Orthopedic Surgery Insurance by The Doctors' Insurance Agency

Orthopedic Surgeons are selling their practices to join hospital or larger multispecialty group models :

Many physicians surveyed practicing in Orthopedic Surgery believe that you're going to see more doctors joining hospital model vertical integrated healthcare practices: 

There are a few  things driving this percentage up right now. A culmination of financial pressures in the market over the past two years has driven reimbursement down.

Orthopedic surgeons in a small practice (under four to six surgeons) are finding it extremely difficult to financially support a practice. 

I think another factor is  the continued trend to centralize and automate :  Electronic medical records and other requirements under healthcare legislation are going to be impossible for small groups to handle when they are already under such pressure right now. These physicians will be driven to an employed model instead of a large group practice because they've been in a small group for a while and they don't see advantages to larger groups. They think they won't be able to improve their position.

Read the rest of entry »

Aesthetic, Med Director, Consulting Professional Liability Insurance

Aesthetic, Med Director, Consulting - Niche liability is one of the problems for dermatologists, plastic surgeons, and family practitioners when considering insurance needs.

Understandably, there are many restrictions on clinical medical malpractice policies. Those policies are restricted to the location and to a particular type of work. There are vicarious liability risks that rise for a healthcare organization when physicians who are contracted to do clinical work take on contractual commitments outside of that organization.

Whether you are doing work at a Surgery Center,  infrequent Telemedicine consultations, hospitalist work, Medical Expert Witness, or utilization review, each of these jobs carries its own unique liability. They can all be covered by one policy, or you can take an individual silo approach to finding niche-oriented liability.

A common question that we often hear from specialties such as dermatology, plastic surgery, otolaryngology, and family practice is

Read the rest of entry »

Employment Practices Liability Insurance (EPLI)

Employment Practices Liability Insurance is coverage for employers to defend against claims made by employees alleging discrimination, wrongful termination, harassment and other employment-related issues.

The Doctors Insurance Agency specializes in affordable complete employment practices liability protection. We are singularly focused on healthcare organization and physician liability insurance, as well as risk management protection.

It is increasingly startling how consistent the increase in expenses required to defend practices and principles against these claims has been.

In addition to claims made by employees, there are also independent contractors, hospital nurses, and employees of outpatient facilities that can allege hostile discriminatory or harassment against physicians and mid-level providers, threatening the financial integrity and future of the organization. It is important not only to protect against common claims for employment related lawsuits, but also claims brought by third parties.

Read the rest of entry »

Tail Coverage is tTme Sensitive and the Premium is Based on the Recently Passed Work

Historically "Tail Coverageis an extended reporting period endorsement, offered by a physician's current malpractice insurance carrier, which allows an insured physician the option to extend coverage after the cancellation or termination of a claims-made policy

Tail is time sensitive and the premium is based on the recently passed work.

Tail coverage is only necessary when a Claims-Made policy is cancelled or terminated AND the insured physician cannot secure “Nose” coverage aka “prior acts” from a new insurance carrier.

Read the rest of entry »

Medical Expert Witness

As mergers and consolidations in healthcare continue, we at the Doctors Insurance Agency are finding that our physicians, who are educated, credentialed, experienced, and often fiercely intellectually independent, are looking for gigs. Whether they are millennials, baby boomers, or somewhere in between, doctors are finding opportunities outside of their conventional medical groups. One of those opportunities is serving as a medical expert witness. It can be interesting, challenging and remunerative. It also requires separate insurance.
Read the rest of entry »

Why to choose Strong Medical Malpractice Insurance Carriers?

In a recent article from a national respected insurance broker, I read about the demise of specific and lightly-financed Insurance Solutions for Medical Professional Liability, referred to as risk retention groups.

Full disclosure: we believe there is a place for risk retention groups in the market. Just because one of them does not make it and has to be rescued, or the policy holders have to leave them, it does not mean that all coverage is lost and all claims are exposed, resulting in the insured Physicians losing personal assets. That would only happen in the event of an open and pending claim, or if a new insurance company was unwilling to write retroactive coverage.

Read the rest of entry »

Hospitalist Groups are One of the Fastest-Growing areas within the Massive Health Care Economy

There is a common feeling about Hospitalist Medical Groups that they do not form sufficient physician-patient relationships and that as placeholders in the sensitive chain of providing delicate and artful healthcare this would be a way to encourage disappointment, frustration, and mistakes resulting in professional liability claims against hospitalist groups. 
Read the rest of entry »

How do malpractice Insurance Carriers develop Individual Physician Claims Made Premium Rates?

Regardless of whether you are an independent aesthetician, a contracted  mid level provider, a telemedicine consultant  physician or are managing a healthcare facility, the costs of maintaining (and leaving) your medical professional liability insurance policy is a big business challenge (often one of the most significant challenges faced by our clients and policyholders).

Tail Insurance in medical malpractice insurance might be avoided and the premium savings can total into the thousands.

The ongoing ‘real time’ cost of insurance is tough, the state in which you practice can make or break the premium amount.  And, the untold story of potentially higher (lasting costs) of medical professional liability insurance is :  TAIL.  The price you pay to cover you going forward for the services you provided in the past.

There are ways around paying for tail; without a skilled insurance agent, broker or a creative group administrator, you could unnecessarily pay 50 – 75 % more than necessary

Read the rest of entry »

Is there an Affordable Clinical Research Liability Insurance Policy?

How do you provide proper insurance:  the right type of clinical research liability insurance for your clinical research organization? Doesn’t the Pharmaceutical or Manufacturer provide indemnification clauses that cover the research organizations?

What if you are a clinical research organization that employs three investigators: (each an M.D. or D.O.) and many independently contracted sub investigators; Some of these (a combination of mid levels  (NP’s, CNM’s and PA’s).

Read the rest of entry »

Administrative Medical and Patient Safety Liability Insurance

When physicians are requested to provide protected (or seemingly protected) health information to Pharmacies, Hospitals, or other Health care organizations...Which, naturally runs counter to your  trained method of protecting that information and storing it securely.

 Pharmacies are increasingly demanding patients' personal health information before filling prescriptions. 

Are Pharmacies playing a heavy hand? 

Seems like a conflict reminiscent of the pharmacies refusing to fill birth control prescriptions for unmarried women.

There are now laws in place prohibiting that kind of discrimination. Now, the opioid crisis is initiating action that conflicts with protection. Pharmacies need to protect patients...Pharmacists tell patients that physician  have to send their records to the pharmacy before they'll dispense.  But, if the physician releases the information are they opening themselves up to a Hipaa violation, with civil fines and penalties:

Read the rest of entry »
  1. Re: Clinical Research Liability

    Do you recommend purchasing a tail insurance or a occurrence based insurance and add a tail policy afterwards...

    -- Ann Shang

  2. Re: Clinical Research Liability

    I am talking with a CTO in the US ( I am in US too) to be a contractor doing clinical trials on a part...

    -- Ann Shang

  3. Re: The Podiatrists Market Research Report states that demand for podiatrists will likely benefit from healthcare reform.

    My husband has been feeling a lot of pain in his feet recently. We think this could be due to his posture...

    -- Sarah

  4. Re: Developing Walk In and Urgent Care Centers

    It's good to see that urgent care facilities are becoming more and more prevalent. You are right that...

    -- Caden Dahl

  5. Re: Functional Medicine Malpractice Insurance

    Interested in obtaining information for FM MP

    -- Cynthia Shughrue

  6. Re: Visiting Residents/Intern/ Fellow (Hands On) Medical Malpractice Insurance

    I am a final year medical student planning to do a couple of electives in medical school in the US and...

    -- Varun

  7. Re: Medical Malpractice Insurance Benefits, expanding to outpatient facilities

    I like the idea of some of the cost returning to the normal discounted market after a few years of claims...

    -- Dave Anderson

  8. Re: Who Can Perform Liposuction Surgery?

    This is very interesting content! I have thoroughly enjoyed reading your points and have come to the...

    -- Re: Who Can Perform Liposuction Surgery?

    Thanks for helping me understand any licensed physician can actually perform this procedure as per the...

    -- Millie Hue

  9. Re: The Podiatrists Market Research Report states that demand for podiatrists will likely benefit from healthcare reform.

    Thanks for giving me more information about the benefits of podiatrists from the healthcare reform. ...

    -- James