Schneberger v. Air Evac EMS

CourtCourt of Appeals for the Tenth Circuit
DecidedAugust 31, 2018
Docket17-6154
StatusUnpublished

This text of Schneberger v. Air Evac EMS (Schneberger v. Air Evac EMS) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Schneberger v. Air Evac EMS, (10th Cir. 2018).

Opinion

FILED United States Court of Appeals Tenth Circuit

UNITED STATES COURT OF APPEALS August 31, 2018 Elisabeth A. Shumaker TENTH CIRCUIT Clerk of Court

SUSAN SCHNEBERGER; LACY STIDMAN; JOHNNY TRENT, individually and as class representatives,

Plaintiffs - Appellants,

v. No. 17-6154 (D.C. No. 5:16-CV-00843-R) AIR EVAC EMS, INC., d/b/a Air Evac (W.D. Okla.) Lifeteam; EAGLEMED, LLC,

Defendants - Appellees.

ORDER AND JUDGMENT *

Before HOLMES, MATHESON, and MORITZ, Circuit Judges.

Susan Schneberger, Lacy Stidman, and Johnny Trent brought claims on

behalf of themselves and a putative class of similarly situated individuals against

air-ambulance operators in Oklahoma, alleging that the defendants charged

exorbitant rates for air-ambulance services. They claimed breach of implied

contract because the parties did not agree on a particular price before services

* This order and judgment is not binding precedent except under the doctrines of law of the case, res judicata, and collateral estoppel. It may be cited, however, for its persuasive value consistent with Fed. R. App. P. 32.1 and 10th Cir. R. 32.1. were provided; therefore, the plaintiffs argued, the defendants agreed to transport

the plaintiffs and their family members for a reasonable price. They also brought

claims, inter alia, for unjust enrichment and money had and received. The district

court dismissed these claims as preempted by the Airline Deregulation Act

(“ADA”), 49 U.S.C. § 41713. Exercising jurisdiction under 28 U.S.C. § 1291, we

affirm.

I1

A

Defendants EagleMed, LLC (“EagleMed”) and Air Evac EMS, Inc. (“Air

Evac”) operate air-ambulance services in several states, including Oklahoma.

They do not dispatch their own services, but instead respond to third-party

dispatch requests and requests from medical professionals or first responders.

The plaintiffs claim that they or their family members were transported by

the defendants “without entering into written agreements specifying a price prior

to transport.” Aplts.’ Opening Br. at 3. No price or schedule of prices was

disclosed at the time of service. The plaintiffs claim that the defendants “do not

negotiate rates with patients” or “publish their pricing model in any available

platform.” Aplts.’ App. at 27 (Pet., dated July 26, 2016). The plaintiffs further

1 In reviewing a judgment on a motion to dismiss, “[w]e accept as true all well-pleaded factual allegations in the complaint.” S.E.C. v. Shields, 744 F.3d 633, 640 (10th Cir. 2014) (quoting Burnett v. Mortg. Elec. Registration Sys., Inc., 706 F.3d 1231, 1235 (10th Cir. 2013)).

2 argue that the emergency conditions under which the transportation here took

place precluded any “meaningful opportunity to consent” to the terms of service.

Aplts.’ Opening Br. at 4. 2

Ms. Schneberger’s husband was transported 416 miles by EagleMed from

Norman Regional Hospital in Norman, Oklahoma, to MD Anderson Hospital in

Houston, Texas. Mr. Schneberger was insured by Blue Cross Blue Shield

Association (“BCBS”), but BCBS refused to pay for EagleMed’s service because

it concluded that his transportation was not medically necessary. EagleMed

reduced Mr. Schneberger’s bill from $63,564.71 to $53,133.83. Ms. Stidman was

2 In EagleMed LLC v. Cox, 868 F.3d 893 (10th Cir. 2017), we detailed a similar description of “the market for air-ambulance services” offered by an amicus and, notably, did not quarrel with its accuracy:

Unlike the typical commercial airline flights that were the focus of the [ADA], air-ambulance flights generally are not chosen by their passengers, are not paid in advance at an agreed-to rate, and do not have prices that are determined in a free market of individual consumer choice. As a general rule, air-ambulance services are not requested or arranged by either the individuals who will receive the services or by the insurance companies, governmental entities, or individuals who will ultimately pay for them. Rather, air ambulances are called by medical professionals and emergency first-responders who will neither receive nor pay for their services. Their prices are determined only after the service has already been rendered—in cases paid through Medicare or Medicaid, at prices established by government rate schedules, and in cases paid through private insurance, usually at a price negotiated between the air ambulance and the insurer.

Id. at 902–03.

3 transported sixty-seven miles by EagleMed from Pittsburg County, Oklahoma, to

St. John Medical Center in Tulsa, Oklahoma. Ms. Stidman’s insurance paid

$15,180.53 of EagleMed’s charges, leaving her with a bill for $19,516.26. Mr.

Trent was transported 106 miles by Air Evac from Elk City, Oklahoma, to

Oklahoma City after an oilfield accident. Air Evac charged Mr. Trent

$45,101.94.

The plaintiffs argue that they were charged for transportation “in an amount

that vastly exceeded both the cost to provide the transport and the fair market

value of the transport.” Aplts.’ Opening Br. at 4. The plaintiffs proffered

statements by “[a]n executive of the largest air ambulance company in the

industry admitt[ing] that the fair charge for an average transport would be

$12,000” and claimed that they were charged between four and eight times that

amount. Id. (emphasis added) (citing Aplts.’ App. at 131 (Pls.’ Joint Resp. to

Defs.’ Mot. to Dismiss, dated Dec. 20, 2016)). When the plaintiffs were unable to

pay, the defendants began collection efforts that exposed the plaintiffs to “adverse

judgments and damage to their credit ratings.” Id. at 5. The defendants do not

contest that the written agreements between the parties lacked an agreed-upon

price. The defendants argue, however, that they are required by law to transport

patients who require services regardless of their insurance coverage or ability to

pay. Providing these services is expensive—requiring the defendants to maintain

customized aircraft and twenty-four-hour crews—and payments received from

4 uninsured patients or patients covered by Medicaid or Medicare are, in general,

“substantially below air ambulance providers’ per-transport costs.” Aplees.’

Resp. Br. at 9. “Such underpayments contribute to escalating prices for

emergency air ambulance transportation.” Id. And in order “[t]o continue to

provide air ambulance service for everyone regardless of insurance status . . . [the

defendants] must receive their billed charges for a sufficient portion of their

flights to offset the losses they incur when they transport uninsured or

underinsured patients.” Id. at 10.

B

The plaintiffs filed claims in the state District Court for Oklahoma County,

Oklahoma, seeking damages and injunctive relief prohibiting the defendants from

charging or attempting to collect “unreasonable rates” for their services. Aplts.’

App. at 48–51. The plaintiffs presented several claims under Oklahoma law,

including claims for breach of an implied contract (including breach of the

implied covenant of good faith and fair dealing), unjust enrichment, and money

had and received. 3 The plaintiffs argued that, due to the lack of a specified price

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