Financial reporting of medical malpractice self-insurance is evolving. The accounting and financial reporting guidelines for medical malpractice, which are governed by the Financial Accounting Standards Board, are changing to uphold some historical practices and adjust others. This evolving landscape includes a review of the practice of discounting medical malpractice liabilities, medical malpractice litigation reform efforts in several states, and the potential impact of accountable care organizations (ACOs) on medical malpractice insurance.

This article describes the history of medical malpractice self-insurance, the current medical malpractice insurance environment, and future trends affecting medical malpractice insurance.

This article was first published on hfma.org.