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.

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