KW Economics prepares life care plan costing for medical malpractice cases venued in California: what the loss claim consists of, the records that drive it, and a present value built to California damages rules and venues. Plaintiff and defense.
In a medical malpractice matter the life care plan often distinguishes the incremental care the injury requires from the care the underlying condition would have required anyway, and the present value must respect that line. The economist values the incremental items only, applies category-specific medical cost growth, and discounts the stream over the life expectancy the medical evidence supports, which may already have been reduced by the condition being treated. Where the physicians disagree on life expectancy or on which items are incremental, the report presents the present value under each scenario so the fact finder can attach the number to its finding.
Reduction of a life care plan's line items to a single present value. The plan's items, frequencies, durations, and unit costs are carried forward with medical cost growth appropriate to each category, then discounted over the applicable life expectancy. Plan authorship stays with the life care planner; our role is the economic translation of the plan into a damages figure that reconciles with the plan and can be examined item by item.
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.
California courts ask whether the reasoning and data behind an expert opinion are sound and whether the opinion rests on matter of a type experts reasonably rely on, reserving a general-acceptance test for novel scientific techniques; the witness is qualified by training and experience. Economic damages testimony is therefore examined on its inputs and logic: whether the worklife, growth, and discount assumptions have a published basis and whether they fit the record.
Highest court: Supreme Court of California. Court system: courts.ca.gov.
Federal venues: Northern District of California, Eastern District of California, Central District of California, Southern District of California.
Outside the civil courts, wage-loss disputes in workers' compensation matters proceed before the California Division of Workers' Compensation.
California pairs a wrongful death action for the heirs' economic and companionship losses with a survival action for the estate's own claims, and past medical expenses are measured by the amounts actually paid or owed rather than by the amounts billed. Pure comparative fault reduces the award in proportion, the collateral source rule applies outside medical malpractice, and prejudgment interest in injury cases turns on the statutory offer-to-compromise procedure rather than accruing as of right.
We issue the final report and provide deposition and trial testimony, rebuttal of opposing present value opinions, and revaluation when the plan is updated.
The same four steps apply to a medical malpractice case venued in California; the damages framework above decides which components enter the total. State the but-for path the causation opinions support: what the patient would have earned, for how long, and what care the underlying condition would have required regardless. Build the injured path from actual post-injury earnings, the work-capacity opinions, and the incremental care plan. Measure each component as the difference between the two paths, projected over the applicable life or worklife expectancy with stated growth. Discount the streams to present value and present the loss under each apportionment or life expectancy scenario the physicians offer.
California courts ask whether the reasoning and data behind an expert opinion are sound and whether the opinion rests on matter of a type experts reasonably rely on, reserving a general-acceptance test for novel scientific techniques; the witness is qualified by training and experience. Economic damages testimony is therefore examined on its inputs and logic: whether the worklife, growth, and discount assumptions have a published basis and whether they fit the record. Medical Malpractice cases venued in California are heard in the Superior Court (Unified general jurisdiction trial court in each of 58 counties; handles all civil and criminal matters), with final appeals to the Supreme Court of California. Matters within federal jurisdiction proceed in the Northern District of California, Eastern District of California, Central District of California, and Southern District of California.
California pairs a wrongful death action for the heirs' economic and companionship losses with a survival action for the estate's own claims, and past medical expenses are measured by the amounts actually paid or owed rather than by the amounts billed. Pure comparative fault reduces the award in proportion, the collateral source rule applies outside medical malpractice, and prejudgment interest in injury cases turns on the statutory offer-to-compromise procedure rather than accruing as of right. 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 California rules to a documented figure.
Request a consultation on Life Care Plan Costing or call (201) 343-0700. Plaintiff and defense counsel.