Page 24 - 2016 State of the Market from AmWINS
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24 | Am2W2 IN| SASmtaWteINoSf SthteatMe oafrktehte Market

         INDUSTRIES

HEALTHCARE

Strong capacity, below-cost pricing, and coverage expansion
all favor healthcare professional buyers

The entrance of new capacity into the                      Although the larger price reductions            carriers to maintain premium levels
healthcare professional liability market                   achieved on renewals last year are less         sufficient enough to keep writing the line.
appears to show no signs of slowing                        prevalent, most accounts can achieve            Additionally, although medical malpractice
down. The historic profitability for this line             at least 5 percent decreases, with those        has been profitable for several years, the
of business is attracting an increasing                    experiencing loss problems seeing flat          coverage has experienced an uptick in
number of new markets in the space, and                    renewals. The one exception to the trend        claim severity.
with large physician medical malpractice                   is long-term care facilities, where an uptick
carriers such as Medpro, TDC, Coverys                      in claim severity is leading markets to try to  Claims concerns also arise as providers
and Proassurance entering the E&S                          obtain premium increases on their book.         look for additional or more lucrative
healthcare space over the last few years,                                                                  revenue opportunities in a post-Affordable
business has been moved from the                           Carriers are competing on coverage              Care Act world. “We see physicians
traditional E&S healthcare carriers.                       as well. “Companies are offering                expanding into areas they may not be
                                                           enhancements such as expanded medical           familiar with – bariatric surgery, med-spas,
“There have been several new entrants                      directors’ liability that covers not just       laser treatments. As a result, some of the
adding capacity, which has driven                          E&O, but also direct patient care. We’ve        growth of claim frequency in those areas
pricing further downward. We’ve seen                       seen carriers offer higher sub-limits           may be attributed to lack of provider
some underwriters writing business at                      for regulatory fines and penalties and          experience,” says Chester.
rates below the loss costs. If anything,                   include some level of cyber coverage
the market is even more competitive in                     automatically,” Chester reports.                Retail agents and brokers benefit from
2016 than last year, making things more                                                                    partnering with a wholesale broker with
challenging, especially for markets that                   Cyber liability also remains a key concern,     experience and expertise in the healthcare
have been around for a while,” says                        with healthcare accounting for the largest      sector. “We are specialists whose goal
Philip Chester, senior vice president and                  percentage of data breaches across all          is to align with insurance carriers that
professional lines broker at AmWINS                        industries. Nearly 90 percent of healthcare     provide the right resources,” says Chester.
Brokerage in Farmington, Connecticut.                      organizations have experienced breaches         “Our healthcare practice is committed
                                                           in the past two years, as reported in a         to solving problems and connecting
New entrants in the healthcare E&S                         recent Ponemon Institute study.                 agents and brokers with markets that
marketplace include Vela, Crum & Foster,                                                                   have the infrastructure and expertise to
and Hallmark. Traditional P&C carriers                     At the same time competition for accounts       provide viable solutions in a cost effective
that have historically shied away from                     is increasing, the buyer pool is shrinking      program.”
healthcare professional liability have                     due to the ongoing trend of mergers and
entered the sector as well, including                      acquisitions among healthcare providers.
Liberty Mutual, and even specialized P&C                   This combination raises concerns about
carriers such as AmTrust have begun                        the long-term profitability of the healthcare
writing healthcare professional liability.                 liability sector as well as the ability of
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