PATIENT RELATION INITIATIVES - CLAIMS AND LITIGATION MANAGEMENT - Are They Evolving Together?
The world of claims and litigation management has changed drastically in the last five years. With the professional liability insurance crisis, many healthcare providers have turned to the alternative risk transfer methods of insurance. While the alternative risk insurance programs allow for reduced costs and allow an affordable insurance solution, they also require the healthcare provider to assume active control over the management of their own claims. Historically, this has been a function of the commercial insurance carrier. Thus, a new world opened up to healthcare providers and their risk managers – the world of claims and litigation management.

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Clare M. Bello

Clare.Bello@vcm-llc.com

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This topic is so crucial! I believe that the insurance crisis and the patient disclosure mandates provide the healthcare and claims industry with a great opportunity to make the resolution of claims part of the new culture so many healthcare providers are striving to achieve.
As a former professional liability defense attorney, I recognize that there are cases which must be taken to trial. At the same time, I have seen many cases that go to trial, but which could have been resolved prior to trial if there had been a more proactive response towards resolution.
However, in implementing patient awareness and disclosure mandates, it is important to be sure that the claims and litigation philosophies your system employs sends a consistent message to your patients, physicians, staff and the public. This article highlights some of the concepts to consider.

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