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Most states require that physicians obtain medical malpractice insurance to offset the risk and costs of potential lawsuits. The risk is great enough that even in states that lack this requirement, Physicians rarely practice without it. Whether it is obtained individually through a commercial insurer or through a physician's health care facility, medical malpractice premiums are among the highest in the insurance industry. Physicians in large- group settings that affiliate with hospitals are sometimes able to find more stable, low- cost insurance than those small- group or solo practice settings, but in both cases, volatile conditions are increasingly costly medical malpractice litigation contribute to exceptionally high premiums. In addition to physicians, there are other professions that should carry medical malpractice coverage, including nurses, dentists, optometrists, therapists and other medical professionals. 
Calculating Premiums: Premiums are based on the risk of the health care provider and the degree of certainty of the risk. Unlike auto insurance,  medical malpractice insurance is not experience- rated, therefore when a physician has a claim, premiums do not increase. Instead, premiums are determined by a physicians specialty and geographic location; premiums are typically higher in urban settings than in rural areas, and high- risk practices like obstetrics, gynecology, neurosurgery and orthopedics generally have the higher premiums than other, lower- risk practices. While individual physician's claims experience is too variable over short periods of time for policies to be experience-rated, for whole hospitals, this type of premium is more realistic. Even so, less than half of a hospital's total premium is based on experience, most of it depends on the hospital's location level of care. 
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