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Medical Malpractice Trends to Watch in 2024 ### Medical Malpractice Trends to Watch in 2024 [Get a quote](#quote)[Max Schloemann](https://medpli.com/author/max-schloemann/)February 21st, 2024 Medical malpractice insurance rates are expected to increase in 2024. In this article, medical malpractice insurance expert Max Schloemann discusses what’s driving these trends & how you can be prepared to deal with rate increases. Record high medical malpractice jury awards to plaintiffs increased throughout 2023. According to data cited in a February 2024 [Medscape Medical News](https://www.medscape.com/viewarticle/mega-malpractice-verdicts-against-physicians-rise-2024a10002bz?src=mbl_msp_iphone) article, a $261 million verdict in a highly publicized Florida case and a record $120 million award for a brain injured plaintiff in New York state were just two of 57 medical malpractice verdicts that exceeded $10 million or more in 2023. Because this trend of “mega” medical malpractice verdicts is likely to continue in 2024 — along with higher legal defense costs and spikes in social inflation — we can also expect medical malpractice premium rates to increase. In this article, I discuss the key factors driving 2024 rate increases to help you understand and prepare for these trends. [Reach out**](https://medpli.com/#quote) to a MEDPLI insurance broker if you have questions about medical malpractice coverage for 2024. ## Excessively high verdicts expected to continue in 2024 Verdict awards of $10 million or more were reported by every U.S. state during the time period of 2016 to 2023, according to the [Healthcare Liability Market Update, Powered by MedPro Group,](https://hclmarketupdate.com/) an A-rated medical malpractice insurance carrier. MedPro’s “Large Verdict List” updated for 2023 paints a clear picture of the “mega” verdict trend set to continue into 2024. States reporting multiple medical malpractice verdicts exceeding $10 million include: State Cases Total Awards Florida 7 $400M Georgia 9 $217M Illinois 8 $241M Massachusetts 4 $103M Michigan 2 $42M New Mexico 2 $508M Oklahoma 2 $115M Pennsylvania 6 $301M   Even some U.S. states which have never experienced exceptionally high medical malpractice payouts in the past are on MedPro’s “2023 Large Verdict List” – [Alabama](https://medpli.com/alabama-doctors-buying-guide-medical-malpractice-insurance/), Utah, and Idaho, for example. Tort reforms are often cited as the reason for escalating jury awards, especially in states with no caps on either economic or non-economic (pain and suffering) damages. Even in states with non-economic damage caps, as of 2023 California and several other states have enacted reforms that increase non-economic damage caps incrementally each year. Other than tort reforms, there seems to be no other clear-cut reason as to why juries are granting excessively high plaintiff awards. Although some medical liability industry professionals speculate that attorneys are demanding higher compensation for non-COVID related medical malpractice plaintiffs who may have been overlooked in the court system during the COVID pandemic. Also, jurors who are influenced by today’s social inflation attitudes regarding personal injury cases may be more sympathetic and partial to the pain and suffering of the patient, especially if an impersonal large healthcare corporation is a co-defendant with the physician or surgeon on trial. (See below to learn more about social inflation’s impact on medical malpractice insurance rates and jury payouts.) ## How high verdicts affect medical malpractice premium rates Many medical malpractice carriers usually do raise premiums annually to ensure solvency and availability of the company’s pool of insurance funds for all of its policyholders. But not surprisingly, medical malpractice insurance premium rates could escalate higher in 2024 as a result of excessively high jury awards to plaintiffs suing for malpractice. One of the key factors that medical malpractice insurance carriers use in determining annual premium rates is the average amount that the carrier pays out per case on behalf of the physician/policyholder when the jury decides in favor of the plaintiff. Another factor is the frequency in which the carrier makes payouts over the course of the year. The more often that a carrier must pay out for extremely high-dollar jury verdicts, the higher the underwriting losses, and the greater likelihood of setting higher premium rates to help replenish those losses. ## Two more factors driving higher premium rates in 2024 **1. Higher legal defense costs for carriers** Most medical malpractice insurance carriers will provide a defense attorney with experience in defending their policyholders in liability lawsuits and will pay the cost of legal fees. However, the average cost between $50,000 and $100,000 for a physician’s legal defense is expected to rise as medical malpractice defense lawyers increase their fees in 2024. Legal defense costs can also escalate if a medical malpractice suit is more complex and/or drags on for several years, not to mention [hidden or unexpected costs](https://www.mdlinx.com/article/malpractice-suits-can-involve-hidden-high-attorneys-fees-and-other-financial-burdens/2Zne6CcGFAzWdB81dQetK1), such as payment of the plaintiff’s attorney fees. The rising cost of legal defense for policyholders is likely to be another contributing factor to medical malpractice insurance rate increases in 2024. **2. Social inflation** Social inflation has begun to have a greater effect on medical malpractice insurance rates, as well as an influence on higher jury awards, according to a [May 2023 article](https://www.medicaleconomics.com/view/social-inflation-drives-up-malpractice-payouts-and-insurance-rates) on the Medical Economics website by Robert E. White, Jr., president of A-rated medical malpractice insurance carrier The Doctors Company and TDC Group. White defines social inflation as a “spike in loss costs” when medical malpractice claim costs for carriers exceeds the growth of general economic inflation. He explains that these loss costs accumulate as jury verdicts and settlements are paid out over time, thus increasing the carrier’s annual loss costs. As a result, carriers ultimately increase premium rates to make up for those losses and ensure solvency of the pool of insurance funds. According to[ “Medical Malpractice Claims and Impact of Social Inflation”](https://www.thedoctors.com/articles/medical-malpractice-claims-made-social-inflation-and-loss-development-report/), a 2023 study by The Doctors Company, “. . . the impact of social inflation is estimated to be between $2.4 billion and $3.5 billion over the past 10 years, or 8 to 11 percent of all incurred losses in that period for the scope of companies analyzed.” Findings in the same study indicate that social inflation is also a driver in the current frequency of “mega” medical malpractice payouts. Changes in society’s attitudes and beliefs about medical malpractice litigation, entitlement to compensation for injuries, and the parties involved are all aspects of social inflation. Certain tactics of attorneys for the plaintiff is one example of how social inflation can affect jury awards. In this case, the attorney aims to trigger the jurors’ fear or “survival instinct”, and increase sympathy for the plaintiff, by portraying the physician/defendant as a threat or danger to the jurors and others in the community – thus influencing the jury to award the highest amount of compensation to the plaintiff. The Doctors’ study warns that states that have relaxed caps or no caps at all on non-economic damages will likely see a continued increase in claim severity, and resulting increase in medical malpractice insurance rates, because of social inflation trends. ## Save on medical malpractice insurance rates in 2024. Reach out to MEDPLI today. Establishing a risk management strategy that focuses on patient safety, communication, and precise medical documentation is one of the best ways to potentially avoid a medical malpractice lawsuit. And partnering with an experienced MEDPLI medical malpractice insurance broker is the best way to shop for the right medical malpractice coverage for your medical specialty at a competitive rate in 2024. [**Request a quote**](https://medpli.com/#quote) now and ask a MEDPLI Broker if you are eligible for a discount on medical malpractice premiums. We’re here to help physicians and surgeons in all specialties obtain strong medical malpractice coverage. #### Share This Story, Choose Your Platform! [*](https://www.facebook.com/sharer.php?u=https%3A%2F%2Fmedpli.com%2Fmedical-malpractice-trends-2024%2F&t=Medical%20Malpractice%20Trends%20to%20Watch%20in%202024)[**](https://x.com/intent/post?text=Medical%20Malpractice%20Trends%20to%20Watch%20in%202024&url=https%3A%2F%2Fmedpli.com%2Fmedical-malpractice-trends-2024%2F)[**](https://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Fmedpli.com%2Fmedical-malpractice-trends-2024%2F&title=Medical%20Malpractice%20Trends%20to%20Watch%20in%202024&summary=Medical%20malpractice%20insurance%20rates%20are%20expected%20to%20increase%20in%202024.%20In%20this%20article%2C%20medical%20malpractice%20insurance%20expert%20Max%20Schloemann%20discusses%20what%E2%80%99s%20driving%20these%20trends%20%26amp%3B%20how%20you%20can%20be%20prepared%20to%20deal%20with%20rate%20increases.%0D%0ARecord%20high%20medical%20malpractice%20jury%20awards%20to%20plaintiffs%20increased%20throughout%202023.%20According%20to%20data%20cited%20in)[**](mailto:?subject=Medical%20Malpractice%20Trends%20to%20Watch%20in%202024&body=https%3A%2F%2Fmedpli.com%2Fmedical-malpractice-trends-2024%2F)*[Max Schloemann](https://medpli.com/author/max-schloemann/) [](https://www.linkedin.com/company/medpli-professional-liability-insurance)[](https://www.facebook.com/Medpli/)[](https://www.youtube.com/channel/UCZFybXffkwKDkkEVZpGBe8Q)[](https://www.instagram.com/medpli/)[](https://twitter.com/MedpliMax) ## About the Author Max Schloemann is a medical malpractice insurance broker helping physicians and surgeons secure Medical Professional Liability coverage. A Magna Cum Laude graduate of Southern Illinois University’s College of Business, he was named Outstanding Management Senior. Max began his career in 2008 at an industry-leading firm and founded MEDPLI in 2017 to guide private practice doctors and physicians in transition through the complexities of malpractice insurance. Outside of work, Max, his wife Kristen (a Physician Assistant), and their four kids enjoy the outdoors and attending the kids’ sporting events. [Contact Max](https://medpli.com/contact-us/) for malpractice insurance questions. [](https://www.linkedin.com/company/medpli-professional-liability-insurance)[](https://www.facebook.com/Medpli/)[](https://www.youtube.com/channel/UCZFybXffkwKDkkEVZpGBe8Q)[](https://www.instagram.com/medpli/)[](https://twitter.com/MedpliMax) ## Latest from the Medical Malpractice Insurance Blog - Malpractice Insurance [ ](https://medpli.com/why-physician-reimbursement-needs-to-catch-up/) ## [Why Physician Reimbursement Needs to Catch Up With the Cost of Private Practice](https://medpli.com/why-physician-reimbursement-needs-to-catch-up/) [Max Schloemann](https://medpli.com/author/max-schloemann/)|September 29th, 2026|Physician reimbursement is falling behind rising private practice costs. See the data, impact on patient access, and why it matters. Read here. [Read More***](https://medpli.com/why-physician-reimbursement-needs-to-catch-up/) - Carrier Spotlight [ * ](https://medpli.com/doctors-company-new-jersey-rate-decrease/) ## [The Doctors Company Cuts New Jersey Medical Malpractice Rates](https://medpli.com/doctors-company-new-jersey-rate-decrease/) [Max Schloemann](https://medpli.com/author/max-schloemann/)|September 25th, 2026|The Doctors Company is dropping New Jersey physician malpractice rates by an average of 25.1%, effective October 1, 2026. Here's what it means for your premium. [Read More***](https://medpli.com/doctors-company-new-jersey-rate-decrease/) - Carrier Spotlight [ * ](https://medpli.com/the-doctors-company-acquires-proassurance/) ## [The Doctors Company Completes Acquisition of ProAssurance: What It Means for Policyholders](https://medpli.com/the-doctors-company-acquires-proassurance/) [Max Schloemann](https://medpli.com/author/max-schloemann/)|August 31st, 2026|The Doctors Company completed its acquisition of ProAssurance. See what it means for current policyholders and the malpractice insurance market going forward. [Read More***](https://medpli.com/the-doctors-company-acquires-proassurance/) - Florida [ * ](https://medpli.com/florida-obgyn-guide-to-medical-malpractice-insurance/) ## [Florida OB/GYN Guide to Medical Malpractice Insurance](https://medpli.com/florida-obgyn-guide-to-medical-malpractice-insurance/) [Max Schloemann](https://medpli.com/author/max-schloemann/)|August 27th, 2026| Malpractice Payouts for Florida OBGYNs Are High Florida OB/GYN [...] [Read More***](https://medpli.com/florida-obgyn-guide-to-medical-malpractice-insurance/) [Previous](https://medpli.com/best-practice-patient-medical-records-reduce-malpractice-risk/)[Next](https://medpli.com/new-jersey-orthopedic-surgeons-guide-medical-malpractice-insurance/) ** MEDPLI is an independent insurance practice specializing in medical professional liability insurance. Through our A-rated insurance partners, we provide insurance solutions to doctors and healthcare providers in the United States. - [ Home](https://medpli.com/) - [ Services](https://medpli.com/products-services/)[ Telemedicine Insurance](https://medpli.com/?page_id=1698) - [ Tail Insurance](https://medpli.com/products-services/tail-malpractice-insurance/) - [ Private Practice Insurance](https://medpli.com/products-services/private-practice-insurance/) - [ Medical Practice Risk Assessment](https://medpli.com/products-services/medical-practice-risk-assessment/) - [ Medical Facility Insurance](https://medpli.com/products-services/medical-facility-insurance/) - [ Group Insurance](https://medpli.com/products-services/group-medical-malpractice-insurance/) - [ Consulting](https://medpli.com/products-services/medical-liability-malpractice-insurance/) - [ Healthcare Staffing Insurance](https://medpli.com/products-services/healthcare-staffing-medical-malpractice/) - [ Specialties](https://medpli.com/specialties/)[ Anesthesiologists](https://medpli.com/specialties/anesthesiologist-medical-malpractice-insurance/) - [ Bariatric Surgeons](https://medpli.com/specialties/medical-malpractice-insurance-for-bariatric-surgeons/) - [ Cardiologists](https://medpli.com/specialties/cardiologist-medical-malpractice-insurance/) - [ Dermatologists](https://medpli.com/specialties/dermatologist-medical-malpractice-insurance/) - [ Family Medicine](https://medpli.com/specialties/family-medicine-medical-malpractice-insurance/) - [ Gastroenterologists](https://medpli.com/specialties/gastroenterologist-medical-malpractice-insurance/) - [ General Surgeons](https://medpli.com/specialties/malpractice-insurance-general-surgeons/) - [ Hospitalists](https://medpli.com/specialties/hospitalist-medical-malpractice-insurance/) - [ Internists](https://medpli.com/specialties/internist-medical-malpractice-insurance/) - [ Ketamine Infusion Therapy](https://medpli.com/specialties/ketamine-infusion-malpractice-insurance/) - [ Medical Spas](https://medpli.com/specialties/medical-spa-malpractice-insurance/) - [ Neurologists](https://medpli.com/specialties/neurologist-medical-malpractice-insurance/) - [ Neurosurgeons](https://medpli.com/specialties/malpractice-insurance-neurosurgeons/) - [ OB/GYNs](https://medpli.com/specialties/obgyn-medical-malpractice-insurance/) - [ Orthopedic Surgeons](https://medpli.com/specialties/malpractice-insurance-for-orthopedic-surgeons-new/) - [ Otolaryngologists](https://medpli.com/specialties/otolaryngologist-medical-malpractice-insurance/) - [ Plastic Surgeons](https://medpli.com/specialties/medical-malpractice-insurance-for-plastic-surgeons/) - [ Psychiatrists](https://medpli.com/specialties/psychiatrist-medical-malpractice-insurance/) - [ Radiologists](https://medpli.com/specialties/radiologist-medical-malpractice-insurance/) - [ State Buying Guides](https://medpli.com/states/) - [ About](https://medpli.com/about-us/)[ Staff](https://medpli.com/about-our-staff/) - News & Blog[ In The News](https://medpli.com/news/) - [ Privacy Policy](https://medpli.com/privacy-policy/) - [ Contact Us](https://medpli.com/contact-us/) Telephone: [800-969-1339](tel:800-969-1339) Email: [info@medpli.com](mailto:info@medpli.com) MEDPLI Insurance Services 1740 Innovation Drive, Ste. 44 Carbondale, IL 62903 [](https://medpli.epaypolicy.com/) *The information on this page is provided for general informational purposes only and is not intended to constitute insurance or legal advice**.  MEDPLI is not a law firm and does not provide legal advice.* * **MEDPLI Insurance Services**, LLC is an independent insurance broker dedicated to helping doctors find the coverage that best fits their professional needs. * MEDPLI © 2026 All Rights Reserved. [Privacy Policy](https://medpli.com/privacy-policy/) [LinkedIn](https://www.linkedin.com/company/medpli-professional-liability-insurance)[Facebook](https://www.facebook.com/Medpli/)[YouTube](https://www.youtube.com/channel/UCZFybXffkwKDkkEVZpGBe8Q)[Instagram](https://www.instagram.com/medpli/)[X](https://twitter.com/MedpliMax) [Page load link](#) Tail coverage term lengths range from 1 year to unlimited. Standard terms are for 2, 3, and 5 years. **Expert tip:** Choose tail coverage that extends beyond your state’s malpractice claim statute of limitations. Most physicians prefer unlimited-term policies for lasting protection, even if shorter options cost less. ** × Without tail insurance coverage, a physician can be financially liable for future claims from patient care that occured during the lapsed claims-made policy period. This liability can range from thousands to millions of dollars, based on the severity of the claim. Expert Tip:** Use our **[Medical Malpractice Payouts By State Tool](https://medpli.com/medical-malpractice-payouts-by-state/)** to get a sense of what the medical malpractice payout landscape is like in different states. ** × Tail insurance should be secured by the last day of the active claims-made policy. Often, the incumbent carrier offers a 30-day window after the policy lapses for a doctor to exercise the option to buy their tail policy. We recommend that you pursue standalone quotes before accepting an incumbent offer. Starting that process when you decide to change employers will provide more opportunities to compare quotes and secure the best rate. Expert Tip:** If you’re planning to leave your employer or have already done so, reach out to a medical malpractice insurance broker right away. Timing is critical for securing proper coverage. ** × Each medical specialty has its own insurance risk profile, which may require specialized tail insurance. A policy must reflect the exact circumstances of a physician’s practice and cover all services provided. × Tail coverage protects doctors against any future claims that have yet to be reported. × What does tail insurance typically cover?**** Tail insurance covers any financial liability associated with a medical malpractice claim. This includes: - Legal fees - Expert witnesses - Settlements - Any damages awarded to the plaintiff × When is tail coverage necessary?** Tail coverage is necessary is specific situations, primarily for professionals and organizations that use **[claims-made insurance policies](https://medpli.com/occurrence-vs-claims-made-malpractice-insurance-whats-the-difference/#:~:text=claim%20is%20submitted.-,2.%20Do%20Occurrence%20and%20Claims%2DMade%20Policies%20Offer%20Different%20Benefits%3F,-As%20you%20decide)**. There are four common instances when it’s needed: - When You’re Leaving a Claims-Made Policy - When Switching Insurers or Jobs - When Retiring or Closing a Practice - When Contractually Required × Tail insurance protects you from claims made after your claims-made policy ends. It covers incidents that occurred while you were insured but are reported later, after your policy’s cancellation date. Without tail coverage, you’d be personally responsible for any lawsuits or legal costs that arise afterward, which can cost hundreds of thousands of dollars. **Expert Tip:** When changing jobs, review your insurance program with an **[experienced broker](https://medpli.com/contact-us/)** who knows how to navigate the fine print and ensure you’re protected. × Get a Quote Name *FirstLastSpecialty *Select your SpecialtyAesthetic MedicineAllergyAnesthesiologyCardiology-InvasiveCardiology-Non InvasiveConciergeDermatologyDirect Primary Care (DPC)Emergency MedicineEndocrinologyFamily PracticeFunctional MedicineGastroenterologyGynecology - No SurgeryHematologyHormone Replacement TherapyIndependent Medical Evaluations (IME)Infectious DiseaseInternal MedicineKetamine Infusion TherapyMedical DirectorMidwiferyNeonatologyNephrologyNeurologyOB/GYNOccupational MedicineOncologyOphthalmologyPain ManagementPathologyPediatricsPhysical Medicine/RehabilitationPodiatry - No SurgeryPodiatry - SurgeryPsychiatryPulmonary DiseaseRadiologyRadiology - InterventionalRheumatologySurgery: BariatricSurgery: Cardiovascular ThoracicSurgery: General (Including Trauma)Surgery: HandSurgery: NeurosurgerySurgery: OncologySurgery: Orthopedic without SpineSurgery: Orthopedic with SpineSurgery: PlasticSurgery: Colon & RectalSurgery: GynecologySurgery: Otorhinolaryngology with elective plasticSurgery: Otorhinolaryngology-no elective plasticSurgery: UrologySurgery: VascularSurgery: ThoracicWeight Loss MedicineOtherDegree *Select your DegreeMDDOCNMDPMDDSCRNANPPAPTOtherNextPhone *Email *State *Select a StateAlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingNational Provider Identifier (NPI)(optional)(Optional) Upload supporting documents (current policy package, CV, NPDB report, and any prior claims information) Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. 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