Health care reform "is going to change everything" for medical professional liability insurers–and not necessarily for the better, warns the top executive of one of the largest writers of the coverage in the United States.

"The collective imaginations in this room can't begin to understand how it's going to change every one of us personally and every one of us professionally," W. Stancil Starnes, chief executive officer of ProAssurance, said at the Keefe, Bruyette & Woods Insurance Conference early this month.

"The changes are going to be broad, they are going to be far-reaching, and they are going to be profound," added Mr. Starnes, whose ProAssurance is the largest independently traded writer of medical professional liability insurance, and the fourth-largest writer overall.

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