Criterica Intelligence — 23,508 production models trained on 106M+ real court records
Healthcare & Medical-Legal
Expansion Market

Healthcare litigation is expensive, frequent, and historically unpredictable.

Criterica brings actuarial precision to malpractice, product liability, and regulatory enforcement: the legal risks that define healthcare balance sheets.

The Challenge

The legal dimension of healthcare risk has never had an actuarial model.

A single medical malpractice verdict can exceed $10 million. Product liability exposure can run to billions. Workers' compensation dispute resolution costs the healthcare sector hundreds of billions annually. Despite the scale, outcome prediction in healthcare litigation remains qualitative, driven by claims handlers, defense attorneys, and institutional experience rather than calibrated models trained on real case data.

Healthcare applies rigorous quantitative methods to clinical risk, operational performance, and financial exposure. Legal risk, often the largest variable-cost exposure on the balance sheet, has been treated as an art form. Criterica closes that gap with the same actuarial precision the rest of healthcare already expects.

Who We Serve
Healthcare systems
Malpractice exposure modeling, defense strategy, reserve setting
Medtech companies
Product liability risk, mass tort exposure, regulatory enforcement
Pharma companies
Litigation and regulatory risk at the portfolio level
Medical malpractice insurers
Claim severity and defense strategy by specialty and venue
Workers' comp ecosystems
Claim resolution prediction, dispute probability, award modeling
Capabilities
MALPRACTICE OUTCOME MODELING

Jurisdiction-specific verdict probability and severity for medical negligence.

Calibrated win probability and expected value modeling for malpractice claims in litigation. Modeled against real court records, not settlement databases that systematically underrepresent verdict severity and distort reserve-setting benchmarks.

PRODUCT LIABILITY RISK

Case-level and portfolio-level modeling for pharma and device litigation.

Plaintiff win probability and settlement modeling for pharmaceutical, medtech, and medical device cases. Mass tort exposure aggregation across jurisdictions and plaintiff pools. Know your tail before it gets there.

WORKERS' COMP INTELLIGENCE

Dispute resolution prediction and award modeling.

Litigation trigger probability for workers' comp claims. Dispute outcome prediction by jurisdiction and claim type. Expected resolution timeline and award distribution modeling, calibrated against actual tribunal records.

REGULATORY ENFORCEMENT

HHS, CMS, and state agency enforcement outcome modeling.

Enforcement action probability and severity modeling for healthcare regulatory exposure. False Claims Act, FDA enforcement, and state licensing actions, predicted against real enforcement records, not advisory opinions.

Medical malpractice, product liability, and healthcare regulatory enforcement coverage across federal circuits and state courts. Workers' compensation tribunal data across major jurisdictions.

Criterica serves healthcare systems, medtech and pharmaceutical companies, medical malpractice insurers, workers' compensation carriers, and healthcare regulatory counsel.