Medical malpractice insurance executives are optimistic about the current structure of their individual companies and the industry overall.  They do not believe that there will be a dramatic consolidation of the industry in the near future.

Expansion into new territories is not a high priority.  Identification and resolution of present profitability issues (pricing, underwriting and claims handling) take priority in the near term.

The development of more sophisticated risk management metrics is viewed by executives as a strategic priority.

Professional liability insurers are taking a number of steps to improve financial performance.  The key actions identified to improve loss exposure are:

	Improved underwriting processes and results, focusing on refining and adhering to underwriting principles and guidelines
	Improved claim handling
	Improved risk management
	Proactive steps regarding legislative activities

Medical malpractice insurers are actively lobbying for tort reform and are working diligently with their policyholders to improve the risk management activities of their customers.