$56M

Verdict tail · 2024

average of the 50 largest U.S. malpractice verdicts

$32M in 2022. $48M in 2023. $56M in 2024. About 120× a typical paid claim. One documentation miss under a director’s license is enough.

75% in two years

The Doctors Company and the AMA track the same top-50 series. The tail is getting fatter.

87% in the record

20 of 23 publicly detailed 2025 mega verdicts turned on monitoring, red flags, dosing, or follow-up. Classification ours. Not a prevention claim.

82% name the supervisor

NP claims from 2011–2016 also named the supervising physician. Volume under one license is the specialty-clinic structure.

What this means for the person who signs

Plaintiffs ask whether contraindications, labs, and follow-up were in the chart. A scribe in the room does not answer that. Visit-time tools fill the note. They do not give the medical director a list.

Rubik MD screens the export and returns the cases that need a look, with the flagged sentence on the same screen. We do not claim this reduces lawsuits. We claim the failure modes in the public record are the ones a director can review.

See the charts that need a look.

Open the clinic portal. Convert on this computer. Read the director list.