2010 Medical Professional 2010 Medical Professional Liability SymposiumLiability Symposium

Chicago, IL ~ March 18 & 19, 2010

Extreme Makeover, Healthcare Extreme Makeover, Healthcare Edition: Navigating the ChangesEdition: Navigating the Changes

Extreme Makeover, Extreme Makeover, Healthcare Edition: Healthcare Edition:

Navigating the ChangesNavigating the ChangesModerator:

Mary S. Botkin, ARM, Managing Director, National Health Care Practice Leader, Willis North America

Panelists:

Matthew Dolan, CPCU, President, IronHealth

Michelle Hoppes, RN, MS, President and CEO, Patient Safety and Risk Solutions, ASHRM

James D. Hurley, ACAS, MAAA, Consulting Actuary, Towers Watson

2010 Medical Professional 2010 Medical Professional Liability SymposiumLiability Symposium

Session Objective

To provide a high level overview of macro issues currently impacting, or that will impact professionals serving the needs of healthcare professionals. The obvious hot topic will be a final reform bill and its potential implications for all of us.   

2010 Medical Professional 2010 Medical Professional Liability SymposiumLiability Symposium

Scope of DiscussionScope of Discussion

• Current Health Care Reform Status • New Sources and Related Issues for

Health Care Provider Revenue • New Risk related to New Revenue • Privacy, Fraud and Abuse, Qui Tam –

What is the Financial Burden? • Tort Status• Predictions by the Panelists

A Funny Thing Happened A Funny Thing Happened on the Way to the Forumon the Way to the Forum

- We thought there would be a Reform Bill by this time

-Massachusetts Election for the Senate Position Changed Everything

- Now What? - Panel Views

-What happens this year

-Predictions

-Q&A

2010 Medical Professional 2010 Medical Professional Liability SymposiumLiability Symposium

Risk Management Vision

7

Risk Management and Loss Risk Management and Loss ForecastingForecasting

Provider Predictions

Medical homes-accountable organizations

Increase in physician employment

Shortages severe

Emerging IssuesExpanding access to coverage

Avoidable re-admissions

Cyber liability

New Revenue-New Risk

HIT-all digital GenomicsComparative effectiveness research-EBM

Forecasting Throughput Never eventsEconomic constraints

PositivesClinical outcomes

Value based purchasing

Data to drive action

2010 Medical Professional 2010 Medical Professional Liability SymposiumLiability Symposium

Actuarial View

2010 Medical Professional 2010 Medical Professional Liability SymposiumLiability Symposium

• General approach of reform market reforms, individual mandate,

subsidies, creation of exchanges, Medicaid expansion, employer involvement

• House, Senate or “Door No. 3”? . . . but something!

2010 Medical Professional 2010 Medical Professional Liability SymposiumLiability Symposium

Debate: healthcare versus economy cost versus benefit cost containment/quality new plans anti-trust

2010 Medical Professional 2010 Medical Professional Liability SymposiumLiability Symposium

Insurance Company View

2010 Medical Professional 2010 Medical Professional Liability SymposiumLiability Symposium

Politics, Economics, Marketplace Dynamics and Healthcare Liability

Sweeping reform becomes incremental change Health care providers face intense economic

pressure The liability marketplace remains competitive The value of verdicts and settlements increase

What Happens Now and Predictions for the Not-So Distant Future