Healthcare/Medical Professional Liability

Our expertise with a wide variety of health care specialties includes:

Chiropractors
Emergency medicine
Hospitals, including childrens’ and teaching hospitals
Local, heterogeneous physician groups
Nurses, including certified registered nurse anesthetists
Nursing homes and residential treatment centers for youths
Obstetricians and gynecologists
Occupation medicine centers
Patient compensation funds, including birth-related neurological injury funds
Physician staffing
Podiatrists
Radiologists
Surgeons

Pinnacle’s experts understand the spectrum of risks inherent in delivering health care services in today’s litigious environment. We have provided actuarial consulting services in every aspect of medical professional liability insurance at the local, state and national levels. Our customers include health care providers, captive managers, medical professional liability insurers, insurance regulators, legislators, industry associations and government insurance programs.

By working with the unique issues associated with numerous specialties and state reform types, as well as both traditional and alternative insurance programs, our experience equips us to develop accurate and efficient strategies to help you strategically manage your health care liability exposures.

If you’re a health care provider pursuing alternative risk management strategies, such as captive insurance companies and risk retention groups, we can help by designing your program, estimating the impact of modifying or eliminating certain services, and even investigating the cost-benefit of new technology to reduce medical errors.

Health Care/MPL Experts

Arthur R. Randolph II

Timothy C. Mosler

Robert J. Walling III

Derek W. Freihaut

Health Care/MPL Services

Alternative Risk Transfer Program Design

Pinnacle helps alternative market risk owners, captive managers and service providers determine risk retentions that optimize the balance between the cost of risk transfer and loss volatility.
Arbitration

Many of our consultants are experienced as expert witnesses in arbitrations, and are ARIAS-certified arbitrators.
Benchmarking

Pinnacle strives to construct benchmarks for any analysis — whether ratemaking, loss reserving or some other use — as closely as possible to replicating the nature of the underlying data being reviewed.
Collateral Negotiations

Pinnacle provides loss reserve analyses and other diagnostics in support of collateral negotiations associated with deductible and/or self-insured retentions.

Health Care/MPL Industries

Alternative Markets

Whether it's a captive insurance company, large deductible program, self-insured entity, public entity pool or syndicate, an alternative market entity is a risk retention program outside the traditional commercial property/casualty market. By virtue of the growth in the alternative markets for more than 30 years, the premium volume outside the mainstream markets is now greater than that written by the traditional markets.

Enterprise Risk Management

Enterprise Risk Management (ERM) is a critical component of increasing your organization’s value by assessing, controlling, exploiting, financing and monitoring risk. The importance of ERM is self-evident due to the demands for information by rating agencies, regulators and financing institutions. While economic capital modeling is an essential element of ERM, it is only part of the process and not sufficient in and of itself.

Legislative Costing

Legislative costing can be challenging to navigate, as insurance laws and regulations are constantly evolving. Since even a small modification can have a material impact, you need actuarial experts who can detect a potential law’s implications on insurance markets quickly and accurately.

Litigation Support/Expert Witness

From routine business support to complex litigation, Pinnacle brings a wealth of experience and insight. As property/casualty insurance and financial litigation continue to grow in complexity, it is essential to have independent, credible and expert actuaries who can explain actuarial matters clearly and effectively.

Loss Reserving

Pinnacle is a leader in the evaluation of indicated accruals for unpaid claims liabilities and other reserves held by companies for financial reporting purposes. Our consultants take leadership positions in professional committees that promulgate standards for loss reserving and are active participants in discussions pertinent to such services. We rely both on both traditional methodologies and innovative techniques that may be warranted given circumstances of the particular assignment.

Who We Serve in Health Care/MPL

Accountants and Auditors

Our expertise in providing audit support includes traditional insurance companies, reinsurers, risk retention groups and a wide variety of captive insurance companies. We are regularly called on to provide audit support for insurance, alternative markets and self-insurance operations.

Captive Managers

Pinnacle has expertise in many lines of coverage, alternative risk transfer structures, regulatory jurisdictions and industry niches. Our team of experienced consultants understand the needs of captive managers, and bring local knowledge unique to individual market segments.

Government Insurers

We have specific expertise in programs that protect the public welfare, such as petroleum storage tank pollution coverage or programs for infants with birth-related injuries.

Insurers

Whether you need to develop an enterprise risk management program, identify best practices for your industry or procure expert insight and analysis for a broad range of projects, our team of experts is focused on doing whatever it takes to exceed your expectations, time and time again.

Regulators

Pinnacle provides a variety of services to insurance regulators. Services include financial exams including risk-focused examinations, rate filing reviews and model reviews. Pinnacle has also assisted regulators with captive applications reviews, training, and legislative costing.