Kevin, M.D - Medical Weblog
Tort reform in Texas is improving physician access. "Physicians and other health care providers are pleased with the results so far.
Citing Texas Department of Insurance figures, a Texas Alliance for Patient Access analysis of Proposition 12's impact noted an 11.7 percent average cut in the malpractice insurance rates.

The alliance is made up of health care interests who support medical liability reforms.

The analysis also emphasized an increase in the number of physicians working in the state.

'Texas has added more than 3,000 physicians since the passage of Prop. 12. After years of decline, the ranks of medical specialists are growing,' the report stated."

 Subscribe  Twitter




Like this article? Receive regular updates delivered free to your inbox.

Your information will never be shared or sold under any circumstances.


 


  TwitterCounter for @kevinmd


Comments

  1. Anonymous Anonymous  

    "The medical malpractice reform of 2003 was a move in the right direction for average Texans trying to cope with increased health costs"

    What an odd conclusion. Texans aren't saving any money on their health care bill. The only sure thing anyone can say is that instead of physicians paying 150% more than they were in 2001, they are now paying approximately 140% more.
  2. Anonymous Anonymous  

    I guess it is better than 300% more.
  3. Anonymous Anonymous  

    I paid $7000 in 2001 and this year I'm paying $26,000 in malpractice premium in my state for the same coverage. Almost 300% more. Yes that's an odd conclusion.
  4. Anonymous Anonymous  

    CJD,

    "What an odd conclusion. Texans aren't saving any money on their health care bill. The only sure thing anyone can say is that instead of physicians paying 150% more than they were in 2001, they are now paying approximately 140% more."

    Again you show what an idiot you are. The important part is that with the sudden halt in massive medmal premium increases now there is more access to scarce specialty care like neurosurgery, OB/Gyn, etc. in areas that are underserved. But leeches like you don't care about that do you? ;)
  5. Anonymous DBR  

    There must be a veritable epidemic of innumeracy going on....

    ("Innumeracy is a term coined by Douglas R. Hofstadter and popularized by mathematician John Allen Paulos, in analogy to illiteracy. You are innumerate if you can't use math to make sense of the world. Innumerate people may be able to do arithmetics or even bits of higher math, and they may even become engineers or other scientists, but they will not grasp the basics of statistics. This is not bad in itself, since most people don't need it most of the time. But the lack of understanding usually comes in a package with lack of awareness of what is missing and where it is important. Many pseudoscientific claims can only be refuted using mathematical understanding, so innumerate people easily fall for them." http://wiki.cotch.net/index.php/Innumeracy)

    In order to reduce a, say, 100% increase in something to its previous level, there has to be a 50% DECREASE. For example, if something costs $50, and there's a 100% increase (which means you DOUBLE the initial amount) the new price is $100.

    A 50% DECREASE in a $100 price brings makes the NEW price - once again - $50.

    Therefore, it is either innumerate - or deliberately dishonest - to suggest that an 11.7% average cut malpractice insurance rates reduces what Texas doctors are paying brings their rates from 150% more to 140% more...

    PLUS...I'm not sure where that 11.7% figure came from in the first place, since MedPro, one of the largest carriers, just announced its third REDUCTION in premiums in the past 12 months, for a cumulative reduction since the beginning of 2005 of 13% - following reductions in previous years as well.

    Also, Texas Medical Liability Trust, the largest medical liability insurance company in the state, had doubled its rates from 1998 to 2003. Since the law passed, it delivered a rate cut of 12 percent in 2004 and 5 percent for 2005. Another 5 percent rate cut went into effect this year, according to the company and the Texas Department of Insurance. Cumulatively, that's a 20 and a half percent DECREASE since the law was passed, which is about two fifths of the way to that 50% decrease we mentioned earlier - the one that would bounce BACK the 100% INCREASE of the previous years to its original level....

    MORE IMPORTANTLY, however, is that more physicians are willing to practice medicine in Texas because the medical justice system there doesn't treat them like golden geese any longer....

    I must admit to some confusion, though...who said that health insurance premiums would come down as a result of medical liability reform?

    They're two entirely SEPARATE kinds of insurance....references to health insurance costs in this context are almost always an effort to muddy the waters and confuse the debate...
  6. Anonymous Anonymous  

    "I must admit to some confusion, though...who said that health insurance premiums would come down as a result of medical liability reform?"

    Read the article Donna.

    "Also, Texas Medical Liability Trust, the largest medical liability insurance company in the state, had doubled its rates from 1998 to 2003. Since the law passed, it delivered a rate cut of 12 percent in 2004 and 5 percent for 2005. Another 5 percent rate cut went into effect this year, according to the company and the Texas Department of Insurance."

    How much less did TMLT pay before and after tort reform? That's the point isn't it? To reduce payouts so they can lower premiums and doctors can make more money. So how much less did they pay out? How many cases actually resulted in smaller payouts as a result of caps? Surely you know this. After all, that would be the ultimate proof that they are working and that they are the sole cause of lower insurance rates. What, you don't know?

    Or maybe they just got a better return on their investments with rising bond rates and an improving economy. Who would have thunk it. See you at the next crisis/economic downturn.

    Hey Donna, your car insurance which was previously at $100/month just went to $250/month. If you're nice and give your car insurer immunity, they'll lower it to $225, until they decide to raise it again, that is. That must make you feel very lucky!
  7. Anonymous Anonymous  

    I suggest you look up the definition of "immunity" since you clearly don't understand the word in this setting.
  8. Anonymous DBR  

    FIRST OF ALL, CJD, (I'm only GUESSING that "Anonymous" at 8:47 p.m. - what, blogging on your OWN time tonight? - is you, CJD. While your snippy style gives you away, you seem lately to lack the testicular fortitude to SIGN your posts....) I don't recall giving you permission to call me by my first name....so DON'T. We are NOT friends and you do NOT deserve the false "familiarity" that calling me "Donna" might suggest.

    I DID read the article. There's a tiny, irrelevant reference in the last paragraph about health care costs. The article is about access to care and reduced premiums.

    CJD said: "How much less did TMLT pay before and after tort reform? That's the point isn't it? To reduce payouts so they can lower premiums and doctors can make more money. So how much less did they pay out? How many cases actually resulted in smaller payouts as a result of caps? Surely you know this."

    Darn right I know, and as a lawyer, YOU should know (unless you're a BAD lawyer) that it takes an average of 4.5 years for a malpractice case to reach settlement or verdict, so your obfuscation about PAYOUTS is ludicrous. Even someone who is innumerate can figure out that cases filed since the 2003 cap was instituted are still two or three years away from Texas courtrooms. Cases which are CURRENTLY being settled and tried in Texas courtrooms are not affected by the $250,000 cap. How stupid do you think people are, to spout such nonsense?

    Premiums are based on projections of future payouts, and clearly, the malpractice carriers in Texas are PROJECTING reduced payouts in the future, possibly based on the reduced number of cases being filed (which will take 4-5 years to reach Texas courtrooms, remember?)and are adjusting premiums accordingly. The article notes: "The alliance analysis found that in Bexar County, medical malpractice cases have dropped from 259 filed in 2001 to 138 in 2004. However, a big jump was recorded in 2003 as plaintiffs lawyers rushed to beat the cap, which was approved in September."

    Only a personal injury lawyer could find BAD news in this story.

    DBR
  9. Anonymous Anonymous  

    "While your snippy style gives you away, you seem lately to lack the testicular fortitude to SIGN your posts....)"

    Is this what you're reduced to simply because I sometimes forget to sign? How sad for you.

    "that it takes an average of 4.5 years for a malpractice case to reach settlement or verdict, so your obfuscation about PAYOUTS is ludicrous. "

    You continually undercut your own argument. Because you have no way of knowing what the insurers believe their future payouts will be, what their past assessments were and how correct they were, etc. You have to know at least what past payouts were that would have been affected by caps to assess what impact they will have in the future. And you don't know that.

    "I DID read the article. There's a tiny, irrelevant reference in the last paragraph about health care costs."

    So you agree that it is incorrect, then? Or at least not supported by any evidence cited by the author.

    So you won't wonder about my testes,

    CJD
  10. Anonymous Anonymous  

    "I don't recall giving you permission to call me by my first name....so DON'T. We are NOT friends and you do NOT deserve the false "familiarity" that calling me "Donna" might suggest."

    Donna, if you don't want your name used, don't post it all over the Internet and in bogus press releases.
  11. Anonymous DBR  

    "don't post it all over the Internet and in bogus press releases."

    "Bogus" is certainly in the eye of the beholder, isn't it?

    There are certainly a lot of "beholders" who might consider everything CJD and the other apologists for the myriad dysfunctions in our medical justice system say to be "bogus."
Post a Comment

 


Site Meter