Estuary Transit District v. Hartford Healthcare Corporation

CourtDistrict Court, D. Connecticut
DecidedJune 13, 2025
Docket3:24-cv-01051
StatusUnknown

This text of Estuary Transit District v. Hartford Healthcare Corporation (Estuary Transit District v. Hartford Healthcare Corporation) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Estuary Transit District v. Hartford Healthcare Corporation, (D. Conn. 2025).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

Estuary Transit District, et al.,

Plaintiffs, Civil No. 3:24-cv-01051 (SFR)

v.

Hartford Healthcare Corp., et al., June 13, 2025

Defendants.

RULING AND ORDER ON PLAINTIFFS’ MOTION TO COMPEL [ECF No. 97]

This is an antitrust case brought by a transit district and a union health care plan against Hartford Healthcare Corporation (“HHC”) and three related entities. (Compl., ECF No. 1. ¶¶ 8- 14.) The defendants recently settled another antitrust case alleging anticompetitive behavior, St. Francis Hospital and Medical Center v. Hartford Healthcare Corp. et al., No. 3:22-cv-00050 (SVN) (the “St. Francis Action”). The plaintiffs in this case requested production of the settlement agreement in the St. Francis Action, along with “all non-privileged communications between St. Francis and HHC related to the negotiation and finalization of” the settlement. (ECF No. 97-1, at 8.) The defendants objected, and after the meet-and-confer process resulted in impasse, the plaintiffs moved to compel. (ECF No. 97.) For the reasons set forth below, the plaintiffs’ motion will be granted in part and denied in part. The defendants will be ordered to produce the settlement agreement, although they will be permitted to redact the amount of any settlement payment. The Court will not order them to produce settlement-related communications at this time. I. BACKGROUND St. Francis filed its case against HHC on January 11, 2022. Compl., St. Francis Action (D. Conn. Jan. 11, 2022), ECF No. 1. In its complaint, it alleged that HHC “[a]cquired numerous physician practices;” “[d]emanded that its acquired (and other) physicians refer all or virtually all

their cases to [HHC], regardless of whether that is best for their patients, and penalized physicians who do not do so;” and “[t]hreatened and intimidated physicians who do not follow [HHC’s] dictates.” (Id. ¶ 3.) It added that HHC used its relationship with its co-defendant, Integrated Care Partners (“ICP”), to control physician referrals. (Id. ¶¶ 71-75.) St. Francis asserted that these and other anticompetitive practices constituted violations of the Sherman Act, the Clayton Act, the Connecticut Antitrust Act, and the Connecticut Unfair Trade Practices Act. (Id. at 68-72.) The plaintiffs filed this case on June 14, 2024. (Compl., ECF No. 1.) In their complaint, they alleged that HHC exercises its market power to require health plans “to contract for hospital services on an ‘all or nothing’ basis” and to include “anti-steering, anti-tiering, and anti- transparency provisions” in their agreements with HHC, preventing them from adopting

“incentives designed to steer members away from more expensive hospital service providers like HHC and towards more efficient, lower-priced providers.” (Id. ¶¶ 88-89.) They asserted that HHC “restrains price competition in the Outpatient Services market through ICP” by, among other things, “withholding HHC referrals from physicians who do not join ICP.” (Id. ¶¶ 97, 99.) In the plaintiffs’ view, these and other practices allowed HHC to “charge supracompetitive prices for lower quality hospital services”; to suppress competition and protect its market power; to limit the introduction of new health plan products; and to “[d]epriv[e] patients of the benefits of a competitive market for their purchases of hospital services” in violation of the Sherman Act and the Clayton Act. (Id. ¶ 95, pp. 41-50.) On January 2, 2025, St. Francis stipulated to the dismissal of its case. Stipulation of Dismissal of Case, St. Francis Action (D. Conn. Jan. 2, 2025), ECF No. 305. The stipulation recited that St. Francis had “reached a mutually acceptable resolution” with HHC and the other defendants. (Id.) Judge Nagala dismissed the case the next day. Order, St. Francis Action (D.

Conn. Jan. 3, 2025), ECF No. 306. On January 6, 2025, the plaintiffs in this case served requests for production on the defendants, inquiring about the St. Francis settlement. (Pls.’ Third Set of Reqs. for Prod., Ex. 1 to Mot. to Compel, ECF No. 97-4.) Specifically, Request No. 80 sought production of “[d]ocuments sufficient to show the terms of the settlement reached between [the defendants] and Plaintiff Saint Francis Hospital and Medical Center in the St. Francis Action, including but not limited to a copy of the settlement agreement.” (Id. at 8.) Request No. 81 sought “[a]ll Communications between [the defendants and their] counsel and Plaintiff Saint Francis Hospital and Medical Center or its counsel concerning the St. Francis Action, including Communications concerning the settlement of the St. Francis Action.” (Id.) Request No. 82 inquired after “[a]ll Documents and

Communications concerning the St. Francis Action.” (Id.) The defendants responded on February 7, 2025. (Defs.’ Resps. & Objs. To Pls.’ Third Set of Reqs. for Prod., Ex. 2 to Mot. to Compel, ECF No. 97-5.) After eighteen pages of “general objections,” “objections to certain instructions,” and “objections to certain definitions,” the defendants objected to Request Nos. 80 and 81 on grounds of irrelevance, undue burden, and lack of proportionality. (Id. at 2-19 and 20-22.) They asserted that the “settling parties in the St. Francis Action have an expectation of confidentiality concerning the settlement agreement and related Communications, and this confidentiality interest outweighs Plaintiffs’ interest in obtaining such materials since they are not relevant to its claims.” (Id. at 20-21.) They also objected “to the extent” that the two requests sought “information protected from disclosure by the attorney-client privilege, the work product doctrine, or other applicable privilege[.]” (Id. at 20-22.) Finally, the defendants objected to Request No. 82 as “irrelevant, overbroad, unduly burdensome, and not proportional to the needs of the case.” (Id. at 22.)

The parties met and conferred on three occasions, and the plaintiffs agreed to narrow their requests. (ECF No. 97-1, at 5.) After these conferences, the plaintiffs sought only “(1) the settlement agreement between St. Francis and HHC to resolve the St. Francis Action; and (2) all non-privileged communications between St. Francis and HHC related to the negotiation and finalization of” the settlement. (Id.; see also Decl. of L. Caseria, ECF No. 99 ¶ 5.) In other words, the plaintiffs essentially dropped Request No. 82 and narrowed Request No. 81 by dropping the demand for production of communications with St. Francis that were unrelated to the settlement, but they maintained Request No. 80’s demand for production of the settlement agreement itself. (See ECF No. 97-1, at 4-5.) The parties could not resolve their dispute over Request No. 80. The defendants argued

that the St. Francis settlement agreement was irrelevant to this case because, “aside from the release in section 1 . . . which refers to the claims and allegations in the case, there is no other section of the settlement agreement that contains any discussion of any claim, defense, facts, evidence, markets, or allegations in the case.” (E-mail from L. Caseria to N. Regenold, Ex. 3 to Mot. to Compel, ECF No. 97-6, at 2.) The plaintiffs countered that the agreement “might be relevant because it may: (1) identify the existence of any behavioral remedies that [HHC] and St. Francis may have agreed upon; or (2) contain substantive discussions of the claims or defenses in the St. Francis case.” (Decl. of L. Caseria, ECF No. 99 ¶ 6.) The defendants continued to disagree, but they nonetheless offered to explore producing “a copy of the settlement agreement with the settlement amount, if any, redacted..” (Id. ¶ 7.) The plaintiffs apparently declined this proposal, and insisted that the settlement agreement be produced with the settlement amount unredacted. (ECF No.

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Estuary Transit District v. Hartford Healthcare Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estuary-transit-district-v-hartford-healthcare-corporation-ctd-2025.