Cardiovascular Disability Updating the Social Security Listings (2010) / Chapter Skim
Currently Skimming:
3 Cardiovascular Disability Trends
3 Cardiovascular Disability Trends
Pages 53-62
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 53... ...
. In 2006, 831,000 Americans died of cardiovascular diseases, compared with 560,000 deaths from cancer, 125,000 from chronic obstructive pulmonary disease and other respiratory conditions, and 122,000 from accidents, which were the next most common causes of death (Lloyd-Jones et al., 2010; NHLBI, 2009)
|
From page 54... ...
. SOCIAL SECURITY CARDIOVASCULAR DISABILITY TRENDS Total Beneficiaries and New Awardees in 2008 In December 2008, 758,324 adults ages 18 to 64 whose primary impairment was a disease of the circulatory system were receiving Social Security Disability Insurance (SSDI)
|
From page 55... ...
, but the share of allowances based on meeting or medically equaling the Listings -- thus avoiding the time- and resource-intensive Steps 4 and 5 of the sequential evaluation process -- dropped substantially, a trend that is discussed in the next section. Use of the Adult Cardiovascular Listings body System-level trends Closer inspection of the share of initial adult allowances made at Step 3 (based on the cardiovascular listings)
|
From page 56... ...
This dataset records the number of initial and reconsideration decisions made by the state dis Figure 3-1 -- PORTRAIT & BLACK & WHITE.eps ability determination services by primary impairment code and calendar year, which can be aggregated at the body system level, as has been done in this figure. Part of the transition from Step 3 to Step 5 allowances during the period 1994 to 1995 may be attributed to the types of claims received during and after the 1990 to 1992 recession (Lewin-VHI, 1995)
|
From page 57... ...
This dataset Figure 3-2.eps records the number of initial and reconsideration decisions made by the state disability determination services by primary impairment code and calendar year, which can be aggregated at the body system level, as has been done in this figure. The next comprehensive revision of the adult cardiovascular listings took effect in April 2006 and had a lesser impact on the shares of allowances made at Steps 3 and 5.
|
From page 58... ...
The main reason for the upward trend may be the revisions SSA made to the listings for chronic heart failure and, to a lesser extent, chronic venous insufficiency.4 Over the same time period, though, Step 3 allowances based on the listing for ischemic heart disease continued to decline. 3 Each of the remaining four cardiovascular listings accounts for less than 200 allowances each year.
|
From page 59... ...
SOURCE: IOM staff, using data from a dataset provided by SSA. This dataset records the number of initial allowances based on meeting or equaling the cardiovascular listings made by the state disability determination services by listing and calendar year.
|
From page 60... ...
10 0% 90 % 80 % 70 % 60 % Cardiac transplantatio n Hear t failure 50 % Peripheral vascular disease Chronic ischemic hear t disease 40 % Congenital hear t anomalies Angina pectoris 30 % 20 % 10 % 0% 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 FIGURE 3-5 Percentage of adult initial allowances based on the cardiovascular listings, by selected impairment code, 1989–2008. SOURCE: IOM Figure 3-5 -- PORTRAIT &provided by SSA.
|
From page 61... ...
Disposition of Child Cardiovascular Disability Claims, 1999–2009 In recent years, SSA has decided about 7,000 initial claims annually by children for SSI benefits in which the primary impairment code was 6 From 1989 to 2008, the share of all adult allowances that met or equaled the listings declined from 62.9 to 50.3 percent. During the same time period, the share of cardiovascular adult allowances that met or equaled the listings declined much more, from 63.1 to 25.6 percent (IOM staff analysis of unpublished data provided by SSA)
|
From page 62... ...
In recent years, approximately threequarters of the allowances have been based on meeting or medically equaling the congenital heart disease listings (4.06 and 104.06) , 6 percent were for meeting or medically equaling other cardiovascular listings, and 19 to 20 percent were for functionally equaling the listings.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.