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Committee introduces bill to raise Medicaid outlier thresholds for value care organizations
2766311 · January 31, 2025
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Summary
Representative Jordan Redmond introduced RS32085 to raise the Medicaid outlier-claim threshold in phases from $100,000 to $1 million over three years to stabilize Medicaid budgeting for value care organizations (VCOs).
Representative Jordan Redmond (District 3, Kootenai County) told the House Health & Welfare Committee that RS32085 would raise the threshold for Medicaid "outlier" claims filed by value care organizations (VCOs).
Redmond said, “This bill would increase that minimum threshold to 250,000 the first year, 500000 the next year,…
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