Life Care Plan Cost Projection and Present Value for Medical Malpractice Cases in West Virginia

By KW Economics Editorial Team · Updated

KW Economics prepares life care plan costing for medical malpractice cases venued in West Virginia: what the loss claim consists of, the records that drive it, and a present value built to West Virginia damages rules and venues. Plaintiff and defense.

How life care plan costing applies to Medical Malpractice in West Virginia

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.

Where the damages concentrate

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.

West Virginia courts and expert standards

West Virginia trial judges act as gatekeepers for expert testimony in civil cases and ask whether the economist is qualified, whether the method is reliable and accepted in the profession, and whether it was applied reliably to the facts. A damages report meets that inquiry by stating its assumptions and naming the data behind each one.

Where these cases are heard

Highest court: Supreme Court of Appeals of West Virginia. Court system: courtswv.gov.

Federal venues: Northern District of West Virginia, Southern District of West Virginia.

Outside the civil courts, wage-loss disputes in workers' compensation matters proceed before the West Virginia Offices of the Insurance Commissioner.

Damages framework

West Virginia's wrongful death action is brought by the personal representative and covers the survivors' sorrow and mental anguish, the decedent's expected income and services, and medical and funeral expenses, with the decedent's own pre-death claims carried in the same recovery. Recovery is barred once the plaintiff's fault exceeds the combined fault of the defendants, statutory limits apply to noneconomic damages in medical professional liability claims where collateral-source payments also reduce the award, and prejudgment interest is available on past special damages such as medical expenses and lost wages.

Typical deliverables

We issue the final report and provide deposition and trial testimony, rebuttal of opposing present value opinions, and revaluation when the plan is updated.

Life Care Plan Costing for Medical Malpractice in other states

Frequently asked: Life care plan costing in West Virginia medical malpractice matters

How is life care plan costing built for a medical malpractice case in West Virginia?

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.

What do West Virginia courts ask of life care plan costing before it reaches the fact finder?

West Virginia trial judges act as gatekeepers for expert testimony in civil cases and ask whether the economist is qualified, whether the method is reliable and accepted in the profession, and whether it was applied reliably to the facts. A damages report meets that inquiry by stating its assumptions and naming the data behind each one. Medical Malpractice cases venued in West Virginia are heard in the Circuit Court (General jurisdiction; one in each of 55 counties; all civil and criminal matters), with final appeals to the Supreme Court of Appeals of West Virginia. Matters within federal jurisdiction proceed in the Northern District of West Virginia and Southern District of West Virginia.

How does the West Virginia damages framework shape life care plan costing in a medical malpractice case?

West Virginia's wrongful death action is brought by the personal representative and covers the survivors' sorrow and mental anguish, the decedent's expected income and services, and medical and funeral expenses, with the decedent's own pre-death claims carried in the same recovery. Recovery is barred once the plaintiff's fault exceeds the combined fault of the defendants, statutory limits apply to noneconomic damages in medical professional liability claims where collateral-source payments also reduce the award, and prejudgment interest is available on past special damages such as medical expenses and lost wages. 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 West Virginia rules to a documented figure.

References

Request a consultation on Life Care Plan Costing or call (201) 343-0700. Plaintiff and defense counsel.