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Schatz, Tokuda seek higher payments for physicians – West Hawaii Today

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Schatz, Tokuda seek higher payments for physicians – West Hawaii Today


U.S. Sen. Brian Schatz, alongside Hawaii’s congressional delegation, on Thursday introduced legislation seeking higher Medicare reimbursements for the state’s health care providers.

The Protecting Access To Care in Hawaii Act — or PATCH Act — seeks a 24% increase, which would bring it in line with what Alaska gets, according to Schatz. He said it is key to helping the state retain and recruit doctors for a growing number of seniors.

The timing is more urgent than ever, he added, as Hawaii faces an increasingly acute provider shortage, especially on neighbor islands.

“As more people reach Medicare age in Hawaii, we are seeing fewer health care providers because of the rising operating and living costs in our state,” said Schatz. “Our bill would help fix that, boosting Medicare payments to providers and protecting health care access for the 300,000 seniors in Hawaii that rely on Medicare.”

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It is also a matter of fairness, according to Schatz.

Currently, Medicare physician payments per beneficiary in Hawaii are the lowest in the U.S, and reimbursement rates do not factor in Hawaii’s higher health care operating costs due to its geographic isolation.

The bill would revise a “work geographic index” to reflect those higher costs, and is basically seeking the same level of reimbursements as Alaska.

“In lots of other areas of federal reimbursement, there’s a recognition that Hawaii and Alaska are in a category of their own as it relates to costs that would better reflect our reality,” said Schatz.

U.S. Rep. Jill Tokuda, who introduced the companion House bill, said Hawaii consistently ranks among the healthiest states in the U.S., yet remains one of the worst states in which to practice medicine because of lower compensation and higher operating costs.

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“Especially on our Neighbor Islands, this is exacerbating the access to the health care crisis that exists, often making it difficult to recruit and retain physicians and to get patients the timely quality care they need,” Tokuda said in a statement. “My legislation would ensure Medicare reimbursements more accurately reflect the real cost to provide care in Hawaii so that we can keep more local doctors and attract new physicians to the state.”

U.S. Sen. Mazie Hirono said the low physician reimbursements in Hawaii add another obstacle to accessing and providing health care.

“I’m proud to support this legislation to help ensure that our physicians — and other health professionals — are being fairly compensated, while also expanding access to health care across the state,” she said.

U.S. Rep. Ed Case said medical practitioners have struggled for years to provide quality care while dealing with the mounting cost of doing business in Hawaii.

“This bill will help our health care providers focus on providing care through Medicare and spend less time worrying about inadequate reimbursement,” he said.

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Earlier this year, Sens. Schatz and Hirono also introduced a bill alongside their Alaska colleagues, seeking higher Medicare reimbursements for outpatient care from hospitals, including emergency room visits, for enrolled seniors in the two states.

In 2021, they also sought to boost Medicare reimbursements for nursing homes in Hawaii and Alaska through the bipartisan Equitable Payments for Nursing Facilities Act.

Those bills are still pending.

Hawaii has a shortage of about 800 full-time physicians, according to the University of Hawaii John A. Burns School of Medicine.

Other efforts to address the doctor shortage include an educational loan reimbursement program for health care workers that commit to two years of service in Hawaii. The state Legislature also passed a bill this year exempting private health care providers from general excise taxes for services to patients with Medicaid, Medicare and TRICARE.

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“Everything costs more in Hawaii,” said Schatz, “and so the federal reimbursement has to reflect that, and that should go for nursing home care and Medicare services in clinics. We just have to be on an equal footing. Otherwise, we will have Medicare but really Medicare in name only because Medicare without providers is really nothing.”





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Hawaiian announces $600 million airport, wide-body upgrades | Honolulu Star-Advertiser

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Hawaiian announces 0 million airport, wide-body upgrades | Honolulu Star-Advertiser


COURTESY HAWAIIAN AIRLINES

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Hawaiian Airlines today announced an investment of more than $600 million over five years to improve airport passenger areas across the state and interior upgrades to widebody aircraft.

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Hawaiian Airlines CEO Diana Birkett Rakow told the Honolulu Star-Advertiser ahead of today’s announcement at Daniel K. Inouye International Airport that other improvements will include better apps, a better website that will make it easier for passengers to change flights, among other things that also include better integration with Alaska Airlines, which acquired Hawaiian in 2024, making it a subsidiary of Alaska Air Group.

“We have pushed a lot of change through the system for the last couple of months,” Rakow said. “We’re working on integrating our ticketing systems because right now we’re on two separate ticketing systems that don’t talk to each other.”

After late April, she said, booking on the shared Alaska Air and Hawaiian Air ticketing system “will be much more seamless.”

In announcing the renovations and changes, Hawaiian pledged “a significantly smoother guest experience … once Hawaiian Airlines and Alaska Airlines share the same passenger service system and Hawaiian Airlines joins the oneworld alliance, both scheduled for late April.”

Right now, Rakow acknowledged, “unfortunately there is some friction.”

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“There’s been so many changes and all of that friction is really painful,” she said. “We are committed to making sure we are addressing the issues. … We are certainly not perfect, but we are committed to working together. … Really, after April, it is going to improve significantly.”

Each island airport also will see renovated lobbies and gates designed to increase comfort, provide better seating and amenities such as improved power charging.

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Daniel K. Inouye International also will get a new 10,600-square-foot lounge at the entrance of the Mauka Concourse in Terminal 1.

And starting in 2028, Hawaiian’s wide-body Airbus A330s will get new seats, carpets, lighting, business class suites, a Bluetooth-enabled in-flight entertainment system with high-definition screens and free Starlink Wi-Fi.

Gov. Josh Green said in a statement ahead of today’s announcement that, “Hawaiian Airlines’ investment is exactly the kind of long-term commitment Hawaiʻi needs. Modern, welcoming airports improve the experience for residents and visitors alike, strengthen our economy and keep Hawaiʻi competitive as a global destination. We appreciate Hawaiian Airlines’ partnership in advancing workforce development, regenerative tourism, clean energy, and community programs that reflect the values of our islands.”

The New Year began with a .75% increase in Hawaii’s Transient Accommodations Tax that will help the state fight climate change.

Rakow said that Hawaiian is working to better inform inbound passengers about how to respect Hawaii’s culture and environment.

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Hawaiian said it will continue to support “programs promoting regenerative tourism, culture and conservation.”

The airline also said it will fund grants to nonprofit organizations “promoting cultural programs, environmental preservation, and perpetuation of native Hawaiian art and language through the Alaska Airlines | Hawaiian Airlines Foundation.”




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Climate security threats to Hawaii outlined in report | Honolulu Star-Advertiser

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Climate security threats to Hawaii outlined in report | Honolulu Star-Advertiser




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Flood advisory in effect for Oahu, Maui and Hawaii island | Honolulu Star-Advertiser

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Flood advisory in effect for Oahu, Maui and Hawaii island | Honolulu Star-Advertiser


UPDATE: 11:13 a.m.

A flood advisory is in effect for Oahu until 2:15 p.m. today due to flooding caused by excessive rainfall.

At 11:09 a.m., the radar showed heavy rain developing and traveling slowly eastward over Oahu.

“The heaviest rain is currently over the western half of the island, but is expected to fill in and move over the remainder of the island over the next few hours. Rain was falling at a rate of 0.5 to 2 inches per hour,” forecasters said.

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Some locations that will experience flooding include Honolulu, Waipio, Mililani, Pearl City, Waikele, Wahiawa, Wheeler Field, Waipahu, Aiea, Kunia, Halawa, Waiahole, Waikane, Schofield Barracks, Salt Lake, Kahaluu, Moanalua, Ahuimanu, Iroquois Point and Ewa Beach.

Meanwhile, the flood advisories have been extended for Hawaii County and 1:45 p.m. and Maui County until 2:30 p.m.

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At 10:30 a.m., the radar showed heavy rain moving over portions of the Puna and Kau coasts. Rain was falling at a rate of 1 to 2 inches per hour, with the heaviest rates of up to 3 inches per hour between Hawai‘i Volcanoes National Park and Pahoa, including portions of Pahoa Kalapana Road and Highway 11.

Some locations that will experience flooding include Hilo, Hawaii Volcanoes National Park, Volcano, Glenwood,

Mountain View, Wood Valley, Hawaiian Acres, Pahala, Orchidlands Estates, Keaau, Pahoa, Punaluu Beach, Kawa Flats, Papaikou, Naalehu, and Fern Forest.

At 11:04 a.m., the radar showed heavy rain over portions of eastern Maui. Rain was falling at a rate of 1 to 2 inches per hour with the highest rainfall rates in the upslope areas between Kaupo and Nahiku.

“While no significant impacts have been noted as of yet, additional rainfall over that area today is expected to produce more flooding concerns,” forecasters said.

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The flood watch remains for all Hawaiian Islands.

EARLIER COVERAGE

A flood watch is in effect for all Hawaiian Islands today through Monday afternoon due to the possibility of flash flooding caused by excessive rainfall, according to the National Weather Service.

A deepening Kona low north of Kauai is expected to move southwest today and Monday before turning west. Thunderstorms and heavy showers will affect the region over the next couple days leading to the flash flood threat. Winds may strengthen to wind advisory levels Monday for lower elevations and high wind warnings on Hawaii island summits. Lingering moisture may keep rain over the state through the week.

>> Prepare for rainy weather as Kona low hits Hawaii

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“Flood prone roads and other low lying areas may be closed due to elevated runoff and overflowing streams,” according to the forecast. “Urban areas may receive more significant flooding and property damage due to rapid runoff. Significant flooding may occur due to the overflow of streams and drainages. Landslides may also occur in areas with steep terrain.”

The greatest flood risk is along the southeastern mountain slopes of Maui and Hawaii counties as deep moisture spreads up the slopes.

The flood watch may be extended into Tuesday if weather conditions persist.

Flood advisories are also in effect for Hawaii County until 10:45 a.m. today, while Maui County will remain in effect until 11:30 a.m. today.

At 7:45 a.m. today, the Hawaii island radar indicated heavy rain traveling over portions of Puna and Kau coasts. Rain was falling at a rate of 1 to 2 inches per hour, with isolated heavier rainfall rates of 3 inches per hour between Pahala and Pahoa including areas of Pahoa Kalapana Road and Highway 11.

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Some locations that will experience flooding include Hilo, Hawaii Volcanoes National Park, Volcano, Glenwood, Mountain View, Wood Valley, Hawaiian Acres, Pahala, Orchidlands Estates, Keaau, Pahoa, Punaluu Beach, Kawa Flats, Papaikou, Naalehu, and Fern Forest.

At 8:19 a.m. today, the Maui County radar showed heavy rain continuing to develop and move over the eastern portions of the island. Rain was falling at a rate of 1 to 2 inches per hour with the highest rates and totals found in the upslope areas between Kaupo and Nahiku.

Some locations that will experience flooding include Kipahulu, Kaupo, Hana, Haleakala National Park and Hamoa.



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