What is my case worth?

This is a question that we generally get asked under three different circumstances. First, when we meet a prospective client, who was recently injured in an accident– they are asking for obvious reasons. Second, on the eve of trial or a prospective settlement, our client wants to know what we think the case is worth –also for obvious reasons. Third, we get many calls from clients of other lawyers, who were just told that their case is worth much less than they expected. So –again for obvious reasons –they are seeking another opinion.
My advice to you is to be wary of any lawyer who tells you what your case is worth under scenarios one and three above. Be equally wary of a lawyer who won’t offer an opinion as to your case’s value under the second illustration above.
At the outset of a case, it is frequently impossible to give an accurate opinion of its value for many reasons. First, it may be too soon after the injury to know what the degree of permanency will be, how the injury will affect your life, what you will/will not be able to do or what you will/will not be able to do as well as you did prior to the accident. In addition, prior to extensive investigation, it is often difficult to know who is responsible for the accident, whether a party is 100% responsible, what the offending party will claim as defenses, as well as many other factors that often are not known until all discovery is completed.
So –be wary if someone “knows” how much your case is worth at the outset.
Under the last scenario (calling another lawyer because you were surprised at what your lawyer has now told you about case value), we are hard pressed to give a definitive opinion. Some of the reasons are as follows: clients don’t always accurately “translate” what their lawyer has told them, so the information being given to us may lack coherence or be incomplete; clients’ understanding of their medical condition can be different than what their physicians have put in their medical reports; the “warts” of their case are discounted by the client because they are not objective; and, without looking at the whole legal file, much of the information we would base our opinion upon(what was said at depositions by all parties, what the investigation/police reports reflect, what was said in medical reports, what opinions physicians have offered as to permanency, degree of loss and cause and effect) would be missing from our analysis.
So –steer clear of a lawyer who gives you an “off the cuff” opinion without having all of the information. A building is only as sound as its foundation. Don’t build on quicksand!
The second scenario is the one where we can reasonably offer an educated opinion as to value. At this point— time for settlement or trial –we have all of the information we need. We have done our investigation, have completed all discovery, have reviewed all of our client’s medical reports and have a basis to offer an opinion. Our opinion will be a range –no one ever knows what a jury will do. Based upon our experience trying and settling many other cases, we can offer an opinion as to a range that would be reasonable to value your case. The decision to settle or go to trial is yours. But the opinion we have offered is on sound footing.

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Summary Jury Trial(SJT)

Summary Jury trials (SJT) —what are they and is your case the “right” case for SJT.

In our personal injury practice, there are many cases in which we are retained that we look forward to getting to trial. These are cases with issues that jurors would easily identify with or cases with significant potential value.  There are other cases where our clients are victims of someone’s negligence but their injuries are less clear or the cost of proceeding to trial would far outweigh the possible jury value.

Most people do not realize the cost of proceeding to trial. In Dutchess County, it is not unusual for a treating neurologist, orthopedist or neurosurgeon to charge $7500 or more, for the time they are away from their practice or patients, to testify at trial. If you need the testimony of several different specialists –these costs can be prohibitive in a case with less than clear cut injuries.

A SJT trial dispenses with the need to produce each of these experts.  A SJT is generally a one or two day proceeding before the same type of jury that would hear/ decide a “conventional” trial. The difference between a SJT and a “conventional” trial is that both sides agree by stipulation that:

a) There will be no appeals or applications to change the verdict—in other words the jury’s verdict is final for all time;

b) The only testimony offered is that of the plaintiff, who explains his/her injuries and how they have affected his / her life; and

c) The medical testimony of the physicians involved (both on plaintiff’s side and defense side) is read to the jurors from medical reports/records by the attorneys.

 

My partner Richard Coffey has been very successful in utilizing this process. Over the last several months, he has successfully prosecuted two different cases with great results for each client. Indeed the results were probably much better than either client would have expected.

Before agreeing to a SJT, you need to have a long conversation with your attorney so that you fully understand the process, the risks involved and the potential benefits. As I said at the outset, SJT is not for every case, but it is a good alternative for the properly selected case.

 

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RRG vs Traditional Medical Malpractice Insurance

Based upon the never ending financial squeeze that our physician clients find themselves in, more and more of them are looking into leaving their “traditional” medical malpractice insurer and becoming associated with a  Risk Retention Group(RRG).  The financial squeeze is created by the virtual lack of control that physicians have in setting fees for their services (most are constrained to accept what health insurers dictate) as well as ever increasing expenses associated with collecting from insurers, paying staff, rent, fuel, malpractice coverage and yes –they pay for health insurance coverage too!!

The benefit of “traditional” malpractice insurance coverage is that the carriers(for example Medical Liability Mutual Insurance Company or Physicians Reciprocal Insurers) are licensed by the State of NY, are regulated by the State of NY and if either were to have financial difficulty, the State Fund would be there to guarantee their coverage.  Since these carriers are regulated by the NYS Insurance Department, everything that they do is passed upon or over by NYS. Obviously –their rates are regulated by the State, as well as many of their practices.

RRGs on the other hand are generally neither licensed nor regulated by the NYS Insurance Department. Thus, if you are insured with a non domiciled RRG and it goes under, you face the risk of having no insurance coverage.  Furthermore, since RRG’s are not regulated by NYS, their practices vary, their policy terms are not standardized and you need to have someone knowledgeable look into those issues before proceeding.

Clearly, in this economic environment, RRG’s are making large inroads and signing up many physicians and groups. You give your patients an informed consent before they choose a method of treatment. Be sure that before you choose an RRG over a more traditional insurer that you consult with someone knowledgeable about malpractice insurance contracts (as well as the risks and benefits of signing on with an RRG and/ or leaving a NYS domiciled insurer). You need to be sure that whatever decision you make you do so fully informed and with open eyes to what may occur years down the road.

 

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