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. UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION OFFICE OF ADMINISTRATIVE LAW JUDG In the Matter of Otto Bock HealthCare North America, Inc. Respondent . NON-PARTY JONESBORO P&O LABS' · MOTION FOR IN CAMERA ,TREATMENT Non~Party Jonesboro P&O Labs ("JPO'') hereby llloves this Court pursuant to Rule 3.45 of the Federal.Trade Commission's Rules of Practice, 16 C.FJt § 3.45(b)for incam.era treatment of two documents produced by JPO (JPO0105 - JPO0125 and . JPO 0126 JPO0130) 1 and portions ofthe Iilvestigational HeatingTranscript ofRobYates and the Deposition Trapscript of Rob Yates. 2 JPO has been notified by the Federal Tracie Commission ("FTC") that it intends to introduc.e Exhibit l and both transcripts at .trial. See Lett~r from FTC dated May 24; 2018 (attached as Exhibit 5). JPO has bee:q notified by Otto BockHeal.thCare North America, Inc. ("Otto Bock' ') that itintends to intr.oduce.Exhibit 2 and the Deposition Transcript. See Letter from Otto Bock dated May 29 , 2018 (attached as Exhibit 6). The documents were marked at the time of production as "Confidential" and "Subject to Prote.ctive Order.'' Similarly, atthe beginning of both the irivestigational testimony and the deposition testimony, it was agreed th~tthe transcripts wotild be treated as confidential. The documents and related testimony contain extremely sensitive and confidential. business infonnation provided pursuant to .third-party subpoenas served upon JPO by the FTC and 1 The documents a re attached hereto as Exhibit la nd Exhibit 2. 2 The Jnves ti g atiomil Hearing. Transcript is attached hereto a s Ex hi. bit 3 and the Deposition Transcript is att ached as Exhibit 4. l

In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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Page 1: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OF ADMINISTRATIVE LAW JUDG

In the Matter of Otto Bock HealthCare North America Inc

Respondent

NON-PARTY JONESBORO PampO LABS middot MOTION FOR IN CAMERA TREATMENT

Non~Party Jonesboro PampO Labs (JPO) hereby llloves this Court pursuant to Rule 345

of the FederalTrade Commissions Rules ofPractice 16 CFJt sect 345(b)for incamera

treatment oftwo documents produced by JPO (JPO0105 - JPO0125 andJPO 0126 ~ JPO0130)1

and portions ofthe Iilvestigational HeatingTranscript ofRobYates and the Deposition

Trapscript ofRob Yates 2 bullJPO has been notified by the Federal Tracie Commission (FTC) that

it intends to introduce Exhibit l and both transcripts at trial See Lett~r from FTC dated May 24

2018 (attached as Exhibit5) JPO has beeq notified by Otto BockHealthCare North America

Inc (Otto Bock ) that itintends to introduceExhibit 2 and the Deposition Transcript See

Letter from Otto Bock dated May 29 2018 (attached as Exhibit 6)

The documents were marked at the time ofproduction as Confidential and Subject to

Protective Order Similarly atthe beginning ofboth the irivestigational testimonyand the

deposition testimony it was agreed th~tthe transcripts wotild be treated as confidential The

documents and related testimony contain extremely sensitive and confidential business

infonnation provided pursuant to third-party subpoenas served upon JPO by the FTC and

1 The documents a re attached hereto as Exhibit land Exhibit 2 2 TheJnvestigatiomil Hearing Transcript is attached hereto a s Ex hibit 3 and the Deposition Transcript is attached as Exhibit 4

l

Respondent Otto Bock JPO has advised both the FfC and Otto Bock of its intention to move

for in camera treatment of these materials at trial Neither party opposes this motion

Given the nature oft4e documents and related testimony jpQwouid be sign1ficantly

harmedin its ability to compete in the prosthetic and orthotic industry ifthis information were

publicly available For the reasons set forth below JPO requests that this Court afford its

confidential information permanent in camera treatment In support ofthis motion JPO relies

cm the affidavit ofRob Yates attached as Exhibit 7

l The Igt9cumerits at Issue

JPO seeks in camera treatment of tht following Confidential documents

Exhibit No Pncriptfon Date BegBates EndBates RX--0995 bullDepos1tiori TranscripfofRobertYates (Jonesboro middot

OampP)

03082018 RX-0995-00001

middotmiddotmiddotRX-0995middot 00097

RX--0905 Jonesboro - L Co~e I Fee Sclieduie Price Chart Unkriown 1JPO126 JPOt3D

Exhibit No Description Date BegBates End0Bates PX03036 Joriesboro PampO Document Arkansas BlueCrqss

Bh1eSh1eld Fee Schedule 00000000 JPO105

middotJPOf25 middot

PX05003 tnvestrgatiqnal Hearing Transcript of RobYates i(~onesboroPampO)

11292017 FTC-PROD-005019

I FTC-PROD~ 005051

PX051Cl8

Deposition Tiansciipfof Rob Yates (Jonesboro PampO Laos)

382018 PX05108-001 PX05108~0Q1

Attached hereto as Exhibit 8 is a listing of the eccerpts ofthe transcripts for which in

camera treatment is being sought with a briefdesqiption ofthe nature ofthe testimony

II The Documents and Testimony are Secret and Material and Disclosure Would Result in Se~ious Injury to JPO

The Courtshould grant in camera treatment to documents and testimony when public

disclosure will likely result in a dearly defined seriolls middotinjuryto the person partnership or

corporation requestjrit such treatment 16 CFR sect 345(b) middotserious competitiveinjury may be

demonstrated by showing that the docutllents or testimony are secret aJ1d that they are material to

the business In re General Foods Corp 95 FTC 352355 (1980) In re Dura Lube Corp

1999 FT C Lexis 255 5 (1999) Significantly court~ generally attempt to protect

confidential business information from unnecessary airing HP Hood amp Sons Inc 58 ETC

1184 1188 (1961)

In assessing the nature ofthe injury to JPO should the mfonnation be made public and

the need to protect confidential business the Collrt must keep inmind that JPO is not a party to

this litigation Jtwas initially smicrobpocentnaed ~Y the F TC for inyestigative testimony and then

subpaenaed by both the FT(~ and Otto Bock for a deposition andto produce documents Thus

JPOhasmiddotalready been inconveniencedand forced tomiddotincur substantial expenses simply beoauseit

does business vvith Otto Bock and its competitors fPOs statusas a third-party is relevant to the

Court s ruling on the present motion The FTC has held that athirq~party deserves special

solicitude in its request for in camera treatment of its confi~ential1uswess information In re

Kaiser Aluminum amp ChemCorp 103 FTC 500 (l984)(As a policy matter extensicms of

c~nfidentiatorin camera treatment in appropriate cases involving third party bystanderS

encourages cooperation with future adJudicative discovery requests)

The Courts considerationofthe secrecy arid materiality ofthe documents and testimony

at issue involves the following factors

l) the extent to which the irtfonnation is known outside ofthe business

2) the extellt to which it is known by employees and others involved in the business

3) the exterit ofmeasures takenmiddotto guard the secrecy ofthe infonnation

4) the yal~e ofthe infonnation to the business andits competitors

5) the amount ofeffort or mcgtney expended in developing the information and

6) the easeofdifficulty with which the information could be acquired or duplicated by

others

3

In re Bristot-Myers Co 90 FTC 455 456-57

There can be no doubt but that the documents at issue are secret and material Exhibit 1

is the Jonesborofee schedulew1th Arkansas BlueCross BlueShield (ABCBS) It represents the

agreementbetween JPO and ABCBS for the amounts that ABCBSmiddotwill reimburse JPO for

various compmtents ofprosthetic devices Both JPO andABCBS dearlyconsider this document

to be confid~tialasthe contract between them contai11sa confidentiality clause

L Confidentiality Al3CBS and Provider agree to maintain thecobfidenti~ity ofthe following ltlata artd documents the Allowance or any FeeSchedule of ABCBS any other compensatfon set forthin this Agreement the Provider Manti al utilization review prbgramicroi ~utHnes or guidelines ofA8C8S or any other written policies orprocedures ofABCBS orofPayers furnished to Provider The terms ofthis Agieementare confidemicrotial and the parties agree not to disclose such tertns to third parties except as necessaryto perfortn under this Agreement or as teqmicroired bylaw or regulation middot middot

See Exhibit9(emphasis added)

Itis notdifficult tOunderstandwhyitis in theinterest ofhoth JPO andABCBS to keep

thltir fee schedule confidential Imagine the potential hcentn to Jpq should competitors other

payers and suppliers learn ofits pricing terms with other SUPJliers and payers middot For exatnple if

another payeris peying more than ABCBS and that other payerlearns that it is paying more than

ABCBS~ that payer would use that information to negotiate a lower reimbursement rate for JPO

Similarlyifa competitor ofJPO Jeafris that JPO has better pricing thaniLdoes on certain knees

it could use that infonnation to negotiate the same temis eliminatjngJPOsmiddotcompetitive

advantage

Exhibit 2 is evenmore sensitive than Exhibit l as it includes the reimbursement rate for

multiple payers for a variety ofprosthetic components Thus it includes not onlyinformation

about AB CBS but compares thereimbursement paid by ABCBS to the other payers with which

4

JPO has contracts The agteetnents with these payers contain confidentiality provisions similar

to the one cited above with ABCBS For example the UHC agreement provides

99 Confidentiality Neither party will disclose to a Customer other health care providers or other third parties arty ofthe following infomiation (except as required by an agency of the government)

a) any proprietary business infonnation not available tothe general public obtained bythe party from the other party ot

b) the specific reimbursement amounts provided for under this Agreement except forpurwses ofadministration ofbenefits

See Exhibit10 (emphasis added)

The transcript excerpts listed in Exhibit 8 demonstrate that the testimony listed relates to

this confidential pricing information and rel~ted suojects ThereforeUis as sensitiveas the

infonriation contained on the documents

The foregoing estilblishes that JPQ has satisfied most ofthe factors upon which this Court

is to base its decision regarding in tamera treatment jpo~spricinginfonnation with various

payers is not knownmiddotoutside of the business JPO and the payers have taken measures to guard

the secrecy oftheir contractual arrangements middotThe infonnation about reimbursement rat~

between JPQ and various payers would be extremely valuable to other payers and to JPO s

competitors andmiddotthe information caD11ot easilybe acquired by those other payers orcompetitors

Therefore JPOhas satisfied its burdento obtain confidential treatment ofits information middot

Given thehi~ly sensitive nature offue infonnation contained in the documents and the

testimony and the contractual obligation ltgtfJPO to keep thisinformation confidential JPO

requests that Exhibits 1 2 3~ and 4 be given in camera tteattnent pennanently The confidential

nature ofthe information is likelyto remain sensitive or become more sem~itive with the

p~ssage oftime in re lhra Lube Corp 1999 F1C Lexj~ 255 7~9

5

HI Condusio-1

For the reasons set forth above imdin the Affidavit ofRob A Yates JPO respectfully

requests that this Court grant permanent in camera treatmentto the Confidential Documents in

their entirety

Respectfully submitted

tsLarry S~dondelman Larry S Gondelman Powers Pyles Sutteramp Verville PC 1501 MStreet NW Suite 700 WashingtonDC 20005 2028726712

Jarry gondctmanci-[kbullWersliiw com

Counsel for Non~Party JPO

CERTIFICATE OFSpoundRVICE

1 hereby cert1fy that on June8 2018 the foregoing Motipn and exhibits havebeen served

via electronic mail on

WilliamCooke Federal Trade Commissmn wcooke(Jftcgo

Sean Zabaneh Duane Moms SSZabanel1(a)duartern~wrl~~lt1rt1middot

s(Lagy $ Gondelrnan Larry$ Gondelman

6

STATEMENT REGARDING MEET AND CONFER

The undersigned certifies that counsel forNon~Party Jonesboro PampO Labs notified

counsel for the pames via e mail on May 25 2018 that it would be filing a motion for in camera

treatmentof the documents produced and testimony provided by JPO that the parties intend to

utilize at trial in this matter Both couns~ltorthe Federal trade Commission and Otto Bock

advised that they do not object to JPOs motion

lstarry $ Gondelman middotLarry$ Gondelman igtowersmiddotPyles Sutter amp VervillePC 1501 M StreetNW Suite700 Washington DC 2000s 2028726712 lanmiddotxgpnddmauramiwersJdW~im

Counsel for NonPartyJPO

7

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 2: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

Respondent Otto Bock JPO has advised both the FfC and Otto Bock of its intention to move

for in camera treatment of these materials at trial Neither party opposes this motion

Given the nature oft4e documents and related testimony jpQwouid be sign1ficantly

harmedin its ability to compete in the prosthetic and orthotic industry ifthis information were

publicly available For the reasons set forth below JPO requests that this Court afford its

confidential information permanent in camera treatment In support ofthis motion JPO relies

cm the affidavit ofRob Yates attached as Exhibit 7

l The Igt9cumerits at Issue

JPO seeks in camera treatment of tht following Confidential documents

Exhibit No Pncriptfon Date BegBates EndBates RX--0995 bullDepos1tiori TranscripfofRobertYates (Jonesboro middot

OampP)

03082018 RX-0995-00001

middotmiddotmiddotRX-0995middot 00097

RX--0905 Jonesboro - L Co~e I Fee Sclieduie Price Chart Unkriown 1JPO126 JPOt3D

Exhibit No Description Date BegBates End0Bates PX03036 Joriesboro PampO Document Arkansas BlueCrqss

Bh1eSh1eld Fee Schedule 00000000 JPO105

middotJPOf25 middot

PX05003 tnvestrgatiqnal Hearing Transcript of RobYates i(~onesboroPampO)

11292017 FTC-PROD-005019

I FTC-PROD~ 005051

PX051Cl8

Deposition Tiansciipfof Rob Yates (Jonesboro PampO Laos)

382018 PX05108-001 PX05108~0Q1

Attached hereto as Exhibit 8 is a listing of the eccerpts ofthe transcripts for which in

camera treatment is being sought with a briefdesqiption ofthe nature ofthe testimony

II The Documents and Testimony are Secret and Material and Disclosure Would Result in Se~ious Injury to JPO

The Courtshould grant in camera treatment to documents and testimony when public

disclosure will likely result in a dearly defined seriolls middotinjuryto the person partnership or

corporation requestjrit such treatment 16 CFR sect 345(b) middotserious competitiveinjury may be

demonstrated by showing that the docutllents or testimony are secret aJ1d that they are material to

the business In re General Foods Corp 95 FTC 352355 (1980) In re Dura Lube Corp

1999 FT C Lexis 255 5 (1999) Significantly court~ generally attempt to protect

confidential business information from unnecessary airing HP Hood amp Sons Inc 58 ETC

1184 1188 (1961)

In assessing the nature ofthe injury to JPO should the mfonnation be made public and

the need to protect confidential business the Collrt must keep inmind that JPO is not a party to

this litigation Jtwas initially smicrobpocentnaed ~Y the F TC for inyestigative testimony and then

subpaenaed by both the FT(~ and Otto Bock for a deposition andto produce documents Thus

JPOhasmiddotalready been inconveniencedand forced tomiddotincur substantial expenses simply beoauseit

does business vvith Otto Bock and its competitors fPOs statusas a third-party is relevant to the

Court s ruling on the present motion The FTC has held that athirq~party deserves special

solicitude in its request for in camera treatment of its confi~ential1uswess information In re

Kaiser Aluminum amp ChemCorp 103 FTC 500 (l984)(As a policy matter extensicms of

c~nfidentiatorin camera treatment in appropriate cases involving third party bystanderS

encourages cooperation with future adJudicative discovery requests)

The Courts considerationofthe secrecy arid materiality ofthe documents and testimony

at issue involves the following factors

l) the extent to which the irtfonnation is known outside ofthe business

2) the extellt to which it is known by employees and others involved in the business

3) the exterit ofmeasures takenmiddotto guard the secrecy ofthe infonnation

4) the yal~e ofthe infonnation to the business andits competitors

5) the amount ofeffort or mcgtney expended in developing the information and

6) the easeofdifficulty with which the information could be acquired or duplicated by

others

3

In re Bristot-Myers Co 90 FTC 455 456-57

There can be no doubt but that the documents at issue are secret and material Exhibit 1

is the Jonesborofee schedulew1th Arkansas BlueCross BlueShield (ABCBS) It represents the

agreementbetween JPO and ABCBS for the amounts that ABCBSmiddotwill reimburse JPO for

various compmtents ofprosthetic devices Both JPO andABCBS dearlyconsider this document

to be confid~tialasthe contract between them contai11sa confidentiality clause

L Confidentiality Al3CBS and Provider agree to maintain thecobfidenti~ity ofthe following ltlata artd documents the Allowance or any FeeSchedule of ABCBS any other compensatfon set forthin this Agreement the Provider Manti al utilization review prbgramicroi ~utHnes or guidelines ofA8C8S or any other written policies orprocedures ofABCBS orofPayers furnished to Provider The terms ofthis Agieementare confidemicrotial and the parties agree not to disclose such tertns to third parties except as necessaryto perfortn under this Agreement or as teqmicroired bylaw or regulation middot middot

See Exhibit9(emphasis added)

Itis notdifficult tOunderstandwhyitis in theinterest ofhoth JPO andABCBS to keep

thltir fee schedule confidential Imagine the potential hcentn to Jpq should competitors other

payers and suppliers learn ofits pricing terms with other SUPJliers and payers middot For exatnple if

another payeris peying more than ABCBS and that other payerlearns that it is paying more than

ABCBS~ that payer would use that information to negotiate a lower reimbursement rate for JPO

Similarlyifa competitor ofJPO Jeafris that JPO has better pricing thaniLdoes on certain knees

it could use that infonnation to negotiate the same temis eliminatjngJPOsmiddotcompetitive

advantage

Exhibit 2 is evenmore sensitive than Exhibit l as it includes the reimbursement rate for

multiple payers for a variety ofprosthetic components Thus it includes not onlyinformation

about AB CBS but compares thereimbursement paid by ABCBS to the other payers with which

4

JPO has contracts The agteetnents with these payers contain confidentiality provisions similar

to the one cited above with ABCBS For example the UHC agreement provides

99 Confidentiality Neither party will disclose to a Customer other health care providers or other third parties arty ofthe following infomiation (except as required by an agency of the government)

a) any proprietary business infonnation not available tothe general public obtained bythe party from the other party ot

b) the specific reimbursement amounts provided for under this Agreement except forpurwses ofadministration ofbenefits

See Exhibit10 (emphasis added)

The transcript excerpts listed in Exhibit 8 demonstrate that the testimony listed relates to

this confidential pricing information and rel~ted suojects ThereforeUis as sensitiveas the

infonriation contained on the documents

The foregoing estilblishes that JPQ has satisfied most ofthe factors upon which this Court

is to base its decision regarding in tamera treatment jpo~spricinginfonnation with various

payers is not knownmiddotoutside of the business JPO and the payers have taken measures to guard

the secrecy oftheir contractual arrangements middotThe infonnation about reimbursement rat~

between JPQ and various payers would be extremely valuable to other payers and to JPO s

competitors andmiddotthe information caD11ot easilybe acquired by those other payers orcompetitors

Therefore JPOhas satisfied its burdento obtain confidential treatment ofits information middot

Given thehi~ly sensitive nature offue infonnation contained in the documents and the

testimony and the contractual obligation ltgtfJPO to keep thisinformation confidential JPO

requests that Exhibits 1 2 3~ and 4 be given in camera tteattnent pennanently The confidential

nature ofthe information is likelyto remain sensitive or become more sem~itive with the

p~ssage oftime in re lhra Lube Corp 1999 F1C Lexj~ 255 7~9

5

HI Condusio-1

For the reasons set forth above imdin the Affidavit ofRob A Yates JPO respectfully

requests that this Court grant permanent in camera treatmentto the Confidential Documents in

their entirety

Respectfully submitted

tsLarry S~dondelman Larry S Gondelman Powers Pyles Sutteramp Verville PC 1501 MStreet NW Suite 700 WashingtonDC 20005 2028726712

Jarry gondctmanci-[kbullWersliiw com

Counsel for Non~Party JPO

CERTIFICATE OFSpoundRVICE

1 hereby cert1fy that on June8 2018 the foregoing Motipn and exhibits havebeen served

via electronic mail on

WilliamCooke Federal Trade Commissmn wcooke(Jftcgo

Sean Zabaneh Duane Moms SSZabanel1(a)duartern~wrl~~lt1rt1middot

s(Lagy $ Gondelrnan Larry$ Gondelman

6

STATEMENT REGARDING MEET AND CONFER

The undersigned certifies that counsel forNon~Party Jonesboro PampO Labs notified

counsel for the pames via e mail on May 25 2018 that it would be filing a motion for in camera

treatmentof the documents produced and testimony provided by JPO that the parties intend to

utilize at trial in this matter Both couns~ltorthe Federal trade Commission and Otto Bock

advised that they do not object to JPOs motion

lstarry $ Gondelman middotLarry$ Gondelman igtowersmiddotPyles Sutter amp VervillePC 1501 M StreetNW Suite700 Washington DC 2000s 2028726712 lanmiddotxgpnddmauramiwersJdW~im

Counsel for NonPartyJPO

7

REDACTED

CONFl~NJAl-FTC DOCKETli378 SUBJECT TO PROTECTIIE ORDER

JPO105

PX03036bull001

EXHIBIT l IN CAMERA

REDACTED

CONFlbENTIAL- FTC DOCKET 93c78 SLBJECTTOP~OTECTJVEORDE~

JP010S

PX03036--002 EXHIBIT1middot 111 CAMERA

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 3: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

1999 FT C Lexis 255 5 (1999) Significantly court~ generally attempt to protect

confidential business information from unnecessary airing HP Hood amp Sons Inc 58 ETC

1184 1188 (1961)

In assessing the nature ofthe injury to JPO should the mfonnation be made public and

the need to protect confidential business the Collrt must keep inmind that JPO is not a party to

this litigation Jtwas initially smicrobpocentnaed ~Y the F TC for inyestigative testimony and then

subpaenaed by both the FT(~ and Otto Bock for a deposition andto produce documents Thus

JPOhasmiddotalready been inconveniencedand forced tomiddotincur substantial expenses simply beoauseit

does business vvith Otto Bock and its competitors fPOs statusas a third-party is relevant to the

Court s ruling on the present motion The FTC has held that athirq~party deserves special

solicitude in its request for in camera treatment of its confi~ential1uswess information In re

Kaiser Aluminum amp ChemCorp 103 FTC 500 (l984)(As a policy matter extensicms of

c~nfidentiatorin camera treatment in appropriate cases involving third party bystanderS

encourages cooperation with future adJudicative discovery requests)

The Courts considerationofthe secrecy arid materiality ofthe documents and testimony

at issue involves the following factors

l) the extent to which the irtfonnation is known outside ofthe business

2) the extellt to which it is known by employees and others involved in the business

3) the exterit ofmeasures takenmiddotto guard the secrecy ofthe infonnation

4) the yal~e ofthe infonnation to the business andits competitors

5) the amount ofeffort or mcgtney expended in developing the information and

6) the easeofdifficulty with which the information could be acquired or duplicated by

others

3

In re Bristot-Myers Co 90 FTC 455 456-57

There can be no doubt but that the documents at issue are secret and material Exhibit 1

is the Jonesborofee schedulew1th Arkansas BlueCross BlueShield (ABCBS) It represents the

agreementbetween JPO and ABCBS for the amounts that ABCBSmiddotwill reimburse JPO for

various compmtents ofprosthetic devices Both JPO andABCBS dearlyconsider this document

to be confid~tialasthe contract between them contai11sa confidentiality clause

L Confidentiality Al3CBS and Provider agree to maintain thecobfidenti~ity ofthe following ltlata artd documents the Allowance or any FeeSchedule of ABCBS any other compensatfon set forthin this Agreement the Provider Manti al utilization review prbgramicroi ~utHnes or guidelines ofA8C8S or any other written policies orprocedures ofABCBS orofPayers furnished to Provider The terms ofthis Agieementare confidemicrotial and the parties agree not to disclose such tertns to third parties except as necessaryto perfortn under this Agreement or as teqmicroired bylaw or regulation middot middot

See Exhibit9(emphasis added)

Itis notdifficult tOunderstandwhyitis in theinterest ofhoth JPO andABCBS to keep

thltir fee schedule confidential Imagine the potential hcentn to Jpq should competitors other

payers and suppliers learn ofits pricing terms with other SUPJliers and payers middot For exatnple if

another payeris peying more than ABCBS and that other payerlearns that it is paying more than

ABCBS~ that payer would use that information to negotiate a lower reimbursement rate for JPO

Similarlyifa competitor ofJPO Jeafris that JPO has better pricing thaniLdoes on certain knees

it could use that infonnation to negotiate the same temis eliminatjngJPOsmiddotcompetitive

advantage

Exhibit 2 is evenmore sensitive than Exhibit l as it includes the reimbursement rate for

multiple payers for a variety ofprosthetic components Thus it includes not onlyinformation

about AB CBS but compares thereimbursement paid by ABCBS to the other payers with which

4

JPO has contracts The agteetnents with these payers contain confidentiality provisions similar

to the one cited above with ABCBS For example the UHC agreement provides

99 Confidentiality Neither party will disclose to a Customer other health care providers or other third parties arty ofthe following infomiation (except as required by an agency of the government)

a) any proprietary business infonnation not available tothe general public obtained bythe party from the other party ot

b) the specific reimbursement amounts provided for under this Agreement except forpurwses ofadministration ofbenefits

See Exhibit10 (emphasis added)

The transcript excerpts listed in Exhibit 8 demonstrate that the testimony listed relates to

this confidential pricing information and rel~ted suojects ThereforeUis as sensitiveas the

infonriation contained on the documents

The foregoing estilblishes that JPQ has satisfied most ofthe factors upon which this Court

is to base its decision regarding in tamera treatment jpo~spricinginfonnation with various

payers is not knownmiddotoutside of the business JPO and the payers have taken measures to guard

the secrecy oftheir contractual arrangements middotThe infonnation about reimbursement rat~

between JPQ and various payers would be extremely valuable to other payers and to JPO s

competitors andmiddotthe information caD11ot easilybe acquired by those other payers orcompetitors

Therefore JPOhas satisfied its burdento obtain confidential treatment ofits information middot

Given thehi~ly sensitive nature offue infonnation contained in the documents and the

testimony and the contractual obligation ltgtfJPO to keep thisinformation confidential JPO

requests that Exhibits 1 2 3~ and 4 be given in camera tteattnent pennanently The confidential

nature ofthe information is likelyto remain sensitive or become more sem~itive with the

p~ssage oftime in re lhra Lube Corp 1999 F1C Lexj~ 255 7~9

5

HI Condusio-1

For the reasons set forth above imdin the Affidavit ofRob A Yates JPO respectfully

requests that this Court grant permanent in camera treatmentto the Confidential Documents in

their entirety

Respectfully submitted

tsLarry S~dondelman Larry S Gondelman Powers Pyles Sutteramp Verville PC 1501 MStreet NW Suite 700 WashingtonDC 20005 2028726712

Jarry gondctmanci-[kbullWersliiw com

Counsel for Non~Party JPO

CERTIFICATE OFSpoundRVICE

1 hereby cert1fy that on June8 2018 the foregoing Motipn and exhibits havebeen served

via electronic mail on

WilliamCooke Federal Trade Commissmn wcooke(Jftcgo

Sean Zabaneh Duane Moms SSZabanel1(a)duartern~wrl~~lt1rt1middot

s(Lagy $ Gondelrnan Larry$ Gondelman

6

STATEMENT REGARDING MEET AND CONFER

The undersigned certifies that counsel forNon~Party Jonesboro PampO Labs notified

counsel for the pames via e mail on May 25 2018 that it would be filing a motion for in camera

treatmentof the documents produced and testimony provided by JPO that the parties intend to

utilize at trial in this matter Both couns~ltorthe Federal trade Commission and Otto Bock

advised that they do not object to JPOs motion

lstarry $ Gondelman middotLarry$ Gondelman igtowersmiddotPyles Sutter amp VervillePC 1501 M StreetNW Suite700 Washington DC 2000s 2028726712 lanmiddotxgpnddmauramiwersJdW~im

Counsel for NonPartyJPO

7

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 4: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

In re Bristot-Myers Co 90 FTC 455 456-57

There can be no doubt but that the documents at issue are secret and material Exhibit 1

is the Jonesborofee schedulew1th Arkansas BlueCross BlueShield (ABCBS) It represents the

agreementbetween JPO and ABCBS for the amounts that ABCBSmiddotwill reimburse JPO for

various compmtents ofprosthetic devices Both JPO andABCBS dearlyconsider this document

to be confid~tialasthe contract between them contai11sa confidentiality clause

L Confidentiality Al3CBS and Provider agree to maintain thecobfidenti~ity ofthe following ltlata artd documents the Allowance or any FeeSchedule of ABCBS any other compensatfon set forthin this Agreement the Provider Manti al utilization review prbgramicroi ~utHnes or guidelines ofA8C8S or any other written policies orprocedures ofABCBS orofPayers furnished to Provider The terms ofthis Agieementare confidemicrotial and the parties agree not to disclose such tertns to third parties except as necessaryto perfortn under this Agreement or as teqmicroired bylaw or regulation middot middot

See Exhibit9(emphasis added)

Itis notdifficult tOunderstandwhyitis in theinterest ofhoth JPO andABCBS to keep

thltir fee schedule confidential Imagine the potential hcentn to Jpq should competitors other

payers and suppliers learn ofits pricing terms with other SUPJliers and payers middot For exatnple if

another payeris peying more than ABCBS and that other payerlearns that it is paying more than

ABCBS~ that payer would use that information to negotiate a lower reimbursement rate for JPO

Similarlyifa competitor ofJPO Jeafris that JPO has better pricing thaniLdoes on certain knees

it could use that infonnation to negotiate the same temis eliminatjngJPOsmiddotcompetitive

advantage

Exhibit 2 is evenmore sensitive than Exhibit l as it includes the reimbursement rate for

multiple payers for a variety ofprosthetic components Thus it includes not onlyinformation

about AB CBS but compares thereimbursement paid by ABCBS to the other payers with which

4

JPO has contracts The agteetnents with these payers contain confidentiality provisions similar

to the one cited above with ABCBS For example the UHC agreement provides

99 Confidentiality Neither party will disclose to a Customer other health care providers or other third parties arty ofthe following infomiation (except as required by an agency of the government)

a) any proprietary business infonnation not available tothe general public obtained bythe party from the other party ot

b) the specific reimbursement amounts provided for under this Agreement except forpurwses ofadministration ofbenefits

See Exhibit10 (emphasis added)

The transcript excerpts listed in Exhibit 8 demonstrate that the testimony listed relates to

this confidential pricing information and rel~ted suojects ThereforeUis as sensitiveas the

infonriation contained on the documents

The foregoing estilblishes that JPQ has satisfied most ofthe factors upon which this Court

is to base its decision regarding in tamera treatment jpo~spricinginfonnation with various

payers is not knownmiddotoutside of the business JPO and the payers have taken measures to guard

the secrecy oftheir contractual arrangements middotThe infonnation about reimbursement rat~

between JPQ and various payers would be extremely valuable to other payers and to JPO s

competitors andmiddotthe information caD11ot easilybe acquired by those other payers orcompetitors

Therefore JPOhas satisfied its burdento obtain confidential treatment ofits information middot

Given thehi~ly sensitive nature offue infonnation contained in the documents and the

testimony and the contractual obligation ltgtfJPO to keep thisinformation confidential JPO

requests that Exhibits 1 2 3~ and 4 be given in camera tteattnent pennanently The confidential

nature ofthe information is likelyto remain sensitive or become more sem~itive with the

p~ssage oftime in re lhra Lube Corp 1999 F1C Lexj~ 255 7~9

5

HI Condusio-1

For the reasons set forth above imdin the Affidavit ofRob A Yates JPO respectfully

requests that this Court grant permanent in camera treatmentto the Confidential Documents in

their entirety

Respectfully submitted

tsLarry S~dondelman Larry S Gondelman Powers Pyles Sutteramp Verville PC 1501 MStreet NW Suite 700 WashingtonDC 20005 2028726712

Jarry gondctmanci-[kbullWersliiw com

Counsel for Non~Party JPO

CERTIFICATE OFSpoundRVICE

1 hereby cert1fy that on June8 2018 the foregoing Motipn and exhibits havebeen served

via electronic mail on

WilliamCooke Federal Trade Commissmn wcooke(Jftcgo

Sean Zabaneh Duane Moms SSZabanel1(a)duartern~wrl~~lt1rt1middot

s(Lagy $ Gondelrnan Larry$ Gondelman

6

STATEMENT REGARDING MEET AND CONFER

The undersigned certifies that counsel forNon~Party Jonesboro PampO Labs notified

counsel for the pames via e mail on May 25 2018 that it would be filing a motion for in camera

treatmentof the documents produced and testimony provided by JPO that the parties intend to

utilize at trial in this matter Both couns~ltorthe Federal trade Commission and Otto Bock

advised that they do not object to JPOs motion

lstarry $ Gondelman middotLarry$ Gondelman igtowersmiddotPyles Sutter amp VervillePC 1501 M StreetNW Suite700 Washington DC 2000s 2028726712 lanmiddotxgpnddmauramiwersJdW~im

Counsel for NonPartyJPO

7

REDACTED

CONFl~NJAl-FTC DOCKETli378 SUBJECT TO PROTECTIIE ORDER

JPO105

PX03036bull001

EXHIBIT l IN CAMERA

REDACTED

CONFlbENTIAL- FTC DOCKET 93c78 SLBJECTTOP~OTECTJVEORDE~

JP010S

PX03036--002 EXHIBIT1middot 111 CAMERA

REDACTED

COfIFIDENTIAL- FTC DOCKET 11378 SUBJECT TOPROTECTIVE OROER

JP01D7

PX030367003

EXHBIT 1 IN CAMERA

REDACTED

CONFIOEtITIAL- FTC OO(KET 9378 SUBJECT TO PROTECTIVE ORDER

JPOl0S

PX03036Q04

EXHIBIT 1 IN CAMERA

REDACTED

CONFIOENTIAL- FTC OOCllt1T937 SUBJECt TQ PROTECTIVEORDER

JPClt09

PX0303S005 EXHIBIT l IN CAMERA

REDACTED

C-ONFIDENTIAL- FTC DOClcEi 9378 SUBJECT TO PRDTECTllEbullOROER

JPd111t

PX03038-008

EXHIBIT 1 IN CAMERA

REDACTED

CONFIDENTIAL- FTCQOCKET 9318 middot SUBJECTTO PROTECTIVE ORDER

JP0111

PX03036-007 EXHIBIT 1 IN CAM ERA

REDACTED

CONFIDENTlALmiddot FTC DOC~ET 8378 SUBJECiTO PAOTEClIVE ORDER middot

JP0112

PX03036-00B

EXHll31T 1 IN (AMEIA

REDACTED

CONFIOENTIAL~FtQ DOCKET 9378 SUBJECTTOPROTECTIVEORDER

JP0113

PX03036bull009

EXHIBIT l IN CAMERA

REDACTED

COlfflDENTIALmiddot FTC DQClltEt~78 SUBJEltiTTO PROJeirlVE ORDER

JPOH-4

PX0303S010 EXHIBIT 1 IN CAMERA

REDACTED

CONFIDENTIAL- FTC DOCKET 93711 SUBJECT TO PRbTEClJVE QRDER

JP011i

PX03036middot011 EXHlBIT 1 middot IN CAMERA

REDACTED

(QNFIOENTIAL-FTC OOCiltET ij~70 SUBJECTTOmiddotPROTECTiVEORDER

JP01H

PX03036-012 EXHIBIT 1 IN CAMERA

REDACTED

qONFIDENTIAl- FTCooc~em SUSJec-rro lROTECTIIE ORQER

JP0117

PX03036-013 EXHIBIT 1 IN CAMERA

REDACTED

CONFIDENTIAL FTC DOCK~ 11378 $U8JECT TO PROTECTIVEORDER

JP0118

PXO3036~014 EXHIBIT 1 IN CAMERA

REDACTED

CONFIOENTIAL-FTC OQClltEi gl7~ SUBJECttO PROIECTIVE OR_QER

JP01111

PX03036-015

EXHIBITl INCAMERA

REDACTED

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JP0t20

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 5: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

JPO has contracts The agteetnents with these payers contain confidentiality provisions similar

to the one cited above with ABCBS For example the UHC agreement provides

99 Confidentiality Neither party will disclose to a Customer other health care providers or other third parties arty ofthe following infomiation (except as required by an agency of the government)

a) any proprietary business infonnation not available tothe general public obtained bythe party from the other party ot

b) the specific reimbursement amounts provided for under this Agreement except forpurwses ofadministration ofbenefits

See Exhibit10 (emphasis added)

The transcript excerpts listed in Exhibit 8 demonstrate that the testimony listed relates to

this confidential pricing information and rel~ted suojects ThereforeUis as sensitiveas the

infonriation contained on the documents

The foregoing estilblishes that JPQ has satisfied most ofthe factors upon which this Court

is to base its decision regarding in tamera treatment jpo~spricinginfonnation with various

payers is not knownmiddotoutside of the business JPO and the payers have taken measures to guard

the secrecy oftheir contractual arrangements middotThe infonnation about reimbursement rat~

between JPQ and various payers would be extremely valuable to other payers and to JPO s

competitors andmiddotthe information caD11ot easilybe acquired by those other payers orcompetitors

Therefore JPOhas satisfied its burdento obtain confidential treatment ofits information middot

Given thehi~ly sensitive nature offue infonnation contained in the documents and the

testimony and the contractual obligation ltgtfJPO to keep thisinformation confidential JPO

requests that Exhibits 1 2 3~ and 4 be given in camera tteattnent pennanently The confidential

nature ofthe information is likelyto remain sensitive or become more sem~itive with the

p~ssage oftime in re lhra Lube Corp 1999 F1C Lexj~ 255 7~9

5

HI Condusio-1

For the reasons set forth above imdin the Affidavit ofRob A Yates JPO respectfully

requests that this Court grant permanent in camera treatmentto the Confidential Documents in

their entirety

Respectfully submitted

tsLarry S~dondelman Larry S Gondelman Powers Pyles Sutteramp Verville PC 1501 MStreet NW Suite 700 WashingtonDC 20005 2028726712

Jarry gondctmanci-[kbullWersliiw com

Counsel for Non~Party JPO

CERTIFICATE OFSpoundRVICE

1 hereby cert1fy that on June8 2018 the foregoing Motipn and exhibits havebeen served

via electronic mail on

WilliamCooke Federal Trade Commissmn wcooke(Jftcgo

Sean Zabaneh Duane Moms SSZabanel1(a)duartern~wrl~~lt1rt1middot

s(Lagy $ Gondelrnan Larry$ Gondelman

6

STATEMENT REGARDING MEET AND CONFER

The undersigned certifies that counsel forNon~Party Jonesboro PampO Labs notified

counsel for the pames via e mail on May 25 2018 that it would be filing a motion for in camera

treatmentof the documents produced and testimony provided by JPO that the parties intend to

utilize at trial in this matter Both couns~ltorthe Federal trade Commission and Otto Bock

advised that they do not object to JPOs motion

lstarry $ Gondelman middotLarry$ Gondelman igtowersmiddotPyles Sutter amp VervillePC 1501 M StreetNW Suite700 Washington DC 2000s 2028726712 lanmiddotxgpnddmauramiwersJdW~im

Counsel for NonPartyJPO

7

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 6: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

HI Condusio-1

For the reasons set forth above imdin the Affidavit ofRob A Yates JPO respectfully

requests that this Court grant permanent in camera treatmentto the Confidential Documents in

their entirety

Respectfully submitted

tsLarry S~dondelman Larry S Gondelman Powers Pyles Sutteramp Verville PC 1501 MStreet NW Suite 700 WashingtonDC 20005 2028726712

Jarry gondctmanci-[kbullWersliiw com

Counsel for Non~Party JPO

CERTIFICATE OFSpoundRVICE

1 hereby cert1fy that on June8 2018 the foregoing Motipn and exhibits havebeen served

via electronic mail on

WilliamCooke Federal Trade Commissmn wcooke(Jftcgo

Sean Zabaneh Duane Moms SSZabanel1(a)duartern~wrl~~lt1rt1middot

s(Lagy $ Gondelrnan Larry$ Gondelman

6

STATEMENT REGARDING MEET AND CONFER

The undersigned certifies that counsel forNon~Party Jonesboro PampO Labs notified

counsel for the pames via e mail on May 25 2018 that it would be filing a motion for in camera

treatmentof the documents produced and testimony provided by JPO that the parties intend to

utilize at trial in this matter Both couns~ltorthe Federal trade Commission and Otto Bock

advised that they do not object to JPOs motion

lstarry $ Gondelman middotLarry$ Gondelman igtowersmiddotPyles Sutter amp VervillePC 1501 M StreetNW Suite700 Washington DC 2000s 2028726712 lanmiddotxgpnddmauramiwersJdW~im

Counsel for NonPartyJPO

7

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 7: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

STATEMENT REGARDING MEET AND CONFER

The undersigned certifies that counsel forNon~Party Jonesboro PampO Labs notified

counsel for the pames via e mail on May 25 2018 that it would be filing a motion for in camera

treatmentof the documents produced and testimony provided by JPO that the parties intend to

utilize at trial in this matter Both couns~ltorthe Federal trade Commission and Otto Bock

advised that they do not object to JPOs motion

lstarry $ Gondelman middotLarry$ Gondelman igtowersmiddotPyles Sutter amp VervillePC 1501 M StreetNW Suite700 Washington DC 2000s 2028726712 lanmiddotxgpnddmauramiwersJdW~im

Counsel for NonPartyJPO

7

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CONFl~NJAl-FTC DOCKETli378 SUBJECT TO PROTECTIIE ORDER

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E)(t-ltBIT 2 lN CAMERA JP0126

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 8: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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AU ANCES IMEXT( )

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 9: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 10: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 11: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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E)(t-ltBIT 2 lN CAMERA JP0126

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 12: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 13: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 14: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 15: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 16: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

REDACTED

CONFIOENTIAL~FtQ DOCKET 9378 SUBJECTTOPROTECTIVEORDER

JP0113

PX03036bull009

EXHIBIT l IN CAMERA

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COlfflDENTIALmiddot FTC DQClltEt~78 SUBJEltiTTO PROJeirlVE ORDER

JPOH-4

PX0303S010 EXHIBIT 1 IN CAMERA

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 17: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 18: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 19: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

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DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 20: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 21: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 22: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 23: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 24: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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AU ANCES IMEXT( )

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 25: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 26: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 27: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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JP0124

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 28: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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CONFIOENTIALcFTC O()CKET9378 Sl)BJECT tObullPROTfCTIVEOROER

JP0125

PXOS036-021 EXHIBITl INCAMERA

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CONFiDENTIAL0 FTC DOCKET937B SUBJECT TO PROTECTIVE ORDt R

E)(t-ltBIT 2 lN CAMERA JP0126

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EXHIBIT2 IN CAMERA JPOl27

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EXHIBIT 2 IN CAMERA JP0 128

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CONFIDENlAL FrC DOCKET 9378 SUBJECT TO PROTECTvpound ORDEREXHIBIT2 INCAMERA

JP0129 middot

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EXHIBIT 2 IN CAMERA JP0130

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 29: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 30: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 31: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 32: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 33: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 34: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 35: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 36: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 37: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 38: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 39: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 40: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 41: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 42: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 43: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 44: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 45: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 46: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 47: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 48: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 49: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 50: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 51: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 52: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 53: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 54: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 55: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 56: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 57: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 58: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 59: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 60: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 61: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

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SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 62: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 64: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 65: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 66: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 67: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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AU ANCES IMEXT( )

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 68: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 69: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 70: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 71: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 72: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 73: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 74: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 77: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 78: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 79: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 80: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 81: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 82: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 83: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 85: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

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HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 86: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 87: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 88: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 89: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 90: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 92: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 93: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 94: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 95: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 96: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 97: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 98: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 99: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 100: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 101: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 102: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

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AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 104: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 105: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

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May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 106: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 107: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 109: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 110: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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43 (Pages 169 to l 72)

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 111: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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44 (Pages J73 to 176)

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 112: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

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LONDON QuaneVforris r~ 7LANTA

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 114: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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47 (Pages 185to188)

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 115: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 116: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 118: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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5J (Pages 20I to 204)

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 119: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 120: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 122: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 123: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 124: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

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SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 125: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 126: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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59 (Pages 233to 234)

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 127: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 128: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 129: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 130: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 131: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 132: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 133: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 134: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 135: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 137: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 138: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 139: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 140: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 141: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 142: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 143: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 144: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJIHIBIT 4 IN CAlllpoundRA

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EkiilBfT4middot INCAMERA

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EXHIBIT 4 1111 CAMERA

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EXHIBIT 4 1111 CAMERA

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EXHlSrr 4 IN CAMUA

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 145: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJIHIBIT 4 IN CAlllpoundRA

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EkiilBfT4middot INCAMERA

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EllHISIT4 IN CAMEIA

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 146: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 147: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

REDACTED

EkiilBfT4middot INCAMERA

REDACTED

EXHIBIT4 IN CAMERA

REDACTED

EllHISIT4 IN CAMEIA

REDACTED

EXHIBIT 4 1111 CAMERA

REDACTED

EXHIB[f4middot IN CAMERA

REDACTED

EXHIBIT4 IN CMERA

REDACTED

EXHIBIT 4 IN CAMERA

REDACTED

EXHIBff 4 IN CAMERA

REDACTED

EXHIBIT 4 1111 CAMERA

REDACTED

EXHlSrr 4 IN CAMUA

REDACTED

EXHIBIT 4 JN CAMERA

REDACTED

EllHIBlt 4 IN CA~E~A

REDACTED

EXHielT4 IN CAMERA

REDACTED

REDACTED

EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 148: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EllHISIT4 IN CAMEIA

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 149: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 150: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

REDACTED

EXHIBIT 4 1111 CAMERA

REDACTED

EXHIB[f4middot IN CAMERA

REDACTED

EXHIBIT4 IN CMERA

REDACTED

EXHIBIT 4 IN CAMERA

REDACTED

EXHIBff 4 IN CAMERA

REDACTED

EXHIBIT 4 1111 CAMERA

REDACTED

EXHlSrr 4 IN CAMUA

REDACTED

EXHIBIT 4 JN CAMERA

REDACTED

EllHIBlt 4 IN CA~E~A

REDACTED

EXHielT4 IN CAMERA

REDACTED

REDACTED

EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 151: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 153: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

REDACTED

EXHIBIT 4 IN CAMERA

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EXHIBff 4 IN CAMERA

REDACTED

EXHIBIT 4 1111 CAMERA

REDACTED

EXHlSrr 4 IN CAMUA

REDACTED

EXHIBIT 4 JN CAMERA

REDACTED

EllHIBlt 4 IN CA~E~A

REDACTED

EXHielT4 IN CAMERA

REDACTED

REDACTED

EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 154: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

REDACTED

EXHIBff 4 IN CAMERA

REDACTED

EXHIBIT 4 1111 CAMERA

REDACTED

EXHlSrr 4 IN CAMUA

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EXHIBIT 4 JN CAMERA

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EllHIBlt 4 IN CA~E~A

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EXHielT4 IN CAMERA

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 155: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

REDACTED

EXHIBIT 4 1111 CAMERA

REDACTED

EXHlSrr 4 IN CAMUA

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EXHIBIT 4 JN CAMERA

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EllHIBlt 4 IN CA~E~A

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EXHielT4 IN CAMERA

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 156: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

REDACTED

EXHlSrr 4 IN CAMUA

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EXHIBIT 4 JN CAMERA

REDACTED

EllHIBlt 4 IN CA~E~A

REDACTED

EXHielT4 IN CAMERA

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 157: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

REDACTED

EXHIBIT 4 JN CAMERA

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EllHIBlt 4 IN CA~E~A

REDACTED

EXHielT4 IN CAMERA

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 158: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

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EllHIBlt 4 IN CA~E~A

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EXHielT4 IN CAMERA

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EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 159: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

REDACTED

EXHielT4 IN CAMERA

REDACTED

REDACTED

EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 160: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

REDACTED

REDACTED

EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 161: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

REDACTED

EJltHIBlTt IN CAMpound11A

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 162: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

middotmiddotmiddot~ -- UNITED STATES OF AMERICA

Federal Trade Commissionf~-middot - -l1t WASHlNGTON DC 20580 bullbull middot1

middotmiddotmiddotmiddotrI bull 1middot1middot bull bullbull~ 8urcau ofCompetition

Mcrg~rs I Dvision

May 24 2018

VIAEMAIL

RobertA Yates Jonesboro PampO Labs co Larry S Gondelman Powers Pyles Sutter ampVerville PCmiddot 1501 M Street NW 7th Floor Washington DC 20005

RE in the Matter o(Olto Bock Heatth(are Nortb America_ Int~bull E~4~LTrid~ltommission0kt No 9378

Dear Mt Gohdelman

By this lcenttter we are providing formal notice pursuant to Rule 345(b) of the CommissionS llules ofPracticei 16CFR sect 345(b) that Colllplaint Cpunsel intend to offer the documents and testitnony referenced in the enclosed Attachment A into evidence in the adm1nistrative trial ln the above~captioned matterThe administrative trial is scheduled to begin on July 10 2018 All exhibits admitted into evidence become part of the public record unless in camera status ismiddot granted by AdministrativeLaw Judge D Michael Chappellmiddot

For documents or testifnony which include sensitive or confidential infollllation that you do notwant on the public record you must file a motion seeking in camera status or other confidentiality protections pursuant to 16 CFRsectsect 345 4lO(g) Judge Chappell may order that materfals whether admitted or rejected as evidence be placed in camera ollly after findirtg that their public diic1osure will likely result in amiddot clearly defined serious injury to the person partnership or corporation requesting in camera treatment middot middot

Motions for in ccz11eraJrelJtment for evidence to be introduced attrial must meet the strict standards set forth

in

16 CFR sect 345 and explainedin In re 1-800 Contacts Inc 2017 FTC

LEXIS 55

(April 4 20l7)Jn re Jerk LLC 2015

FTC LEXIS 39 (Feb 232015) and1nre Basic Research Inc 2006 FTC LEXIS 14 (Jan 25 2006) Motions also must be supported by a declaration oraffidavit bya person qualified to explain the confidential nature ofthe documents In re 1-800 Contacts fnc 20J7 FTC LEXIS 55 (April 4 2017) ltire Notth Texas Specialty Physicians 2004 FTC LEXIS 66 (April 23 2004) You must alSo provide one copy of the dccumerits for whichin camerdtreatment is sought to theAdministrative LawJudge middotmiddot

EXHIBIT 5 PUBLIC

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 163: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June 11 2018

Ifyou have anyquestions please feel free to contactrneat (202) 32~-2331

Sincerely

ua-middot_pound~---William Cooke CounselSupportingthe Complaint

2

EXHIBIT 5 PU BUC

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 164: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

Attachment A

DateExhibit No Description BegBates EndBabts PX03036 JonesboroPampO Document Arkansas BlueCross 00000000 JPO105 JPOt25

BlueShield Fee Schedule PX05003 middot rnvestigatiohal HearingmiddotTranscript of RobYates middot 11292017 FTC-PROD- FTC-PROD- middot

(Jonesboro Pamprn middot 005019 005051 PX05108 Deposition Transcript ofRob Yates (Jonesboro 382018 PX05108~001 PX05108-097

PampOLabsl Igt

Page 1 on EXHIBIT 5 PUBLIC

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 165: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

NEW YORK SHM3HA1

LONDON QuaneVforris r~ 7LANTA

SINGPORE BAlIMORE l1-JUDEU1HJA lbulll( l fftti Al 1UA-1imiddot ()Fl-(t~ WIMINGTOI

~HAM WASIINCTON OC llOCRtbullmiddotoI SiN FRANCISCO TlS0URGMSEAN S ZABANEH

SILltOlYALlE MWARK SA1DIFGlJ LASmiddotVEGAS

DIR~C Dfil d 21 i 979 1 I 49 PlRSONAL FAgtmiddot+J 2 156894964

l OS NGE ES E-MAk ltSZabnnehfgduaae110rr1scom CHERRY HltL -TlWAN LA~ JAHDE BbSWN bull1bull11bull1bulld11anemorriscom iliY~t11AR

HOUSTON OMAN Aci~TIN

01 t middot middot bull (JJiRS HANOr

AU ANCES IMEXT( )

ANJ SRILIIMU

May 292018

VIA EMAIL AND FEDEX

RobertA Yates Jonesboro PampOLabs co Larry S Gondelman middot Powers Pyles Sutter amp Verville PC 1501 M Street NW 7th Floor t

Washington DC20005

Rebull ln the Matter ofOtto Bock HealthCare North America Inc Federal Trade Commissfon Dkt No 9378

Dear Mr Gondelrrianmiddot

Bythisletter we are providing formal notice pursuant to Rule 345(b) ofthe Federal Trade Commissions Rules of Practice 16CFR sect 345(b) that Respondent Counsel intetidto offer the documents and testi111ony referenced in the enclosed AttachrnentA into evidencein the administrative trial in the above-captioned matter The administrative trial isscheduled to beginmiddot on July lQ 2018All exhibits adm1ttedjrito evidencemiddot become part ofthe public record unless in camea status is granted by AdministrativeLaw Judge D Michael Chappell

For documents or testimony whichinclude sensitive or confidential information that you do not want on the public record you must file a motion seeking iri camera status or othermiddot confidentiaHtybullprotections pursuant to 16CFR middot sectsect 3454lO(g) Judge Chappell mayorder that materials whether admitted or rejected as evidence he placed in camercr only after finding iliat the1t public disclosure will hkely Tesultin a deadydefiried serious injt1ry to the person partnershipor corporation requesting in camera treatment

Motions for in camera treatme11t forevidence to be mtroducedattrial must meetthe stnct standards set forth in 16 CFR sect J45and explained in In re 1-800 Contacts1nc 2017 FTC LEXIS 55 (April 42017) In re JerkLLC 2015 FTCLEXIS 39 (Feb 232015) and In re Basic Re~earch Inc 2006 FTC LEXIS 14 (Jan~ 25 2006) Motions also must be supported by a declaration or affidavit by a person qualified to explain the confidential nature of the documents

u $OU H I 7i $ I lt iiEl pj ADEllHIA PA Jv-~ 1

EXHIBIT 6 PUBLIC

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 166: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

DuaneIlforrisRobert A Yates Jonesboro PampO Labs May 29 2018 Page 2

In re 1~800Contacts Inc 2017 FTC LEXIS 55 (April 4 2017) 1n re North Texas Specialty Physicicms 2004 FTC LEXIS 66 (April 23 2004) You must also provide one copy ofthe documents for which in camera treatment is sought to the Administrative Law Judge

Please be aware that under the current Scheduling Order dated April 26 2018 the deadline for filing motions seeking in camera status is June ll 2018

middotIf yomicromiddothaveany questions please feel free to contact meat215-979-l 149

Very truly yours

Isl Sean S Zabaneh

Sean s Zabaneh

ssz Enclosures

cc Sean P McCom1ell Sarah ()Laughlin Kulik

EXHIBIT 5 PUBLIC

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 167: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

Attachment A

Exhibit No Description Date BegBates EndSatas RX0995 Deposition Transcript of Robert Yates (Jonesboro

OampP 03082018 RX~0995middot

00001 RXmiddot0995bull

00097 RX0905 JonesboroLCodeFee Schedule Price Chart Unknown JFO126 JPO130

Pagel ofl

EXHIBIT 6 PUBLIC

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 168: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION

OFFICE OJ ADMJNISTRATIVE LAW JUDGES

ln the Matter of ) Otto Bock HealthCare North America Inc )

middot ) DocketNo 9378 )

Respondent )

~------------------------- )

DECLARA TION OF ROB A YATES

J Rob A Yates pursmicroant to28 USC sect 1746 state and declare as folkgtws

l lam the presidentbull and CEO ofDavid A middotYates and Associates doing business as JPampQ

Prosthetic 8lQrthotic Laboratory andJonesboro Prosthetic amp Orthotic Laboratory eJPO~) I

havebullserved in these positions since September 2007

2 JPO provides prosthcentic and orthotic services to patients

3 JPO received severatsubpoenas in com1ection withthe above-captioned matter Pursuant

to these subpoenas JPO produced several documents Those documents include two docum~ts

that have beenidentified by the parties as documents that they intend to use atthe trial in this

matter

4 One document is alisting ofthe fee schedule hetween JPO and Arkansas BlueCross

BlueShieldfABCBSJ That document labeledJPOOl05 JP00125 is Exhibit 1 to the Non~

PartyJon~sb6ro PampOmiddotLabs~ Motion forln Camera Treatment Then JPQ produced this

document it marked itas confidential and as $ubject to protective order the document was

so labeled becauseit contained highly sensitive business inforrhation In fact the informationmiddot

contained mthis documentis governed by anagreementbetweenJPO and ABCBS that includes

a confidentiality clause obligating the parties to the agreement to maintain the confidentiality of

EXHIBff7 PUBLIC

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 169: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

among other things the fee schedule A copy of the page ofthe agreement with the

confidentiality clauseis Exhibit 9 to the Motion

5 theother document that the parties intend to use at trial is a fee schedule that contains

the reimbursement amount that ten different payers have agreed to pay to JPO for various

prosthetic components This document labeledJPOOl26- JP001JO is Bxhibit2 to the Nonshy

Party lltmesboro PampO Labs Motion for In Camera TreatmenJ When JPO produced this

document it marked it as confidential and as subjectto protective order Tltedocument was

so labeled because it contained highly sensitive business information The information contained

in this documentis governed by agreements between JPO and the various payers that inelude

confidentiality climses obligatingthe parties to the agreern~nts to maintain the confidentiality of

among other things the fee schedule

6 Had these documents not been subject to the Protective Orderi11 this case I woulcl have

refused to produce them

7 Tlie parties to this matter havealso notified JPO that they intend to introduce at trial

p0rtions ofmyinvestigative testimony transcript and my deposition transcript They have not

identifi_ed the particular portions oftile testimony th11t they intendto use

8 I havereviewed both transcripts and have designated those portions ofmy testimony that

either directly relate to Exhibits 1 and 2 ordiscuss busjness strategy oqm1ctices relating to the

costs ofparts purchased byJPO or the reimbursement by payers for prosthetic devices made by

JPO MytestirrumY ortthese subjectsis highly cpnfidential as it relates to the private financial

information ofJPO A listing of the eic~rpts for which JPO is seeking in camera treatment 1s

Echibit 8 to the Motion

2

EXHIBIT 7 PUBUC

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 170: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

9 Both JPO and ABCBS have strong interests in keeping their fee schedule confidential

JP0wotlld suffer irreparable harm should competitors other payers and suppliers learn of its

pricing tcnns with other suppHers and payers For exampleifanother payer is payingJP0 more

than ABCBS for a particular component and that other payer learns that it is paying more than

ABCBS thatpayerwould use thatirtformationto negotiate a lower reirribmsementrafo for JPQ

Similarly ifa competitor ofJPOleams thaUPQ has better pricing than itdoes on certain knees

iLGould use that information to negotiatethe same tenns eliminatingJPOs competitive

advantage

10 Theinfonnationin Exhibit 2 is even moremiddot sensitive than Exhibit l as Exhibit 2 includes

tbereimburscinentrate founultipie payers for a variety ofprostheticcomponents Th1S1 it

includ~ not only infonnation ~boutABCBS b11t compares the reimbursement paid byABCBs

to tile other payers with which JPO has contracts As noted previously the agreements with

these payers contain confidentiality provisions similartotlle cme citedmiddot above with ABCBS For

example the UHC agreement provides

99 Confidentiality Neither party wm disclose to a CWtomer other health care providers or other third parties any ofthe following information(excentept as required by an agency ofthe govenl1lle11tbull

middot a any proprietary business information not ava(lable to the general public obtained by the party from the other party or

b the spcentcific reimbursemennunounts provided for under this Agreement exceptfor purposes ofmiddotadministration ofbenefits

See Exhibit 10

l l The transcript excerpts listed in Exhibit8 demonstrate that the testimony hsted rcent1ates to

thisltconfidential pricing irtfonnation and related subjects Thereforemiddot it is as sensitive as the

infonnation ~ontained on the documemicrots

12 JPOs pricing information with various payers is notknown outside ofthe busine$s

3

EXHIBIT 7 PUBLIC

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 171: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

13 JPO and the payers have taken measures to guard the secrecy oftheir contractual

arrangements

l 4 The information ampbout reimburscentment rates between JPO and various payers would be

extremely valuabletcfother pay~rs and to JPOs competitors Bild the information cannot easily be

acquired by those other payers or competitors

l declare under the penalty ofperjury that the foregoing is true and correct

Executed on this 7 day offone2018

4

EXHIBIT7 PUBLIC

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 172: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

EXCERPTS OF TESTIMONY FOR WHICH IN CAMERA TREATlfENT ISmiddotSOUGHT

Excerpts ofDeposition Testimony of M~rch 8 2018 -

PageLine _ Subi~t Matter ofTestimony

178c189 property owned by family

205-2019 number ofprosthetics fit byRob Yates in 2017

23lh2417 number ofptosthetic knees by JPO

28_5-292 length oftime pricing terms last

293~302 price pai~ for Plie and CcLeg

363-37 Z4 allowed charge for MPnees

SLJ-526 range ofprices offered for MP knees

price paid 1cgty Jpo

56IQ-57T6 middot prices and effectofpricejncrease

57-18607 numbers- ofPlies and c~Legs

608-614 reimhursementfor Plie and C-Leg is the same

61564l purchasing decisions and pricing including numbers purchased

6813-7213 Quattro

7314-747 Plie and c-Leg compete on price

7524~7717 higher margins enable-JPOto offer certain patientbullservices

9l5-9L12 percentage o-frev~nue from upp~r bodydevices

9116-9124 percentage ofrevenue from lower body devices

9210964 nwnbers ofdifferertt NfP middot 1a1ees percentage ofunits including knees

9821-99 amountofmoney spent on MP knees

9923-1033 numbers ofknees arid feet cost ofPlie

EXHIBIT 8 PUBLIC

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 173: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

11116-11710

11814-12119

1322-13220

13422-137 7

1402-1416

14423-14514

159J 1608

1719-17215

1731-17321

middot19725-2044

120516-2093

21425~221 20

2292-230l

pricing discounts

pricing ofnon-MP knees and discounts

reimbursementmiddot amount fr0tn Medicare

middotreimbursement rates

UHCtates

reimbursement rates

numlgter ofpatients

discounts

discounts

effeQtofprice increases

tffect ofprice increases

Quattro

Exhibit 2 reimbursementrates

i EXHIBIT 8 PUBLIC

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 174: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

Excerpts of Investigative Testimony ofNovember 29 2017

PageLfoe Suhiect Matter

l7J2-l7l8 number ofpatients percentage withMK knee

182 i-191 ~ middot amount spent on MK knees

298-33l CMS reimbursementrate

5011-5318 range ofcosts

5619-5820 middot cost and nUllbers purchased from each manufacturer

602+6724 c-Leg v~ P11e

6220-6724 Quattro

6812~6916 pricenting stru~1urcent by Otto Bock andFreedom

74~-7524 hi~ermarginsbenefitpahentsmiddot

3

tXHIBIT8 PUBLIC

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 175: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

t ConfideTittahy

ABCBS and Provider agree to maintain the confidentiality of the following data and documents the Allowance or any Fee Schedule of ABCBS any othet compensation set forth in this Agreement the Provider Manual utilization teviewprogramoutlines or guidelin~ ofABCBS or any other written policies or procedures ofABCBSor ofPayers furnished to Provider The terms ofthis Agreement are confidential and the p~es agree not to disclose such terms to third parties except as necessary to perform under this Agreementor as required by law or regul11tion

Page 12 of 14 PampOPPP853PNO 0805 -EXHIBIT 9 PUBLIC

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 176: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

99 Confidentiality Neither party will displo~te a Customti ot1ier fuaith cateprovjders or other third plrties any ofthe following itiforroatfon ~x~ept as nqw-ed by an ag~cyofthe gov~cilt) middot

bulla) ~YPt()prletarybusiuess infoiination notavailable tothe general public obtailiedmiddotby the patty frQm the othei-iarty or

b) the sptttfic teiuibmicrorsem~t 8llloints providedfor 11nder tllis Jgnicmont ecceptfor purposes of 11dminisiraticln (tflicentfits middotmiddot

lJNIIBDHEALTHCAAE UHCIFPAANC0406AR Co~ntiaiand lropneat) Pace 12of20

EXHIBIT 10 PUBUC

Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

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Notice ofElectronic Service

I hereby certify that on June 08 2018 I filed an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT with

D Michael Chappell ChiefAdministrative Law Judge 600 Pennsylvania Ave NW Suite 110 Washington DC 20580

Donald Clark 600 Pennsylvania Ave NW Suite 172 Washington DC 20580

I hereby certify that onJune 08 2018 I served via E-Service an electronic copy ofthe foregoing NON-PARTY JONESBORO PampO LABS MOTION FOR IN CAMERA TREATMENT upon

Steven Lavender Attorney Federal Trade Commission slavenderftcgov Complaint

William Cooke Attorney Federal Trade Commission wcookeftcgov Complaint

Yan Gao Attorney Federal Trade Commission ygaoftcgov Complaint

Lynda Lao Attorney Federal Trade Commission llaolftcgov Complaint

Stephen Mohr Attorney Federal Trade Commission smohrftcgov Complaint

Michael Moiseyev Attorney Federal Trade Commission mmoiseyevftcgov Complaint

James Weiss Attorney Federal Trade Commission jweissftcgov

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 178: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

Complaint

Daniel Zach Attorney Federal Trade Commission dzachftcgov Complaint

Amy Posner Attorney Federal Trade Commission aposnerftcgov Complaint

Meghan Iorianni Attorney Federal Trade Commission miorianniftcgov Complaint

Jonathan Ripa Attorney FederafTrade Commission jripaftcgov Complaint

Wayne A Mack Duane Morris LLP wamackduanemorriscom Respondent

Edward G Biester III Duane Morris LLP egbiesterduanemorriscom Respondent

Sean P McConnell Duane Morris LLP spmcconnellduanemorriscom Respondent

Sarah Kulik Duane Morris LLP sckulikduanemorriscom Respondent

William Shotzbarger Duane Morris LLP wshotzbargerduanemorriscom Respondent

Lisa De Marchi Sleigh Attorney Federal Trade Commission ldemarchisleighftcgov Complaint

Catherine Sanchez Attorney

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 179: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

Federal Trade Commission csanchezftcgov Complaint

Sarah Wohl Attorney Federal Trade Commission swohlftcgov Complaint middot

Joseph Neely Attorney Federal Trade Commission jneelyftcgov Complaint

Sean Zabaneh Duane Morris LLP SSZabanehduanemorriscom Respondent

Dylan Brown Attorney Federal Trade Commission dbrown4ftcgov Complaint

Betty McNeil Attorney Federal Trade Commission bmcneilftcgov Complaint

Stephen Rodger Attorney Federal Trade Commission srodgerftcgov Complaint

Christopher H Casey Partner Duane Morris LLP chcaseyduanemorriscom Respondent

Simeon Poles Duane Morris LLP sspolesduanemorriscom Respondent

Andrew Rudowitz Duane Morris LLP ajrudowitzduanemorriscom Respondent

J Manly Parks Attorney Duane Morris LLP JMParksduanemorriscom

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney

Page 180: In · Given the nature oft4e documents and related testimony, jpQwouid be sign1ficantly harmed. in its abilityto compete in the prosthetic and orthotic industry if this information

Respondent

Jordan Andrew Attorneymiddot Federal Trade Commission j andrewftcgov Complaint

Kelly Eckel Duane Morris LLP KDEckelduanemorriscom Respondent

Theresa A Langschultz Duane Morris LLP TLangschultzduanemorriscom Respondent

Larry Gondelman Attorney