In our April 2024 issue of Medical Liability Monitor, we summarize results from 2023 for medical professional liability (MPL) specialty writers. The data used in our analysis covers 20 years and consists of aggregate statutory financial information compiled from S&P Global Market Intelligence. The current composite includes 169 MPL specialty companies with total direct written premium of more than $6.9 billion in 2023, up 3.4% from 2022 and the highest level in two decades. In this issue, we discuss the following key metrics: 

• Premium growth
• Reserves
• Combine ratios
• Net income 
• Composite policyholder surplus