title: Impact of the National Practitioner Data Bank on resolution of malpractice claims.
abstract: Policymakers and commentators are concerned that the National Practitioner Data Bank (NPDB) has influenced malpractice litigation dynamics. This study examines whether the introduction of the NPDB changed the outcomes, process, and equity of malpractice litigation. Using pre- and post-NPDB analyses, we examine rates of unpaid claims, trials, resolution time, physician defense costs, and payments on claims with a low/high probability of negligence. We find that physicians and their insurers have been less likely to settle claims since introduction of the NPDB, especially for payments less than dollars 50,000. Because this disruption appears to have decreased the proportion of questionable claims receiving compensation, the NPDB actually may have increased overall tort system specificity.
authors.affiliation: Center for Health Services Research, Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA. twaters@utmem.edu
authors.forename: Teresa M
authors.initials: TM
authors.lastname: Waters
authors.forename: David M
authors.initials: DM
authors.lastname: Studdert
authors.forename: Troyen A
authors.initials: TA
authors.lastname: Brennan
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Thomas
authors.forename: Orit
authors.initials: O
authors.lastname: Almagor
authors.forename: Martha
authors.initials: M
authors.lastname: Mancewicz
authors.forename: Peter P
authors.initials: PP
authors.lastname: Budetti
mesh_terms: D001291:Attitude of Health Personnel; D003120:Colorado; D035881:Compensation and Redress / Q000331:legislation & jurisprudence*; D003365:Costs and Cost Analysis / Q000706:statistics & numerical data; D006302:Health Services Research; D006801:Humans; D007343:Insurance Carriers; D007351:Insurance, Liability; D016365:Liability, Legal / Q000191:economics; D008318:Malpractice / Q000191:economics / Q000331:legislation & jurisprudence*; D008404:Massachusetts; D017059:Models, Econometric; D016749:National Practitioner Data Bank; D017008:Negotiating; D011336:Probability; D014481:United States; D014589:Utah