
Directors and Officers Insurance
“D & O” insurance protects against claims alleging that the directors of the medical organization have in some way failed in their responsibility to maintain the economic feasibility of the organization. We provide Directors & Officers Insurance to some of our medical groups by using A or A+ rated carriers to place this business. Traditionally, Lexington, Executive Risk, Mt. Hawley and Lloyds are the leaders in Health Care D & O. Our experience in working with these companies has been consistently positive; premiums are competitive and the coverage is extensive. The primary types of coverage provided by D & O policies to healthcare organizations are: AntiTrust, Shareholder Liability and Due Diligence.
Errors and Omissions
Errors & Omissions coverage is provided to qualifying Managed Care Organizations. As with Directors & Officers coverage, we work with the leading A or A+ rated carriers for Healthcare Liability Insurance.
The primary risk exposures covered under the E & O policies are as follows:
- Vicarious Liability to the IPA, HMO or other Managed Care Organization
- Utilization Review for Denial of Care and Delay of Referral
- Peer Review for Negligent Credentialing, De-Credentialing and Economic Credentialing
Staying ahead of evolving legislation, litigation and claim trends in the continually evolving health care environment can be a formidable challenge. Large medical groups are now asked to perform “utilization review” for HMO's and other Managed Care Organizations. We help you understand what added exposures will accrue to the medical group with these many contracts and new responsibilities.
The Doctors Insurance Agency will coordinate site visits or phone consultations with our managed care legal expert, Jayme Taormina, J.D. Our goal is to avoid any unnecessary managed care liability exposure and we try hard to protect our policyholders from some of the pitfalls of managed care products.
Untangling Interwoven Liabilities
Medical Groups, by their very nature, intertwine two critical but seemingly incompatible functions: providing medical care and maintaining economic feasibility. This dual function, coupled with the ever-evolving health care system, creates a host of new liabilities for all medical groups. To achieve this two-tiered objective, these organizations are a unique combination of medical professional services and corporate management. Mirroring this entangled structure and function, medical groups face a unique weave of Directors & Officers and Errors & Omissions liability exposures.
The Doctors Insurance Agency will coordinate site visits or phone consultations with our managed care legal expert, Jayme Taormina, J.D. Our goal is to avoid any unnecessary managed care liability exposure and we try hard to protect our policyholders from some of the pitfalls of managed care products.
Risk Management
Our Risk Management Program is accredited by the Accreditation Council for Continuing Medical Education. Guided by Joan Bristow at The Doctors Company's headquarters, we can arrange for regular site visits by our Risk Management Team. A Risk Management specialist can be assigned to your new group.
The way to prevent the double digit premium increases that were rampant in the early to mid-1970s is to commit the company to the study and management of claims while concurrently working on legislation and political action that safeguards the physician's interests and assists in stabilizing skyrocketing malpractice premiums.
The core of Risk Management education is establishing a shared understanding of how claims are caused and prevented. Our excellent Risk Management Team, including field managers in all U.S. time zones, presents specialty and regionally specific services to our policyholders. Teaming with the Claims and Underwriting staffs, Risk Management investigates the hows and whys of actual claims, then translates findings into practical, preventative guidelines.
Physician Advocacy Communication/Education
The Doctors Company is committed to strong partnerships with policyholders by stressing communication as a means of building mutual understanding and confidence. The better we understand your needs and the more you know about our services, the less vulnerable you ultimately will be to experiencing claims.
Sharing knowledge and information is The Doctors Company's commitment to ongoing education for policyholders. This is reflected in the quality of our loss prevention materials and presentations. One component of our educational focus is identifying new claims exposures and alerting policyholders. A current example is TDC's education pertaining to liability risks associated with managed care, specifically with health maintenance, preferred provider, and exclusive provider organizations.
In over 20 years of committing ourselves we have developed highly skilled and experienced Claims and Risk Management Departments. We are proud that we are a competitively priced solution that supports each policyholder with intelligent, experienced and committed insurance and medical professionals. |