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The Rapid Growth of APPs and Burgeoning Risk for MPL

Wednesday, March 6, 2024, 11:00 a.m. ET
Join the MPL Association for an in-depth discussion on the proliferation of APPs and the impact of this trend on the future of MPL claims, defense, and loss mitigation. This webinar is FREE for MPL Association members and affiliate partners.

Federal Administrative Actions Impact MPL

While medical liability-related legislative activity has shifted heavily from the federal environment to the states, the same cannot be said for all regulatory activity. Thanks to the McCarran-Ferguson Act, states remain the dominant focus of regulatory matters affecting medical liability insurance.

The State of the MPL Market: Claim Severity Rises, Policy Price Increases Moderate

Every six months, the MPL Association’s Research and Analytics Department issues a report analyzing these metrics with valuable take-aways that offer industry stakeholders insights into the industry’s financial performance.  

Inside Medical Liability


Noneconomic Damage Caps


The MPL Association Data Sharing Project recorded the closure of approximately 22,000 paid claims from 2011 to 2020, resulting in approximately $8 billion paid in indemnity and $4 billion spent on defense expenses. During this period, a review of states with medical liability reforms revealed that 28 states had noneconomic damage caps (with one state implementing caps during that time) and 23 states had no caps (four of those states had caps declared unconstitutional during that time frame). Additionally, states with noneconomic damage caps reported a lower average indemnity payment of $249,556 compared to states without tort reform, which had an average indemnity payment of $388,430.

In states with tort reform, the percentage of claims decreased as the indemnity payment threshold increased, while states without tort reform distributed claims uniformly. The percentage of claims resulting in indemnity payments of at least $1 million more than doubled from 6.5% to 14.2%, when comparing states with tort reforms to those without.


*Nominal dollars and indemnity payments capped at $1 million.

Contact for more information:
Kwon Miller, Data & Analytics Manager kmiller@MPLassociation.org