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Insurance Regulation

Rising Medical Liability Premiums: A Growing Concern for Physicians

Key Takeaways

• Medical liability insurance premiums rising

• Physicians face financial strain

• AMA calls for reforms

• States report double-digit premium increases

• Hard insurance market conditions

AMA’s Disturbing Analysis

The American Medical Association’s (AMA) recent findings have shone a spotlight on a pressing issue facing the healthcare sector: the relentless rise in medical liability insurance premiums. For the past four years, physicians across the United States have been grappling with escalating costs, with the AMA’s analysis revealing a particularly acute surge in 2022. This trend is not only worrying for healthcare providers but signals broader implications for the healthcare industry at large.

The AMA’s research paints a grim picture, showing that more than 35 percent of medical liability premiums increased in 2022, marking the highest rate of increase in nearly two decades. In some states, the situation is even more dire, with 15 states reporting double-digit percentage increases in premiums. Kansas, for instance, saw the greatest hike, with premiums soaring by 40.9 percent.

The Impact on Healthcare Providers

The rising cost of medical liability insurance is more than just a financial headache for physicians; it’s a threat to their practice and the broader healthcare landscape. With more physicians now employed by healthcare entities, there are fewer independent practices. This shift has led to a decrease in demand for medical liability insurance, yet premiums continue to climb. This paradoxical situation underscores the complexities of the insurance market and the increasing pressures on healthcare providers.

Physicians are finding themselves in a precarious position, facing higher operational costs that could potentially limit access to care for patients. The AMA’s President, Jack Resneck Jr., MD, has voiced concern over the growing consensus that a hard medical liability insurance market exists in a considerable number of states, slowly spreading across the U.S. This hard market condition implies that it is becoming increasingly difficult for physicians to find affordable coverage, thereby exacerbating the challenges within the healthcare system.

Exploring the Causes

Several factors contribute to the rise in medical liability insurance premiums. One significant factor is social inflation, which refers to the rising costs of insurance claims that are attributed to societal trends and views towards litigation. The healthcare industry is facing more frequent and severe claims, while the medical liability insurance industry grapples with increased costs in defending and settling these claims. This situation is further compounded by the upward volatility in medical liability premiums, which has been on a steady climb for the fourth consecutive year, according to the AMA’s analysis.

This hardening of the insurance market is a reflection of the complex interplay between demand and supply, claim frequencies, and the cost of settlements. As the healthcare industry continues to evolve, with technological advancements and changes in patient care models, the insurance sector must adapt to these changes. However, the current trajectory of rising premiums suggests a market struggling to find its equilibrium, placing an undue burden on healthcare providers.

Seeking Solutions

In response to these challenges, discussions are underway regarding potential measures and reforms to mitigate the impact of escalating medical liability premiums. The AMA has been at the forefront of these discussions, advocating for policy changes that could help stabilize the insurance market and ensure that physicians can continue to provide care without the looming threat of unsustainable costs.

Among the proposed solutions are reforms aimed at limiting the costs associated with medical liability claims, such as caps on non-economic damages and improvements in the legal system to deter frivolous lawsuits. These measures, however, are contentious and have sparked debate among various stakeholders within the healthcare and legal communities. The path forward requires a balanced approach that considers the interests of both healthcare providers and patients, ensuring that the latter can still seek rightful compensation in cases of medical malpractice.


The rising medical liability insurance premiums represent a multifaceted challenge with no easy solutions. As the AMA continues to highlight the severity of this issue, it is clear that a collective effort from healthcare providers, insurance companies, policymakers, and other stakeholders is needed to address the underlying causes and work towards a sustainable healthcare system. The ongoing dialogue and research into this issue are crucial steps towards understanding and ultimately mitigating the financial pressures faced by physicians in the current healthcare landscape.

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