For Medical Professional Liability Carriers
Past claims don't predict the next one.
Operative outcomes do.
SurgiQuality scores individual surgeons on what actually drives malpractice risk — operative volume, intraoperative complications, and wrong-site/wrong-procedure events — from de-identified surgical records. A forward-looking signal your underwriting and patient-safety teams don't have today.
A note to surgeons: This program is opt-in and surgeon-controlled. Its purpose is to let you prove you're low-risk and be rewarded with lower malpractice premiums — not to penalize you. You decide whether to participate, and you control your data.
The industry's open secret
The medical liability industry knows that prior claims history is a weak predictor of future risk. It mis-prices in both directions — penalizing safe surgeons for a single bad outcome, while under-pricing genuinely higher-risk patterns that haven't produced a claim yet.
The result: retention pressure on your best insureds, surprise severity from your riskiest, and risk-management resources that can't be targeted because the signal arrives too late — at the claim.
A forward-looking surgeon risk signal
SurgiQuality analyzes de-identified surgical records to score each surgeon on the operative behaviors that precede claims:
- Surgical volume by procedure — experience where it matters
- Intraoperative complications — risk-adjusted, at the individual-surgeon level
- Wrong-site / wrong-procedure events — the never-events that drive severity
- Procedure mix (CPT-level) — what a surgeon actually does, not what their specialty implies
Every score is produced through an independent multi-agent validation layer and designed to align with recognized outcomes-reporting standards (NSQIP, CMS, specialty-society measures) — so it stands up to actuarial and clinical scrutiny.
Prove it on your own book — before you change anything
We don't ask you to take the signal on faith. We start with a retrospective validation study on your terms:
- You provide a blinded sample of insured surgeons.
- We score them from de-identified records — without seeing outcomes.
- We show you whether our score correlates with your closed claims.
If it predicts, you have a new lever for underwriting, renewal, and patient-safety intervention. If it doesn't, you've spent a conversation, not a commitment.
Why it matters
Reduce claims cost
Identify higher-risk operative patterns before they become claims, and target your risk-management resources where they actually move loss ratios.
Price risk more fairly
Add a forward-looking, outcomes-based input to underwriting and renewal — so safe surgeons aren't penalized for noise, and real risk isn't underwritten blind.
Drive safer surgery
Offer premium incentives for surgeons who participate and score well. Surgeons adopt to document their quality — creating a virtuous loop of safer operating and lower loss.
A program surgeons want to join
When you reward strong scores with premium credits, surgeons opt in to prove they're low-risk. Participation grows, your risk picture sharpens, and safer operating becomes something your insureds compete on — not something you chase after a claim.
Outcomes-based. Surgeon-controlled. Premium-reducing.
Built for clinical and actuarial scrutiny
- De-identified by design — analysis runs on de-identified surgical records under HIPAA-aligned workflows
- Risk-adjusted methodology designed to align with recognized standards (NSQIP, CMS, specialty-society measures)
- Independent validation layer — every score is checked, not single-pass
- Reproducible audit trail — defensible from underwriting file to clinical review
White paper
Beyond Claims History
A forward-looking surgeon risk signal for medical professional liability — the predictive gap, the operative behaviors that precede claims, the retrospective validation method, and what it means for underwriting and patient safety.
Free PDF · ~8 pages · written for CMOs, underwriting, and actuarial teams.
Built by surgeons
SurgiQuality was founded and built by surgeons — led by Sanjay Prasad, MD, FACS, a practicing surgeon for decades and author of Resetting Healthcare. Our methodology is designed by clinicians who have stood at the operating table. We measure surgical quality the way surgeons would — and the way an actuary needs.
See whether it predicts your claims.
A 30-minute conversation and a blinded retrospective study. No system change, no commitment — just proof on your own data.
Talk to us
Tell us about your book and we'll come back with a validation-study proposal.
Prefer to talk first? Book a 30-minute call →