Sidibe v. Sutter Health

District Court, N.D. California·Decided August 30, 2021·No. 3:12-cv-04854·Unknown

Opinion

San Francisco Division DJENEBA SIDIBE, et al., Case No. 12-cv-04854-LB

Plaintiffs, FINAL PRETRIAL ORDER v.

SUTTER HEALTH, et al., Defendants. The court held pretrial conferences on August 12 and 19, 2021. The court issues this pretrial order pursuant to Federal Rule of Civil Procedure 16(e). 1. Trial Date and Length of Trial The jury trial will begin on October 4, 2021, in Courtroom 9, 19th Floor, U.S. District Court, 450 Golden Gate Avenue, San Francisco, California. Based on the parties’ estimates of their times for witness examinations and the court’s rulings on Daubert and the motions in limine, the trial will last up to four weeks, and each side will have 40 hours per side for direct examination of witnesses and cross-examination of the opposing party’s witnesses, including all objections raised during the trial day. The trial will be held Monday through Friday from 8:30 a.m. to approximately 1:30 or 2:00 p.m. (or slightly longer to able to schedule the court reporters. (The jury needs a break every two hours. The court reporters need one every 90 minutes. The staffing of the trial will drive the breaks.) This allows about five hours of trial testimony each day and twenty-five hours each week, allowing the parties to put in their cases easily in four weeks. Given the pandemic, it is especially important to be considerate of the jury. The parties can avoid evidentiary objections about foundation, and issues about relevance and Rule 403 can be raised outside of trial time. In addition, each party may have up to 45 minutes for an opening statement and one hour to close (including rebuttal closing for the plaintiffs). If the parties have a different view about the time for openings and closings, they can propose it.) Counsel must arrive at 8:15 a.m. to address any issues (such as objections) before the trial day begins. Counsel can also raise issues after the trial day concludes. Also, the first trial day will run the full day and will include jury selection, opening statements if possible, and witnesses, as the day and pandemic permit. Once the jury begins deliberations, it usually stays all day. 2. Procedures During Trial; Exhibit and Witness Lists; Witnesses The court’s October 27, 2016, Case-Management and Pretrial Order has the court’s trial procedures for the presentation of exhibits, depositions, and witness testimony, including specific procedures for deposition excerpts.1 The parties have identified their witnesses on their separate witness lists. As discussed at the pretrial conference, if the parties identify the same witnesses, the defendant will examine the witness when the plaintiffs call them (as opposed to recalling them). 1 Case-Mgmt. and Pretrial Order – ECF No. 113 at 7–14. Citations refer to material in the Electronic 3. Claims, Defenses, and Relief Sought The remaining claims in the case are reflected in the summary-judgment order at ECF No. 962. They are (1) unlawful tying and an unlawful course of conduct, in violation of the Sherman Antitrust Act § 1 and California’s Cartwright Act, and (2) a violation of California’s Unfair Competition Law (UCL). Sutter denies the claims. The parties’ positions (claims, defenses, relief sought) are reflected in their joint proposed pretrial order at ECF No. 1130 at 2–6. 4. Stipulations The parties have certain stipulations in their proposed pretrial order at ECF No. 1130. At trial, the parties must have a document reflecting any evidentiary stipulations in a format that can be read into the record and introduced as an exhibit. The parties must try to stipulate to as many uncontested facts as they can. It will shorten trial time. 5. Motions in Limine (MILs) For the reasons stated on the record and below, the court rules as follows. 5.1 Plaintiffs’ MILs 5.1.1 MIL 1 to Exclude Evidence About Procompetitive Benefits — Denied In the Daubert order, the court allowed expert testimony about procompetitive benefits, following the UEBT court. The UEBT court also denied a similar MIL.2 The court denies the MIL here too. The viability of Sutter’s hospitals is relevant to the free-riding issue discussed in the Daubert order. Sutter’s costs and spending are relevant to its pricing. As discussed in the Daubert order, evidence of capital investments is relevant to procompetitive benefits. Evidence of other investments is too. For example, evidence of funding pensions is relevant to employee hiring, which is relevant to the quality of patient care. Evidence of quality care is relevant to the procompetitive benefits of the challenged contracting practices. Cnty. of Tuolumne v. Sonora Cnty. Hosp., 236 F.3d 1148, 1160 (9th Cir. 2001); Law v. NCAA, 134 F.3d 1010, 1023 (10th Cir. 1998). Evidence of charity care is relevant to widening consumer access to medical services. (The court’s examples are illustrative, not exhaustive.) 5.1.2 MIL 2 to Exclude Evidence of Sutter Health’s Nonprofit Status — Denied In the UEBT case, the court denied a similar MIL.3 See also Aetna Inc. v. Blue Cross Blue Shield of Mich., No. 11-15346, 2015 WL 1646464, at *6–8 9 (E.D. Mich. Apr. 14, 2015) (denying similar MIL). The court denies the MIL. The plaintiffs suggest risk of jury confusion, but Sutter’s nonprofit status is relevant to its financial governance, pricing, and spending. 5.1.3 MIL 3 to Exclude Evidence About Covid-19 and California Wildfires — Denied In the Daubert order, the court allowed expert testimony on these topics because they are relevant to the procompetitive benefits of the challenged contracting practices. The court denies the MIL for the same reasons. The court accepts Sutter’s representations that it will not overdo its presentation because the issue is a small point, not a big one. If Sutter goes too far, it may open the door for cross-examination about Sutter’s actual delivery of services. The plaintiffs must make an offer of proof if this occurs so that the court can address Rule 402 and 403 issues in context at trial. 5.1.4 MIL 5 to Exclude Evidence of Patients’ Personal Experiences — Denied4 The plaintiffs do not identify specific evidence. A categorical exclusion might prevent evidence relevant to understanding complex concepts. The issue is better addressed in context at trial. The UEBT court denied a similar MIL.5 The court denies the motion without prejudice. The plaintiffs can object to any issues at trial. Based on Sutter’s representation that it will not call patients or refer to medical history and instead will make illustrative (not personal-context) points about patient care, it seems unlikely that this is a real issue. 5.1.5 MIL 6 to Exclude Evidence About Payer Mix and Cost Shifting — Denied The plaintiffs moved to exclude evidence about Sutter’s and competitor hospitals’ payer mix (including Medicare and Medi-Cal reimbursement) and Sutter’s raising its prices to offset its losses 3 Id. at 124–25. 4 There is no MIL 4. from its government revenue stream. The court denies the MIL. At minimum, the evidence is relevant to pricing. Also, as discussed above, the evidence is relevant to procompetitive benefits of the challenged contracting practices such as access to medical care and a predictable revenue stream and the resulting volume assurances, allowing, for example, increased access to medical care. 5.1.6 MIL 7 to Exclude the Health Plans’ Financial Information — Denied The plaintiffs moved to exclude evidence of the class health plans’ financial information, including profits, executive salaries, and fines paid to the California Department of Managed Health Care. Evidence of specific executive salaries is not relevant, and the court excludes it.6 But the financial evidence, including execu

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