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Captive-Trends 2018

Captive Insurance Issues and Trends 2018

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Medical Professional Liability in Captives in 2 Parts

Michael Maglaras-SF
March 23, 2018

Two new Captive Thought Leader Videos featuring Michael Maglaras, principal, Michael Maglaras & Company, titled "Part I: Medical Professional Liability in Captives and Physician Migration" and "Part II: Medical Professional Liability in Captives and Population Management" have recently been added  to the Captive.com video library.  

In Part I, Mr. Maglaras advises that, at the end of 2016, the captive movement in medical professional liability passed a threshold. The threshold is that there are now more US physicians in hospital employment than there are in private employment. Prior to becoming employed by large hospital systems, physicians in private practice bought medical professional liability from the commercial market. As employees in the acute care setting, given the strength of the US captive business as it relates to hospital professional liability, these physicians have ended up with stronger and more succinctly managed insurance programs through captives than they had when they were commercially insured. In particular, this is the case with respect to the management of risk in the practice setting. With the captive insurance model, physicians are more embedded in the risk management process of acute care facilities.

In Part II, he explains that health care is moving toward population management of the kind we have never before contemplated. Populations cannot be managed for Medicare or commercial payor purposes unless physicians are employed by healthcare organizations or otherwise strongly aligned with them. As health care moves from individual encounter to population management, it is clear that captives have grown and evolved to accept the challenge. The cause of loss information for physician and hospital medical professional liability claims that is buried inside of captive insurance company data will be used to improve health care in a way that changes medical care and lowers cost. These data will make all the difference in successful population health management.

This section of the site currently features 76 short educational videos by 14 captive insurance experts. Among the topics covered in the 1–3-minute videos are captives claims handling, Brexit, runoff transactions, micro-captives, tax issues, captive feasibility, captive domicile selection, choosing an auditor, captive management, group captives, healthcare captives, risk pooling, common myths about captives, how to manage a captive efficiently, what makes a captive successful, workers compensation in captives, and benefits in captives.

Along with Mr. Maglaras, the captive insurance experts featured in the videos include the following.

  • John Alberici, chairman, Alberici Corporation

  • Gary Bowers, tax partner, Johnson Lambert

  • Jeremy Colombik, president, Management Services International

  • Martin Ellis, manager of Comerica Bank's global and captive insurance group

  • Martin Eveleigh, chairman, Atlas Insurance Management

  • Alan Fleming, chairman, Airmic

  • Debbie Liebeskind, actuary, Human Resources, Towers Watson

  • Steven McElhiney, president and CEO, EWI Re, Inc.

  • Michael O'Neill, president and CEO, American Contractors Insurance Group

  • Hugh Rosenbaum, retired principal, Towers Watson

  • Lynn Sheils, general counsel, EWI Re, Inc.

  • Bruce Wright, partner, Eversheds Sutherland (US)

  • Brady Young, president and CEO, Strategic Risk Solutions

Each of these captive insurance thought leaders has decades of broad experience with captive insurance companies, and they freely share their expertise in the videos. This constitutes a wealth of information on captive insurance fundamentals that will be especially valuable to newcomers to captive insurance. By watching one or two of these informative videos each day for a month, you will hone your knowledge of captive insurance fundamentals and trends.

There is no cost to view the videos, and you will find them in the Captive Thought Leader Videos section of Captive.com. More videos will be added in the future.

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