Medico-Legal Services

Medical Cost & Future Care Analysis

Objective assessment of future treatment needs and life care plans

Fellowship-trained orthopedic spine surgeon
Active clinical spine practice
Objective, evidence-based opinions
Peer-reviewed literature citations
Deposition and trial-ready

What You Receive

Opinion on medical necessity of proposed future care
Analysis of life care plan recommendations
Assessment of reasonable costs for future treatment
Evaluation of medication needs and duration
Opinion on need for future surgical interventions
Home modification and assistive device necessity
Attendant care requirements (if applicable)

Process & Timeline

1

Submit Records

Send medical records and case details

2

Evaluation

Thorough review and examination

3

Report Delivery

Comprehensive written opinion, typically 2-3 weeks

Who This Service Is For

Plaintiff attorneys establishing damages in catastrophic injury cases
Defense counsel challenging excessive life care plans
Insurance carriers evaluating settlement reserves
Mediators requiring objective future care assessment
Life care planners seeking medical validation

Life Care Plan Evaluation

Life care plans project future medical needs and costs for individuals with catastrophic injuries. Dr. Rastegar evaluates these plans from a medical perspective, determining which recommendations are medically necessary versus speculative or excessive.

Key Questions Addressed

  • Is proposed future surgery medically necessary or possible but unlikely?
  • Are frequency and duration of proposed therapies reasonable?
  • Do medication projections reflect appropriate prescribing?
  • Are assistive devices and home modifications medically necessary?
  • Is attendant care level appropriate for functional deficits?
  • Does the plan reflect evidence-based care or over-treatment?

Common Issues in Life Care Plans

  • Projection of unnecessary future surgeries: Adjacent segment surgery is possible but not certain; plans sometimes overestimate likelihood
  • Lifetime therapy projections: Many patients don't require ongoing weekly therapy indefinitely
  • Excessive medication costs: Plans may include brand-name drugs when generics available or doses higher than typically prescribed
  • Equipment replacement schedules: Some plans use aggressive replacement timelines not matching product durability

Dr. Rastegar provides balanced opinions recognizing legitimate future care needs while identifying speculative or excessive projections not supported by medical evidence.

What Is Evaluated

Neutral, Defensible Opinions

Evidence-Based Methodology: All opinions are grounded in objective clinical findings, peer-reviewed literature, and established medical guidelines—not advocacy.

Equal Treatment: Whether representing plaintiff or defense, each case receives the same rigorous, unbiased analysis focused solely on the medical facts.

Deposition-Ready: Reports are written to withstand scrutiny, with clear rationale and supporting medical evidence for every conclusion.

Records Needed

  • Complete life care plan with itemized costs
  • All medical records documenting current condition
  • Functional capacity evaluation (FCE) report
  • Treating physician's recommendations for future care
  • Previous surgical records and outcomes
  • Current medication list and dosages
  • Pain management records
  • Physical therapy records showing progress
  • Vocational assessment if applicable

Submit a Case

We respond to all inquiries within 24 business hours.

Credentials

  • Board-certified, ABOS
  • FAAOS designation
  • Cleveland Clinic Fellowship
  • Licensed: OH, KY, MI, CA

Submit Your Case Inquiry

Get an objective, evidence-based medical opinion within 2-3 weeks

Professional Affiliations

AAOS • NASS • AMA • Cleveland Clinic • University of Chicago • UCLA • OHSU