San Diego, CA | April 8 - 10, 2018

2018 Schedule of Events & Session Details

Sunday, April 8, 2018 | Paradise Point Resort
5:00pm – 7:00pm
Welcome Reception 

---

Monday, April 9, 2018 | Paradise Point Resort
9:00am – 10:00am | Opening Keynote Session
#101 - State of the Medical Insurance Industry

• High level discussion on MPL: 2017 trends and 2018 predictions
• Staying profitable in a sector with 100+% combined ratio
• To use a gambling phrase, "double down or pull chips off the table"
• Growing conflicts: Broker-carrier and carrier-reinsurer
• Are we staffed for a shift in the market?

Moderator: Robert Allen - Pro-Praxis Insurance
W. Stancil Starnes, JD - ProAssurance
Patrick Moylan - Markel Assurance
Richard Henderson - TransRe

10:00am – 10:45am
Networking Coffee Break

10:45am – 11:45am | Concurrent Sessions
#201 - National Liability Trends Facing Ambulatory Surgery Centers

• Vicarious liability and apparent agency issues for medical staff liability
• The challenges of joint and several liability for co-defendant practitioners
• Coverage issues related to agency employees or leased employees
• Patient appropriateness for ASC services

Moderator: Benjamin W. Newman - Wilson Elser, LLP
Christine M. Maiello, Esq. - Allied World Insurance Company
Alison Miller - Surgery Partners, Inc.
Patrick J. Kearns, Esq. - Willson Elser, LLP
  
#202 - Exit Strategy: Managing the Risks of Patients Who Leave Against Medical Advice

• Identify risks of patients who leave against medical advice (AMA) or leave without being seen (LWBS)
• Describe strategies to mitigate the risks of patients leaving AMA/LWBS
• Review lessons learned from AMA/LWBS closed cases
• Discuss how the "bottom line" is affected by AMA/LWBS incidents

Moderator: Scott D. Buchholz, Esq. - Dummit, Buchholz & Trapp
Arlene Luu, BSN, RN, JD, CPHRM - MedPro Group
Dana Orquiza, RN, BSN, JD  - Stanford University Medical Network Risk Authority, LLC (The Risk Authority)
  
#203 - Examining the Correlation between Financial Health and Clinical Risk

• Will a stronger financial condition improve patient quality of a healthcare organization or vice versa?
• Importance of financial viability of healthcare organizations as critical part of risk management, underwriting and ultimately patient outcomes and claims impact
• Discussion on how changes in healthcare system are impacting corporate governance

Moderator: James Fasone, ARM RPLU - Key Insurance & Benefits, Inc.
Beth Strapp - Berkley Healthcare Financial Lines
Irwin L. Hurn - Irwin Hurn, LLC
Gordon R. Clark - Chair of Scripps Health and President/Chief Executive Officer - iProtean

12:00pm – 1:00pm | Concurrent Sessions
#301 - Brexit and the Future of Lloyd's: The Impact on Health Care Liability

• For more than 40 years, health care institutions and individual physicians in the U.S. have depended upon Lloyd's of London insurance and reinsurance capacity. What will change under Brexit?
• There is some uncertainty about how the pending separation of Great Britain from the European Union may affect the international underwriting community and Lloyd's in particular. What are leaders at Lloyd's saying about the prognosis?
• Will the center of medical malpractice underwriting now shift more substantially to the U.S. or European marketplace as a result of Brexit?
• What do health care leaders in the U.S. think about the future of their existing Lloyd's relationships?

Moderator: Michael Maglaras - Michael Maglaras & Company
Hayley Spink - Lloyd's of London
David Lee - Chaucer
Daniel Lott - Integro Group
  
#302 - One Hospital's Journey from Breach to Settlement and Beyond

• Best practices in incident response in dealing with law enforcement, employees and other affiliated workforce members
• Lessons learned from regulatory investigations and settlement negotiations
• Managing short and long term risks associated with settlement and corrective action plan with regulators and plaintiffs' attorneys

Moderator: Kimarie R. Stratos - Memorial Healthcare System
Lynn Sessions - Baker & Hostetler LLP
  
#303 - Who is Behind the White Coat: Insuring and Defending Physician Extenders

• Expanded practice regulations for mid-level practitioners and the associated risks
• Potential liabilities that mid level practitioners can face
• Issues associated with defending mid level practitioners

Moderator: Kathleen Lyons - Swiss Re
Janice Fajardo, RN, Esq. - Montefiore Health System
Laura B. Jordan - Wilson Elser Moskowitz Edelman & Dicker LLP

1:00pm – 2:30pm
Networking Luncheon (RSVP Required)

2:30pm – 3:30pm | Concurrent Sessions
#401 - Healthcare Professional Liability Issues & Trends - A Recap of 2017 and Projections for 2018 & Beyond

• Where the industry has been, where it is now and where we think it may be going
• 2017 year-end review of the Medical Professional and Hospital Liability segments including an analysis of industry profitability, market rate levels and loss trends 
• State of the reinsurance market including an overview of year end 2017 renewals and a discussion on the outlook for 2018
• Emerging technologies and how they impact the MPL arena             

Moderator: David Sullivan - Aon Benfield
Robert B. Blasio - Western Litigation, Inc.
Megan Sullivan-McIntyre - TransRe
Jeffery A. Bingham, MBA, CPCU, CIC - ISMIE Mutual Insurance Company
 
#402 - Death by Charting: How EMRs, Sloppy Documentation and Staff with Strong Opinions Can Cause Problems in Defending Medical Malpractice Claims

• Recognize risks of electronic medical record systems
• Best practices for educating staff in documentation guidelines
• Implement policies and guidelines to minimize risk of charting-related issues

Moderator: Edward Carbone, Esq. - ROIG Lawyers
Jacqueline R.A. Root, Esq. - ROIG Lawyers
  
#403 - Meet us at the Intersection of Patient Safety and Cyber Risk

• The legal perspective: how cyber liability events have implications for medical liability
• The insurance and reinsurance perspectives: how losses are evolving and what that means for underwriting, coverage and rates. Are we at a new inflection point?
• The risk management perspective: preparing for, responding to and redressing cyber risk in healthcare: cutting through the hype

Moderator: William J. McDonough, MPAH, ARM, FASHRM - Integro
Chad Brouillard - Foster and Eldridge LLP
Libby Benet - Beazley Group
Susan Boisvert, BSN, MHSA, CPHRM, FASHRM - Coverys

3:45pm – 4:45pm | Concurrent Sessions
#501 - Nice Doctors Get Sued Less and What You Can Do About It

• What does the research show about nice doctors getting sued less?
• How can an insurance company know if a doctor is nice or rude? (examples)
• How is claims litigation affected by whether a doctor is nice or rude? (examples)
• Common myths about online physician ratings

Moderator: Brant Avondet - Searchlight Enterprises
Jeffrey Segal, MD, JD - Medical Justice/eMerit
Maury Magids - Capson
  
#502 - Opioid Professional Liability and Coverage

• Review of Opioid Crisis as defined by the Federal Government
• Review of the role of opioids in the US healthcare system
• Med mal coverage and policy review
• Risk mitigation guidance

Moderator: Alice Epstein, MSHHA, DFASHRM, FNAHQ - CNA Insurance
Victoria Vance - Tucker Ellis LLP
Eric J. Neiman - Lewis Brisbois Bisgaard & Smith LLP
Debra Goldberg, JD, MPH, RPLU - Sapphire Blue (RSG - Ryan Specialty Group)
Roneet Lev, MD, FACEP - Scripps Mercy Hospital, Independent Emergency Physicians Consortium and San Diego and Imperial County Prescription Drug Abuse Medical Task Force
  
#503 - A Looming Storm, or Much Ado about Nothing? Analyzing Recent Trends in Professional Liability Claims Greater than $5 Million

• Recent headlines suggest we are seeing an increase in the frequency of high severity claims, does the data bear this out? If so, what are the drivers?
• Are there differences in venue, physician specialty/hospital type, demographic variables to consider?
• What are the perspectives of various constituencies - i.e.: hospital risk managers, plaintiff/defense attorney, (re)insurance/excess underwriters, brokers, etc.?

Moderator: Chris Wojciechowski - Treaty Reinsurance - Aon Benfield
Richard Henderson - TransRe
Virginia Jones, FCAS, MAAA - Aon Risk Solutions
E. Dow Walker, Jr. - ProAssurance

4:45pm – 6:15pm
Networking Reception | Sponsored by: Castellan Capital

Tuesday, April 10, 2018 | Paradise Point Resort
9:00am –10:00am | Concurrent Sessions
#601 - Increased Utilizations of Healthcare Captives - How Insurers & Brokers Can Thrive in the New Era

• How healthcare entities are using their captives to reduce costs & increase revenues
• Considerations healthcare entities need to weigh when putting new risks in captives
• How brokers can remain relevant as their clients transition to captive structures
• Ways in which commercial carriers can generate revenue from captive opportunities

Moderator: Bruce C. Whitmore, ACI - Willis Towers Watson
Brian York, CPCU, ARe - Coverys
Richard Frese, FCAS, MAAA - Milliman
Steve Bogart - Hylant Group
  
#602 - Physician Claims and Liability Trends in 2018

• Current physician practice trends impacting claims: e.g.: shift to outpatient care, hospital employment, stress, burnout
• PIAA closed claim macro-trends: severity trends; trends by physician specialty
• CRICO/CRICO Strategies, Comparative Benchmarking database: physician claims experience: root causes and chief factors driving claims; surgical versus non-surgical claim trends
• The Doctor's Company claims experience: trends by specialty; root causes of physician claims

Moderator: Paul A. Greve, Jr., JD, RPLU - Greve Medical Risk Management
Darrell Ranum, JD, CPHRM - The Doctors Company
John Swift - CRICO Strategies
  
#603 - Best Practices and Strategies for Improving End-of-Life Care

• The current state of end-of-life care in America and key recommendations to ensure individual preferences for care are honored near the end of life
• Review lessons learned from New York's MOLST program, a founding member of National POLST Paradigm
• How eMOLST improves quality and patient safety, ensures accessibility and achieves the quadruple aim

Moderator: Patricia A. Bomba, MD, MACP - Excellus BlueCross BlueShield
Marianne J. Walker, RN, JD, CPHRM - Greater Hudson Valley Health System
Jonathan D. Rubin, Esq. - Kaufman Borgeest & Ryan LLP

10:15am –11:15am | Concurrent Sessions
#701 - CyberWorld: Data Breaches, Invasion of Privacy and Social Media in Healthcare - Are You Prepared?

• Data breaches - prevent those that you can, prepare for those that you can't
• Invasion of privacy - unauthorized access to records in healthcare / legal settings
• Social media - posting of PHI or other protected data
• When these issues arise - are you covered?

Moderator: Peter Cridland, Esq. - TransRe
Douglas R. Shaw, Esq. - HealtHQuest
Jodi Terranova, Esq. - Wilson Elser, LLP
Ian Duffy - Polito, Inc.
  
#702 - How to Decide When You Try or Settle Your Case: Anchoring Value and Defending Damage

• The paradigm shift: Defending damages
• Anchoring for the defense
• Strategies for resolution of complex cases
• Trying more cases: The 5 myths of trials

Moderator: John E. Hall, Jr., Esq. - Hall Booth Smith, PC
Richard A. Farlow - BerkleyMed
Valoree Celona - Ironshore Insurance Services LLC
Cory S. Meyers, RN, MN, CPHRM, CHPC - Baptist Health
  
#703 - Active Shooter/Workplace Violence Insurance Programs and Consumers Buyer's Guide

• A historical perspective and evolution of Active Shooter / Workplace Violence events; gain practical insight while analyzing most recent attacks and threat methodology
• Familiarization with Active Shooter Workplace Violence exposures, such as Liability, Business Interruption and associated Extra Expenses, along with the availability of risk transfer and evolution / comparison of current day insurance coverage offerings
• Introduction to risk avoidance, threat management, mitigation techniques, potential gaps in current operational risk management and post event recovery plans
• Working knowledge of risk management, risk transfer and insurance programs; evaluation of current organizational readiness

Moderator: Paul Marshall - Active Shooter/Workplace Violence Insurance - McGowan Program Administrators
Denise Balan - XL Insurance America, Inc.
Caroline J. Berdzik, Esq. - Goldberg Segalla
Richard J. Henry - Pendulum, LLC

11:30am –12:30pm | Concurrent Sessions
#801 - MPL Financial Update: Change is Coming: How Do We Prepare and Position

• What are the key financial and/or operation indicators we should be watching?
• What are strategies to best deploy capital in this market?
• How do reinsurers deliver meaningful products in this changing market?
• What does the MPL Insurance/Reinsurance market look like in five years?

Moderator: Dan Koshiol - JLT Re
John H. Mize, FCAS, MAAA - State Volunteer Mutual Insurance Company
Paul McKeon - TransRe
Brian Tucker - Aspen Insurance
  
#802 - The Growing Practice of Naturopathic Medicine - Underwriting and Risk Management Considerations

• Understanding the issues regarding ND licensing and telemedicine
• Understanding typical naturopathic therapies and implications from a regulatory and FDA standpoint
• Considerations from an underwriting perspective
• Unique risk management challenges for this specialty

Moderator: Amanda Budak, RN, CBN, PhD - OmniSure Consulting Group
Dr. Leslie Black - Livv Natural Health
Mandy Murphy - Admiral Insurance Goup

12:30pm | Conference Concludes

---

2018 Conference Sponsors

Platinum:
Ontellus

Silver:
Beazley
Hall Booth Smith, P.C

---

Bronze:
Brit Global Specialty
​Greenhill Insurance Services

---

Networking Reception Sponsor:
Admiral Insurance Group

Badge Sponsor:
​Michael Maglaras & Company