Posts Tagged ‘Medical Negligence Lawyer’

Medical Malpractice Myths: Drive-Up Doctors’ Insurance Premiums (Part IV)

Thursday, November 19th, 2009

Insurance Premium vs Paid

Day four of our personal injury lawyers‘ discussion of “Five Myths of Medical Malpractice.”  Here’s Myth #4:

Medical Malpractice Myth #4: Medical Malpractice Claims Drive Up Doctors’ Premiums

This myth continues to be spread by the health insurance lobby, despite being continuously debunked by empirical evidence.  The argument works as follows:  to protect against large payouts from medical malpractice verdicts or settlements, insurance companies must raise premiums on doctors’ malpractice insurance, which doctors are required to pay under state law regulations regarding the carrying of malpractice insurance.  Makes sense, right?

However, the actual facts present a different picture.  The Americans for Insurance Reform (AIR), a national coalition of public interest organizations, conducted a study that found no correlation between malpractice lawsuits and high premiums paid by doctors.  In other words, malpractice lawsuits brought by personal injury lawyers do not provide any justification for high premiums.

Instead, the study found that doctors’ increasing insurance premiums relate to the insurance industry’s bad investments and the downturn in the economy — what the authors call the “economic cycle of the insurance industry.”  The AAJ report explains insurance companies are heavily reliant on two sources of income:  (1) underwriting income and (2)  investment income.  Underwriting income is the amount of premiums the insurance companies do not “give back” in payouts, whereas investment income is the money the insurance companies make investing the premiums — in the stock market, real estate and other investments.

If investment income is strong, then insurance companies lower premiums “to attract more policyholders and increase their market share.” More policies holders paying smaller premiums gives them more investment money while also increasing the number of people who will inevitably have to pay higher premiums, which deepens the pockets of the insurance company even further.

However, if investment income is weak — and the steep economic downturn and stock market collapse the past few years have made insurance companies’ investment income weak — insurance companies raise premiums to allow their underwriting income to make up for their loss in investment income.

None of this has anything to do with medical malpractice claims, despite what insurance companies argue.  This point is made clear in a separate AAJ report about the 10 largest malpractice insurance companies.  That report found that “malpractice insurance companies have underestimated profits and overestimated losses in part to justify new legislation to restrict the rights of those injured by medical negligence.”

As the health care debate now moves to the Senate, the hope is that new health care reform will take into account this new information and set new health insurance regulations accordingly so that cost savings are not made at the expense of patient rights and safety.  To speak with one of our experienced Chicago injury and malpractice attorneys, call Passen Law Group at (312) 527-4500 for a Free Consultation.

Hospital ‘Report Cards’ Show Frequency of Medical Errors

Monday, October 26th, 2009

medical error liabilityAs the debate over medical liability reform continues, an often forgotten statistic is the number of patients injured or killed by medical malpractice.  In New Jersey, for example, a story from the Star-Ledger found that doctors and hospitals in that state committed 9,400 “serious errors” in 2007, which were defined as a medical error leading to “patients developing infections, blood clots and other conditions that threatened their health.”

The article presents findings from a hospital report card from the New Jersey Department of Health and Senior Services. The report card shows where mistakes occur, in addition to they types of mistakes made.  The New Jersey Health Commissioner hopes that by making the information public, hospitals will improve care, and cases of medical negligence will decline.

If you or a loved one has been seriously injured due to medical error, contact an experienced Chicago personal injury attorney about your case.  There are many factors to be considered in a medical error case, such as negligence, and an experienced malpractice attorney has a thorough understanding of what constitutes medical negligence, and the laws and statutes that apply.

Illinois also created a hospital “report card” pursuant to the Illinois Hospital Report Card Act (Public Act 93-0563) (“the Act”).  Such reports are meant to provide the public “information about the quality of health care provided in Illinois hospitals in order to make better decisions about their choice of health care provider.”  In addition to the hospital report card, Illinois also released reports concerning the Illinois Consumer Guide to Health Care and the Adverse Events report.

Under the Act, hospitals must submit quarterly reports on infection rates and adequacy of hospital nursing staff to the Department of Health.  Each year, the Department of Health is to publish a summary of the quarterly reports.

Although the Act was passed in 2004, to date no hospital report cards have been published. Indeed, none of the three reports listed above have been published.

According to reports this summer from the Chicago Tribune, the Illinois Hospital Association plans to launch a site this month that will publish the Hospital Report Card, along with the Consumer Guide to Health Care and the Adverse Events report.  We will see about that — these reports are long overdue.

It is likely that the medical associations are delaying the release of these reports for at least two political reasons: (1) the Illinois Supreme Court is considering whether caps on “non-economic” damages (i.e. pain and suffering, loss of normal life, etc.) in medical malpractice lawsuits is constitutional; and (2) the federal health care reform debate still includes the possibility of medical malpractice reform as part of a final package.

Should these Illinois reports come out “too soon”, and shed light on the frequency and severity of medical negligence in Illinois, the reports could sway public opinion away from the tort reformists.

Nevertheless, as the country continues to call for health care reform, enforcing the Illinois Hospital Report Card Act will be important.  The public has a right to know whether or not its hospitals are providing quality care.

For a free consultation with one of Passen Law Group’s Chicago medical malpractice and injury lawyers, call us at (312) 527-4500.

State Enforcement of Medical Misconduct: The Illinois Medical Practice Act

Wednesday, October 21st, 2009

A previous post discussed state medical boards generally, which are  charged with enforcing the practice of medicine within each state.   In Illinois, that law is known as the Illinois Medical Practice Act of 1987 (225 ILCS 60/1 et seq), not to be confused with the Illinois statutes governing medical malpractice lawsuits (735 ILCS 5/2-1701 et seq).  As the previous post discussed, state medical boards operate outside of the civil justice system — meaning they have no ability to compensate victims of medical negligence for each element of damages permissible under state law.  Consequently, victims and their families should contact a top medical malpractice lawyer in Chicago regarding their rights.

The Illinois Medical Practice Act governs many aspects of the practice of medicine in the state of Illinois, including:
•    Medical Licensing
•    Disciplinary Action Against Physicians
•    Peer Reviews
•    Educational and continuing education requirements
•    Limits on advertising
•    Illinois Patients’ Right to Know law

As noted above, disciplinary actions fall under the Medical Practice Act.   The Act lists 43 grounds under which a physician’s license may be revoked, suspended, placed on probationary status, refused to renew,  or “other disciplinary action as the Department may deem proper.”  The Department may refer physician misconduct to the Illinois Division of Professional Regulation.

Grounds for disciplinary action include, but are not limited to, the following:
•    Gross negligence
•    Dishonorable, unethical unprofessional conduct
•    Failure to comply with probationary conditions
•    Failure to maintain medical records
•    Abandoning a patient
•    Sexual Misconduct
•    Failure to report “any adverse final action” taken by other entities, such as other state medical boards, peer review bodies or law enforcement agencies

The Medical Practice Act is a good piece of legislation to condemn the most egregious or reprehensible  conduct of medical professionals.  The Act, however, is no substitute for medical malpractice litigation.  As previous posts have discussed, the state medical boards are not designed to investigate and condemn all acts of medical negligence or malpractice.  Furthermore, because the boards are comprised of other doctors, there is not an incentive to discipline their peers for negligent conduct.

If you or a loved one has been severely injured by a medical professional, contact an experienced personal injury lawyer today.  Our Chicago medical malpractice lawyers are experienced and skilled at handling sophisticated medical cases.  To speak with one of our attorneys, call Passen Law Group at (312) 527-4500 for a free consultation.