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1 Introduction
Pages 11-20

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From page 11...
... THE SOCIAL SECURITY DISABILITY INSURANCE PROGRAM The SSDI program was authorized by Title II of the Social Security Act and enacted in 1956 to provide benefits to disabled workers who have paid into the Social Security system and 1 There is no federal role in state workers' compensation. State compensation programs vary widely with regard to coverage, benefits, and administrative practices (Social Security Bulletin, Volume 65, No.
From page 12...
... . The Social Security Supplemental Security Income Program The SSI program, authorized by Title XVI of the Social Security Act and enacted in 1972, is a nationwide federal assistance program administered by SSA.
From page 13...
... FIGURE 1-1 SSA's five-step sequential disability evaluation process. NOTE: Substantial gainful activity (SGA)
From page 14...
... (2015) , "the Listings help ensure that disability determinations are medically sound, claimants receive equal treatment based on the specific criteria, and disabled individuals can be readily identified and awarded benefits, if appropriate." Applicants whose impairments do not meet or medically equal a Listing can still be determined disabled at step 5 on the basis of the combination of their residual functional capacity, age, education, and work experience.
From page 15...
... SSA obtains OMB approval and publishes the NPRM in the Federal Register for public comment. SSA reviews and responds to public comments, revises the proposed rule as needed, and drafts a final rule.
From page 16...
... Explain how types of utilizations are more or less probable for particular medical conditions or combinations of medical conditions; 6. Describe how factors such as poverty and urbanization level affect health care utilizations; and 7.
From page 17...
... The committee recognized that varied access to health care potentially confounds any observed relationships, and it sought to identify predictors of health-care utilization to assist in understanding the context of the relationship between receipt of health-care services and ability to work. Finally, the committee sought to understand both direct and indirect relationships between health-care utilization and ability to perform gainful activity.
From page 18...
... Inpatient hospitalization rates were similar in 1996 and 2006, for instance, but the prevalence of types of procedures has changed. Hospitalization rates for coronary artery stent insertions, hip replacements, and knee replacements rose sharply, and rates of some other procedures declined.
From page 19...
... In Chapter 4, the committee considers whether health-care utilizations might be a proxy for impairment severity, and Chapter 5 discusses the ideal characteristics of a good proxy for listing-level severity. There are three appendixes: Appendix A describes the different sites where health-care utilizations occur; Appendix B describes the search strategy that the committee used to identify and evaluate the scientific literature used in the report; and Appendix C provides detailed summaries of the literature reviewed in Chapter 4.
From page 20...
... 2016. Annual statistical report on the Social Security Disability Insurance program, 2015.


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