U.S. Social Security Administration, Office of Policy

Medicare (Hospital Insurance, Part A)

 

Disability Benefit Coverage and Program Interactions in the Working-Age Population

from Social Security Bulletin, Vol. 68 No. 1 (released August 2008)

It is widely known that about three-fourths of the working-age population is insured for Disability Insurance (DI), but the substantial role played by the Supplemental Security Income (SSI) program in providing disability benefit coverage is not well understood. Using data from the 1996 panel of the Survey of Income and Program Participation (SIPP) we find that over one-third (36 percent) of the working-age population is covered by SSI in the event of a severe disability. Three important implications follow: (1) SSI increases the overall coverage of the working-age population; (2) SSI enhances the bundle of cash benefits available to disabled individuals; and (3) interactions with other public programs—most notably the SSI path to Medicaid coverage—also enhance the safety net. Ignoring these implications could lead to inaccurate inferences in analytic studies.

This document is available in the following formats: HTML  PDF

Characteristics of Noninstitutionalized DI and SSI Program Participants

Research and Statistics Note No. 2008-02 (released January 2008)

This document is available in the following formats: HTML  PDF

Medicare Premium Buy-in Programs: Results of SSA Demonstration Projects

from Social Security Bulletin, Vol. 63 No. 3 (released July 2001)

In response to a Congressional mandate, SSA tested six different techniques to increase enrollment in programs that pay some Medicare expenses, such as premiums, for low-income individuals. This article describes these outreach projects, provides estimates of the eligible population, and discusses what could be expected for future efforts based on the results of the project.

This document is available in the following formats: PDF

Eligibility for the Medicare Buy-in Programs, Based on a Survey of Income and Program Participation Simulation

from Social Security Bulletin, Vol. 63 No. 3 (released July 2001)

Fewer people appear eligible for Medicare buy-in programs than most earlier research indicated, implying that participation rates may be higher than previously believed. The authors estimate a 63 percent rate of participation among those eligible for the combined Qualified Medicare Beneficiary and Specified Low-Income Medicare Beneficiary programs in 1999. The estimates are based on Survey of Income and Program Participation data matched to the Social Security Administration's administrative records. The matched data provide information of better quality than the data used in previous studies.

This document is available in the following formats: PDF

Social Security Programs in the United States

(released July 1997)

This publication presents a comprehensive picture of the vast network of programs under the Social Security Act and how they operate. The programs are grouped into four major areas: social insurance, health insurance and health services, assistance programs, and programs for specific groups (such as veterans, government employees, and railroad workers).

Statistical Methods for the Estimation of Costs in the Medicare Waiting Period for Social Security Disabled Worker Beneficiaries

ORES Working Paper No. 37 (released March 1989)

This paper presents the statistical methods used to estimate Medicare costs in the waiting period that were presented in text tables 2–3 of Bye and Riley (1989). The first part describes the development of Medicare utilization equations for each Social Security Disability Insurance (DI) program status group. The second part describes how these equations were used to predict expected costs per month and how the monthly estimates were aggregated to yield estimates of costs in the full 2-year waiting period and in the second year only. Finally, there is a brief discussion of the accuracy of the predictions.

This document is available in the following formats: PDF