I very much doubt that that day will ever arrive.
The entire purpose of mega awards is to make it far less expensive for insurance companies to provide care where no one “falls through the cracks” than to provide care based on a minimum standard which is far below this.
With a database as large as most insurance companies have, it is all to easy to decide that “we will provide a system where one patient in 1000 has a negative outcome based on our error” if the cost of awards to patients who fall into the 1 in 1000 is known and limited. OTOH, if the potential cost of those 1 in 1000 patients is much larger and potentially unlimited, the incentive to provide a system where 1 in 1,000,000, or even 1 in 100,000,000 is maltreated suddenly increases.