Importance of Doctor-Patient Communication

Clear communication is essential to the success of any relationship, especially the one that exists between a physician and their patient. Learn more about the importance of doctor-patient communication. [More]

Job Outlook for Physicians

Individuals interested in pursuing a career in healthcare should benefit from an abundance of job opportunities in the foreseeable future. Learn more about the job outlook for physicians. [More]

Data Security Breaches in Healthcare

Healthcare data breaches are all-too-common occurrences these days, and they pose a significant liability. Find out more about data security breaches in the healthcare industry and how you can prevent them. [More]

What Are the Different Types of Hospitals?

With the growing complexity of the healthcare system, there are so many different types of hospitals and medical facilities for patients to choose from. Find out what the different types of hospitals are and what differentiates them from one another. [More]

How Much Does Medical Malpractice Insurance Cost?

Full expert overview of Medical Malpractice Insurance costs and what factors are involved. [More]

Going Bare - Are Doctors Required to Have Malpractice Insurance?

Doctors choose to go without Medical Malpractice Insurance for a variety of reasons. Make sure you know the risks involved before deciding. [More]

How Stand-Alone Medical Malpractice Tail Policies Can Save Money

The medical malpractice insurance environment is always changing and it's hard to know if you're getting the best deal. Click here to learn more about how stand-alone medical malpractice tail policies could save you money. [More]

Claims vs. Occurrence Medical Malpractice Insurance Explained

Claims made and occurrence policies in medical malpractice insurance can be hard to understand. Click here to learn the difference between the two and what they can offer your practice. [More]

The Differences Between Medical Malpractice Insurance Deductibles

One of the most confusing elements of medical malpractice insurance is often the deductable. Learn more about this aspect of your coverage and how to make sure that it meets your exact needs. [More]

Benefits of Slot Coverage for Medical Malpractice Insurance

If your practice involves part-time and full-time physicians, you may feel that you're being overcharged for medical malpractice insurance. Find out if slot coverage is the right option for you. [More]

The Election and Healthcare Reform

On November 8, 2016, Donald J. Trump was elected the 45th President of the United States of America. As of Wednesday morning, Mr. Trump had won 276 electoral votes – 270 electoral votes were needed to win the Presidential election. Mrs. Hillary Rodham Clinton (again as of Wednesday morning) had won 218 electoral votes. [More]

MACRA: Value is a mathematical equation

MACRA created a two-path payment system. Eligible Professionals (EPs), physician(s), and allied professionals can choose either the Merit-Based Incentive Program (MIPS), or the Alternative Payment Models (APMs). CMS’ stated goal for these payment options, noted from their website, is: “The MACRA QPP will help us to move more quickly toward our goal of paying for value and better care.” [More]

MACRA - Coming Reporting Burden

An area we view as a significant concern going forward relates to the Quality Payment Program (QPP) for physician(s) and allied professionals in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which repealed the outdated Medicare Part B Sustainable Growth Rate formula (SGR), and combined the existing quality reporting programs, the Physician Quality Reporting Program (PQRM), the Value-Based Payment Modifier (VM), and the Medicare Electronic Health Records Incentive Program (EHR). [More]

Medical Device Cybersecurity

The risks of failure of computer network security and unauthorized disclosure of private information are well-established in healthcare. 2015 was a noteworthy year for large breaches in healthcare, with major hacks against payers and providers, including Anthem and UCLA. In early 2016, the threat of intrusion from ransomware came to the foreground, with Hollywood Presbyterian Hospital publicly disclosing a threat against them and paying a ransom, and many other providers announcing that they also routinely face such attacks (while not necessarily paying the ransom demanded). These ransomware demands threaten the ongoing business activities of the provider, but also patient care and reputation as well.
This paper will review the cyber security risks that medical devices may present and how current insurances may respond to bodily injury exposures. We will also examine the current regulatory oversight of medical device software and security and provide a framework to analyze which insurance policies might respond to the breach, the parties that might be implicated in the chain of responsibility and how those policies collectively respond to bodily injury arising out of the failure of security of a medical device. [More]

West Virginia and Florida Legislatures Take Steps to Address Primary Care Physician Shortage

Anticipated shortfall of primary care physicians in 2025 of between 12,500 to 31,100 unfilled vacancies. This shortfall is caused by a growing and aging population and increased participation in the U.S. healthcare system. While the number of medical school enrollments has increased by 6.2, the number of residency openings available for primary care physicians (including general and family practice, general internal medicine, general pediatrics, and geriatric medicine) has only increased by 1%. These openings represent only 14.5% of the residency positions offered. [More]

Medicare & Medicaid Costs and Increased Scrutiny

Almost two years ago in April 2014, the Centers for Medicare and Medicaid Services (CMS) released for the first time in 35 years data outlining provider reimbursements. A Wall Street Journal article noted at the time that the data released, which was from Calendar Year 2012, indicated the “top 1% of 825,000 individual medical providers accounted for 14% of the $77 billion in billing recorded in the data”. While this data is not new to the fraud investigators it certainly sheds a light for the public as to where the investigators might focus their efforts. [More]

What does it cost to defend a malpractice claim?

A question that comes up regularly is that of “defense” costs. Ask any person involved in an insurance claim that required a defense attorney how much the insurance company spent defending your case, and I doubt you will find anybody who knows know the true cost. [More]

Recent Scam - Social Engineering Fraud Endorsement

In recent weeks, a number of our clients have experienced scams that all have similar characteristics. The following is a representative example of the sort of activity we are seeing:

Our client’s CFO received what appeared to be an email from the company CEO instructing him to wire funds to another bank to support a proposed real estate transaction. Everything about this email appeared authentic and the request was not out of the realm of normal business transactions for our client, but it soon became clear that the email was sent from a third-party thief. Learn more about this type of scam... [More]

Equipment Maintenance Alternatives

Let’s begin with full disclosure - I don’t buy maintenance agreements or extended warranties of any for any type for any type of product; including cars, refrigerators, cell phones, computers, printers, couches, driveways or anything else. Some might argue that it is prudent to warranty some of these items. However, my view is that in the long-run, it doesn’t make sense.

Now don’t get me wrong; I think there is a place for the short-term standard warranty that you automatically get when buying a product. There is always the possibility that you could wind up with a “lemon.” But financing extended warranties may not be the best decision for your organization.

Extended maintenance agreements are financial instruments. A good CFO is always looking to save money and get the best return on investment. Below we examine the pros and cons of these products. [More]

Insurance carrier claims cyber exclusion – not obligated to pay $4.1 million settlement

The article from Business Insurance is instructive as to the fluid legal nature behind cyber liability, data breach coverage and the need to have closely analyzed the policy form. An insurance carrier is asking a court of law to rule that they are not obligated to pay a $4.1 million dollar class-action settlement. The insured was Cottage Health System, based in Santa Barbara, California which had approximately 32,500 confidential medical records exposed to the internet. [More]