II.
SUMMARY OF THE ARGUMENT
1. The orthopedic fee information sought from Principal by the
United States is directly relevant to assessing Defendant's central denial that it
concertedly organized and became the hub of a price-fixing conspiracy among
Delaware orthopedic surgeons to oppose and prevent proposed reductions in
payments for their services by Blue Cross and Blue Shield of Delaware ("Blue Cross")
and other health care insurers. In denying concerted action, Defendant argues that its
members independently rejected Blue Cross's fee proposal because the fees proposed
were too low. Principal's and other insurers' orthopedic fee schedules are directly
relevant to assessing Defendant's claim and are, therefore, discoverable under Fed.
R. Civ. P. 26(b). Consequently, the Court should reject Principal's motion to bar use
of its fee schedules and, instead, protect the confidentiality of Principal's information
through an appropriate protective order.
2. The United States agrees with Principal's argument that the Court should
restrict the disclosure of its "highly confidential, supersensitive and proprietary fee
schedule information" to "(outside) attorney's-eyes only review" for the reasons
already set forth in the United States' protective order briefs (D.I. 36 and 55) and in its
argument at the February 16, 1999 scheduling conference.
III.
STATEMENT OF FACTS
The United States first became aware of Defendant's
anticompetitive activities in Delaware in late February, 1998. Shortly thereafter, the
United States commenced an investigation and served Delaware health care insurers,
including Principal, with Civil Investigative Demands ("CIDs") issued pursuant to the
Antitrust Civil Process Act, 15 U.S.C. §§ 1311-14. Principal was
represented by antitrust counsel in connection with its compliance with the CID.1 On March 13,
1998, Principal produced 174 pages of documents to the United States in response to
the CID.2
After the United States filed its complaint in August, 1998, it promptly began
negotiations with Defendant on the terms of an appropriate umbrella protective order
that would afford parties and non-parties appropriate protection of their confidential
information over the course of pretrial litigation. After agreeing in principle to terms of
a stipulated protective order, Defendant demanded that a provision be inserted in the
protective order that, in the words of defense counsel, allowed Jack Seddon "full
access" to nonparties' confidential information. The United States rejected such a
provision on the grounds that it would unnecessarily risk great harm to non-parties,
and the parties determined that they would not be able to reach a joint stipulated
protective order.
The United States' position on the disputed provision was buttressed by the input of
non- parties, including Principal. Former counsel for Principal expressed concern
about the provision, and contemplated preparation of a declaration from a Principal
representative, setting forth Principal's concerns about allowing Mr. Seddon full
access to its confidential information. Principal ultimately did not furnish such a
declaration. At all times, however, former counsel for Principal was aware of the
United States' opposition to the Defendant's full access provision.
In January, 1999, seven non-party health care insurance companies, including
Principal, accepted service of the United States' Rule 45 subpoenas. The subpoenas
sought a number of categories of documents relevant to the subject matter of the
litigation. Contrary to Principal's assertion, the instructions accompanying the
subpoena specifically excluded from production any documents that had been
produced previously in response to the United States' Civil Investigative Demands.
On February 10, 1999, Principal sent to the United States its Rule 45(b) objections to
the categories of documents requested by the United States' subpoena.
On March 3, 1999, the Court entered a protective order containing a provision that
allowed Mr. Seddon access to confidential information. Soon thereafter, the United
States notified non-parties, including Principal, that had produced information to it
during the investigation, that it would, pursuant to its discovery obligations, be turning
over non-parties' documents once Defendant requested the documents. The United
States also sent to these non- parties a copy of the protective order entered by the
Court.3
On April 20, 1999, the United States advised counsel for Principal that it intended to
produce to Defendant the documents Principal had produced during the United States'
investigation. The United States also advised counsel for Principal that, in the interest
of preserving the rights of non-parties to have their views known by the Court before
Mr. Seddon had the opportunity to see their confidential information, the United States
had secured a commitment from Defendant not to show Mr. Seddon any non-parties'
confidential information until after May 4, 1999. As the Court is aware, counsel for
Principal then made an appearance later in the day on April 20, asking that the Court
bar the United States' production of any documents to Defendant (including counsel
for Defendant). The Court stayed the United States' production of Principal's
documents to Defendant pending a negotiated resolution with the parties or Principal's
filing of a motion for a protective order.
Thereafter, counsel for Principal, Defendant, and the United States held a
teleconference to attempt to resolve issues related to Principal's concerns about
disclosure of its confidential information. It was agreed that the United States would
turn over to Defendant all of Principal's CID documents, except for its general
orthopedic fee schedules. The United States sent these documents to Defendant on
April 27, 1999. Pursuant to Principal's directive and this Court's April
20th instructions, the United States has not sent to Defendant copies of
Principal's general fee schedules. Principal now seeks to have its orthopedic fee
schedules, produced in compliance with the CID, declared irrelevant for purposes of
discovery in this case and, consequently, barred from disclosure to Defendant and
possible use in this case, or, short of that, subject to an "attorneys'-eyes only"
provision limiting disclosure.
IV.
ARGUMENT
A. Principal's Fee Schedules Are Relevant to the Subject Matter
of this Action and Accordingly Are Discoverable and Properly Subject to Disclosure
Under an Appropriate Protective Order
Relevance in discovery under Fed. R. Civ. P. 26(b)(1) is broadly construed to
"encompass any matter that bears on, or that reasonably could lead to other matter that
could bear on, any issue that is or may be in the case." Oppenheimer Fund, Inc. v.
Sanders, 437 U.S. 340, 351 (1978). Accordingly, this Court has recognized that "
‘discovery should ordinarily be allowed under the concept of relevancy unless it is
clear that the information sought can have no possible bearing upon the subject
matter of the action.' " In re ML-LEE Acquisition Fund II, 151 F.R.D. 37, 39
(D. Del. 1993) (quotingLa Chemise Lacoste v. Alligator Co., Inc., 60
F.R.D. 164, 171 (D. Del. 1973)).
Contrary to Principal's claim that its orthopedic fee schedules are irrelevant, such fee
schedules of Principal and other health care insurers operating in Delaware, and in
areas contiguous to Delaware, are directly relevant to a central issue in this action.
The United States alleges that Defendant and its members conspired to facilitate a
boycott to extract artificially high fees from Blue Cross and other health care insurers
in Delaware. United States' Complaint at ¶ 1 (D.I. 1). Ignoring the substantial
evidence supporting the allegations, Defendant claims that its orthopedic surgeon
members independently rejected Blue Cross's proposed fees because they were too
low and unprofitable. Defendant's Amended Answer (D.I. 11) at ¶ 71.
Defendant's claims cannot -- as Principal suggests -- be examined in a vacuum.
Rather, Defendant's claim that Blue Cross's proposed fees were too low begs for a
comparison of Blue Cross's proposed fees with the fees of other Delaware health care
insurers to provide at least one meaningful basis to evaluate the Federation's claim.
Far from demonstrating Principal's claim that this is a "novel" theory of relevance, such
analysis represents a straightforward, common sense basis for evaluating Defendant's
claim.4
The clear relevance of Principal's orthopedic fee schedules to a central issue in this
case warrants their use with appropriate safeguards of confidentiality. As this Court
has found, "[a] survey of the relevant case law reveals that discovery is virtually
always ordered once the movant has established that the secret information is
relevant and necessary." Coca-Cola Bottling Co. of Shreveport, Inc. v. Coca-Cola
Co., 107 F.R.D. 288, 293 (D. Del. 1985). Indeed, the Supreme Court has
observed that:
[O]rders forbidding any disclosure of trade secrets or confidential
commercial information are rare. More commonly, the trial court will enter a
protective order restricting disclosure to counsel.
Federal Open Market Committee of the Federal Reserve
System v. Merrill, 443 U.S. 340, 363 n.24 (1979).
Accordingly, the United States respectfully requests that the Court reject Principal's
requests for an order barring disclosure of its fee information even pursuant to an
appropriate protective order and its premature request to bar the use of such
information at trial.5
B. The United States Does Not Object to Principal's Request to Limit
Access to its Fee Schedules to Counsel and Experts
This Court has stated that, in examining the potential injury arising out of
disclosure of trade secrets in litigation, "[b]ecause protective orders are available to
limit the extent to which disclosure is made, the relevant injury to be weighed in the
balance is not the injury that would be caused by public disclosure, but the injury that
would result from disclosure under an appropriate protective order." Coca-Cola
Bottling Co., 107 F.R.D. at 293; seealsoTristrata Tech.,
Inc. v. Neoteric Cosmetics, Inc., 35 F. Supp.2d 370, 372 (D. Del. 1998) (directing
production of "highly confidential trade secret information" under a "particularized
protective order" that would maintain the secrecy of the information). The United
States, for reasons set forth in its protective order briefs and at the February 16, 1999,
scheduling hearing, believes that Principal's request to prevent Federation
representatives from having access to its "superconfidential information"6 is reasonably sought to
protect Principal's interests as well as the public interest in preserving competition for
physician services.7 As such, the United States does not object to
Principal's request that disclosure of its fee schedules be limited to "attorneys'-eyes
only" and experts.
Dated: May 24, 1999
COUNSEL FOR PLAINTIFF
UNITED STATES OF AMERICA
CARL SCHNEE
UNITED STATES ATTORNEY
__________/s/__________ | | __________/s/__________ |
| By: Virginia
Gibson-Mason (DSB # 3699)
| | Steven Kramer |
| Assistant United States
Attorney | | Michael D. Farber |
| 1201
Market Street, Suite 1100 | | Heather H. Howard
|
| Wilmington, DE 19801 | | Jean Lin
|
| Tel.: (302)573-6277 | | Attorneys
|
| Facsimile: (302)573-6220 | | U.S.
Department of Justice |
| | | Antitrust
Division |
| __________/s/__________
| | 325 Seventh Street, N.W.
|
| Melvin A. Schwarz | |
Washington, D.C. 20530 |
| Special Counsel for
Civil Enforcement | | Tel.: (202) 307-0997
Facsimile: (202) 514-1517 |
U.S. Department of
Justice
Antitrust Division
601 D Street, N.W.
Washington, D.C. 20530
Tel.: (202) 305-1210
Facsimile: (202) 514-1629
| | |