Lauren Hersch Nicholas Johns Hopkins School of Public Health amp School of Medicine August 3 2017 Summary and Contributions Longstanding questionconcern Does DI determination process get it right ID: 753910
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Discussion of Wu et al. “The Benefits Trajectory and Labor Market Experience of Older Workers Who Were Denied SSDI on the Basis of Work Capacity”
Lauren Hersch Nicholas
Johns Hopkins School of Public Health & School of Medicine
August 3, 2017Slide2
Summary and Contributions
Longstanding question/concern: Does DI determination process get it right?
Combine multiple survey and administrative data sources to describe experiences of older workers initially denied SSDI benefits
Focus on those denied due to work capacity
Majority ultimately receive benefits due to appeals/reapplication
Significantly larger than share than those rejected due to healthSlide3
Remaining Questions
What happens between initial denial and acceptance among those with work capacity denials?
Further health declines?
Better application strategies?
Many applicants across all groups appear healthy on some measures- what happens to these people vs. those sicker at baseline
How different is this group vs. other claimers? Most never-SSDI applicants claim before FRA, tooSlide4
Health and Medicare Utilization by Benefit Claiming Type
DI recipients
DI Rejected applicants
OASI at 62-64
OASI at 65+
Medicare Spending at 65
9,415
6,9753,4592,736Medicare Spending at 7010,7336,7735,6405,545Health Limits Work Pre-650.9610.590.59Health Limits Housework Pre-650.650.540.310.34Health Limits Activities Pre-650.310.220.240.23Observations1,475404,1623,540
Notes:
Health and Retirement Study survey data from 1996 – 2008 linked to Medicare administrative claims data for respondents enrolled in Fee-for-Service Medicare for the 365 days after their 65
th
(70
th
) birthday. Medicare spending in 2008 $. Slide5
Suggestions/Extensions
HRS survey data and other linkages can fill in some gaps
Job demands (survey and/or O*Net linkage)
Employment shocks, i.e. mass layoffs
State economic conditions
New health conditions
Possible comparison group(s)- similarly disabled non-applicants, individuals close to early eligibilitySlide6
% of Older Adults Working for Pay by Year of Age