Angulo v. Providence Health & Services Washington

CourtDistrict Court, W.D. Washington
DecidedMarch 17, 2023
Docket2:22-cv-00915
StatusUnknown

This text of Angulo v. Providence Health & Services Washington (Angulo v. Providence Health & Services Washington) is published on Counsel Stack Legal Research, covering District Court, W.D. Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Angulo v. Providence Health & Services Washington, (W.D. Wash. 2023).

Opinion

1 2

3 4 5 6 7 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON 8 AT SEATTLE

9 10 CAROLINE ANGULO, et al., CASE NO. C22-0915JLR 11 Plaintiffs, ORDER v. 12 PROVIDENCE HEALTH & 13 SERVICES WASHINGTON, et al., 14 Defendants. 15 I. INTRODUCTION 16 Before the court is Plaintiffs Caroline Angulo, Eric Keller, Isabel Lindsey, and 17 Charles Lindsey’s (collectively, “Plaintiffs”) motion to remand, or in the alternative, for 18 leave to conduct discovery. (Mot. (Dkt. # 32); Am. Reply (Dkt. # 46).) Defendant 19 Providence Health & Services (“Providence”) opposes the motion. (Resp. (Dkt. # 42).) 20 The following motions are also pending before the court: Providence’s motion to transfer 21 venue (Dkt. # 4) and Plaintiffs’ motions for a protective order (Dkt. # 8) and for leave to 22 1 conduct discovery (Dkt. # 54). The court has reviewed the parties’ submissions, the 2 balance of the record, and relevant law. Being fully advised,1 the court DENIES

3 Plaintiffs’ motion to remand without prejudice, ORDERS the parties to conduct 4 jurisdictional discovery, and ORDERS supplemental briefing from Plaintiffs. The court 5 further DENIES the parties’ remaining motions without prejudice. 6 II. BACKGROUND 7 This case arises from allegations that Providence, a large hospital, used a 8 compensation structure that encouraged two neurosurgeons, Defendants Dr. Jason

9 Dreyer, DO, and Dr. Daniel Elskens, DO (the “Doctor Defendants”), to perform 10 medically unnecessary spinal surgeries on patients and, in many cases, file false claims 11 for reimbursement with government health insurance programs. (See Am. Compl. (Dkt. 12 # 31) ¶ 1.6, Ex. 1 (“Qui Tam Complaint”) ¶¶ 12-17; id. ¶ 1.8, Ex. 2 (“Settlement 13 Agreement”) ¶¶ C-D.) In January 2020, one of the Doctor Defendants’ colleagues filed a

14 qui tam action against Providence under the False Claims Act, 31 U.S.C. § 3732 (see Qui 15 Tam Complaint), and the United States intervened in the action in January 2022 (see 16 Settlement Agreement ¶ G). The United States, the State of Washington, and the Relator 17 in the qui tam action ultimately reached a settlement with Providence for more than $22 18 million, in which the United States and the State of Washington released Providence from

19 civil liability for filing false insurance claims between July 1, 2013 and November 13, 20 2018. (Settlement Agreement ¶¶ A, 1-3.) 21

1 Plaintiffs request oral argument (see Mot. at 1), but the court finds oral argument 22 unnecessary to its disposition of the motion, see Local Rules W.D. Wash. LCR 7(b)(4). 1 According to Plaintiffs, Providence employed Dr. Dreyer from July 1, 2013 to 2 November 13, 2018 and Dr. Elskens between November 2015 and May 2017 as

3 neurosurgeons its hospital in Walla Walla, Washington. (Am. Compl. ¶¶ 4.2-4.3.) 4 Plaintiffs also assert that after resigning from Providence, Dr. Dreyer performed more 5 medically unnecessary spinal surgeries at Spokane, Washington hospital, MultiCare, until 6 March 2021.2 (See Am. Compl. ¶ 4.12.) Neither the Doctor Defendants nor MultiCare 7 were named in the qui tam action or parties to the Settlement Agreement. (See Qui Tam 8 Complaint at 1; Settlement Agreement at 2.3)

9 On May 13, 2022, Plaintiffs filed a proposed class action in King County Superior 10 Court, seeking damages on behalf of three proposed classes of patients who allegedly 11 received medically unnecessary treatments by the Doctor Defendants. (See Compl. (Dkt. 12 # 1-4).) Plaintiffs define the proposed classes as follows: 13 (1) Settlement Class: All patients whose treatments informed the basis of the settlement between Providence and DOJ . . . who, by definition, suffered 14 special and/or general damages from medical procedures that were medically unnecessary or otherwise improper for said treatments. 15 (2) Non-Settlement Class/Providence: All patients who suffered damages as 16 a result of medical procedures at Providence, performed by [the Doctor Defendants] that were medically unnecessary or otherwise improper but 17 whose treatments were not included in the settlement either because DOJ offered to settle for less than full restitution or because their treatment 18 was paid for by private health insurers such as Regence Blue Shield, or was paid privately, for treatments during the relevant time periods. 19 20 2 Plaintiffs do not bring claims against MultiCare in this lawsuit and do not allege MultiCare adopted the same compensation structure as Providence. (See Am. Compl.; Dkt.) 21

3 The court cites to the CM/ECF page numbers in the document headers when referring to 22 the parties’ exhibits unless otherwise indicated. 1 (3) Non-Settlement Class/MultiCare: All patients who suffered damages as a result of medical procedures at MultiCare performed by Dr. Dreyer that 2 were medically unnecessary or otherwise improper but whose treatments were not included in the restitution settlement because DOJ sought 3 reimbursement for payments to Providence only, for treatments during the relevant time periods. 4 (Am. Compl. ¶¶ 6.2.1-.3.) Plaintiffs allege a wide variety of claims against Defendants 5 under Washington State law. (See id. ¶¶ 7.1-20.3.) On June 30, 2022, Providence timely 6 removed the action to this court. (See NOR (Dkt. # 1) ¶ 1; id., Ex. A at 2 (demonstrating 7 service of summons and complaint on May 31, 2022)); see also 28 U.S.C. § 1446(b)(1) 8 (requiring removal within 30 days after defendant’s receipt of complaint and summons). 9 Providence asserts federal subject matter jurisdiction is proper under the Class Action 10 Fairness Act (“CAFA”), 28 U.S.C. § 1332(d). (NOR ¶ 4.) 11 There has been a flurry of litigation activity since Providence removed the case to 12 this court. Upon removal, Providence filed a motion to transfer venue (Venue Mot. (Dkt. 13 # 4); Venue Reply (Dkt. # 26)), which Plaintiffs oppose (Venue Resp. (Dkt. # 19)). 14 Plaintiffs filed a motion for a protective order or for a restraining order (Mot. for Prot. 15 Order (Dkt. # 8); Prot. Order Reply (Dkt. # 27)), which Providence opposes (Prot. Order 16 Resp. (Dkt. # 21)). Plaintiffs then filed the instant motion to remand on July 28, 2022. 17 (See Mot.) The court issued a minute entry indicating its intention to defer entry of a case 18 scheduling order until after it could rule on the pending motions. (See 8/30/22 Notice 19 (Dkt. # 50)); see also Fed. R. Civ. P. 26(f). While each of these motions were pending, 20 Plaintiffs also filed a motion for leave to conduct discovery (Disc. Mot. (Dkt. # 54); Disc. 21 22 1 Reply (Dkt. # 59)), which Providence opposes (Disc. Resp. (Dkt. # 57)). On March 9, 2 2023, this case was reassigned from Judge Tana Lin to the undersigned. (See Dkt.)

3 III. ANALYSIS 4 Plaintiffs move to remand this case to King County Superior Court, arguing that 5 removal was improper because (1) Providence has failed to adequately allege that this 6 matter satisfies the requirements of CAFA or (2) at least one exception to CAFA applies. 7 (See generally Mot.) In the alternative, Plaintiffs seek leave to conduct discovery 8 necessary to determine whether the action satisfies the requirements of CAFA or if an

9 exception applies. (Id. at 12-13.) Providence opposes each of Plaintiffs’ arguments. 10 (See generally Resp.) The court first reviews the relevant legal standards before turning 11 to Plaintiffs’ arguments, the need for jurisdictional discovery, and the need for 12 supplemental briefing. 13 A. Legal Standard for a Motion to Remand

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Angulo v. Providence Health & Services Washington, Counsel Stack Legal Research, https://law.counselstack.com/opinion/angulo-v-providence-health-services-washington-wawd-2023.