2013 Ohio 2828
Ohio Ct. App.2013Background
- Hayberg sues Robinson Memorial Hospital Foundation in Portage County, challenging hospital billing practices and seeking various damages; final judgment affirmed on all claims.
- Hospital previously billed Nationwide for full charges after Anthem paid discounted GM-plan charges; Nationwide later paid full amount and Anthem reimbursed partially.
- There was a prior appeal (Hayberg v. Physicians Emergency Service, Inc.) reversing summary judgment on some claims and remanding for proceedings.
- On remand, a second action was filed in 2010 alleging the same five claims (plus a contract claim and potential class-action certification issues).
- The Supreme Court’s King v. ProMedica Health System decision (2011) affected the application of R.C. 1751.60(A), influencing the trial court’s disposition of the second action.
- The Eleventh District ultimately affirmed summary judgment against Hayberg on all six claims, applying King and rejecting the extrinsic theories in light of that decision.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether King v. ProMedica controls the law-of-the-case analysis in Hayberg. | Hayberg argues the prior Hayberg decision remains binding under law-of-the-case. | King supersedes the prior ruling, so the trial court was not bound by the earlier holding. | Yes; King controls, overriding the prior law-of-the-case ruling. |
| Whether the discovery requests were properly denied as privileged under HIPAA. | Hayberg sought information about other patients; argues not privileged. | Requests were privileged or irrelevant given King/overall claims. | No reversible error; discovery denial affirmed. |
Key Cases Cited
- King v. ProMedica Health System, Inc., 129 Ohio St.3d 596 (2011) (statute applies only to provider-health insurer contract; not to automobile insurer in this context)
- Hayberg v. Physicians Emergency Service, Inc., 2008-Ohio-6180 (11th Dist. 2008) (reversed summary judgment; remanded on R.C. 1751.60(A) issue; law-of-the-case topic)
