Medical Director Liability Concerns

Across the country midlevel providers are gaining more authority and autonomy with the oncoming shortage of physicians and at the same time physicians are looking to supplement their income with what seems to be a low risk, high reward position at various allied healthcare facilities. The types of facilities doctors are overseeing as medical directors range from midlevel clinics to long-term care facilities, medical spas and ambulatory surgery centers. Allied healthcare is only going to become more prevalent and frequently I receive calls from clients informing me of a medical directorship that they have accepted. [More]

Using a Medical Malpractice Insurance Agent and Why It’s a Necessity

Chances are that at some point in time you have purchased an insurance product through an online system. Or you have called the carrier directly and have gotten a quote over the phone. You probably thought, “Hey, it’s easy,” “I don’t have to worry about sales calls,” “This site tells me that it’s less expensive if I apply online,” or “It’s the quickest way to get coverage.” While some of those statements may be correct, people tend to make major mistakes when dealing directly with insurance carriers and not using a broker. The items below reference the downside of not having an agent in the numbered sections. The remaining content is about what you receive in having your own agent. [More]

What to learn from a carrier’s combined ratio

The combined ratio is an important aspect of any insurance carrier that brokers study in order to better service their clients with their medical malpractice insurance policy. Before we demonstrate what to look at when studying this ratio, we will first explain how it is calculated. [More]

Top 10 Things to Consider When Buying a Medical Malpractice Insurance Policy

There is a significant amount of information on medical malpractice insurance and the accompanying different kinds of policies and features a physician can purchase. While it is beneficial that so much information is available, it can actually lead to many physicians feeling overwhelmed and confused rather than informed and enlightened. It is with this underlying issue, that I would like to simplify things. Here are the top 10 things to consider when buying medical malpractice insurance policy (in no particular order of importance): [More]

Growing Trend: Direct Employer Contracts with Healthcare Providers in the Self-Insured Industry

While not a new trend, direct employer contracting with providers is rapidly picking up steam, particularly among self-insured companies. The arrangement can provide employers and healthcare providers with myriad benefits, but with these benefits come risks.

Before providers agree to enter into such an arrangement with employers or approach self-insured employers to discuss a partnership (if this allowable under a provider's contract terms with existing health plans), it is important to understand how the arrangement works, why it can work well for both parties and some the risks providers need to be aware of. [More]

Dispelling the Myth: Conrad Murray Cannot Receive Medical Malpractice Insurance

As Conrad Murray, the doctor who was convicted of involuntary manslaughter in the death of Michael Jackson and recently released from jail, seeks to regain his Texas medical license, questions have been raised about whether he will ever be able to practice medicine in the U.S. [More]

Texas expands prescriptive authority rules on Nov 1, 2013. Are you ready?

Advanced practice registered nurses and physician assistants in Texas will find themselves with fewer restrictions placed on their practice, and on how they collaborate with their physician counterparts, when they go to work on November 1, 2013. Earlier this year, Senate Bill 406 was passed by the Texas Legislature. Signed into law by Governor Rick Perry, the new bill will provide better access to care for patients by allowing physicians, nurse practitioners, and physician assistants to work together with greater ease. This will be especially helpful in the vast rural areas of the Lone Star State. [More]

What Are the True Risks of Vicarious Liability?

As medical practices expand in size, an increased number of professionals come into contact with patients. This has many positive results: patients can get multiple opinions and diagnoses, allowing their treatment to be more well-rounded, and doctors can expand their patient network by bringing nurse practitioners and physician assistants on board. However, these additions can also bring added risk to doctors in the form of vicarious liability. [More]

Management Services Organizations (MSOs) - Emerging Trends in Hospital/Physician Affiliations

The landscape of healthcare practice structures continues to evolve and create new incarnations of medical service delivery models. An example of this evolution is the adaptation of physician clinical practices beyond the individual practice setting into the integrated and collaborative world of hospital ownership, large provider group absorption and Accountable Care Organizations etc. This consolidation trend towards a more broader based, top-down organization has resulted in an often frustrating loss of physician independence and control over their clinical practice. Management Services Organizations have gained prominence an organizational structure which solves some of these concerns by allowing physicians to maintain an element of independence while remaining competitive with larger corporate or hospital based provider groups. [More]

Deciphering who covers your tail

When it comes down to who is responsible for purchasing your medical malpractice insurance tail when you are leaving a group should always be discussed and agreed upon in a contract at the beginning of your employment. If this was not previously addressed then there are different situations that can arise, each one depending on either the group you are leaving or if you are joining a new group. One way that can happen is that you end up having to pay for your tail if both, the group you have left or the group you are switching to refuse to purchase it on your behalf. The next could be if that you do not feel that you need to tail, but your old group does not feel comfortable having a period of no coverage then they would end up buying it. Another outcome is that the new group agrees to pay percentages of your tail, but depending on the number of years that you keep practicing with them. For instance, a new group could make a deal with you that if you leave after the first year then you must pay for your own tail, after two years then you would both split the costs, and if you stay with them for three or more then they cover all of the costs. These are all possible to happen; it just depends on who has more leverage in the situation. [More]