AmeriHealth faces 3rd Circ. Appeal in a lawsuit under the Misrepresentation Act

By Eric Heisig (June 13, 2022, 5:46 p.m. EDT) – Actuarial analyst, seeking to revive a False Claims Act lawsuit alleging AmeriHealth Insurance Co. of New Jersey lied so its plans could continue on a health care exchange set up the Affordable Care Act, the Third Circuit told Monday that a judge ignored reasonable interpretations of a key U.S. Supreme Court decision.

Eric Johnson, in a brief to the Third Circuit, argued that the Pennsylvania federal judge who dismissed his case erroneously ruled that state and federal exchanges may require different obligations during each application process. This runs counter to King v. Burwell, who ruled that…

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