Failure to Treat in Pennsylvania
Average Settlement: $250,000 - $750,000 | Statute: 2 years from the date the cause of action accrues
About Failure to Treat
Failure to treat occurs when a healthcare provider correctly diagnoses a condition but fails to provide appropriate treatment, refer the patient to a specialist, or follow established treatment protocols. This form of malpractice can be particularly frustrating for patients who sought care, received a correct diagnosis, and then experienced harm because the necessary next steps were never taken. These cases often involve systemic issues such as overloaded physicians, poor follow-up systems, or cost-driven treatment decisions.
Pennsylvania Medical Malpractice Laws
Statute of Limitations
2 years from the date the cause of action accrues
Damage Cap
No cap on damages
Discovery Rule
Pennsylvania applies the discovery rule, beginning the statute when the plaintiff knows or reasonably should know of the injury and its cause, subject to a 7-year statute of repose (with exceptions).
Pre-Filing Requirements
Plaintiffs must file a certificate of merit within 60 days of filing the complaint, certifying that an appropriate licensed professional has reviewed the claim and believes there is a reasonable basis for the action.
Common Examples of Failure to Treat
- •Failing to prescribe appropriate medication after diagnosing a treatable condition
- •Not referring a patient to a specialist when the condition requires specialized care
- •Discharging a patient without an adequate treatment or follow-up plan
- •Ignoring or failing to act on abnormal test results that confirm a known diagnosis
- •Failure to provide appropriate post-surgical care or rehabilitation
- •Not ordering necessary follow-up imaging or biopsies after an initial diagnosis
- •Providing treatment that is outdated or inconsistent with current clinical guidelines
Key Facts
- ✓Failure to treat is legally distinct from misdiagnosis — the provider identified the condition correctly but did not act on it appropriately
- ✓Clinical practice guidelines from medical specialty organizations are often introduced as evidence to show what the standard treatment should have been
- ✓These cases frequently involve gaps in care coordination, particularly when multiple providers or healthcare systems are involved in a patient's treatment
- ✓Electronic health records that show a diagnosis was documented but no corresponding treatment plan was entered can be powerful evidence of failure to treat
- ✓Insurance-driven treatment denials may contribute to failure to treat, but the treating physician still has a legal duty to advocate for and pursue medically necessary care
- ✓Expert testimony in these cases typically focuses on what a competent physician in the same specialty would have done after reaching the same diagnosis
- ✓Pennsylvania requires a certificate of merit within 60 days of filing, certified by an appropriate licensed professional.
- ✓Philadelphia has historically been one of the most plaintiff-friendly jurisdictions for medical malpractice in the nation.
- ✓Pennsylvania follows a modified comparative negligence system with a 51% bar.
- ✓There are no caps on compensatory damages (economic or non-economic) in Pennsylvania.
- ✓Venue rules require malpractice cases to be filed in the county where the cause of action arose.
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Other Malpractice Types in Pennsylvania
This information is for educational purposes only and is not legal advice. Consult a licensed medical malpractice attorney in Pennsylvania.