KW Economics prepares life care plan costing for traumatic brain injury cases venued in Missouri: what the loss claim consists of, the records that drive it, and a present value built to Missouri damages rules and venues. Plaintiff and defense.
A brain injury life care plan is dominated by attendant care and supervision, therapy, medication, and case management over a lifetime, and its present value is highly sensitive to the daily hours of paid help the plan specifies and the life expectancy applied. The economist carries each item forward with the medical cost growth appropriate to its category, discounts the stream over the life expectancy the medical evidence supports, and presents the total under alternative supervision levels when the plan or the record offers more than one. Every valued item ties back to the plan so counsel and the plan's author can confirm that the valuation reconciles.
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.
Two components usually dominate: future lost earnings across a long worklife for a young person, and the present value of attendant care and supervision when the plan calls for daily hours of paid help. Because the level of supervision and the person's residual work capacity are both matters of expert opinion, the report's total is highly sensitive to those inputs, and the life expectancy used for the care stream is a second source of dispute. Mild injury with persistent symptoms presents a narrower claim built on reduced hours, lost advancement, and periodic treatment.
Missouri courts screen expert testimony for reliability: the judge asks whether the economist is qualified, whether the opinion rests on sufficient facts and reliable principles and methods, and whether those methods were reliably applied to the case. A damages report meets that inquiry by stating its assumptions and naming the source of every rate and table.
Highest court: Missouri Supreme Court. Court system: courts.mo.gov.
Federal venues: Eastern District of Missouri, Western District of Missouri.
Outside the civil courts, wage-loss disputes in workers' compensation matters proceed before the Missouri Division of Workers' Compensation.
Missouri pairs a wrongful death action for the survivors' pecuniary losses, services, companionship, and the decedent's pre-death suffering with a survival action where death resulted from another cause, and the value of medical treatment is proved by the amounts actually paid or still owed rather than the amounts billed. Pure comparative fault reduces the award in proportion, the common-law collateral source rule otherwise applies, and prejudgment interest in tort turns on a written settlement offer that the judgment then exceeds.
We issue the final report and provide deposition and trial testimony, rebuttal of opposing present value opinions, and revaluation when the plan is updated.
A brain injury life care plan is dominated by attendant care and supervision, therapy, medication, and case management over a lifetime, and its present value is highly sensitive to the daily hours of paid help the plan specifies and the life expectancy applied. The economist carries each item forward with the medical cost growth appropriate to its category, discounts the stream over the life expectancy the medical evidence supports, and presents the total under alternative supervision levels when the plan or the record offers more than one. Every valued item ties back to the plan so counsel and the plan's author can confirm that the valuation reconciles.
Missouri courts screen expert testimony for reliability: the judge asks whether the economist is qualified, whether the opinion rests on sufficient facts and reliable principles and methods, and whether those methods were reliably applied to the case. A damages report meets that inquiry by stating its assumptions and naming the source of every rate and table. Traumatic Brain Injury cases venued in Missouri are heard in the Circuit Court (General jurisdiction; 46 judicial circuits; all civil, criminal, domestic, and probate matters), with final appeals to the Missouri Supreme Court. Matters within federal jurisdiction proceed in the Eastern District of Missouri and Western District of Missouri.
Missouri pairs a wrongful death action for the survivors' pecuniary losses, services, companionship, and the decedent's pre-death suffering with a survival action where death resulted from another cause, and the value of medical treatment is proved by the amounts actually paid or still owed rather than the amounts billed. Pure comparative fault reduces the award in proportion, the common-law collateral source rule otherwise applies, and prejudgment interest in tort turns on a written settlement offer that the judgment then exceeds. 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 Missouri rules to a documented figure.
Request a consultation on Life Care Plan Costing or call (201) 343-0700. Plaintiff and defense counsel.