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The Business of
Health Care Report
Rising malpractice insurance rates have become a significant
problem for both physicians and hospitals. Physician malpractice premiums are rising as much as 50%. Physicians
are leaving Texas, cutting back on their practice and procedures they perform.even leaving medicine altogether.
According to the Texas Department of Insurance, medical malpractice suits are prevalent throughout Texas, but
the number of lawsuits per physician in South Texas is more than twice the rate in the rest of the state. Even though 85 percent of Texas medical malpractice cases
result in no damage award against the doctor, according to the Texas Medical Association, such cases often cost
insurers $50,000 to $100,000 in legal defense costs per case. However, managed care has added a third party to the decision
process for both routine and more sophisticated care. Physicians now must exercise greater involvement serving as
advocates for what is best for their patients. Let's use as an example, a new back surgery. First, it has required
enterprising, inventive physicians somewhere to convince managed care companies that the new procedure is better
than the one formerly used. The goal is to get it on the list for payment by the insurer as an option or standard
of care for the diagnosis. Yet that doesn't mean the procedure will be approved for all patients. Governor Rick Perry has outlined a number of tort reform
initiatives that he hopes will address some of the problems plaguing physicians and hospitals. Among the reforms
proposed by the governor are: The ultimate goal of any legislation should be to create an
environment in which doctors and hospitals can provide care without the threat of unwarranted legal action. Then
the ultimate beneficiaries will be Texans. For Texas Health Resources
and its family of hospitals - Harris Methodist Hospitals, Presbyterian
Healthcare System and Arlington Memorial Hospital - I'm CEO Doug
Hawthorne with "The Business of Health Care Report" on NewsRadio
1080 KRLD. ©
2002 Texas Health Resources |