Practice changes
Medical malpractice insurance for practice changes.
Choose a guide for a job, practice, policy, or retirement decision.
Career and group moves
These guides cover jobs, outside work, group relationships, schedules, and professional roles.
First attending job A physician guide to the first attending role: actual clinical duties, authority, facility privileges, coverage form, training history, and patient handoffs. Read the guide Moonlighting, locums, and side work A California guide to outside clinical work: separate authority, patient-care, record, contract, and policy paths for every role. Read the guide Joining a group A California guide to transferring clinical responsibility into a physician group, with privileges, enrollment, patient handoffs, prior acts, and policy terms aligned. Read the guide Leaving a group How to compare the old and new policy, tail or prior-acts terms, reporting dates, limits, contracts, and the clinical handoff when leaving a group. Read the guide Becoming a partner A California guide to becoming a practice owner while understanding clinical authority, entity structure, shared risk, prior care, exit terms, and insurance. Read the guide Going part-time or returning to practice A California guide to reducing clinical work or returning safely: patient handoffs, license and facility authority, prior-care reporting, and policy terms. Read the guide
Ownership and practice lifecycle
These guides cover opening, buying, restructuring, selling, closing, and retiring from a practice.
Opening a practice A California guide to designing a new medical practice from the first clinical service: care model, entity and site status, people, continuity, enrollment, and policy review. Read the guide Buying a practice A California guide to acquiring a medical practice without losing the patient-care, records, authority, enrollment, and insurance path for prior or continuing work. Read the guide Selling a practice A California guide to selling a medical practice without losing the post-close path for patient care, records, clinical authority, prior work, and reporting. Read the guide Closing a practice A California guide to closing a practice while protecting patients, record access, unfinished care, historical claim reporting, and the people who carry each duty. Read the guide Retiring from practice A California guide to retiring from practice while protecting unfinished patient care, records, entity obligations, and the reporting path for prior care. Read the guide Forming, merging, or restructuring a practice A California guide to changing a practice structure without losing clinical authority, patient continuity, prior-care reporting, or clear responsibility. Read the guide
People, locations, and services
These guides cover new clinicians, locations, procedures, programs, and clinical roles.
Adding a physician A California guide to transferring patient care to a new physician duty by duty, with clinical authority, handoffs, credentials, prior acts, and policy review aligned. Read the guide Adding an NP or PA A California guide to matching an NP or PA's actual clinical work with the authority, agreements, competence, handoffs, enrollment, and policy terms that apply. Read the guide Becoming a medical director A California guide to accepting a medical-director role with real clinical authority, defined services, working oversight systems, and policy-specific coverage review. Read the guide Changing specialty or practice type A California guide to changing clinical work safely: the actual service, authority, competence, setting, patient handoffs, entity controls, and policy terms. Read the guide Adding a location A California guide to deciding what a new patient-care address changes before the first visit: site status, clinical control, launch systems, enrollment, and policy review. Read the guide Adding a service or procedure A California guide to turning a proposed service into a safe clinical pathway, then checking its setting, people, technical systems, billing, and coverage. Read the guide Opening or expanding a med spa A California guide to launching or expanding a medical spa as a real clinical operation, with physician control, defined services, authorized clinicians, and policy review. Read the guide Starting telehealth or multistate work A California physician's guide to patient location, state authority, clinical suitability, prescribing, escalation, data workflows, and coverage review. Read the guide
Coverage and carrier decisions
These guides cover policy terms, premiums, carrier changes, nonrenewal, and coverage gaps.
Changing carriers or policy form A physician guide to changing malpractice coverage without guessing about prior care, insureds, limits, exclusions, or reporting paths. Read the guide Reviewing a premium increase or policy limits A physician guide to explaining a renewal premium and comparing the actual policy structure, limits, and current clinical operation. Read the guide Carrier nonrenewal, cancellation, or market exit A physician guide to acting on a carrier notice while preserving patient care, historical claim reporting, applications, and contract evidence. Read the guide Fixing a coverage gap or lapse A physician guide to finding the exact coverage problem, protecting patients, preserving reporting rights, and documenting the policy terms that apply. Read the guide
Prevent a gap in coverage.
- 01
Describe the old work.
Record your policy, retroactive date, entity, locations, and final patient date.
- 02
Describe the new work.
List the people, procedures, duties, locations, entities, and first patient date.
- 03
Preserve coverage for prior care.
Confirm tail coverage or prior-acts coverage in writing before the old policy ends.