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ExpectMore.govExpectMore.gov home pageEXPECT FEDERAL PROGRAMS TO PERFORM WELL, AND BETTER EVERY YEAR.
 
Program Assessment

Program

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Office of Medicare Hearings and Appeals

The program provides the basic mechanisms through which individuals and organizations dissatisfied with their Medicare benefits determinations may administratively appeal these determinations. The program is statutorily directed to hear these cases within 90 days.

Rating

What This Rating Means

PERFORMING
Moderately Effective

In general, a program rated Moderately Effective has set ambitious goals and is well-managed. Moderately Effective programs likely need to improve their efficiency or address other problems in the programs' design or management in order to achieve better results.
  • The program has established a strategic plan that includes outcome and efficiency measures, and associated baselines and targets.
  • The program is succeeding in demonstrating cost effectiveness and improved efficiencies. This cost effectiveness measure improved by 20% in FY 2007, exceeding the target of 15%.
  • The program is still working to develop independent evaluations of sufficient scope and quality that indicate the program is effective and achieving results.

Improvement Plan

About Improvement Plans

We are taking the following actions to improve the performance of the program:

  • Working to explicitly tie program accomplishment of the annual and long-term performance goals to the resource needs of the organization through conducting marginal cost analysis.
  • Evaluating the efficiency and effectiveness of OMHA through an independent evaluation that captures the entire scope of the organization.
  • Improving internal hearing and review processes in order to support 90-day statutory timeline for processing cases.

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