In Reply Dr Morreim suggests that requirements that malpractice payments be reported to the NPDB do not pose as great an obstacle to fully realizing the promise of communication-and-resolution programs as our article indicated. Unfortunately, we do not share her optimism.
Morreim’s view is premised on the argument that reporting requirements are narrower than many believe because of 2 exceptions: claims paid directly by physicians themselves (rather than through liability insurers) and payments made in response to verbal claims (rather than written ones). In practice, however, it is these exceptions that are narrow.
Mello MM, Studdert DM, Kachalia A. Medical Liability and Reporting Malpractice Payments—Reply. JAMA. 2015;313(10):1058–1059. doi:10.1001/jama.2015.0688
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