Iowa Medical Society Endorses COPIC as Medical Professional Liability Insurance Carrier of Choice for its Members

November 7, 2017 by matray

The Iowa Medical Society (IMS) recently announced that COPIC was selected as the preferred medical professional liability insurance provider for its members and will serve as an IMS Strategic Partner.

During the last year, IMS has worked closely with COPIC on several initiatives, which lead to discussions about a potential partnership. In September, the IMS executive committee and board of directors met and unanimously decided to endorse COPIC. “COPIC is nationally recognized for its expertise in patient safety and risk management and has demonstrated a strong commitment to healthcare in Iowa,” said Joyce Vista-Wayne, MD, DFAPA,Iowa Medical Society president. “We are always looking for ways to improve how we support our members, and working with a trusted, proven partner like COPIC is essential to this.” According to IMS, COPIC has been instrumental in helping it work with medical professionals to better understand and utilize Iowa’s Candor law. Candor offers a “communications and optimal resolution” approach to deal with unexpected outcomes that addresses patients’ needs, and COPIC’s experience has offered expert guidance in this area. “COPIC is very proud to partner with the Iowa Medical Society,” said Ted Clarke, MD, COPIC chief executive officer. “Our mission is to improve medicine in the communities we serve, and we look forward to working with our colleagues to help them navigate the challenges in health care and provide the best care to their patients.”

Posted in MPL company news | Tagged | Leave a comment
Cooperative of American Physicians Publishes Second Edition of ‘Medicine on Trial’

November 7, 2017 by matray

The Cooperative of American Physicians, Inc. (CAP) announced that seven years after the release of its highly popular Medicine on Trial, it has published a new second edition as an educational resource for its member physicians.

Inspired by the positive response to its original edition, Medicine on Trial – Risk Management Lessons from Litigated Cases, Second Edition is a compilation of more than 80 real-life, litigated cases, providing insights into the experience of physicians who have been involved in court or arbitration disputes with their patients. Each case, accompanied by a commentary from CAP’s general counsel Gordon Ownby, sheds light on the various policies and routine procedures that physicians can implement to minimize risk in their own practice.

This comprehensive medical malpractice case reference, available in a desktop book as well as electronic versions, is offered to CAP members as a complimentary resource, explaining how physicians in private practice and hospital settings can better communicate with their patients — and each other — to mitigate risk. It also addresses topics such as dealing with challenging patients, adhering to patient rights and confidentiality requirements, end-of-life conversations and more.

“No healthcare provider wants to be embroiled in a legal dispute, but the reality is that – regardless of their commitment to employing best practices – most physicians will be sued for medical malpractice at least once during their lifetime,” Ownby said. “By offering these real-world case studies, CAP is providing its members with the insight to build on those practices that improve medical outcomes and minimize risk.”

"Today’s physicians must practice expert medicine with a keen understanding of technology and law – and that can present myriad challenges," said Sarah Pacini, CAP chief executive officer. "That’s why CAP has built a formidable team of risk management specialists whose extensive acumen spans all facets of the healthcare and legal professions. Their expert consultations and guidance, paired with invaluable content offerings such as Medicine on Trial, continue to provide immeasurable value to CAP members.”  

Posted in MPL company news | Tagged | Leave a comment
NORCAL Mutual Insurance Company announced that it is now offering coverage to healthcare professionals in Tennessee

November 6, 2017 by matray

NORCAL Mutual Insurance Company announced that it is now offering coverage to healthcare professionals in Tennessee.

This is the latest in NORCAL’s national expansion, which now reaches 39 states, including the District of Columbia. “We are excited to be a part of the medical community in Tennessee and to introduce healthcare professionals to the NORCAL’s products and exceptional service, which we believe sets us apart,” said Ron Rumin, NORCAL senior vice president and chief operating officer.

Posted in MPL company news | Leave a comment
John Hornby, MD, Elected President and Chairman of CMIC Board of Directors

November 2, 2017 by matray

CMIC Group announced the election of John Hornby, MD, as the chairman and president of the CMIC Board of Directors.

A CMIC policyholder since 1987 and a member of the CMIC Board of Directors since 2006, Hornby has a long and impactful history with the company. His most recent role was as vice chairman on the CMIC Board of Directors.

“Having served as vice chairman of the CMIC Board and also as Chair for many CMIC Committees, Dr. Hornby is well positioned to guide the various facets and inner workings of the company as the chairman and president,” said Denise Funk, CMIC Group chief executive officer. “CMIC Group as a whole will benefit from his continued leadership in this new role.”

Hornby graduated from St. Francis College, Brooklyn, N.Y., in 1973. He is board certified in ophthalmology and is senior attending at Lawrence Memorial Hospital in New London, Conn. Dr. Hornby is currently in private practice in Old Saybrook, Conn.

Posted in MPL company news | Leave a comment
Two pharmacists sentenced to 19 and 20 years in prison and ordered to pay $5 million in restitution to the State of Georgia to combat the opioid epidemic

November 2, 2017 by matray

Rosemary Ofume and Donatus Iriele have each been ordered to pay $2.5 million in community restitution.  The community restitution funds are to be paid to the Georgia state agencies responsible for substance abuse treatment and victims assistance.  The defendants, who are husband and wife, formerly owned the Medicine Center Pharmacy in Atlanta, Georgia.  They were sentenced on July 20, 2017, to 19 and 20 years in prison, respectively, for illegally dispensing controlled narcotics to customers of the AMARC “pill mill” pain clinic. “The defendants used their pharmacy to supply pills to patients of a known ‘pill mill’ and then laundered millions of dollars to conceal their crimes,” said U.S. Attorney Byung J. “BJay” Pak.  “These pharmacists fed opiate addictions among so many as a means to sustain their lifestyles.  Now, they will begin to serve lengthy prison sentences and pay back the state of Georgia to account for some of the harm they caused to the community.  This money will go to help the individuals whose lives have been scarred by addiction.” Daniel R. Salter, the Special Agent in Charge of the DEA Atlanta Field Division said, “It is a sad commentary when trusted individuals in the medical community hide behind the veil of legitimacy to commit criminal acts. These pharmacists can no longer fill the opiate cravings of pill-seeking addicts with impunity. Owners and operators of pill mills spin a broad web of deception, reeling in casts of thousands who are addicted to pharmaceutical drugs. This investigation was a success because of the spirited level of law enforcement cooperation.” “These convictions have removed a huge tumor from the cancer that illicit drug distribution has become during our lifetime. The hard work invested in this case by all parties, from the U.S. Attorney’s office, to the boots on the ground front-line drug agents, and everyone in-between, proves what dedication, persistence and cooperation can accomplish. It’s proof positive that just because you have a license to practice pharmacy, you aren’t entitled to put illicitly prescribed drugs on the street and contribute to the skyrocketing opioid addiction and overdose death rates. All health care professionals are put on notice to remember: you are to do no harm. And if you intentionally ignore this charge, you are going to be treated the same as a street-corner drug dealer in this war on opioid abuse,” said Dennis M. Troughton Sr., Director, Georgia Drugs & Narcotics Agency. According to U.S. Attorney Pak, the charges and other information presented in court:  In May 2009, agents of the DEA, working with agents for the IRS, began investigating the AMARC pain clinic, located on Lakewood Avenue in Atlanta and nearby Medicine Center Pharmacy, after receiving information that the clinic and pharmacy were illegitimately prescribing and dispensing pain pills to drug addicts and drug dealers. The investigation revealed that Godfrey Ilonzo financed and operated at least eight clinics in the metro Atlanta area under the “AMARC” name, including the Lakewood pain clinic and one in Tyrone, Georgia.  Bona Ilonzo (Godfrey Ilonzo’s wife) served as the office manager at the Lakewood AMARC pain clinic.  At various times, Dr. Nevorn Askari and Dr. William Richardson served as the primary doctors for the AMARC pain clinics.  Rosemary Ofume and Donatus Iriele operated the Medicine Center Pharmacy across the street from one of the pain clinics.  Both Godfrey and Bona Ilonzo, as well as Drs. Askari and Richardson, pleaded guilty to charges related to their conduct at the clinic.  Ofume and Iriele were later convicted at trial of drug trafficking and money laundering charges related to the pharmacy. Ofume and Iriele worked together with the Ilonzos and Drs. Askari and Richardson to facilitate the dispensing of oxycodone pills and other opiates to addicts and distributors.  After customers received prescriptions from Askari and Richardson for medically inappropriate and potentially lethal combinations of opiates and other controlled substances, clinic staff told customers to fill their prescriptions across the street at “Rosemary’s pharmacy” (Medicine Center Pharmacy operated by Ofume and Iriele).  Many of those customers traveled to the AMARC clinics and Ofume/Iriele’s pharmacy from counties throughout Georgia and from other states (including Alabama and Ohio). Customers waited for hours at the Lakewood AMARC pain clinic and paid cash to receive prescriptions for oxycodone/hydrocodone, Xanax, and Soma (the “holy trinity” for resale on the street) before purchasing the pills at high prices from Ofume and Iriele’s pharmacy.  Employees at the AMARC clinics and Ofume and Iriele’s pharmacy received discounts and special treatment, including free office visits and reduced prices for pills dispensed at the pharmacy.  Ofume lied to pharmaceutical distributors to procure astronomical quantities of oxycodone and other prescription pain pills that were then dispensed to customers having obvious signs of addiction or drug diversion.  Between 2009 and 2012, Medicine Center Pharmacy purchased 1,360,410 opioid pills.  Significantly, in 2009, the pharmacy purchased eleven times more oxycodone than the average pharmacy in the state of Georgia. During the course of the conspiracy, Ofume and Iriele generated more than $5.1 million dollars from unlawful prescriptions issued by doctors affiliated with the AMARC clinics (constituting more than 90% of the pharmacy’s revenue).  Iriele used pharmacy proceeds to purchase three luxury vehicles for his and Ofume’s personal use. Iriele and Ofume also laundered pharmacy proceeds by purchasing vehicles in the United States for individuals in Nigeria while concealing that those customers were depositing equivalent amounts of local Nigerian currency into Iriele’s personal Nigerian bank account. In 2007, the Georgia Board of Pharmacy had revoked Iriele’s pharmacy license (and temporarily suspended Ofume’s pharmacy license) after finding that Ofume and Iriele had failed to account for more than 600,000 controlled substances pills at their pharmacies and had dispensed controlled substances pursuant to more than 1,400 forged prescriptions. Donatus Iriele, 63, of Atlanta, Georgia, was sentenced on July 20, 2017, by U.S. District Judge Steve C. Jones to 20 years in prison, followed by three years of supervised release.  Rosemary Ofume, 59, also of Atlanta, was sentenced by Judge Jones on the same day, to 19 years in prison, followed by three years of supervised release.  Ofume and Iriele were convicted on March 24, 2017, after a three-week jury trial on federal drug and money laundering charges in connection with their operation of Medicine Center Pharmacy, in Atlanta. Based on the convictions, Ofume and Iriele were ordered to forfeit to the United States $16,767 in cash seized from the pharmacy, $133,892.74 in funds seized from the pharmacy’s bank account, a 2009 BMW X5, a 2008 Mercedes Benz ML550, and a 2007 BMW X5.  The Georgia Board of Pharmacy suspended Ofume’s pharmacy license (and the license of Medicine Center Pharmacy) as a result of the convictions. Judge Jones ordered a community restitution award requiring Ofume and Iriele to pay a total of $5 million under Title 18, United States Code, Section 3663(c), to be distributed to the Georgia Department of Behavioral Health and Developmental Disabilities, and the Criminal Justice Coordinating Council for victims’ assistance, in restitution for the public harm caused by Ofume and Iriele’s conduct.  Such a restitution order is the first of its kind in the nation against pharmacists, which also recognizes the public harm diverted opiates have caused the citizens of the state of Georgia. This case was investigated by the Drug Enforcement Administration and Internal Revenue Service Criminal Investigation.

Posted in Significant court decisions | Tagged | Leave a comment
NORCAL Mutual Expands Medical Professional Liability Insurance Offerings to Tennessee

November 1, 2017 by matray

NORCAL Mutual Insurance Co. announced that it is now offering coverage to healthcare professionals in Tennessee. This is the latest in NORCAL’s national expansion, which now reaches 39 states, including the District of Columbia.

“We are excited to be a part of the medical community in Tennessee and to introduce healthcare professionals to the NORCAL’s products and exceptional service, which we believe sets us apart,” said Ron Rumin, NORCAL senior vice president and chief operating officer.

NORCAL is policyholder-owned and physician-directed, and along its subsidiaries, insures more than 27,000 physicians nationwide.

Posted in MPL company news | Leave a comment
Malpractice Claims Involving Electronic Health Records on the Rise

October 16, 2017 by matray

Malpractice claims in which the use of electronic health records (EHRs) contributed to patient injury have increased continuously during the past decade, according to a study released today by The Doctors Company.
The study reveals that claims in which EHRs are a factor grew from just two between 2007 and 2010 to 161 from 2011 through December 2016. Typically, the EHR is a contributing factor in a claim, rather than the primary cause, according to David B. Troxel, MD, study author and medical director at The Doctors Company. It's the second study of its kind by The Doctors Company, which recognized early on that despite the potential of EHRs to advance the practice of good medicine and patient safety, there would be unanticipated consequences from this rapidly adopted new technology. The latest research compares 66 claims made from July 2014 through December 2016 with the results of the first study of 97 claims from 2007 through June 2014. Compared with the earlier research, the new study shows:
  • System factors that contributed to claims — such as technology and design issues, lack of integration of hospital EHR systems, and failure or lack of alerts and alarms — increased 8 percent.
  • User factors — such as copy-and-paste errors, data entry errors, and alert fatigue — decreased 6 percent.
  • More EHR-related claim events are occurring in patient rooms and fewer are occurring in hospital clinics/doctors' offices, ambulatory/day surgery centers, labor and delivery as well as emergency rooms. However, hospital clinics/doctors' offices remain the top location for these events.
  • Internal medicine, hospital medicine and cardiology showed marked decreases among specialties involved in claims.
  • Family medicine and nursing also showed decreases.
  • Orthopedics, emergency medicine and obstetrics/gynecology showed increases.
"While digitization of medicine has improved patient safety, it also has a dark side—as evidenced by the emergence of new kinds of errors," said Robert M. Wachter, MD, professor and chair, Department of Medicine, University of California, San Francisco. "This study makes an important contribution by chronicling actual errors, such as wrong medications selected from an autopick list, and helps point the way to changes ranging from physician education to EHR software design."

Posted in MPL company news | Leave a comment
Medical Liability Monitor’s 2017 Annual Rate Survey Indicates a 1.1 Average Rate Decrease Among Medical Malpractice Insurers Despite Underwriting Challenges

October 4, 2017 by matray

Chicago — According to just-released data from the 2017 Medical Liability Monitor Annual Rate Survey, the medical professional liability (medical malpractice) insurance industry’s collective mature, base-rate premiums experienced an overall average decrease of 1.1 percent from last year. More specifically, Internal Medicine rates decreased 1.1 percent, General Surgery rates decreased 1 percent and OB/Gyn rates decreased by 1 percent. “The slight average decrease in mature, base-rate medical malpractice insurance premiums marks a continuation of the medical professional liability insurance industry’s historic soft market,” said Michael Matray, editor of Medical Liability Monitor. “What’s interesting is that the market continued to soften at the same time the industry’s combined ratio crept above 100 percent for the first time in a decade. The question is how long can insurers be aggressive with pricing in the face of slipping underwriting results.” For the overwhelming majority (74.2 percent) of insurers participating in this year’s Annual Rate Survey, rates remained flat between 2016 and 2017, very similar to the percentage with no manual change shown between 2015 and 2016 (75.2 percent). The next largest segment of rate change was increases within the 0.1 percent to 9.9 percent (13.3 percent). When reported medical malpractice insurance rates are broken down regionally, the only region reporting an average rate increase is the Northeast region – due to a 12-percent increase in the Pennsylvania PCF surcharge and Maine reporting a 2.5-percent increase. In the South, decreases in Texas and Virginia of 3 percent and 3.6 percent, respectively, and increases in Florida, Georgia and South Carolina of 1.5 percent, 1 percent and 1.8 percent, respectively, combine for an overall decrease for the region of 0.9 percent. The change reported for the Midwest is a 2.1 percent decrease. Kansas, Michigan, Missouri and Ohio all reported decreases around 5 percent. A very slight decrease (0.3 percent) was reported for Illinois due to one carrier reducing the rate for the OB/Gyn specialty. Nebraska and Indiana are each reporting increases of roughly 3 percent, but the increase in Nebraska is driven by an 18 percent increase in the PCF charge. The two states with the largest reported changes are in the West region — Hawaii and Montana — report average decreases of 9 percent and 7.2 percent, respectively. In New Mexico, the PCF surcharge increased by 9.3 percent, while the primary carriers are holding rates flat, driving an increase for the state of about 1.3 percent.

###

Medical Liability Monitor is the only independent publication reporting exclusively on the medical professional liability insurance and risk management industries. The monthly newsletter, founded in 1975, has conducted the Annual Rate Survey since 1991. To order the Annual Rate Survey or to subscribe to the monthly newsletter, visit www.mlmonitor.wpengine.com or call 312-944-7900.        

Posted in MPL company news | Leave a comment
MedPro Group Announces Acquisition of Leading UK Provider of Contractual Medical Indemnity Insurance

October 3, 2017 by matray

Berkshire Hathaway International Insurance Limited (BHIIL) and MedPro Group Inc. (MedPro) announced today the addition of Premium Medical Protection Ltd. (PMP) to the Berkshire Hathaway group of healthcare liability companies. BHIIL, MedPro and PMP have been working together since 2014 to deliver contractual medical indemnity insurance as well as patient safety and risk management solutions to private practice consultants and surgeons in the United Kingdom. Subject to regulatory approvals, this transaction is expected to close by year-end. “PMP was created nearly a decade ago to provide UK consultants and surgeons with the best contractual medical indemnity insurance and patient safety solutions available,” said Juliet Bentley, PMP’s founder and CEO. “Our combination of top customer service, winning defense and leading contractual insurance protections have resulted in delighted customers and sustained PMP growth. Joining BHIIL/MedPro Group in the Berkshire Hathaway group of companies offering healthcare liability solutions continues our mission and allows us to further expand our capabilities and services to even more healthcare providers throughout the UK.” With offices in Leamington Spa, Glasgow and London, PMP and its BHIIL/MedPro partners serve nearly 2,000 private practice consultants and surgeons throughout the UK. Ms. Bentley will remain as president, and its employees and operations will continue as is. “We are delighted to be able to work even more closely with PMP, and – with this acquisition – further highlight and strengthen the Group’s commitment to the UK medical malpractice market,” said John Bartlett, BHIIL/MedPro International vice president. “The Group will be a great home for PMP and its dedicated employees.”

Posted in MPL company news | Leave a comment
The Doctors Company Hires New Head of Underwriting

October 3, 2017 by matray

The Doctors Company announced today the selection of Crystal R. Brown as senior vice president of underwriting, effective immediately. In her new role, Brown leads the company's underwriting operations nationally, reporting directly to Bill Fleming, TDC's chief operating officer. Brown most recently served as healthcare zone leader for CNA Insurance in Chicago. At CNA, she oversaw a team of underwriting professionals at 10 branch offices who focused on the healthcare segment, including community and specialty hospitals, academic medical facilities, allied healthcare, accountable care organizations, large medical and academic groups, skilled nursing homes, assisted living centers, independent living facilities, life plan communities and life science companies. “We are very excited to have Crystal join The Doctors Company’s leadership team,” Fleming said. “With her broad experience with many types of healthcare organizations, she brings a deep understanding of the ever-changing healthcare environment and expertise in developing solutions for technically complex healthcare accounts across the enterprise. She will be a great asset in our work to provide expert guidance, resources, and coverage to our members no matter how they practice.” Brown has more than 25 years of underwriting experience. She held several roles at CNA, including assistant vice president, underwriting director and senior underwriter. She also previously worked as a healthcare specialist for Continental Insurance Company in New York prior to the merger with CNA. She is a graduate of the Advanced Leadership Program at Kellogg School of Management in Chicago, and she earned an MPA in Health Services Management from New York University as well as a bachelor’s degree in English from Amherst College in Amherst, Massachusetts. “I am honored to have been selected by The Doctors Company to lead, collaborate with and motivate the teams and regions to grow our membership and expand our capabilities,” Brown said. “I fully support and am encouraged by our mission to advance, protect and reward the practice of good medicine. I look forward to working on unique solutions for our members.”

Posted in Appointments and promotions, MPL company news | Leave a comment