reforming the social security disability system a clarion call for action and change n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Reforming the Social Security Disability System: A Clarion Call for Action and Change PowerPoint Presentation
Download Presentation
Reforming the Social Security Disability System: A Clarion Call for Action and Change

Loading in 2 Seconds...

play fullscreen
1 / 13

Reforming the Social Security Disability System: A Clarion Call for Action and Change - PowerPoint PPT Presentation


  • 143 Views
  • Uploaded on

Reforming the Social Security Disability System: A Clarion Call for Action and Change. Dr. Bruce S. Growick The Ohio State University. Dr. Growick’s Background. Faculty at OSU in the areas of disability and rehabilitation for 20 years

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Reforming the Social Security Disability System: A Clarion Call for Action and Change' - senona


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
reforming the social security disability system a clarion call for action and change

Reforming the Social Security Disability System: A Clarion Call for Action and Change

Dr. Bruce S. Growick

The Ohio State University

dr growick s background
Dr. Growick’s Background
  • Faculty at OSU in the areas of disability and rehabilitation for 20 years
  • As rehab educator, trained MA level rehabilitation counselors in disability issues and service delivery
  • Presidential Appointee to U.S. Access Board
  • 2 yrs- Director of Rehab Services for OH Bureau of Workers’ Compensation
  • Vocational Expert for SSA, federal and state court systems for 20+ yrs
  • Actively involved in passage of Ticket to Work on behalf of private sector rehab providers
three areas of investigation
Three Areas of Investigation
  • Definition and Process of Disability Determination used by SSA
  • Connection between Disability Status and Return to Work (RTW)
  • Delivery of RTW Services to SSA Beneficiaries
restructuring the disability determination dd process
Restructuring the Disability Determination (DD) Process
  • Need to create new classifications of disability status similar to Workers’ Compensation and Long-Term Disability categories:
    • Permanent total and temporary total
    • Permanent partial and temporary partial
    • Time-limited, medical only benefits
  • Eliminate all or nothing approach to disability
restructuring the disability determination dd process1
Restructuring the Disability Determination (DD) Process
  • Eliminate over reliance on medical listings and medical-vocational grids
    • Does not recognize individual differences or functional limitations of applicants
  • Many different definitions of disability based on purpose and use
    • Civil rights – ADA; employment - SSA
establishing a viable connection between disability and rtw
Establishing a Viable Connection between Disability and RTW
  • All disability indemnity systems have 3 principal components
    • Medical care
    • Cash payments
    • Vocational (RTW) services
establishing a viable connection between disability and rtw1
Establishing a Viable Connection between Disability and RTW
  • Critical components of the “Ticket”
    • Consumer choice of providers: deregulation of the vocational rehabilitation industry
    • Continued medical coverage
    • Reinstatement of benefits -“Easy on and off”
establishing a viable connection between disability and rtw2
Establishing a Viable Connection between Disability and RTW
  • Limitations of the “Ticket”
    • Outcome only payment system for providers is not working
    • Lack of interest by beneficiaries – RTW services should occur before disability determination
    • Reluctance to change by State Federal VR and its partners
      • Resistance is similar to changes created by introduction of supported employment in the 1980’s.
delivery of rtw services to ssa beneficiaries
Delivery of RTW Services to SSA Beneficiaries
  • Make mandatory referral for RTW a part of DD process
    • Most DD Services at the state level are administered by the State Vocational Rehabilitation agency
  • Have RTW information in the file at the appeal level for a more informed disability decision by the ALJ
  • Private sector and public sector delivery of services
    • What are the advantages and disadvantages of each system?
comparison of private sector vs public sector rtw services
1) Hierarchy of RTW

Same job-same employer

Different job – same employer

Same job – different employer

Different job – different employer

Retraining

1) No hierarchy of RTW

Comparison of Private Sector vs. Public Sector RTW Services
comparison of private sector vs public sector rtw services1
2) Sources of funding

Operates on earned income

No appropriated $$$

Greater accountability for $$ spent per case

2) Sources of funding

Operates on appropriated $$$

Accountable for number of people served, not $$ spent per case

Comparison of Private Sector vs. Public Sector RTW Services
comparison of private sector vs public sector rtw services2
3) Provides direct job placement and RTW services

3) Does not provide direct job placement and RTW services

Provides $$ mostly for training and educational services

Sub contracts with vendors for RTW and direct job placement services

Order of selection and waiting lists

Comparison of Private Sector vs. Public Sector RTW Services
comparison of private sector vs public sector rtw services3
4) Measurement of Success

Success measured by 3 variables:

Time to RTW (case velocity)

Cost per case ($$$)

Outcome (hierarchy and RTW)

4) Measurement of Success

Successful closure defined by 2 factors:

Greater independence

Quality of life

Comparison of Private Sector vs. Public Sector RTW Services