Jul 8, 2013

SAAs, ALJs And OTRs

     From a report by Social Security's Office of Inspector General (OIG):  
The SAA [Staff Attorney Adjudicator] Program [also known as Senior Attorney program] has contributed to both an increase in adjudicative capacity and improved average processing time. However, the number of SAA OTRs[On The Records] peaked in FY [Fiscal Year] 2010, and the decline continued through the first 5 months of FY 2013. Overall, SAA and ALJ [Administrative Law Judge] OTRs have been decreasing since FY 2008, consistent with ODAR management’s predictions. In addition, in an FY 2012 quality review, the Office of Quality Performance noticed a significant drop in its decisional agreement rate on SAA OTRs, though the Agency did not have sufficient data to determine whether the issue was specific to SAAs or more broadly related to OTRs. Finally, hearing office managers were interested in additional training and greater duties for their SAAs. Given the expected decline in SAA OTRs, which was the primary purpose of the SAA Program, SSA should decide before any future extension of the program, or expansion of the SAA corps, whether the program needs to be modified to address future hearing office workload needs. ...
The SAA Program has contributed to hearing office productivity and timeliness since its introduction in FY 2008, though SAA OTR decisions peaked in FY 2010. SAA OTR decisions decreased by 31 percent in FY 2012 and continued dropping through the first 5 months of FY 2013. OTR decisions as a percent of total dispositions, whether decided by SAAs or ALJs, also decreased over the same 5-year period, from about 17 percent in FY 2008 to about 10 percent in FY 2012. An OQP [Office of Quality Performance] quality review of FY 2012 SAA OTR decisions found a significant decrease in the decisional agreement rate from prior years. However, the Agency has not conducted similar quality reviews focused on ALJ OTR decisions, so we could not determine whether the quality issues related to SAAs specifically or OTRs in general. ...

     Social Security has employed non-ALJ attorneys for decades. They have assisted ALJs, mostly by writing decisions for them. One of their other duties has been to look for cases in which it would be appropriate to do an OTR. OTRs help get favorable decisions out more quickly to the most severely disabled people. The non-ALJ attorney would advise an ALJ that a particular case was appropriate for an OTR and, usually, but not always, the ALJ would agree and the favorable decision would be issued with the ALJ's signature. Social Security decided it would be best to eliminate the middleman -- the ALJ -- and let the attorneys, referred to as Senior Attorneys or SAAs issue the OTRs on their own authority, thereby saving the time that the ALJs had spent reviewing cases identified for possible OTR.  ALJs as a group have always objected to SAAs issuing decisions in their own right. Whatever anyone thinks of the SAA program, there's no doubt that the SAA program helped work down the terrible hearing backlogs. Those backlogs are less terrible now but we're certainly not at backlog levels that anyone should be comfortable with.
     Why did SAA decisions decrease after 2010? The 2010 election results are the obvious underlying reason but exactly why the change occurred may be a more difficult question. Was it a desire to somehow placate the new Republican majority in the House by approving fewer claims? Was it that then-Commissioner Astrue only used SAA because of pressure from the prior Democratic majority in the House and felt free to wind down the SAA program after Republicans gained control of the House of Representatives? Was it because reduced staffing forced the attorneys to stick to writing decisions for cases ALJs had heard instead of reviewing cases as SAAs? Was it simply because the backlog had come down enough that then-Commissioner Astrue thought that the SAA expedient could be phased out?
     I have no idea why OQP found a decrease in decisional agreement. Since there is no gold standard against which to measure SAA or ALJ decisions, I regard any report that OQP produces on decisional quality to be worthless. In any case, I'm confident in saying that there was no real change in SAA decisions. The change was at OQP.
     The most interesting question to me is why ALJ OTRs decreased. I can't explain it but I've certainly seen greatly increased ALJ reluctance to issue OTRs in the last three years or so. It's not unusual for me to have a hearing where the ALJ, in effect, tells me before the hearing begins that he or she has already decided to approve the claim. The ALJ wants to make sure I know so I get the hearing over quickly. This seems to be an effort to disguise an OTR. What's the point of this? Are ALJs afraid that if they do too many OTRs that something will happen to them? If so, who or what put this fear in them? What's the threat? To me, this just seems pointless. Some cases are appropriate for OTR, regardless of who the decision maker is. Who wants to slow down the process of approving people who obviously deserve to be approved?

Jul 7, 2013

What A Deal!

     From the National Journal (emphasis added):
With an anxious eye toward the coming debt-ceiling negotiations, House Republicans are drafting what members call a “menu” of mandatory spending cuts to offer the White House in exchange for raising the country’s borrowing limit.
This menu is more a matrix of politically fraught options for the Obama administration to consider: Go small on cuts and get a short extension of the debt ceiling. Go big – by agreeing to privatize Social Security, for example – and get a deal that will raise the ceiling for the rest of Obama’s term.
     For a more modest medium range extension of the budget ceiling, all Obama would have to agree to is ending Medicaid.

Up And Down With The Roller Coaster

      Social Security has issued updated numbers on payments of fees to attorneys and some others for representing Social Security claimants. These fees are withheld and paid by Social Security but come out of the back benefits of the claimants involved. The attorneys and others who have their fees withheld pay a user fee for this privilege. Since these fees are usually paid at the same time that the claimant is paid, these numbers show how quickly or slowly Social Security is able to get claimants paid after a favorable determination on their claims.
Month/Year Volume Amount
Jan-13
32,663
$96,690,734.65
Feb-13
35,508
$102,242,540.93
Mar-13
45,189
$130,690,281.94
Apr-13
33,178
$92,566,832.32
May-13
42,841
$122,781,135.03
June-13
33,954
$97,627,420.68

Jul 6, 2013

SSA Not Yet Implementing DOMA Decision

     Social Security has issued new instructions on dealing with same sex marriage cases. Social Security's Administrative Law Judges are now instructed to cancel any scheduled hearing dealing with this issue and to not make a decision in any case that has already been heard. I don't know how many of these cases there may be but I'd bet the vast majority of them are couples who still live in the state in which they were married. I know there are issues with cases where the parties to the marriage have moved to a state that refuses to recognize same sex marriage but there is no issue when the parties live in the state where they were married. How long should it take to write instructions for these cases?

Fair And Balanced

     From Media Matters:

Jul 5, 2013

Not Buying It

     Jay Barnes isn't buying the claims that Social Security is pressuring its Administrative Law Judges to approve disability claims.

Jul 4, 2013

Jul 3, 2013

Soaring Disability Payments?

     We keep hearing that Social Security disability benefit payments are soaring. They're going through the roof. It's ruinous how rapidly disability payments are rising. Funny thing about that. It's not happening, at least not anymore. Below is a chart showing Disability Insurance Benefits payments over the last two years. I know the chart contains some extraneous information but I couldn't copy just the month and the total benefit payments. Notice that benefit payments have gone up in the last two years by 8%, which is certainly significant but hardly a disastrous increase considering the aging of the baby boom population and considering the 3.6% cost of living adjustment at the end of 2011 and the 1.7% cost of living adjustment at the end of 2012. More interesting is that the increase in benefit payments has ground to a halt over about the last year. We seem to be near stasis. This is exactly what the actuaries have been predicting. Once the number of baby boomers reaching full retirement age, making them no longer eligible for disability benefits, started equaling the number reaching their prime years for disability, the boom in disability claims would be over. Well, it's happened. It's right there in the numbers you see below. Total benefit payments in June 2013 were less than they were nine months earlier in September 2012, despite the intervening cost of living adjustment.
DI Payment Summary
(in millions)
Year Month
paid
Total
benefit
payments a
Cyclical payments b Medicare
premium
deductions
All other
payments
Total Cycle 1Cycle 2 Cycle 3Cycle 4
2011 Jul $10,897 $9,116 $5,168 $1,305 $1,303 $1,341 $430 $1,351
2011 Aug 10,761 9,133 5,171 1,309 1,307 1,345 430 1,198
2011 Sep 10,818 9,169 5,189 1,315 1,313 1,352 433 1,216
2011 Oct 10,758 9,207 5,206 1,322 1,320 1,359 433 1,118
2011 Nov 10,638 9,235 5,222 1,326 1,324 1,363 435 967
2011 Dec 10,970 9,337 5,292 1,337 1,334 1,374 434 1,199

2012 Jan 11,278 9,668 5,459 1,391 1,388 1,429 428 1,182
2012 Feb 11,279 9,693 5,472 1,395 1,393 1,433 429 1,156
2012 Mar 11,522 9,730 5,490 1,401 1,398 1,441 438 1,354
2012 Apr 11,376 9,767 5,508 1,407 1,404 1,447 434 1,175
2012 May 11,247 9,811 5,529 1,415 1,412 1,455 436 1,000
2012 Jun 11,625 9,816 5,531 1,416 1,414 1,455 442 1,367
2012 Jul 11,434 9,841 5,539 1,422 1,419 1,461 442 1,152
2012 Aug 11,124 9,849 5,542 1,424 1,421 1,462 442 832
2012 Sep 11,847 9,846 5,542 1,423 1,420 1,461 449 1,551
2012 Oct 11,139 9,889 5,562 1,431 1,428 1,469 442 807
2012 Nov 11,219 9,894 5,568 1,430 1,428 1,468 449 876
2012 Dec 11,788 9,966 5,627 1,435 1,431 1,472 445 1,378

2013 Jan 11,583 10,079 5,676 1,456 1,453 1,494 471 1,033
2013 Feb 11,590 10,076 5,677 1,455 1,451 1,493 472 1,041
2013 Mar 11,827 10,089 5,684 1,456 1,453 1,496 475 1,263
2013 Apr 11,572 10,106 5,695 1,458 1,455 1,498 470 997
2013 May 11,786 10,136 5,716 1,460 1,458 1,502 471 1,179
2013 Jun c 11,734 10,136 5,717 1,460 1,457 1,501 475 c 1,123