KW Economics prepares life care plan costing for medical malpractice cases venued in Massachusetts: what the loss claim consists of, the records that drive it, and a present value built to Massachusetts 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.
Massachusetts courts ask whether the reasoning and methodology behind an expert opinion are reliable, which can be shown either by general acceptance in the profession or by the reliability factors the federal courts use, and whether the witness is qualified by training and experience. Forensic economic methods satisfy that inquiry through their published literature, so the examination usually turns on the inputs and their support in the record.
Highest court: Supreme Judicial Court. Court system: mass.gov.
Federal venues: District of Massachusetts.
Outside the civil courts, wage-loss disputes in workers' compensation matters proceed before the Massachusetts Department of Industrial Accidents.
Massachusetts measures wrongful death by the fair monetary value of the decedent to the beneficiaries, including lost income, services, protection, care, assistance, society, and companionship, and permits punitive damages for gross negligence, with the decedent's own conscious suffering recovered by the estate. Recovery is barred once the plaintiff's fault exceeds the combined fault of the defendants, the common-law collateral source rule applies outside medical malpractice, and prejudgment interest on tort awards runs from the commencement of the action.
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.
Massachusetts courts ask whether the reasoning and methodology behind an expert opinion are reliable, which can be shown either by general acceptance in the profession or by the reliability factors the federal courts use, and whether the witness is qualified by training and experience. Forensic economic methods satisfy that inquiry through their published literature, so the examination usually turns on the inputs and their support in the record. Medical Malpractice cases venued in Massachusetts are heard in the Superior Court (General jurisdiction; larger civil cases, major criminal cases), with final appeals to the Supreme Judicial Court. Matters within federal jurisdiction proceed in the District of Massachusetts.
Massachusetts measures wrongful death by the fair monetary value of the decedent to the beneficiaries, including lost income, services, protection, care, assistance, society, and companionship, and permits punitive damages for gross negligence, with the decedent's own conscious suffering recovered by the estate. Recovery is barred once the plaintiff's fault exceeds the combined fault of the defendants, the common-law collateral source rule applies outside medical malpractice, and prejudgment interest on tort awards runs from the commencement of the action. 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 Massachusetts rules to a documented figure.
Request a consultation on Life Care Plan Costing or call (201) 343-0700. Plaintiff and defense counsel.