Tatone v. CVS Health Corporation

CourtDistrict Court, S.D. New York
DecidedDecember 5, 2024
Docket1:24-cv-06771
StatusUnknown

This text of Tatone v. CVS Health Corporation (Tatone v. CVS Health Corporation) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tatone v. CVS Health Corporation, (S.D.N.Y. 2024).

Opinion

USDC SDNY DOCUMENT UNITED STATES DISTRICT COURT ELECTRON SOUTHERN DISTRICT OF NEW YORK ICALLY FILED DOC #: IVY NIXON, individually and on behalf of all others DATE FILED: 12/05/2024 similarly situated, Plaintiff, 24-CV-05303 (MMG) -against- OPINION & ORDER CVS HEALTH CORP., et al., Defendants.

ORLANDO TATONE, individually and on behalf of 24-CV-06771 (MMG) all others similarly situated, OPINION & ORDER Plaintiff, -against- CVS HEALTH CORP., et al., Defendants.

MARGARET M. GARNETT, United States District Judge: Plaintiffs Ivy Nixon and Orlando Tatone in the two above-captioned, consolidated cases:! assert securities fraud claims against Defendant CVS Health Corporation and individual Defendants Karen S. Lynch, Shawn M. Guertin, and Thomas F. Cowhey (together, “individual Defendants”), all of whom are or were executives at CVS, based on allegedly false and misleading statements and omissions made about CVS’s Health Care Benefits segment. Both actions were brought pursuant to the Private Securities Litigation Reform Act (“PSLRA”). Pending before the Court are two motions to appoint lead plaintiff and appoint lead counsel. See

'In an order of this Court dated October 25, 2024 (Dkt. No. 32), the Court consolidated Nixon v. CVS Health Corp. et al., 24-cv-05303, and Tatone v. CVS Health Corp., et al., 24-cv-06771, upon request of all parties. See Dkt Nos. 30-32. Thus, the Court will not address the sections of the pending motions that request the consolidation of Nixon and Tatone, as that issue is now moot.

Dkt. Nos. 15, 17. For the reasons discussed below, the Court appoints the Louisiana Sheriffs’ Pension and Relief Fund, Southeastern Pennsylvania Transportation Authority, and City of Miami Fire Fighters’ and Police Officers’ Retirement Trust as lead plaintiffs, and appoints Bernstein Litowitz Berger & Grossman LLP and Bleichmar Fonti & Auld LLP as lead counsel.

FACTS AND PROCEDURAL HISTORY Defendant CVS Health Corporation (“CVS”) is a healthcare company with three main divisions: Health Care Benefits, Health Services, and Pharmacy and Consumer Wellness. Dkt. No. 1 ¶ 2. CVS’s Health Care Benefits segment—the focus of this litigation—“purportedly offers ‘a broad range of traditional, voluntary and consumer-directed health insurance products and related services,’” and its “revenues consist almost entirely of insurance premiums paid by customers.” Id. Revenue for the Health Care Benefits segment is derived almost entirely from customers’ insurance premiums, and the profitability of the Health Care Benefits segment is reliant on the accuracy of CVS’s modeling of healthcare utilization patterns and medical cost trends, as well as CVS’s internal cost forecasts. Id. ¶¶ 3, 25.

Between February 9, 2022 and April 30, 2024 (the “Class Period”),2 CVS represented 1F that “its integrated health care model . . . lowers overall health care costs” and that its “Health Care Benefits segment is expected to continue to benefit from Medicare and Commercial membership growth.” Nixon, Dkt. No. 1 ¶¶ 27, 29; Tatone, Dkt. No. 1 ¶¶ 35, 37. Plaintiffs allege, however, that CVS and the individual Defendants knew that these statements were materially false and misleading, and that they concealed the effect that increased medical costs

2 The class period alleged by Plaintiff Nixon is May 3, 2023 through April 30, 2024, while the class period alleged by Plaintiff Tatone is February 9, 2022 through April 30, 2024. Nixon, Dkt. No. 1 ¶ 1; Tatone, Dkt. No. 1 ¶ 1. The Court will use the longer class period alleged by Tatone because “it encompasses more putative class members.” In re CMED, No. 11 Civ. 9297 (KBF), 2012 WL 1118302, at *2 (Apr. 2, 2012) (citing In re Doral Fin. Corp. Sec. Litig., 414 F. Supp. 2d 398, 402–03 (S.D.N.Y. 2003)). and health care utilization had on the profitability of CVS’s Health Care Benefits segment. Nixon, Dkt. No. 1 ¶ 32. These alleged false and/or misleading statements and omissions during the Class Period allegedly caused a “precipitous decline in the market value of [CVS’s] securities,” and caused “significant losses and damages” to the proposed class. Id. ¶ 12.

Plaintiffs Nixon and Tatone (together “Plaintiffs”) allege that CVS and the individual Defendants included the false and misleading statements in quarterly reports, press releases, SEC filings, and earnings calls during the Class Period. CVS continually revised its diluted and adjusted earnings-per-share (“EPS”) guidance ranges and lowered its reported revenue for its Health Care Benefits segment. See id. ¶¶ 4–12; see also Tatone, Dkt. No. 1 ¶¶ 5–13. These quarterly revisions to EPS guidance ranges and reported revenue for the Health Care Benefits segment, in addition to lowered expectations of the profitability of the Health Care Benefits segment, led to decreases in CVS’s stock prices immediately following various related public announcements throughout the Class Period. See, e.g., Nixon, Dkt. No. 1 ¶¶ 4–12; Tatone, Dkt. No. 1 ¶¶ 5–13. Specifically, Plaintiff Nixon alleges that:

Defendants made false and/or misleading statements and/or failed to disclose that: (i) the forecasts CVS used to determine plan premiums were ineffective at accounting for medical cost trends and health care utilization patterns; (ii) as a result, CVS was likely to incur significant expenses to cover cost increases that were not accounted for in [CVS’s] forecasts and thus not covered by plan premiums; (iii) accordingly, CVS had overstated the profitability of its Health Care Benefits segment; (iv) contrary to Defendants’ assurances, the revenues generated from [CVS’s] other primary segments were insufficient to offset the negative financial impact of the increasing expenditures within the Health Care Benefits segment; and (v) as a result, [CVS’s] public statements were materially false and misleading at all relevant times.

Nixon, Dkt. No. 1 ¶ 4. Similarly, Plaintiff Tatone alleges that: Defendants made false and/or misleading statements and/or failed to disclose that: (1) CVS had deficient internal; controls; (2) as a result of its deficient internal controls, CVS’s financial statements for the fiscal year 2022 contained false and/or misleading information; (3) as a result of its deficient internal controls, the forecasts CVS used to determine plan premiums were ineffective at accounting for medical cost trends and health care utilization patterns; (4) as a result, CVS was likely to incur significant expenses to cover cost increases that were not accounted for in [CVS’s] forecasts and thus not covered by plan premiums; (5) accordingly, CVS had overstated the profitability of its Health Care Benefits segment; (6) contrary to Defendants’ assurances, the revenues generated from [CVS’s] other primary segments were insufficient to offset the negative financial impact of the increasing expenditures within the Health Care benefits segment; and (7) as a result, [CVS’s] public statements were materially false and misleading at all relevant times.

Tatone, Dkt. No. 1 ¶ 4. ANALYSIS Pending before the Court are two motions for appointment of lead plaintiff and lead counsel, one filed by the Louisiana Sheriffs’ Pension and Relief Fund, Southeastern Pennsylvania Transportation Authority, and City of Miami Fire Fighters’ and Police Officers’ Retirement Trust (“Pension Funds”), and the other filed by Lancaster Partner LLC (“Lancaster Partner”).3 See Dkt. Nos. 15, 17. The Pension Funds oppose Lancaster Partner’s motion. Dkt. 2F No. 26. Lancaster Partner submitted a notice of non-opposition to the Pension Funds’ motion, informing the Court that “it appears that Lancaster Partner does not have the ‘largest financial interest’ in this litigation within the meaning of the PSLRA.” Dkt. No. 24 at 2.

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Bluebook (online)
Tatone v. CVS Health Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tatone-v-cvs-health-corporation-nysd-2024.