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Focusing on The Future

JANUARY 2023

FOCUSING ON THE YEAR AHEAD


Table of Contents

About This Issue...

WHAT LIES AHEAD

Happy New Year! As we carry our momentum into 2023, ProAssurance stands ready to take on the opportunities and challenges that lie ahead. Our position as one of a small handful of specialist HCPL companies with a national platform and the ability to write both standard physicians and specialty business means we are currently ahead of most in the market despite the challenges.

Our first full year following the NORCAL transaction laid the foundation for our work as a combined organization, creating a unified set of goals and aligning our strategic priorities. In this issue, I’m happy to share with you some of the details of our strategic and operational plan that will directly benefit you as our agency partner.

Over the years, we have carefully cultivated relationships with agents and brokers we considered to be the best of the best. Your sales efforts are an essential part of our work. One of our goals this year is to become your carrier of choice. To do that, we will focus on four key areas in 2023: responsiveness, underwriting flexibility, customer experience, and product offerings.

We will continue to expand efforts to make it as easy as possible for you and your clients to do business with us. We must provide the service, expertise, products, and value that are expected from a top-tier MPL carrier.

Thank you for all the work you do on behalf of our mutual clients and for your dedication to ProAssurance. As always, we will continue to provide you with tools and information that will be helpful in steering your sales conversations.

Thank you for partnering with us to protect and serve your clients, our insureds. We wish you a successful 2023!

Rob Francis

 

Rob Francis
Executive Vice President, HCPL

 

Looking Ahead

Looking Ahead

We have made tremendous progress in our re-underwriting, realignment, organizational, and integration efforts over the past year. As we move into 2023, we plan to Beat the Standard and transform ProAssurance into a national organization that is a first choice among agency partners, brokers, and potential insureds in providing liability protection for those committed to healthcare delivery.

Our strategic and operating plan supports our view of the liability insurance market dynamics and how we will adapt to profitably serve our insureds and grow. You are a critical part of that plan.

YOUR CARRIER OF CHOICE

To become the carrier of choice for you, our agency partners, we will focus on four key areas in 2023: responsiveness, underwriting flexibility, customer experience, and product offerings.

We are committed to being responsive and providing a level of service that is expected of us as a top-tier provider. We have invested in new technologies to help us create dashboards and workbenches to improve our submission process and turnaround time. And with these new service standards, we will ask you as our agency partners to hold us accountable.

2023 Carrier of Choice

 

In addition to focusing on our responsiveness to you, we plan to take our overall customer experience to the next level. We will be making additional website modifications this year to help our customers engage in self-service if they so desire. These improvements will benefit you as well.

We will also be rolling out a new invoicing system and electronic document delivery so that you have full policy details in front of you. We will automate many of our renewals by mid-year with an exception-based underwriting criteria and will implement an online application.

With the goal of creating a true partnership, we also want to work with you to provide a level of underwriting flexibility to help you reach your goals. We believe our regional and product line expertise lends itself to finding innovative solutions for your clients’ needs.

Of course, we've still got to have the products that you want to sell and your clients want to buy, so we will continue to improve upon our product offerings, create new products, and offer new risk management solutions.

Here are a few of the projects we’re looking forward to rolling out this year.

DATA ANALYTICS & AUTOMATION

As a top three MPL writer, we have significant scale and data advantages, and we intend to use them as a competitive advantage. We are investing in staff, systems, and processes to leverage both our internal and external data sources. This will advance our underwriting capabilities, facilitate automation where desirable, and foster better and faster service to our agency partners and insureds.

We will pursue the ability for agency partners and customers to perform complete online self-service, if that is their desired path, by providing “frictionless” service through improved standardization, operational consistency, self-service capabilities, and automation.

We are adopting advanced analytics into our Standard Underwriting process as well. Data will be the foundation for automated underwriting scorecards and automated renewals. Combining the data and loss experience means we can improve overall business quality and profitability through better underwriting results and dramatically ease the renewal process on as much as 70% of the business.

NEW INVOICING SYSTEM

Our ability to survive and thrive in a challenging and shrinking medical professional liability industry in a way that is fiscally sustainable through the insurance and economic cycles requires us to transform our business through product, technology, and other innovations.

As such, we are launching an innovative invoice cloud payment system to improve billing, collections, and policyholder service. Policyholders will be able to pay online, on their phones, and in any form they desire.

ELITE PARTNER PROGRAM

We want to earn the carrier of choice status among our distribution partners with engagement channels making it easier to place and retain business with us. We also want to enhance the value of a ProAssurance appointment. Expect to learn more soon about our new Agent Advisory Councils and Elite Partner benefits.

We must grow to survive. In the market we are in, the growth strategies must be very targeted. We will be looking to create better alignment with you working to produce new programs and strategic partnerships as we have with existing specialty-specific programs.

The ProAssurance vision is to be the best in the world at understanding and providing solutions for the risks our customers encounter as healers, innovators, employers, and professionals. Through an integrated family of specialty companies, products, and services, we will be a trusted partner enabling those we serve to focus on their vital work. The efficiencies we’re looking to implement throughout 2023 will help drive those outcomes.

We look forward to working with you to create new opportunities in this exciting new year.

Innovation & Progress

Innovation and Progress

It is officially 2023 and now is the time to set goals and look ahead at what the new year has to offer. Business Development Senior Vice President Mike Rosenthal is giving a glimpse of what lies ahead for Business Development.

What are the top three Business Development goals for 2023?

“Production is always our number one goal. Our primary job is helping the company create more revenue.’ Number two would be establishing advisory councils, and implementation of the redesigned Elite Partner program. Third is improving product and program development. To improve product and program innovation, we have established the SP&C Product and Program Innovation Working Group with representatives from HCPL, IST, and Medmarc. This group and the resulting structure will put us in a position to introduce new products, product enhancements, and/or programs annually. We want to be one of the most innovative companies in the space.”

How is the Company redesigning the Elite Partners program?

“I feel strongly that the best opportunities you have for growth are with those distribution partners who most align with you as an organization. In addition to the normal metrics like book size, new business, retention, etc., we are also evaluating unique metrics including partnership performance that assesses the relationship between our partner and our underwriters, and our proprietary Broker ROI calculation that creates a more complete picture of profitability.’ This evaluation creates greater insight into alignment so we can appropriately reward our best; providing them more resources, giving them opportunities to increase their commissions and, maybe most importantly, giving them the loudest voice in the room. It is our Elite Partners who will lead our Advisory Councils.

What are the Advisory Councils and their benefits ProAssurance and our partners?

“The purpose of the councils is to provide strategic advice to position ProAssurance as carrier of choice. These councils will be asked to give us external perspective on our operations and product offerings as well as insight into the competitive and market environment. Each council will have five to seven members and be led by an Elite Partner. There are five regional councils made up of regionally present agents. Those regional councils will collaborate primarily with each Regional Executive Teams to address specific issues in their region. Each president of the regional councils will make up the President’s Council, who will meet once a year with senior leadership. Our seventh council is our National Brokers Council, made of those national brokers with whom we are operating under a national business strategy. It will help us understand how to better serve the unique needs you have when you have a national distribution system.”

What is in the future for the product development and enhancement?

“You know product innovation and development in the Insurance space, even in the largest of companies tends to be somewhat of a haphazard process. Innovative ideas are brought to a meeting and, if the group or the boss likes the idea, it is given to somebody to create who also has a day-job. This approach stifles regular innovation and slows time to market for new products. Our goal is to encourage innovation and be efficient at converting those ideas to products and product enhancements that meet market needs and give our partners new things to talk about.

Where does this all lead in the end?

“As I noted earlier, our number one goal is creating growth. This is all leads to one thing: writing more business. Done right, we become the best partner we can be for those who are going to help us create that growth.”

“Our goal is to encourage innovation and be efficient at converting those ideas to products and product enhancements that meet market needs and give our partners new things to talk about.”
January ProVisions Webpage Graphics2
Mike RosenthalSenior Vice President, Business Development

Specialty Healthcare Professional Liability at ProAssurance

ProAssurance has a keen focus upon profitable growth across a wide spectrum of healthcare exposures. As of January, 2023, our Specialty HCPL division has more than $170,000,000 of business, including both direct and assumed reinsurance.

Our breadth of product and appetite is quite broad. Our Specialty division is a national platform and is organized around the following product lines:

  • Custom Physicians
  • Hospitals and Systems
  • Senior Care
  • Miscellaneous Medical
  • Assumed Reinsurance and Alternative Risk

A short description of each product line follows.

CUSTOM PHYSICIANS

When a physician or physician group needs a non-admitted or specialized program, it may be a better fit for Custom, versus our Standard Physicians team. This might be to the large size of the account, or simply because we are offering coverage or service flexibility that can be better addressed by an E&S solution. Examples that we have in our portfolio include: Self-insured retentions, retrospective rating plans, profit shares, and prior act reporting periods.

HOSPITALS AND SYSTEMS

We write all sizes of hospitals, including small community hospitals, regional systems, and large national operations. We have flexibility around deductible plans, self-insured retentions, and assumed reinsurance of single parent captives. We can offer up to $10,000,000 in excess/umbrella limits. In excess tower programs, our preference is to be in the lead, second or third layers.

SENIOR CARE

Our preferred Senior Care opportunities are small to mid-sized long term care facility operations. We can entertain all levels of care. We have some venue restrictions and are generally not a market for the very large systems with self-insured retentions of $250,000 or more. That said, we have worked with quality operations via our Inova SPC platform, in which we can take on some excess risk and offer both paper and other services.

MISCELLANEOUS MEDICAL

These are healthcare operations which do not fit squarely in either Physicians, Hospitals or Senior Care. There are a wide variety of exposures which we would underwrite from our Miscellaneous Medical team, including ambulatory surgery centers, dialysis, home health, hospice, behavioral health, nurse staffing, labs, clinics, and imaging.

ASSUMED REINSURANCE AND ART

For accounts which have formalized risk financing (i.e. captives), we can offer reinsurance. We generally prefer a position on one of the first three layers. Additionally, we have a Segregated Portfolio Company called Inova which can be a great solution for operations with significant MPL premiums, but which the economics do not support setting up their own captive. The Inova option works extremely well for accounts which are interested in a full service solution, including “fronting”, underwriting, claims, and reinsurance.

We prefer to take risk when we partner with large healthcare operations or groups, so we generally are not a market for “pure fronts.”

In Conclusion

We are fortunate to have a deep bench of very experienced underwriters across our Specialty team. In addition to responsiveness, we strive to be recognized for dependable knowledge and creative solutions.

While our Specialty HCPL product areas have some appetite/ underwriting restrictions, we take pride in having a broad interest across most kinds of healthcare providers and facilities. Our objective is to take time to understand what makes each account unique and try to find a solution which would be attractive, but also sustainable.

Risk Management Resources

WHAT'S NEW IN 2023?

The ProAssurance Risk Management team is here to help your clients promote patient safety, minimize risk, and improve defensibility of claims by providing comprehensive assessment and relevant training resources. We are available to assist with answers to specific questions or situations, perform base assessments, and consult on ways to mitigate your clients’ professional liability risks. We offer insureds opportunities to earn both CME and potential premium credit.

This year’s Risk Management resource offerings include a couple of important changes.

We will continue to provide our Practice Management Professional webinar, Vital Signs newsletter, and “Two Minutes: What’s the Risk?” videos throughout the year.

2022 2023
10 issues of Claims Rx (8 were 1.0 CME in length and 2 were 0.5 CME in length

6 issues of Claims Rx 0.5 CME in length

10 1-hour CME webinars 4 1-hour Webinar Series (may have CME attached)
1 2-hour CME Loss Prevention Seminar Our final 2-hour Loss Prevention Seminar. We will be transitioning to the Baseline Self-Assessment as the primary vehicle to earn eligible premium credit in 2024.

AT A GLANCE

CLAIMS RX:
This is the flagship risk management publication that focuses on claims-based learning and risk management advice to decrease the risk of a claim and improve defensibility should a claim occur.

LOSS PREVENTION SEMINAR:
The annual LPS program covers trends in enhancing patient safety and claims reduction strategies and offers insureds both CME and potential premium credit. Each year, there are two programs offered—one for physician insureds and one for practice managers.

Risk Management ResourcesVIDEO AND WEBINAR LIBRARY:
We produce webinars on a variety of risk management topics, many of which are available for CME. These webinars are presented live, and insureds can also watch recordings of the presentations via MyACCOUNT and the ProAssurance secured portal.

BASELINE ASSESSMENT REVIEW:
This is a brief medical liability self-assessment focusing on office processes such as diagnostic test tracking, management of phone calls, informed consent, emergency preparedness, and documentation. It helps identify gaps in staff competency and operations and enables us to develop focused education opportunities that result in the most efficient use of the practice’s resources.

TWO MINUTES: WHAT’S THE RISK? VIDEOS:
The return of our popular videos, hosted on the Risk Management YouTube channel, presents healthcare industry professionals discussing common medical liability risk issues. The short video format makes it easy for busy healthcare professionals to learn the basics of timely risk management topics and share the content with their team.

VITAL SIGNS:
This is a monthly publication intended to help physicians recognize common causes of malpractice claims by presenting actual case histories of malpractice claims.

2023 NEVER EVENT AD STRATEGY: 
How We Embrace the Unthinkable

Never Event AdSince the NORCAL transaction finalized in May 2021, our HCPL ad campaigns have emphasized the combined organization’s position as a stable, top-tier carrier while emphasizing the strategic value, scope, scale, and data advantage of the NORCAL transaction.

With our first full year following the NORCAL transaction behind us, we’re shifting the focus of our ad campaigns in 2023 onto our most important audience: the physicians and other healthcare professionals we defend when they need us most. A review of the competitive landscape shows this approach to be surprisingly rare. We intend to change that.

Throughout 2023, we will be placing these ads in major physician- and SP&C agent-focused publications including Risk & Insurance, Medical Economics, ASHRM Journal of Health Care Risk Management, MGMA Connection, and others.

The first three ads shown here as well as others still in development focus on moments when physicians experience the unthinkable: surgical fires, wrong-site surgeries, retained surgical objects after surgery, and other medical errors known as “never events.”

While these events are very rare (only a few hundred are reported out of the millions of surgeries performed annually), they are devastating to everyone involved: the patients and their families for sure, but also the healthcare professionals on the surgical teams.

Never Event Ad

For the campaign, we looked to Joint Commission data to identify the different kinds of never events and crafted realistic scenarios for several of the most frequent and described how we stand by our insured through the crisis. We’re hoping that the dramatic nature of these ads will catch the attention of both physicians and agents while promoting our Risk Management offerings as a way for insureds to mitigate risk through precise documentation as well as help them improve defensibility in the event of a claim.

If you have any questions about the campaign, contact AskMarketing@ProAssurance.com.

Inspiring Customer Loyalty

Inspiring Customer Loyalty

Our insureds are our most important asset, so we prioritize our marketing efforts to acquire and retain them by creating a compelling value proposition and brand story.

Deep MedicineFocusing on the fundamentals of customer retention is essential to business growth because repeat customers are the most valuable resource for businesses in the long run. A recent Harvard Business Review article, “In a Downturn, Focus on Existing Customers—Not Potential Ones,” put it this way:

The markets are down, currencies are down, and inflation is up. While every downturn is different, these signals are familiar, and they suggest we’re nearing a recession. New sales leads will start to slow, win rates will narrow, deals will take longer to close, and customers will start to churn.

It can be a scary time, but we’ve been here before—and there’s a playbook for how to weather these conditions.

… Through the COVID-19 pandemic … companies that focused relentlessly on existing customers were able to ride through the uncertainty with the least disruption.


THIS YEAR'S CAMPAIGN OFFERING

In order to support our retention goals, we conduct an annual campaign thanking our insureds and offering them a complimentary resource, usually a book. Involving a series of direct mails, we’ve seen great success in the past with reply rates up to 25%. At the conclusion of each campaign, we measure the retention rate for those who request the book as compared to non-responders and have seen between a 4% and 10% bump for those who reply.

This year’s retention campaign features the book Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again, by Dr. Eric Topol, cardiologist and executive vice president of Scripps Research.

Topol examines the role artificial intelligence (AI) will play in the future of medicine. He says that AI is quickly becoming an essential tool for cutting through the clutter to improve the speed and accuracy of diagnoses.

Deep Medicine provides an inspiring look at how deep learning algorithms can further a physician’s ability to create custom treatment plans. Topol has gathered a variety of examples of current AI use in medicine—from utilizing wearable sensor data to providing coaching via virtual assistants and reviewing medical histories via language processing. This book shows us how the power of AI can make medicine better and reveals the paradox that machine learning can actually make humans healthier—and even more human.

As part of our efforts to share insights that help our insureds improve patient safety and reduce liability, we are pleased to offer this valuable and informative resource.

If you’d like to read the book yourself, email AskMarketing@ProAssurance.com letting us know your mailing address. The Marketing department will provide ongoing campaign updates in future issues of ProVisions.

HOW THE CAMPAIGN WORKS

Our Marketing team sends out a series of mailings to our MPL insureds (excluding Certitude insureds) 60-90 days in advance of their renewal date:

RetentionMailing 1: A personal note, a custom pocket note with quotes from Dr. Topol’s book, and a reply card

Mailing 2: A letter from Risk Management, following 4-5 weeks after Mailing 1, asking insureds to reply for the book and referring them to Risk Management contacts

Mailing 3: An email communication to all remaining insureds who hadn’t yet replied, following 4-5 weeks after Mailing 2, with a link to a form to request the book

The mailings go out approximately one month apart, and once someone responds, they are removed from the follow-up mailings. We actively monitor results of each stage of the mailings and adjust the campaign to optimize success. A final reminder email to nonrespondents concludes the campaign.

LEARN MORE

A Conversation with Dr. Eric Topol

Listen as Dr. Siddhartha Mukherjee, Pulitzer Prize winning author of The Emperor of All Maladies interviews Dr. Eric Topol about his book, Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again.

Watch here

How Doctors Can Help AI to Revolutionize Medicine

In this TEDMED Talk, Greg Corrado discusses the enormous role that AI and machine learning will play in the future of health and medicine, and why doctors and other healthcare professionals must play a central role in that revolution. Corrado is co-founder of The Google Brain team and Principal Scientist on Google’s AI Healthcare team and has spent the last decade at the forefront of the AI revolution. From distilling data insights to improving the decision making process, Corrado sees a multitude of ways that AI and machine learning can help magnify the healing powers of doctors. In fact, he believes that doctors who embrace AI will “see their healing powers expand more than they have in 100 years.”

Watch here

Why Do We Need Artificial Intelligence in Medicine?

In this TEDx Talk, Dr. Kurt Zatloukal, professor of pathology at the Medical University of Graz, Austria and head of the Diagnostic and Research Center for Molecular Biomedicine, makes the case for why medicine needs AI.

Watch here

How AI Is Making It Easier to Diagnose Disease

Today’s AI algorithms require tens of thousands of expensive medical images to detect a patient’s disease. What if we could drastically reduce the amount of data needed to train an AI, making diagnoses low-cost and more effective? TED Fellow Pratik Shah is working on a clever system to do just that. Using an unorthodox AI approach, Shah has developed a technology that requires as few as 50 images to develop a working algorithm—and can even use photos taken on doctors’ cell phones to provide a diagnosis. In this TEDGlobal Talk, Shah shares how this new way to analyze medical information could lead to earlier detection of life-threatening illnesses and bring AI-assisted diagnosis to more healthcare settings worldwide.

Watch here

ProVisions in 2023

ProVisions in 2023

ProVisions will continue to be our main vehicle for sharing industry news and company updates with our agency partners. However, we will be making some changes to our distribution model based on your ongoing feedback.

The digital version of ProVisions will be switching to a web-based model instead of a PDF. We incorporated several upgrades into our new design.

  • Mobile friendly layouts—Scroll through each issue on whatever device is most convenient for you. No pinching or squinting necessary.
  • Interactive table of contents—The table of contents moves through the issue with you. Open it at any time to jump to a new article.
  • Enhanced content features—Each issue will continue to include links to additional resources, but we can now include additional elements like video, interactive graphs, and more within each issue.
  • Search through the library—No more hunting through old documents to find articles you want to revisit. Just type what you’re looking for in the search bar.

Building a full agent website

Throughout the year, we will adjust ProAssurance.com to focus on serving our healthcare professional liability clients, and build out our agent website to act as a one-stop-shop for the sales and marketing tools you need. Confidential materials which require additional security such as COIs, policy documents, payment options, etc. will continue to be housed in in the secure portal—which will be accessible from both websites.

ProVisions 2023Future sections of the agent website will include:

  • An enhanced marketing material library
  • Our state profile library
  • A news feed for company updates
  • A calendar of upcoming agent events

Ultimately this is a space to serve you and your team, so if there are additional items you are looking for, please let us know. Email AskMarketing@ProAssurance.com with your content suggestions. We will continue to share updates in ProVisions as we roll out these new changes and features.

PICA Territory Adjustment in 2023

The ProAssurance Insurance Company of America (PICA)—ProAssurance’s team which provides coverage for a variety of medical and legal professionals, is updating their territory alignments, effective this month.

Agency responsibilities have been divided between James Gray in the West and Tony Macourek in the East. As Senior Business Development Managers, they will be your primary contact for your day-to-day sales, underwriting eligibility, and portal training needs. Their primary responsibility is to help you drive profitable new business opportunities to PICA Group – PICA, OUM, DentistCare, or LawyerCare. In addition, if there is a multi-discipline group opportunity for PICA Group that requires the assistance of our ProAssurance underwriting colleagues, they can assist with navigating those risks.

PICA Territory Map

James Gray
Senior Business Development Manager
JamesGray@ProAssurance.com
Office: 615-567-2276
Mobile: 405-503-4319
Tony Macourek
Senior Business Development Manager
TonyMacourek@ProAssurance.com
Office: 615-984-2033
Mobile: 865-382-1603

Risk Management On-Demand Seminar Library Update

The HCPL Risk Management department produces on-demand seminars throughout the year. These are available for physicians to view at their convenience, and participation in the activities may earn ProAssurance insureds CME or premium credit.

Seminars are available by signing into ProAssurance.com, then selecting “Physician Online Seminars” from the “Seminars” menu. Previews of the latest programs are also available on the Risk Management YouTube channel to help team members and ProAssurance agents promote the latest programs to our insureds.

Latest Programs in the Series

Crossing the Line: Examining Professional, Personal, and Ethical Boundaries - When practicing medicine, there are consequences for crossing the line with patients, other providers, and even yourself. In this course, physicians and other healthcare professionals will hear the professional liability considerations associated with stepping over the line, both personally and professionally. The information and examples will help you identify scenarios where a close call with blurred boundaries could impact you professionally.

Opioid Prescribing: Keeping Patients Safe - This healthcare risk management online seminar will focus on the opioid crisis and the impact of opioid prescribing on patient safety. The discussion will include closed claims and risk reduction strategies you may implement to mitigate your liability exposure and increase patient safety.

Shock Verdicts 2022

While MPL claim frequency remains relatively flat, claim severity has been steadily ticking up, which compounds over time. In recent years, large jury verdicts have widely been seen as the primary driver of increasing claim severity.

While the primary driver of increased severity is social inflation resulting from unpredictable jury behavior and attitudes toward institutions/expert authority figures, other contributing factors include higher defense costs such as expert witness fees, higher demands from plaintiff attorneys, and medical care inflation.

Shock Verdicts 2022

Although “nuclear verdicts,” aka “shock verdicts,” are often reduced or overturned on appeal, their direct costs are still significant, and the publicity generated by the initial award serves to raise the bar on future plaintiff attorney demands and expectations.

 

Ties that Bind

Do You Sell Value or Table Stakes?

Every sale or renewal of a ProAssurance policy can be tied to a decision made by one or more stakeholders. And that decision can be distilled down to one word: Value.

Value is a buzzword in healthcare. The word permeates conversations with clinicians, healthcare executives, supply chain personnel, and federal healthcare employees. Hospitals convene value analysis committees whose sole purpose is to select products and services based on value and to drive compliance in their use.

As an agent, conveying value is how you get the time and attention of healthcare decision-makers (which is getting more complicated all the time). It's also how you distinguish ProAssurance in the marketplace.

Since value is the lever that makes things happen, it's necessary to know where HCPs perceive value when interacting with service providers and where they don't.

First, let's begin by clarifying interactions of little to no value.

There's little perceived value in a cold sales pitch. Busy HCPs don't want to give up precious time to a salesperson to discuss a product or service they're not considering. This means an intuitive approach such as "I have some new coverage options I'd like to show you" is likely to be heard as "I want to sell you something." That's low value.

Another great way to lose a medical professional's attention is to make claims that are little more than table stakes. Table stakes is a poker term that refers to the minimum stake that a card player must put up just to earn a spot at the table; in other words, the minimum required to be in the game.

Here's a typical example of table stakes in healthcare business conversations. All healthcare suppliers claim to provide a good product and service at a fair price. These aren't differentiators; they're table stakes since no reasonable person would tolerate anything less.

Can table stakes be elevated to the status of real benefits? Yes — by specifically answering this subliminal question in the client's or prospect's subconscious: Compared to what? Here's an example you might relate to...

The ProAssurance motto is "Treated Fairly." These words are near and dear to everyone at ProAssurance, but they fit into the table stakes category without context. After all, is there anyone who doesn't expect to be treated fairly during business?

Adding context, however, reveals the value.

Suppose you provide examples of how HCPs are not always treated fairly by MPL insurance providers. This provides a frame of reference. Now, when you specifically demonstrate how ProAssurance treats its clients fairly in comparison, the value becomes apparent.

Do you want to know what is never perceived as table stakes? Addressing universal issues that HCPs face daily, such as the need for cost savings, reducing clinical and financial risks, and obtaining better health outcomes.

Some relevant healthcare topics in 2023 include industry consolidation, a shortage of caregivers, reduced continuity of care, and record-high jury verdicts in medical malpractice cases. Discussing them in the context of managing related liability offers more value than merely detailing some new coverages.

One of ProAssurance's greatest strengths is its ability to tailor policies to the individual liability needs of healthcare providers. Combine that with the shifting concerns and threats in healthcare, and your topics for value-based conversations are virtually limitless.

Leave the table-stakes conversations to your competitors. Beat the standard in 2023 by ensuring that every conversation and communication with clients and prospects conveys value.

"One of ProAssurance’s greatest strengths is its ability to tailor policies to the individual liability needs of healthcare providers."

Mace Horoff

 

Written by Mace Horoff of Medical Sales Performance

Mace Horoff is a representative of Sales Pilot. He helps sales teams and individual representatives who sell medical devices, pharmaceuticals, biotechnology, healthcare services, and other healthcare-related products to sell more and earn more by employing a specialized healthcare system.

Have a topic you’d like to see covered? Email your suggestions to AskMarketing@ProAssurance.com.

Comments Section

The Impact of Social Inflation on the Liability Insurance Industry

The trend of rising insurance costs due to increased litigation, plaintiff-friendly judgments, and higher jury awards is having a significant impact on all types of liability—but medical liability is particularly hard hit. Swiss Re estimates that social inflation has been a major factor in seven consecutive years of underwriting losses for the industry.

There are two distinct causes of social inflation: (1) society’s evolving values, trends, perspective, or mood; and (2) other market players’ identification and exploitation of these changes.

Of the factors included in the first category, increasing distrust of corporations, resentment toward rising inequality, reversals in tort reform, and willingness to award stratospheric jury awards have received considerable attention. As the effects of inequality, polarization, and disenfranchisement become more tangible, it seems jurors are inclined to view their vote on a jury as an opportunity to express their values and effect change, a power that feels lacking in their daily lives.

View the full article.
Source: Reuters

Anne Marie Lyddy
Anne Marie LyddySenior Risk Management Consultant
“Interesting article and topic! It suggests that we may be on the brink of a perfect storm, shaped by a myriad of social factors and economic influences. As cynicism of corporate America grabs hold and continued social inequality pervades and affects our social and financial systems, the economic challenges brought on by the COVID-19 pandemic also wreak havoc. Hence, it appears that social and economic inflation are inordinately linked together, affording disenchanted Americans the opportunity to wage a war whenever and wherever possible. In our case, the likelihood of continued adverse impact on our industry.”
Vanessa Mulnix
Vanessa MulnixSenior Risk Management Consultant
“Social inflation as it affects the insurance industry may be driven in part by the decrease in the public’s knowledge of civics and economics. The decline contributes to an inability to critically and logically assess the value of the ‘thing,’ whether that be a product or the distribution of another entity’s capital, as well as the societal impact on access to that product or capital. Further, with the inability to critically evaluate, media perspective on culture becomes a source of reference in decision-making.”
Mallory Earley
Mallory EarleySoutheast Risk Management Regional Manager
“Although social inflation has become a popular buzz word, the Risk Management department started looking at the impact of rising shock verdicts and the lottery mentality in 2020. We gathered insight from a jury consultant and feedback from jurors to better understand the social implications at trial and educate our insureds. Through proper preparation, assessment, and analytics, we can anticipate the rise in costs due to large claims and respond through proactive measures.”
News & Updates
50 States Ranked by Clinical Care: Massachusetts Leads; Texas Drags

Clinical care makes up one of the five categories that inform America’s Health Rankings for 2022 from the United Health Foundation. Zeroing in on this single category, Massachusetts leads the way and Texas trails the nation. UHF, the nonprofit, private foundation established by UnitedHealth Group, released the rankings Dec. 6. To assess the overall health of each state, UHF analyzed 51 measures across five categories of health: social and economic factors, physical environment, behaviors, clinical care, and health outcomes. (Becker’s Healthcare)

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AHA: Average Length of Stay in Hospitals up 19%

The average length of stay in hospitals has increased by about 19% for patients in 2022 compared to 2019 levels, according to data from Strata Decision Technology, a healthcare consulting firm. The increase is even more pronounced for patients being discharged to post-acute care providers—nearly 24% from 2019 to 2022. (Healthcare Finance)

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NAIC Insurance Department Resources Report

The report, largely developed through surveys of NAIC member states, helps state insurance departments assess their resources in comparison to other states. It also notes how states manage their resources to effectively regulate the insurance industry. (NAIC)

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Where Are MPL Premiums Heading?

From 2015 to 2020, premium growth for the medical professional liability (MPL) industry chronically lagged that of the total property/casualty (P/C) industry. During this five-year period, direct premiums written (DPW) for the P/C industry increased almost 23%, while premiums for the MPL industry grew less than 7%. This minimal growth in the MPL industry was brought on by a combination of factors including a soft pricing environment that lasted for the better part of a decade, shrinkage in the number of independent physicians that purchase MPL insurance, and a movement toward alternative insurance mechanisms such as captives. (Medical Professional Liability Association

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Health Coalition Applauds Bipartisan Action on Medical Liability Reform

The Health Coalition on Liability and Access (HCLA) today announced its support of H.R. 9584, the Accessible Care by Curbing Excessive lawSuitS Act (ACCESS Act), a comprehensive medical liability reform bill introduced by Representatives Richard Hudson (R- N.C.) and Lou Correa (D-Calif.). The ACCESS Act is modeled after proven reforms already in place in Texas, California, and many other states around the country that have committed to affordable access to patient care by reducing medical lawsuit abuse. (Cision)

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Five Trends for Health Systems in 2023

Medical Economics has updated their annual list of top challenges for physicians to focus on health systems as a whole in 2023. The list includes:

  1. Staffing challenges
  2. Increased competition in the healthcare industry
  3. Delayed screenings
  4. Implementing new technology
  5. Encouraging the next generation to work in medicine

(Medical Economics)

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2022 Was a Good Year for Captives

Driven by a historically hard insurance market and greater global uncertainty, the captive insurance market saw significant growth during 2022. In addition to new captive owners, many companies already using captives extended the concept to address other risk exposures. (Captive)

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