In 2016, the medical professional liability (MPL) industry’s profitability was still strong, though income was derived from slightly improving investment income and still favorable prior year loss development. Current policy year underwriting results deteriorated by three points relative to 2015, likely owing to continued price competition. The 2016 operating ratio for MPL insurers stayed below the property/casualty industry average. The question abounds as to how much longer prior year reserve releases will be able to cushion MPL results. Milliman consultants Richard Lord and Stephen Koca provide some perspective in this article.
This article was published in the 2017 Fourth Quarter issue of Inside Medical Liability.
This article by Milliman consultants Eric Wunder and Brad Parker summarizes some key financial results for a composite of medical professional liability specialty writers through the second quarter of 2017. The decline in premium isn’t slowing down, and favorable reserve runoff from prior years is providing less financial relief. Future investment results look promising.
This article was originally published in the September 2017 issue of the Medical Liability Monitor.
This article by Milliman’s Eric Wunder and Brad Parker summarizes key financial results for medical professional liability writers from the first quarter of 2017. First-quarter premiums declined for the 11th consecutive year, dropping below the $2 billion mark for the first time since 2002. The 3.1% decrease relative to Q1 2016 is consistent with the average annual decrease seen during the past five years.
This article was originally published in the July 2017 issue of the Medical Liability Monitor.
While on a downward trend, movement in the medical professional liability (MPL) industry has occurred at a relatively slow pace. Surplus grew slightly in 2016, leaving the MPL industry in a financial position roughly consistent with where it has been for the past half-decade. Milliman consultants Chad Karls and Susan Forray provide more perspective in their recent Inside Medical Liability article.
Over the past 10 to 15 years, medical professional liability (MPL) insurers have been fortunate to have enjoyed profitability strong enough to take the edge off the necessity of a deep structural market change. But the time is coming when insurers will have to face the reality. How will MPL insurers compete in a shrinking market and what will their role be? Milliman consultants Richard Lord and Stephen Koca provide some perspective in their article “A difficult time: MPL insurers navigate the future.”
This article was published in the 2016 Third Quarter issue of Inside Medical Liability.
Hospitals and health systems seeking to acquire physician groups can increase their negotiating power, and reduce overall claims costs, and more. However, these organization need to vet a physician group’s medical malpractice coverage thoroughly to better understand the financial implications involved with its acquisition.
In their article “Medical malpractice insurance: A key concern when acquiring physician groups,” Milliman’s Richard Frese and Andy Hoffman discuss the importance of assessing a physician group’s insurance policy. The following excerpt provides perspective on some coverage costs that hospitals should examine before executing an acquisition.
Several key costs must be estimated to provide management with the best information to make an appropriate decision. A critical cost that should be estimated is the unpaid claims liability—i.e., the amount the group is responsible for in the incidents that occurred up to a certain date. Medical malpractice is a long-tailed line of business, has losses that can vary drastically from year to year, and can have significant lags between the occurrence and reporting of claims. These factors can make the estimation of unpaid claim liability difficult.
In addition to estimating unpaid claim liability, which is essential, hospitals and health systems can benefit from other estimations that are less frequently performed. For example, to demonstrate the benefits of acquisition, the insurance costs can be estimated for the hospital and physician groups separately and combined. The projected future losses for the physician group can be estimated as a basis for comparing commercial insurance rates to determine whether it makes sense to retain the costs or purchase commercial coverage.
Considered together, the cost differences, benefits, and risk factors can help hospital and health system leaders decide whether acquiring a physician group makes sense. Failure to account for a physician group’s losses, especially if the group has had adverse loss experience, can be financially disastrous. However, by carefully planning for costs and undertaking proper risk management and consolidation efforts, an acquiring organization can ensure that a physician practice acquisition will be beneficial to all parties involved.