KW Economics prepares life care plan costing for medical malpractice cases venued in Hawaii: what the loss claim consists of, the records that drive it, and a present value built to Hawaii 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.
Hawaii courts ask whether an expert opinion is relevant and reliable and whether it will help the jury, treating the reliability factors the federal courts use as helpful rather than required and not insisting on general acceptance; the witness is qualified by training and experience. An economic damages report is examined on whether its assumptions have a published basis and fit the record.
Highest court: Hawaii Supreme Court. Court system: courts.state.hi.us.
Federal venues: District of Hawaii.
Outside the civil courts, wage-loss disputes in workers' compensation matters proceed before the Hawaii Disability Compensation Division.
Hawaii's wrongful death statute lets the surviving spouse, children, parents, and dependents recover their own losses of support, services, and companionship and lets the estate recover the decedent's lost future earnings net of personal consumption, so the economist prepares both a survivor-support projection and a net-earnings projection. Recovery is barred once the plaintiff's fault exceeds the combined fault of the defendants, the courts apply the collateral source rule with limited statutory exceptions, and prejudgment interest is discretionary.
We issue the final report and provide deposition and trial testimony, rebuttal of opposing present value opinions, and revaluation when the plan is updated.
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.
Hawaii courts ask whether an expert opinion is relevant and reliable and whether it will help the jury, treating the reliability factors the federal courts use as helpful rather than required and not insisting on general acceptance; the witness is qualified by training and experience. An economic damages report is examined on whether its assumptions have a published basis and fit the record. Medical Malpractice cases venued in Hawaii are heard in the Circuit Court (General jurisdiction; larger civil cases, felonies, family court division), with final appeals to the Hawaii Supreme Court. Matters within federal jurisdiction proceed in the District of Hawaii.
Hawaii's wrongful death statute lets the surviving spouse, children, parents, and dependents recover their own losses of support, services, and companionship and lets the estate recover the decedent's lost future earnings net of personal consumption, so the economist prepares both a survivor-support projection and a net-earnings projection. Recovery is barred once the plaintiff's fault exceeds the combined fault of the defendants, the courts apply the collateral source rule with limited statutory exceptions, and prejudgment interest is discretionary. 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 Hawaii rules to a documented figure.
Request a consultation on Life Care Plan Costing or call (201) 343-0700. Plaintiff and defense counsel.