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Survey Report

Insurance Marketplace Realities 2024 Spring Update – Healthcare professional liability

May 8, 2024

Underwriters remain concerned about aberrational/nuclear verdicts.
Rate predictions: Healthcare professional liability
  Trend Range
Overall healthcare professional liability Flat, (Neutral decrease) +5% to +15%
Allied health Flat, (Neutral decrease) +5% to +15%
Hospital professional liability Flat, (Neutral decrease) +5% to +15%
Managed care E&O Flat, (Neutral decrease) +5% to +10%
Physicians professional liability Flat, (Neutral decrease) +5% to +15%
Senior living Flat, (Neutral decrease) +5% to +15%

Key takeaways

  • Underwriters remain concerned about aberrational/nuclear verdicts.
  • In response, even well-established insurers are reducing their deployed limits to as low as $5 million, and they are pushing for increased attachment points for underlying coverages, especially professional liability and auto.
  • Concerns remain about staffing, practitioner burnout, aging workforce.
  • Hospitals particularly Non-profit systems are facing significant financial challenges — according to Fitch Ratings; non-profit hospitals will continue to operate under a cloud of labor shortages and pressured margins in 2024.
  • Related Acts coverage is now employed, particularly with respect to sexual abuse.
  • Emerging issues include biometric data, privacy and artificial intelligence for diagnostics and treatment protocols.


Willis Towers Watson hopes you found the general information provided in this publication informative and helpful. The information contained herein is not intended to constitute legal or other professional advice and should not be relied upon in lieu of consultation with your own legal advisors. In the event you would like more information regarding your insurance coverage, please do not hesitate to reach out to us. In North America, Willis Towers Watson offers insurance products through licensed entities, including Willis Towers Watson Northeast, Inc. (in the United States) and Willis Canada Inc. (in Canada).


Healthcare Broking Leader, North America

Joanne Kowalczyk
Senior Placement Specialist Healthcare Broking, North America

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