Cited by 498Medical Malpractice and Liability IssuesHealthcare Policy and ManagementLaw, Economics, and Judicial Systems

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National Costs Of The Medical Liability System

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Mello, Michelle M., Chandra, Amitabh, Gawande, Atul A., Studdert, David M.·2010·Health Affairs

DOI 10.1377/hlthaff.2009.0807PMC PMC3048809

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Abstract

Concerns about reducing the rate of growth of health expenditures have reignited interest in medical liability reforms and their potential to save money by reducing the practice of defensive medicine. It is not easy to estimate the costs of the medical liability system, however. This article identifies the various components of liability system costs, generates national estimates for each component, and discusses the level of evidence available to support the estimates. Overall annual medical liability system costs, including defensive medicine, are estimated to be $55.6 billion in 2008 dollars, or 2.4 percent of total health care spending.

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Mello MM, 2002, Tex Law Rev, 80, 1595
2009, Best’s aggregates and averages: property/casualty
Danzon PM, 1990, Am Econ Rev, 80, 122

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Self-citation

Authors: Mello, M. M., Chandra, A., Gawande, A. A., & Studdert, D. M.
Affiliations: Brigham and Women's Hospital (US)
Harvard University (US)
The University of Melbourne (AU)
ORCID: Mello, Michelle M.
Gawande, Atul A.
Studdert, David M.
Venue: Health Affairs
Publisher: Health Affairs Publishing, LLC
Published: 2010-09
Volume: 29
Issue: 9
Pages: 1569-1577
ISSN: 0278-2715 (ISSN-L)
1544-5208
DOI: 10.1377/hlthaff.2009.0807
PMC: PMC3048809
OpenAlex: W2145204630
Cited by: 498
References: 22
Citations by year: 2026: 16 · 2025: 23 · 2024: 25 · 2023: 30 · 2022: 29 · 2021: 41 · 2020: 41 · 2019: 49 · 2018: 29 · 2017: 40 · 2016: 33 · 2015: 33 · 2014: 28 · 2013: 19 · 2012: 27
FWCI: 57.43
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Health Affairs (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Aging (P01AG19783, P01AG019783)
Topics: Social Sciences › Law › Medical Malpractice and Liability Issues
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Law, Economics, and Judicial Systems
Keywords: defensive medicine, health care costs, professional liability insurance, health care expenditure, health care spending growth
MeSH terms: Defensive Medicine, Health Expenditures, Humans, United States, Liability, Legal, Health Care Reform

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National Costs Of The Medical Liability System

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