Specialty Specific Programs

Danna-Gracey has revolutionized the way medical practices purchases their professional liability insurance. We have assisted several medical societies in creating programs to collectively bargain for malpractice insurance as a unified group of specialty-specific doctors. But it is about much more than just good rates in the short term. These Professional Liability Purchasing Programs and Risk Purchasing Groups (RPGs) are about long-term control, and about getting through the next inevitable malpractice insurance crisis by unifying to gain power purchasing through a strength-in-numbers approach. So if you want to help yourself and stand shoulder to shoulder with hundreds of your peers, click the links below to learn more about these great programs.

Why is a Community Wide Unified Defense so Powerful?

Our Risk Purchasing Groups

Thfulle Florida Orthopaedic Risk Purchasing Group (FORPG) is a fully endorsed program founded by the Florida Orthopaedic Society in 2008. By harnessing the power of the orthopaedic community through collective bargaining, the FORPG has changed the way Florida orthopaedic surgeons purchase their malpractice insurance.

fgrpgCreated and endorsed by the Florida Gastroenterologic Society, the Florida Gastroenterologic Society Risk Purchasing Group (FGRPG) has allowed its members to take control of their malpractice insurance and have secured the benefits of buying power now, and for the inevitable next crisis.

As the largest Risk Purchasing Group in the nation for otolaryngologists, over the course of the last 16 years the Network of Florida Otolaryngologists (NFO) Malpractice Insurance Program has helped hundreds of otolaryngologists with their insurance.

Our Malpractice Insurance Purchasing Programs

OB/GYN Premier OB/GYN Premier is a professional liability insurance program created by the Florida Obstetric & Gynecologic Society (FOGS) exclusively for FOGS members and designed to greatly reduce the cost of malpractice insurance through collective bargaining. Qualifying FOGS/ACOD District XII members may be eligible for discounts of up to 50%. This program is endorsed by FOGS and ACOG District XII.

Florida Society of NephrologyThe Florida Society of Nephrology Board of Directors is extremely pleased to announce the formation of The FSN Medical Liability Insurance Program, designed to greatly reduce the cost of malpractice insurance for our members. Through the power of strength in numbers, this program will allow the purchase of medical malpractice insurance as a unified group of Nephrologists through collective bargaining.

Emerald Coast medical SocietyCreated and Endorsed by the Emerald Coast Medical Association (formerly The Bays Medical Society), The Emerald Coast Liability Insurance Program (ECBLIP).

Risk Purchasing Group Q&A

What is a Risk Purchasing Group (RPG)?

A Risk Purchasing Group is an insurance purchasing entity formed with the purpose of unifying like risks to collectively bargain for insurance coverage, and to reduce the group participants’ risk profiles. The RPG can also create a significant source of revenue for the organizing society or Accountable Care Organization (ACO).

Is it legal?

Yes, the formation of Risk Purchasing Groups is a legal right given by the federal government and widely used in many industries, including in the medical community.

Why haven’t we done this before?

In general, doctors have a hard time unifying and doctors and their leaders have not been fully informed about the existence of and benefits of RPGs.

Why should I purchase my malpractice insurance through an RPG instead of buying as I always have in the past?

Until you unify you will have little, if any, control over your malpractice insurance rates. The insurers count on you to not unify, just as managed-care companies do. There is “strength in numbers” for both the physicians and their chosen insurance carrier vs.going it alone.   You can maintain your individual coverage options and even your ability to negotiate for your group, but you will do so with added strength. There are no added restrictions to purchase with the group or restrictions about leaving the program, so there is no real risk, just great upside potential. There are more risks associated with “going it alone” than if you purchase as a group. If your practice suffers a paid loss then not only will your malpractice costs likely increase, but you will also have fewer options to negotiate for better coverage and rates long into the future. Some practices become stuck paying these higher costs for many years, or they will sometimes choose lesser coverage with a non-standard carrier. No additional liability is assumed because you are insured through the RPG. You have the same liability as you would if you insured directly with the insurer.

Is there any barrier to entry or exit of an RPG?

You can get into an RPG generally with little or no entry fees or investments and you can leave the RPG once you join and are there no charges or penalties to do so.

What is the difference between an RPG and other society-endorsed-type programs?

The RPG model is much more powerful than traditional society endorsed insurance programs since an RPG will be controlled by the RPG’s board, not by insurance companies as in the society endorsed programs. With many physicians purchasing together the RPG will be able to control your insurance destiny much more than society programs in which there is no organized doctor leadership for the insurance program, or transparency even in who is insured in the program.

When insurance rates begin to rise again and the market “hardens” with stricter underwriting guidelines, will the RPG become unstable or collapse altogether?

No. One of the organizing principles of an RPG is to gain much more control over physicians’ malpractice insurance instead of giving control to the insurance companies like doctors have traditionally done in Florida.  When the med mal market heads towards troubled times for doctors the insurers can easily cancel or greatly reduce the discounts for society programs, whereas the RPG will be able to weather the next crisis because of the strength of hundreds purchasing together, as well as having a less-risky pool of doctors because of the risk management focus and leadership.

Is the sole purpose of the RPG simply to get lower malpractice insurance rates?

The long-term goal is to greatly reduce the risk profiles of the RPG’s members by focusing on cutting-edge risk management techniques. As members’ risk gets better and better theywill be more and more attractive to the insurance companies, which means lower rates.

Must I have the same coverage as all of the other doctors insured through the program?

No, you can keep exactly the same limits, deductibles, and any other specific options you have chosen with your current insurer in almost all cases. There will be no requirement that all of the RPG insureds have the same options.

If one of my group’s other doctors or I have had serious claims paid in the past can I still qualify for the program?

All applicants will go through an underwriting process before being approved for participation in the program. Both the RPG and the insurer will have an underwriting process for program participants. However, we have taken measures to ensure that any physicians falling outside of the underwriting guidelines for participation will have the ability to obtain coverage either through the RPG insurer or other non-standard carriers with whom we have established relationships. Those discussions will occur on a case-by-case basis depending on the claims history of the individual doctor.

Advantages of Being Part of a Purchasing Group for Insurance Coverage

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