Three years in a row. According to a recent analysis by the American Medical Association, that’s how long the percentage of medical professional liability insurance premiums have been increasing.
Medical Liability Premiums Increase Dramatically – 3rd Straight Year
The American Medical Association released this information in a press release along with a “Policy Research Perspectives” based on data from the “Annual Rate Survey” issue of the Medical Liability Monitor. The survey reported manual premiums for obstetrics/gynecology, general surgery, and internal medicine.
What was the “main and most significant finding” according to the American Medical Association? It’s not just that premiums are increasing. It’s that for three years in a row, from 2019 to 2021, “more premiums have increased than in any year since the 2000s.”
Not surprisingly, this increase in premiums is not shared equally across all of the states. However, states with increasing premiums have had significant hikes, with 12 states experiencing increases of 10% or more.
Where have rates for medical liability insurance coverage increased the most? According to the American Medical Association, the following states reported the largest proportion of premiums that increased 10% or more: “Illinois (58.9%), West Virginia (41.7%), Missouri (29.6%), Oregon (20.0%), South Carolina (16.7%), Idaho (11.1%), Kentucky (7.4%), Delaware (6.7%), Washington (6.7%), Michigan (5.4%), Texas (4.9%), and Georgia (3.7%).”
In addition to geographic differences, the American Medical Association also reported that premium have not been the same across specialties. It noted that in selected geographic areas, premiums for general surgeons were more than those for internists. For example, in Nassau County, New York, premiums for internists were $32,159 while premiums for general surgeons were $146,353. This difference was even more significant in other areas like Cook County, Illinois.
American Medical Association President Gerald E. Harmon, M.D. commented on the increasing premiums, stating, “The medical liability insurance cycle is in a period of increasing premiums, compounding the economic woes for medical practices that struggled during the past two years of the pandemic.”
Dr. Harmon continued, “The increase in premiums can force physicians to close their practices or drop vital services. This is detrimental to patients as higher medical costs can lead to reduced access to care.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
Join the conversation
Orthopedic professionals are discussing this. Sign in and upgrade to read every comment and add your voice.