BHSI – Specialty Carrier Supporting Senior-Care and Aging-Services Providers
Supporting Senior-Care Ecosystems Through Healthcare Professional Liability and Risk-Management Partnerships
Berkshire Hathaway Specialty Insurance (BHSI) provides commercial property, casualty, healthcare professional liability, executive and professional lines, programs, and other specialty coverages worldwide. Its healthcare business includes medical malpractice solutions and dedicated offerings for senior care and aging services, reflecting BHSI’s commitment to complex healthcare risks. With strong financial backing from Berkshire Hathaway, BHSI focuses on long-term relationships, tailored solutions, and robust risk-management support.
Who Is BHSI in Healthcare and Senior-Care Risk?
BHSI offers healthcare professional liability products for hospitals, physicians, and other healthcare organizations, along with specific solutions for senior care and aging-services providers. Its capabilities span primary and excess medical malpractice, general liability, and related coverages, supported by a specialized healthcare risk-management team that partners with clients on patient safety and quality-improvement goals.
In senior-care ecosystems, BHSI serves as a specialty carrier for skilled-nursing facilities, assisted living communities, and aging-services organizations that require customized liability programs. The company emphasizes collaboration, using data and analytics to inform underwriting decisions and risk-management initiatives.
Why Senior-Care Ecosystems Need BHSI
Senior-care ecosystems rely on BHSI when:
- Senior-care and aging-services organizations seek a financially strong carrier with customized healthcare professional liability solutions.
- Providers want a partner focused on long-term relationships and risk-management collaboration, not just annual pricing.
- Brokers need specialty capacity for larger or more complex senior-care accounts.
Standardized incident and claims data—covering clinical events, resident injuries, infections, pressure injuries, medication errors, abuse and neglect allegations, and systemic failures—helps BHSI’s risk-management and underwriting teams identify both acute and chronic risk issues. When structured consistently and shared over time, this data enables BHSI to tailor coverage, support patient-safety programs, and measure the impact of interventions across senior-care organizations.
Case Study
A multi-state aging-services organization operates skilled-nursing facilities, assisted living communities, and home- and community-based programs. BHSI provides healthcare professional liability and general liability coverage, supported by a risk-management partnership focused on patient safety. To deepen insight into risk drivers, BHSI requests standardized incident and claims data across the full continuum of services.
The organization implements Caring Data to record falls, medication events, infections, pressure injuries, abuse and neglect allegations, and other clinical incidents across all settings. Each event is coded with consistent types, severity, care setting, and contributing factors. De-identified aggregate data is shared with BHSI’s healthcare risk-management and underwriting teams.
BHSI uses these structured datasets to identify trends across service lines, such as differences in fall rates between facility-based and community-based programs, or patterns in infection events across regions. The carrier collaborates with the organization to design targeted interventions, including infection-control initiatives, falls-reduction strategies, and documentation-improvement projects. Over time, the organization and BHSI track improvements in incident rates and align coverage and retentions with demonstrated risk performance.
Testimonials
“Our BHSI contacts told us the Caring Data reports gave them a more complete view of risk across our entire aging-services continuum.”
“With standardized incident and claims data, we’ve been able to partner with BHSI on patient-safety strategies that strengthen both our care quality and our liability program.”
Key Contact
Berkshire Hathaway Specialty Insurance (BHSI)
Role: specialty insurer providing healthcare professional liability and related solutions, including dedicated offerings for senior care and aging-services organizations.
Website:
https://www.bhspecialty.com
Address (listing):
181 Bay Street, Suite 2500, Toronto, ON M5J 2T3 (U.S. operations commonly use Boston)
Phone (listing): 617-936-2900 / +1-617-936-2906 (claims)
Email (listing): david.crowe@bhspecialty.com (Head of Global Claims); courtney.koch@bhspecialty.com (SVP, Healthcare & Casualty Claims); rob.romeo@bhspecialty.com (Head of Claims, North America); george.marr@bhspecialty.com (Head of Specialty Programs Claims)
Contact (listing): David Crowe; Courtney Koch; Rob Romeo; George Marr
Final Thoughts
Senior-care ecosystems benefit when specialty carriers like BHSI combine strong financial capacity with dedicated healthcare expertise and risk-management partnership. BHSI’s senior-care and aging-services solutions help organizations manage complex liability exposures while advancing patient-safety goals. Caring Data amplifies this model by providing structured incident and claims information that supports nuanced underwriting, collaborative risk-management planning, and measurable improvements across senior-care settings.