Update: CY 2019 Clawback Payments
Issue Brief 18-40
November 14, 2018
The Centers for Medicare & Medicaid Services (CMS) recently notified states of next year’s clawback charges—the cost-sharing payments to the federal government for the Medicare Part D prescription drug program. The CMS release states that the per-beneficiary monthly clawback charge will increase by 1.94% in calendar year (CY) 2019—the same increase announced earlier this year because no additional adjustments were required. FFIS estimates that state payments will total $11.9 billion in CY 2019, a $191.5 million (1.6%) increase from CY 2018.