James W. Saxton, Esq.

Chief Executive Officer

James W. Saxton, Esq. is the CEO and Co-founder of Saxton & Stump. He has sustained an active litigation practice for over 30 years, representing hospitals and physicians before state and federal courts in professional liability and complex litigation matters. His practice includes healthcare litigation, internal investigations, medical staff matters, and strategic planning.

Leveraging his extensive experience as a litigator, Jim advises physicians, hospitals, and post-acute care facilities with understanding and reducing their professional liability risk by promoting excellence in patient satisfaction and incorporating certain specific loss control and safety protocols. He has helped create innovative risk reduction tools, including specialty–specific diagnostic clinical effectiveness dashboards and patient experience and engagement tools, many which are now being used nationally. Jim has also created innovative safety programs for captive insurers, many national in scope.

Jim is a nationally known speaker on healthcare issues, including litigation and trial best practices, mitigation, patient safety, as well as overviews of the changes in the healthcare landscape. He presents to many prominent healthcare organizations on both the state and national level including the American College of Surgeons, the American Society for Metabolic and Bariatric Surgery, the American Urological Association, and the Physicians Insurers Association of America.

Additionally, he has published more than 200 articles, several handbooks, and seven textbooks in his field, including most recently, Operation Five-Star: Service excellence in the medical practice – Cultural Competency, Post-Adverse Events, and Patient Engagement.

Prior to starting Saxton & Stump, Jim was a Shareholder with Stevens & Lee where he served as the Chairman of the Healthcare Litigation and Risk Management Group, Co-Chairman of the Health Group, and sat on the firm’s Finance Committee.

Jim is an active member of many professional associations including being chosen as a Fellow of the Litigation Counsel of America, a prestigious nomination reserved for less than one-half of one percent of the lawyers in the country; Fellow of the College of Physicians of Philadelphia; and Board Member for SE Healthcare. In 2017, he was certified as a member of Lawyers of Distinction, an honor limited to the top 10% of attorneys in the United States. As published in Philadelphia magazine, Jim has been recognized annually in the Commonwealth as a Pennsylvania Super Lawyer since 2012. Additionally, he has been recognized annually by his peers as a Best Lawyers in America for his high caliber of work in Litigation-Healthcare since 2016 and as a Select Lawyer in Medical Malpractice Law in 2015.

In addition to his legal pursuits, Jim believes strongly in giving back to the community, volunteering in leadership roles, and lending his expertise to many healthcare and community non­profits. In 2014, Jim was the recipient of the Excellence in Philanthropy Award presented by the Lancaster General Health Foundation’s Board of Trustees. In 2013, he was awarded Philanthropist of the Year by The Central Pennsylvania Chapter of the Association of Fundraising Professionals. Additionally, Jim was the Founding Board Member of the Lancaster Community Health Plan; Chairman of the Lancaster YMCA Foundation; and prior to that, President of the YMCA Board of Directors. Jim is also a Past Board Member of the American Heart Association.


Duquesne University School of Law, J.D., 1982

Shippensburg State College, B.A., 1979




U.S. District Court for the Eastern District of Pennsylvania

U.S. District Court for the Middle District of Pennsylvania


College of Physicians of Philadelphia, Fellow

Litigation Counsel of America, Fellow

SE Healthcare Quality Consulting, LLC, Board of Directors

American Health Lawyers Association, ACO Task Force

Healthcare Liability and Litigation Practice Group, Past Chair

Lancaster Bar Association, Professionalism Section

Pennsylvania Bar Association

American Bar Association

Lancaster Community Health Plan, Founding Board Member

W. Hensel Brown Inn of Court, Master Designation; Past President

Lancaster Family YMCA, Foundation Chairman


Fellow of the Litigation Counsel of America

Super Lawyers – 2005, 2012, 2013, 2014, 2015, 2016, 2017, 2018, 2019, 2020

Best Lawyers in America – 2016, 2017, 2018, 2019, 2020, 2021

Lawyers of Distinction – 2017

Select Lawyers – 2015

Rated AV Preeminent by Martindale-Hubbell

Lancaster General Health Foundation, 2014 Excellence Philanthropy Award Recipient

The Central Pennsylvania Chapter of the Association of Fundraising Professionals, 2013 Philanthropist of the Year Award Recipient

Lancaster Family YMCA, 2004 Volunteer of the Year, 2009 Distinguished Service Award

Selected Publications & Resources

I Was Sued…Now What?!, Co-authored with Darlene K. King, Esq., Lancaster Physician, Winter 2020

Providers: Take Steps to Enhance Patient Engagement and Prevent Lapses That Lead to Lawsuits, Co-authored with Darlene K. King, Esq., Lancaster Physician, Fall 2019

Rising Hospital Settlements and the Shift Away from Defending Claims – Are We Breaking the Backs of Hospitals, Insurers, and Healthcare Consumers? Co-authored with Kevin M. Bingham and John Hall, Jr., December 2018 

Physician/Hospital Relationships: Reflecting Back, Looking Forward, EndoEconomics, Winter 2018

A New Era of Transparency: Prepare for the Inevitable, Co-authored with Darlene K. King, Esq., EndoEconomics, Fall/Winter 2017

Patient Engagement and the Gateway ‘Patient Experience’, Co-authored with Darlene K. King, Esq., Inside Medical Liability, September 2017

Burned-out Physicians in Litigation: Providing the Support They Need, Co-authored with Daniel E. Shaprio, PhD, Inside Medical Liability, November 2016

Physician Empowerment Suite Leverages Big Data to Mitigate Medical Liability Risks, Improve Practice Economics, Co-authored with Richard K. Hammer, MD, Medical Liability Monitor, August 2016

Five Star Service – Excellence in GI, GI Journal of Physicians Endoscopy, 2016

Add Another Tool to the Defense Toolkit Courtesy of the ACA, Co-authored with Darlene K. King. Esq., Inside Medical Liability, 2016

I was Sued…Now What, Co-authored with Darlene K. King. Esq., AAE Communique, February 2016

How to Avoid a Lawsuit: Steps Endodontists Can Take to Anticipate and Prevent Legal Action, Co-authored with Darlene K. King, Esq., AAE Communique, January 2016

SAGES Inguinal Hernia Educational Program – Hernia Task Force Retreat, Legal Expert Interview, 2016

Taking Bariatric Safety to the Next Level, Bariatric Times, October 2014

Operation Five-Star: Service Excellence in the Medical Practice – Cultural Competency, Post-Adverse Events & Patient Engagement, Co-authored with Maggie M. Finkelstein, Esq., Greenbranch Publishers, 2014

National Lectures (2013-Present)

Keeping Ahead and Out of Trouble, 5th Annual Update in Gastroenterology and Hepatology, Medical University of South Carolina (MUSC), September 22, 2018 

Leveraging Data to Change the Risk Management Game, Physicians Insurers Association of America Medical Liability Conference, Colorado Springs, CO, May 18, 2017

GI Patient Experience 3.0: “Getting Serious” Is the Silver Bullet, GI Roundtable 2017, Fort Worth, TX, March 17, 2017

Liability & Economics for Doctors: 1+1 Can Equal 3!, Guy Carpenter Medical Professional Liability Networking Forum, La Jolla, CA, April 14, 2016

Reducing Medico-Legal Risk in Gastroenterology: Why Patients Sue & Implementing Steps to Avoid Lawsuits, Second Annual Update in Gastroenterology & Hepatology, Charleston, SC, September 26, 2015

Medical Malpractice in Urology: How to Prevent and Defend, AUA Annual Meeting, New Orleans, LA, May 17, 2015

Avoiding Medical-legal Unpleasantness: How to Med/Mal-proof Your Practice, Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Annual Meeting

Linking Outcomes to Reimbursement While Mitigating Risk, 15th Annual Minimally Invasive Surgery Symposium, Las Vegas, NV, February 27, 2015

Quality/Reimbursement/Liability – A Collision Course?, 10th Annual Medical Liability Insurance ExecuSummit, Mohegan Sun, CT, September 9, 2014

Hospital & Physician Integration: Steps for Successful Collaboration, PLUS Medical Malpractice Conference, Atlanta, GA, April 23, 2014

ACO Type Reimbursement: Impact on Healthcare and MPL, PIAA Marketing Workshop, Chicago, IL, April 10, 2014

Reducing Practice Exposure and A Major Source of Pain: A Surgical Risk Mitigation “Tool Kit”, 14th Annual Minimally Invasive Surgery Symposium Marketing Workshop, Las Vegas, NV, March 1, 2014

The ACA and Beyond: Impact on Surgical Practices, 14th Annual Minimally Invasive Surgery Symposium Marketing Workshop, Las Vegas, NV, March 1, 2014

Implementation of Quality Assurance Initiatives that Make a Difference, 14th Annual Minimally Invasive Surgery Symposium, Las Vegas, NV, February 28, 2014

Reducing Your Professional Liability & Enhancing Your Practice, 2013 ACS Surgery Resident Program, Washington, DC, October 7, 2013

Post ACA – Is the Dust Settling? Impact on providers and You!, 9th Annual Medical Liability Insurance ExecuSummit, Mohegan Sun, CT, September 10, 2013

Post Adverse Event Communication; Medical Malpractice Risk Management; New Face of Litigation; Healthcare Reform, Minimally Invasive Surgery Fellowship Fundamentals Conference, Sedna, AZ, August 21-24, 2013

A Changing Healthcare Environment – Time to Enhance Your Practice and Reduce Your Risk!, Lehigh County Medical Society, May 14, 2013

Post ACA- Evolving and Accelerating Change: Impact on Providers and You!, MPL Networking Forum, Las Vegas, NV, April 18, 2013

The New Healthcare Environment…What it Means for MPL Carriers, Thee Mutual Risk Retention Group, San Diego, CA, March 26, 2013

Resources to Help Your Insureds Succeed In 2013 and Beyond!, NJ Pure, February 28, 2013

Part II – The Supreme Court’s Ruling on ACA: impact on MPL Carriers, PIAA Webcast, February 6, 2013

Neurological Imparied Baby – Science v. Sympathy…Who Wins?, 29th Annual Conf – Obstetrics, Gynecology, Perinatal Medicine, Neonatology, and the Law, Kauai, HI, January 2-6, 2013


Has overseen and supervised thousands of medical professional liability claims

Successfully tried over 80 trials to verdict

Helped to create captive insurance companies, many national in scope

Developed risk quality and assurance programs, many national in scope

Aided in reorganizing entire risk and claim systems

Helped to develop medical professional liability claims “best practices” for health systems and medical professional liability insurers

Lead investigations in multiple, significant risk quality assurance issues

Worked with medical staffs on programming and education initiatives

Authored hundreds of articles and several handbooks and textbooks

Participates in national panels, webinars, and educational programs

Held multiple, professional leadership positions in law firms and professional and civic organizations

Has taken part in founding multiple organizations and continues to hold leadership positions including his position on the Board of Directors for SE Healthcare

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