Current Awareness in Aging Research (CAAR) Report #130--April 11, 2002

CAAR (Current Awareness in Aging Research) is a weekly email report produced by the Center for Demography of Health and Aging at the University of Wisconsin-Madison that helps researchers keep up to date with the latest developments in the field. For more information, including an archive of back issues and subscription information see:

http://www.ssc.wisc.edu/cdha/caar.html

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I. Reports and articles:

1. WHO REPORT: "Active Ageing: A Policy Framework" (World Health Organization, Department of Non-communicable Disease Prevention and Health Promotion [NPH], April 2002, .pdf format, 59p.).

http://www.who.int/hpr/ageing/ActiveAgeingPolicyFrame.pdf
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2. DHHS OAS OIG REPORTS:

A. "Delinquent Medicare Debt and Compliance With the Debt Collection Improvement Act by the Centers for Medicare and Medicaid Services" (US Department of Health and Human Services, Office of Audit Services, Office of the Inspector General A-17-01-02003, March 2002, .pdf format, 24p.).

Abstract:

This final report points out that in recent years the Centers for Medicare& Medicaid Services (CMS) has made significant progress managing debt, especially at the Medicare contractors. However, serious problems remain. We identified an estimated $670 million (absolute value) in misstated and misclassified delinquent Medicare debt in information reported to the Treasury Department. Misstatements included $450 million in reconciliation errors, $68 million in unsupported or unrecorded transactions, and $152 million in classification errors regarding the debts eligibility for referral to Treasury for collection. Further, the CMS did not have an adequate process for pursuing debt through the issuance of required demand letters. We made specific recommendations for improving supporting documentation, periodic reconciliations, and supervisory review of delinquent debt activities. The CMS concurred with our recommendations.

http://oig.hhs.gov/oas/reports/cms/a0102003.pdf

B. "Medicare Prospective Payment System Transfers Reported as Left Against Medical Advice Hospital Discharges" (US Department of Health and Human Services, Office of Audit Services, Office of the Inspector General A-06-99-00045, March 2002, .pdf format, 17p.).

Abstract:

This final report points out that Medicare paid 1,610 hospitals an additional $6.8 million because the hospitals reported patients as having left against medical advice (called LAMA discharges), when, in actuality, the patients were transferred or admitted to another hospital on the same day. As a result, these claims were paid at an amount higher than would have been paid had the LAMA discharges been treated as transfers. This problem occurred because LAMA discharges are not included in the computerized system edits designed to detect same day discharge and re-admission to another hospital. In addition to the recovery of over-payments, we recommended that the Centers for Medicare & Medicaid Services (CMS): (1) review the instructions for incorrect hospital coding of patient discharges in order to determine whether it should be revised to address transfers reported as LAMA discharges; and (2) develop adequate internal controls and monitoring safeguards at the fiscal intermediaries and peer review organizations to detect and address transfers reported as LAMA discharges.

http://oig.hhs.gov/oas/reports/region6/69900045.pdf
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3. GAO REPORTS:

A. "Medicare Fraud and Abuse: DOJ Continues to Promote Compliance with False Claims Act Guidance" (US General Accounting Office GAO 02-546, April 2002, .pdf format, 16p.).

http://www.gao.gov/new.items/d02546.pdf

B. "Private Pensions: Improving Worker Coverage and Benefits" (US General Accounting Office GAO 02-225, April 2002, .pdf format, 47p.).

http://www.gao.gov/new.items/d02225.pdf

Note: These are temporary addresses. GAO reports can always be found at:

http://www.access.gpo.gov/su_docs/aces/aces160.shtml

Search on title or report number
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4. CDC NHANES REPORT: "Patterns of Prescription Drug Use in the United States" (US Centers for Disease Control National Health and Nutrition Examination Survey, April 2002, .pdf format, 2p.). Note: this brief report is based on data from the NHANES III survey.

http://www.cdc.gov/nchs/about/major/nhanes/databriefs/preuse.pdf
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5. AOA REPORT: "The Aging States Project: Promoting Opportunities for Collaboration Between the Public Health and Aging Services Networks, An Overview" (US Administration on Aging, April 2002).

http://www.aoa.gov/network/2002/AgingStatesProject.html
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6. HELPAGE INTERNATIONAL REPORT: "State of the World's Older People 2002" (HelpAge International, April 2002, .pdf format, 92p.).

Executive summary:

http://www.helpage.org/dev/publications/SOTWOPexec/SOTWOPexec.html

Full text:

http://www.helpage.org/dev/images/pdfs/SOTWOPeng.pdf

More information about HelpAge International:

http://www.helpage.org/dev/about/about/about.html
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7. _BMJ_ NEWS EXTRA, BOOK REVIEW, WEB SITE REVIEW:

A. "US drug companies will meet more than half the cost of drug approval," by Deborah Josefson (_British Medical Journal_ News Extra, Vol. 324, No. 7341, Apr. 6, 2002, p. 808.

http://bmj.com/cgi/content/full/324/7341/808/d

B. "Allowing Dignity in Death," by Dave Moor, reviewed by Abi Berger (_British Medical Journal_ Book Review, Vol. 324, No. 7341, Apr. 6, 2002, p. 855).

http://bmj.com/cgi/content/full/324/7341/855/a

C. "Assisted suicide," by Gavin Yamey (_British Medical Journal_ Website of the Week, Vol. 324, No. 7341, Apr. 6, 2002, p. 856).

http://bmj.com/cgi/content/full/324/7341/856/b
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8. _JAMA_ MEDICAL NEWS AND ANALYSIS: "As Americans Age, Geriatricians Go Missing," by Mike Mitka (_Journal of the American Medical Association_ Medical News and Analysis, Vol. 287, No. 14, Apr. 10, 2002, HTML and .pdf format, p. 1792-1793).

http://jama.ama-assn.org/issues/v287n14/ffull/jmn0410-3.html
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9. _TIME_ ARTICLE: "Staying On the Road: Techniques and technology to help older people drive more safely," by Amy Dickinson (_TIME_, Apr. 15, 2002).

http://www.time.com/time/magazine/article/0,9171,1101020415-227538,00.html
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10. _ECONOMIST_ ARTICLE: "Ageing population" (_Economist_, Apr. 11, 2002).

http://www.economist.com/printedition/displayStory.cfm?Story_ID=1080334

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II. Working Papers:

11. WHARTON PENSION RESEARCH COUNCIL [UNIVERSITY OF PENNSYLVANIA]:

A. "Self-Annuitization, Consumption Shortfall in Retirement and Asset Allocation: The Annuity Benchmark," by Peter Albrecht and Raimond Maurer (WP 2002-6, April 2002, .pdf format, 26p.).

Abstract:

The present paper considers a retiree of a certain age who is endowed with some wealth and is facing alternative investment opportunities. One possibility is to buy a single premium immediate (participating) annuity-contract. This insurance product pays a life-long pension payment of a certain amount, depending e.g. on the age of the retiree, the operating cost of the insurance company and the return the company is able to realize from its investments. The alternative possibility is to invest the single premium into a portfolio of mutual funds and to periodically withdraw a fixed amount that is assumed to be equivalent to the consumption stream generated by the annuity. The particular advantage of this self annuitization strategy compared to the life annuity is its greater liquidity and the possibility of leaving out money for heirs. However, the risk of self annuitization is to outlive assets before the uncertain date of death. The risk can thus be specified by considering the probability of running out of money before the uncertain date of death. The determination of this personal probability of consumption shortfall with respect to German insurance and capital market conditions is the objective of this paper.

http://prc.wharton.upenn.edu/prc/PRC/WP/WP2002-6.pdf

B. "Personal Retirement Accounts and Social Security Reform," by Olivia S. Mitchell (WP 2002-7, January 2002, .pdf format, 8p.).

Personal retirement accounts are attractive in the context of Social Security reform for several reasons. One is that such accounts would give workers ownership and a degree of responsibility over their own retirement saving. Another is that personal accounts would afford participants an opportunity to pass wealth to survivors in the event of premature death. Personal retirement accounts would also benefit divorced persons who receive Social Security spousal benefits unless they remain married ten years. Still another factor favoring personal accounts is that workers could chose how to allocate their retirement saving and diversify their investments over a range of capital market assets. Some also argue that personal accounts would provide all workers a higher rate of return than can be paid under the current Social Security system. In this note, I explore the limits of this last argument. I show that Social Security returns are projected to be low mainly because today's workers are committed to paying for the system's past debt. After clarifying several key terms, I discuss reform scenarios involving these concepts.

http://prc.wharton.upenn.edu/prc/PRC/WP/WP2002-7.pdf
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III. Journal Tables of Contents (check your library for availability):

12. Age and Ageing (Vol. 31, No. 2, March 2002). Note: Full electronic text (HTML and .pdf format) may be available at the site. Check your organization's library.

http://ageing.oupjournals.org/content/vol31/issue2/index.shtml

13. American Journal of Epidemiology (Vol. 155, No. 7, 8 Apr. 1, 15 2002). Note: Full electronic text (HTML and .pdf format) may be available at the site. Check your organization's library.

Vol. 155, No. 7:

http://aje.oupjournals.org/content/vol155/issue7/index.shtml

Vol. 155, No. 8:

http://aje.oupjournals.org/content/vol155/issue8/index.shtml

14. Journal of Marriage and the Family (Vol. 64, No. 2, May 2002). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for availability of this database and this issue.

http://ncfr.allenpress.com/ncfronline/?request=get-toc&issn=0022-2445&volume=064&issue=02

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15. INGENTA Tables of Contents: INGENTA provides fee based document
delivery services for selected journals.

A. Point your browser to:

http://www.ingenta.com/

B. click on "Search Options"
C. Type the Journal Name in the "Publication title" search box and click the radio button "Words in Title"
D. View the table of contents for the issue noted.

Educational Gerontology (Vol. 28, No. 2, 2002). Note: Full electronic text of this journal is available in the EBSCO Host Academic Search Elite database. Check your library for availability of this database and this issue.

Journal of the American Geriatrics Society (Vol. 50, No. 3, 2002).
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16. AMEDEO MEDICAL LITERATURE: Note: "AMEDEO has been created to serve the needs of healthcare professionals, including physicians, nurses, pharmacists, administrators, other members of the health professions, and patients and their friends. They can easily access timely, relevant information within their respective fields... All AMEDEO services are free of charge. This policy was made possible thanks to generous unrestricted educational grants provided by AMGEN, Berlex, Eisai, Glaxo Wellcome, Novartis, Pfizer, Roche, and Schering AG."

A. Osteoporosis: Literature for the week of Apr. 9, 2002:

http://www.amedeo.com/medicine/ost.htm

B. Alzheimer's Disease: Literature for the week of Apr. 9, 2002:

http://www.amedeo.com/medicine/ad.htm

C. Parkinson's Disease: Literature for the week of Apr. 9, 2002:

http://www.amedeo.com/medicine/pd.htm

AMADEO Literature Guide:

http://www.amedeo.com/index.htm

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IV. Books:

17. _Aging Issues in the United States and Japan_, edited by Seiritsu Ogura, Toshiaki Tachibanaki, and David A. Wise (University of Chicago Press, 2001, 352p., ISBN 0-226-62081-6). For more information see:

http://www.press.uchicago.edu/cgi-bin/hfs.cgi/00/14303.ctl

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V. Funding Opportunities:

18. NIH:

A. "Androgen Receptor in Prostate Growth and Cancer" (US National Institutes of Health, National Institute on Aging, in conjunction with several other agencies, DK-02-031, Apr. 1, 2002). For more information see:

http://grants.nih.gov/grants/guide/rfa-files/RFA-DK-02-031.html

B. "Centers for Population Health and Health Disparities" (US National Institutes of Health, National Institute on Aging, in conjunction with several other agencies ES-02-009, Apr. 1, 2002). For more information see:

http://grants1.nih.gov/grants/guide/rfa-files/RFA-ES-02-009.html

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VI. Legislation Information Updates:

19. US SENATE COMMITTEE ON HEALTH, EDUCATION, AND LABOR, SUBCOMMITTEE ON AGING: "Field Hearing: Alzheimer's Research and Care: Helping Patients and Families," a hearing held at the Gerontology Research Center of the National Institute on Aging, Baltimore, Maryland, Apr. 2, 2002.

Hearing testimony (.pdf format):

http://www.senate.gov/~labor/Hearings-2002/april2002/040202wit/040202wit.htm
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20. US HOUSE COMMITTEE ON EDUCATION AND THE WORKFORCE, SUBCOMMITTEE ON EMPLOYER-EMPLOYEE RELATIONS HEARING PUBLICATION: "H.R. 2269, The Retirement Security Advice Act," a hearing held Jul. 17, 2001 (US House Serial Publication 107-22, ASCII text and .pdf format, 96p.).

http://www.access.gpo.gov/congress/house/house06ch107.html

Scroll to or "find in page" "107-22" (without the quotes).
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21. US HOUSE COMMITTEE ON EDUCATION AND THE WORKFORCE HEARING PUBLICATION."The Nursing Shortage: Causes Impact, and Innovative Remedies," a hearing held Sep. 25, 2001 (US House Serial Publication 107-31, ASCII text and .pdf format, 220p.).

http://www.access.gpo.gov/congress/house/house06ch107.html

Scroll to or "find in page" "107-31" (without the quotes).

Jack Solock
Data Librarian--Center for Demography and Ecology
4470 Social Science
University of Wisconsin-Madison
Madison, WI 53706
608-262-9827
jsolock@ssc.wisc.edu