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残障索赔中的法律代理

Legal Representation in Disability Claims
Journal of Public Economics · 2022 · Hilary Hoynes、Nicole Maestas、Alexander Strand

中文摘要

法律代理人在社会保障残障保险(SSDI)的裁决过程中发挥着重要作用,2019年获得的代理费总计达12亿美元。法律代理长期以来在上诉听证环节十分普遍,如今也开始更频繁地出现在案件初审阶段。利用新颖的行政数据,我们首次对代理人从初始阶段即介入时法律代理对SSDI案件结果的因果影响进行了估计。为处理代理选择中的内生性问题,我们利用私营律师事务所(相对于公益组织或家庭成员)所处理的滞后上诉案件占比在地理与时间上的变异,构造初始阶段法律代理的工具变量。对于处于边际状态的申请人,初始阶段的法律代理使初审获批概率提高24个百分点,并将最终裁决所需时间缩短近一年。新增获批集中于病情最严重、自动符合资格条件的申请人,这表明代理人为初次申请带来了必要的专业技术知识。然而,初审阶段的法律代理使案件最终进入上诉程序的概率降低38个百分点,其中三分之二源于初审获批的增加,三分之一源于初审被拒后上诉的减少。我们发现,初始阶段法律代理的收益集中于患有精神类疾病诊断的人群,而患有肌肉骨骼类疾病诊断的人群未能从中受益。我们的结果表明,法律代理降低了申请负担,并可能提高目标瞄准效率。

Abstract

Legal representatives play a prominent role in the Social Security Disability Insurance (SSDI) adjudication process, earning fees totaling $1.2 billion in 2019. Long ubiquitous in appellate hearings, legal representation has begun appearing more frequently at the beginning of cases, during the initial review. Using novel administrative data, we provide the first causal estimates of the impact of legal representation on SSDI case outcomes when representatives are engaged from the initial stage. To address selection into representation, we instrument for initial representation using geographic and temporal variation in the lagged share of appellate cases handled by private law firms (as opposed to public interest organizations or family). Among applicants on the margin, initial representation increases the probability of an initial award by 24 percentage points and reduces time to final decision by nearly a year. The increased awards are for applicants with the most severe, automatically qualifying conditions, indicating that representatives bring needed technical expertise to the initial filing. However, representation at the initial level reduces the probability that the case is ever appealed by 38 points, with two-thirds of this reduction coming from increases in initial allowances and one-third from fewer appeals following initial denials. We show that the benefits of initial representation are concentrated among people with mental diagnoses, while those with musculoskeletal diagnoses do not benefit. Our results suggest that representation leads to a reduction in application burdens and may improve target efficiency.
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