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Cardiovascular Disability Updating the Social Security Listings (2010) / Chapter Skim
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16 Future Directions for Improving the Listings
Pages 231-234

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From page 231...
... POLICY ISSUES If health insurance reform increases access to health services, and if increased access helps ensure that tests and other procedures Social Security cannot provide because of high cost or risk, such as catheterization, are regularly performed, the cardiovascular listings could be revised to require such tests and other procedures to meet the Listings. Also, increased access may reduce the rate of decline in an individual's health and the resultant inability to work caused by some impairments to the point that a listing is no longer needed.
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From page 232...
... An analysis of claims process data could find that functionally limited claimants with heart failure with an ejection fraction of 35 percent are nearly always allowed at Step 5, or that claimants with PAD with an ABI of 0.55 are invariably allowed at Step 5, and the listings could be revised accordingly. Similar analyses could be done of allowances that equal a listing; for example, if the rate of allowances equaling the listing for a particular impairment was increasing unexpectedly, the research might find that the medical community has adopted a new test to diagnose or determine the severity of the condition, and that test could be added to the listing so claimants could more easily and reliably be allowed at Step 3.
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From page 233...
... CORRELATION OF IMPAIRMENTS AND FUNCTIONAL LIMITATIONS SSA would benefit from research on the relationship among various degrees of anatomical impairment, which can be fairly objectively determined, and the functional limitations of individuals with those impairments. A body of research shows the average exercise limitations of individuals with a particular diagnosis, such as the limitations on the walking capacity of patients with PAD, defined as an ABI less than 0.90.
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From page 234...
... RECOMMENDATION 16-1. SSA should plan and sponsor a balanced program of research to improve the reliability, validity, and utility of the Listings in four areas: policy implications, programmatic issues, correlation of impairments and impairment severity with functional limitations related to work capacity, and the underlying prevalence of and trends in impairments in the population.
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Key Terms

  • heart failure
  • disability decision
  • increased access
  • anatomical impairment
  • disability determination

  • decision process
  • security disability
  • medical record
  • insurance reform
  • program planning

  • major depression
  • programmatic issues
  • health insurance
  • cardiovascular listings
  • functional limitations

  • determination decisions
  • currently uncertain
  • proposed change
  • work capacity
  • helps ensure

  • various ejection
  • increasing unexpectedly
  • specific ejection
  • survivors insurance
  • agency access

  • security definition
  • increases access
  • little information
  • security administration
  • insurance program


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