United States of America ex rel. Uri Bassan v. Omnicare, Inc.

District Court, S.D. New York·Decided April 22, 2024·No. 1:15-cv-04179·Unknown

Opinion

LAW OFFICES WILLIAMS & CONNOLLY ur: DAVID RANDALL J RISKIN 680 MAINE AVENUE SW EDWARD BENNETT WILLIAMS (1920-1988) (202) 434-5789 PAUL R. CONNOLLY (1922-1978) driskin@we com WASHINGTON, DC 20024 (200) °° | MEMO ENDORSED WWW.WC.COM \ \ \| ( April 18, 2024 UNITED STATES MAGISTRATE JUDGE DATED: April 22, 2024 Via ECF The Honorable Valerie Figueredo This Motion, ECF No. 458, will be added to United States Magistrate Judge the scope of the conference scheduled for for the Southern District of New York May 1, 2024. Motions at ECF Nos. 429, 449, and 458 will now be discussed at the 500 Pearl Street scheduled conference. New York, NY 10007 Re: — United States ex rel. Bassan v. Omnicare, Inc., No. 15-cv-04179 (CM) (VF) Dear Judge Figueredo: The U.S. Attorney’s Office has withheld on deliberative-process grounds approximately 200 documents reflecting internal discussions about one or more rejected “RAC” audits, which apparently would have penalized long-term-care pharmacies for engaging in practices the Office calls fraud here. In a recent deposition, however, the Office permitted CMS’ representative to testify about those discussions. Based on this litigation choice, fairness and need dictate that the Office now must produce the withheld documents. So too is Omnicare entitled to a short deposi- tion of the representative given her inaccurate and incomplete description of the basis for her RAC audit testimony. Last year, the Court rejected thousands of deliberative-process assertions that showed CMS knowingly accepted each of the long-term-care practices the Office challenges. The Court, however, permitted the Office to continue to withhold documents relating to one or more pro- posed-but-rejected RAC audits. (Omnicare appealed that latter order, which appeal remains pending.) The Court did so based on the Office’s argument that because CMS rejected the RAC audit “[d]eliberations regarding whether to pursue” it cannot be relevant to CMS’ “actual knowledge” of the challenged long-term-care practices. (ECF 369 at 4.) The Office questioned “what it would gain defendants or the Court or a jury to learn about what the methodology might have been for a proposal that was made that was never enacted” (ECF 373 at 17:1—4), and argued that the internal discussions about both the methodology and CMS’ rejection of the RAC audit were protected by deliberative process (ECF 369 at 3; ECF 412 at 1-2.) During the recent deposition, the Office changed its tune—prejudicing Omnicare. Ilina Chaudhuri, a lawyer and CMS’ Federal Rule 30(b)(6) representative, provided substantial testi- mony about the methodology for a proposed-but-rejected RAC audit and the reasons CMS tossed it aside. According to her, the proposed audit would have ee

WILLIAMS & CONNOLLY LLP April 18, 2024 Page 2 a ” (Ex. 1 (Tr. of L. Chaudhuri Rule 30(b)(6) Dep. (Mar. 12, 2024)), 18:15—25; see also Ex. 1 at 18:4—19:20. Chaudhuri also explained that, in connection with the audit, Ls ” (Ex. 1 at 19:12—13.) She then noted that CMS re- fied about the very things the Office had argued were not discoverable and which, based on those arguments, the Court permitted the Office to continue withholding. Chaudhuri’s testimony was deliberate; Chaudhuri was affirmatively prepared to provide it, although she inaccurately testified about that preparation. She said that an (Ex. 1 at 30:16—31:6.) Nearly a month after Chaudhuri’s dep- osition, the Office represented this was not true and the information to which Chaudhuri had tes- tified was supplied entirely by unidentified government counsel. Ex. 2 (Email from L. Issa- charoff to B. Hazelwood (Apr. 4, 2024 at 4:33 p.m.).) Given the late disclosure, Omnicare was unable to question Chaudhuri about the specifics of this counsel-provided information. The government’s sword-and-shield approach to deliberative process is unfair and re- quires production of the withheld RAC-audit-related documents. The alternative is that Om- nicare must accept Chaudhuri’s counsel-generated testimony, without any opportunity to assess whether the evidence supports it. Nor should the Court permit Chaudhuri’s inaccurate testimony about her preparation to go unexamined; Omnicare should have the opportunity to depose Chaudhuri about that preparation. Omnicare Is Entitled to the RAC-Audit-Related Documents. As the Court will recall, PDE audits are the only audits CMS conducts of Medicare Part D long-term-care prescription claims. (ECF 373 at 6:11—20.) And in those audits, CMS was aware of and approved the prac- tices the Office challenges here, including that long-term-care pharmacies often do not possess prescription documentation at the time the audits are conducted. (ECF 391 at 2-3.) The Office, unsurprisingly, has sought to downplay the significance of the PDE audits; evidence that other divisions in CMS had the opportunity to audit long-term-prescription claims but did not, then, is relevant to Omnicare’s defense. That is where the RAC audits come in—they provided an op- portunity for CMS to look into the same issues the PDE audits considered. CMS’ decision to adopt a RAC audit (or, better, not adopt one) and the details of proposed audits thus illustrates how CMS treated the activities about which the Office now sues. The Court ruled that the Office’s assertion of deliberative process must yield where Om- nicare had a “compelling need” for documents related to the government’s consideration of long- term-care pharmacy audit matters. (ECF 370 at 1-2; accord ECF 336 at 28:3—7, 30:13-31:4, 36:7-37:3.) See generally United States ex rel. Spay v. CVS Caremark Corp., 875 F.3d 746, 764 (3d Cir. 2017). Although it found Omnicare had a compelling need for thousands of delibera- tive-process documents (ECF 370 at 1), the Court permitted the Office to withhold a set of RAC

WILLIAMS 8 CONNOLLY LLP April 18, 2024 Page 3 audit-related documents because it reasoned that Omnicare had obtained information in those documents from PDE audit documents (ECF 370 at 2). Chaudhuri’s testimony should alter the Court’s analysis, and require production of the RAC-related documents, for multiple reasons: First, Omnicare has a need for the documents because the government chose to let Chaudhuri testify about deliberations concerning the RAC audit’s methodology and CMS’ rejec- tion of the audit. Absent relief, Omnicare is unable meaningfully to challenge Chaudhurt’s as- sertions on a subject the Office now affirmatively has injected into the case (after having per- suaded the Court it is not discoverable). Courts prohibit this “inequitable” sword-and-shield ap- proach, including to deliberative process. In re Methyl Tertiary Butyl Ether (MTBE) Prod. Liab. Litig., 898 F. Supp. 2d 603, 610 (S.D.N.Y. 2012) (deliberative process waived where party “placed its own decision-making process ‘at issue’” because “[w]ere this not so, [a party] could protect from discovery any deliberative process materials” that harm its case and “could present to ajury any internal communications” on the subject that support its case); Allstate Ins. Co. v. Serio, 2000 WL 554221, at *11 (S.D.N.Y. May 5, 2000) (rejecting government attempt to “rel[y] on materials for which it sought a [deliberative-process] privilege”; “such a privilege cannot be used as both a shield and a sword”). Continuing to permit the Office to withhold the RAC-related documents in the face of Chaudhuri’s testimony would be particularly inequitable because that testimony seemingly con- tradicts the withheld documents. Chaudhuri said the RAC audit had Li ee” (Ex. 1 at 19:12-13) But based on the Court’s de- scription of one of the withheld documents, the opposite may be the case.

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United States of America ex rel. Uri Bassan v. Omnicare, Inc., (S.D.N.Y. 2024).

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