Current Awareness in Aging Research (CAAR) Report #486 -- May 7, 2009.

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. US SOCIAL SECURITY ADMINISTRATION OFFICE OF POLICY PERIODICAL: Social Security Bulletin (Vol. 69, No. 1, HTML and .pdf format).

http://www.socialsecurity.gov/policy/docs/ssb/v69n1/index.html

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2. US DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF THE INSPECTOR GENERAL AUDITS, REPORT:

A. "Review of Interrupted Stays at Inpatient Rehabilitation Facilities for Calendar Years 2004 and 2005" (A-01-08-00502, April 2009, .pdf format, 16p.). Links to an abstract and full text are available at:

http://www.oig.hhs.gov/oas/reports/region1/10800502.asp

B. "Review of Medicare Part A Claims Paid by National Government Services for Interrupted Stays at Inpatient Psychiatric Facilities During Calendar Years 2005 and 2006" (A-01-08-00530, April 2009, .pdf format, 21p.).

http://www.oig.hhs.gov/oas/reports/region1/10800530.pdf

C. "Inappropriate Medicare Payments for Chiropractic Services: (OEI-07-07-00390, May 2009, .pdf format, 29p.).

Abstract:

In 2006, Medicare inappropriately paid a total net $178 million (out of $466 million) for chiropractic claims for services that medical reviewers determined to be maintenance therapy, miscoded, or undocumented. These claims represent 47 percent of chiropractic claims associated with beneficiaries receiving more than 12 chiropractic services within a year from the same chiropractor. OIG studies published in 1986, 1998, and 1999 found that significant vulnerabilities existed in connection with chiropractic claims, particularly concerning Medicare payments for maintenance therapy. Each of these studies recommended frequency edits or caps on the number of chiropractic claims allowed. In 2005, OIG conducted an additional study that found that 40 percent of allowed chiropractic claims in 2001 were for maintenance therapy and that when chiropractors provide more than 12 services per year to a beneficiary, the likelihood that some of those services were maintenance therapy increased greatly. Medicare continues to pay inappropriately for maintenance therapy despite the Centers for Medicare & Medicaid Services (CMS) staff acknowledging this vulnerability in response to previous OIG work and subsequent efforts aimed at prevention.

This study found that efforts to stop payments for maintenance therapy have been largely ineffective. Efforts to require a new modifier, educate chiropractors, and implement frequency-based controls or medical reviews have not been successful as carriers continue to report high error rates. To appropriately identify active/corrective treatment and thereby distinguish it from maintenance therapy, it is useful to identify the start of a new treatment episode. Because claims data do not indicate when a treatment episode began, the expectation of functional improvement can be determined only from a complete medical review of the treatment episode. We noted that the Comprehensive Error Rate Testing (CERT) paid claims error rate used by CMS is based on a review of a single claim, which limits its ability to detect maintenance therapy and may underestimate errors in chiropractic services. Finally, we found that chiropractors often do not comply with the "Medicare Benefit Policy Manual" documentation requirements.

Based on these findings, we recommend that CMS (1) implement and enforce policies to prevent future payments for maintenance therapy by implementing a new modifier for chiropractic claims to indicate the start of a new episode and/or a cap on allowed chiropractic claims; (2) review treatment episodes that include all claims from the initial visit to the sampled claim to strengthen the ability of the CERT to detect errors in chiropractic claims; (3) ensure that chiropractic claims are not paid unless documentation requirements are met; and (4) take appropriate action regarding the undocumented, medically unnecessary, and miscoded claims identified in our sample. In its written comments on the report, CMS agreed with the second recommendation and described actions it would take to address the fourth recommendation. CMS did not indicate agreement or disagreement with the first and third recommendations.

http://www.oig.hhs.gov/oei/reports/oei-07-07-00390.pdf

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3. US CENTERS FOR DISEASE CONTROL MORBIDITY AND MORTALITY WEEKLY REPORT QUICKSTATS (HTML and .pdf format). "QuickStats: Life Expectancy at Age 65 Years, by Sex and Race --- United States, 2000--2006" (Vol. 58, No. 17, May 8, 2009, p. 473).

HTML:

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5817a7.htm?s_cid=mm5817a7_e

.pdf:

http://www.cdc.gov/mmwr/PDF/wk/mm5817.pdf

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4. US AGENCY FOR HEALTHCARE RESEARCH AND POLICY REPORTS:

A. "2008 National Healthcare Quality Report" (March 2009, .pdf format, 153p.).

B. "2008 National Healthcare Disparities Report" (March 2009, .pdf format, 290p.).

Both have material that may be of interest to researchers in aging. Both are available at

http://www.ahrq.gov/qual/qrdr08.htm

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5. US ADMINISTRATION ON AGING BUDGET REQUEST, NEWSLETTER:

A. Fiscal Year 2010 Budget Request (May 2009, HTML or .pdf format).

http://www.aoa.gov/AoARoot/About/Budget/index.aspx

B. Newsletter ( May 2009, (Microsoft Word format, 10p.).

http://www.aoa.gov/AoARoot/Press_Room/Enews/index.aspx

Click on "View Current Issue."

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6. US CENTERS FOR MEDICARE AND MEDICAID SERVICES NEWS RELEASES:

A. "CMS Proposes Policy and Payment Rate Changes for Inpatient Stays in Acute Care and Long-Term Care Hospitals in FY 2010" (May 1, 2009).

http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=3448

B. "CMS Proposes More Accurate Payment Rates for Medicare Skilled Nursing Facilities in Fiscal Year 2010" (May 1, 2009).

http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=3446

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7. AUSTRALIAN DEPARTMENT OF HEALTH AND AGING NEWS RELEASE: "Transition Care: Helping Older Victorians Regain Their Independence" (May 5, 2009, HTML and .pdf format, 2p.).

http://www.health.gov.au/internet/ministers/publishing.nsf/Content/mr-yr09-je-je064.htm

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8. AUSTRALIAN INSTITUTE OF HEALTH AND WELFARE REPORT: "Drowning and other injuries related to aquatic activities at ages 55 years and older in Australia," by James E. Harrison, Renate Kreisfeld, and Geoffrey Henley (May 2009, .pdf format, 14p.).

http://www.aihw.gov.au/publications/index.cfm/title/10714

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9. CAMBODIA NATIONAL INSTITUTE OF STATISTICS REPORT: "Life Table of Cambodia" (2009).

http://www.nis.gov.kh/index.php/component/content/article/10-dept-general-statistic/5-life-table-of-cambodia

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10. FEDERAL STATISTICAL OFFICE OF GERMANY PRESS RELEASE: "Slight increase in the number of retired public officials of the Federation" (May 5, 2009). The press release links to a more detailed German language release.

http://www.destatis.de/jetspeed/portal/cms/Sites/destatis/Internet/EN/press/pr/2009/05/PE09__171__742,templateId=renderPrint.psml

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11. UK DEPARTMENT FOR WORK AND PENSIONS RESEARCH REPORTS, FIRST RELEASE:

A. "Older people's attitudes to automatic awards of Pension Credit," by Mehul Kotecha, Meg Callanan, Sue Arthur and Chris Creegan (Research Report No. 579, 2009, .pdf format, 65p.).

http://www.dwp.gov.uk/asd/asd5/rports2009-2010/rrep579.pdf

B. "Extending working life: changing the culture--qualitative research into effective messages," by Alan Hedges and Wendy Sykes in association with Carola Groom (Research Report No. 557, 2009, .pdf format, 231p.).

http://www.dwp.gov.uk/asd/asd5/rports2009-2010/rrep557.pdf

C. "Pensioners' Incomes Series" (May 2009, .pdf format, with tables in Microsoft Excel format).

http://www.dwp.gov.uk/asd/pensioners_income.asp

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12. UK NATIONAL STATISTICS OFFICE FOCUS ON OLDER PEOPLE ARTICLES:

A. "Lifestyles: Older women are more likely than men to use public transport" (May 2009).

http://www.statistics.gov.uk/cci/nugget.asp?id=1270

B. "Quality of life: Quality of life and social participation fall with age" (May 2009).

http://www.statistics.gov.uk/cci/nugget.asp?id=2174

Focus on Older People:

http://www.statistics.gov.uk/focuson/olderpeople/

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13. AARP REPORTS:

A. "Social Security: Ten Facts that Matter," by Selena Caldera (April 2009, .pdf format, 6p.).

http://www.aarp.org/research/socialsecurity/general/fs154_socsec.html

B. "In Brief: Employment Support for the Transition to Retirement: Can a New Program Help Older Workers Work Longer and Protect Those Who Cannot?" by David C. Stapleton (April 2009, .pdf format, 39p.).

http://www.aarp.org/research/work/retirement/inb170_transition.html

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14. ALLIANCE FOR RETIRED AMERICANS REPORT: "2008 Voting Record" (May 2009, .pdf format, 12p.).

http://www.retiredamericans.org/ht/display/ArticleDetails/i/12528/pid/381

More information about ARA:

http://www.retiredamericans.org/ht/d/sp/i/339/pid/339

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15. EMPLOYEE BENEFITS RESEARCH INSTITUTE PERIODICAL ARTICLE: "Income of the Elderly Population Age 65 and Over, 2007," by Ken McDonnell (in, EBRI Notes (Vol. 30, No. 5, May 2009, .pdf format, p. 9-18).

http://www.ebri.org/publications/notes/index.cfm?fa=notesDisp&content_id=4258

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16. KAISER FAMILY FOUNDATION ISSUE BRIEF: "Where Does the Burden Lie?: Medicaid and Medicare Spending for Dual Eligible Beneficiaries," by Teresa Coughlin, Timothy Waidmann and Molly OMalley Watts (April 2009, .pdf format, 12p.).

http://www.kff.org/medicaid/7895.cfm

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17. MICHIGAN RETIREMENT RESEARCH CENTER PERIODICAL: MRRC Newsletter (Vol. 10, No. 2, May 2009, HTML and .pdf format, 9p.).

HTML:

http://www.mrrc.isr.umich.edu/publications/newsletters/newsletter_item.cfm?NewsletterID=1007

.pdf:

http://www.mrrc.isr.umich.edu/publications/newsletters/pdf/1007.pdf

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18. POPULATION REFERENCE BUREAU PERIODICAL: Today's Research on Aging (No. 16, April 2009, .pdf format, 5p.). The topic of this issue is "Effects of Early Life on Elderly Health."

http://www.prb.org/TodaysResearch.aspx

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19. ROBERT WOOD JOHNSON FOUNDATION POLICY BRIEF: "Health Affairs/RWJF Policy Brief: Medicare Advantage Plans: Examining the Debate Over Cutting Payments to Private Medicare Health Insurance Plans" (April 2009, .pdf format, 4p.).

http://www.rwjf.org/pr/product.jsp?id=42128&topicid=1049

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20. WELDON COOPER CENTER FOR PUBLIC SERVICE (UNIVERSITY OF VIRGINIA) REPORT: "Older Virginians" (Stat Chat, January 2009, .pdf format, 2p.).

http://www.coopercenter.org/demographics/sitefiles/documents/pdfs/statchat/coopercenter_aging_jan-09.pdf

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21. PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES ARTICLE ABSTRACTS:

A. "Seeded growth of {beta}-amyloid fibrils from Alzheimer's brain-derived fibrils produces a distinct fibril structure," by Anant K. Paravastu, Isam Qahwash, Richard D. Leapman, Stephen C. Meredith, and Robert Tycko (Vol. 106, No. 18, May 5, 2009, p. 7443-7448).

http://www.pnas.org/content/106/18/7443.abstract?etoc

B. "Molecular dissection of Alzheimer's disease neuropathology by depletion of serum amyloid P component," by Simon E. Kolstoe, Basil H. Ridha, Vittorio Bellotti, Nan Wang, Carol V. Robinson, Sebastian J. Crutch, Geoffrey Keir, Riitta Kukkastenvehmas, J. Ruth Gallimore, Winston L. Hutchinson, Philip N. Hawkins, Stephen P. Wood, Martin N. Rossor, and Mark B. Pepys (Vol. 106, No. 18, May 5, 2009, HTML and .pdf format, p. 7619-7623). This article is available free of charge.

http://www.pnas.org/content/106/18/7619.full

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22. NATURE MEDICINE LETTER ABSTRACT: "Copy number analysis indicates monoclonal origin of lethal metastatic prostate cancer," by Wennuan Liu, Sari Laitinen, Sofia Khan, Mauno Vihinen, Jeanne Kowalski, Guoqiang Yu, Li Chen, Charles M. Ewing, Mario A. Eisenberger, Michael A. Carducci, William G. Nelson, Srinivasan Yegnasubramanian, Jun Luo, Yue Wang, Jianfeng Xu, William B. Isaacs, Tapio Visakorpi, and G. Steven Bova (Vol. 15, No. 5, May 2009, p. 559-565).

http://www.nature.com/nm/journal/v15/n5/abs/nm.1944.html

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23. SCIENCE ARTICLE ABSTRACT: "{gamma}-Secretase Heterogeneity in the Aph1 Subunit Relevance for Alzheimers Disease," by Lutgarde Serneels, Jerome Van Biervliet, Katleen Craessaerts, Tim Dejaegere, Katrien Horre, Tine Van Houtvin, Hermann Esselmann, Sabine Paul, Martin K. Schafer, Oksana Berezovska, Bradley T. Hyman, Ben Sprangers, Raf Sciot, Lieve Moons, Mathias Jucker, Zhixiang Yang, Patrick C. May, Eric Karran, Jens Wiltfang, Rudi DHooge, and Bart De Strooper (Vol. 324, No. 5927, May 1, 2009, p. 639-642).

http://www.sciencemag.org/cgi/content/abstract/324/5927/639

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24. PUBLIC LIBRARY OF SCIENCE (PLoS) One Article: "Cerebrospinal Fluid Concentration of Brain-Derived Neurotrophic Factor and Cognitive Function in Non-Demented Subjects," by Ge Li, Elaine R. Peskind, Steven P. Millard, Peter Chi, Izabela Sokal, Chang-En Yu, Lynn M. Bekris, Murray A. Raskind, Douglas R. Galasko, and Thomas J. Montine (PLoS ONE 4(5): e5424. doi:10.1371/journal.pone.0005424, HTML, XML, and .pdf format, 5p.).

http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0005424

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25. JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION MEDICAL NEWS AND PERSPECTIVES EXTRACT: "Guideline Supports Long-term Use of Medication to Lower Prostate Cancer Risk," by Mike Mitka (Vol. 301, No. 17, May 6, 2009, p. 1753-1754).

http://jama.ama-assn.org/cgi/content/extract/301/17/1753

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II. Working Papers:

26. PENN STATE POPULATION RESEARCH CENTER: "Co-resident Grandparents and Grandchildrens Academic Performance in Taiwan," by Suet-ling Pong and Vivien W. Chen (WP 09-02, April 2009, .pdf format, 33p.).

Abstract:

Using the Taiwanese panel survey data, we investigate the consequences of childrens coresidence with grandparents, and we find a positive effect on academic achievement. Further analysis reveals different types of effects among the various types of grandparent-grandchild co-residence. While long-term co-residence confers the most educational benefits, a recent transition into co-residence confers no such advantage. Compared to other co-resident situations, children who recently transition out of co-residence with grandparents are the most disadvantaged. Furthermore, we find educational benefits of co-resident grandparents in both single-parent and two-parent families, but long-term co-resident grandparents positive association with grandchildrens academic achievement is the most pronounced in households where both parents are absent. We interpret these finding using a theoretical framework, and discuss their implications for policy and for other research.

http://www.pop.psu.edu/general/pubs/working_papers/psu-pri/wp0902.pdf

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27. PENSIONS INSITUTE, THE CASS INSTITUTE, CITY UNIVERSITY OF LONDON [UK]: "Taking the Long View," by David Blake, Tom Boardman, Andrew J.G. Cairns, and Kevin Dowd (WP0909, April 2009, .pdf format, 4p.).

Abstract:

Governments are among the few agencies that can help the private sector hedge against the increasing problem of aggregate longevity risk. David Blake, Tom Boardman, Andrew Cairns and Kevin Dowd from the Pensions Institute at Cass Business School urge governments to issue longevity bonds as soon as possible.

http://www.pensions-institute.org/workingpapers/wp0909.pdf

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28. INSTITUTE FOR THE STUDY OF LABOR (IZA) [University of Bonn, Germany]: "Well-Being over the Life Span: Semiparametric Evidence from British and German Longitudinal Data," by Christoph Wunder, Andrea Wiencierz, Johannes Schwarze, Helmut Kuchenhoff, Sara Kleyer, and Philipp Bleninger (Discussion Paper 4155, May 2009, .pdf format, 39p.). Links to an abstract and full text are available at:

http://www.iza.org/index_html?lang=en&mainframe=http%3A//www.iza.org/en/webcontent/publications/papers/viewAbstract%3Fdp_id%3D4155

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III. Journal Tables of Contents (check your library for availability):

29. American Journal of Epidemiology (Vol. 169, No. 10, May 15, 2009).

http://aje.oxfordjournals.org/content/vol169/issue10/index.dtl?etoc

30. European Journal of Palliative Care (Vol. 16, No. 3, 2009).

http://www.ejpc.eu.com/ejpc/ejpcIssue.asp?Z=310086&IssueID=96

31. National Academy on an Aging Society Public Policy and Aging Report (Vol. 19, No. 1, 2009).

http://www.agingsociety.org/agingsociety/publications/public_policy/previous.html

32. Population Review (Vol. 48, No. 1, 2009).

http://muse.jhu.edu/journals/population_review/toc/prv.48.1.html

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33. 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 May 25, 2009:

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

B. Alzheimer's Disease: Literature for the week of May 6, 2009:

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

C. Parkinson's Disease: Literature for the week of May 6, 2009:

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

D. Prostate Cancer: Literature for the week of Mar. 6, 2009:

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

E. Stem Cell Research: Literature for the week of May. 6, 2009:

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

F. Ophthalmology: Literature for the week of May 6, 2009:

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

AMEDEO Literature Guide:

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

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IV. Books:

34. UNIVERSITY OF CHICAGO PRESS BOOK: Developments in the Economics of Aging, edited by David A. Wise (2009, 432p., ISBN: 9780226903354). For more information see:

http://www.press.uchicago.edu/presssite/metadata.epl?mode=synopsis&bookkey=346201

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V. Funding Opportunities/Employment Opportunities:

35. INSTITUTE OF PUBLIC AND INTERNATIONAL AFFAIRS (IPIA) AT THE UNIVERSITY OF UTAH POST DOCTORAL OPPORTUNITY: "The Institute of Public and International Affairs (IPIA) at the University of Utah is seeking to fill a post-doctoral position in Demography of Aging. IPIA is housed within the College of Social and Behavioral Science and has the general goal of facilitating and enhancing the Universitys interdisciplinary activities and programs." Applications will be accepted beginning May 15, 2009. For more information (.pdf format, 1p.), see:

http://www.spc.uchicago.edu/prc/pdfs/PostdoctoralFellowship_Utah.pdf

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36. AGEWORK.COM: Agework has updated its employment page with listings through May 7, 2009.

http://agework.geron.org/c/search_results.cfm?site_id=312

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VI. Legislation Information Updates:

37. US SENATE SPECIAL COMMITTEE ON AGING HEARING TESTIMONY: "Catch Me If You Can: Solutions To STOP Medicare and Medicaid Fraud From Hurting Seniors and Taxpayers," a hearing held May 6, 2009 (.pdf format).

http://aging.senate.gov/hearing_detail.cfm?id=312599&

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VII. Websites of Interest:

38. HOME BOX OFFICE NETWORK "THE ALZHEIMER'S PROJECT." "The (US) National Institute on Aging (NIA) of the National Institutes of Health is very pleased to announce the launch of The Alzheimer's Project, a multi-platform public health series that seeks to bring a wider public understanding of Alzheimer's disease research and care.

Co-presented by HBO and NIA, in association with the Alzheimer's Association, Fidelity Charitable Gift Fund, and Geoffrey Beene Gives Back Alzheimer's Initiative, The Alzheimer's Project features a four-part documentary series, 15 short supplemental films, a robust website, and nationwide community-based information and outreach including other resources such as a companion book to the series. Co-executive produced by Maria Shriver and HBO Documentary Films President Sheila Nevins, the series debuts May 10-12 on HBO (see air dates below). All films will be available to view free anytime at the web site and will be offered free on multiple platforms by participating television service providers." For more information on HBO broadcast times and other information see:

http://www.hbo.com/alzheimers/

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39. GERMAN FEDERAL HEALTH MONITORING INFORMATION SYSTEM: "You are looking for health data. We offer you more than 1 billion numbers displayed in tables free of charge. The data is derived from more than 100 different sources, among which there are many statistics from the Statistical Offices of the Lander and the federation. There are also data from numerous other institutions from the health sector.

Charts, texts and definitions serve to help interpret the data and complete the information. Data sources are documented with their variables, procurement methods and contact persons. The health data and health information offered is updated on a regular basis and continuously enhanced.

Besides data from and about Germany the information system also offers international tables of the OECD and the WHO.

This trove of information is fully accessible via the topics or the keyword search on the left.

The Information System also offers easy access to all the other products of the Federal Health Monitoring, e.g. the topical booklets of the Federal Health Monitoring and the Health Report for Germany from 2006."

http://www.gbe-bund.de/gbe10/pkg_isgbe5.prc_isgbe?p_uid=gast&p_aid=&p_sprache=E

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40. GENWORTH FINANCIAL COMPARE COST OF CARE ACROSS THE UNITED STATES: "Roll over the Genworth Financial interactive map to compare your state or region's median cost of care to other areas in the country. Click a state or region to view and calculate current and projected long term care costs. Scroll down the page to learn more about long term care, long term care options, and the methodology used for the Genworth 2009 Cost of Care survey."

http://www.genworth.com/content/products/long_term_care/long_term_care/cost_of_care.html

More information about Genworth Financial:

http://www.genworth.com/content/About_Us/genworth_USA.html

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It is not by muscle, speed, or physical dexterity that great things are achieved, but by reflection, force of character, and judgement; and in these qualities old age is usually not only not poorer, but is even richer

Cicero--106-43 B.C.

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Jack Solock
Director--Data and Information Services Center
Social Sciences Research Services
3313 Social Science
University of Wisconsin-Madison
Madison, WI 53706
608-262-9827
jsolock@ssc.wisc.edu
http://www.disc.wisc.edu/
http://www.disc.wisc.edu/reports/cssrindex.html

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