How Long Until I Get a Medical Malpractice Settlement?

A look at the typical timeline for resolution of a medical malpractice lawsuit.

If you're filing a medical malpractice claim, one of your first questions is probably something along the lines of, "How long will it take my case to settle?" Different studies have produced different results, but a New England Journal of Medicine study found that the average time between a health care-related injury and the resolution of a medical malpractice case was five years.

One reason why it's so hard to predict the timeline is that there is no designated point in the process when a medical malpractice settlement normally occurs. Settlement negotiations can take place at any point, and usually will occur on multiple occasions as the case progresses. A settlement agreement can happen very early on (before a medical malpractice lawsuit is even filed in some instances) or it can take place on the proverbial "court house steps" while the case is weeks into the trial phase.

Factors Affecting the Medical Malpractice Settlement Timeline

As a general rule, the more complicated a medical malpractice case is, the longer it will take to settle. Factors that make cases more complicated include:

  • complex or novel medical issues
  • complex or novel legal issues
  • large numbers of witnesses (including expert medical witnesses), and
  • multiple health care providers, each of whom may be liable for medical negligence.

For example, imagine Sally is hit by a car when crossing the street. She is taken by ambulance to a hospital, where she has surgery on her back. The next day, she has another surgery on her leg, this time by a different doctor. At some point in the course of Sally's treatment, it is discovered that she acquired an infection.

Who is legally responsible for causing the infection? Sally will likely sue both doctors, the hospital, the ambulance service and the driver of the car. That means six parties (including Sally) will be involved in the case, and issues will range from liability for the initial car accident to potential medical negligence on the part of the different health care providers. If one party makes a motion, all five of the other parties will probably respond to it. All six attorneys may attend each deposition and ask different questions. All of the doctors and nurses that came in contact with Susan may be deposed on different days. Since doctors and nurses are very busy people, the depositions can be difficult to schedule and each may be a month or two apart. And let's not forget about requests for production of documents and other time-consuming procedural steps.

In this case, somebody is responsible for Sally’s infection, but it's unclear who. Settlement is unlikely until the parties can gain a decent understanding of liability. So, Sally may be in for a long wait before a settlement is reached.

Learn more about the challenges of winning a medical malpractice case.

Does Settlement Timeline Affect a Medical Malpractice Lawyer's Fees?

Generally, a medical malpractice attorney will take an injured patient's case on a contingency fee basis. This means the attorney is not paid until a settlement is reached or a verdict is returned in favor of the plaintiff patient. At that point, a portion of the settlement or verdict (usually about one-third) goes to the attorney. (Note: In some states, an attorney's contingency fee percentage may be limited by statute in medical malpractice cases.)

Are these contingency fees fair? It is technically possible that an attorney will take a case on a Monday and get an insurance company to agree to settle the case for $75,000 on Tuesday. In such a case, if the attorney was working on a contingency fee basis for 1/3 of the award, that attorney would have earned $25,000 in one day. But that same attorney might work on the next medical malpractice case for five years and earn nothing. So, when an attorney and a patient enter into a contingency fee agreement, both sides gamble based on two factors: the amount of time it will take to resolve the case, and the outcome of the case.

Learn more about finding the right medical malpractice lawyer for you and your case.

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