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Committee introduces bill to raise Medicaid 'outlier' threshold for value care organizations
2381853 · January 31, 2025
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Summary
Representative Jordan Redmond introduced RS32085 to raise the dollar threshold that defines an "outlier" claim for value care organizations in Idaho Medicaid, proposing phased increases to reduce budget volatility.
Representative Jordan Redmond, R.-District 3 of Kootenai County, asked the committee to introduce RS32085, a proposal to raise the dollar threshold for outlier claims submitted by value care organizations (VCOs) under Idaho Medicaid.
Redmond told the committee that an "outlier claim" is any VCO claim exceeding a…
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