patients’ compensation system a p roposal t hat w orks for g eorgians presentation to: joanna m....
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PATIENTS’ COMPENSATION SYSTEMA PROPOSAL THAT WORKS FOR GEORGIANS
Presentation to:
Joanna M. Shepherd-Bailey, Ph.D.Professor, Emory University School of Law
Wayne W. OliverExecutive Director, Patients for Fair
Compensation2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 •
www.patientsforfaircompensation.org © Copyright 2013
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CURRENT TORT SYSTEM DOES NOT MEETS ITS GOALS
5/15/13 2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
Three main goals of medical tort system:1. Deterrence of unsafe practices;2. Compensation for injured patients; and3. Corrective justice
The current tort system is not accomplishing these goals.
If we were designing a new system, it would look nothing like what we have today.
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2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
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CURRENT TORT SYSTEM BROKEN
Prevents Access to Justice• Less than 20% of injured patients receive compensation
• Less than 1% receive Jury Award
Hurdle for Patient Safety• Unable to significantly improve under a “Blame & Shame” system…
Promotes Defensive Medicine• GALLUP - 26% of overall healthcare costs
• Cost $14 billion annually to People of Georgia➔ State Savings: $6.9 billion in Medicaid & SHBP
7/8/13
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2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
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PHYSICIANS PRACTICING DEFENSIVE MEDICINE (%)
U.S. physicians are only ones personally financially liable for malpractice; and the only ones practicing defensive medicine.
Source: Pacific Research Survey June 24, 2011
U.S. Canada U.K. Sweden New Zealand0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
92%
0% 0% 0% 0%
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2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
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PATIENTS’ COMPENSATION SYSTEMHOW DOES IT WORK?
PCS
Patient Advocate
Medical Review Department
Compensation Department
Administrative Law Judge
Quality Improvement
Department
IndependentMedicalReview Panel
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2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
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MORE EFFICIENT USE OF EXISTING FUNDS
3-5 years
Patient Compensation System
Current System20%
Injured Patients17.5%
Malpractice Costs
180 days 80%Malpractice
Costs
100%Injured
Patients
Source: PIAA, 2011 Report Towers Watson Study,
2011
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(in millions)
Revenue $120
Payments to Patients $24
Paid to Defense Attorneys $25
Other Expenses $25
Investment Income ($24)
Profit $70
ECONOMIC SCALE OF JUSTICE
4/29/13 2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
MAG MutualAverage of 5 years ending 2012
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ECONOMIC SCALE OF JUSTICE
(in millions)
Revenue $120
Payments to Patients $24Paid to Defense Attorneys $25
Other Expenses $25
Investment Income ($24)
Profit $70
Patients: $12M Plaintiff Attorneys: $12M
4/29/13 2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
MAG MutualAverage of 5 years ending 2012
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(in millions)
Revenue $120
Payments to Patients $24
Paid to Defense Attorneys $25Other Expenses $25
Investment Income ($24)
Profit $70
ECONOMIC SCALE OF JUSTICE
Patients: $12MPlaintiff Attorneys: $12MDefense Attorneys: $25M
4/29/13 2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
MAG MutualAverage of 5 years ending 2012
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(in millions)
Revenue $120
Payments to Patients $24
Paid to Defense Attorneys $25Other Expenses $25
Investment Income ($24)
Profit $70
ECONOMICSCALE OF JUSTICE
Patients: $12M
Plaintiff Attorneys: $12MDefense Attorneys: $25MInsurance Carriers: $70M
4/29/13 2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
MAG MutualAverage of 5 years ending 2012
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(in millions)
Revenue $120
Payments to Patients $24
Paid to Defense Attorneys $25Other Expenses $25
Investment Income ($24)
Profit $70
ECONOMIC SCALE OF JUSTICE
Patients: $12M
Plaintiff Attorneys: $12MDefense Attorneys: $25MInsurance Carriers: $70M
PATIENTS$12 Million
10%
MedMal CarriersTrial Attorneys
$107 Million89%
4/29/13 2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
MAG MutualAverage of 5 years ending 2012
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2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
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82% of Georgia physicians practice defensive medicine
74% of Georgia physicians believe that defensive medicine negatively impacts patient care
95% of Georgia physicians support PCS Proposal
96% Georgia physicians agree that a PCS solution would reduce healthcare costs
WHAT HAVE GEORGIA PHYSICIANS TOLD US?
Source: Oppenheim ResearchJanuary 12, 2012
7/8/13
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2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
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Physicians will never get sued again
No personal financial risk
Does NOT assign blame
Safe to admit mistakes
Stress of litigation
Malpractice premiums will decrease …
PHYSICIAN BENEFITS
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2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
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All complaints are reviewed
• Increases Access to Justice
Faster payment of claims – months vs. years
Eliminates stress of litigation
Reduces exposure to unnecessary tests & copays
Guaranteed award for avoidable medical injury
Increases patient safety efforts
MORE compensation to MORE patients…
PATIENT BENEFITS
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ACTUARIES :: AON and BioScience Valuation with peer review by David Frisvold (Assistant Professor, Department of Economics, Emory University) determined the following
Significant decrease in malpractice & healthcare expenses
Savings to State of Georgia
› $3.1 Billion Medicaid
› $3.8 Billion State Employee Healthcare Costs
$6.9 Billion Total Savings in First 10 years
IMPACT ON GEORGIA
2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
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2655 Northwinds Parkway • Alpharetta, GA 30009 • 877 248 1689 • www.patientsforfaircompensation.org © Copyright 2013
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PCS is a Solution to Completely Replace, not Just Reformthe Current Tort System
• No more medical malpractice lawsuits … against doctors, hospitals, nursing homes, pharmacists, nurses, etc.
• Strong legal precedent
• Slashes defensive medicine costs
• Enhances patient safety
• More efficient use of existing funds
• At no cost to the taxpayers or the State of Georgia
SUMMARY…