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HRD-79-119 1 (1979-10-09)

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REPORT BY THE                                                      OtZ


Comptroller General


OF THE UNITED STATES



Controls Over Medical Examinations

Necessary For The Social Security

Administration To Better

Determine Disability


In 1978 the Federal disability insurance pro-
gram and the Supplemental Security Insur-
ance program paid about $72 million for in-
dependent medical examinations of persons
claiming disability. The need for and quality
of the medical information purchased is not
well documented.

Prograhn officials do not know how often
State agencies have paid for independent med-
ical examinations which were too comprehen-
sive or were inadequate for determining dis-
ability without further information.

Meaningful program evaluation is limited fur-
ther because: time and accuracy goals for pro-
cessing claims do not consider the effect of
one on the other; not all systems for meas-
uring achievement provides reliable data; and
the Social Security Administration has no
means of measuring program efficiency.


This eport responds to a request from the
Chairman, Subcommittee on Social Security,
Housei Committee on Ways and Means.










                                174J7


110551


     HRD-79-119
OCTOBER 9, 1979


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