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UNITED STATES GOVERNMENT PRINTING OFFICE
POSTAGE AND FEES PAID
DIVISION OF PUBLIC DOCUMENTS
WASHINGTON, D.C. 20402
The Aged Population of the United States:
Research Report No. 19 of the Office of Research and
The Social Security Bulletin is for sale by the Superintendent of Documents, U. S. Government Printing Office, Washington, D. C. 20402. Price: $2.75 a year in the United States, Canada, and Mexico; $3.50 in all other countries; single copies, 25 cents. Price of the 1955 Supplement, 40 cents; 1956 Supplement, 45 cents; 1957 Supplement, 50 cents; 1959 Supplement, 55 cents; 1960 Supplement, 60 cents; 1962 Supplement, 60 cents; 1963 Supplement, 60 cents; 1964 Supplement, 50 cents; 1965 Supplement, 60 cents. Use of funds for printing this publication has been approved by the Director of the Bureau of the Budget (April 7, 1964).
U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
John W. GARDNER, Secretary
SOCIAL SECURITY ADMINISTRATION
ROBERT M. Ball, Commissioner
MARGARET GORDON, Chairman
E. Cary Brown, Jacob FELDMAN
GEORGE H. HILDEBRAND, Nathan KEYFITZ James Morgan, EUGENE SMOLENSKY, FREDERICK F. STEPHAN
NOTE: Contents of this publication are not copyrighted ; any items may be reprinted, but citation of the Social Security Bulletin as the source is reqı 4.1.
Social Security in Review
In June, monthly cash benefit payments topped $1.8 billion, an increase of $17 million over May's total. Payments to retired workers and their dependents increased by $19 million, but payments to disabled workers and dependents were $2 million less than they had been a month earlier. Lump-sum death payments for the month dipped to $22.6 million, a 6-percent decline from May. Though the number of lump-sum death payments was 7 percent lower, the average lump-sum amount per deceased worker rose by more than $3 to $224.73.
More than 2 out of 3 persons who were receiving monthly cash benefits at the end of June were aged 65 or over, and there were 15.8 million beneficiaries in this age group in June. Beneficiaries aged 62-64 numbered almost 2 million and represented nearly 9 percent of all beneficiaries in current-payment status.
IN JUNE, for the first time in 4 months, the number of monthly benefits awarded under the old-age, survivors, disability, and health insurprogram (OASDHI) (OASDHI) dropped
dropped below 300,000. The 290,000 awards made in that month were nearly 48,000 fewer than the number in the previous month. For every beneficiary category a smaller number of awards were made.
The number of persons to whom monthly cash benefits were payable continued to rise as a net increase of 158,000 beneficiaries brought the total to 23.2 million at the end of June. More than two-thirds of the rise came from additions to the number of retired workers and dependents receiving benefits.
The average monthly benefit amount awarded in June to disabled workers and their dependents and to survivors exceeded by varying amounts the corresponding awards in June 1966. By contrast the monthly benefit amounts awarded to retired workers and their dependents in June 1967 were lower, on the average, than those awarded a year earlier. This decline was mainly attributable to the large number of conditional and deferred benefit awards in 1966. Retired-worker awards declined to 96,000 in June 1967 from 193,000 in June 1966, when an unusually large number of persons aged 65 and over who had not yet retired in fact filed application to establish entitlement to hospital insurance benefits effective July 1966. The average amounts associated with conditional and deferred awards have generally been higher than those associated with currently payable awards. Another factor depressing the average benefit award to retired workers this June was the increase in the proportion of workers taking reduced benefits before age 65.
related medical services under the medical insurance
program numbered 10.1 million and amounted to $735.4 million in total reasonable charges or an average of $73 per recorded bill.
Physicians' services accounted for 86 percent of the bills and for 94 percent of the total reasonable charges. The remaining bills and
. charges were for other services, such as home health, outpatient hospital, and independent laboratory services covered under the medical insurance program. For all bills approved for payment through June 29, 1967, 69 percent of the reasonable charges for services covered under the medical insurance program were reimbursed.
FISCAL-YEAR RISE IN PUBLIC INCOMEMAINTENANCE PAYMENTS
In the fiscal year 1967, income-maintenance payments under public programs totaled $17.2 billion, a net rise of $6.4 billion from the total in fiscal year 1966. Slightly more than two-thirds of the increase came from the OASDHI program -largely because of the health insurance pay
(Continued on page 38)
On June 30, 1967, the health insurance program for the aged had been in operation for 1 year. During this period the Social Security Administration received almost 5.0 million hospital admission notices and about 228,000 home health "start of care" notices for aged individuals covered under this program. During the 6-month period since the start of extended-care benefits in January 1967, almost 199,000 admission notices for care in extended-care facilities were received. For June, about 433,000 hospital admission notices, 21,000 "start of care” notices, and 32,000 admission notices for extended-care facilities were received by the Social Security Administration.
The most current data recorded by the Social Security Administration on claims approved for payment by intermediaries and carriers under the hospital and medical insurance programs for the aged appear in tables M-17 to M-20 of the Current Operating Statistics section of this issue. These tables provide information on the number and amount of such requests for payment for the various types of benefits covered under the programs that had been recorded in the Social Security Administration central records.
As of June 30, 1967, the Social Security Administration records indicated that 4.5 million hospital insurance claims, amounting to $1.9 billion in payments to providers of care, had been approved by intermediaries through the end of May 1967. More than 87 percent of the claims and 96 percent of the payments had been rendered in connection with inpatient hospital care. The amount reimbursed represented about 80 percent of total charges, the remainder went for deductibles, coinsurance amounts, and noncovered services that are not reimbursable under the law. The number of covered days of inpatient hospital care per approved claim averaged 13.2 days in all hospitals, 12.9 in short-stay hospitals, and 36.1 in long-stay hospitals. Other claims and payments under the hospital insurance program were for outpatient hospital diagnostic care, home health services and extended-care benefits. The average amount paid per recorded claim was $175 per inpatient hospital claim, $12 per outpatient hospital claim, $62 per home health claim and $296 per extended care claim.
As of June 29, 1967, bills for physicians' and