Clear answers about what comes next.
We help attorneys evaluate the reasonably probable future medical care associated with an injury or condition—and the projected cost of that care.
Future care is a medical question before it is a cost question.
We do not start with a dollar amount. We first review the medical evidence, assess prognosis, and identify future care that is reasonably supported. Cost comes after that analysis.
What is supported?
Review the documented diagnosis, imaging, objective findings, treatment history, mechanism, and clinical course.
What is the long-term outlook?
Evaluate the reasonably probable medical consequences of the documented condition based on the individual record and supporting medical information.
What care is reasonably probable?
Identify future evaluations, conservative treatment, imaging, rehabilitation, specialist care, or other care when supported by the evidence.
What will that care reasonably cost?
Assign projected costs only after the future medical needs have been identified and supported.
The opinion follows the evidence—not the retaining party.
We accept both plaintiff and defense matters. When future care is supported, the report explains why. When a requested treatment or projection is not supported, the report should say that as well.
Non-catastrophic injuries with unanswered future-care questions.
A patient can improve, return to normal activity, or leave active treatment while questions about long-term prognosis and future medical needs remain. Our work is focused on answering those questions clearly.
View Report OptionsA clear path from medical evidence to projected cost.
The framework stays consistent. The conclusion depends on the facts and evidence in the individual case.
Individualized analysis. Transparent basis.
Medical Record
Diagnosis, treatment history, clinical course, examinations, imaging, and documented findings.
Reasonable Probability
Opinions are intended to be expressed within the applicable professional standard when supported by the evidence and expert scope.
Research & Guidelines
Relevant peer-reviewed research, medical literature, and clinical guidance can be considered as part of the overall basis.
Alternative Explanations
Relevant preexisting findings, prior conditions, subsequent events, and limitations in the available information are considered when appropriate.
Future Utilization
The projection addresses the anticipated treatment burden, not a promise that identical care will occur on the same schedule every year.
Cost Basis
Costs are assigned to the care that has first been identified as reasonably supported by the medical analysis.
Long-term conservative care.
Depending on the case, the analysis can address future medical evaluations, chiropractic care, physical therapy, rehabilitation, imaging, interventional pain management, specialist evaluation, and other supported conservative care.
- Cervical and lumbar spine
- Intervertebral discs and facet joints
- Ligaments and joint capsules
- Shoulder, knee, hip, and wrist
- Post-traumatic instability and degenerative conditions
- Preexisting structural findings complicated by trauma
A clear scope. A focused report.
Start with the questions that need to be answered. We then determine the appropriate review, expert involvement, and report scope.
Define the request
Identify the injury, future-care questions, deadlines, and available records.
Confirm the scope
We determine whether the case fits the service and identify the appropriate report and physician-review option.
Review and report
The available evidence is analyzed and the written report addresses the agreed questions with the basis for the conclusions explained.
Before you refer a case.
Do you accept plaintiff and defense matters?
Yes. The same general methodology is used regardless of who retains us. The conclusions depend on the individual evidence.
Does every case result in a future-care projection?
No. A projection should be supported by the records, prognosis, available evidence, and the scope of the expert opinion.
Does future care have to occur every year?
No. Depending on the condition, care can occur intermittently, in episodes, or with gaps. The projection is intended to estimate the reasonably anticipated long-term treatment burden.
Can physician review be included?
Yes. Report options can include chiropractic and medical physician review depending on the questions presented and the agreed scope.