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Tort Reform - Bond for Future Medicals
Posted on 3/16/20 at 4:45 pm
Posted on 3/16/20 at 4:45 pm
Thoughts on reforming personal injury lawsuits so that any award of future medical treatment is placed in a trust or met with the purchase of a bond? That way, when the future medical treatment is needed, an application can be submitted and payment made directly to the provider/facility. Similar to future medicals in medical malpractice actions being paid by the PCF as incurred.
I know Plaintiffs' counsel would prefer that the future medical needs of their clients, as detailed in the life care plan, are met as all those future RFAs and spinal column stimulator replacements are needed. If they receive a cash award now for future treatment, plaintiffs "may" spend it, and then they will not have it as needed in the future. The burden then falls on insurance or Medicare/Medicaid.
I cannot find any real downside, though I suppose Plaintiffs' counsel's contingency fee payment would be lower. I am sure counsel are willing to take that hit though if in the best interest of their client.
I know Plaintiffs' counsel would prefer that the future medical needs of their clients, as detailed in the life care plan, are met as all those future RFAs and spinal column stimulator replacements are needed. If they receive a cash award now for future treatment, plaintiffs "may" spend it, and then they will not have it as needed in the future. The burden then falls on insurance or Medicare/Medicaid.
I cannot find any real downside, though I suppose Plaintiffs' counsel's contingency fee payment would be lower. I am sure counsel are willing to take that hit though if in the best interest of their client.
Posted on 3/16/20 at 4:53 pm to BabyCakes
quote:
I cannot find any real downside, though I suppose Plaintiffs' counsel's contingency fee payment would be lower. I am sure counsel are willing to take that hit though if in the best interest of their client.
Well, of course. Plaintiff attorneys always have the well being of their clients at the forefront. That is why they send them to incompetent doctors who will botch unnecessary surgeries requiring additional surgeries. Then addiction to pain medicine addiction and pain management. Yes sir, they put the Womac on them , one call gets it done.
Posted on 3/16/20 at 4:58 pm to BabyCakes
Medicare already requires this under certain circumstances if the injured person is on Medicare or if he/she will be on Medicare within a certain period of time after a settlement.
It's called a Medicare set-aside account.
It's called a Medicare set-aside account.
This post was edited on 3/16/20 at 4:59 pm
Posted on 3/16/20 at 5:07 pm to BabyCakes
Well, I mean, all those “future medicals” aren’t actually going to be performed. Have you run into any 78 year olds that have had RFAs for life? I bet those plaintiffs want the cash for procedures that won’t ever be performed, not a fund that requires they actually get cut on to get money.
Edit: spelling
Edit: spelling
This post was edited on 3/16/20 at 5:08 pm
Posted on 3/16/20 at 5:07 pm to DownSouthJukin
True, but this would be across the board. Often, Plaintiffs with health insurance, Medicaid or Medicare avoid using it for their treatment, or for their life care plans. If I were a cynical person, I would say it was to inflate the medical specials, but I am sure that is not the case.
Posted on 3/16/20 at 5:11 pm to Jack Bauers HnK
quote:
Well, I mean, all those “future medicals” aren’t actually going to be performed. Have you run into any 78 year olds that have had RFAs for life? I bet those plaintiffs want the cash for procedures that won’t ever be performed, not a fund that requires they actually get cut on to get money.
I cannot imagine a Plaintiff would attempt to collect medicals for surgeries he or she never intends to undergo. Even if that was the case, Plaintiff's counsel, as an officer of the court, would not submit a claim for damages based on surgeries an individual never intends to have, right?
The bond or fund would help make sure funds are available in case they are needed. If we are truly awarding damages for future surgeries, treatment or procedures, shouldn't we tie the payment to actually having the treatment?
Posted on 3/16/20 at 5:13 pm to BabyCakes
How would this lower auto rates? The insurance company would still have to pay the seed money, right?
Posted on 3/16/20 at 5:19 pm to boosiebadazz
It does not necessarily need to be tied to lowering insurance rates. It is a measure to reform special damage awards and to protect plaintiffs. It would also prevent a plaintiff from spending money intended for procedures, and then using health insurance, Medicare of Medicaid at a later time when the settlement funds have been spent.
Posted on 3/16/20 at 5:28 pm to BabyCakes
quote:
True, but this would be across the board. Often, Plaintiffs with health insurance, Medicaid or Medicare avoid using it for their treatment, or for their life care plans. If I were a cynical person, I would say it was to inflate the medical specials, but I am sure that is not the case.
We already have the ACA. Do you want the government more involved in collecting money for insurance companies, or would you rather leave that as something to be handled in a contractual manner between the insurer and the insured?
I'd rather keep the government out of the insurance company collections business.
Posted on 3/16/20 at 5:37 pm to DownSouthJukin
quote:
We already have the ACA. Do you want the government more involved in collecting money for insurance companies, or would you rather leave that as something to be handled in a contractual manner between the insurer and the insured?
I'd rather keep the government out of the insurance company collections business.
My real concern is paying a Plaintiff for a surgery/procedure they never have any intention of receiving.
If you do not work in this field, you may not realize that a Plaintiff is directed to certain providers. They continue to treat the Plaintiff based on the Plaintiff's subjective pain complaints. That's right, the person who stands to profit from the lawsuit drives the medical treatment as long as still "in pain." The Plaintiff's word that he was not hurt before, and is hurt after, the accident are also accepted by the providers, unless they happen to have prior treatment in the same area.
Eventually, a doctor, life care planner and accountant get together and estimate the future medical needs. This becomes "evidence" in front of a jury, or for use at a settlement conference. Often, the future medicals total in the millions of dollars. Once paid, all treatment stops. Plaintiff's counsel gets 40% of the future medical treatment, and Plaintiff pockets the rest. It is amazing how often a settlement or verdict results in a miraculous cure.
A system that only doles out payment as procedures are performed would disincentivize this behavior, and remove Plaintiff's counsel's cut. It would also have a benefit by making sure money is there if future procedures are actually needed.
You may not realize it, but this process already occurs with the PCF. I am curious to hear why it would not be better then the current system.
Posted on 3/16/20 at 5:43 pm to BabyCakes
Does the defendant get to hire a doctor, life care planner, and economist to give their version of what the number should be?
And then a jury makes a decision on who they believe?
I’m for less bureaucracy and red tape. What you’re proposing puts a Plaintiff in the position of begging for money a jury has awarded to them after hearing competing evidence. What if I get a health condition and I’m no longer a surgical candidate? What if I decide I don’t want to risk the surgery? Why should I have to beg for money a jury has already awarded?
And if juries are such wild cards that this is happening so much as to be a problem, why on earth do you want more cases going to a jury?
And then a jury makes a decision on who they believe?
I’m for less bureaucracy and red tape. What you’re proposing puts a Plaintiff in the position of begging for money a jury has awarded to them after hearing competing evidence. What if I get a health condition and I’m no longer a surgical candidate? What if I decide I don’t want to risk the surgery? Why should I have to beg for money a jury has already awarded?
And if juries are such wild cards that this is happening so much as to be a problem, why on earth do you want more cases going to a jury?
Posted on 3/16/20 at 5:44 pm to BabyCakes
Again-why isn't this something that can't be worked-out between an insurance company and its insured? Why do we need another law?
It always irks me when people claim to hate the government getting involved in every facet of their every day life, then ask the government to get involved in a contract between two consenting parties-and on the side of the party with the least amount of bargaining power-in this case an insured.
It always irks me when people claim to hate the government getting involved in every facet of their every day life, then ask the government to get involved in a contract between two consenting parties-and on the side of the party with the least amount of bargaining power-in this case an insured.
This post was edited on 3/16/20 at 5:46 pm
Posted on 3/16/20 at 5:44 pm to DownSouthJukin
quote:
Medicare already requires this under certain circumstances if the injured person is on Medicare or if he/she will be on Medicare within a certain period of time after a settlement.
It's called a Medicare set-aside account.
This does not actually have to be paid at the time of settlement. The only requirement is the tort feasor or their attorney would have to be responsible for the required amount if the injured party actually seeks further treatment after the settlement. The plaintiff attorneys are reluctant to agree to this. In larger settlement an annuity can be purchased to facilitate the resolution.
Posted on 3/16/20 at 5:46 pm to BabyCakes
(no message)
This post was edited on 2/5/21 at 5:12 am
Posted on 3/16/20 at 5:47 pm to Lakeboy7
JBE has turned the virus loose on oil companies! He personally is going to run off our biggest job creator
Posted on 3/16/20 at 5:51 pm to boosiebadazz
quote:
Does the defendant get to hire a doctor, life care planner, and economist to give their version of what the number should be?
Yes, and beliieve it or not, the subjective statements of someone who stands to profit from the lawsuit (the Plaintiff) are also given credit by IME providers. Heaven forbid you try and bring in a biomechanics expert, Plaintiff's counsel does not like objective evidence.
Posted on 3/16/20 at 5:54 pm to BabyCakes
quote:
Heaven forbid you try and bring in a biomechanics expert, Plaintiff's counsel does not like objective evidence.
Does the Plaintiff not get to hire a biomechanics expert, too? And presumably the jury would get to hear from both, no?
Is your problem really just that juries are not siding with insurance companies enough?
Posted on 3/16/20 at 5:55 pm to boosiebadazz
quote:
And then a jury makes a decision on who they believe?
Often, they will split between a reasonable number and the inflated number, still resulting in far too high og an award.
quote:
What you’re proposing puts a Plaintiff in the position of begging for money a jury has awarded to them after hearing competing evidence. What if I get a health condition and I’m no longer a surgical candidate? What if I decide I don’t want to risk the surgery? Why should I have to beg for money a jury has already awarded?
No, it simply requires a Plaintiff to have a surgery to be awarded future medicals. Future medicals is a special damage award. If a Plaintiff dies during a lawsuit, we do not award future medicals for surgeries he was unable to have.
General damages compensate for pain and suffering, etc. Future medicals are supposed to be for procedures the plaintiff will have. If the plaintiff does not have them, he should not receive them. Otherwise, it is just another general damage award.
quote:
And if juries are such wild cards that this is happening so much as to be a problem, why on earth do you want more cases going to a jury?
I have not asked for this in my post. I suppose those that want more juries are trying to decide between the lesser of two evils.
Posted on 3/16/20 at 5:55 pm to boosiebadazz
(no message)
This post was edited on 2/5/21 at 5:11 am
Posted on 3/16/20 at 5:57 pm to tigersbb
quote:
tigersbb
Meh I’ll play nice
This post was edited on 3/16/20 at 6:02 pm
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