In our December 2022 issue of Medical Liability Monitor, we summarize results from the third quarter last year for medical professional liability (MPL) specialty writers. Last year was our 13th year of tracking the metrics. 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 171 MPL specialty companies with total direct written premium of more than $6.2 billion in 2021. In this issue, we discuss the following key metrics: 

• Premium growth
• Reserves
• Combine ratios
• Net income