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Breadcrumb
  1. Home
  2. About
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  4. OMHA
  5. About
  6. Current Workload
  7. Decision Statistics
  • Office of Medicare Hearings and Appeals (OMHA)
  • The Appeals Process
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Decision Statistics

Appeals2016201720182019202020212022202320242025
Favorable25.6%17.2%17.3%17.7%16.6%19.9%27.9%29.2%27.5%21.28%
Partially Favorable2.0%1.0%1.1%1.9%2.0%2.2%3.0%2.6%2.5%1.91%
Unfavorable44.5%24.8%20.9%26.1%31.0%31.0%42.6%50.2%47.6%56.55%
Dismissed27.9%57.0%60.7%54.3%50.5%46.9%26.5%18.0%22.4%20.26%
Claims2016201720182019202020212022202320242025
Favorable7.6%11.2%10.3%9.7%7.0%9.5%9.0%10.2%16.7%21.96%
Partially Favorable4.1%4.1%10.8%10.6%25.0%10.1%14.1%12.1%21.6%14.59%
Unfavorable13.2%18.2%10.9%14.1%13.8%20.8%51.0%57.9%42.6%42.56%
Dismissed75.1%66.5%68.0%65.6%54.2%59.6%25.9%19.8%19.1%20.89%

**FY25 YTD as of December 31, 2024

Run date January 31, 2025

Content created by Office of Medicare Hearings and Appeals (OMHA)
Content last reviewed April 16, 2025
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