Table 5.
Estimated Present Value, at Time of Initial Disability Benefit Award, of Aggregate Expenditures under the DI, SSI, Medicare, and Medicaid Programs for a Cohort of Disabled Adults, from Initial Award in 2000 to Death or Attainment of Age 65, by Age and Primary Diagnosis
| Characteristic | Percent of Awardees | Aggregate Expenditures in Billions (in 2012 Dollars) | Percent of Expenditures |
|---|---|---|---|
| All | 100.0 | 201.2 | 100.0 |
| Age in CY2000 | |||
| 18–30 | 9.6 | 38.6 | 19.2 |
| 31–40 | 15.4 | 49.9 | 24.8 |
| 41–50 | 26.8 | 61.4 | 30.5 |
| 51–60 | 40.0 | 48.2 | 23.9 |
| 61+ | 8.3 | 3.0 | 1.5 |
| Primary diagnosis | |||
| Mental disorders | 22.6 | 60.3 | 30.0 |
| Musculoskeletal | 25.5 | 44.4 | 22.1 |
| Circulatory | 12.2 | 19.4 | 9.7 |
| Nervous system | 7.9 | 17.5 | 8.7 |
| Genitourinary | 2.2 | 9.6 | 4.8 |
| Injuries | 3.8 | 8.5 | 4.2 |
| Intellectual disabilities | 2.6 | 8.3 | 4.1 |
| Endocrine | 3.0 | 6.6 | 3.3 |
| Neoplasms | 9.2 | 6.4 | 3.2 |
| Respiratory | 4.3 | 5.9 | 2.9 |
| Other/unknown | 6.7 | 14.2 | 7.1 |
Note: Expenditures of the 10% sample cohort were multiplied by 10 to get program totals. Cumulative expenditures have been discounted at rates reflecting the yield on inflation-indexed Treasury bills with variable maturation schedules as of September 12, 2013. Discounted expenditure estimates are given in 2012 constant dollars. Estimates assume growth in the nominal value of monthly disability benefit expenditures at CPI, and growth in health care expenditures at CPI + 2 percent beyond the observation period for actual expenditures.
DI, Social Security Disability Insurance; SSI, Supplemental Security Income, federal expenditures only.
Source. Social Security Administration and Centers for Medicare and Medicaid Services administrative records.