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Join Blair Sanford, CFA, in an insightful discussion on medical malpractice, focusing on its history, current trends, and future expectations. Our firm, Cochran, Caronia & Co., brings years of expertise in analyzing the medical malpractice landscape. We will explore significant factors such as the St. Paul Factor, tort reform implications, and the evolution of rates and coverage. Gain valuable insights into how industry changes shape the healthcare landscape and what it means for insurance providers and medical professionals.
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Medical Malpractice Now Curable? Blair Sanford, CFA
Background • Our Firm – Cochran, Caronia & Co • Your Speaker • Prior Experience • Journalism / Software Marketing / Equity Trading / Business School • 10 Years an Insurance Analyst • Value Focus • Company by Company Look • Firm Focus brings Benefits
Outline • History • Medical Malpractice Overview • Structure • The St. Paul Factor • Trends • Expectations
History • 1970s Liability Crisis • Widespread Distress • Walkouts • Crisis of Care • Liquidity • Reinsurance • Tort Reform - Nationwide • Birth of the Bed Pans
Med Mal Overview – Structure • State by State Proposition • Regulatory • Legislative • Legal • Corporate
Med Mal Physics • NPV Breakeven at 116% CR – Current Book • NPV of 10% requires a 103% CR – @ current new money yields • Elasticity - 100 bp change in yields requires 3 combined points.
Med Mal Expectations • Higher Rates • “Tail” Pressure • Dislocation • Companies with Issues – ERC et al? • Outcries • Legislative / Regulatory Attention • Provider Revolts
Med Mal Expectations • Tort Reform – Not a Panacea • Halo States Not Immune – Kevin Bacon Syndrome • Headlines • Consolidation • New Vehicles • => Gradual ROE Improvement
Med Mal Expectations • 1975 = 2002?
Medical Malpractice Now Curable? Blair Sanford, CFA