KW Economics prepares life care plan costing for medical malpractice cases venued in Washington: what the loss claim consists of, the records that drive it, and a present value built to Washington 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.
Washington courts ask whether the methodology behind an expert opinion is generally accepted in the relevant professional community and whether the economist is qualified by training and experience to apply it, leaving disputes over the inputs to cross-examination. The methods of forensic economics are published and long used, so the examination of a damages report usually turns on its assumptions and their support in the record.
Highest court: Washington Supreme Court. Court system: courts.wa.gov.
Federal venues: Western District of Washington, Eastern District of Washington.
Outside the civil courts, wage-loss disputes in workers' compensation matters proceed before the Washington Department of Labor and Industries.
Washington pairs a wrongful death action for the beneficiaries' pecuniary loss, which was broadened in recent years to reach more family members, with a general survival action in which the estate recovers the decedent's economic losses, including net future earnings, and a limited survival claim for the decedent's own pre-death suffering. Pure comparative fault reduces the award in proportion, the collateral source rule applies outside medical malpractice where evidence of collateral payments is admissible, statutory limits on noneconomic damages have been held unconstitutional, and prejudgment interest is generally limited to liquidated sums.
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 Washington; 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.
Washington courts ask whether the methodology behind an expert opinion is generally accepted in the relevant professional community and whether the economist is qualified by training and experience to apply it, leaving disputes over the inputs to cross-examination. The methods of forensic economics are published and long used, so the examination of a damages report usually turns on its assumptions and their support in the record. Medical Malpractice cases venued in Washington are heard in the Superior Court (General jurisdiction; one in each of 39 counties; all civil, criminal, and domestic matters), with final appeals to the Washington Supreme Court. Matters within federal jurisdiction proceed in the Western District of Washington and Eastern District of Washington.
Washington pairs a wrongful death action for the beneficiaries' pecuniary loss, which was broadened in recent years to reach more family members, with a general survival action in which the estate recovers the decedent's economic losses, including net future earnings, and a limited survival claim for the decedent's own pre-death suffering. Pure comparative fault reduces the award in proportion, the collateral source rule applies outside medical malpractice where evidence of collateral payments is admissible, statutory limits on noneconomic damages have been held unconstitutional, and prejudgment interest is generally limited to liquidated sums. 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 Washington rules to a documented figure.
Request a consultation on Life Care Plan Costing or call (201) 343-0700. Plaintiff and defense counsel.