What is malpractice insurance for healthcare clinics?

Health team walking down a white hallway

Medical malpractice. That’s a scary word for any healthcare professional, and it’s why healthcare professionals–and why doctors take the Hippocratic Oath, to avoid going against their patients’ interests. But if all else fails, and something does go wrong, it’s good to know there’s insurance in place to help.

With approximately 1 in 3 medical practitioners sued for medical malpractice in the US, it makes all the more sense why this coverage would be highly sought after. Explore what this coverage is, why it helps, and whether or not your clinic should have it.

First of all – what is medical malpractice insurance?

In short, medical malpractice insurance is another designation of professional liability insurance. It’s a subgroup of E&O and it covers more specific risks faced by healthcare professionals.

The longer definition of it is this: a type of professional liability insurance designed to protect healthcare providers against claims of negligence and errors. It’s crucial for doctors, nurses, and other medical professionals, as it helps cover the legal costs and settlements or judgments associated with lawsuits alleging mistakes in patient care. Claims covered by medical malpractice insurance can arise from various scenarios, including misdiagnosis, surgical errors, and improper treatment.

Even highly skilled and experienced practitioners can make mistakes, and the consequences can be severe, both for the patient and the healthcare provider. After all, malpractice claims can be financially devastating and damage a professional’s reputation and career—sometimes irreparably.

Is medical malpractice insurance required by law?

Unlike some other types of E&O insurance, medical malpractice insurance is almost always required by state law for medical clinics, particularly hospitals and is usually a prerequisite before obtaining certain kinds of medical licenses. Even if it isn’t required by your profession, it’s highly recommended. The cost of a lawsuit can be high, and the damage to your reputation even moreso.

Here’s a list of professions generally required to carry medical malpractice insurance:

  • Nurse
  • Psychotherapists
  • Dentists
  • Physiotherapists
  • Psychiatrists
  • Physicians
  • Optometrists
  • Social worker

State laws, however, vary. There’s no federal requirement for this type of insurance. Seven states presently require the acquisition of medical malpractice insurance for certain healthcare professionals (such as those listed above): Kansas, Massachusetts, Rhode Island, Colardo, Connecticut, New Jersey, and Wisconsin. Exact requirements vary by state, but the amount of coverage needed varies from $100,000 to $1 million per occurrence, and then $300,0000 to $3 million in annual “aggregate coverage.”

Some states have similar requirements, but instead of a hard mandate, it’s a minimum level of coverage for medical professionals to participate in state programs, which can limit the damages that a malpractice claim can bring or offer supplemental malpractice insurance. This includes New York, Pennsylvania, Wyoming, Nebraska, Indiana, Louisiana, and New Mexico. In California, it’s only required of physicians to have malpractice insurance if they do outpatient surgery.

In order to be exempt from insurance in Florida, doctors must have an escrow account, post a bond, or receive an irrevocable line of credit letter from a lending agency or bank. This cannot be used for legal fees. It also must be made known to patients they don’t carry malpractice insurance.

Why carry medical malpractice insurance?

Why should doctors and medical professionals carry malpractice insurance? Because it safeguards them against the financial and reputational risks associated with lawsuits alleging negligence or errors in patient care. This insurance, as part of an overall medical offices insurance plan, covers legal costs, settlements, and judgments, ensuring that practitioners can focus on providing quality care without the constant fear of potential litigation. Plus, depending on the state you’re in, it can be a requirement! Even if your state doesn’t require medical malpractice insurance, it’s greatly recommended.

How much does medical malpractice insurance cost?

It varies by profession, state, and coverage level. Professional liability insurance generally costs around $50-$100 a month for a small healthcare clinic, but keep in mind that other factors will influence your final pricetag:

  • The size of your clinic
  • Your daily operations – what you do, activities
  • If surgeries are performed
  • The location of your clinic
  • Policy limits and deductible amounts
  • Previous medical malpractice claims

Medical malpractice will not cover you against every business risk there is. Depending on your business’ specifics, you could benefit from having other policies, which also could be required. General liability, commercial property insurance, tools and equipment insurance, etc., are all coverages that can be of benefit to healthcare clinics.

AHI Group can help your medical office or healthcare clinic find the best medical malpractice insurance tailored to your specific needs. With a deep understanding of the unique challenges faced by healthcare providers, we offer personalized service to navigate the complexities of malpractice coverage. Our expert team evaluates various insurance options to ensure comprehensive protection at competitive rates. By partnering with AHI Group, your practice can benefit from customized solutions that provide peace of mind and allow you to focus on delivering exceptional patient care!