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TORT REFORM: Statistics, Solutions and Strategies

Michael J. Schoppmann, Esq.

As the battle intensifies over the issue of tort reform, both on a federal and state level, certain statistics leap to the forefront of any debate:

• In the year 2000 alone, more than 633 million dollars in medical malpractice payments were made in New York, far and away the highest in the nation.
• New York’s medical malpractice payment rate is 80% higher than the second highest state, Pennsylvania (where tort reform is a leading issue for state government).
• Physician shortages are increasing across the state, restricting availability and access to services such as obstetrical and radiological care.

So, where do we turn for solutions? A good start (and it’s only a start – no reform is either perfect or allencompassing) is the basic elements of both the proposal put forward by President Bush and the proposed bill before the New York Legislature:

  • A limit of $250,000 on awards for non-economic damages
  • A reasonable structure for the awarding of punitive damages
  • Setting standards for credentialing and qualifications of medical expert witnesses

While none of these reforms will bring about an end to some of the societal aspects of the tort crisis (a nationwide glut of attorneys, runaway juries, anger at restrictions in healthcare, etc.) they are a critical first step. In fact, the United States Department of Health and Human Services projects that adoption of federal tort reforms would provide enough savings to pay for both a federally funded prescription drug plan for Medicare and provide coverage for the uninsured. On a more local level, the insurance industry had projected that adoption of such measures could bring about as much as a 26% reduction in malpractice premiums.

It should also be stressed that none of the proposed reforms or bills would place any restriction on a patient’s right to sue. Moreover, none would place any restriction on a patient’s right to sue. Moreover, none would place any restriction on a patient’s right to seek any amount of economic damages resulting from medical negligence, no matter how large those damages are proven to be.

So, what are the strategies to bring these measures to fruition? Quite simply, get involved and get involved now. Inform the families of each and every patient you treat that their care is being compromised by this crisis. Their doctors are leaving the State of New York. Their obstetrician is no longer delivering babies. It is their mammogram that will take weeks to schedule, and so forth. Have them write to their representative, call their representatives’ offices, or complete a post card/fax mailer of support.

It’s an easy choice; we can either create an environment which strengthens our health care system for ourselves, our families, our friends, our neighbors and our nation, or we can coddle a broken legal system that continues to jeopardize your ability to provide quality health care.

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by: Donald R. Moy, Esq.

DEA Administrative Inspections -Consent Or Not Consent?, January 2012

by: Robert J. Conroy, Esq. and Daniel G. Giaquinto, Esq.

Understanding IPAs, January 2012

by: Mathew J. Levy, Esq. and Stacey Lipitz Marder, Esq.

Understanding Physician Partnership/Shareholders'/Operating Agreements, January 2012

by: Mathew J. Levy, Esq. and Stacey Lipitz Marder, Esq.

Understanding Third Party Vendor Relationships, January 2012

by: Mathew J. Levy, Esq. and Stacey Lipitz Marder, Esq.

The Requirement of the On-call Physician to Come to the Emergency Department, January 2012

by: Michael J. Schoppmann, Esq. and Denise L. Sanders, Esq.

Wage Theft Prevention Act (WPT) - Reminder, January 2012

by: Donald R. Moy, Esq.

NY Supreme Court Upholds Authority of Comptroller to Audit Doctor, January 2012

by: Donald R. Moy, Esq.

Your Physician Assistant License At Risk; All Day, Every Day, January 2012

by: David L. Adelson, Esq. and Thomas M. Gallo, RPA, JD, Esq.

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by: Robert J. Conroy, Esq. and Denise L. Sanders, Esq. and Matthew R. Streger, Esq.

When the FBI, OIG, IRS, OSHA (etc.) Knocks on Your Door, December 2011

by: Michael J. Schoppmann, Esq.

New Weapon to Combat False Claims Against New Jersey's Medicaid Program, October 2011

by: Daniel G. Giaquinto, Esq.

Understanding The Process of Merging Your Practice with A Large Mega Group or Hospital, October 2011

by: Mathew J. Levy, Esq. and Stacey Lipitz Marder, Esq.

White Paper - The Targeting of Physicians': Insights, Realities and Risk Management, July 2011

by: Michael J. Schoppmann, Esq.

Gotcha! When Malpractice Plaintiff's Fake or Exaggerate Injuries, July 2011, Contributor

by: Michael J. Schoppmann, Esq.

MSSNY Files Amicus Curiae Brief - NYS Comptroller Has No Authority to Audit Private Medical Practice, June 2011

by: Donald R. Moy, Esq.

Is the Routine Waiver of Patient Out-of-Pocket Costs Fraud?, June 2011

by: Donald R. Moy, Esq.

Physicians, Practices and Social Networks - Gauging the Risks, May 2011

by: Michael J. Schoppmann, Esq.

Dealing With Deceased Patients' Medical Records

by: Denise L. Sanders, Esq.

Defending Yourself Against Pain and Suffering Lawsuits, May 2011, Contributor

by: Michael J. Schoppmann, Esq.

Is A Compliance Plan Right For Your Practice?

by: Denise L. Sanders, Esq.

State Proposes Regulations to Implement the Registration of Surgical Practices

by: Denise L. Sanders, Esq. and Robert J. Conroy, Esq. and Charles H. Newman, Esq.

Licensure and Credentialing Consequences of a State Health Care Fraud Conviction in New Jersey, May 2011

by: Daniel G. Giaquinto, Esq. and Matthew R. Streger, Esq.

The Wage Theft Prevention Act - New Wage Notice Requirements for Employers, April 2011

by: Donald R. Moy, Esq.

How Reimbursements for Over-The Counter Medications Will Affect Physicians: (New Rules and Requirements), Spring 2011

by: Michael J. Schoppmann, Esq.

Accountable Care Organizations – “Facts and Fiction”, February 2011

by: Mathew J. Levy, Esq. and Michael J. Schoppmann, Esq. and Stacey Lipitz Marder, Esq.

Accountable Care Organizations - The FTC, CMS and OIG Perspective, February 2011

by: Donald R. Moy, Esq. and Michael J. Schoppmann, Esq. and Mathew J. Levy, Esq.

What is Clinical Integration and Why Is It So Important?, February 2011

by: Donald R. Moy, Esq. and Mathew J. Levy, Esq. and Michael J. Schoppmann, Esq.

CMS Final Rule – Written Disclosure Requirement for In-Office Ancillary Services Exception to the Prohibition on Physician Self Referral for MRI, CT and PET Services – Effective January 1, 2011, January 2011

by: Donald R. Moy, Esq. and Matthew T. Talty, Esq.

Understanding the Process of Starting a Medical Practice, January 2011

by: Mathew J. Levy, Esq. and Stacey Lipitz Marder, Esq.

Financial Arrangements Between Anesthesiologists, Ambulatory Surgical Centers and Gastroenterologists, January 2011

by: Mathew J. Levy, Esq. and Charles H. Newman, Esq.

What To Do When The Office Of Professional Discipline Gives You A Friendly Call, January 2011

by: Mathew J. Levy, Esq. and Lawrence F. Kobak, DPM, J.D., Esq.

FSAs, HSAs and Over-the-Counter Reimbursement: New Rules and New Requirements, January 2011

by: Michael J. Schoppmann, Esq.

FACING BILLING AUDITS: Don't get caught in the coming "tsunami" of reviews - be prepared instead, October 2010, Contributor

by: Michael J. Schoppmann, Esq.

How the Title of “Disruptive Physician” Can Ruin Your Career and How to Avoid It

by: Michael J. Schoppmann, Esq.

Appellate Division Upholds Right to Arbitrate Medical Malpractice Cases - But Only After Overcoming Huge Hurdle, August 2010

by: Steven I. Kern (1949-2011), Esq.

OPMC Consequences of Improper Delegation, August 2010

by: Michael J. Schoppmann, Esq.

Top Reasons Physicians Are Sued for Malpractice, August 2010

by: Michael J. Schoppmann, Esq.

More Stupid Regulations, July 2010

by: Steven I. Kern (1949-2011), Esq.

Physician Legal Alert: RAC Audits and How Physicians Should Prepare, June 2010

by: Michael J. Schoppmann, Esq. and Stacey Lipitz Marder, Esq.

An End to Class Action Abuse?, April 2010

by: Steven I. Kern (1949-2011), Esq.

Is it Time to Opt Out of Medicare?, April 2010

by: Steven I. Kern (1949-2011), Esq.

Ranking State Medical Boards, Are the Best Really the Worst?, April 2010

by: Steven I. Kern (1949-2011), Esq.

Understanding the Process of Selling a Medical Practice, April 2010

by: Mathew J. Levy, Esq. and David N. Vozza, Esq.

Understanding the Negotiation of Managed Health Care Contracts, April 2010

by: Mathew J. Levy, Esq. and David N. Vozza, Esq.

An End to Malpractice Trials, March 2010

by: Steven I. Kern (1949-2011), Esq.

Physicians as Targets: Insights, Hard Realities and How to Risk Manage Them, March 2010

by: Michael J. Schoppmann, Esq.

White Paper - Physicians' Rights Issues the Misreading and Misapplication of New York State Insurance law §3224-b by New York Health Plans, November 10, 2009

by: Michael J. Schoppmann, Esq. and David N. Vozza, Esq.

Abusing the False Label of “Disruptive” in Today’s Medicine, November 2009

by: Michael J. Schoppmann, Esq.

Physician Legal Alert: Risk Management One Day a Year, November 2009

by: Michael J. Schoppmann, Esq.

Who's Stealing From the Sample Closet?, October 2009, Contributor

by: Michael J. Schoppmann, Esq.

Supply - Demand and the A.M.A., September 2009

by: Steven I. Kern (1949-2011), Esq.

Continued Erosion of the Medical Profession: We Need to Stop the Bleeding, August 2009

by: Steven I. Kern (1949-2011), Esq.

Rationing Healthcare: Who Decides When to Pull the Plug on Grandma?, August 2009

by: Steven I. Kern (1949-2011), Esq.

The Heat's Getting Hotter: Healthcare Prosecutions to Rise Dramatically, August 2009

by: Steven I. Kern (1949-2011), Esq.

Is the New Joint Commission Mandate that Healthcare Institutions Address Disruptive Behaviors an Appropriate Standard?, May & June 2009, Contributor

by: Michael J. Schoppmann, Esq.

Red Flag Rules Redux, May 15, 2009

by: Steven I. Kern (1949-2011), Esq.

Hospital Responsible for Patient's Surgical Bill Where Doctor Doesn't Participate with Patient's Insurance Plan, April 20, 2009

by: Steven I. Kern (1949-2011), Esq.

Governor Corzine Signs Legislation Amending Facilities Licensing Law and Codey Law, April 2009

by: Robert J. Conroy, Esq. and Denise L. Sanders, Esq.

Electronic Health Records. Will it Reduce Malpractice Claims?, March 2, 2009

by: Steven I. Kern (1949-2011), Esq.

New "Red Flag Rules" Apply to Physician Practices, March 24, 2009

by: Steven I. Kern (1949-2011), Esq.

Exclusive Contracts Between Hospitals And Physicians Under Scrutiny After Decision By Federal Appeals Court, February 2009

by: Steven I. Kern (1949-2011), Esq.

No Class In Class Action Litigation, February 2009

by: Steven I. Kern (1949-2011), Esq.

I'm Not Sorry for Not Saying I'm Sorry, January 23, 2009

by: Steven I. Kern (1949-2011), Esq.

Physician Legal Alert: "New Red Flag Rules" & Physician Practices, Fall 2009

by: Michael J. Schoppmann, Esq.

Physician Legal Alert: Abuse, Abandonment, Cruelty and Neglect: Pediatrics Reporting Obligations in New Jersey, Winter 2009

by: Michael J. Schoppmann, Esq.

Whose Side Are They On?, December 16, 2008

by: Steven I. Kern (1949-2011), Esq.

Medical Board Attacked from Former Insider. November 18, 2008

by: Steven I. Kern (1949-2011), Esq.

Patient Testimonials - More Risk than Reward?, June 2008

by: Michael J. Schoppmann, Esq.

Physicians' Best Chance for Power, June 2008

by: Michael J. Schoppmann, Esq.

Another Blow to Ambulatory Care Centers, May 22, 2008

by: Steven I. Kern (1949-2011), Esq.

Fewer Stark Changes Than Expected - But Still Significant, February 22, 2008

by: Denise L. Sanders, Esq.

White Paper - Physicians' Rights Issues Under the Office of Professional Medical Conduct State of New York, January 18, 2008

by: Michael J. Schoppmann, Esq.

Beware of, and Be Ready for, The New Stronger, Office of Professional Medical Misconduct, Fall 2008

by: Michael J. Schoppmann, Esq.

Physician Legal Alert: The Coming Threat of RAC Audits and How to Avoid Them, Winter 2008

by: Michael J. Schoppmann, Esq.

The Hidden Threats, and New Realities of Medical Staff By Laws, Spring 2008

by: Michael J. Schoppmann, Esq.

Nurses in a Retail Setting: The Risks to a Supervising Physician, December 2007

by: Michael J. Schoppmann, Esq.

Appellate Division Upholds Gross Receipts Tax on Ambulatory Care Centers, November 2007

by: Steven I. Kern (1949-2011), Esq.

More Ways to be Sued-New Informed Consent Forms Required for Physician Protection, November 2007

by: Steven I. Kern (1949-2011), Esq.

Compliance Programs - A Preemptive Strike, November 2007

by: Daniel G. Giaquinto, Esq.

Understanding the Retail Based Clinic Debate, November 2007

by: Mathew J. Levy, Esq.

DOBI Adopts New PIP Medical Fee Schedule - Many Physicians Unhappy, September 2007

by: Denise L. Sanders, Esq.

Anti - Physician Acronyms, July - September 2007

by: Michael J. Schoppmann, Esq.

Understanding the Issues Related to Concierge Medicine, September 2007

by: Mathew J. Levy, Esq.

From PIP ARB to Penitentiary, August 2007

by: Steven I. Kern (1949-2011), Esq. and Daniel G. Giaquinto, Esq.

Dealing with the Long-Term Drug Dependent Patient, May 2007

by: Steven I. Kern (1949-2011), Esq.

Let’s Go To The Video Tape Board of Medical Examiners Eviscerates Chaperone Rule Protections, Responding to Patients Personal Crises May be Punishable Boundry Violation, May 2007

by: Steven I. Kern (1949-2011), Esq.

Yes, There is Justice!, April 2007

by: Steven I. Kern (1949-2011), Esq.

Federal Tools To Combat Health Care Fraud and Abuse, April 2007

by: Daniel G. Giaquinto, Esq.

How Physicians Won-Acting Together, and Without Litigation - A New Approach?, February 2007

by: Michael J. Schoppmann, Esq.

Expect More From Your Residents - A Court Will, January 2007

by: Steven I. Kern (1949-2011), Esq.

New Jersey Residents Held to Higher Standard of Care, January 2007

by: Steven I. Kern (1949-2011), Esq.

New York Enacts New Law Requring Accreditation of Office Based Surgical Practices, Fall 2007

by: Michael J. Schoppmann, Esq.

Retrospective Audits: How to Avoid Them, Winter 2007

by: Michael J. Schoppmann, Esq. and Mathew J. Levy, Esq.

Do We Need Specialized Courts?, November 20, 2006

by: Steven I. Kern (1949-2011), Esq.

The Criminalization of Medicine, November 13, 2006

by: Daniel G. Giaquinto, Esq.

Litigation of Hospital Medical Staff Matters, October 24, 2006

by: Robert J. Conroy, Esq.

A Step in the Right Direction for Managed Care Reform, But..., October 2006

by: Michael J. Schoppmann, Esq.

Office Based Surgery Audits - a.k.a. The Facility Fee Fight, September 2006

by: Michael J. Schoppmann, Esq. and Mathew J. Levy, Esq.

New Jersey Hospital Medical Staffs and Medical Staff Peer Review Litigation, August 2006

by: Steven I. Kern (1949-2011), Esq. and Robert J. Conroy, Esq.

Hidden Issues in the Need for Tort Reform, April & May 2006

by: Michael J. Schoppmann, Esq.

A Physician's Primer for the 2006 Office of Inspector General's Work Plan, Spring 2006

by: Michael J. Schoppmann, Esq.

How Physicians Can, and Must, Protect Themselves, Summer 2006

by: Michael J. Schoppmann, Esq.

Understanding Physician Employment Contracts, October 2005

by: Steven I. Kern (1949-2011), Esq. and Mathew J. Levy, Esq.

What If? Can your office make a comeback from disaster?, September 2005

by: Robert J. Conroy, Esq.

Understanding Partnerships Limited Liability Companies & Corporations, July/August 2005

by: Mathew J. Levy, Esq.

Risk Reduction Measures Against OPMC Actions, July 2005

by: Michael J. Schoppmann, Esq.

Overzealous Investigators Placing Physicians at Risk, February 2005

by: Michael J. Schoppmann, Esq.

Medicare Fraud Alert Misconceptions: The Path to Prison?, Fall 2005

by: Steven I. Kern (1949-2011), Esq. and Michael J. Schoppmann, Esq.

Risk Reduction Measures Against State Board Actions, Fall 2005

by: Michael J. Schoppmann, Esq.

Understanding Estate Planning and Wills, Spring 2005

by: Mathew J. Levy, Esq.

Physician Risk Management in Fraud and Abuse, December 2004

by: Michael J. Schoppmann, Esq.

HIPAA Compliance: The Law Reality, and Recommendations, October 2004

by: Michael J. Schoppmann, Esq. and Denise L. Sanders, Esq.

Physicians Win Lawsuit, September 2004

by: Mathew J. Levy, Esq.

Understanding Asset Protection and Family Limited Partnerships, September 2004

by: Mathew J. Levy, Esq.

Understanding Physician Lease Agreements & The Anti-Kickback Statue, May-June 2004

by: Mathew J. Levy, Esq.

An Introduction to the OIG's Compliance Guidelines, April 2004

by: Michael J. Schoppmann, Esq.

Physician Compliance with Government Investigations, January-February 2004

by: Michael J. Schoppmann, Esq.

Health Plans Versus Physicians: New Legal Threats, December 2003

by: Michael J. Schoppmann, Esq.

The Need for OPMC Reform, September 2003

by: Michael J. Schoppmann, Esq.

Appellate Court Offers Best Reason for Tort Reform, June 30, 2003

by: Steven I. Kern (1949-2011), Esq.

New Supreme Court Rulings and Their Impact on Your Practice, June 2003

by: Michael J. Schoppmann, Esq.

Tort Reform-Statistics, Solutions and Strategies, June 2003

by: Michael J. Schoppmann, Esq.

HHS Provides Further Modifications to HIPAA Privacy Rules as Deadlines Approach, September 2002

by: Michael J. Schoppmann, Esq.

The Office of Professional Medical Conduct, June 2002

by: Michael J. Schoppmann, Esq.

HIPAA Privacy Rules: The Future Impact for Physicians?, September 2001

by: Michael J. Schoppmann, Esq.

HIPAA Privacy Rules Imposed As Mandatory for all Physicians, Summer 2001

by: Michael J. Schoppmann, Esq.

Sexual and Other Harassment in The Operating Room Setting, Winter 2001

by: Michael J. Schoppmann, Esq.

Medicare Fraud Alert Top Ten Ways to Avoid a Medicare Fraud Investigation, June 2000

by: Michael J. Schoppmann, Esq.

Physician Unions - The Myths and a Potential Truth, Summer 1999

by: Michael J. Schoppmann, Esq.

Searching For New Criminals for the Millennium?, May 1998

by: Michael J. Schoppmann, Esq.

Dramatic Increase In Numbers Of Medicare Audits

by: Steven I. Kern (1949-2011), Esq.

First Warrantless Searches - Now Jail!

by: Steven I. Kern (1949-2011), Esq.

Flurry of Proposed Regulations and Legislation Likely to Create New Hardships for Physicians

by: Steven I. Kern (1949-2011), Esq.

Government Investigations - How Bad Things Can Happen to Good Doctors

by: Robert J. Conroy, Esq.

Horizon Class Action Settlement Challenged by State Physicians

by: Steven I. Kern (1949-2011), Esq.

How Well Does the Insurance Company's Lawyer Protect Your Rights?

by: Steven I. Kern (1949-2011), Esq. and Michael J. Schoppmann, Esq.

Managed Care Contracting Is Still A Dangerous Game

by: Michael J. Schoppmann, Esq.

Medical Board Issues New Rules For Administering, Dispensing and Prescribing Drugs

by: Steven I. Kern (1949-2011), Esq.

Medical Economics: How Much Insurance Do You Need?

by: Steven I. Kern (1949-2011), Esq.

National Practitioner Data Bank Changes Affect Podiatrists

by: Denise L. Sanders, Esq. and Matthew R. Streger, Esq.

OIG Compliance Program for Individual And Small-Group Physician Practices

by: Steven I. Kern (1949-2011), Esq. and Denise L. Sanders, Esq.

OIG Rules Hospitals Can Pay Physicians for On-Call Services – Pits Hospital Against Medical Staffs for Uncompensated Care Dollars

by: Steven I. Kern (1949-2011), Esq.

Organizing Physicians – Legal Issues

by: Steven I. Kern (1949-2011), Esq.

Physicians Unions – Barriers – Alternatives

by: Steven I. Kern (1949-2011), Esq. and Robert J. Conroy, Esq.

Physicians Unions - The Solution or Just Another Problem

by: Steven I. Kern (1949-2011), Esq. and Robert J. Conroy, Esq.

Proposed Board of Medical Examiners Rule Could Close Many Ambulatory Surgery Centers

by: Steven I. Kern (1949-2011), Esq. and Denise L. Sanders, Esq.

Relationship Between Board Of Medical Examiners And Organized Medicine At All Time Low

by: Steven I. Kern (1949-2011), Esq. and Denise L. Sanders, Esq.

The Princess or the Talking Frog

by: Steven I. Kern (1949-2011), Esq.

Universal Health Care In New Jersey – On The Horizon

by: Steven I. Kern (1949-2011), Esq.

What To Do When Your Partner Starts Acting Erratically?

by: Steven I. Kern (1949-2011), Esq.