MidAmerica Division Inc. v. First Health Group Corp.

CourtDistrict Court, D. Kansas
DecidedMarch 31, 2025
Docket2:23-cv-02551
StatusUnknown

This text of MidAmerica Division Inc. v. First Health Group Corp. (MidAmerica Division Inc. v. First Health Group Corp.) is published on Counsel Stack Legal Research, covering District Court, D. Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
MidAmerica Division Inc. v. First Health Group Corp., (D. Kan. 2025).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS

MIDAMERICA DIVISION, INC., D/B/A HCA-MIDWEST DIVISION,

Plaintiff, Case No. 23-2551-EFM-RES v.

FIRST HEALTH GROUP CORP. et al.,

Defendants.

MEMORANDUM AND ORDER

This matter comes before the Court on Plaintiff MidAmerica Division, Inc. d/b/a HCA Midwest Division’s Motion for Leave to File a Third Amended Complaint. ECF No. 146. Defendant First Health Group Corp. (“Defendant” or “First Health”) has filed a response in opposition. ECF No. 152. Defendant Cox HealthPlans, LLC (“Cox”) did not file a response to the Motion, and the time to do so has passed. Plaintiff also filed a reply in further support of the Motion. ECF No. 155. For the reasons explained below, the Motion is denied. I. BACKGROUND The Chief District Judge’s order on Defendants’ motions to dismiss sets forth the facts giving rise to this case in greater detail. See generally MidAmerica Div. Inc. v. First Health Grp. Corp., No. 23-2551-EFM-RES, 2024 WL 4894160 (D. Kan. Nov. 26, 2024). Highly summarized, this case arises out of two separate agreements—one between Plaintiff and First Health and another between First Health and Cox—to provide medical services. Id. at *1. Plaintiff provides medical services as a hospital, and First Health establishes a network of hospitals that payors—such as Cox—can access for medical services. Id. This case has been pending for more than a year, and Plaintiff has amended its complaint twice already. Plaintiff originally filed this case in state court on November 16, 2023. ECF No. 1-1 at 2. First Health removed the case to federal court on December 23, 2023. ECF No. 1. On January 30, 2024, Plaintiff filed a First Amended Complaint, adding Defendant Cox and an additional Defendant that was later voluntarily dismissed. See ECF Nos. 24 (first amended

complaint), 95 (notice of voluntary dismissal). The Court additionally granted an Unopposed Motion for Leave to File a Second Amended Complaint, ECF No. 81, and Plaintiff filed its Second Amended Complaint on June 10, 2024. ECF No. 85. On April 24, 2024, the Court entered a Scheduling Order, which set a deadline of May 31, 2024, for any motions to amend. ECF No. 63 at 2. Plaintiff’s motion seeking to file its Second Amended Complaint was filed on that deadline. ECF No. 77. The Scheduling Order also imposed a November 22, 2024 discovery deadline. ECF No. 63 at 2. Although the Court ultimately extended the discovery deadline up to and including February 5, 2025, it did not extend the May 31, 2024 deadline for motions to amend the pleadings. ECF No. 128 (imposing the February 5,

2025 discovery deadline). Both First Heath and Cox filed motions to dismiss shortly after Plaintiff filed its Second Amended Complaint, which the Chief District Judge granted in part and denied in part on November 26, 2024. See generally MidAmerica Div. Inc., 2024 WL 4894160. Three claims remain in this case: (1) a breach-of-contract claim against First Health for failing to ensure that Plaintiff was paid according to the rates listed in the parties’ Model Facility Agreement (“MFA”) and for failing to collect unpaid amounts owed for disputed claims and transferring those funds to Plaintiff; (2) a declaratory judgment claim against First Health; and (3) a quantum meruit claim against Cox for the reasonable value of medical services provided to Cox and Cox’s members for which Plaintiff was not reimbursed. As is relevant to the present Motion, the Chief District Judge dismissed Plaintiff’s breach- of-contract claim against First Health under a secondary theory that First Health breached the implied covenant of good faith and fair dealing, the claim that Plaintiff now seeks to replead. In

dismissing the theory of recovery, the Chief District Judge explained: While Plaintiff pleads the breach of the implied covenant of good faith and fair dealing as a secondary theory for breach of contract, it fails to adequately plead what term of the contract that First Health allegedly violated by failing to abide by the good faith spirit of that term. Instead, Plaintiff makes broad conclusory allegations that First Health owed Plaintiff a duty of good faith and fair dealing under the Agreement, First Health’s conduct injured Plaintiff’s rights to receive the fruits of the agreement, and First Health breached the covenant of good faith and fair dealing. Plaintiff wholly fails to point to a specific term of the Provider Agreement, and thus, fails to allege the First Health failed to abide by the covenant of good faith and fair dealing. Consequently, Plaintiff fails to sufficiently plead a breach of the implied covenant of good faith and fair dealing. Therefore, the Court grants First Health’s motion as to this theory. Id. at *4. Plaintiff has never moved to reconsider this order.1 On Wednesday, January 28, 2025,2 approximately one week before the close of discovery, Plaintiff deposed First Health’s Fed. R. Civ. P. 30(b)(6) corporate designee, Ralph Borzillo, during which time Plaintiff claims it learned for the first time that First Health does not ensure that health plans, such as Cox, pay Plaintiff correctly. ECF No. 146 at 4. Plaintiff’s Motion alleges this new

1 See generally Black v. Union Pac. R.R. Co., No. 23-1218-EFM-ADM, 2024 WL 3741404, at *4 (D. Kan. Aug. 9, 2024) (ruling on a motion to amend to reassert dismissed claims but noting that moving to reconsider a district judge’s ruling dismissing the claim “probably would have been a more efficient approach”). 2 First Health repeatedly references that this deposition occurred on January 30, 2025. ECF No. 152 at 4. Whether the deposition occurred on January 28 or January 30 does not impact the Court’s analysis and decision. information learned on January 28, 2025, prompted its Motion and makes additional arguments as to why Plaintiff could not have amended sooner. See generally ECF No. 146. But Plaintiff did not file a motion to amend during the remainder of January or at any point in February. Instead, when the parties submitted their proposed pretrial order to the Magistrate Judge’s chambers via email on February 14, 2025, the draft informed the Court for the first time that

Plaintiff “expects to move for leave to amend the Second Amended Complaint to assert a claim against First Health for breach of the covenant of good faith and fair dealing and because discovery has revealed that First Health only ‘repriced’ claims and admittedly did nothing else.” The proposed pretrial order further stated that Plaintiff sought leave to amend “based on new information learned in discovery and depositions of Rule 30(b)(6) representatives.” Despite stating that it intended to move for leave to amend, by the time the Court convened the final pretrial conference on Tuesday, March 4, 2025—more than two weeks after the submission of the draft pretrial order—Plaintiff had not filed a motion to amend. During the final pretrial conference, counsel represented that Plaintiff had the Motion prepared and ready to file

but believed that the Court would want to discuss the matter first. Ultimately, Plaintiff did not file the Motion until 5:37 p.m. on Friday, March 7, 2025, more than eight months after the deadline for motions to amend the pleadings, more than a month after purportedly learning of new information that forms the basis for the Motion, and three days after the Court convened a final pretrial conference during which time the Court expressed concerns as to the timeliness of the Motion. II. DISCUSSION A. Legal Standard3 When a party moves to amend the pleadings after the deadline established in the scheduling order, as is the case here, the moving party must demonstrate “(1) good cause for seeking modification under Fed. R. Civ. P.

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MidAmerica Division Inc. v. First Health Group Corp., Counsel Stack Legal Research, https://law.counselstack.com/opinion/midamerica-division-inc-v-first-health-group-corp-ksd-2025.