The U.S. medical malpractice insurance market's recovery to a more profitable footing sharply lagged behind the rest of the commercial lines market in the recent hard market environment.

However, huge progress was seen in 2005 as the malpractice line's underwriting results were on par with commercial lines averages.

This improved performance is attributable to several factors, including the removal of excess underwriting capacity from the market, sharp increases in premium rates over several renewal periods, and the favorable impact on loss costs from malpractice litigation reforms passed in several states.

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