Disruption to Healthcare Services Looms for Maui
A strike notice has been issued by the Healthcare Professionals Union for Kaiser Permanente facilities on Maui, with a potential work stoppage commencing on January 26th. This action involves approximately 31,000 healthcare professionals across multiple states, including physical therapists and pharmacy providers on Maui.
The 10-day notice sets a clear deadline for contract negotiations to resolve outstanding issues. If agreements are not reached, the strike will directly impact the availability of essential healthcare services for Kaiser Permanente members, a significant portion of Maui's insured population. This ripple effect will undoubtedly extend to local businesses whose employees depend on Kaiser Permanente for their medical care.
Who's Affected
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Small Business Operators (small-operator):
- Employee Health Benefits: Businesses with employees covered by Kaiser Permanente plans face significant disruption. Employees may experience delays or inability to access scheduled appointments, diagnostics, and prescription refills.
- Staff Morale & Productivity: Employees concerned about their healthcare access may experience increased stress, potentially impacting morale and productivity. Businesses may need to provide increased support or flexibility.
- Operational Strain: Businesses that offer Kaiser Permanente as part of their employee benefits package might see increased inquiries and potential demands for alternative solutions or support.
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Healthcare Providers (healthcare):
- Kaiser Permanente Facilities: Direct disruption of services, operational challenges, and potential patient care delays. Non-striking staff may face increased workloads.
- Independent Medical Practices & Clinics: Potential for patient diversion and increased demand for services as Kaiser Permanente members seek alternative care. This could lead to capacity issues and strain on existing resources.
- Pharmacies (Non-Kaiser): Increased demand for prescription fulfillment as Kaiser Permanente pharmacies face disruptions.
- Telehealth Providers: Opportunities to serve Kaiser Permanente members seeking remote consultations, but also potential strain on infrastructure if demand spikes unexpectedly.
Second-Order Effects
The impending strike at Kaiser Permanente facilities on Maui is not an isolated event; it will cascade through the island's interconnected economy. Initially, Kaiser Permanente members will face immediate challenges in accessing care. This pressure will likely divert patients to private practices and clinics, potentially overwhelming their capacity and leading to longer wait times for all patients seeking services on Maui. For small businesses, this means employees may face delayed diagnoses or treatments, impacting their ability to work effectively. Furthermore, if the strike extends, it could place additional burdens on existing health insurance plans not affiliated with Kaiser, potentially increasing costs for businesses in the long run due to increased claims or the need to renegotiate benefit packages. The disruption could also impact healthcare worker availability if the strike leads to temporary reassignments or difficulties for essential personnel. This, in turn, could affect the overall labor market on Maui, where healthcare is a significant employment sector.
What to Do
For Small Business Operators:
- Assess Employee Coverage: Immediately identify how many of your employees are covered by Kaiser Permanente health plans.
- Communicate Proactively: Inform affected employees about the potential strike and the possible disruptions to their healthcare access. Provide information on Kaiser Permanente's strike contingency plans, if available.
- Backup Planning: Encourage employees to reschedule non-urgent appointments to before January 26th or to identify alternative, non-Kaiser providers for urgent needs. Offer flexibility to employees experiencing significant healthcare disruptions.
- Review Benefits Strategy: For businesses with upcoming benefit renewal periods, use this event as a impetus to evaluate the stability and coverage of current health plans and consider diversifying options for future renewals.
For Healthcare Providers (Independent Practices, Clinics, Telehealth):
- Prepare for Patient Influx: Anticipate potential patient diversion from Kaiser Permanente. Assess your capacity for scheduling, diagnostics, and treatment. Consider extending operating hours or implementing temporary staffing solutions if feasible.
- Communicate Capacity: Clearly communicate your current availability and any limitations to new patients and referring physicians. Update your website and answering services with accurate wait times and appointment availability.
- Collaborate with Referring Entities: Liaise with other healthcare providers and Kaiser Permanente (where possible) to understand the scope of the disruption and coordinate care transfer for critical cases.
- Telehealth Adjustments: If you are a telehealth provider, be prepared for a potential surge in demand. Ensure your platform can handle increased volume and that your clinical staff is ready to manage more consultations.
Action Details: Small business operators should communicate with their Kaiser-enrolled employees by January 23rd to discuss potential service disruptions and encourage rescheduling of non-urgent appointments before January 26th. Healthcare providers should review their patient scheduling systems and staff availability by January 24th to prepare for potential increases in patient volume.



