G. Hancock v. Magellan Behavioral Health of PA Inc.

CourtCommonwealth Court of Pennsylvania
DecidedAugust 15, 2023
Docket846 C.D. 2022
StatusUnpublished

This text of G. Hancock v. Magellan Behavioral Health of PA Inc. (G. Hancock v. Magellan Behavioral Health of PA Inc.) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
G. Hancock v. Magellan Behavioral Health of PA Inc., (Pa. Ct. App. 2023).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Garrett Hancock : Optum Inc. : : v. : No. 846 C.D. 2022 : Argued: June 5, 2023 Magellan Behavioral Health : of Pennsylvania Inc., : Appellant :

BEFORE: HONORABLE RENÉE COHN JUBELIRER, President Judge HONORABLE ELLEN CEISLER, Judge HONORABLE BONNIE BRIGANCE LEADBETTER, Senior Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY PRESIDENT JUDGE COHN JUBELIRER FILED: August 15, 2023

Magellan Behavioral Health of Pennsylvania Inc. (Magellan) appeals from the Order entered in the Court of Common Pleas of Montgomery County (common pleas) on July 6, 2022, granting Optum Inc.’s (Optum) and Garrett Hancock’s (Hancock) (collectively, Requesters) Petition for Review of the Office of Open Records (OOR) Final Determination issued on July 16, 2021. After a competitive bidding process, Montgomery County (County) and Magellan, a Pennsylvania Managed Care Organization (MCO), entered in March 2021, into what was ultimately titled an Amended and Restated Agreement (the Agreement) and which had been dated January 1, 2021. The Agreement sets forth the terms under which Magellan will provide and deliver services to County under the HealthChoices Behavioral Health Program (HealthChoices Program) implemented by the Pennsylvania Department of Human Services (DHS) for Medical Assistance (Medicaid) recipients. Requesters tendered a Right-to-Know Law (RTKL)1 request seeking copies of the current and original contract along with all amendments and/or revisions. County and Magellan argued that the Agreement contained confidential proprietary and/or trade secret information which is protected from disclosure under Section 708(b)(11) of the RTKL and/or under the Uniform Trade Secrets Act (UTSA), 12 Pa.C.S. §§ 5301-5308. The OOR agreed and ordered County to provide Requesters a redacted version of the Agreement. Requesters filed an appeal with common pleas arguing that the provisions of the Agreement, and the Agreement itself, constitute financial records as defined by Section 102 of the RTKL, 65 P.S. § 67.102, which must be disclosed to Requesters without redaction pursuant to Section 708(c) of the RTKL, 65 P.S. § 67.708(c). Following its review of the unredacted Agreement in camera, common pleas determined that Requesters were entitled to disclosure of the entire Agreement, as none of the redactions permitted by the OOR qualified for exemption. Following a careful review of the entire record, including the unredacted Agreement, we affirm.

I. BACKGROUND Under the terms and conditions of the Agreement, Magellan serves as County’s Behavioral Health MCO responsible for providing and delivering services to County under the HealthChoices Program implemented by DHS for Medicaid recipients. (Common pleas’ July 6, 2022, Memorandum and Order (July Opinion), Finding of Fact (FOF) ¶ 1.) Optum provides managed care services, which makes it a competitor, or a potential competitor, of Magellan. (Id. ¶ 2.) Hancock is one of Optum’s employees. (Id. ¶ 3.)

1 Act of February 14, 2008, P.L. 6, 65 P.S. §§ 67.101-67.3104.

2 On March 16, 2021, Hancock submitted a written request to County for a copy of the Agreement. (Id. ¶ 4.) After invoking the 30-day extension period set forth in Section 902 of the RTKL, 65 P.S. § 67.902,2 County partially denied the request on April 16, 2021, to the extent it believed that the requested information would require disclosure of Magellan’s trade secrets and/or confidential proprietary information protected under Section 708(b)(11) of the RTKL.3 (FOF ¶ 5.) As a result of its determination, County provided Hancock with a redacted copy of the Agreement. (Id.)

A. Proceedings before the OOR On April 30, 2021, Hancock filed an appeal with the OOR, and the OOR permitted Magellan to participate therein as a direct interest participant. 4 (Id. ¶¶ 6- 7.) The parties submitted documents and presented legal briefs to the OOR in support of their respective positions. (Id. ¶ 8.) Among Magellan’s submissions was a nine-page affidavit of James P. Leonard, Magellan’s Chief Executive Officer (Leonard Affidavit). (Id.) As part of his responsibility for managing Magellan’s

2 Section 902 allows a governmental agency, upon notice to the requester, to extend the amount of time to respond to a request under certain circumstances, including when the request requires redaction. 65 P.S. § 67.902. 3 Section 708(b)(11) provides that certain information, including confidential proprietary information and trade secrets, is exempt from disclosure under the RTKL. 65 P.S. § 67.708(b)(11). 4 Pursuant to Section 1101(c)(1) of the RTKL:

[a] person other than the agency or requester with a direct interest in the record subject to an appeal under this section may, within 15 days following receipt of actual knowledge of the appeal . . . file a written request to provide information or to appear before the appeals officer or to file information in support of the requester’s or agency’s position.

65 P.S. § 67.1101(c)(1).

3 overall operations in the HealthChoices Program, Leonard regularly deals with confidential proprietary information and trade secrets, and he was personally involved in the preparation of the Agreement. (Leonard Affidavit ¶¶ 3-4, 8, Reproduced Record (R.R.) at 848a-49a.) Leonard included a table wherein he indicated the section/page number of the Agreement on which the redacted information may be found, generally described the redacted information, and stated that each item was exempted from disclosure under Section 708(b)(11) of the RTKL and under the UTSA as it had been “developed by Magellan, in consultation with [] County.” (Leonard Affidavit ¶¶ 21-22, R.R. at 851a-52a.) Leonard contended that the redacted material involved “[c]onfidential components of [Magellan’s] pricing formula, process and strategy” and/or “[c]onfidential pricing information and pricing method, process and strategy.” (FOF ¶ 8 (quoting Leonard Affidavit ¶ 21, R.R. at 851a-52a).) Specifically, the Leonard Affidavit provided that the redacted information reflects:

(a) Confidential insurance information that is unique to Magellan’s overall pricing formula and strategy;

(b) Components of Magellan’s confidential pricing information and formula(s);

(c) Confidential proprietary business information and trade secrets which was the end result of Magellan’s business strategy and methodology; and

(d) Confidential business information and data [which] is not publicly known or known to Magellan’s competitors.

(Leonard Affidavit ¶ 23, R.R. at 852a-53a.) The Leonard Affidavit also detailed the steps Magellan generally takes to ensure certain information is kept confidential, including: designating such information as confidential at the time it submitted its

4 proposal to County; submitting a redacted proposal to County and relying on the confidential nature of County’s review; allowing access to only certain individuals on a “need-to-know only basis” within Magellan; requiring employees of Magellan to attend training sessions annually regarding the treatment of confidential information and/or trade secrets and sign a statement of confidentiality to prohibit the disclosure of the same; and maintaining a code of conduct to safeguard sensitive information. (Leonard Affidavit ¶ 29, R.R. at 854a-55a.) Magellan’s HealthChoices Program agreements with numerous counties are among those addressed by Magellan’s confidentiality policies. (Leonard Affidavit ¶ 30, R.R. at 855a.) Leonard also prepared a five-page Supplemental Affidavit (Supplemental Leonard Affidavit) in response to the OOR’s request for additional information explaining why the redacted information should remain exempt from disclosure. (FOF ¶ 8.) Therein, Leonard incorporated the attestations he had made in his Affidavit and clarified the harm Magellan would suffer from disclosure as follows:

6.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

North Hills News Record v. Town of McCandless
722 A.2d 1037 (Supreme Court of Pennsylvania, 1999)
Pennsylvania State University v. State Employees' Retirement Board
935 A.2d 530 (Supreme Court of Pennsylvania, 2007)
SWB YANKEES LLC v. Wintermantel
45 A.3d 1029 (Supreme Court of Pennsylvania, 2012)
LaValle v. OFFICE OF GEN. COUNSEL OF COM.
769 A.2d 449 (Supreme Court of Pennsylvania, 2001)
SWB YANKEES LLC v. Gretchen Wintermantel
999 A.2d 672 (Commonwealth Court of Pennsylvania, 2010)
Governor's Office v. Office of Open Records, Aplt.
98 A.3d 1223 (Supreme Court of Pennsylvania, 2014)
Commonwealth, Department of Public Welfare v. Eiseman
125 A.3d 19 (Supreme Court of Pennsylvania, 2015)
Global TelLink Corporation v. P. Wright and Prison Legal News
147 A.3d 978 (Commonwealth Court of Pennsylvania, 2016)
UnitedHealthcare of Pennsylvania, Inc. v. Baron
171 A.3d 943 (Commonwealth Court of Pennsylvania, 2017)
Butler Area School District v. Pennsylvanians for Union Reform
172 A.3d 1173 (Commonwealth Court of Pennsylvania, 2017)
State Farm Mutual Automobile Insurance v. Commonwealth
720 A.2d 1071 (Commonwealth Court of Pennsylvania, 1998)
Allegheny County Department of Administrative Services v. A Second Chance, Inc.
13 A.3d 1025 (Commonwealth Court of Pennsylvania, 2011)
Allegheny County Department of Administrative Services v. Parsons
61 A.3d 336 (Commonwealth Court of Pennsylvania, 2013)
Levy v. Senate of Pennsylvania
65 A.3d 361 (Supreme Court of Pennsylvania, 2013)
McGowan v. Pennsylvania Department of Environmental Protection
103 A.3d 374 (Commonwealth Court of Pennsylvania, 2014)

Cite This Page — Counsel Stack

Bluebook (online)
G. Hancock v. Magellan Behavioral Health of PA Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/g-hancock-v-magellan-behavioral-health-of-pa-inc-pacommwct-2023.