Lurie v. Mid-Atlantic Permanente Medical Group, P.C.

CourtDistrict Court, District of Columbia
DecidedAugust 9, 2010
DocketCivil Action No. 2006-1386
StatusPublished

This text of Lurie v. Mid-Atlantic Permanente Medical Group, P.C. (Lurie v. Mid-Atlantic Permanente Medical Group, P.C.) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lurie v. Mid-Atlantic Permanente Medical Group, P.C., (D.D.C. 2010).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA ____________________________________ ) DEAN KEVIN LURIE, M.D. ) ) Plaintiff, ) ) ) Civil Action No. 06-01386 (RCL) v. ) ) MID-ATLANTIC PERMANENTE ) MEDICAL GROUP, P.C. ) Defendant. ) ____________________________________)

MEMORANDUM OPINION

I. Introduction

The case concerns an employment dispute between plaintiff Dr. Dean Kevin Lurie, a

surgeon, and his former employer defendant Mid-Atlantic Permanente Medical Group. After

many years of working for defendant, plaintiff was terminated for allegedly falsifying his time

sheets and his history of disciplinary problems, reasons plaintiff claims are a mere pretext for

disposing of an old employee who challenged unprofessional conduct at his workplace. In

addition to a number of common law claims for breach of contract, tortious interference, and

wrongful discharge, plaintiff alleges violations of the Age Discrimination in Employment Act

(ADEA) and the Employee Retirement Income Security Act (ERISA). Defendant filed a

counterclaim seeking recovery for breach of contract, fraud, negligent misrepresentation, and

unjust enrichment. Currently, before the Court are defendant’s motion [78] to strike plaintiff’s

statement of material fact, defendant’s motion [68] for summary judgment and plaintiff’s motion

[69] for summary judgment on the counterclaim. Based on the following considerations, the

Court will DENY defendant’s motion to strike and GRANT defendant’s motion for summary

1 judgment. The Court does not reach plaintiff’s motion for summary judgment, because the Court

lacks jurisdiction over defendant’s counterclaim. Therefore, the Court will DISMISS

defendant’s counterclaim on jurisdictional grounds.

II. Factual Background

Plaintiff is a vascular surgeon residing in the District of Columbia. (Pl.’s Verified

Compl. [72-3] ¶ 5.) Defendant is a professional corporation with its principal place of business

in Maryland that employs physicians who provide medical services to members of the Kaiser

Foundation Health Plan of the Mid-Atlantic States. (Id. ¶ 6; Cahill Aff. [68-3] ¶ 3.) Plaintiff’s

employment with defendant began in 1998. In addition to substantive terms of employment,

plaintiff’s job offer letter included a provision mandating that plaintiff abide by defendant’s

“policies, rules and regulations.” (Pl.’s Ex. 2 [69-4] at 2.) Plaintiff signed the letter and

commenced working for defendant as a surgeon in the District of Columbia and its Maryland

suburbs. (Id. at 3; Cahill Aff. [68-3] ¶ 5.)

As part of his duties with defendant, plaintiff was assigned to treat patients at various

local hospitals. 1 (Lurie Dep. [68-4] at 67:13.) While working at the Washington Hospital Center

(WHC), plaintiff came into conflict with his colleagues over concerns about safety and quality of

care. (Id. at 107:18–108:13, 115:13–116:21.) When he raised his concerns with his superiors, he

received some hostile responses. (Def.’s Ex. 3 [68-5] at 2–3; Def.’s Ex. 5 [68-7] at 2.)

Citing plaintiff’s troubled relations with the surgical residents, the head of surgery

requested and obtained plaintiff’s reassignment in 2001. (Def.’s Ex. 4 [68-6] at 2; Lurie Dep.

[68-4] at 83:7–11.) Official admonitions from defendant followed, and when plaintiff was

1 Although defendant maintained outpatient clinics like the Largo Medical Center, it also needed to be able to see patients at hospitals. (See Lurie Dep. at 54:8–15.) Consequently, its physicians were assigned to independent, partner hospitals like the Washington Hospital Center where they could treat Kaiser patients. (See Lurie Dep. [68-4] at 52:3–54:21.)

2 reassigned to WHC two years later, the head of surgery complained about his behavior once

again. (Def.’s Ex. 5 [68-7] at 2; Lurie Dep. [68-4] at 102:1–13; Def.’s Ex. 6 [68-8] at 3.) In late

2003, plaintiff was suspended with pay and an investigation was conducted of his conduct.

(Lurie Dep. [68-4] 152:11–153:12.)

Not long after this last round of disciplinary action, plaintiff was transferred to

defendant’s Largo, Maryland medical center. (Lurie Dep. [68-4] at 118:15–120:10.) When

plaintiff first arrived, he felt pressured to see many double-booked patients. (Id. at 300:7–10.)

Plaintiff’s colleagues told him that, at the Largo Center, these extra patients were handled by

establishing evening clinics or ghost clinics. (Id. at 300:10–15.) The phrase “ghost clinic” is

defendant’s terminology for a billing method utilized by certain physicians employed by

defendant. (Mem. in Supp. of Def.’s Mot. for Summ. J. [68-2] at 5.) Physicians who had many

sessions double booked during the day would include hand-written addendums with their time

sheets that specified hours worked during the evening. (Lurie Dep. [68-4] at 284:16–286:12,

300:4–18, 301:15–302:6.) Physicians could thereby be compensated for the extra patients seen

during regular hours. (Id. at 302:4–12.) In reality, no patients were actually treated in the

evening, thus the expression, ghost clinic. (Id. at 289:5–290:8.)

Defendant was not alone in making use of ghost clinics. Dr. Cohen, an orthopedist, and

Dr. McCanty, a urologist, billed for double-books in the same manner as plaintiff. (Cohen Dep.

[72–9] at 18:12–19:14; McCanty Dep. [72-14] at 25:5–21.) Additionally, Dr. Krolik, a surgeon

who worked with plaintiff, established ghost clinics on three occasions in 2004. (Cahill Aff. [68-

3] ¶ 14.) None of these physicians were subject to disciplinary action as a result of their billing

practices. (Pl.’s Opp’n [72] at 16.) Although plaintiff followed the example and advice of his

fellow doctors in creating ghost clinics, (Lurie Dep. [68-4] at 300:4–301:8, 302:19–303:11), his

3 manager gave a negative response when he asked about receiving extra compensation for days

when doctors were overbooked. (Manning Dep. [68-27] at 99:2–102:10.)

Eventually, plaintiff’s use of ghost clinics came to the attention of a compliance officer

named Ann Cahill. (Cahill Aff. [68-3] ¶¶ 2, 12.) She launched an investigation of plaintiff’s

time sheets and discovered that he was reporting more hours than the other doctors on

defendant’s payroll. (Id. ¶ 12.) Indeed, Cahill found that plaintiff was the only physician in the

medical group to have created ghost clinics in the preceding six month period. (See id. at 15.)

Based on Cahill’s finding as well as plaintiff’s poor discipline history, defendant terminated

plaintiff during an October 2005 meeting at its Maryland headquarters. (Id.) At that time,

plaintiff was forty-eight years old. (Compl. [1] ¶ 24.)

While at the Largo facility, defendant had arranged to conduct a clinical trial of a new

surgical device. (See Lurie Dep. [74-1] at 240:2–12.) To govern the clinical trial, plaintiff,

defendant, and the device company (Graftcath) signed a document outlining the terms of their

relationship and naming plaintiff principal investigator. (Def.’s Ex. 18. [70] at 2.) When

plaintiff was terminated, he was unable to continue serving as principal investigator. (Pl.’s

Verified Compl. [72-3] ¶ 38.)

After his removal, plaintiff opened a private medical practice. (Pl.’s Verified Compl.

[72-3] ¶ 19.) Though he applied for membership in defendant’s network of outside providers, he

was rejected. (Id.) Efforts to develop his new practice have been hindered by his reduced access

to Kaiser Health Group patients, (see Lurie Dep.

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