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In Re Columbia/hca Healthcare Corporation Billing Practices Litigation. Tennessee Laborers Health & Welfare Fund Board of Trustees of the Carpenters & Millwrights of Houston & Vicinity Health and Welfare Trust Fund Board of Trustees of the Pipefitters Local 522 Hospital, Medical and Life Benefit Fund Operating Engineers Local 312 Health & Welfare Fund United Paperworkers International Union Cordula Boysen v. Columbia/hca Healthcare Corporation

Citations: 293 F.3d 289; 53 Fed. R. Serv. 3d 789; 2002 U.S. App. LEXIS 10969Docket: 00-6059

Court: Court of Appeals for the Sixth Circuit; June 10, 2002; Federal Appellate Court

Narrative Opinion Summary

This case involves Columbia/HCA Healthcare Corporation's interlocutory appeal against a district court's decision to compel the production of documents previously claimed as privileged under the attorney-client privilege and work product doctrine. The district court found that Columbia/HCA waived these privileges by voluntarily disclosing the documents to government agencies, including the Department of Justice, during a fraud investigation into Medicare and Medicaid billing practices. Despite Columbia/HCA's argument that such disclosures were protected under a confidentiality agreement, the court held that this voluntary disclosure constituted a waiver of privilege, rejecting the selective waiver doctrine. The district court's ruling aligned with other circuits, emphasizing that disclosure to government agencies waives privilege protections to other parties as well. The appellate court affirmed this decision, reinforcing the principle that once privilege is waived, it cannot be selectively reasserted. The case also addresses the broader implications of waiver standards, particularly in the context of government investigations, and highlights the strategic considerations corporations must weigh when cooperating with regulatory inquiries. Columbia/HCA ultimately settled the fraud investigation with the government, agreeing to pay an $840 million fine. The litigation continues in the Middle District of Tennessee with private payors seeking recovery for alleged overbilling by Columbia/HCA.

Legal Issues Addressed

Attorney-Client Privilege and Waiver

Application: The court determined that Columbia/HCA waived its attorney-client privilege by voluntarily disclosing documents to governmental agencies during an investigation.

Reasoning: The district court determined that Columbia/HCA had waived any privilege associated with these documents by disclosing them to various governmental agencies, including the Department of Justice (DoJ) during a fraud investigation related to Medicare and Medicaid.

Interlocutory Appeal

Application: The district court's decision to certify the waiver issue for interlocutory appeal under 28 U.S.C. § 1292(b) was based on the significant legal question it posed, potentially expediting the litigation.

Reasoning: Recognizing a significant legal question suitable for interlocutory appeal under 28 U.S.C. § 1292(b), the district court certified its decision, indicating that resolving this issue could expedite the litigation's conclusion.

Legal Standards for Waiver

Application: The court emphasized the burden on the party asserting privilege to prove its applicability, noting that voluntary disclosures generally indicate a waiver of privilege.

Reasoning: The attorney-client privilege's applicability is a mixed question of law and fact, subject to de novo review. The burden of proving the privilege lies with the person asserting it.

Selective Waiver Doctrine

Application: The court rejected the selective waiver doctrine, affirming that disclosure to one party constitutes a waiver to all, regardless of confidentiality agreements with governmental bodies.

Reasoning: The appellate court affirmed the district court's rejection of Columbia/HCA's selective waiver argument, agreeing that the disclosure to the Government constituted a waiver of privilege.

Work Product Doctrine and Waiver

Application: Despite confidentiality agreements, Columbia/HCA's voluntary disclosure of documents to the government waived work product protections, as the court aligned with other circuits that such waivers extend beyond specific parties.

Reasoning: The court also found that such disclosure waived protections under the work product doctrine, referencing Westinghouse Electric Corp. v. Republic of the Philippines.