Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-04-02

Total Pages: 161

ISBN-13: 030946921X

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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.


Gbds: Group Benefits Disability Specialist

Gbds: Group Benefits Disability Specialist

Author: Peter Silkowski

Publisher:

Published: 2011-11

Total Pages: 0

ISBN-13: 9781936362578

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Too many Americans overlook the importance of protecting their most valuable asset -- the ability to earn an income. As such, the role of insurance agents and advisors who focus on Disability benefits is vital to the financial security of their clients. To distinguish yourself in the Group Benefits Disability arena, consider the value of earning the GBDS Group Benefits Disability Specialist designation. The GBDS program will equip you with the tools you need to engage clients in meaningful dialogue about the entire group benefits product portfolio, and help you position the importance of the least understood group insurance -- disability income insurance. Through completion of the rigorous GBDS self-study curriculum, you will gain significant expertise that will benefit both your clients and your career. Through the program's 19 modules, you will: * Learn about the size and scope of the group disability market. * Understand the need for disability insurance. * Learn how disability coverage has evolved over time. * Understand why and how disability insurance poses unique challenges versus other types of insurance. * Learn how disability insurance is regulated. * Learn about different types of government-sponsored disability insurance programs and how they coordinate with each other and with other non-government sponsored insurance programs. * Understand how group disability insurance policies are designed and structured. * Learn how group disability premiums and benefits are treated for tax purposes. * Understand the underwriting criteria and standards used in evaluating the insurability of different groups. * Learn how group disability insurers handle substandard cases. * Learn how disability claims are processed, managed, and ultimately resolved. * Learn about the extent of insurance fraud and tools used to combat such fraud. * Learn about different service-related needs of group disability clients. * Learn about trends that are, and will continue to impact the group disability market. * Learn how to design and properly present a group disability insurance program best suited to a given group's needs. Benefits of Attaining the GBDS Designation: * Increased client retention -- and renewals. * Know when to open a group disability case -- and when not to. * Demonstrate to clients the critical importance of disability insurance for their employees and themselves. * Recognize the tell-tale signs of possible disability fraud. * Leverage the use of core buy-up plans. * Explain the differences between government-provided and private disability coverage. * Design group disability plans that meet the needs of employees, employers and the insurer. * Steer clear of regulatory issues related to disability insurance. * Ensure employees receive claims service that is fair, efficient and proactive. * Recognize which carriers are most compatible with the business you want to write. * Understand the tax consequences of different group disability funding mechanisms.


Understanding SSI (Supplemental Security Income)

Understanding SSI (Supplemental Security Income)

Author:

Publisher: DIANE Publishing

Published: 1998-03

Total Pages: 65

ISBN-13: 078814555X

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This publication informs advocates & others in interested agencies & organizations about supplemental security income (SSI) eligibility requirements & processes. It will assist you in helping people apply for, establish eligibility for, & continue to receive SSI benefits for as long as they remain eligible. This publication can also be used as a training manual & as a reference tool. Discusses those who are blind or disabled, living arrangements, overpayments, the appeals process, application process, eligibility requirements, SSI resources, documents you will need when you apply, work incentives, & much more.


Pain and Disability

Pain and Disability

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1987-01-01

Total Pages: 318

ISBN-13: 0309037379

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Painâ€"it is the most common complaint presented to physicians. Yet pain is subjectiveâ€"it cannot be measured directly and is difficult to validate. Evaluating claims based on pain poses major problems for the Social Security Administration (SSA) and other disability insurers. This volume covers the epidemiology and physiology of pain; psychosocial contributions to pain and illness behavior; promising ways of assessing and measuring chronic pain and dysfunction; clinical aspects of prevention, diagnosis, treatment, and rehabilitation; and how the SSA's benefit structure and administrative procedures may affect pain complaints.


The Basics of Disability Insurance

The Basics of Disability Insurance

Author: George Abbot

Publisher: nukforme

Published: 2015-01-12

Total Pages: 9

ISBN-13:

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Disability Insurance for Doctors provides for loss of income as a result of the inability to continue to work because of an accident or illness. Typically, there is a waiting period of three to six months before the disabled individual will receive his or her checks. Disability Insurance is an essential element to every physician's or Doctors financial wellbeing. This ebook by George Abbot will give a brief explanation on Disability Insurance for Doctors, for more information visit: http://www.gotdisabilityinsurance.com


True Security

True Security

Author: Michael J. Graetz

Publisher: Yale University Press

Published: 1999-01-01

Total Pages: 388

ISBN-13: 9780300081947

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Social insurance in the United States--including the Social Security Act of 1935 and the Medicare, Medicaid, and disability insurance programs that were added later--may be the greatest triumph of American domestic policy. But true security has not been achieved. As Michael J. Graetz and Jerry L. Mashaw show in this pathbreaking book, the nation's system of social insurance is riddled with gaps, inefficiencies, and inequities. Even the most popular and successful programs, Medicare and Social Security, face serious financial challenges from the coming retirement of the baby boom generation and the aging of the population. This book challenges the notion that American social insurance must remain inadequate, unaffordable, or both. In sharp contrast to policymakers and analysts who debate only one income security program at a time, Graetz and Mashaw examine social insurance whole to assess its crucial role in providing economic security in a dynamic market economy. They recognize that, notwithstanding a proper emphasis on individual freedom and responsibility, Americans share a common fate that binds them together in a common enterprise. The authors offer us a new vision of the social insurance contract and concrete proposals to make the nation's families more secure without increasing costs.