Originally posted by: Ornery
Malpractice insurance costs skyrocket
- ...Katz, who paid $26,000 per year since 1997, says he received quotes ranging from $42,000 to $129,000 from the few carriers operating in town. The quotes also included "nose insurance," which covers potential future claims for the previous policy period.
Now, who do you suppose ends up paying for this? Who ultimately is responsible for these rising costs?
From my linked study:
Caps did reduce the burden on insurers...
? In states with caps, the median payout between 1991 and 2002 was 15.7% lower
than the median in states without caps, despite the fact that many states did not
impose the caps until late in the 12-year period.
? Moreover, in states with caps, the payouts increased by 83.3% from 1991 to 2002,
while the rate of increase in states without caps was 127.9%.
But most insurers continued to increase premiums at a rapid pace, regardless of caps...
? In states with caps, the median annual premium went up by 48.2%, but,
surprisingly, in states without caps, the median annual premium increased at a
slower clip?by 35.9%.
? Among the states with caps, only 10.5% experienced flat or declining med mal
premiums. In contrast, among the states without caps, the record was actually
better: 18.7% experienced flat or declining premiums.
These counter-intuitive findings can lead to only one conclusion: There are other, far
more important factors driving the rise in med mal premiums than caps or med mal
payouts. These include:
? The medical inflation rate. In the 12-year period through 2002, medical costs rose
75%.
? The insurance business cycle. The property and casualty industry as a whole
suffered an unusually long 12-year ?soft? period in the insurance business cycle
through 1999, resulting in loose underwriting practices?not enough money in
premiums collected to cover anticipated claims. At the end of the cycle, in an
attempt to catch up, insurers began to tighten underwriting standards and raise
premium rates.
-The need to shore up reserves. Med mal insurers have been consistently underreserving
since 1997?to the tune of $4.6 billion through December 31, 2001.
The only way to shore up reserves is to increase premiums.
? A decline in investment income. With falling stock prices and declining interest
rates, investment income for the entire property/casualty industry fell 23% in
2001 compared to 2000, and then another 2.5% in 2002. Moreover, investment
income is particularly critical for lines of business like med mal where the
duration of claims payouts typically spans several years.
? Financial safety. Based on the Weiss Safety Ratings, we find that 34.4% of the
nation?s med mal insurers are vulnerable to financial difficulties (those with a
rating of D+ or lower), as compared to 23.9% of the property and casualty
industry as a whole. In order to restore their financial health, many med mal
insurers will remain under pressure to increase premiums despite new laws to cap
payouts.
? Supply and demand. The number of med mal carriers increased until 1997, but
has since fallen from 274 in that year to 247 in 2002. Moreover, in certain
regions and medical specialties, there is evidence that some med mal insurers
have pulled out or discontinued coverage.