Isbell v. Kaiser Foundation Health Plan

619 N.E.2d 1055, 85 Ohio App. 3d 313, 1993 Ohio App. LEXIS 1158
CourtOhio Court of Appeals
DecidedMarch 8, 1993
DocketNo. 64192.
StatusPublished
Cited by17 cases

This text of 619 N.E.2d 1055 (Isbell v. Kaiser Foundation Health Plan) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Isbell v. Kaiser Foundation Health Plan, 619 N.E.2d 1055, 85 Ohio App. 3d 313, 1993 Ohio App. LEXIS 1158 (Ohio Ct. App. 1993).

Opinion

*315 Per Curiam.

Intervenor-appellant Ohio Department of Human Services (“ODHS”) appeals from a judgment of the trial court granting a directed verdict in favor of defendants-appellees Kaiser Foundation Health Plan, Kaiser Foundation Hospitals and Ohio Permanente Medical Group (collectively, “defendants”) and dismissing ODHS’s complaint for subrogation.

Plaintiffs Bonnie Sue and Danny Isbell filed a complaint in the trial court against defendants for medical malpractice and loss of consortium February 4, 1991. ODHS subsequently filed a motion to intervene as an additional plaintiff asserting statutory subrogation rights based on “approximately $70,000” in Medicaid payments allegedly made to defendants for medical care on behalf of Bonnie Sue Isbell. The trial court granted the motion of ODHS to intervene in an order journalized March 17,1992. The complaint filed by ODHS raised claims against defendants only and raised no cross-claim against plaintiffs to recover the Medicaid payments.

The case proceeded to a ten-day jury trial commencing June 30, 1992. During the course of the proceedings, the trial court granted defendants’ motion for directed verdict against ODHS. The jury subsequently returned a verdict in favor of plaintiffs Bonnie Sue and Danny Isbell against defendants in the amount of $750,000 and $500,000 respectively.

Appellant ODHS timely appeals raising the following sole assignment of error:

“The court erred by granting a directed verdict against the Ohio Department of Human Services when counsel for the department was absent by leave of the court and counsel for the department could have overcome the motion for directed verdict had he been informed of the pending motion.”

Appellant ODHS contends the trial court improperly granted a directed verdict in favor of defendants pursuant to Civ.R. 50(A)(4). Civ.R. 50(A)(4) provides as follows:

“(4) When Granted on the Evidence. When a motion for a directed verdict has been properly made, and the trial court, after construing the evidence most strongly in favor of the party against whom the motion is directed, finds that upon any determinative issue reasonable minds could come to but one conclusion upon the evidence submitted and that conclusion is adverse to such party, the court shall sustain the motion and direct a verdict for the moving party as to that issue.”

Defendants note that to warrant submitting a subrogation claim to the jury, ODHS as the subrogor must produce evidence to demonstrate the following, viz.: (1) that its subrogee, plaintiff Bonnie Sue Isbell, was entitled to recover *316 from defendants; (2) ODHS made payments on behalf of its subrogee Bonnie Sue Isbell to defendants; (3) these payments were proximately caused by defendants’ negligence; and (4) the total dollar amount of these payments, citing Aetna Cas. & Sur. Co. v. Hensgen (1970), 22 Ohio St.2d 83, 51 O.O.2d 106, 258 N.E.2d 237. It is well established that a trial court has the duty not to submit an issue to the jury when sufficient evidence to establish each element of a claim has not been presented. Ruta v. Breckenridge-Remy Co. (1982), 69 Ohio St.2d 66, 23 O.O.3d 115, 430 N.E.2d 935; O’Day v. Webb (1972), 29 Ohio St.2d 215, 58 O.O.2d 424, 280 N.E.2d 896; Bentley v. Stewart (1992), 71 Ohio App.3d 510, 594 N.E.2d 1061.

Based upon our review of the record sub judice, we conclude the trial court properly granted a directed verdict against the ODHS on its subrogation claim for two reasons. First, the Hamilton County Court of Appeals has held that Medicaid payments are collateral source benefits which are neither recoverable by medical malpractice plaintiffs nor by the ODHS on a statutory subrogation claim from medical malpractice defendants. Holaday v. Bethesda Hosp. (1986), 29 Ohio App.3d 347, 29 OBR 475, 505 N.E.2d 1003. Since medical malpractice plaintiffs cannot recover the amount of such expenses from medical malpractice defendants, the ODHS failed to demonstrate its right to subrogation as required by subsection (1) above as a matter of law. Id. The fact that plaintiffs obtained a substantial jury verdict against defendants does not establish that plaintiffs did in fact recover the amount of these Medicaid benefits from defendants.

Although the Ohio Supreme Court has recently distinguished Holaday in the context of Medicare Schedule A benefits by finding that such Medicare A payments are recoverable by malpractice plaintiffs from malpractice defendants, the court did not question the Holaday holding concerning the nonrecoverability of Medicaid payments. Hodge v. Middletown Hosp. Assn. (1991), 62 Ohio St.3d 236, 239-240, 581 N.E.2d 529, 531-533.

Moreover, even if Medicaid benefits were otherwise recoverable by the ODHS from medical malpractice defendants in this context, the record demonstrates ODHS produced no evidence concerning the amount of medical bills paid on plaintiffs’ behalf resulting from defendants’ negligence. ODHS has failed to file a complete verbatim transcript or other record of the.evidence presented during the ten-day trial to enable this court of appeals to review the trial court’s directed verdict on this issue. Based upon our review of the partial transcript and record sub judice, ODHS has failed to demonstrate the trial court erred in granting a directed verdict for defendants against ODHS. Accordingly, absent exemplification of error by specific references to the partial record, this court must presume regularity of the proceedings and affirm the judgment of the trial court. Gonda v. Window Sys., Inc. (June 19, 1986), Cuyahoga App. No. 50528, *317 unreported, 1986 WL 6964; Tyrrell v. Invest. Assoc., Inc. (1984), 16 Ohio App.3d 47, 16 OBR 50, 474 N.E.2d 621.

The record sub judice contains absolutely no evidence concerning the amount of any medical payments made by ODHS to defendants on behalf of plaintiff Bonnie Sue Isbell. The only evidence elicited by ODHS in the transcript, through cross-examination of plaintiffs expert, Dr. Pitluk, was that numerous medications became necessary to combat various post-operative conditions resulting from defendants’ failure to timely diagnose and treat Bonnie Sue Isbell’s tumor. Although this testimony can be construed to satisfy the third element of plaintiff ODHS’s subrogation claim, the record contains no evidence to satisfy the second and fourth elements, viz.,

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Bluebook (online)
619 N.E.2d 1055, 85 Ohio App. 3d 313, 1993 Ohio App. LEXIS 1158, Counsel Stack Legal Research, https://law.counselstack.com/opinion/isbell-v-kaiser-foundation-health-plan-ohioctapp-1993.