United States of America v. Humana Inc

District Court, W.D. Kentucky·Decided August 31, 2021·No. 3:18-cv-00061·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF KENTUCKY LOUISVILLE DIVISION CIVIL ACTION NO. 3:18-CV-00061-GNS-CHL

UNITED STATES OF AMERICA, ex rel Steven Scott, Plaintiff,

v.

HUMANA INC, Defendant.

MEMORANDUM OPINION AND ORDER

Before the Court is a motion to compel discovery related to communications about this case between Richard Foster and the government filed by Defendant Humana Inc (“Humana”). (DN 379.) Relator Steven Scott (“Relator”) filed a response in opposition (DN 410) to which Humana filed a reply (DN 412). Therefore, this matter is ripe for review. I. BACKGROUND On March 27, 2018, Humana served its Amended First Set of Requests for Production. (DN 379-2.) The requests sought, inter alia:

7. Any Documents You provided to the Government Concerning the allegations in the Complaint, including but not limited to notes, journals, summaries, analyses, reports, or any other similar Documents. . . . 9. Any Documents Concerning Communications between You and the Government Concerning the allegations in the Complaint.

(Id., at PageID # 42763.) For purposes of these requests, Humana defined “Government” as “the United States, any political subdivision, or any agency, department, or unit thereof, including but not limited to the Centers for Medicare & Medicaid Services (“CMS”), the Office of Inspector General of the U.S. Department of Health & Human Services, and the U.S. Department of Justice, and any employee, agent, or representative thereof.” (Id., at PageID # 42758.) Humana defined “You” as “Steven Scott, the Relator in the above-captioned action, and any employees, consultants, experts, or contractors acting or purporting to act on his behalf.” (Id., at PageID # 42759.) On April 12, 2018, Humana served its First Set of Interrogatories. (DN 379-3.) The interrogatories, inter alia, asked Relator to: 19. Identify by name any Persons, including Your spouse, current or former Humana employees, or current or former Government employees, with whom You Communicated in any manner Concerning the allegations in the Complaint. . . . 20. Identify by name any Persons, including Your spouse, current or former Humana employees, or current or former Government employees, with whom You shared Documents or who shared Documents with You Concerning the allegations in the Complaint.

(Id., at PageID # 42808.) Around this time, the Parties negotiated their respective obligations to log documents withheld from production on privilege grounds. (DN 410, at PageID # 45870.) In an email dated May 23, 2018, counsel for Humana wrote to counsel for Relator to clarify Relator’s proposal that neither party’s privilege log would include individual entries for “(1) communications between the parties and their respective litigation counsel, or (2) documents created by the parties’ litigation counsel in anticipation of or during litigation.” (DN 379-5, at PageID # 42817.) Humana requested that Relator confirm that: (1) “[Relator] himself is not considered litigation counsel”; (2) Relator “would not exclude a communication from [Relator] to his litigation counsel copying a third party, such as Mrs. Lindsay Scott or counsel for the United States”; and (3) Relator “would not exclude a communication from Mr. Scott to attorneys for the United States. Such a communication would be included on Relator’s privilege log.” (Id., at PageID # 42818.) Humana stated that, “[s]ubject to the foregoing clarifications and confirmations, Humana will agree to accept both of Relator’s proposals.” (Id.) In a letter dated May 25, 2021, counsel for Relator responded to Humana’s request for clarifications including the following statement: “To be clear, we do not agree to log communications between litigation counsel and counsel for the United States.” (DN 379-4, at PageID # 42808.) In June 2018, Relator contacted former Chief Actuary of Centers for Medicare & Medicaid Services (“CMS”) Richard Foster (“Foster”) to request his services as a consulting expert. (DN 410, at PageID # 45866.) In “late 2018,” Plaintiff retained Foster to provide additional service as

a testifying expert witness. (DN 379-11, at PageID # 42858.) On April 21, 2020, Relator produced Foster’s expert report in which Foster stated in relevant part that when CMS identifies outlier assumptions in bid submissions, it will reject the bid unless the sponsor justifies the outlier value or revises the assumption. (DN 379-12, at PageID # 42886.) On June 15, 2020, Relator produced Foster’s rebuttal report. (DN 379-13.) On July 17, 2020, Foster sat for his deposition. (DN 379- 11.) During the deposition, Humana questioned Foster as to any communications he had with individuals working for the United States Department of Justice (“DOJ”) and CMS. (Id., at PageID # 42859, 42862-63, 42865-66.) Foster testified that he had participated in several meetings with DOJ and CMS employees in 2018 and 2019 and exchanged follow up emails about discussions

during the meetings. (Id., at PageID # 42863, 42866.) When questioned about the nature of the meetings, counsel for Relator instructed Foster not to answer on the basis that Foster’s communications with CMS and the DOJ concerning this case are privileged. (Id., at PageID # 42861-62, 42865-66.) On July 31, 2020, Humana contacted Relator requesting production of communications between Relator and CMS. (DN 379-14, at PageID # 42949.) Humana stated that although communications with CMS such as those revealed in Foster’s deposition are responsive to prior discovery requests, “Relator has not produced any correspondence with CMS, nor has he listed any such communications on his privilege log.” (Id.) Humana further requested production of any documents Relator provided to the DOJ and CMS in connection with the meetings discussed during Foster’s deposition, which Humana said were responsive to a prior discovery request. (Id.) On August 4, 2020, Relator responded saying that Foster’s communications with CMS were in his capacity as a consulting expert and are thus privileged under Rule 26(b)(4)(D) of the Federal Rules of Civil Procedure. (Id., at PageID # 42948.) Relator further stated that his communications with

the DOJ and CMS “are also independently privileged because Relator has a common interest privilege with DOJ and CMS.” (Id.) Relator explained that he had not included these communications in his privilege log under the Parties’ May 2018 agreement concerning the scope of their privilege logs. (Id.) Humana contested Relator’s position that the communications are privileged and that it agreed that such communications need not be included on Relator’s privilege log. (Id., at PageID # 42947.) After several additional exchanges, the Parties reached an impasse, and on August 20, 2020, Humana contacted the Court to request leave to proceed to motion practice. (DN 379-15, at PageID # 42952-53.) Relator’s response to Humana’s motion clarifies that Foster engaged in the following

communications with the DOJ and CMS: • June 25, 2018 phone call including Foster, Relator’s counsel, and DOJ attorneys; • August 7, 2018 in-person meeting including Foster, Relator’s counsel, and DOJ attorneys; • October 16, 2018 in-person meeting including Foster, DOJ attorneys, CMS attorneys, and CMS actuaries; • January 31, 2019 in-person meeting including Foster, DOJ attorneys, CMS attorneys, and other CMS employees; and • March 27, 2019 phone call including Foster, Relator’s counsel, DOJ and CMS attorneys, and other CMS employees.

(DN 410, at PageID # 45866.) As was noted above, Foster testified in his deposition that he also communicated with the DOJ through “e-mails with questions asked following up on the meetings.” (DN 379-11, at PageID # 42863.) The foregoing communications are at issue in Humana’s motion.1 II.

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