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Committee introduces bill raising outlier-claim thresholds for Medicaid VCOs
2218115 · January 31, 2025
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Summary
Representative Jordan Redmond introduced RS32085 to raise the minimum outlier claim threshold for value-based care organizations, proposing phased increases from $250,000 to $1 million; the committee approved introduction by voice vote.
Representative Jordan Redmond, representing District 3 (Kootenai County), described RS32085 as a change to the state Medicaid program’s outlier-claim threshold for value care organizations (VCOs).
"An outlier claim is any claim by a VCO that's over an amount which is currently set in a…
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