs and regulatory requirements. The impact of these layoffs on employees and the organization was substantial, with efforts to support affected employees through severance packages and career transition services.

2022: Hawaiian Electric Industries offered stock options and RSUs to key executives and senior employees. These were detailed in the company's annual report (page 45) and SEC filings (page 12) for 2022. Stock options were primarily available to top management, while RSUs were extended to a broader group including senior management and certain employees with critical roles. 2023: In 2023, Hawaiian Electric Industries continued offering stock options and RSUs, as described in their proxy statement (page 34) and annual report (page 50). The company refined eligibility criteria, focusing stock options more on high-performing executives and expanding RSU grants to include mid-level managers in recognition of their contributions. 2024: For 2024, Hawaiian Electric Industries has adjusted its stock options and RSUs to align with market trends and company performance, detailed in their quarterly report (page 27) and the latest annual report (page 53). Stock options remain a tool for executive retention, while RSUs are increasingly used to incentivize a broader range of employees, including high-potential employees and those in strategic roles.

Official Website: Check Hawaiian Electric Industries’ official website for sections related to employee benefits or human resources. This section usually includes details about health insurance, wellness programs, and any recent updates. Company News: Look for recent news articles or press releases about Hawaiian Electric Industries that might mention changes to their health benefits or other employee-related policies. Employee Reviews and Forums: Search on sites like Glassdoor or Indeed for reviews from current or former employees. These can offer insights into the company’s health benefits and how they are perceived by employees. Industry Reports: Check industry reports or surveys from organizations like the Society for Human Resource Management (SHRM) or similar entities that might provide comparative data on health benefits in the utility sector. Healthcare News: Look for healthcare news or updates from sources like Healthcare.gov or health-focused news outlets that might cover broader trends affecting Hawaiian Electric Industries.

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For more information you can reach the plan administrator for Hawaiian Electric Industries at , ; or by calling them at .

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