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Health-Care Utilization as a Proxy in Disability Determination
National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Committee on Health Care Utilization and Adults with Disabilities.
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for “listing-level” severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Contents
- The National Academies of SCIENCES • ENGINEERING • MEDICINE
- COMMITTEE ON HEALTH CARE UTILIZATION AND ADULTS WITH DISABILITIES
- Reviewers
- Acronyms and Abbreviations
- Summary
- THE LISTING OF IMPAIRMENTS
- STATEMENT OF TASK
- THE COMMITTEE'S APPROACH TO ITS TASK
- FACTORS THAT AFFECT HEALTH-CARE UTILIZATION
- CHANGING PATTERNS OF HEALTH INSURANCE AND HEALTH-CARE DELIVERY
- HEALTH-CARE UTILIZATIONS AS PROXIES FOR LISTING-LEVEL SEVERITY
- A PROXY FOR DETERMINING LISTING-LEVEL SEVERITY
- CONCLUSIONS
- 1. Introduction
- 2. Factors That Affect Health-Care Utilization
- 3. Changing Patterns of Health Insurance and Health-Care Delivery
- HEALTH INSURANCE IN THE UNITED STATES
- THE HEALTH-CARE DELIVERY SYSTEM BEFORE THE PATIENT PROTECTION AND AFFORDABLE CARE ACT
- HOW THE PATIENT PROTECTION AND AFFORDABLE CARE ACT CHANGED THE HEALTH-CARE DELIVERY SYSTEM
- EFFECT OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT ON HEALTH-CARE UTILIZATION
- EFFECT OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT ON PEOPLE WITH DISABILITIES
- SUMMARY AND CONCLUSIONS
- REFERENCES
- 4. Health-Care Utilizations as Proxies for Listing-Level Severity
- DEFINITIONS
- DATA
- MUSCULOSKELETAL SYSTEM
- SPECIAL SENSES AND SPEECH
- RESPIRATORY DISORDERS
- CARDIOVASCULAR SYSTEM
- DIGESTIVE SYSTEM
- GENITOURINARY DISORDERS
- HEMATOLOGIC DISORDERS
- SKIN DISORDERS
- ENDOCRINE DISORDERS
- CONGENITAL DISORDERS THAT AFFECT MULTIPLE BODY SYSTEMS
- NEUROLOGIC DISORDERS
- MENTAL DISORDERS
- CANCER
- IMMUNE-SYSTEM DISORDERS
- HOW HEALTH-CARE UTILIZATIONS INTERFERE WITH THE ABILITY TO WORK
- SUMMARY AND CONCLUSIONS
- REFERENCES
- 5. Proxies for Determining Listing-Level Severity
- APPENDIXES
- Glossary
Suggested citation:
National Academies of Sciences, Engineering, and Medicine. 2018. Health-care utilization as a proxy in disability determination. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/24969.
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