RightCHOICE Managed Care, Inc. v. Hospital Partners, Inc.

District Court, W.D. Missouri·Decided February 1, 2019·No. 5:18-cv-06037·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF MISSOURI ST. JOSEPH DIVISION

RIGHTCHOICE MANAGED CARE, INC., ) et al., ) ) Plaintiffs, ) ) v. ) No. 5:18-cv-06037-DGK ) HOSPITAL PARTNERS, INC., et al., ) ) Defendants. )

ORDER REGARDING DISCOVERY DISPUTE This action arises out of an alleged pass-through billing scheme for laboratory tests at a rural Missouri hospital. Plaintiffs RightCHOICE Managed Care, Inc. (“RightCHOICE”), and Blue Cross Blue Shield insurance plans (“BCBS Plans”) claim that Defendants contrived to bill them for lab tests through the Missouri hospital even though the tests were performed at outside labs throughout the country. Pending before the Court is a discovery dispute between Plaintiffs and Defendants Hospital Partners, Inc., Empower H.I.S., LLC, David Byrns, and Jorge Perez (collectively, the “Discovery Defendants”). The Discovery Defendants refuse to respond to Plaintiffs’ interrogatories and requests for production based on the Fifth Amendment and myriad other objections. The Court grants Plaintiffs’ requests for relief because the Fifth Amendment does not apply to artificial entities and their custodians, and because the remainder of the Discovery Defendants’ objections are insufficiently specific. Background1 The parties conferred under Federal Rule of Civil Procedure 26(f) on October 4, 2018. Plaintiffs served the Discovery Defendants with interrogatories and requests for production of

1 The Court’s January 23, 2019, Order (Doc. 165) describes the factual background of the case. documents the following week. The Discovery Defendants responded on November 26, objecting to every one of Plaintiffs’ questions and requests. The following responses, provided by Empower H.I.S, are representative of the objections: INTERROGATORY NO. 1: How much did you receive, whether directly or indirectly, as a result of laboratory tests that were billed through [the Hospital], and how was that amount calculated?

RESPONSE: Defendant objects to this interrogatory as overbroad, unduly burdensome and not reasonably calculated to lead to admissible evidence. Further objection is lodged as to this being an improper request for private, confidential and proprietary financial information of Defendant. In an effort to answer the interrogatory, without waiving any objections, Defendant is unaware of any amounts received directly or indirectly, as a result of laboratory tests that were billed through [the Hospital], and notes that as a service provider, or derivatively through a service provider, Defendant would have no actual knowledge of the “Source” of any paid funds, except that they came from the general accounts of [the Hospital].

(Doc. 160-1.)

REQUEST NO. 1: All documents sent to or received from [the Hospital] regarding the laboratory-billing scheme at [the Hospital].

ANSWER: Defendant objects to this request as vague, overly broad, unduly burdensome, harassing, and/or seeking information that is irrelevant and/or not reasonably calculated to lead to the discovery of admissible evidence. The Request may also invade certain applicable privileges, or the “joint defense doctrine,” and appears to seek private, proprietary or restricted information as well. This Request is connected to a “laboratory-billing scheme at [the Hospital]” of which Defendant is unaware, or at a minimum, Defendant does not understand as defined. Further, to the extent that [the Hospital’s] information is sought, such information would properly be sought from [the Hospital], who Defendant maintains, is an indispensable party.

(Doc. 160-2.)

Plaintiffs took issue with the objections in a December 19 letter to the Discovery Defendants. The parties conferred as required by Local Rule 37.1(a) on January 7, 2019, and the Discovery Defendants reiterated that they would not produce any documents. They also, for the first time, informed Plaintiffs that they were planning to invoke their Fifth Amendment right against self-incrimination as an additional basis for withholding production. Soon afterward, they amended their responses to do just that, stating that the U.S. Department of Justice contacted them about a criminal investigation, and that they were asserting their right against self-incrimination until the nature and scope of the investigation becomes clear. The parties briefed the dispute (Docs. 159 and 164), and, on January 24, the Court held a

teleconference hearing to discuss it. During the hearing, Plaintiffs stated that the Discovery Defendants failed to identify any witnesses in their Rule 26(a)(1) initial disclosures, made boilerplate objections to every interrogatory, and improperly invoked the Fifth Amendment. When the Court asked the Discovery Defendants’ counsel whether they had produced a single document in the case, he enthusiastically replied, “Nope.” Plaintiffs request that the Court order the Discovery Defendants to (1) amend their initial disclosures; (2) produce responsive, non-privileged documents requested from Hospital Partners and Empower H.I.S.; (3) specify exactly which interrogatories Byrns and Perez object to on the basis of the privilege against self-incrimination; (4) answer Plaintiffs’ interrogatories in good faith

or have adverse inferences drawn from their refusal; and (5) each provide a sworn statement identifying the steps taken to preserve discoverable information. The Discovery Defendants ask the Court to deny these requests. Standard Litigants are entitled to discover any nonprivileged matter that is relevant to their claims or defenses. Fed. R. Civ. P. 26(b)(1). District courts “broadly and liberally” interpret discovery rules “in order to fulfill discovery’s purposes of providing . . . parties with information essential to the proper litigation of all relevant facts, to eliminate surprise, and to promote settlement.” Weiss v. Amoco Oil Co., 142 F.R.D. 311, 313 (S.D. Iowa 1992) (citing Oppenheimer Fund, Inc. v. Sanders, 437 U.S. 340, 341 (1978)) (internal quotations and other citations omitted). District courts have “very wide discretion in handling pretrial discovery,” and their decisions will be upheld absent a “gross abuse of discretion resulting in fundamental unfairness in the trial of the case.” Voegeli v. Lewis, 568 F.2d 89, 96 (8th Cir. 1977); see also Cook v. Kartridg Pak Co., 840 F.2d 602, 604 (8th Cir. 1988) (“A district court must be free to use and control pretrial procedure

in furtherance of the orderly administration of justice.”). Discussion The Discovery Defendants make two general objections to Plaintiffs’ interrogatories and requests for production. They first contend that Plaintiffs’ discovery attempts presuppose the existence of the alleged billing scheme. They claim that they cannot respond because no such scheme existed. Granted, Plaintiffs’ requests seek information pertaining to “the laboratory-billing scheme.” But between Plaintiffs’ third amended complaint (Doc. 57) and discovery requests, it is apparent that the Discovery Defendants have enough information to understand the specific nature of what Plaintiffs are seeking. The Discovery Defendants are not excused from discovery just

because they deny that a “scheme” existed.

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RightCHOICE Managed Care, Inc. v. Hospital Partners, Inc., (W.D. Mo. 2019).

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