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Navigating the Future: Addressing the Physician Shortage at Ohio National Mutual

'With the looming physician shortage and the wave of retirements, it's critical for Ohio National Mutual 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, Ohio National Mutual 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 Ohio National Mutual 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 Ohio National Mutual, 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 .

What retirement plan options does Ohio State offer its employees, and how do these plans compare in terms of contribution rates and employer matching? Understanding the distinctions between the ARP Defined Contribution and OPERS Traditional Pension Plan is important for making informed retirement choices.

Retirement Plan Options: Ohio State offers several retirement plan options, including the ARP Defined Contribution, OPERS Member-Directed, OPERS Traditional Pension (Defined Benefit), and OPERS Combined Plan (Defined Benefit and Defined Contribution). Employees contribute 10% of their eligible compensation to these plans, and Ohio State contributes 14%. In the ARP, employees manage their investments, while OPERS plans involve a mixture of defined benefit formulas and employee contributions(Ohio State_Retirement P…).

How does the vesting schedule work for contributions made to the various retirement plans at Ohio State? Employees should have a clear understanding of when they become fully vested in employer contributions and how this affects their retirement benefits.

Vesting Schedule: For the ARP plan, both employee and university contributions are immediately vested. In the OPERS Member-Directed plan, employee contributions are immediately vested, but university contributions are vested over five years. For the OPERS Traditional Pension and Combined plans, vesting occurs in stages: employees become 33% vested after 5 years and 67% vested after 10 years(Ohio State_Retirement P…).

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Account Management Post-Employment: Upon termination or retirement, employees can either leave their balance with the provider, roll it over into another qualified account, or withdraw funds as lump sums, fixed-period payments, or annuities. OPERS also offers joint or multiple life annuities(Ohio State_Retirement P…).

Can you elaborate on the investment choices available under the Ohio State ARP Defined Contribution plan, and how does the investment risk differ from that of the OPERS plans? Itâ€™s essential to assess how employees can maximize their retirement savings through sound investment strategies.

Investment Choices and Risk: In the ARP Defined Contribution and OPERS Member-Directed plans, employees choose from various investment options, bearing all the associated risks and fees. In contrast, OPERS manages the assets in the Traditional Pension and the DB portion of the Combined Plan, so employees assume no investment risk(Ohio State_Retirement P…).

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Disability Benefits: Employees can qualify for disability benefits under OPERS after five years of service. Benefits are calculated based on service credits in the Traditional Pension and Combined Plans. The ARP plan offers no additional disability benefits beyond the vested account balance(Ohio State_Retirement P…).

How does the interaction between Ohio State's retirement plans affect employees' eligibility for Social Security benefits, and what considerations should be taken into account? This is a significant aspect that can influence long-term retirement planning.

Interaction with Social Security: Participation in Ohio State's retirement plans may reduce Social Security benefits for eligible employees due to offset provisions. This can impact long-term retirement planning, so employees should consider this when making decisions(Ohio State_Retirement P…).

What are the tax implications of withdrawing funds from Ohio State's retirement plans, and how can employees effectively plan for these taxes? Insights into the tax-deferred nature of contributions can aid in financial decision-making.

Tax Implications: Contributions to Ohio State’s retirement plans are made on a pre-tax basis, meaning federal and state taxes are deferred until the time of withdrawal. Early withdrawals (before age 59½) may incur additional tax penalties(Ohio State_Retirement P…).

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Additional Benefits: Ohio State provides health care, disability, and survivor benefits to employees enrolled in the OPERS Traditional Pension and Combined Plans. Access to a Retiree Medical Account for healthcare expenses is available in some plans(Ohio State_Retirement P…).

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Human Resources Contact: Employees can contact the Office of Human Resources or their selected ARP provider for more information on retirement plan options, contribution limits, and other benefits. Ohio State also provides resources on its HR website(Ohio State_Retirement P…).

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Expected Plan Changes: Any changes to contribution limits or plan adjustments will likely be communicated through Ohio State’s HR department. It's essential for employees to stay updated through official HR channels to proactively adjust their retirement strategies(Ohio State_Retirement P…).