Paydhealth, LLC v. Dawn G. Holcombe, doing business as DGH Consulting

CourtDistrict Court, E.D. Pennsylvania
DecidedNovember 4, 2025
Docket2:24-cv-00259
StatusUnknown

This text of Paydhealth, LLC v. Dawn G. Holcombe, doing business as DGH Consulting (Paydhealth, LLC v. Dawn G. Holcombe, doing business as DGH Consulting) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Paydhealth, LLC v. Dawn G. Holcombe, doing business as DGH Consulting, (E.D. Pa. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

PAYDHEALTH, LLC, : Plaintiff, : : v. : CIVIL ACTION NO. 24-259 : DAWN G. HOLCOMBE, doing business : as DGH Consulting, : Defendant. :

MEMORANDUM KENNEY, J. November 4, 2025 In this defamation action, Plaintiff Paydhealth, LLC (“Plaintiff,” “Paydhealth,” or the “Company”), alleges one claim of defamation per se against Dawn G. Holcombe (“Defendant” or “Ms. Holcombe”) for statements made at a 2023 pharmaceutical industry conference in Philadelphia, Pennsylvania, and for the republication of such statements in a February 2024 online article. Discovery is now complete, and Ms. Holcombe moves for summary judgment as to Paydhealth’s claim of defamation per se. ECF No. 93. Paydhealth has also filed its own partial motion for summary judgment, see ECF No. 94, and a motion to exclude Ms. Holcombe’s expert testimony, see ECF No. 92. Upon consideration of all relevant filings (ECF Nos. 92–103), the docket, and the undisputed factual record before the Court, for the reasons set forth below, Ms. Holcombe’s Motion (ECF No. 93) is GRANTED in full, and Paydhealth’s Partial Motion for Summary Judgment (ECF No. 94) and Daubert Motion (ECF No. 92) are DENIED as moot.1 An appropriate order will follow.

1 “[A] District Court should consider cross-motions for summary judgment separately and apply the appropriate burden of production to each motion.” Beenick v. LeFebvre, 684 F. App’x 200, I. FACTUAL BACKGROUND2 The facts of the case are largely straightforward. Paydhealth is a Texas Limited Liability Company wholly owned by Desert Shore Capital Partners and based in Dallas, Texas. ECF No. 95 (“Plaintiff’s Stipulated Facts” or “PSF”) ¶¶ 1–2. The owners of Desert Shore Capital Partners,

including Dr. David Galardi (“Dr. Galardi”), the Company’s Chief Commercial Officer, and Dr. Mark Strollo (“Dr. Strollo”), the Company’s Chief Operating Officer, founded Paydhealth in 2019. Id. ¶ 3; ECF No. 93-2 (“Defendant’s Stipulated Facts” or “DSF”) ¶¶ 12, 24. The Company’s Chief Legal Officer, Talcott J. Franklin, joined Paydhealth on October 1, 2023, after previously serving as Plaintiff’s counsel both pro bono and on an hourly basis. PSF ¶ 4. Dawn Holcombe is a 67-year-old resident of Connecticut who serves as the Editor-and- Chief of Oncology Practice Management and President of DGH Consulting. DSF ¶¶ 1–3. As part of her work with Oncology Practice Management, Ms. Holcombe “regularly publishes articles related to the healthcare industry.” Id. ¶ 2. Ms. Holcombe’s work with DGH Consulting involves providing “consulting and speaking services to practices, pharma, and payers in strategy

development, MD/payer negotiations and relationships, and oncology management and pathways.” Id. ¶ 3.

205 (3d Cir. 2017) (citing Lawrence v. City of Philadelphia, 527 F.3d 299, 310 (3d Cir. 2008)). A District Court will not “violate this rule” when it addresses the defendant’s “motion for summary judgment first,” rather than “consider[ing] the cross-motions simultaneously.” Id. Because the Court considers Ms. Holcombe’s motion for summary judgment first and—construing all material facts in favor of Paydhealth, the non-movant—finds that Defendant is entitled to summary judgment on Plaintiff’s claim for defamation per se, “any need to consider [Paydhealth’s] cross- motion for partial summary judgment” is mooted. Id. at 205–06. Further, the question of whether Dawn Holcombe satisfies the Daubert standard, see Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579 (1993), to qualify as an expert is now moot. 2 The facts are largely drawn from the parties’ stipulated fact submissions (ECF Nos. 93-2, 95) and the exhibits cited therein. A. Paydhealth’s AFP Categorization and the Company’s Response: 2022–2023 Paydhealth is sometimes referred to as an “alternative funding provider” or “AFP,” a categorization used to describe Patient Assistance Programs (“PAPs”) “that provide funding for patients who cannot afford very expensive prescription drugs,” as well as entities “that provide

services to help patients gain access to funding from PAPs or other sources of funds.” Id. ¶¶ 19, 28. Members of the health care industry publicly categorized Plaintiff as an AFP in online articles in 2022 and 2023. Id. ¶¶ 29, 40; ECF No. 93-4 at 152, 169. With Paydhealth’s AFP characterization came negative press. For example, on August 2, 2022, Dr. Galardi received an email from an outside pharmacist requesting comment on an article written by Adam Fein, Ph.D., titled “The Shady Business of Specialty Carve-Outs, a.k.a., Alternative Funding Programs.” DSF ¶ 29. The article, which purported to discuss the “scheme” of “specialty carve outs, also known as alternative funding programs (AFP),” explained that “[s]ome or all specialty drugs are administered by a secretive third-party vendor that is separate from the commercial plan’s PBM,” and listed Paydhealth as one such “third-party vendor.” ECF

No. 93-4 at 153. The article later stated that the “third-party vendor helps the patient disguise themselves as ‘uninsured’ so they can apply for the manufacturer’s PAP funds to cover the cost of the prescriptions,” and is estimated to “retain up to 20% to 25% of a drug’s full list price, i.e., the value of charitable funds provided to the patient.” Id. When asked about the article in his deposition, Dr. Galardi described it as “obviously quite pejorative about AFPs,” and noted that “it specifically mention[ed] Paydhealth as an AFP.” DSF ¶ 30. In June 2023, Dr. Galardi received another email “referr[ing] to an article about a federal court lawsuit by the pharmaceutical company . . . AbbVie against an AFP by the name of Payer Matrix.” DSF ¶ 35. The article referred to AbbVie’s previous decision to update its patient assistance program application to include the following comments: Patients with insurance plans or employers participating in an alternate funding program (also sometimes referred to as patient advocacy programs, specialty networks, SHARx, Paydhealth, or Payer Matrix, among other names) requiring them to apply to a manufacturer’s patient assistance program or otherwise pursue specialty drug prescription coverage through an alternate funding vendor as a condition of, requirement for, or prerequisite to coverage of relevant AbbVie products, or that otherwise denies, restricts, eliminates, delays, alters, or withholds any insurance benefits or coverage contingent upon application to, or denial of eligibility for, specialty drug prescription coverage through the alternate funding program are not eligible for the myAbbVie Assist program. Id. ¶ 36. B. October 2, 2023 Conference (“October 2023 Conference”) Against this backdrop, Ms. Holcombe gave her presentation on AFPs. On October 2, 2023, Ms. Holcombe gave “a three-hour presentation and ‘workshop’” titled “Understand the Nuances and Impact of Alternate Funding Programs” at the Copay, Reimbursement and Access Congress conference in Philadelphia, Pennsylvania, hosted by Informa Connect. DSF ¶ 4; PSF ¶¶ 10–11. A slide deck, which discussed AFPs generally and individual service providers labeled as AFPs, accompanied her oral presentation. PSF ¶ 13a; ECF No. 96-1 at 124. Prior to the Conference, Informa Connect alerted Ms. Holcombe that “stakeholders” were present in the audience. PSF ¶ 10. Dr. Strollo was also present, attending as a partner of Desert Shore Capital Partners, LLC. DSF ¶¶ 13–14. While Ms. Holcombe discussed various entities she classified as “Third Party Vendors” during her presentation, she most notably presented nine slides regarding Paydhealth specifically. ECF No. 96-1 at 146, 151–59. Ms.

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Paydhealth, LLC v. Dawn G. Holcombe, doing business as DGH Consulting, Counsel Stack Legal Research, https://law.counselstack.com/opinion/paydhealth-llc-v-dawn-g-holcombe-doing-business-as-dgh-consulting-paed-2025.