Monday, September 18
| Registration Open
| Welcome and Introductory Remarks
Charmy Shrode, VP, Underwriting, SVMIC; Chair, Underwriting Section
|The Evolving Healthcare Landscape
Brian M. Parker, MD, Chief Quality Officer, Allegheny Health Network
|Delve into the macro trends currently reshaping the healthcare industry, touching on the influence of AI and technology, the role of private equity funding, the evolution of healthcare services delivery, and how the risk landscape is transforming. Attendees will gain insight into the primary drivers provoking change in the sector and identify how these alterations are influencing physicians, consumers, and society at large. This session will provide valuable knowledge about the changing risk landscape in medical professional liability, a crucial aspect of understanding the dynamic nature of contemporary healthcare.
|The Evolution of the Independent Practice
Sean Farrelly, SVP, Underwriting, Curi
Adam Low, CEO, SENTA Partners
|This insightful session will address emergent practice management issues and obstacles that have created a need to rethink the traditional physician practice ownership model—particularly for independent practices where entering a hospital employment model is not the right fit. The speakers will also discuss different types of partnerships available in the market and explain how different ownership structures may require product or underwriting adjustments.
|Group Discussion Breakout
Moderator: Charmy Shrode, VP, Underwriting, SVMIC
|In this two-part session, attendees will discuss with their colleagues from MPL Association member companies the critical considerations that guide what they do in making daily underwriting decisions. In Part One, attendees will be assigned to a table group and discuss the topics that they consider most pressing. This will be followed by a discussion of the various approaches they use in evaluating the risk in each healthcare setting.
Tuesday, September 19
| Rural Healthcare Trends
David B. McDermott, MD, MPH, Senior Physician Executive, Northern Light Mayo and CA Dean Hospitals; Vice Chairman of the Board, Medical Mutual Insurance Company of Maine
|Designed to discuss the challenges and trends in rural healthcare, this session will explore the impact and strategies for dealing with staffing shortages, and the role of advanced practice providers. The speaker will assess issues such as the acute care bed shortage, the financial sustainability of rural OB units, and the conundrum of what services to provide. The session will also focus on mitigating potential risks, recognizing red flags, and the implications for underwriters.
| AM Best—What Underwriters Should Know
Vin Ranade, MBA, ARe, Senior Rating Agency Advisor, Howden Tiger
|AM Best is a rating agency that has existed for more than a century, focusing on the insurance industry. Understand the history and significance of AM Best and why carriers seek a rating. The speaker will cover the elements and process of a rating analysis and identify key drivers impacting an organization’s rating by AM Best. Underwriters will have greater insights into their profession’s impact on MPL companies’ ratings.
| MPL Market Update
Bill Burns, VP, Research and Analytics, MPL Association
|This session will examine the financial results of the MPL market and discuss key performance indicators that drive these results. It will cover vital aspects such as pricing trends and variable internal and external factors including the financial health of the MPL industry. Attendees will also hear about pricing trends in the industry, emerging issues facing the sector, and be provided with the 2023 outlook for the industry.
Interactive Polling Session
Janel Loud-Mahany, AIS, AINS, SVP, Underwriting & Policyholder Services, COPIC
|In Part Two of this two-part session, attendees will use their mobile devices to vote on the underwriting issues that matter most to them. A panel of underwriting experts will be available for comments and additional perspectives.
Collaboration in MPL: Brokers and Underwriters
Wesley Butler, RPLU, ARM, VP, Underwriting, MIEC
Melissa Henry Menard, CPCU, MBA, Executive Vice President, Healthcare Practice Leader, CAC Specialty
Richard Waldman, Area Senior Vice President, Gallagher
|The relationship between insurance carriers and brokers is essential. In this interactive panel discussion, a senior MPL insurance executive and two brokers will share the ways carriers and brokers are working together to navigate a changing landscape to grow a successful book of business. Hear how they have built long-term, mutually beneficial relationships, and what they see as the greatest challenges and opportunities facing the medical professional liability insurance industry.
| The Effects of Discrimination in Healthcare and MPL Claims
Jacqueline Busterna, Esq., Director of Diversity, Equity & Inclusion, Coverys
Candy Barr Heimbach, Esq., Managing Attorney, Bethlehem Office, Dickie McCamey & Chilcote
Jeffrey J. Wetzel, Esq., Dickie, McCamey & Chilcote
|Racial, ethnic, and gender discrimination has a significant impact on the health of underrepresented communities, affecting mental health and contributing to high blood pressure, negative health behaviors, and early aging. In healthcare settings, experiences of discrimination can include providers dismissing a patient’s symptoms or health concerns, offering different treatment based on a patient’s type of insurance, or not providing care in a patient’s preferred language. The panelists will discuss the many ethical and legal issues surrounding patients or insureds who refuse to work with certain populations based upon bias and share examples of litigation outcomes.
Wednesday, September 20
|Physician Side Hustles: View from an Underwriting, Claims, and Risk Management Perspective
Susan L. Montminy, MPA, RN, CPHRM, Director, Risk Management, Coverys
Susan Orris, CPIA, Underwriting Manager, MICA
Sharon Rupprecht, Esq., Claims Specialist, ProAssurance
|With the ever-changing state of medicine, physicians seem to be searching for alternatives or other ways to make income outside of their day job as a physician. Perhaps it’s to supplement/replace their current incomes or perhaps it’s a way to transition out of medicine altogether. Join us for a discussion of the current landscape regarding physician side hustles and the potential risk and liability exposures involved from an underwriting, claims, and risk management perspective. Learn about underwriting, claims, and risk management strategies and best practices to minimize and/or eliminate the risks/liability of the physician side hustle.
|Megaverdicts—Any Way to Defuse?
Kevin Fuller, Vice President, Underwriting & Marketing, MACM
Anna Berent, Senior Director of Claims, MCIC Vermont
Mike Hermann, Esq., Director, Claims & Litigation, Ascension
|As frequency returns to similar positions before COVID, claims severity has seen a significant increase across the country. Verdicts have been returned at eye-popping levels forcing many companies to rethink whether to take some cases to trial. During this session, we will evaluate the legal landscape both pre- and post-pandemic, then take a deeper dive into the issues driving the verdicts. Lastly, we hope to uncover new ways for underwriters to analyze the exposure and discuss how we can address or mitigate the risk through increased collaboration with our claims departments, policy language considerations, and added exclusions.
| MPL Advocacy—Making the Most of a Bad Environment
Michael Stinson, JM, Vice President, Public Policy and Legal Affairs, MPL Association
|Partisan division in Washington, D.C., makes it increasingly difficult to accomplish anything in the nation’s capital, especially with an issue as divisive as MPL reform. At the same time, states are becoming increasingly hostile to traditional tort reforms and the personal injury bar is constantly seeking new ways to tip the judicial system to their favor. Meanwhile, regulators continue to promote new requirements with which MPL insurers must comply. What can be done to address this challenging public policy environment? The speaker will discuss recent wins and losses for the MPL industry in the advocacy arena, and share ideas on prospects for the future.