Medicare Part D Parameters, Clawback Estimates for CY 2015

The Centers for Medicare & Medicaid Services (CMS) has announced the parameters that will guide calendar year (CY) 2015 individual and state costs for the Medicare Part D drug benefit. CMS projects a 4.07% annual percentage increase in per capita Part D expenditures, following last year’s first-ever negative annual percentage increase (-2.76%). These data, as well as enrollment data for persons dually eligible for Medicare and Medicaid, and FFIS projections of Federal Medical Assistance Percentages (FMAPs) for federal fiscal year (FY) 2016, permit preliminary estimates of state clawback costs for CY 2015.