Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Committee introduces bill to raise outlier threshold for Medicaid value care organizations
Summary
Representative Jordan Redmond introduced RS32085 to raise the outlier-claim threshold for value care organizations (VCOs) from $100,000 to a phased schedule reaching $1 million; sponsor said the change is intended to stabilize Medicaid budgeting and follows recommendations in a 2023 task force minority report.
Representative Jordan Redmond (District 3, Kootenai County) told the House Health and Welfare Committee that RS32085 would raise the monetary threshold that defines an "outlier" claim for value care organizations participating in Medicaid.
Redmond said the current outlier threshold is $100,000. He reported that, in the previous year, there were 473 outlier claims, 466 of which exceeded…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
