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残疾索赔中的法律代理

Legal Representation in Disability Claims
Journal of Public Economics · 2022 · [{"name": "Hilary Hoynes", "affiliation": ["United States Social Security Administration", "National Bureau of Economic Research", "SIL International", "Harvard University", "University of Kentucky", "Brandeis University", "University of California, Berkeley"]}, {"name": "Nicole Maestas", "affiliation": ["United States Social Security Administration", "National Bureau of Economic Research", "SIL International", "Harvard University", "University of Kentucky", "Brandeis University", "University of California, Berkeley"]}, {"name": "Alexander Strand", "affiliation": ["United States Social Security Administration", "National Bureau of Economic Research", "SIL International", "Harvard University", "University of Kentucky", "Brandeis University", "University of California, Berkeley"]}]

中文摘要

法律代表在社会保障残疾保险(SSDI)裁决过程中发挥着突出作用,2019年收取的费用总计达12亿美元。法律代理长期以来广泛存在于上诉听证环节,如今也开始更频繁地出现在案件初期的初始审查阶段。利用新颖的行政数据,我们首次就代表从初始阶段即介入案件时,法律代理对SSDI案件结果的影响提供了因果估计。为解决进入代理这一选择性问题,我们以私人律师事务所(相对于公益组织或家庭成员)所处理的滞后一期上诉案件份额在地理和时间上的变异,作为初始代理的工具变量。对于处于边际状态的申请人而言,初始代理使初始获批概率提高24个百分点,并使最终裁决时间缩短近一年。获批增加主要集中在病情最为严重、可自动符合资格条件的申请人中,表明代理为初始申请带来了所需的专业技术能力。然而,初始阶段的代理使案件曾被上诉的概率降低38个百分点,其中三分之二的降幅来自初始批准的增加,三分之一来自初始拒绝后上诉减少。我们发现,初始代理带来的收益主要集中在有精神类诊断的人群中,而有肌肉骨骼类诊断的人群并未从中受益。研究结果表明,法律代理有助于降低申请负担,并可能提高瞄准效率。

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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