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March 2025 
A Tribute to Darryl Thomas


Table of Contents

About Our Issue

Chief Claims Officer Darryl Thomas is retiring after three decades with ProAssurance. In this issue, we’ve compiled fond memories of our time working with him and Darryl shares his thoughts on helping to create one of the greatest Claims teams in the industry.

Messages from the CEO and MPL President 

Before I stepped in as CEO, Darryl had to work with a CEO who was a doctor and knew more about medicine than he did, and then a lawyer who thought he knew the law better than Darryl. Finally, when I stepped in, he was happy to get someone who knew a lot less than he did, though he’d never admit that. 

One of the things he did was to send out an email when a large verdict came in. So I’d get an email that said “$50 million verdict!” and I would have a heart attack because all I could see at first on my phone was that subject. Then I’d open the email and saw the full header with “Not Ours.” Emails now lead with “Not Ours” (when appropriate), and I am having fewer panic attacks. 

The thing I appreciate most about Darryl is that he always tells it like it is. If he thought I was doing something stupid, he would call me out on it. I appreciate that honesty and forthrightness from him, his willingness to speak out. That’s something I will miss. 

I think he had one of the hardest jobs in the Company. Very stressful every day, especially when you look at the number of cases we take to trial every year. 

For his years of hard work serving our insureds, Darryl’s earned a peaceful retirement as a gentleman farmer on his property, helping his daughters tend to the goats and chickens, and enjoying his fishpond. We’ll miss him greatly and wish him all the best. 

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Claims management in the MPL area is very analogue. Every fact scenario is unique. Every venue is different. Each judge has their own idiosyncrasies. And both plaintiff and defense attorney strengths and weaknesses ride atop all of those factors.  

Darryl has navigated this subjective world for decades with exceptional wisdom. His experience cannot be transferred, and we will miss his leadership. We will also miss his collaboration as a teammate. Darryl has always been all about the best result for all of us as a team.  

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Passing the Torch

Chief Claims Officer Darryl Thomas is retiring after a three-decade career at ProAssurance. Darryl started his medical professional liability career in the late 1980s, joined ProAssurance’s predecessor company PICOM in 1995, and now closes out his tenure in March 2025. While assisting ProAssurance in becoming an industry leader in claims management, Darryl saw the highs, lows, and constant thrill of leading our Claim Department. 

When did you first become interested in the MPL industry, and more specifically, medical malpractice claims management? 

I graduated law school in 1986, and after passing the Indiana Bar, I received two job offers that surprisingly came on the same day. One was to be a deputy prosecutor in Evansville, Indiana, and the other was to be in the Legal Department at a large medical malpractice insurance company. I chose the insurance position in March 1987 simply because it paid more—nearly double the prosecutor’s job. My priorities were fairly basic back then. It was really just about the money!  

After six weeks or so in the Legal Department at the insurance company, I realized I was not actually practicing law. I was actually managing medical professional liability malpractice claims and managing defense attorneys. I also realized I enjoyed the work—a lot. I enjoyed the medicine, the legal analysis specific to professional liability, and the excitement of defending malpractice cases around the country. I soon decided that I wanted to stay in insurance and wanted to make medical professional liability my career. However, I also realized that in order to advance my career, I had to move on and take more responsible positions with other organizations.  

After several leadership positions, I was eventually hired by then-CEO Vic Adamo in February 1995 to lead PICOM’s Claim Department. PICOM later became ProNational (Professionals Group), which eventually merged with Medical Assurance in 2001 to form ProAssurance. Then-CEO Derrill Crowe, MD, hired me to become the Chief Claims Officer of ProAssurance where I would spend the remainder of my career. 

What were the highlights of your career? What events, good or bad, have impacted you? 

Most claims people will tell you that although we celebrate the wins, it is mostly relief when we do win; however, it is the losses that we remember—sometimes forever. That is certainly true for me. During my tenure at ProAssurance, we have successfully tried thousands of cases, winning the overwhelming majority of the trials; however, it is the losses that hurt the most and are forever etched in my memory. The one that still resonates is my biggest trial loss and is likely, to this day, one of the largest medical professional liability claim verdicts in the United States. After much angst, we were trying a stroke case in Hillsborough County, Florida. The verdict came back on a Friday night—the worst one’s seemed to always come back at the start of the weekend. We were all sweating this case knowing it was going to be either a big win or a big loss. When the verdict came back, our then-Florida Vice President of Claims called me and said, “It’s bad news, and it’s really bad news. Which do you want first?” The bad news was, we had just taken a verdict for $117 million, and the really bad news was that the jury was coming back on Monday to decide on punitive damages. On Monday, the jury awarded $100 million in punitive damages for a total of $217 million—whoa! The most surprising thing about this verdict was that I kept my job!  

On the other hand, the real highs, and what has sustained me and what sustains our Claim Department is the gratitude we receive from our insureds when we successfully defend their practice of medicine. Our claim professionals attend nearly every day of trial, and they will tell you that there is no greater emotional high than that of an insured’s heartfelt gratitude for a well-won trial. It is why we do what we do and what has distinguished ProAssurance for so many years. 

What other events impacted you at ProAssurance? 

The Claim Department leadership team has been very close at ProAssurance. Really, it is one of the things that I am most proud of. We were all impacted, rocked really, by several deaths in our team over the many years. The deaths of Richard Walter, Scott Hunsberger, and Bill O’Malley created an absence, a personal and professional void that still haunts us to this day. Although, true to our Claim Department discipline, we picked ourselves up and continued to do the work of defending our insureds. 

What has your time as Chief Claims Officer at ProAssurance taught you? 

I have learned that it is a team effort. It is the efforts of many that make us successful. On the big cases especially, it takes the involvement of the CEO all the way to the Claim Specialist. It is a contribution by many. I have also learned that we are not going to win all our cases at trial. We have a saying in the Claim Department, “Sometimes we win the cases we should lose, and sometimes we lose the cases we should win.” Juries can be unpredictable and have their own personalities. Once the evidence is in their hands, it is an incredibly stressful wait with no certain outcome.  

I have also learned that if one chooses to be a claim professional, one must thrive on stress. Claims management is not for everyone. Sometimes every day seems like a fist fight. Every one of our claim professionals will tell you about lying in bed at 2:00 a.m. staring at the ceiling wondering if we have made the right decisions as we wait on a jury to return a verdict. My wife used to refer to me as a caged tiger pacing back and forth waiting on a jury. Every claim professional does that. As crazy as that sounds, successful claim people thrive on that stress. To provide an analogy, claim professionals, me included, can be like thoroughbred race horses: walk by our stall and we might spit at you, we might bite you, and if you make us mad, we might even kick you. However, put us on the track and let us run and we will shine, we will make you proud you bet on us. 

You have led the ProAssurance Claim Department for 30 years. Few in the industry have lasted that long in that position. Why were you so successful at ProAssurance? 

Any success I have had at ProAssurance, and I have had significant success, is absolutely due to others. It is due to the dedication and quality of our Claim Specialists, our Directors, our Vice Presidents, our support staff, and especially the Regional Claim Executives who have been my direct reports. I have been successful because I surrounded myself with a high-quality Claim Department and really outstanding people. Additionally, and importantly, I have been successful because I have had the support and guidance of Executive Leadership and, over the many years, our CEOs. 

What will you miss the most? 

First and foremost, I will miss the people—my work family. We spend the majority of our days, our lives really, with our work family. We celebrate together, we cry together, and we even mourn together. We all become close and care deeply about each other. I will miss that. I will miss the bond with others that a successful work life provides.  

Also, I will absolutely miss the liability and the challenge of defending our insureds. I love the medicine, I love the law, and I love the excitement of medical malpractice defense. It has been a really good fit for my personality. What I won’t miss are the have to’s” and the to do’s”! In claims management, we are never caught up, we are never finished. There is always more to do. More claims to review, more memos to write. I will not miss the Sunday nights where we all feel the pressure of the have to’s” and the to do’s.” I won’t miss that albatross around my neck! 

As Mike Severyn succeeds you, what words of wisdom do you have for him? 

I recruited Mike nearly 30 years ago, so he has heard my many words of wisdom ad nauseam. Nevertheless, here are just few of the main ones.  

Always, always, always do the right thing—period. Every claim professional will tell you that they are challenged every day to maybe deviate to the right or deviate to the left. We have built a Claim Department that takes the straight and narrow—period. Our former CEO Stan Starnes used the axiom that not only should we never cross the line, but we should also never even approach it. We should never get close to it. That is why our core value of integrity has been so important for the Claim Department.  

Next, in managing claims, there can be no secrets whatsoever. Bad news occurs, bad news hurts; however, it cannot be kept a secret. It must be disclosed even though it is painful. Many a claim leader has gotten into the trap of not disclosing bad news. That has ruined careers.  

Another of my words of wisdom is that the law recognizes the doctrine known as strict liability. It means liability even without fault. When something goes wrong in claims management, and that does indeed occur, it is strict liability, and it is on us … regardless of fault or who is to blame. We are responsible. That can be a bitter pill.  

Finally, I would say that when we lose a trial, we must surround our insured with a “blanket of love.” The loss is devastating to a physician and that is when they need us the most. Unfortunately, that blanket of love can be expensive. I have many more words of wisdom, but I will stop. 

What is your next chapter? 

Honestly, I am a little nervous about that. Claim people go at 100 mph, and coming to a screeching halt is a little disconcerting for me. I will stay in Alabama where my children and grandchildren live. I will spend lots of time in Arizona since my wife and I very much enjoy the desert. My wife and I will do some of the proverbial travel that one does when they retire. I still have lots of energy and I do enjoy professional liability, so I may dabble here and there if the opportunity arises. My wife and I are still figuring it out; however, we do plan to give back by helping others.  

Do you have any final message as Chief Claims Officer at ProAssurance? 

For 30 years I have been a member of the management team at ProAssurance and, by far, this is the best medical professional management team I have seen in my entire tenure. I wish I were 10 years younger so I could be part of the success.  

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My Other Brother, Darryl

My Other Brother, Darryl

Let me start by saying that working for Darryl has always felt like working with Darryl. Mr. Thomas, as I occasionally called him (which he hates), set the standard for our Claims department. He is the type of leader who treats people as if they were what they could be, so they can become what they should be. Darryl and I always shared the joke about our names (I’m Darryl and this is my other brother Darryl) whenever we would be together in settings when meeting new people. We couldn’t figure out how people got us confused when clearly the only difference was that I was maybe a few inches taller! 

Darryl loved the Claims arena. He brought a competitive nature to our Claims team. He didn’t allow anyone to out work us in defending our insureds. His professional approach, preparation, and management skills created other leaders. Of the thousands of cases he reviewed and managed over the years, no moment seemed too big for him. He challenged you intellectually and professionally in a way that made you a better claims professional. Darryl knew that to achieve the extraordinary outcomes that were required of us, our Claims team had to support each other and work as a complete unit. He encouraged collaboration and picking up the phone to speak with teammates to enhance relationships. 

Darryl’s door was always open if you needed him and, conversely, he would come to your office or cubicle and grab you if he needed you! He’s leaving the Claims department in good hands. He will be missed by many but remembered by all.

To me, he will always be “Handsome Darryl” of ProAssurance! 

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Getting to Know Mike Severyn

Getting to Know Mike Severyn 

As ProAssurance’s new Senior Vice President of Claims, Mike Severyn will take over leadership of our Claims department. He worked with Darryl for 30 years, so we wanted to find out what kind of advice or insight he might have gleaned from Darryl that he will carry with him in his new position. Below Mike shares his thoughts and a bit of his background. 

What got you started in MPL insurance and, specifically, in MPL claims? 

My father and mother were healthcare providers (physician and nurse). They specialized in obstetrics and gynecology. Growing up I observed how devoted they and their healthcare colleagues were in trying to obtain good patient outcomes. My parents’ strong desire to help and protect others had a huge influence on me. Early on in my childhood, I always said if I did not become a healthcare provider, I was going to be involved somehow in protecting healthcare providers.  

What did you like best about working as a Midwest Regional Claims Executive?  

I thoroughly enjoyed the collaborative aspect of working with the Midwest Claims team. It was super energizing and rewarding to be able to collaborate with such a talented group of individuals. I also appreciated the camaraderie that existed in the Midwest. Everywhere I looked I saw, and I continue to see, the influences of Scott Hunsberger, Bill O’Malley, Val Purdy, and Richard Walter. I recognize and appreciate that these individuals had huge positive impacts on Midwest Claims staff during their tenures.  

What has been your most memorable experience working in the Claims department? 

I have many memorable experiences. Most of these involved working with amazing people and watching them and their families do remarkable things over the years. Watching my coworkers purchase their first car or first home, getting married, or starting a family while producing industry-leading claims results and service was very memorable and rewarding to me. One of my most memorable claims experiences involved working up and defending hundreds of mass tort cases through trial in Michigan. That mass tort litigation involved 600-plus files and applicable insurance coverage that exceeded $60M in limits. The potential claimed damages and exposures on these files greatly exceeded the $60M in coverage. In some cases plaintiffs were claiming $10M–$20M in damages on each case due to wrongful death claims. Ultimately we received defense verdicts on every single file. 

What was it like working with Darryl, and what personal strengths will help you succeed in the role?   

Working with Darryl was phenomenal. As a Claims executive and leader, he is exceptional on issues of liability, causation, and damages. Darryl is also a passionate advocate for defending good healthcare through trial and appeal, even when courts went out of their way to favor plaintiffs with their rulings. And finally, he enthusiastically supported his team, standing by those who worked hard and who were committed by their actions to be the best they could be as team members, colleagues, or professionals. I believe carrying these traits into my new position will serve me well as I strive to maintain the same level of excellence.  

What do you look forward to in your new role this year and in the future? Any particular challenges to anticipate?  

As Senior Vice President of Claims, I look forward to continuing to work well with others, both within and outside of ProAssurance. Any challenges we face will be addressed with the same unwavering approach—through a collaborative team effort focused on delivering industry-leading results for our insureds.  

In my opinion, specific challenges going forward for us in the Claims department include: 

  • Handling continued severity 
  • Managing the retirements of preferred defense trial counsel and retirements or departures of highly experienced Claims professionals  

It is important for us to continue to embrace changes related to changing medical-legal environments and new technologies. We also have new processes and procedures in place related to our new claims operating system (CWS) and document management system (SharePoint).  

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Farewell from the claims team

Farewell from the Claims team

We asked members of Darryl’s Claims team to share their well wishes and favorite memories over his 30-year career. 

Mike Jeffers, Director, Claims, Midwest

Congratulations, Darryl! You have been an overcomer of many regimes and successful in all arenas. Thank you, my friend and mentor. Take care on your next adventure. Numbers 6:24-26  

Mike Reynolds, JD, Regional Vice President, Claims, Midwest

Congratulations on reaching this incredible milestone. After years of hard work and dedication, you’ve certainly earned this new chapter in your life. Your contributions to ProAssurance and healthcare providers have been invaluable, and your presence will be greatly missed. As you step into retirement, I hope you take the time to enjoy everything you’ve worked so hard for. Wishing you all the best in this exciting new journey! 

Mark Lightfoot, Regional Claims Executive, Northeast

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Melissa Kaplan, Director, Claims, Midwest

Congratulations, Darryl! You’ve gained everyone’s respect as you’ve helped this company navigate difficult terrain and taken it to a better place. You’ll be missed by everyone. Wishing you a happy and fulfilling retirement!  

Mike Severyn, Senior Vice President of Claims

I am going to miss Darryl a ton. He is an amazing Claims executive and person. Tough, smart, and brilliant on issues of liability, causation, and damages. An amazing and passionate advocate for defending good healthcare, even when courts abused their discretion in rulings against healthcare providers. And last but not least, he aggressively and passionately supported his team and others who worked hard like him and were committed to trying to be the best they could be as a team member, colleague, professional, and person.

Sandy Talley, Complex Litigation Associate, MPL Claims

Thanks so much for all that you have contributed to our team. We appreciate you!!! Congratulations on your retirement! Wishing you all of the best in your future endeavors. 

Deanna Mayfield, Senior Coverage Specialist, MPL Claims

Thank you for your leadership and friendship all these years!! Enjoy retirement!

Kyle Broadhead, Lead Claims Specialist, West

Thank you for the outstanding leadership! Enjoy retirement.

John Zdanowicz, Director, Claims, Northeast

Youve built a wonderful department full of great people. Wishing you and your family much happiness. More time to do the things you love! Pet donkeys still makes me laugh. Take care.  

Laura Ekery, Regional Claims Executive, Southwest

Darryl, I liked you from the moment I met you. Your sharp intellect, quick and decisive manner, and demanding management style were both intimidating and inspiring. You have built this Claims department into a thoughtful, efficient machine that focuses on analyzing each case and protecting the health care providers and institutions we are bound to protect. Thank you for your lessons, your guidance, and the opportunities you have provided me. I will miss you as a boss, but I look forward to getting to know you better as a friend. Be well, be happy, and stay in touch!  

Shelley Grandon, Director, Claims, Southeast

Congratulations on your retirement! You definitely deserve it. Its been a long and winding road we have traveled together. I appreciate your having my back through the years. You know youre gonna miss me ... LOL   

Elyse Bauman, Lead Claims Specialist, Southeast

Congratulations, Darryl! Its a day we all aspire to get to! Its been a long and winding road, but I appreciated your direction, open ear, and challenges. All the best in what is to come. Im not too far behind you 😊    

Karen Likens, Lead Claims Specialist, Midwest

Congratulations, Darryl! We will miss you. You challenged us to be the best that we could be, and you and Richard were top of mind when I prepared my CFS reports! I hope the next chapter of your life is filled with happiness and fun.

Jan Thompson, Lead Claims Specialist, Midwest

Congratulations on your retirement, Darryl! Thank you for all of your hard work and dedication to the Claims team. I appreciate your kindness to me over the years and enjoyed working with you! May God bless your retirement richly!!!   

Ivenne Largaespada, Claims Specialist, West

Congratulations on your retirement!  

Vicky Gould, Vice President, Claims, Southwest

API merged with ProAssurance in 2010. After we had moved into our new space, Darryl told me I would be hosting the Regional VP Meeting in Austin. I am not a party planner but, thankfully, I had great help from my team. Dinner at La Condesa in the vault was not only wonderful but there was so much laughter. The highlight was going to Esther's Follies. We all had a wonderful time, and it was such a bonding experience for me, especially as the newbie. So many wonderful memories. I wish I still had the pictures I took that night, but that phone died at some point and I was unable to retrieve any of my pictures. But the memories remain. You will be missed, Darryl!  

Alexandria Hagelston, Claims Specialist, Midwest

Thank you, Darryl, you will be missed!  

Deborah Bozikowski, Lead Claims Specialist, Midwest

It has been so wonderful working with you over the years and you will be missed! Enjoy every minute of your retirement and all the best to you. Take Care, Deb.

Javier Acosta, Lead Claims Specialist, Northeast

I wish you good health and much happiness as you start another chapter of your life. It was a pleasure working with you!  

Missy Etheridge, Lead Claims Specialist, Southeast

Congrats on a well-deserved retirement! Wishes for this next journey to be filled with wonderfulness!  

Courtney Allen, Lead Claims Specialist, Northeast

Congratulations on your retirement! Its been both a privilege and a pleasure to work with you. Thank you for your mentorship. May this next chapter be even better than the last.  

Terry Rutkowski, Lead Claims Specialist, Northeast

Ive tried to stay under your radar for years. Enjoy your retirement.  

DeAnna Mayfield, Senior Coverage Specialist, Claims

My workstation was near Darryl’s office when I worked in Claims in the mid-2000s. I was sitting at my desk one day after work (just having put down my 16-year-old dachshund, Stretch), and I had gotten teared up. Darryl just happened to walk by my desk and saw me. He stopped, asked me if I was OK, and listened to me talk about my dog; he shared a past dog experience and expressed condolences about Stretch.  

I was “this many days old” when I realized Darryl wasn’t just a leader, he was/is also a friend. 

 Thank you, Darryl. I hope retirement is the best!!!! 

Lisa Kosanovic, Lead Claims Specialist, Southeast

Cheers to you! Honoring your 30 years of excellent leadership and celebrating the legacy of hard work and commitment to ProAssurance/Claims that you leave behind for the rest of us to continue forward. Your dedication, achievements, and contributions may never be matched. It has been an amazing journey throughout the years working at ProAssurance and having benefited from your leadership, wisdom, intelligence, and guidance. From the Miramar office visits to bringing Mid-Continent in-house in 2011 (thank you for saving me!) and beyond. Congratulations on your well-deserved retirement and wishing you good health and happiness in the years ahead!   

Jake Smith, Senior Claims Specialist, West

Thank you for being so positive and supportive the first time I presented to National CRC. I was tremendously nervous, and your comments gave me a boost of confidence when I was new in the Claims department. Enjoy your retirement!

Frank Bishop, Regional Claims Executive, Southeast

It has been a pleasure and an honor to have worked with you for the last 10 years. Thanks for the opportunity. I remember the time in Scottsdale, oh, wait, I cant tell that story. But there was that time in Las Vegas, ... nope, cant tell that one either. Thats the great thing about being in Claims. So many wonderful stories that no one outside of Claims will ever hear. If you were a sailor, Id wish you fair seas and smooth sailing. If you were a golfer, it would be fairways and greens. But you are being Darryl Thomas, all Ill say is the best of luck to you and Mrs. Thomas in your retirement. 

Nancy Holland, Senior Administrative Assistant, Claims

Congratulations on your retirement, Stanley ... I mean Darryl! You should be proud of your tenure as leader of the Claims departmentit is a well-oiled machine. On to the next chapter—wishing you health and happiness.  

Jan Harris, Director, Claims, Midwest

Thank you for your confidence, the opportunities, and direction that you have extended to me. Thanks for all the laughs, direction, and constructive criticisms. I appreciated your leadership and guidance over the years. All the best in your future endeavors. I hope staying healthy, traveling, and making memories are your top priorities.   

Marc Smatlak, Director, Claims, Northeast

Ill always remember the tough questions you asked me and now other new specialists during their first CRC presentations. Thanks for keeping us on our toes! You always held our entire department to high standards and made us better claim managers. Best wishes on a well-deserved retirement. 

More Well Wishes from Across the Company 

Amanda Robinson, Manager, Talent Acquisition

Congratulations, Darryl! Wishing you the best as you embark on this next life adventure.

Mallory Earley, JD, Director, Risk Management

Congratulations, Darryl! You have accomplished so much in your 30 years at ProAssurance. You were always willing to work with our Risk Management team and lend your guidance and knowledge. Your quick wit and sense of humor will be missed! Enjoy your time celebrating a job well done.  

Noreen Dishart, Executive Vice President and Chief Human Resources Officer

Congratulations, Darryl, and thank you for your commitment and dedication to ProAssurance! Wishing you the very best in this next chapter of your life. 

Cindy Johnson, Senior Technical Specialist, IT

Our first meeting was the trip in December 2007 to Birmingham from Madison after the PIC conversion on my first (and last) encounter on the company plane. You and Duncan made the ride so much fun. I was never so glad to be back on solid ground. Enjoy the blessings of retirement and thank you for your many wonderful years of service to our company!  

Michele Crum, Manager, Northeast Regional Risk Management

Best wishes, Darryl, on your retirement. Enjoy! 

Beverly Joiner, Senior Accountant, Finance

Congratulations on your well -deserved retirement. It has been a pleasure working with you and wish you the best in the future  

John Alexander, Vice President, Standard Underwriting

I salute you for the leadership and success you achieved as Chief Claims Officer. Best wishes for a long and happy retirement.  

Mattie Tillotson, Senior Treasury Analyst

Congratulations and best wishes!!  

Kim Kauffman, Director, Human Resources

Congratulations, Darryl, on your retirement! I wish you happiness and good health. Thank you for your leadership and contributions to ProAssurances success. You created a superior claims operation that is second to none! Enjoy your retirement.   

Heather Van Bibber, Vice President, Underwriting, Hospitals and Alternative Risks

Wishing you all of the best in your retirement, Darryl! Thank you for your leadership. 

A farewell dinner was held for Darryl at the annual Lloyd’s of London meeting in December 2024. The team wished Darryl well in his future endeavors and extended a warm welcome to Mike Severyn as the new head of Claims. 

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The online survey, conducted by The Harris Poll among more than 2,000 U.S. adults, revealed that “jury anchoring” was a foreign term to three-quarters of the respondents, and 70 percent were in the dark about TPLF. On the flip side, 25 percent were familiar with anchoring and 30 percent recognized the TPLF concept. (Carrier Management)

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Top 10 Patient Safety Concerns 2025

The 2025 Top 10 features many first-time topics, and emphasis is on potential risks that could have the largest impact on patients. This year's number one topic has led to misdiagnoses and delayed treatment of patients: risks of dismissing patient, family, and caregiver concerns.

The growing challenges healthcare professionals face in managing complex patients, using multiple communication technologies, and working within time constraints, can hinder empathetic, patient-centered care. This environment can lead to medical gaslighting, where clinician biases or misconceptions may result in dismissing patient symptoms, which may also be exacerbated by communication challenges. (ECRI)

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Indie No More: Nearly Half of Primary Care Docs Now Affiliated with Health Systems

Nearly half of a sample of primary care physicians (PCPs) in the United States were affiliated with hospitals in 2022, almost double the percentage just 13 years earlier in 2009, a new study of nearly 200,000 physicians found. Their negotiated prices for office visits are more than 10% higher than for independent physicians. (Medscape)

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442 top hospitals for patient safety: Healthgrades

Healthgrades recognized 442 hospitals with its 2025 Patient Safety Excellence Awards released March 11.

Recipients were in the top 10% of hospitals nationwide based on their performance across 14 patient safety indicators from MedPAR data.

Patients treated at award-winning hospitals had a lower risk of experiencing four safety events:

  • In-hospital fall resulting in fracture: 54% less likely
  • Collapsed lung due to a procedure or surgery in or around the chest: 54.8%
  • Hospital-acquired pressure or bed sores: 69.4%
  • Catheter-related bloodstream infections acquired in the hospital: 72%

If all hospitals performed similarly as the award winners, they could have avoided 100,891 patient safety events between 2021 and 2023. (Beckers Hospital Review)

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AI, Cybercrime Perceived as Top Insurance Risks: Kennedys

Artificial intelligence, cyberattacks or outages, and extreme weather events are the risks partners at global insurance law firm Kennedys perceive will have the biggest impacts on their markets in the next year, according to a new risk forecast.

The firm’s partners are also wary of the impacts of geopolitical instability and economic volatility. Meanwhile, sustainability issues—once a significant focus—have dropped to the bottom of the risk index. (Insurance Journal)

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The U.S. Physician Shortage Shows No Signs of Stopping—What Can Cardiology Leaders Do?

AMN Healthcare’s researchers explored updated data from several resources, including the Association of the American Medical Colleges, Health Resources and Services Administration (HRSA) and U.S. Census Bureau. According to recent HRSA projections, for example, the United States is already short more than 50,000 physicians, and that number could surpass 80,000 by 2035. The report also includes projected physician deficits for different specialties based on basic supply and demand. Cardiology could be hit by a deficit of 17% by 2035, for example, while even higher deficits could be seen in thoracic surgery (31%) and ophthalmology (30%). (Cardiovascular Business)

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The Value of Healthy Paranoia: Lessons from the Cockpit to the Clinic

March25TTBWe all know Murphy’s Law. And there are two disciplines where this law is perpetually top of mind: aviation and healthcare. The parallels—from checklists to preflight inspections—are striking and instructive, especially for those who advise healthcare professionals on risk management. 

That One Critical Moment 

As a private pilot, I’ve performed countless preflight inspections on the airplanes I’ve flown. After years of finding nothing more serious than being down a quart of oil, it was easy to view these inspections more as a good habit rather than an absolute. 

Until that one night in St. Petersburg, Florida. 

Tired after a day of meetings, I was eager to get home to West Palm Beach. Despite fatigue and a closing weather window, I methodically checked each item on my preflight list. When I shined my flashlight on the elevator cable, I froze—the nut securing the “up” cable was mere turns from falling off completely. Had it detached during takeoff or landing, I would have lost pitch control of the aircraft, with possible catastrophic consequences. 

That single moment made me a believer! The monotonous checklist wasn’t just a best practice but a thin line between life and death. 

Two Kinds of Healthcare Providers 

Just as that loose elevator cable taught me about complacency in aviation, I’ve witnessed similar lessons in healthcare. In decades working alongside orthopedic surgeons, I’ve observed two distinct types: those who conduct their own “preflight inspections” before procedures, and those who assume others have handled the task. 

The surgeon who implicitly trusts that the sales rep brought all necessary instruments without verification could experience the equivalent of my elevator cable moment if they discover mid-surgery that a critical component is missing. Like the pilot who checks the aircraft they’re about to fly regardless of who maintains it, I always appreciated the professional paranoia of a surgeon who liked to run the checklist themself. 

Calculated Caution vs. Paralyzing Fear 

When people ask if I’m scared when I fly, I answer yes—I have just enough fear to keep things safe. It’s not a paralyzing fear but more of a calculated caution that leads to good decisions. As pilots say, “It’s better to be on the ground wishing you were in the air than in the air wishing you were on the ground.” 

The most careful surgeons I’ve known share this trait. They take on cases others decline not from recklessness, but because they can accurately assess risk through experience and meticulous preparation. Their “paranoia” isn’t a weakness but a strength—it forces a thorough evaluation of each situation rather than relying on past outcomes to predict future success. 

The Insurance Connection 

There is another saying in aviation: “The two most useless things to a pilot are the altitude above you and the runway behind you.” Similarly, for healthcare providers, the most useless thing is insurance coverage they don’t secure before an incident occurs. 

Healthcare providers understand risk intellectually but could benefit from reminders about their potential elevator cable moments. They can perform flawlessly thousands of times, but letting their guard down just once can be catastrophic—professionally, financially, and emotionally. 

When discussing coverage with your healthcare clients, remind them that MPL insurance isn’t about fear; it’s about respecting the complexity and risk inherent in the mission. It’s also about freedom to practice medicine, knowing that even if they experience that one-in-a-thousand moment, they won’t face it alone. 

It’s not paranoia but mindful awareness that, combined with proper coverage, provides peace of mind when facing the inevitable uncertainties of healing humans.  

 


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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.


 

Potential Policy Discounts 

We encourage you to remind your clients we offer multiple ways to earn policy discounts.   

Completion of the Annual Baseline Self-Assessment (ABSA) or the 2025 Loss Prevention Seminar (LPS) may qualify insureds for up to 5% premium credit.*  

ABSA 

The ABSA is our preferred program, as it can be completed in about 10 minutes and allows the entire healthcare team to evaluate their practice and benchmark performance against industry peers. To date, nearly 500 practices have taken the ABSA, and feedback has been overwhelmingly positive.  

Because the survey allows for progress tracking over time, we want insureds to take the ABSA annually to measure how their practice has improved. The survey is comprehensive of all roles in the practice and completely voluntary, with no repercussions if gaps are identified, and it does not affect a practice’s insurance premiums. It is simply a complimentary service designed to help practices become better at what they do—taking care of patients. 

For details, visit RiskManagement.ProAssurance.com/ABSA

LPS: Texts and Modern Communication in Healthcare 

The 2025 physician Loss Prevention Seminar, “Navigating the Digital Shift: Texts and Modern Communication in Healthcare,” addresses common challenges faced by physicians and other prescribers who manage patients in the digital age. This activity reviews the limitations of text messaging and implements best practices for digital communication within the healthcare delivery system. It also evaluates and mitigates the risks of traditional and digital communication tools used in the delivery of care. 

This seminar is intended for physicians of all specialties, physician assistants, CRNAs, and nurse practitioners; no experiential or academic prerequisites are necessary. It is available online only and takes about two hours to complete. Unlike the ABSA, the LPS qualifies for continuing medical education (CME) credit upon successful completion of the post-test.  

For details, visit RiskManagement.ProAssurance.com/LPS

Not all insureds will be eligible for the premium discount, so please contact us to see if your clients will qualify. 

* Participation in the ABSA or LPS may qualify physicians for up to 5% premium credit for completion of the activity as described. Insureds with policies on E&S, OBRA, most Certitude programs, and Wisconsin physicians who are not eligible for the Wisconsin Medical Society Member Benefit Program are not eligible to receive premium credit from these activities due to current rate structures.  

Premium credits are subject to approval by the state insurance department and are applied at policy renewal. Physicians who participate in both the LPS and ABSA programs may apply the premium credit only once. Contact your underwriter for questions on potential premium credit.  

The ABSA cannot be used to earn CME. NORCAL insureds may continue to earn the risk management premium credit by participating in CME activities.  

 

 

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