Germs from disease and viruses

The end of the pandemic may be in sight, but in its wake will be some daunting challenges for healthcare providers. Explore more to examine the four risks:

1. Clinician burnout

Even before the pandemic, up to one-half of clinicians were found to experience burnout.¹ What’s the impact on providers?

  • Turnover and lost hours total $4.6 billion per year.²
  • Professional liability risks and costs rise when workers aren’t at their best.
  • Patient satisfaction suffers.

What’s our response?

Emphasize work/life balance and strengthen mental and emotional well-being programs.

2. Talent gap

As the need for care grows larger, the medical workforce grows older. What are the dangers over the next decade?

  • One-third of clinicians are 55 or older.4
  • Six of today’s 10 fastest-growing occupations are related to healthcare.5
  • The talent pipeline is limited as a result of strained work conditions.
  • Lower-skilled workers may need to fill the talent gap.
employee engagement

What’s our response?

Focus on employee engagement and long-term recruitment.

Telemedicine on desktop computer

3. Telehealth fever

With the number of virtual visits up to 175 times higher now than before the pandemic6, online care has revolutionized the industry. If this shift is permanent, what are the drawbacks?

  • Data breaches were approximately three times higher in 2020 than in 2019.7
  • A reliance on imperfect remote technology can cause misdiagnoses.
  • Revenue decreased more than $20 billion in the pandemic’s first three months.8
  • A permanent shift to virtual care could threaten long-term financial viability.
Telemedicine icon

What’s our response?

Consider the added risks of sustained online and remote medical care and how they vary by jurisdiction.

hospital

4. Financial instability

America’s hospitals and health systems lost at least $323 billion in 2020.9 How will today’s financial outlook reshape the industry?

  • Smaller providers may cut back unprofitable services, slash expenses, limit investments, or close altogether.10
  • Larger healthcare systems will likely focus on innovation, diversification, and collaboration.11
  • Health systems may strengthen infrastructure through new alliances.12
  • Industry analysts expect a dramatic rise in M&A activity in 2021.10
checklist clipboard

Key considerations:

Assess program structures to ensure they meet financial needs.

As healthcare providers adapt to a changing world, our expertise and integrated solutions can help you prepare for the risks and challenges that lie ahead.

Contact your Liberty Mutual representative to learn how we can help.

  1. https://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=
    25521&_ga=2.158196538.1042620189.1571854216-1009726916.1571854216
  2. https://www.acpjournals.org/doi/10.7326/M18-1422
  3. https://journals.lww.com/hcmrjournal/Abstract/
    2008/01000/Linking_physician_burnout_and_patient_outcomes_.5.aspx
  4. https://www.peoplescout.com/insights/healthcare-talent-generational-divide/
  5. https://www.bls.gov/news.release/ecopro.nr0.htm
  6. https://www.mckinsey.com/industries/healthcare-systems-
    and-services/our-insights/telehealth-a-quarter-trillion-dollar-post-covid-19-reality#
  7. https://www.healthcaredive.com/news/3-big-predictions-for-digital-health-in-2021/593691/
  8. https://journals.lww.com/annalsofsurgery/Abstract/
    9000/The_Cost_of_Quarantine__Projecting_the_Financial.93739.aspx
  9. https://www.aha.org/issue-brief/2020-06-30-new-aha-report-
    finds-losses-deepen-hospitals-and-health-systems-due-covid-19
  10. https://www.healthcarefinancenews.com/news/ma-activity-expected-
    surge-independent-health-systems-look-partners
  11. https://www.bdo.com/BDO/media/CFO-Outlook-Survey/IND_2021_HC_CFO-Survey_WEB.pdf
  12. https://www.healthcaredive.com/news/healthcare-cfos-see-fresh-wave-of-ma-in-2021-bdo-survey-shows/593219/

Related insights

This website is general in nature, and is provided as a courtesy to you. Information is accurate to the best of Liberty Mutual’s knowledge, but companies and individuals should not rely on it to prevent and mitigate all risks as an explanation of coverage or benefits under an insurance policy. Consult your professional advisor regarding your particular facts and circumstance. By citing external authorities or linking to other websites, Liberty Mutual is not endorsing them.

Related insights

This website is general in nature, and is provided as a courtesy to you. Information is accurate to the best of Liberty Mutual’s knowledge, but companies and individuals should not rely on it to prevent and mitigate all risks as an explanation of coverage or benefits under an insurance policy. Consult your professional advisor regarding your particular facts and circumstance. By citing external authorities or linking to other websites, Liberty Mutual is not endorsing them.

An estimated 41 percent of U.S. adults have avoided medical care during the pandemic because of concerns about COVID-19, including 12 percent who avoided urgent or emergency care and 32 percent who avoided routine care, according to findings of a recent survey of almost 10,000 adults published in the Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report (MMWR).

However, now that large vaccine rollouts are underway, the healthcare sector anticipates a surge in demand for medical services as more people resume their prepandemic medical care routines. For employers who choose to self-fund their health insurance programs, one outcome of this “ramp-up effect” could be more catastrophic claims and higher costs.

The risks of delayed care

In the MMWR survey’s findings, researchers noted that “if routine care avoidance were to be sustained, adults could miss opportunities for management of chronic conditions, receipt of routine vaccinations, or early detection of new conditions, which might worsen outcomes.”

“if routine care avoidance were to be sustained, adults could miss opportunities for management of chronic conditions, receipt of routine vaccinations, or early detection of new conditions, which might worsen outcomes.”

What this could mean is that individuals who were forced to delay elective surgeries or did not consistently receive ongoing treatment for high-risk medical conditions and are now seeking care may find that it takes longer or is more extensive.

Many medical facilities also endured historic revenue shortfalls during the pandemic as elective surgeries and other routine treatments that normally generated much-needed income were postponed. And while providers may welcome this influx of activity as patients become more comfortable with going to required or regular appointments, some important questions remain:

  • As a result of postponed treatment of high-risk medical conditions, such as chemotherapy and dialysis, will late-stage catastrophic medical diagnoses emerge? 
  • Will the cost of elective surgeries increase due to delayed procedures over an extended period?
  • Will there be an influx of new specialty drugs and gene therapies in the pipeline approved by the FDA post-COVID-19?

For employers, affirmative answers to any of or all these questions could translate to higher frequency and severity of healthcare claims.  

Managing catastrophic healthcare claim costs

The implications of delayed care may remain unclear, but what remains true is that healthcare expenses continue to rise as treatment and care options have become more sophisticated and advanced. Given more than 60 percent of U.S. employers self-fund their health insurance programs, these organizations should have plans to manage related costs.

One solution an organization should consider is medical stop loss insurance, which transfers the financial risk arising from large, unexpected claims to an insurance carrier.  For a self-funded employer, medical stop loss insurance can help safeguard against catastrophic medical claims costs that could materially impact their operation and bottom line.

Making the most of your medical stop loss protection

While the medical claims experience during the past year likely represents an anomaly within the healthcare sector, the current “ramp-up effect,” along with other factors, could affect the cost of new and renewal medical stop loss insurance policies over the next year.

To make the most of their medical stop loss programs, employers should understand what factors could affect pricing, such as:

  • An employer’s claims experience. While insurance carriers will review recent COVID-19 data, it will be considered along with historical data.
  • Healthcare plan enrollment. Many plans saw decreases in enrollment as a result of COVID-19-related employee terminations or furloughs. Carriers will want to understand what percentage of those individuals will be rehired with preCOVID health benefits.
  • The organization’s experience with self-funding.  Carriers review an employer’s track record with self-funding and willingness to proactively contain costs.

In response to COVID-19, many businesses were forced to take cost-cutting measures that affected workforces and benefits.  And as operations normalize, companies will begin to re-evaluate these decisions. Given the importance of healthcare benefits to attract quality talent and maintain a productive workforce, companies should consider medical stop loss insurance as part of risk-management planning. 

Protection for the long term

Medical stop loss insurance carriers can help employers offer health benefit programs that best fit their current employee needs and manage post-pandemic risks.

As an example, Liberty Mutual offers several stop loss coverage options as well as its voluntary ProAct® risk-management program to help manage catastrophic medical claims. With our ProAct program, customers can benefit from our in-house clinical team of nurses and can access vendor resources, such as specialty networks that manage transplants, oncology care, traumatic injuries, and other high-exposure cases, to help improve care and outcomes.

Managing the financial impact of large medical claims isn’t easy at any time and takes on even greater importance during this unprecedented time. With Liberty Mutual’s medical stop loss coverage, companies can plan confidently for the future. Learn more  about how we can help employers with self-funded health insurance plans.

Related insights

This website is general in nature, and is provided as a courtesy to you. Information is accurate to the best of Liberty Mutual’s knowledge, but companies and individuals should not rely on it to prevent and mitigate all risks as an explanation of coverage or benefits under an insurance policy. Consult your professional advisor regarding your particular facts and circumstance. By citing external authorities or linking to other websites, Liberty Mutual is not endorsing them.

Hospital administrator and doctors talking

Regulatory liability errors and omissions

Protection for regulatory actions

Healthcare organizations, from non-profit hospitals and private physician groups to long-term care facilities, face more risk than ever before as their billing practices come under increased scrutiny.

Federal and state governments are dedicating significant resources to recover monies paid under Medicare and Medicaid reimbursement programs while commercial payors are also auditing healthcare providers for improper billing practices. Even if claims are unfounded, responding to and resolving regulatory actions can be costly and time consuming.

Having the right insurance coverage can help manage these exposures and associated costs. Our regulatory liability errors and omissions (E&O) solutions from IronHealth®, a division of Ironshore, can help protect your organization’s finances and reputation in the event of lawsuits, penalties, and fines associated with regulatory actions, investigations, and audits.

 

A protective partnership

Our regulatory liability E&O solutions can help protect healthcare organizations and their leaders against costly lawsuits, penalties, and fines related to issues such as:

  • False Claims Act allegations (including qui tam suits)
  • Anti-Kickback Statute and Stark Law allegations
  • Voluntary disclosure of billing errors to the government or commercial payors

Key coverage highlights:

  • Primary and excess coverage available
  • $10M capacity
  • Optional retroactive coverage for up to three years
  • Coverage for defense and investigative costs, civil fines, and penalties including multiplied damages component
  • Regulatory risk mitigation consultation services

Expertise that delivers

It takes more than teamwork to provide top-tier coverage and services; it takes specialized expertise – something we’re proud to bring to every customer relationship.

Our knowledgeable underwriters have deep expertise in the healthcare sector and bring strong problem-solving capabilities and creative solutions to address the regulatory risks facing our insureds. We can design programs for a variety of healthcare organizations, including:

  • Non-profit hospitals
  • Physician groups (greater than 25 physicians)

From program design to claims response, count on us for proactive service that keeps your risk-management goals at the forefront.


Get in touch

Our commercial and specialty insurance products and services are distributed through brokers and agents. If you are interested in our solutions for your business, please contact your agent or broker. If you are an agent or broker, please reach out to our team for more information.

Aaron Donovan

AVP, IronHealth UW Officer, Ironshore

Related insights

This website is intended to be informational. Descriptions are provided only as a summary outline of the products and services available and are not intended to be comprehensive and do not constitute an offer to sell or a solicitation. The products and services described may not be available in all states or jurisdictions. See your policy, service contract, or program documentation for actual terms, conditions, and exclusions. Any inquiries regarding the subject matter set forth herein should be directed through licensed insurance professionals.

Coverage and insurance are provided and underwritten by Liberty Mutual Insurance Company or its affiliates or subsidiaries. When we offer insurance products, we will state clearly which insurer will underwrite the policy. Some policies may be placed with a surplus lines insurer. Surplus lines insurers generally do not participate in state guaranty funds and coverage may only be obtained through duly licensed surplus lines brokers.

Doctor at a computer

Physician group practice liability

Protection for alleged medical errors and omissions

For physicians, providing high-quality care is paramount. Unfortunately, there are times when care does not go as planned — or is alleged to have not gone as planned. Without the right insurance solution, a single lawsuit can have devastating results for the individual provider and the practice.

Given the potential impact, physician practices need tailored protection. Our physician group practice liability solutions from IronHealth®, a division of Ironshore, help protect physicians and their practices against legal, financial, and reputational risk arising from treatment decisions and actions.

A protective partnership

Solutions for complex risks

The business of healthcare delivery is evolving, creating significant exposures for physician group practices that are no longer adequately covered by traditional physician professional liability (PPL) products.

Our offering combines PPL and enterprise risk-management coverage in a single package to help protect the assets of the group.

Key coverage highlights:

  • Primary policy limits of $1M/$3M ($2M/$6M available upon request)
  • Excess limits available up to $10M
  • Claims-made coverage for groups of 10 or more physicians
  • Stand-alone “tail” coverage for physician groups
  • Alternative risk options, such as reinsurance and fronting for captives and loss portfolio transfers, are also available

Our coverage provides tailored protection that allows physicians to focus on the most important aspect of their work: providing quality care to patients.

Expertise that delivers

With one of the most experienced teams in the industry, we’ve built a finely tuned response to manage physician group liability risk.

You’ll benefit from knowledgeable underwriters with a robust understanding of loss trends and claim scenarios across different practice types. And we leverage the skills of dedicated healthcare liability claims specialists to help minimize litigation, control costs, and achieve better outcomes.

We combine this expertise with a customer-centric service approach that keeps your risk-management goals top of mind. When you work with us, you’ll benefit from teams who understand your industry and can tailor support to address your practice’s most complex exposures.

Better claims outcomes

Our healthcare liability claims management approach focuses on close partnership with customers, brokers, and defense counsel to deliver the best possible outcomes.

Through our investment in hiring and developing experienced claims staff, and a culture that promotes accountability, we are equipped to resolve claims efficiently and with each insured’s best interests in mind.

Our physician group liability customers also benefit from the following support and value-added services:

  • Consultation on post-incident remediation efforts to help minimize litigation
  • Recommendations on experts to provide testimony
  • Attendance at mediations, arbitrations, and trials to provide insight on litigation strategy and appropriate case settlement values
  • Active monitoring of national healthcare publications to track liability trends, judgments, and case settlements in all 50 states

Even with the most complex losses, we know how to streamline the claims process and minimize potential liability, helping to protect your practice’s reputation and bottom line.

 


Get in touch

Our commercial and specialty insurance products and services are distributed through brokers and agents. If you are interested in our solutions for your business, please contact your agent or broker. If you are an agent or broker, please reach out to our team for more information.

Jonathan Starr

Vice President, IronHealth Group Practice, Ironshore

Related insights

This website is intended to be informational. Descriptions are provided only as a summary outline of the products and services available and are not intended to be comprehensive and do not constitute an offer to sell or a solicitation. The products and services described may not be available in all states or jurisdictions. See your policy, service contract, or program documentation for actual terms, conditions, and exclusions. Any inquiries regarding the subject matter set forth herein should be directed through licensed insurance professionals.

Coverage and insurance are provided and underwritten by Liberty Mutual Insurance Company or its affiliates or subsidiaries. When we offer insurance products, we will state clearly which insurer will underwrite the policy. Some policies may be placed with a surplus lines insurer. Surplus lines insurers generally do not participate in state guaranty funds and coverage may only be obtained through duly licensed surplus lines brokers.

Two healthcare professionals talking

Miscellaneous medical facilities professional liability

Protection for outpatient medical facilities

The healthcare sector is experiencing drastic change, with a shift away from inpatient care to help control related treatment costs. As a result, the number of outpatient facilities providing medical services, from adult care, home health, and imaging to pharmacy, laboratory, and rehabilitation, is growing rapidly. However, this growth also comes with increased risk.

As facilities and their employees provide services, there are times when delivery may not go as planned — or is alleged to have not gone as planned. A single lawsuit could be financially devastating for the facility and affect its ability to operate.

Our miscellaneous medical facilities professional liability solutions from IronHealth®, a division of Ironshore, help protect facilities against legal, financial, and reputational risk arising from the services they provide.

A protective partnership

Solutions for complex risks

We offer miscellaneous medical facilities professional liability insurance solutions for a broad range of facilities, from adult care centers, ambulances, and cardiac catheterization labs to home health centers, organ banks, and pharmacies.

Coverage highlights include:

  • Coverage is available on both an occurrence and a claims-made basis.
  • Primary policy limits of $1M/$3M or $2M/$4M, with separate limits for:
    • Professional liability
    • General liability
    • Employee benefits liability
    • Hired/Non-owned auto
  • Excess limits available up to $10M
  • Coverage available for:
    • HIPAA violations
    • Evacuation expense reimbursement
    • Public relations event reimbursement
    • Patient loss of property
    • Defense outside limit

And every policy is backed by the financial strength and stability of a Fortune 100 company.

Expertise that delivers

With one of the most experienced teams in the industry, we’ve built a finely tuned response to address outpatient medical facilities’ top liability exposures.

You’ll benefit from knowledgeable underwriters with a robust understanding of loss trends and claim scenarios across different facility types who can develop creative solutions to meet your needs. And we leverage the skills of dedicated healthcare liability claims specialists to help minimize litigation and control costs.

We pair this expertise with a customer-centric service approach that keeps your risk-management goals top of mind.

Better claims outcomes

Our healthcare liability claims management approach focuses on close partnership with customers, brokers, and defense counsel to deliver the best possible outcomes.

Through our investment in hiring and developing experienced claims staff, and a culture that promotes accountability, we are equipped to resolve claims efficiently and with each insured’s best interests in mind.

Our miscellaneous medical facility liability customers also benefit from the following support and value-added services:

  • Consultation on post-incident remediation efforts to help minimize litigation
  • Recommendations on experts to provide testimony
  • Attendance at mediations, arbitrations, and trials to provide insight on litigation strategy and appropriate case settlement values
  • Active monitoring of national healthcare publications to track liability trends, judgments, and case settlements in all 50 states

Even with the most complex losses, we know how to streamline the claims process and minimize potential liability, helping to protect your facility’s reputation and bottom line.

 


Get in touch

Our commercial and specialty insurance products and services are distributed through brokers and agents. If you are interested in our solutions for your business, please contact your agent or broker. If you are an agent or broker, please reach out to our team for more information.

Nadeene Wood-Clater

VP & Miscellaneous Medical Facilities Product Manager

Atlanta, GA


Related solutions

  • Federally qualified health center liability “gap” coverage

    Federally qualified health centers (FQHCs) receive grants under the Health Center Program (Section 330 of the Public Health Service Act) and are afforded protection under the Federal Tort Claims Act (FTCA) for liability arising out of their alleged acts or omissions related to medical malpractice.

    Because FQHCs typically engage in activities and provide services outside the Federal Section 330 scope, they often need “gap” or “wrap-around” coverage for those exposures, as well as for medical providers who do not qualify for protection under the FTCA. Our professional liability/general liability “wrap-around” solution for FQHCs helps address the potential gaps in coverage.

     

Related insights

This website is intended to be informational. Descriptions are provided only as a summary outline of the products and services available and are not intended to be comprehensive and do not constitute an offer to sell or a solicitation. The products and services described may not be available in all states or jurisdictions. See your policy, service contract, or program documentation for actual terms, conditions, and exclusions. Any inquiries regarding the subject matter set forth herein should be directed through licensed insurance professionals.

Coverage and insurance are provided and underwritten by Liberty Mutual Insurance Company or its affiliates or subsidiaries. When we offer insurance products, we will state clearly which insurer will underwrite the policy. Some policies may be placed with a surplus lines insurer. Surplus lines insurers generally do not participate in state guaranty funds and coverage may only be obtained through duly licensed surplus lines brokers.

Managed care E&O and D&O liability

Comprehensive protection for managed care

Businesses in the managed care space, from HMOs and PPOs to disease management companies, are facing higher scrutiny than ever before. The business landscape is shifting, with treatment models, new regulations, economic volatility, and mergers and acquisitions all creating new exposures.

With so much at stake, having the right insurance coverage is critical to help protect your organization’s finances and reputation in the event of lawsuits, whether they’re alleging errors in care or oversights by directors, officers, or other leaders.

Our managed care liability solutions from IronHealth®, a division of Ironshore, can offer errors and omissions (E&O) and directors and officers (D&O) liability protection to help safeguard managed care organizations against legal, financial, and reputational risk arising from the services that they provide.

 

A protective partnership

E&O solutions

Our managed care E&O liability solutions can help protect organizations against a variety of allegations related to the quality of care they provide, from negligent provider selection to wrongful denial of treatment.

Key coverage highlights:

  • Primary and excess coverage
  • $10M capacity
  • Coverage available on a duty to defend or reimbursement basis
  • Offered stand-alone or with D&O coverage
  • Minimal exclusionary language
  • Privacy, security, media, and crisis management coverage included
  • Worldwide coverage

 Additional coverage highlights:

  • Coverage for fines and penalties imposed under HIPAA and any other similar federal, state, or local privacy law or regulation
  • Vicarious liability for medical services as well as all managed care services and private information protection
  • Definition of insured includes spousal coverage
  • Punitive damages with most favorable venue wording

D&O solutions

Our D&O liability solutions can help protect managed care organizations and their leaders against costly lawsuits related to issues such as:

  • Breach of fiduciary duty
  • Libel, slander, or defamation
  • Noncompliance with regulation or laws
  • Reporting errors or misrepresentation

Key coverage highlights:

  • Primary and excess coverage
  • $10M capacity
  • Offered with managed care E&O coverage
  • Coverage for regulatory claims including Medicare and Medicaid fraud and abuse claims
  • Broad definition of insured person includes leased and contracted employees, volunteers, and spousal/domestic partners
  • Broad definition of claim, including civil, criminal, governmental, regulatory, administrative, and arbitration proceedings

Expertise that delivers

It takes more than teamwork to provide top-tier coverage and services; it takes specialized expertise – something we’re proud to bring to every customer relationship.

Our knowledgeable underwriters have deep expertise in the healthcare sector and bring strong problem-solving capabilities and creative solutions to address the unique risks and conditions of each insured.  We can design programs for an array of managed care organizations, including:

  • Health maintenance organizations (HMOs)
  • Preferred provider organizations (PPOs)
  • Independent physician associations (IPAs)
  • Physician-hospital organizations (PHOs)
  • Accountable care organizations (ACOs)
  • Utilization review organizations (UROs)
  • Management services organizations (MSOs)
  • Third-party administrators (TPAs)
  • Peer review organizations (PROs)
  • Quality improvement organizations (QIOs)
  • Credentials verification organizations (CVOs)
  • Care management and disease management companies

And we leverage the skills of dedicated healthcare liability claims specialists to help minimize litigation and control costs. From program design to claims response, count on us for proactive service that keeps your risk-management goals at the forefront.

 

Better control over claims

Our healthcare liability claims management approach focuses on close partnership with customers, brokers, and defense counsel to deliver the best possible outcomes.

Through our investment in hiring and developing experienced claims staff, and a culture that promotes accountability, we are equipped to resolve claims efficiently and with each insured’s best interests in mind.

Our managed care customers also benefit from the following support and value-added services:

  • Consultation on post-incident remediation efforts to help minimize litigation
  • Recommendations on experts to provide testimony
  • Attendance at mediations, arbitrations, and trials to provide insight on litigation strategy and appropriate case settlement values
  • Active monitoring of national healthcare publications to track liability trends, judgments, and case settlements in all 50 states

Even with the most complex losses, we know how to streamline the claims process and minimize potential liability, helping to protect your organization’s reputation and bottom line.


Get in touch

Our commercial and specialty insurance products and services are distributed through brokers and agents. If you are interested in our solutions for your business, please contact your agent or broker. If you are an agent or broker, please reach out to our team for more information.

Jennifer Bray

VP & Managed Care Liability Product Manager, Ironshore

  • Benefit plan sponsor liability

    Our solution can help cover health care, dental, vision, disability, workers compensation, employee assistance, prescription benefit management, health care reimbursement, flexible spending account (including dependent care spending account) plans.

Related insights

This website is intended to be informational. Descriptions are provided only as a summary outline of the products and services available and are not intended to be comprehensive and do not constitute an offer to sell or a solicitation. The products and services described may not be available in all states or jurisdictions. See your policy, service contract, or program documentation for actual terms, conditions, and exclusions. Any inquiries regarding the subject matter set forth herein should be directed through licensed insurance professionals.

Coverage and insurance are provided and underwritten by Liberty Mutual Insurance Company or its affiliates or subsidiaries. When we offer insurance products, we will state clearly which insurer will underwrite the policy. Some policies may be placed with a surplus lines insurer. Surplus lines insurers generally do not participate in state guaranty funds and coverage may only be obtained through duly licensed surplus lines brokers.

Nurse with a elderly resident

Long-term care professional and general liability

Liability protection for long-term care organizations

Long-term care facilities face a variety of challenges: care models are evolving, the population continues to age, resources are tight, and regulations continue to increase. In this uncertain environment, having the right insurance solution is critical to help protect providers’ bottom line and reputation.

We are ready to help, bringing an expansive perspective, strong problem-solving skills, and unique coverage enhancements to address the evolving and complex exposures of the long-term care sector.

Our long-term care professional and general liability solutions from IronHealth®, a division of Ironshore, help protect long-term care facilities against legal, financial, and reputational risk arising from the services they provide.

 

*Solutions are for businesses, not individuals.

A protective partnership

Solutions for complex risks

Our solutions are designed for not-for-profit and for-profit long-term care facilities, including independent, assisted, dementia/Alzheimer’s and skilled nursing facilities, and continuing care retirement communities.

Key coverage highlights:

  • Claims made and occurrence coverage available
  • Primary policy limits $1M/$3M, with separate limits for:
    • Professional liability
    • General liability
    • Employee benefits liability
  • Excess limits available up to $10M
  • Coverage available for:
    • Public relations
    • Evacuation
    • Resident loss of property
    • Disinfection event expense
    • Regulatory proceeding defense coverage
  • Policies include a complimentary hour of legal review of admission agreements and/or contracts with telemedicine monitoring providers by Ironshore panel counsel.
  • Flexibility with respect to coverage for sexual misconduct
  • Express coverage for employed or contracted medical director
  • Separate or shared limits available for scheduled physicians by endorsement

Value-added risk-management services:

We provide preferred risk-management services for long-term care clients. Accounts may be allocated a budget for risk-management services from an extensive menu provided by preferred vendors.

Our unique approach offers insureds and their brokers involvement in the selection of risk-management services, which range from access to highly skilled consultants who can help with policies and procedures or survey responses to software tools that can track incidents or risk indicators. We want to provide our policyholders with risk-management services that they know they need, not ones that the insurer thinks they need.

Expertise that delivers

It takes more than teamwork to provide top-tier coverage and services; it takes specialized expertise – something we’re proud to bring to every customer relationship.

Our knowledgeable underwriters understand the unique liability exposures that long-term care facilities face and have the expertise to develop creative solutions to meet your needs. And we leverage the skills of dedicated healthcare liability claims specialists to help minimize litigation and control costs.

From program design to claims response, count on us for proactive service that keeps your risk-management goals top of mind.

Better control of claims

Our healthcare liability claims management approach focuses on close partnership with customers, brokers, and defense counsel to deliver the best possible outcomes.

Through our investment in hiring and developing experienced claims staff, and a culture that promotes accountability, we are equipped to resolve claims efficiently and with each insured’s best interests in mind.

Our long-term care professional liability customers also benefit from the following support and value-added services:

  • Consultation on post-incident remediation efforts to help minimize litigation
  • Recommendations on experts to provide testimony
  • Attendance at mediations, arbitrations, and trials to provide insight on litigation strategy and appropriate case settlement values
  • Active monitoring of national healthcare publications to track liability trends, judgments, and case settlements in all 50 states

Even with the most complex losses, we know how to streamline the claims process and minimize potential liability, helping to protect your facility’s reputation and bottom line.


Get in touch

Our commercial and specialty insurance products and services are distributed through brokers and agents. If you are interested in our solutions for your business, please contact your agent or broker. If you are an agent or broker, please reach out to our team for more information.

Katie Wagner

VP, Long-term Care Product Manager, Ironshore

Related insights

This website is intended to be informational. Descriptions are provided only as a summary outline of the products and services available and are not intended to be comprehensive and do not constitute an offer to sell or a solicitation. The products and services described may not be available in all states or jurisdictions. See your policy, service contract, or program documentation for actual terms, conditions, and exclusions. Any inquiries regarding the subject matter set forth herein should be directed through licensed insurance professionals.

Coverage and insurance are provided and underwritten by Liberty Mutual Insurance Company or its affiliates or subsidiaries. When we offer insurance products, we will state clearly which insurer will underwrite the policy. Some policies may be placed with a surplus lines insurer. Surplus lines insurers generally do not participate in state guaranty funds and coverage may only be obtained through duly licensed surplus lines brokers.

Life sciences liability

Protection for the life sciences sector

For companies that research and deliver new drugs, medical devices, and other life sciences products to treat and cure disease, the pressure to perform has never been greater. Technological advances, global health emergencies, and more have elevated public need and present new opportunities for companies in this sector. And as new opportunities arise so do new risks – including the potential for large financial losses and lawsuits that can affect a company’s reputation and bottom line.

Businesses that operate in this fast-paced, complex, and highly regulated world need customized insurance coverage. Our life sciences liability solutions from IronHealth®, a division of Ironshore, help protect life sciences organizations against legal, financial, and reputational risk arising from their product or their work.

A protective partnership

Solutions for complex risks

Our life sciences liability solutions can include general and product liability, professional liability, and human clinical trial insurance coverage.

Key coverage highlights:

  • $15M capacity
  • Products-completed operations coverage with option to add professional liability coverage under one policy aggregate
  • Separate policy aggregate available for general liability
  • Claims made and defense within limits for product and professional liability
  • Occurrence made available for premises operations
  • Products-completed operations coverage enhancements available
  • Follow form excess with duty to defend when required by underlying policies
  • Includes punitive damages, where allowable by law
  • Worldwide coverage

 

Expertise that delivers

With one of the most experienced teams in the industry, we’ve built a finely tuned response to address the life sciences sector’s top liability exposures.

Our underwriters understand the nuances of the life sciences industry, have a firm grasp of the science associated with different product classes, and keep pace with the rapidly changing legal and regulatory environment. They apply this knowledge and experience to develop creative solutions to meet the needs of an array of companies in the life sciences sector, including biotechnology companies, specialty and generic pharmaceutical companies, medical products and medical device manufacturers, and industry distributors. We also leverage the skills of dedicated healthcare liability claims specialists to help minimize litigation and control costs.

From program design to claims response, count on us for proactive service that keeps your risk-management goals top of mind.

Better control over claims

Our healthcare liability claims management approach focuses on close partnership with customers, brokers, and defense counsel to deliver the best possible outcomes.

Through our investment in hiring and developing experienced claims staff, and a culture that promotes accountability, we are equipped to resolve claims efficiently and with each insured’s best interests in mind.

Our life sciences customers also benefit from the following support and value-added services:

  • Dedicated claims professionals with in-depth experience managing life sciences liability claims
  • Panel attorneys who specialize in defending life sciences liability claims
  • Attendance at mediations, arbitrations, and trials to provide insight on litigation strategy and appropriate case settlement values

Even with the most complex losses, we know how to streamline the claims process and minimize potential liability, helping to protect your company’s reputation and bottom line.


Get in touch

Our commercial and specialty insurance products and services are distributed through brokers and agents. If you are interested in our solutions for your business, please contact your agent or broker. If you are an agent or broker, please reach out to our team for more information.

Christina Harris

VP and Life Sciences Product Manager, Ironshore

Related insights

This website is intended to be informational. Descriptions are provided only as a summary outline of the products and services available and are not intended to be comprehensive and do not constitute an offer to sell or a solicitation. The products and services described may not be available in all states or jurisdictions. See your policy, service contract, or program documentation for actual terms, conditions, and exclusions. Any inquiries regarding the subject matter set forth herein should be directed through licensed insurance professionals.

Coverage and insurance are provided and underwritten by Liberty Mutual Insurance Company or its affiliates or subsidiaries. When we offer insurance products, we will state clearly which insurer will underwrite the policy. Some policies may be placed with a surplus lines insurer. Surplus lines insurers generally do not participate in state guaranty funds and coverage may only be obtained through duly licensed surplus lines brokers.

Doctor talking to a patient

Hospital professional liability

Protection for alleged treatment errors

The combination of financial pressure and healthcare reform has spurred tremendous change in the way healthcare providers and payors are organizing themselves to deliver and finance care effectively.

Hospitals and physician practices are joining forces, independent community hospitals are forming alliances with like entities, and larger providers are making acquisitions to expand their reach. Organizations of all types are also taking on more financial risk as they move from “fee-for-service” to “fee-for performance” reimbursement methodologies.

With so much at stake, having the right insurance coverage is critical to help protect your organization’s finances and reputation in the event of lawsuits alleging errors or mistakes in care.

Our hospital professional liability solutions from IronHealth®, a division of Ironshore, help protect healthcare organizations against legal, financial, and reputational risk arising from treatment decisions and actions.

 

A protective partnership

Solutions for complex risks

Our healthcare liability solutions are suited to acute care hospitals, long-term acute care and rehabilitation facilities, critical access hospitals, and integrated delivery systems.

Key coverage highlights:

  • $1M/$3M or $2M/$4M in primary capacity
  • Stand-alone tail policies
  • $15M in Excess Capacity
  • Reinsurance for captives

Coverage differentiators include:

  • Child abduction expense reimbursement
  • Disinfection event expense reimbursement
  • Evacuation expense reimbursement
  • Government billing legal expense reimbursement
  • Legal defense expense reimbursement
  • Medical waste civil fines reimbursement
  • Personal information protection expense reimbursement
  • Public relations expense reimbursement
  • Professional liability for insured individuals who provide Charitable Medical Services anywhere in the world, up to $1M/$1M

Value-added risk-management services:

Our customers can also allocate “risk-management dollars” toward risk-management products and services, such as education and event reporting software solutions, from leading healthcare providers. We don’t require the use of specific services or select vendors, as we understand that our insureds know their needs best and may have existing vendor relationships. To assist our insureds, we have proactively established relationships with some of the industry’s leading healthcare risk-management providers.

Expertise that delivers

It takes more than teamwork to provide top-tier coverage and services; it takes specialized expertise – something we’re proud to bring to every customer relationship.

Our knowledgeable underwriters understand that integrated delivery means integrated risk and they have the expertise to develop creative solutions to meet your organization’s needs. And we leverage the skills of dedicated healthcare liability claims specialists to help minimize litigation and control costs.

From program design to claims response, count on us for proactive service that keeps your risk-management goals at the forefront.

Better control over claims

Our healthcare liability claims management approach focuses on close partnership with customers, brokers, and defense counsel to deliver the best possible outcomes.

Through our investment in hiring and developing experienced claims staff, and a culture that promotes accountability, we are equipped to resolve claims efficiently and with each insured’s best interests in mind.

Our physician group liability customers also benefit from the following support and value-added services:

  • Consultation on post-incident remediation efforts to help minimize litigation
  • Recommendations on experts to provide testimony
  • Attendance at mediations, arbitrations, and trials to provide insight on litigation strategy and appropriate case settlement values
  • Active monitoring of national healthcare publications to track liability trends, judgments, and case settlements in all 50 states

Even with the most complex losses, we know how to streamline the claims process and minimize potential liability, helping to protect your healthcare organization’s reputation and bottom line.


Get in touch

Our commercial and specialty insurance products and services are distributed through brokers and agents. If you are interested in our solutions for your business, please contact your agent or broker. If you are an agent or broker, please reach out to our team for more information.

Nicole Hayes

VP & Healthcare Professional Liability Product Manager, Ironshore

Related insights

This website is intended to be informational. Descriptions are provided only as a summary outline of the products and services available and are not intended to be comprehensive and do not constitute an offer to sell or a solicitation. The products and services described may not be available in all states or jurisdictions. See your policy, service contract, or program documentation for actual terms, conditions, and exclusions. Any inquiries regarding the subject matter set forth herein should be directed through licensed insurance professionals.

Coverage and insurance are provided and underwritten by Liberty Mutual Insurance Company or its affiliates or subsidiaries. When we offer insurance products, we will state clearly which insurer will underwrite the policy. Some policies may be placed with a surplus lines insurer. Surplus lines insurers generally do not participate in state guaranty funds and coverage may only be obtained through duly licensed surplus lines brokers.