Altamonte Pediatric Associates, P.A. v. Greenway Health, LLC

CourtDistrict Court, M.D. Florida
DecidedSeptember 4, 2020
Docket8:20-cv-00604
StatusUnknown

This text of Altamonte Pediatric Associates, P.A. v. Greenway Health, LLC (Altamonte Pediatric Associates, P.A. v. Greenway Health, LLC) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Altamonte Pediatric Associates, P.A. v. Greenway Health, LLC, (M.D. Fla. 2020).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION

ALTAMONTE PEDIATRIC ASSOCIATES, P.A.,

Plaintiff, v. Case No. 8:20-cv-604-T-33JSS

GREENWAY HEALTH, LLC,

Defendant. ____________________________/

ORDER This matter comes before the Court upon consideration of Defendant Greenway Health, LLC’s Motion to Dismiss Complaint (Doc. # 36), filed on May 29, 2020. Plaintiff Altamonte Pediatric Associates, P.A., responded on June 12, 2020. (Doc. # 47). For the reasons set forth below, the Motion is granted in part and denied in part. I. Background Altamonte is a pediatric healthcare provider that was in the market for certified Electronic Health Record (“EHR”) software. (Doc. # 1 at ¶ 1). EHR software “offers a variety of features relevant to the practice of healthcare, including . . . access to patient medical records, demographics, care history and allergies[,] electronic communication with

1 patients[,] and electronic placement of prescriptions.” (Id.). Beyond these features, healthcare providers are incentivized to use EHR software through the federal Meaningful Use program. (Id. at ¶ 2). The program provides “monetary incentive payments through Medicare and Medicaid” to those who utilize certified EHR software. (Id.). A significant part of the determination of whether healthcare providers receive these benefits includes if the EHR software utilized is certified, meaning that it complies with federal

regulations and “actually meets the standards of the Meaningful Use program.” (Id. at ¶¶ 2, 22, 31-33). Beginning in 2013, Altamonte contracted with Greenway to obtain certified EHR software for its pediatric practice. (Id. at ¶ 3). Greenway represented to Altamonte and its other customers that the software in question, Intergy, “satisfied the requirements of the Meaningful Use program.” (Id.). This promise was included in Greenway’s standard-form contract. (Id. at ¶ 4). Specifically, the contract provides that Greenway would “continue to support the Subscription Services, including providing upgrades and updates if and when available” and “cause the Subscription Services to

2 remain compliant with federal regulations (including those promulgated by the Centers for Medicare and Medicaid Services) establishing healthcare industry standards.” (“Guaranty clause”) (Id.).1 In return, Altamonte “paid tens of thousands of dollars to Greenway for Intergy and related services.” (Id. at ¶ 3). However, Altamonte alleges that “Intergy does not meet the requirements of the Meaningful Use program and has not met them for years.” (Id. at ¶ 5). Following a 2017 Department

of Justice investigation into Prime Suite, a separate Greenway-owned EHR software, Greenway ran tests on its three “core EHR products: Prime Suite, Intergy, and SuccessEHS.” (Id. at ¶ 6). “All three EHRs failed these tests,” (Id.), and the government’s investigation into Prime Suite resulted in

1. Altamonte alleges that this is reiterated in the Software License Agreement, which provides: “[Greenway] warrants that, for the Software Warranty Period, the [Intergy] software, as updated and used in accordance with the Documentation . . . will operate in all material respects in conformity with the functional specifications in the Documentation.” (“Documentation clause”) (Doc. # 1 at ¶ 45, 120). Altamonte avers that the Documentation clause incorporates Greenway’s repeated assurances “that Intergy met the Meaningful Use program’s certification requirements and would enable users to attest to meaningful use of certified EHR technology and take advantage of incentive programs.” (Id. at ¶ 45-48).

3 a $57 million settlement to resolve alleged violations of the False Claims Act for “intentionally rigg[ing] the software to cheat on testing during the certification process.” (Id. at ¶ 7). The government further “alleged that Prime Suite had not been compliant with the Meaningful Use program for at least between January 1, 2014, and December 31, 2017.” (Id.). Although the settlement between Greenway and the government did not pertain to Intergy, Altamonte alleges that certain contemporaneous disclosures by Greenway of similar flaws in

both Prime Suite and Intergy “support[] an inference that the two products share the same code or design and suffer from the same basic deficiencies.” (Id. at ¶ 8). In 2018, Greenway began disclosing certain flaws in Intergy and the other software to its customers. (Id. at ¶¶ 6, 51-52). In 2018 and 2019, Greenway then “told customers they could not use the software to attest to the certified use of an EHR when reporting to Medicare and Medicaid.” (Id. at ¶¶ 6, 58-61, 65-68, 72). Because of these flaws, Altamonte employees had to spend “numerous hours addressing . . . errors in Intergy” in 2018 and 2019. (Id. at ¶ 9). Altamonte then “submitted reports for the 2018 calendar year to Medicaid in

4 2019.” (Id.). However, following Altamonte’s submission of these reports to Medicaid, Greenway announced additional errors in Intergy, “which prevented eight of Altamonte[’s] . . . pediatricians and nurses from qualifying for $68,000 in incentive payments.” (Id.). Altamonte filed this class action in this Court on March 13, 2020. (Doc. # 1). Altamonte seeks class certification on behalf of other similarly situated Intergy customers. (Id. at ¶ 111). Altamonte also proposes two subclasses: (1) for class

members whose contracts with Greenway include the Guaranty clause, and (2) for class members whose contracts include the Documentation clause. (Id. at ¶ 112-13). The complaint includes claims against Greenway for violations of the Florida Deceptive and Unfair Trade Practices Act (FDUTPA) (Count I), common law fraud (Count II), negligent misrepresentation (Count III), and breach of contract (Counts IV and V). (Doc. # 1). On May 29, 2020, Greenway moved to dismiss the complaint for failure to state a claim, (Doc. # 36), and Altamonte has responded. (Doc. # 47). The Motion is now ripe for review.

5 II. Legal Standard On a motion to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6), this Court accepts as true all the allegations in the complaint and construes them in the light most favorable to the plaintiff. Jackson v. Bellsouth Telecomms., 372 F.3d 1250, 1262 (11th Cir. 2004). Further, the Court favors the plaintiff with all reasonable inferences from the allegations in the complaint. Stephens v. Dep’t of Health & Human Servs., 901 F.2d 1571, 1573 (11th Cir. 1990).

But, [w]hile a complaint attacked by a Rule 12(b)(6) motion to dismiss does not need detailed factual allegations, a plaintiff’s obligation to provide the grounds of his entitlement to relief requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do. Factual allegations must be enough to raise a right to relief above the speculative level.

Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007) (quotations and citations omitted). Courts are not “bound to accept as true a legal conclusion couched as a factual allegation.” Papasan v. Allain, 478 U.S. 265, 286 (1986). The Court must limit its consideration to “well-pleaded factual allegations, documents central to or referenced in the

6 complaint, and matters judicially noticed.” La Grasta v.

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