Impact of the National Practitioner Data Bank on Resolution of Malpractice Claims

Teresa M. Waters, David M. Studdert, Troyen A. Brennan, Eric J. Thomas, Orit Almagor, Martha Mancewicz, Peter P. Budetti

Research output: Contribution to journalReview articlepeer-review

16 Citations (SciVal)


Policymakers and commentators are concerned that the National Practitioner Data Bank (NPDB) has influenced malpractice litigation dynamics. This study examines whether the introduction of the NPDB changed the outcomes, process, and equity of malpractice litigation. Using pre- and post-NPDB analyses, we examine rates of unpaid claims, trials, resolution time, physician defense costs, and payments on claims with a low/high probability of negligence. We find that physicians and their insurers have been less likely to settle claims since introduction of the NPDB, especially for payments less than $50,000. Because this disruption appears to have decreased the proportion of questionable claims receiving compensation, the NPDB actually may have increased overall tort system specificity.

Original languageEnglish
Pages (from-to)283-294
Number of pages12
Issue number3
StatePublished - 2003

ASJC Scopus subject areas

  • Health Policy


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