Insurance for Physician Groups

Entity-level and individual malpractice coverage for physician groups — multi-specialty networks, single-specialty practices, hospital-affiliated teams, and private outpatient groups.

What it Costs What's Covered

Physician groups face complex liability exposures that extend beyond individual providers. Whether operating as a multi-specialty network, a hospital-affiliated practice, or a private outpatient group, these organizations must protect against claims arising from diagnostic errors, surgical complications, and the acts of employed and contracted clinicians — often with the entity named alongside the individual.

Homewood provides tailored malpractice and liability coverage designed for physician groups, structuring both entity-level and individual protection so neither is left thin.

What our customers say

Nick LeRoy

Extremely pleased with the assistance that I received. He was timely with his responses.

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Devoted Doc

Ralph has been an excellent partner for our practice. He's responsive and gives us the insight we need.

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Ben G. Adams

Extremely pleased with the assistance that I received. He was timely with his responses.

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John McDonald

Responsive and detailed with necessary information to supply a solid plan and coverage.

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Ralph was very helpful in answering all my questions and concerns.

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Andrane Gordon

It was a pleasure I was expecting this was going to take weeks — he was very efficient communicating with me and my assistant.

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Carolyn Gurski

Ralph was easy to work with, stayed in touch and communicated well. Very happy.

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Get a Free Quote Now

The fastest way to see what a group program should cost is to fill out our quick quote form. Homewood works with A-rated carriers offering entity-level and individual coverage, and can structure shared or separate limits to fit how your group actually operates.

Insurance for physician groups can include:

Covers individual and entity-level malpractice claims for employed or contracted physicians.
Protection for diagnostic errors, surgical complications, and treatment-related allegations.
Shared or separate limits for physicians, extenders, and support staff.
Applies to multi-specialty groups, single-specialty practices, and hospital-affiliated teams.
Limits up to $1M per claim / $3M aggregate per provider; tail and retroactive coverage available.

INDUSTRY PRICING DATA — 2026

What Physician Groups Pay for Malpractice Insurance

Current 2026 market data, per physician. A low-risk specialty runs $5,000–$10,000 a year, a moderate-risk specialty $15,000–$35,000, and a high-risk specialty $40,000–$75,000, with the group entity adding $2,500–$10,000 on top. A group's premium is the sum of its specialty mix — and one partner can dominate it.

$5,000 – $10,000

Per physician — low-risk specialty

$40,000 – $75,000

Per physician — high-risk specialty

3 – 10×

What one OB partner costs vs. primary care

A group's premium is decided by its riskiest partner, not its average one

Group malpractice does not average out — it accumulates. Because premium is tied to exposure severity per provider, a practice with even a small proportion of surgical or obstetric work can carry a total far above what its headcount suggests: an OB partner delivering babies is priced at 3–10× a primary care physician, so one of them can outweigh several family doctors. That is the arithmetic behind the industry rule of thumb that multi-specialty groups budget 10–15% of total operating expenses for professional liability alone. Two structural decisions then shape the rest. The first is vicarious liability: the entity is routinely named alongside an employed or contracted provider, so the group needs its own limit rather than relying on individual policies — that is the $2,500–$10,000 entity layer. The second is shared versus separate limits. A shared limit is cheaper and simpler, but a single severe claim against one partner can erode the tower everyone else is relying on; separate limits cost more and remove that dependency. Clean claims histories and documented risk management earn 5–20% back either way.

Annual professional liability premium per physician, by specialty tier

$5–10K

Low-risk
(family, peds, behavioral)

$15–35K

Moderate-risk
(GI, urology, radiology)

$40–75K

High-risk
(surgery, OB/GYN, cardiology)

Per-physician professional liability at $1M/$3M limits; bar heights use a square-root scale. The group entity adds $2,500–$10,000 depending on size and whether limits are shared. Carriers may offer 5–20% discounts for clean claim histories and documented risk management programs.

Premium impact by specialty, against a primary care baseline

OB/GYN deliveries & C-sections

3–10× primary care

Interventional radiology / urology

1.5–3× primary care

Neuro / ortho / general surgery

+30–70%

Anesthesiology

+25–50%

Cardiology interventions

+20–40%

Gastroenterology (ERCP / EST)

+15–35%

The top two bars are multiples of a primary care physician's premium; the remainder are percentage loadings over a non-surgical baseline. Bar widths are indicative rather than to scale across the two units. Internal medicine, family medicine, and pediatrics sit at the baseline tier of $5,000–$10,000 per physician.

What Drives a Physician Group's Premium

↑ Pushes premium higher

Obstetric and surgical partners in the specialty mix
Spine, trauma, and advanced interventional caseloads
Paid claims or a pattern of incidents
States without malpractice caps or with active plaintiff markets
Occurrence-based policies over claims-made
Satellite clinics, locum tenens, and multi-state telemedicine
Thin credentialing or peer review documentation

↓ Keeps premium lower

Predominantly non-surgical specialty mix
Clean claims history across the partnership
Documented risk management and incident reporting
Peer review and informed-consent templates in use
Group size sufficient to negotiate volume discounts
Shared-limit structures where the risk profile supports it
Practicing in a state with damages caps

For groups carrying a partner the standard market has declined, see our hard-to-place physician coverage — placing that individual separately often costs less than re-rating the whole group.

Get Your Physician Group Quote

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Insurance for Physician Groups Can Include

Malpractice and liability insurance provides essential protection at both the individual and entity level:

Professional Liability (Malpractice Insurance)

Protects physicians and the entity against claims of negligence, misdiagnosis, or treatment error.
Covers diagnostic and procedural errors, surgical complications, and informed consent disputes.
Includes vicarious liability coverage when the group is named alongside an employed or contracted provider.
Shared or separate limits available for physicians, nurse practitioners, PAs, and ancillary staff.
Optional coverage for telemedicine, locum tenens, or satellite clinics under the same entity.
Policy limits up to $1M per claim / $3M aggregate per provider, with tail and prior-acts coverage available.

General Liability Insurance

Covers third-party bodily injury and property damage, such as patient falls in the facility or visitor accidents.
Includes personal and advertising injury — libel, slander, and false advertising.
Protects against tenant liability, signage, and premises exposures in leased offices.
Optional Hired/Non-Owned Auto and Cyber Liability extensions for administrative risks.

Recommended Add-Ons

Directors & Officers / Management Liability — for partnership governance, admission and expulsion decisions, and fiduciary claims.
Employment Practices Liability (EPLI) — wrongful termination, discrimination, and harassment claims across a large employed staff.
Cyber / HIPAA Liability — for EHR systems shared across sites and providers.
Regulatory Defense — CMS audits, billing investigations, and licensing board matters.
Umbrella / Excess Liability — additional limits above primary, particularly where limits are shared.

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How Much Does Insurance for Physician Groups Cost?

The cost of malpractice and liability insurance for physician groups depends on specialty mix, claims history, geographic location, and group structure. Because premiums are tied to exposure severity, a practice with even a small proportion of surgical or obstetric work can significantly elevate the total.

Professional Liability — Estimated Ranges (per physician)

Low-risk specialties (family practice, pediatrics, behavioral health): $5,000 – $10,000.
Moderate-risk specialties (GI, urology, radiology): $15,000 – $35,000.
High-risk specialties (surgery, OB/GYN, cardiology): $40,000 – $75,000, higher for spine and trauma caseloads.
Group entity coverage: $2,500 – $10,000 additional, depending on size and shared limits.

Budgeting Benchmarks

Multi-specialty practices often budget 10–15% of total operating expenses for professional liability alone.
Carriers may offer 5–20% discounts for clean claim histories and documented risk management programs.

Key Pricing Factors

Specialty composition — the proportion of high-risk providers heavily influences total premiums.
Claims history — paid claims or frequent incidents increase rates or trigger non-renewal.
Location — higher in states without malpractice caps or with active plaintiff markets.
Policy type — occurrence-based policies cost more but remove tail obligations.
Group size — larger entities may negotiate volume discounts or shared-limit structures.

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High-Risk Procedures and Their Impact on Your Premiums

Outright coverage refusals are rare for licensed physician groups, but certain practices face non-renewal or surcharges. Carriers closely review loss history, credentialing, and documentation standards — maintaining incident reports, peer review records, and informed consent templates materially improves terms.

Procedure	Description & Risks	Insurance Impact
OB/GYN Deliveries & C-Sections	Birth injuries, fetal distress, emergency C-sections, informed-consent disputes. High-severity outcomes drive litigation frequency and size.	3–10× vs. primary care; frequent surcharges in plaintiff-friendly states.
Neuro / Ortho / General Surgery	Spinal fusions, joint replacements, tumor resections. Allegations include nerve injury, infection, wrong-site or technique errors.	+30–70% over non-surgical; spine and trauma can double rates.
Anesthesiology	Airway events, dosing errors, hemodynamic instability, awareness claims. Vicarious exposure with surgical teams.	High tier; +25–50% depending on case mix and setting.
Cardiology Interventions	Cath lab procedures such as PCI and stenting. Risks include perforation, stroke or MI, device complications, and delay in rescue.	+20–40%; higher in high-volume interventional programs.
Gastroenterology (ERCP / EST)	Pancreatitis, perforation, hemorrhage, missed malignancy. Advanced and therapeutic endoscopy raises severity.	+15–35% vs. diagnostic endoscopy alone.
Interventional Radiology / Urology	Biopsies, ablations, prostate and urologic procedures. Bleeding, infection, organ injury, and device failure allegations.	1.5–3× primary care; case-volume sensitive.
Internal Medicine / Family Medicine / Pediatrics	Diagnosis and care management; claims typically involve delayed diagnosis, medication error, or follow-up failures.	Baseline tier; $5,000 – $10,000 typical per physician.

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Other Types of Insurance Physician Groups May Need

Homewood can often combine different types of coverage into one program.

General Liability Insurance

Coverage for patient and visitor injuries, property damage, and premises exposures across leased offices and satellite clinics.

Professional Liability Insurance

Core malpractice coverage at both individual and entity level, including vicarious liability for employed and contracted providers.

Hard-to-Place Physicians

For a partner the standard market has declined — placing them separately often costs less than re-rating the whole group.

Directors & Officers (D&O)

Protects partnership governance decisions — admissions, expulsions, and fiduciary duties owed to the group.

Workers' Compensation Insurance

Required for employed clinical and administrative staff across every location the group operates.

Cyber Liability Insurance

Covers breaches of EHR systems shared across sites and providers — exposure scales with the number of records held.

Why Work With Homewood

Group programs live or die on structure — who is covered, under whose limit, and what happens when one partner has a bad year. At Homewood, we bring:

Specialists in medical malpractice coverage for multi-specialty and single-specialty physician groups.
Access to A-rated carriers offering entity-level and individual coverage for physicians, extenders, and administrative staff.
Expertise in hard-to-place risks and groups with complex claims histories or non-standard procedures.
Ability to coordinate shared-limit or separate-limit structures to fit your financial and operational goals.
Ongoing monitoring of state-specific carrier appetite and rate trends to secure the most competitive terms.

Call 947-274-3093 or Fill Out the Form

Ralph Schiller

Ralph specializes in sourcing the most suitable insurance for physician groups at the best price. You can call him or fill out the form and he will get your message directly.

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