Medical Liability Monitor July 2025 issue highlights

July 8, 2025 by matray

Below are some headlines and article synopses from the July 2025 issue of Medical Liability Monitor. To read the articles in their entirety, please subscribe today.

Oregon Enacts Nation’s Toughest Law Restricting Corporate Control of Medical Practices
Oregon Gov. Tina Kotek last month signed into law the nation’s strictest regulations on healthcare ownership and influence, targeting corporate investment in the state’s medical sector. Senate Bill 951, which took effect June 9, effectively bans management services organizations backed by private equity from owning or controlling medical practices in Oregon. The law marks a decisive move by state lawmakers to curb non-clinical control of medical practices, a growing concern as private equity’s influence in healthcare expands …

Bill to Extend Recoverable Pre-Death Pain and Suffering Damages Through 2029 Passes California Senate
A bill that extends the sunset of provisions in Code of Civil Procedure § 377.34 — which currently permits a decedent’s personal representative or successor in interest to recover noneconomic damages for pain, suffering and disfigurement the decedent experienced before death in survival actions through 2025 — passed the California Senate last month ...

Oklahoma Caps Damages, Adopts Daubert Standard, Streamlines Small Claims
Oklahoma lawmakers restructured the state’s tort landscape with the recent passage of Senate Bill 453, a sweeping measure that caps noneconomic damages, adopts a more defendant-friendly legal framework governing the admissibility of expert witnesses in civil court and streamlines litigation for smaller claims ...

Strong Investment Gains Offset Record Expenses for MPL Specialty Insurers During First Quarter of 2025
In the first quarter of 2025, medical professional liability specialty insurers posted strong investment gains that offset record-high underwriting expenses and continued profitability challenges. While premium growth remained steady and net income stayed positive, insurers faced persistent underwriting losses and rising cost ratios — highlighting the sector’s increasing reliance on investment income to maintain financial stability ...

MSSNY Urges Hochul to Veto Grieving Families Act Again, Cites Liability Costs and Threats to Care Access
The Medical Society of the State of New York is once again calling on Gov. Kathy Hochul to veto the latest iteration of the Grieving Families Act. The recently passed legislation would make noneconomic damages recoverable in wrongful death lawsuits, extend filing deadlines and broaden restrictions on who can sue for wrongful death. Gov. Hochul previously vetoed similar bills twice in 2023 and again in 2024, each time citing concerns about increased insurance costs, economic burden on the state’s healthcare system and its providers, and the need for further study and revisions ...

MPL Insurance Market Experiences Rising Costs, Modest Growth in 2024: MPL Association Sector Report
The medical professional liability insurance industry faced continued under-writing challenges in 2024. Its combined ratio rose to 103.2%, marking the 11th consecutive year without an underwriting profit, according to the Medical Professional Liability Association’s recently released year-end sector report. While direct premiums written (DPW) grew 5.1% industrywide, the modest gain failed to offset rising loss and expense ratios, as many insurers were grappling with post-COVID reserve development and volatility across key market segments.

Subscribe today to get this issue (as well as the 2024 and 2025 Annual Rate Survey at no additional cost).

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The Doctors Company and ProAssurance Announce Early Termination of the Hart-Scott-Rodino Waiting Period

July 8, 2025 by matray

The Doctors Company and ProAssurance Corp. announced that on July 2, 2025, the U.S. Federal Trade Commission granted early termination of the waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976 (the “HSR Act”) with respect to the pending acquisition of ProAssurance by The Doctors Company.

The termination of the waiting period under the HSR Act satisfies one of the conditions for the closing of the pending acquisition, which is expected to be completed in the first half of 2026, but which remains subject to other customary closing conditions, including receipt of the remaining regulatory approvals. The Doctors Company and ProAssurance will continue to operate independently until closing occurs.

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CFC Names Ian McLean New Chief Technology Officer

July 1, 2025 by matray

CFC, the specialist insurance provider, announced the appointment of Ian McLean as the company’s chief technology officer. With more than 25 years of experience scaling technology organizations and creating digital strategies, McLean will take on responsibility for accelerating the delivery of CFC’s technology roadmap.

“I’m really pleased to welcome Ian to the team,” said Matthew Glenville, CFC Group chief operating officer. “He’s joining at a pivotal time for CFC, bringing the kind of experience and leadership that will help us continue to scale with purpose.”

McLean joins CFC from Pollinate where he was chief product and technology officer for three years and previously held CTO and other senior tech roles at businesses including Covea, UnderwriteMe and Validis.

“I am hugely excited to be joining CFC at a pivotal moment in its technology journey,” McLean said. “Its commitment to building scale, resilience and innovation into its tech roadmap is like no other insurance business. My task ahead is packed with exciting initiatives that will see CFC become a leader in having tech that enables automated and AI-augmented underwriting. I can’t wait to get stuck in with my outstanding new colleagues as the business takes a further step forward in its tech evolution.

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LAMMICO Honored as No.1 Top Workplace in Greater New Orleans

June 30, 2025 by matray

LAMMICO was recently named the No. 1 Top Workplace in the small business category by The Times-Picayune and The New Orleans Advocate for 2025. The company also received this year’s special award for Well-being.

LAMMICO has been recognized as a Top Workplace for 11 consecutive years, earning the No. 1 ranking in both 2021 and 2023. This honor is based entirely on employee feedback gathered through a confidential, third-party survey that measures key aspects of the employee experience—including feeling respected and supported, having opportunities for growth, and being empowered to do meaningful work.

According to company leadership, this recognition is a testament to how special LAMMICO and its employees are as we continue to protect those who care for others.

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ProAssurance Stockholders Approve Proposed Acquisition by The Doctors Company

June 26, 2025 by matray

ProAssurance Corp. announced that stockholders have voted overwhelmingly to approve its proposed acquisition by The Doctors Company. More than 99% of shares voted — including abstentions — were in favor of the proposal to approve the acquisition agreement.

The transaction remains subject to the receipt of regulatory approvals and other customary closing conditions and is expected to close in the first half of 2026. Required regulatory approvals include the expiration or early termination of the waiting period — and any extension thereof — applicable to the consummation of the merger under the Hart-Scott-Rodino Act as well as approvals by the insurance regulators in the domicile states of ProAssurance insurance subsidiaries. The transaction is not subject to a financing condition. Upon completion of the transaction, ProAssurance’s common stock will no longer be listed on the New York Stock Exchange, and ProAssurance will become a wholly owned subsidiary of The Doctors Company.

“Our shareholders recognize that this transaction will deliver significant value,” said Ned Rand, ProAssurance’s president and chief executive officer. “Bringing the strengths and capabilities of ProAssurance and The Doctors Company together will allow our teams to continue to serve today’s healthcare providers with the necessary scale and breadth of capabilities. With a shared history in the medical professional liability marketplace, both companies work to fulfill a mission to protect others and have similar operating philosophies and cultures.”  

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AM Best Affirms “A” (Excellent) Rating for Curi’s Insurers 

June 24, 2025 by matray

Curi, the national healthcare advisory firm comprised of three distinct businesses: Curi Advisory, Curi Capital and Curi Insurance, today announced that rating agency AM Best has affirmed the “A” (Excellent) financial strength rating for six insurers in its Curi Insurance business. Each ratings was assigned a stable outlook, indicating Best's expectation that Curi’s strong balance sheet and ongoing strategic initiatives will drive consistent operating performance. Best also issued a long-term issuer credit rating of “a” (Excellent) to the company’s six insurers.

“We’re proud to be recognized by AM Best for our financial strength and operating performance, especially as our insurance entities unite around a shared commitment to service, strength and stability,” said Ryan Crawford, Curi Insurance’s chief executive officer. “As we continue to expand our reach nationwide, we remain firmly committed to the disciplined strategies and deep-rooted values that have earned the trust of our clients since 1975.”

“As we celebrate 50 years in business, this affirmation from AM Best is both a milestone and a motivator,” said Jason Sandner, Curi chief executive officer. “It reflects the financial strength we’ve built over the years and the unified vision we’re advancing today. Bringing together our insurance entities, we’re laying the foundation for even greater impact in the decades to come as a trusted partner for our clients in medicine, business and life.”

The insurers rated include Arkansas Mutual Insurance Co., Medical Mutual Insurance Co. of North Carolina, Medical Security Insurance Co., MMIC Insurance, Inc., MMIC Risk Retention Group, Inc., and UMIA Insurance Inc.

Curi reports more than $2.5 billion of consolidated assets and nearly $500 million in revenue, serving more than 75,000 physicians, healthcare providers and organizations across the U.S.

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TDC Survey Reveals Only 12% of Physicians Likely to Recommend Medicine as a Career, Citing Misinformation and Lack of Trust

June 24, 2025 by matray

A new physician survey reveals a Net Promoter Score (NPS) of -52 for professional satisfaction, with only 12% of physicians recommending medicine as a career to others. The top reason: 64% of physicians named misinformation on social media as the most challenging part of practicing medicine.

Conducted by The Doctors Company, the nation’s largest physician-owned medical malpractice insurer, the survey offers timely insights into physicians' current mindsets.

“We conducted this survey in December 2024 and January 2025, following a turbulent year in healthcare, to better understand physician perspectives on their practice environment,” said Deepika Srivastava, chief operating officer of The Doctors Company. “To fulfill our mission of advancing, protecting, and rewarding the practice of good medicine, we must listen to those on the front lines of patient care. While many physician surveys focus on compensation, EHRs, or AI, our goal was to uncover the everyday challenges clinicians face.”

When asked about the most challenging aspects of medical practice, respondents cited numerous concerns, including:

  • 64%: Misinformation on social media
  • 62%: High costs of medical care
  • 55%: High cost of drugs
  • 52%: Declining patient trust in physicians and the healthcare system
  • 42%: Political climate affecting medical decision making

An infectious disease physician in New York said: “Medicine will always be about the physician and patient together, working to solve problems. Outside influences that sabotage this relationship such as high costs, poor access to care, administrative burdens, and AI masquerading as knowledge, continue to need resistance.”

Despite the challenges, physicians reiterated their joy in practicing medicine, acknowledging the most rewarding aspects of their career, including:
  • 70%: Helping people recover from illness or injury
  • 55%: The ability to solve complex problems
  • 52%: Utilizing skill and knowledge
  • 43%: Working with people who share the same passions
  • 40%: Forming personal connections with patients and families

“The practice of medicine has changed dramatically with the growth of EHRs, the pandemic, and the introduction of AI,” Srivastava said. “Physicians are navigating greater complexity, higher patient demands, and increasing regulatory pressures. Now more than ever, they need support, advocacy, and protection to continue delivering safe, high-quality care. We remain committed to standing with them through every challenge.”

Read the in-depth survey and more physician feedback.

Survey Methodology: 368 physicians answered 11 questions. In terms of age, the bulk of our survey respondents were baby boomers, millennials, and members of Gen X. Respondents represented 47 U.S. states and a mix of specialties.

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Indigo Launches State-of-the-Art Broker Portal, Ushering in a New Era for Medical Malpractice Insurance Brokers

June 23, 2025 by matray

Indigo Insurance today announced the launch of its cutting-edge Broker Portal, which the AI-driven medical liability insurer says sets a new standard for how medical malpractice insurance brokers manage and grow their books of business.

Built with modern design principles and real-time functionality, the portal empowers Indigo’s distribution partners to seamlessly serve clients and access policy-level data with unprecedented ease. The portal design process was also shaped by direct feedback from broker partners, underscoring Indigo’s commitment to driving better user experiences.

“This is not just a portal — it’s a distribution revolution,” said Jason Foucher, chief product officer at Indigo. “We’re eliminating the bottlenecks that have plagued medical malpractice for decades and replacing them with instant access, intelligent automation, and real-time visibility.”

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The Doctors Company Awarded Great Place to Work Certification for Third Time

June 10, 2025 by matray

The Doctors Company, the nation’s largest physician-owned medical malpractice insurer, announced today it has been Certified™ as a Great Place to Work® for the third time. The recognition is based on what current employees say about working at The Doctors Company — with 89% of its employees saying it's a great place to work.

“Promoting a people-focused culture is a fundamental part of our talent strategy,” said Rachel Nelson, senior vice president of Human resources for The Doctors Company. “We are proud to support a workplace where employees feel heard, valued, and empowered to grow. By actively listening to our teams and acting on their feedback, we continue to strengthen the employee experience and invest in the success of our people.”

Great Place to Work is a global authority on workplace culture, employee experience, and the leadership behaviors required for market-leading revenue, employee retention and innovation.

The Trust Index Survey, administered by the Great Place to Work Institute, assesses employee satisfaction in key areas. The Doctors Company scored over 90 percent in the following categories:


  • When you join The Doctors Company, you are made to feel welcome.

  • Management is honest and ethical in its business practices.

  • I am proud to tell others I work at The Doctors Company.

“Our company culture is a top priority, and we are pleased to be recognized as a great place to work for the third time,” said Deepika Srivastava, chief operating officer for The Doctors Company. “At every level of our organization, we’re guided by our core values—integrity, service, accountability, professionalism, collaboration, and agility. These principles shape how we operate and deliver the best imaginable service to our members.”

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Medical Liability Monitor June 2025 issue highlights

June 9, 2025 by matray

Below are some headlines and article synopses from the June 2025 issue of Medical Liability Monitor. To read the articles in their entirety, please subscribe today.

MPL Insurers Struggle with Underwriting Losses As Investment Gains Boost Profit, AM Best Reports
The medical professional liability (MPL) insurance market continues to face mounting pressure as underwriting results deteriorate amid a challenging and rapidly evolving risk environment, according to Medical Professional Liability: Underwriting Results Pressured by Evolving & Complex Landscape, AM Best’s latest market segment report. While the profitability of Best’s MPL insurer composite improved for the second consecutive year — thanks largely to growth in net investment income — insurers are contending with a rise in loss and loss adjustment expenses, declining reserve redundancies, and increasing claims severity …

New York Budget Preserves Free Excess Malpractice Coverage After Pushback
New York lawmakers finalized the state’s Fiscal Year 2025-2026 Budget last month without including a controversial proposal that would have significantly altered funding for the state’s Excess Medical Malpractice Insurance Program. The final budget rejected a plan that would require physicians to cover half the cost of this supplemental medical liability insurance — coverage that has traditionally been provided free of charge …

Florida Governor Vetoes Bill Repealing ‘Free Kill’ Law That Would Expand Eligibility for Noneconomic Damages
Gov. Ron Desantis last month vetoed House Bill 6017, legislation that would have ended a decades-old medical malpractice law, often called a “free kill” law, expanding survivor eligibility for noneconomic damages in wrongful death medical negligence actions …

Medical Professional Liability Industry Assembles in Austin to Address Persistent and Emerging Challenges
The 2025 Medical Professional Liability (MPL) Association Annual Conference convened May 21–23 at the JW Marriott in Austin, Texas, drawing medical professional liability leaders, underwriters, risk managers, attorneys and healthcare executives from across the country and abroad. In addition to its renowned networking opportunities, this year’s event featured a dynamic lineup of educational sessions focused on the industry’s most urgent and emerging challenges, including artificial intelligence, gender-affirming care, physician burnout, escalating jury verdicts and tort reform erosion …

EmPRO Opens Boston Office, Hires Industry Vets to Lead Northeast Region
EmPRO Insurance Co. last month announced the opening of its Boston office, the company’s first location in Massachusetts. The move marks a milestone in EmPRO’s strategic expansion into the New England market, which the medical liability insurer says reflects its commitment to becoming a leading medical malpractice insurance provider throughout the Northeast Region, following earlier entries into New Jersey, Pennsylvania and Connecticut. …

Ransomware Primary Driver of Healthcare Data Breaches
A new study conducted by researchers from Michigan State University, Yale University and Johns Hopkins University reveals that ransomware attacks have become the primary driver of healthcare data breaches in the United States, compromising more than 285 million patient records over 15 years …

Subscribe today to get this issue (as well as the 2024 and 2025 Annual Rate Survey at no additional cost).

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