Data compliance standards (HIPAA, HITECH and Gramm-Leach-Bliley Act) and the implementation of Electronic Health Records (EHR) requirements of the Affordable Care Act (ACA) require medical practices and healthcare organizations to not only utilize electronic data, but also ensure that the data is secure and methods are in place to report and recover any lost or stolen information. Any company that maintains private personal/financial information on customers/patients has the responsibility to protect that information. Any unauthorized…
All Posts Written By Rob Cash, Author at Diederich Healthcare
This article is part of a series: Part 1 Part 2 All of the factors addressed in Parts 1 and 2 of this article… increased patient population, increase in coverage benefits, change in practice/healthcare delivery models, changes in reimbursement models …contribute to intensified and newly created Medical Professional Liability (MPL) issues. Current MPL litigation trends are showing a reduction in the frequency of claims, but an increase in severity of awards. Large plaintiff verdicts…
This article is part of a series: Part 1 Part 3 Millions of additional insureds seeking healthcare from the same population of practicing physicians who are receiving ever-reducing reimbursement rates will cause physician practices to change rapidly and dramatically. The formation of Accountable Care Organizations (ACO) appears to be the root of the response to newly created physician reimbursement models. An ACO is a “healthcare organization characterized by a payment and care delivery model…
Choosing the best fit for your Medical Malpractice Insurance coverage is one of the most important decisions that a Physician will make for his/her medical practice. There are many options available and they can vary greatly in policy coverage, form, and premium from Carrier to Carrier and State to State. Items that should be addressed and examined on an annual basis include: Differences in insurance company structure and the regulations under which carriers operate “Admitted”…
This article is part of a series: Part 2 Part 3 Medical practices and the delivery of healthcare are adapting to accommodate current and imminent changes in the patient population, the health coverage available to the patient population, and reimbursement models resulting from the Affordable Care Act (ACA). The ACA’s creation of a dramatic and possibly overwhelming influx of new patients with access to healthcare is one of the base forces causing physicians to…
A trend that started a couple of years ago continues to catch on in the medical malpractice insurance community. Several medical professional liability insurance companies have been adding on extra coverages for physicians in order to entice them to stay with their current company and also attract new physicians. One of the most popular endorsements added to these policies in recent years has been Cyber Liability Coverage. The great thing about this additional coverage is…
Most physicians assume that their exposure as Medical Director at a nursing home is covered under their standard Medical Professional Liability Insurance policy or under the Nursing Home’s Liability policy. The truth is that most Med-Mal policies specifically EXCLUDE any Medical Director responsibilities, whether the physician has direct patient contact or not. A physician’s medical liability policy will, most likely, cover clinical issues related to the direct care of the physician’s patients while they are…
Diederich Healthcare, a division of Diederich Insurance Agency, LLC, a leading provider of medical professional liability insurance has announced that the agency has obtained access to a new Individual Medical Professional Liability Protection Plan designed specifically for Physician Assistants (PAs) nationwide. Although physician assistants may be covered under the employer’s policy, personal risk for negligence attributed to the physician assistant in a malpractice lawsuit still exists. Diederich Healthcare recommends that physician assistants consider obtaining their own professional…
Responding to continually increasing premiums in the 1990’s and early 2000’s, many stated enacted tort reform laws imposing limits on non-economic damages believing that exorbitant jury awards were the cause of increasing insurance premiums for physicians, and the imposition of caps on awards would thwart the growing medical malpractice insurance crisis. By 2006, 32 states had enacted some form of tort reform. Oklahoma re-initiated tort reform in 2009 after previous attempts in the early 2000’s…
According to the Insurance Information Institute (2011), although “premiums are now stable and the frequency and severity of claims has moderated, some observers see the beginning of a reversal”. A 2010 study by Conning notes that “medical malpractice profitability cycle has peaked…a number of factors will challenge insurers and possibly lead to higher losses over the next few years”. These factors include: Outpacing other tort areas, costs to defend/settle medical malpractice cases are continually rising…
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