This book investigates the economic and regulatory mechanisms governing the market for physicians' medical malpractice insurance. The authors, Frank A. Sloan, Penny B. Githens, and Randall A. Bovbjerg, utilize a combination of original data sets and existing industry research to evaluate the competitiveness, profitability, and regulatory environment of the liability insurance sector. They provide a comprehensive framework for understanding how premiums are determined and why specific risk-management practices, such as reinsurance and experience rating, are employed by insurers.

Experts recognize this work as a foundational text for understanding the intersection of healthcare policy and insurance economics. Readers frequently note the technical density of the prose, which provides a rigorous analysis of market dynamics for professionals in the legal and medical fields.