United States of America, ex rel. Intergra Med Analytics, LLC. v. Issac Laufer

CourtDistrict Court, S.D. New York
DecidedMay 2, 2023
Docket7:17-cv-09424
StatusUnknown

This text of United States of America, ex rel. Intergra Med Analytics, LLC. v. Issac Laufer (United States of America, ex rel. Intergra Med Analytics, LLC. v. Issac Laufer) 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.

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United States of America, ex rel. Intergra Med Analytics, LLC. v. Issac Laufer, (S.D.N.Y. 2023).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK --------------------------------------------------------------X UNITED STATES OF AMERICA ex rel. INTEGRA MED ANALYTICS, LLC,

Plaintiff, ORDER -against- 17 Civ. 9424 (CS) (JCM)

ISSAC LAUFER, et al.,

Defendants. --------------------------------------------------------------X

On May 28, 2021, Plaintiff/Relator Integra Med Analytics LLC, which specializes in using statistical analysis to identify health-care fraud, (Docket No. 13 ¶ 11) (“Complaint”), brought this action against Isaac Laufer (“Laufer”), and the following Skilled Nursing Facilities, which are owned and operated by Laufer: Montclair Care Center, Inc., East Rockaway Center LLC, Excel at Woodbury for Rehabilitation and Nursing, LLC, Long Island Care Center Inc., Treetops Rehabilitation & Care, Sutton Park Center for Nursing & Rehabilitation, LLC, Suffolk Restorative Therapy & Nursing, LLC, Oasis Rehabilitation and Nursing, LLC, and Forest Manor Care Center, Inc. (collectively, the “Facilities”), (see generally Docket No. 14). Thereafter, on June 2, 2021, the United States of America (the “Government”), brought a Complaint-In- Intervention against Laufer, Tami Whitney (“Whitney”), the Coordinator of Rehabilitation Services at the Facilities, Paragon Management SNF LLC (“Paragon”), the management company through which the Facilities are operated, and the Facilities (collectively, “Defendants”), pursuant to the False Claims Act (“FCA”), 31 U.S.C. §§ 3729 et seq., and alternatively, to recover common law damages. (See generally Complaint). I. BACKGROUND The Court assumes familiarity with the facts of the case and includes only the facts necessary to resolve the instant disputes. The Government alleges that from at least 2010 through September 2019, Defendants knowingly submitted false claims to Medicare for

unreasonable services that the Facilities provided to residents, violating the FCA. (Complaint ¶ 1). Defendants allegedly executed this scheme by keeping residents at the Facilities for longer than necessary and by putting residents on higher levels of rehabilitation therapy than reasonable or necessary, so that Defendants could bill Medicare at a higher rate. (Id.). II. PROCEDURAL HISTORY Defendants moved to dismiss the Complaint. (See Docket Nos. 96, 100, 111, 114). On September 23, 2022, the Honorable Cathy Seibel issued a bench ruling denying Defendants’ motion to dismiss the Complaint, except for Whitney’s and Paragon’s motions to dismiss the Government’s unjust enrichment and payment by mistake claims, which were granted. (Sept. 23, 2022 Minute Entry). On October 28, 2022, Defendants answered the Complaint, (Docket Nos.

128–140), and discovery commenced. On February 24, 2023, Defendants filed a letter raising several discovery disputes to the undersigned. (Docket No. 162) (“Def. Ltr.”). The Government responded by letter on March 1, 2023. (Docket No. 164) (“Gov’t Ltr.”). The Court heard oral argument on March 15, 2023. (See Mar. 15, 2023 Minute Entry). There are two issues presently before the Court. First, Defendants request that the Government identify which of the 1521 individuals listed on the Government’s initial disclosures the Government interviewed in connection with its claims (“Interviewees”). (Def. Ltr. at 3-4).

1 The Government listed 154 individuals on its initial disclosures, which include Defendants Laufer and Whitney. (Docket No. 162-24 at 8-26). Since Laufer and Whitney are named Defendants in this action, the Court does not consider them in the group of 152 individuals whose identities are at issue. Second, Defendants seek “a summary of the information provided by each” Interviewee. (Id. at 5). The Government opposes both requests, arguing that revealing either category of information runs afoul of the work-product and law-enforcement privileges. (Gov’t Ltr. at 1, 3-7). The Government instead offers to identify the individuals referenced in the Complaint, if Defendants

agree that doing so would not constitute a broad waiver of any privilege. (Id. at 1). For the following reasons, the Court finds that the names of the Interviewees are factual work product, but that Defendants have shown substantial need and undue hardship justifying limited disclosure. In balancing the interests of the parties, the Court directs the Government to identify the Interviewees it intends to rely upon at trial as well as the individuals referenced in the Complaint. The identification of such individuals does not constitute a broad waiver of any privilege the Government may hold. Furthermore, the Court holds that the interview summaries prepared by the Government are work product and should not be disclosed. III. LEGAL STANDARD Generally, parties may “obtain discovery regarding any nonprivileged matter that is

relevant to any party’s claim or defense and proportional to the needs of the case.” Fed. R. Civ. P. 26(b)(1). “Management of discovery lies within the broad discretion of the district court.” Plumbers and Pipefitters Loc. Union No. 630 Pension-Annuity Tr. Fund v. Arbitron, Inc., 278 F.R.D. 335, 338 (S.D.N.Y. 2011) (hereinafter “Plumbers and Pipefitters”). The district court’s discretion to manage discovery is informed by the Federal Rules of Civil Procedure’s (“Rules”) requirement that the Rules be employed “to secure the just, speedy, and inexpensive determination of every action and proceeding.” See City of Almaty, Kazahkstan v. Ablyazov, 15– CV–05345 (AJN) (KHP), 2018 WL 2148430, at *1 (S.D.N.Y. May 10, 2018) (quoting Fed. R. Civ. P. 1). A. Work-Product Privilege

The attorney work-product privilege shields from disclosure both “opinion” or “core” work product, defined as “material that ‘reveals the mental impressions, conclusions, or legal theories of an attorney,’” von Kahle v. Cargill, Inc., 599 F. Supp. 3d 181, 186 (S.D.N.Y. 2022) (quoting In re Grand Jury Subpoena Dated July 6, 2005, 510 F.3d 180, 183 (2d Cir. 2007)), and “ordinary” or “fact” work product, which may encompass “factual material, including the result of a factual investigation,” Klosin v. E.I. du Pont de Nemours and Co., 561 F. Supp. 3d 343, 349–50 (W.D.N.Y. 2021). While “factual work product is subject to disclosure once the required showings are made, core work product is entitled to more stringent protection,” and is “described by some courts as ‘absolute’ or ‘near absolute.’” Crosby v. City of New York, 269 F.R.D. 267, 277–78 (S.D.N.Y. 2010). The party asserting the work-product privilege has the burden of establishing its existence. See U.S. S.E.C. v. Collector’s Coffee Inc., 337 F.R.D. 70, 74 (S.D.N.Y. 2020). The protection is qualified. See Obeid v. La Mack, No. 14 cv. 6498(LTS)(MHD), 2015 WL 5581577,

at *3 (S.D.N.Y. Sept. 16, 2015). A party may obtain fact work product by showing that it “has a ‘substantial need’ for the information … and that equivalent information cannot be obtained from other sources without ‘undue hardship.” Id. By contrast, a party may only obtain opinion work product if a “highly persuasive showing [of need] is made.” Crosby, 269 F.R.D. at 278 (internal quotations omitted); accord Obeid, 2015 WL 5581577, at *3 (if “the document reflects the so-called mental processes of the attorney, even a showing of ‘substantial need’ and ‘undue hardship’ may not suffice to set aside the presumptive immunity of the material from disclosure.”). B. Law-Enforcement Privilege

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United States of America, ex rel. Intergra Med Analytics, LLC. v. Issac Laufer, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-of-america-ex-rel-intergra-med-analytics-llc-v-issac-nysd-2023.