Decision Statistics

 Appeals 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
Favorable 53.2% 44.3% 36.6% 33.6% 25.6% 17.2% 17.3% 17.7% 16.6% 20.0%
Partially Favorable 6.4% 5.2% 2.8% 3.1% 2.0% 1.0% 1.1% 1.9% 2.0% 2.1%
Unfavorable 27.9% 25.5% 30.1% 37.5% 44.5% 24.8% 20.9% 26.1% 31.0% 31.0%
Dismissed 12.5% 25.0% 30.5% 25.8% 27.9% 57.0% 60.7% 54.3% 50.5% 46.9%
 Claims 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
Favorable 33.8% 35.1% 28.3% 18.3% 7.6% 11.2% 10.3% 9.7% 7.0% 10.4%
Partially Favorable 16.4% 11.5% 11.5% 6.2% 4.1% 4.1% 10.8% 10.6% 25.0% 9.9%
Unfavorable 34.1% 28.6% 31.5% 23.2% 13.2% 18.2% 10.9% 14.1% 13.8% 20.1%
Dismissed 15.8% 24.8% 28.7% 52.2% 75.1% 66.5% 68.0% 65.6% 54.2% 59.6%

*Includes appeals decided in the listed fiscal year

**Data as of September 30, 2021

***Run Date: October 6, 2021

Content created by Office of Medicare Hearings and Appeals (OMHA)
Content last reviewed