New Anti-Fraud Effort

     From the Social Security Update:

Social Security’s Office of Anti-Fraud Programs (OAFP) is the latest member of Social Security’s team supporting our continued mission to fight and prevent fraud. Established in November 2014, OAFP’s mission is to efficiently and effectively detect, deter, and mitigate fraud, waste, and abuse of our program of Social Security’s team supporting our continued mission to fight and prevent fraud. Established in November 2014, OAFP’s mission is to efficiently and effectively detect, deter, and mitigate fraud, waste, and abuse of our programs.

     I hope they find whatever fraud there is but what's going on here is clear. Congressional Republicans are pressuring the Social Security Administration to use its scarce resources to find examples of fraud, not because the Republicans are genuinely interested in reducing fraud, but because they want to use any example of fraud, no matter how isolated, as grounds for cutting disability benefits. 
     It's not like no one was trying to combat fraud at Social Security. That's the primary responsibility of the Office of Inspector General. What's the point of some other office working the same beat? 

Planning To Pour Money Down A Rat Hole

     Social Security is publishing a request for comments on a plan for a research study on early intervention as a way of reducing disability caused by mental illness. The agency cites earlier research showing "promising" results from early intervention. Here's what the earlier research  actually says:

Eight  percent  of  the  study  participants  showed average  earnings  over  the  24-month study  period  that  exceeded  the  current  level  of  SGA [Substantial Gainful Activity, the level of earnings that would cause loss of benefits].  Beneficiaries  in  the  treatment group did not  experience  an increase  in work  that  SSA  considers  SGA  when  compared to participants  in the  control  group.  Neither  did participants  in the  treatment  group experience  a  reduction in  benefit  payments  when  compared to participants  in the control  group.

     If that's "promising", what would unpromising results look like? I really wish that something like this would work but it won't. The people who receive Social Security disability benefits due to mental illness are so badly impaired that very few of them will ever return to regular employment no matter what anyone does.

What's The Point?

     House Social Security Subcommittee Democrats are pushing a plan to combine the Disability Insurance Trust Fund with the Retirement and Survivors Trust Fund as a way of dealing with the looming shortfall in the Disability Trust Fund. Why? How is this better in any way than the Administration's plan to divert some FICA revenues to the Disability Trust Fund? It would have been nice if Democrats had tried this when they had control of the House but now? What's the point? It's going nowhere.

How Often Does This Happen?

     Guy gets a new Social Security number because some other guy had been using the same number and messed up his credit.

MEGAHIT Working Well -- But How Much Does It Matter?

     From a report by Social Security's Office of Inspector General (OIG):

Despite challenges, SSA [Social Security Administration] continued expanding health IT [Information Technology] and partnered with 38 health care organizations, exchanged electronic records in 30 States and the District of Columbia, and identified ways of enhancing health IT case processing and data analytics. In addition, the DDSs [Disability Determination Services] reported they were generally satisfied with MEGAHIT (Medical Evidence Gathering and Analysis Through Health IT); however, some suggested enhancements to the system. Some DDSs also reported MEGAHIT issues that the Agency did not know about, despite SSA previously soliciting DDS user feedback. 

Finally, our review of 275 sample cases found (a) that MEGAHIT received electronic health records 19 days faster than traditional records and (b) SSA made disability decisions, on average, 21 days faster, in the 5 cases where only health IT records were requested. 

Recommendations 

1. Continue to solicit, on a regular basis, DDS user feedback in MEGAHIT enhancements. 
2. Enhance procedures to maintain and update MEGAHIT partner data, such as addresses. 
3. Enhance methods to improve the use of information received via Health IT. 
4. Increase health IT partners — taking advantage of nation-wide Federal efforts led by Health and Human Services’ Office of the National Coordinator for Health Information Technology. SSA agreed with the recommendations.

     Before anyone gets too excited about this, it's something that works best only when dealing with huge medical providers. In fact, that's the only way it works now since huge medical providers are the only ones using MEGAHIT. However, the vast majority of disability claimants receive at least part of their evaluation and treatment from smaller medical providers. Getting those records is mostly a matter of sending a written request through the mail and receiving a written response through the mail. That's not changing any time soon. MEGAHIT won't make those cases move any faster.

A Good Question

     Here's an e-mail I received from a colleague who practices Social Security law:

Under the new improved electronic filing system, we have gotten a couple of calls from SSA to the effect that we have not filed our 1695 with the request for hearing or recon; we have in the past been sending the 1695 to the local District Office and they would enter it and obscure my personal SSN. I am concerned that filing a 1695 electronically directly with the appeal will result in my personal SSN appearing for all time in the claimant's claim file. Is this a valid concern or is someone at SSA obscuring the attorney's SSN if the 1695 is filed electronically?

     I think he's asking a reasonable question. What is Social Security doing?

SSA OIG Has Good ROI

     From a Brookings Institution study on the Return on Investment (ROI) of Inspectors General at various agencies:

Annual Statistical Supplement

     The Social Security Administration has released its Annual Statistical Supplement for 2014. It's a compendium of almost all the statistical information about Social Security that you could ask for. By the way, as of 2013, there were 760 people drawing U.S. Social Security benefits who were living in war torn Yemen.