Pennsylvania
Pennsylvania program overturns 50% of health insurance denials, new data shows
However, information about how often individual insurance companies deny coverage, and how many cases are appealed and overturned, is scarce and not publicly reported most of the time.
Insurance denials can lead to delays in care and medical debt. State officials estimate that 1 million people in Pennsylvania have some medical debt from unpaid bills and other charges.
In Pennsylvania, residents can file an appeal with the state’s Independent External Review program after they have already completed an internal appeals process with their health insurer.
If they are still denied coverage, people can then submit their case to the state review process, where independent, third-party reviewers analyze individual claims and give a final determination on whether the insurer’s denial was valid or if it must be overturned.
The review program is open to people who have health insurance through a state health plan, the Affordable Care Act Marketplace and other commercial insurance, including employer-sponsored plans offered at private companies, nonprofits and organizations.
People who get insurance from their employer through self-funded plans, in which the employer or company pays health claims directly rather than through the insurance company, are excluded from using the state review program.
PITTSBURGH (KDKA) — Pennsylvania State Police Troopers are investigating a burglary in Indiana County where more than $500,000 in cash was recently stolen from a safe inside a home.
State Police from the Punxsutawney barracks say their Troopers are investigating the burglary that happened in the morning hours of New Year’s Eve last week in Canoe Township.
Troopers say a gun safe inside a home was burglarized and a firearm along with stacks of $100 bills worth more than $500,000 were taken.
The stacks of $100 bills were said to be stapled together and State Police provided a photo showing what the bills would look like once unstapled.
Anyone with information about the burglary or the stolen money is asked to call the State Police barracks or the State Police tip line and can also submit information online.
State Police say a cash reward could be provided for information that leads to an arrest.
The area’s four state representatives were sworn in for new terms on Tuesday at the Pennsylvania Capitol in Harrisburg.
The lawmakers took the oath with their peers at the historic legislative building.
Democrats hold a razor-thin majority in the Pennsylvania House and State Rep. Joanna McClinton, a Democrat, was reelected as speaker.
State Rep. Tina Davis, a Democrat from Bristol Township, was sworn in today for her eighth two-year term.
In addition to her role as a lawmaker, Davis was reelected as the caucus secretary for the Pennsylvania House Democrats last month. She was first appointed to the leadership position in the 2021-2022 legislative session.
“As caucus secretary, Davis plays a crucial role in supporting the efficient and effective functioning of the House Democratic Caucus,” her office said.
“I am honored to continue serving the people of the Bristol-Levittown area and the Commonwealth of Pennsylvania,” Davis said. “With the support of my colleagues, I will work tirelessly to ensure our work in the House is transparent, effective, and focused on improving the lives of all Pennsylvanians. Together, we will push forward meaningful legislation that creates new opportunities, promotes equity, and strengthens communities.”
Davis serves the 141st Legislative District, which is made up of Bristol Borough and Bristol Township.
State Rep. Joe Hogan, a Republican from Middletown Township was sworn in today for his second term.
“It is an honor to be back in Harrisburg to represent the 142nd District,” said Hogan. “I will continue to fight for the common sense measures I fought for in my first term, like supporting working parents, fighting for early childhood education and supporting our schools.”
Hogan serves the 142nd Legislative District, which covers Lower Southampton Township, Langhorne Manor Borough, Langhorne Borough, Penndel Borough and portions of Middletown and Northampton townships.
State Rep. Jim Prokopiak, a Democrat from Falls Township, took the oath for a new term in the Pennsylvania House.
Prokopiak serves the 140th Legislative District that covers Falls Township, Morrisville Borough, Tullytown Borough, and part of Middletown Township.
State Rep. K.C. Tomlinson, a Republican from Bensalem Township, was sworn in the Capitol. She is serving her third full term following a special election in March 2020.
“It continues to be the greatest honor of my life to serve the people of Bensalem and Hulmeville,” said Tomlinson. “I will continue to work tirelessly for my district, find common ground in Harrisburg, and get things done that benefit all Pennsylvanians.”
Tomlinson serves the 18th Legislative District that covers Bensalem Township and Hulmeville Borough.
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