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  • Office of Medicare Hearings and Appeals (OMHA)
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Decision Statistics

Appeals 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023
Favorable 36.6% 33.6% 25.6% 17.2% 17.3% 17.7% 16.6% 19.9% 28.0% 28.9%
Partially Favorable 2.8% 3.1% 2.0% 1.0% 1.1% 1.9% 2.0% 2.2% 3.0% 2.6%
Unfavorable 30.1% 37.5% 44.5% 24.8% 20.9% 26.1% 31.0% 31.0% 42.5% 50.4%
Dismissed 30.5% 25.8% 27.9% 57.0% 60.7% 54.3% 50.5% 46.9% 26.5% 18.1%
Claims 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023
Favorable 28.3% 18.3% 7.6% 11.2% 10.3% 9.7% 7.0% 9.7% 12.9% 12.5%
Partially Favorable 11.5% 6.2% 4.1% 4.1% 10.8% 10.6% 25.0% 10.3% 20.3% 14.8%
Unfavorable 31.5% 23.2% 13.2% 18.2% 10.9% 14.1% 13.8% 19.4% 29.6% 44.2%
Dismissed 28.7% 52.2% 75.1% 66.5% 68.0% 65.6% 54.2% 60.6% 37.2% 28.5%

**FY23 YTD as of June 30, 2023

Run Date: September 13, 2023

Content created by Office of Medicare Hearings and Appeals (OMHA)
Content last reviewed September 14, 2023
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