KW Economics prepares household services analysis for medical malpractice cases venued in Missouri: what the loss claim consists of, the records that drive it, and a present value built to Missouri damages rules and venues. Plaintiff and defense.
In a medical malpractice claim the household services loss is measured against the outcome the patient would have had with proper care. The economist takes the causation and prognosis opinions as the baseline for what the patient could have done at home, measures the hours the injury removed by category from the household's account and time-use data, and values them at the local replacement wage over the period the medical evidence supports. Where the underlying condition would have limited household work on its own, only the incremental loss is valued, and the report shows the result under each apportionment opinion in the record.
Replacement-cost valuation of the household production an injured or deceased person can no longer provide: meal preparation, cleaning, home and vehicle maintenance, shopping, child care, and care of other household members. The hours are drawn from national time-use data adjusted to the person's household composition and pre-injury role, and each category is priced at the local wage for the occupation that would replace it, then projected and discounted over the period of loss.
Because the underlying condition often affected work capacity or life expectancy on its own, the apportionment between the injury and the pre-existing condition is usually the most contested assumption and the one that most changes the total. In cases of permanent disability the incremental care costs and the earnings loss are both large and run across a long horizon, and the life expectancy used for each stream is a second point of contention. In delayed-diagnosis cases the loss may be measured as the difference between two outcome paths, each with its own earnings and care profile.
Missouri courts screen expert testimony for reliability: the judge asks whether the economist is qualified, whether the opinion rests on sufficient facts and reliable principles and methods, and whether those methods were reliably applied to the case. A damages report meets that inquiry by stating its assumptions and naming the source of every rate and table.
Highest court: Missouri Supreme Court. Court system: courts.mo.gov.
Federal venues: Eastern District of Missouri, Western District of Missouri.
Outside the civil courts, wage-loss disputes in workers' compensation matters proceed before the Missouri Division of Workers' Compensation.
Missouri pairs a wrongful death action for the survivors' pecuniary losses, services, companionship, and the decedent's pre-death suffering with a survival action where death resulted from another cause, and the value of medical treatment is proved by the amounts actually paid or still owed rather than the amounts billed. Pure comparative fault reduces the award in proportion, the common-law collateral source rule otherwise applies, and prejudgment interest in tort turns on a written settlement offer that the judgment then exceeds.
We issue the final report and provide deposition and trial testimony and rebuttal of opposing household services opinions.
In a medical malpractice claim the household services loss is measured against the outcome the patient would have had with proper care. The economist takes the causation and prognosis opinions as the baseline for what the patient could have done at home, measures the hours the injury removed by category from the household's account and time-use data, and values them at the local replacement wage over the period the medical evidence supports. Where the underlying condition would have limited household work on its own, only the incremental loss is valued, and the report shows the result under each apportionment opinion in the record.
Missouri courts screen expert testimony for reliability: the judge asks whether the economist is qualified, whether the opinion rests on sufficient facts and reliable principles and methods, and whether those methods were reliably applied to the case. A damages report meets that inquiry by stating its assumptions and naming the source of every rate and table. Medical Malpractice cases venued in Missouri are heard in the Circuit Court (General jurisdiction; 46 judicial circuits; all civil, criminal, domestic, and probate matters), with final appeals to the Missouri Supreme Court. Matters within federal jurisdiction proceed in the Eastern District of Missouri and Western District of Missouri.
Missouri pairs a wrongful death action for the survivors' pecuniary losses, services, companionship, and the decedent's pre-death suffering with a survival action where death resulted from another cause, and the value of medical treatment is proved by the amounts actually paid or still owed rather than the amounts billed. Pure comparative fault reduces the award in proportion, the common-law collateral source rule otherwise applies, and prejudgment interest in tort turns on a written settlement offer that the judgment then exceeds. The report presents past and future amounts separately, states every rate and table with its source, and shows the result under the alternatives the other side is likely to argue, so counsel can apply the Missouri rules to a documented figure.
Request a consultation on Household Services or call (201) 343-0700. Plaintiff and defense counsel.