Claims processing (11 - 20 of 45 items)
Social Security Disability: Improving Notices to Denied Claimants
GAO-09-183R: Published: Jan 9, 2009. Publicly Released: Jan 9, 2009.
On December 17, 2008, GAO issued a report concerning our findings on the Social Security Administration's (SSA) collection of medical evidence in the disability determination process. In the course of our review, an issue arose that was outside the scope of our work but is important to how SSA communicates its disability determinations to claimants. During this review, we examined a limited random...
Social Security Disability: Collection of Medical Evidence Could Be Improved with Evaluations to Identify Promising Collection Practices
GAO-09-149: Published: Dec 17, 2008. Publicly Released: Dec 17, 2008.
The timely collection of relevant medical evidence from providers, such as physicians and psychologists, is key to the Social Security Administration (SSA) process for deciding whether an estimated 2.5 million new claimants each year have impairments that qualify them to receive disability benefits. The initial determinations are generally made by state agencies called Disability Determination Ser...
Federal Disability Programs: More Strategic Coordination Could Help Overcome Challenges to Needed Transformation
GAO-08-635: Published: May 20, 2008. Publicly Released: May 27, 2008.
In 2003, GAO designated federal disability programs as a high-risk area because federal disability programs remained grounded in outmoded concepts that have not been updated to reflect the current state of science, medicine, technology, and labor market conditions. In addition, the Social Security Administration (SSA) and the Department of Veterans Affairs (VA) faced management challenges, especia...
Disability Programs: SSA Has Taken Steps to Address Conflicting Court Decisions, but Needs to Manage Data Better on the Increasing Number of Court Remands
GAO-07-331: Published: Apr 5, 2007. Publicly Released: Apr 5, 2007.
The Social Security Administration's (SSA) Disability Insurance and Supplemental Security Income programs provided around $128 billion to about 12.8 million persons with disabilities and their families in fiscal year 2005. Claimants who are denied benefits by SSA may appeal to federal courts. Through current initiatives, SSA is attempting to reduce the number of cases appealed to courts and remand...
Unemployment Insurance: Better Data Needed to Assess Reemployment Services to Claimants
GAO-05-413: Published: Jun 24, 2005. Publicly Released: Jun 24, 2005.
With unemployed workers at a greater risk of long-term unemployment than in the past, it is increasingly important to quickly connect Unemployment Insurance (UI) claimants with reemployment activities. However, the shift to remote claims filing in many states has raised concerns about maintaining a connection between the UI program and reemployment services. This report examines (1) the extent to...
Social Security Disability Insurance: SSA Actions Could Enhance Assistance to Claimants with Inflammatory Bowel Disease and Other Impairments
GAO-05-495: Published: May 31, 2005. Publicly Released: May 31, 2005.
Advocates for patients with inflammatory bowel disease (IBD) believe that the Social Security Administration's (SSA) process for determining eligibility for Disability Insurance (DI) may treat some claimants unfairly. As a result, claimants with IBD believe they are likely to be denied benefits at the initial decision and reconsideration levels, making it necessary for them to appeal to SSA's hear...
SSA's Disability Programs: Improvements Could Increase the Usefulness of Electronic Data for Program Oversight
GAO-05-100R: Published: Dec 10, 2004. Publicly Released: Dec 10, 2004.
In 2003, we added the federal government's disability programs to our high-risk list in part because of difficulties agencies faced in managing these programs and the expected growth in the rolls as baby boomers reach their disability-prone years. The Social Security Administration (SSA) manages the federal government's two largest disability programs, the Disability Insurance (DI) program and the...
Social Security Administration: More Effort Needed to Assess Consistency of Disability Decisions
GAO-04-656: Published: Jul 2, 2004. Publicly Released: Jul 2, 2004.
Each year, about 2.5 million people file claims with the Social Security Administration (SSA) for disability benefits. If the claim is denied at the initial level, the claimant may appeal to the hearings level. The hearings level has allowed more than half of all appealed claims, an allowance rate that has raised concerns about the consistency of decisions made at the two levels. To help ensure co...
Social Security Disability: Commissioner Proposes Strategy to Improve the Claims Process, but Faces Implementation Challenges
GAO-04-552T: Published: Mar 29, 2004. Publicly Released: Mar 29, 2004.
Delivering high-quality service to the public in the form of fair, timely, and consistent eligibility decisions for disability benefits is one of SSA's most pressing challenges. This testimony discusses (1) the difficulties SSA faces managing disability claims processing; (2) the outmoded concepts of SSA's disability program; and (3) the Commissioner's strategy for improving the disability process...
Unemployment Insurance: Enhanced Focus on Program Integrity Could Reduce Overpayments
GAO-02-820T: Published: Jun 11, 2002. Publicly Released: Jun 11, 2002.
The Department of Labor's Unemployment Insurance (UI) program is a federal-state partnership designed to partially replace lost earnings of individuals who become unemployed through no fault of their own and to stabilize the economy in times of economic downturn. The health of each state's UI program depends, in part, on their ability to control benefit payments by accurately determining eligibili...