SCOTT T. VARHOLAK, Magistrate Judge.
This matter comes before the Court on Plaintiff's Motion for Partial Summary Judgment (the "Motion") [#39]. The Motion is before the Court on the parties' consent to have a United States magistrate judge conduct all proceedings in this action and to order the entry of a final judgment. [##12, 14] This Court has carefully considered the Motion and related briefing, the entire case file, and the applicable case law, and has determined that oral argument would not materially assist in the disposition of the instant Motion. For the following reasons, the Motion is
The instant action arises out of a November 1, 2016 automobile accident in which Plaintiff's vehicle was struck by a vehicle driven by an underinsured motorist. [#3 at ¶¶ 5-8] At the time of the accident, Plaintiff had underinsured motorist insurance coverage through an insurance policy issued by Defendant Allstate Fire and Casualty Insurance Company ("Allstate").
On December 1, 2017, Plaintiff filed the instant action against Allstate in Douglas County District Court. [#3] Plaintiff's Complaint alleges breach of contract, statutory bad faith, and common law bad faith. [Id. at 3-5] Allstate removed the matter to this Court based on diversity jurisdiction. [#1] On March 1, 2019, Plaintiff filed the instant Motion. [#39] Plaintiff's Motion asks the Court to hold, as a matter of law, that Allstate's use of the MDP in evaluating first-party bodily injury claims is unreasonable as a matter of law. [Id. at 14] Defendant has responded to the Motion [#44] and Plaintiff has replied [#45].
Summary judgment is appropriate only if "the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law."
"[A] `judge's function' at summary judgment is not `to weigh the evidence and determine the truth of the matter but to determine whether there is a genuine issue for trial.'" Tolan v. Cotton, 134 S.Ct. 1861, 1866 (2014) (quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249 (1986)). Whether there is a genuine dispute as to a material fact depends upon whether the evidence presents a sufficient disagreement to require submission to a jury. See Anderson, 477 U.S. at 248-49; Stone v. Autoliv ASP, Inc., 210 F.3d 1132, 1136 (10th Cir. 2000); Carey v. U.S. Postal Serv., 812 F.2d 621, 623 (10th Cir. 1987). Evidence, including testimony, offered in support of or in opposition to a motion for summary judgment must be based on more than mere speculation, conjecture, or surmise. Bones v. Honeywell Int'l, Inc., 366 F.3d 869, 875 (10th Cir. 2004). A fact is "material" if it pertains to an element of a claim or defense; a factual dispute is "genuine" if the evidence is so contradictory that if the matter went to trial, a reasonable party could return a verdict for either party. Anderson, 477 U.S. at 248. "Where the record taken as a whole could not lead a rational trier of fact to find for the non-moving party, there is no `genuine issue for trial.'" Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986) (citing First Nat'l. Bank of Ariz. v. Cities Serv. Co., 391 U.S. 253, 289 (1968)). In reviewing a motion for summary judgment, the Court "view[s] the evidence and draw[s] reasonable inferences therefrom in the light most favorable to the non-moving party." See Garrett v. Hewlett-Packard Co., 305 F.3d 1210, 1213 (10th Cir. 2002).
Plaintiff's Motion is rooted in Colorado's collateral source rule.
After trial, however, the court must reduce a successful plaintiff's verdict by the amount the plaintiff has been compensated by a third party, i.e. by any collateral source, unless the third party payment was the result of a contract entered into and paid for by the plaintiff. Colo. Rev. Stat. § 13-21-111.6. Colorado courts have consistently found that various types of benefits programs, including Medicaid, Medicare, and Social Security, constitute contracts paid for by the plaintiff. Forfar, 436 P.3d at 587-88 (collecting cases). Thus, payments from these programs cannot offset any amounts owed to a plaintiff. Id.
Relying on this authority, Plaintiff argues that Allstate's use of Medicare reimbursement rates in evaluating a first-party bodily injury claim is per se unreasonable. [See generally #39] According to Plaintiff, the Medicare reimbursement rates are both inadmissible at trial and irrelevant in determining the amount of medical expenses an injured party is legally entitled to collect. [Id. at 3-5, 9] Thus, Plaintiff concludes, Allstate's consideration of this data during its evaluation of a claim through the MDP is per se unreasonable. [Id.]
The Court disagrees with Plaintiff's conclusion. Contrary to Plaintiff's argument, the fact that certain evidence may be inadmissible at trial does not necessarily render that evidence irrelevant. As explained by the Colorado Supreme Court in Wal-Mart Stores v. Crossgrove, Colorado courts prohibit the introduction of amounts paid evidence because of the "unjustifiable risk that the jury will infer the existence of a collateral source . . . and thereby improperly diminish the plaintiff's damages award." 276 P.3d at 567. Nonetheless, the Colorado Supreme Court has held that "the correct measure of damages is the necessary and reasonable value of the [medical] services rendered" and that amounts paid can give "some evidence" of reasonable value. Kendall, 349 P.2d at 994. Even after the Crossgrove decision, the Colorado Court of Appeals has continued to cite this proposition from Kendall v. Hargrave. See Forfar, 436 P.3d at 583. Thus, Colorado courts have not necessarily declared amounts paid irrelevant to evaluating the reasonableness of medical expenses, but rather have concluded that the risk of juries inferring the existence of a collateral source outweighs the benefit of introducing amounts paid evidence at trial.
Plaintiff further argues that Medicare rates are discounted, and therefore do not reflect the reasonable value of services rendered. [#39 at 10] The Colorado Court of Appeals has recognized that discounted rates paid by third-party payors—such as insurers or the federal government—may not represent the reasonable value of services rendered because the providers accept less than the billed amount in exchange for prompt payment, assured collectability, and other benefits. Crossgrove v. Wal-Mart Stores, Inc., 280 P.3d 29, 32 (Colo. App. 2010). This does not mean, however, that it is per se unreasonable for an insurance company to consider twice the value of Medicare rates as one factor in evaluating the reasonableness of the charged expenses. Nor has Plaintiff provided the Court with any evidence from which the Court could conclude that doubling Medicare rates produces such unrealistic figures that Allstate's consideration of those figures is per se unreasonable. Ultimately, the jury must determine whether Allstate's use of the Medicare reimbursement rate for the MDP calculation to evaluate Plaintiff's claim was reasonable.
For the foregoing reasons, Plaintiff's Motion for Partial Summary Judgment [#39] is