Current Awareness in Aging Research (CAAR) Report #542 -- June 24, 2010

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. Data:

1. HEALTH AND RETIREMENT STUDY: The University of Michigan Institute for Social Research HRS announced the release of a new data file.

- Industry/Occupation Data Updated for 2008 (June 18, 2010).

http://hrsonline.isr.umich.edu/news/index.php?p=shownews3x1&hfyle=news291

Data access:

http://hrsonline.isr.umich.edu/index.php?p=reg

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2. US NATIONAL CENTER FOR HEALTH STATISTICS: "2004 National Nursing Home Survey (NNHS) Linked Mortality File," (June 2010, .pdf (documentation) and zipped ASCII text (data) format, SAS and Stata programming statements are also included).

http://www.cdc.gov/nchs/data_access/data_linkage/mortality/nnhs_linkage_public_use.htm

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3. MEDICAL EXPENDITURE PANEL SURVEY: The US Agency for Healthcare Research and Quality has released a new MEPS data file (June 2010, data in .zip or self decompressing [.exe] ASCII text and SAS Transport format, with documentation in HTML and .pdf format, and SAS and SPSS programming statements in ASCII format).

- MEPS HC-117: 2009 P13R3/P14R1 Population Characteristics

http://www.meps.ahrq.gov/mepsweb/data_stats/download_data_files_detail.jsp?cboPufNumber=HC-117

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II. Reports and articles:

4. MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC) REPORT: "Report to the Congress: Aligning Incentives in Medicare," (June 2010, .pdf format, 267p.).

http://www.medpac.gov/documents/Jun10_EntireReport.pdf

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5. US DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF INSPECTOR GENERAL REPORT: "Medicare Part B Services During Non-Part A Nursing Home Stays: Enteral Nutrition Therapy," (OEI-06-07-00090, June 2010, .pdf format, 13p.).

Summary:

This report presents findings based on a medical review of Medicare Part B enteral nutrition therapy (ENT) claims for ENT provided during non-Part A nursing home stays in 2006. Non-Part A stays occur in nursing homes where the stay is not paid for under the Medicare Part A posthospital skilled nursing facility benefit.

We found that 21 percent of these ENT service claims were inappropriate (5 percent) or inadequately documented (16 percent). These errors resulted in an estimated $39 million in inappropriate Part B payments among the $284 million allowed for all ENT claims during non-Part A nursing home stays in 2006. Claims for pumps and pump supply kits represented 70 percent of the inadequately documented sampled services. We also found that 13 percent of the allowed ENT claims associated with pumps were questionable. Although these claims met contractor payment and coverage guidelines for a slow delivery rate of less than 100 millimeters per hour, residents' medical records did not document a medical condition (e.g., diabetes, risk of aspiration, or fluctuating glucose levels) that justified the need for the more expensive pump delivery method over the gravity method, which could provide for a slow rate.

Currently, Medicare contractor payment and coverage guidelines do not require the documentation of a medical condition specifically justifying pump use over the gravity method when a slow rate of administration is indicated.

http://www.oig.hhs.gov/oei/reports/oei-06-07-00090.pdf

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6. US NATIONAL CENTER FOR HEALTH STATISTICS REPORT: "Early Release of Selected Estimates Based on Data From the 2009 National Health Interview Survey" (.pdf format, 109p.).

http://www.cdc.gov/nchs/nhis/released201006.htm

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7. US SOCIAL SECURITY ADMINISTRATION, OFFICE OF POLICY REPORTS:

A. "SSI Monthly Statistics, May 2010," (June 2010, HTML and .pdf format).

http://www.ssa.gov/policy/docs/statcomps/ssi_monthly/2010-05/index.html

B. "Congressional Statistics, December 2009," (June 2010, HTML, Excel, and .pdf format).

http://www.ssa.gov/policy/docs/factsheets/cong_stats/2009/index.html

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8. EUROPEAN CENTRE FOR SOCIAL WELFARE POLICY AND RESEARCH BRIEF: "Intergenerational Solidarity: Policy Challenges and Societal Responses," by Asghar Zaidi, Katrin Gasior and Alexandre Sidorenko (June 2010, .pdf format, 12p.).

http://www.euro.centre.org/detail.php?xml_id=1732

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9. INSTITUTE NATIONAL DíETUDES DEMOGRAPHIQUE [PARIS, FRANCE] PERIODICAL: Population and Societies (No. 468, June 2010, .pdf format, 4p.). The topic of this issue is "Accidental and violent injuries: Less frequent among the older population, but more serious," by Xavier Thierry.

http://www.ined.fr/en/resources_documentation/publications/pop_soc/bdd/publication/1507/

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10. CENTER FOR RETIREMENT RESEARCH AT BOSTON COLLEGE ISSUE BRIEF: "Valuing Liabilities in State and Local Plans," by Alicia H. Munnell, Richard W. Kopcke, Jean-Pierre Aubry, and Laura Quinby (SLP No. 11, June 2010, .pdf format, 12p.).

http://crr.bc.edu/briefs/valuing_liabilities_in_state_and_local_plans.html

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11. SLOAN CENTER ON AGING AND WORK AT BOSTON COLLEGE REPORT: "Access Talent Pressures and the Aging Workforce: Responsive Action Steps for the Manufacturing Sector," by Stephen Sweet and Marcie Pitt-Catsouphes (June 2010, .pdf format, 53p.).

http://www.bc.edu/research/agingandwork/all_feeds/TM_pressureWorkforce.html

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12. KAISER FAMILY FOUNDATION REPORT: "Medicare Advantage 2010 Data Spotlight: Plan Enrollment Patterns and Trends," (June 2010, .pdf format, 13p.).

http://www.kff.org/medicare/8080.cfm

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13. URBAN INSTITUTE WEB FORUM: "The Social Side of Social Security: Can Benefit Adequacy and Equity Be Improved?" (June 2010, MP3 format).

http://www.urban.org/events/Social-Side-of-Social-Security.cfm

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14. AARP BRIEF, FACTSHEET:

A. "Preventing the Misleading Use of Senior Designations - What States Should Do," by Ryan Wilson (April 2010, .pdf format, 6p.).

http://www.aarp.org/money/investing/info-04-2010/i40-senior.html

B. "Affordable Home Energy and Health: Making the Connections," by Lynne Page Snyder and Christopher A. Baker (June 2010, .pdf format, 2p.).

http://www.aarp.org/money/low-income-assistance/info-06-2010/2010-05-consumer.html

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15. MICHIGAN RETIREMENT RESEARCH CENTER PERIODICAL: Newsletter (Vol. 11, No. 2, June 2010, HTML and .pdf format, 8p.).

http://www.mrrc.isr.umich.edu/publications/newsletters/newsletter_item.cfm?NewsletterID=1011

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16. FAMILY CAREGIVER ALLIANCE PERIODICAL: Caregiving PolicyDigest (Vol. 10, No. 12, June 23, 2010).

http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=467

More information about FCA:

http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=349

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17. JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION ARTICLE ABSTRACT: "Association Between Adiposity in Midlife and Older Age and Risk of Diabetes in Older Adults," by Mary L. Biggs, Kenneth J. Mukamal, Jose A. Luchsinger, Joachim H. Ix, Mercedes R. Carnethon, Anne B. Newman, Ian H. de Boer, Elsa S. Strotmeyer, Dariush Mozaffarian, and David S. Siscovick (Vol. 303, No. 24, June 23/30, 2010, p. 2504-2512).

http://jama.ama-assn.org/cgi/content/abstract/303/24/2504

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18. PUBLIC LIBRARY OF SCIENCE (PLoS) ARTICLES:

A. "Intermediate Phenotypes Identify Divergent Pathways to Alzheimer's Disease," by Joshua M. Shulman, Lori B. Chibnik, Cristin Aubin, Julie A. Schneider, David A. Bennett, and Philip L. De Jager (PLoS ONE 5(6): e11244. doi:10.1371/journal.pone.0011244, XML, HTML, and .pdf format, 11p.).

http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0011244

B. "Metallomic Profiling and Linkage Map Analysis of Early Parkinson's Disease: A New Insight to Aluminum Marker for the Possible Diagnosis," by Shiek S. S. J. Ahmed and Winkins Santosh (PLoS ONE 5(6): e11252. doi:10.1371/journal.pone.0011252, XML, HTML, and .pdf format, 9p.).

http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0011252

C. "Depression, Antidepressant Use and Mortality in Later Life: The Health in Men Study," by Osvaldo P. Almeida, Helman Alfonso, Graeme J. Hankey, and Leon Flicker (PLoS ONE 5(6): e11266. doi:10.1371/journal.pone.0011266, XML, HTML, and .pdf format, 9p.).

http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0011266

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19. BRITISH MEDICAL JOURNAL ARTICLES:

A. "Effectiveness of a specific care plan in patients with Alzheimer's disease: cluster randomised trial (PLASA study)," by Fati Nourhashemi, Sandrine Andrieu, Sophie Gillette-Guyonnet, Bruno Giraudeau, Christelle Cantet, Nicola Coley, and Bruno Vellas, on behalf of the PLASA Group (BMJ 2010;340:c2466, HTML and .pdf format).

http://www.bmj.com/cgi/content/full/340/jun03_1/c2466

B. "Effect on falls of providing single lens distance vision glasses to multifocal glasses wearers: VISIBLE randomised controlled trial," by Mark J. Haran, Ian D. Cameron, Rebecca Q. Ivers, Judy M. Simpson, Bonsan B. Lee, Michael Tanzer, Mamta Porwal, Marcella M. S. Kwan, Connie Severino, and Stephen R. Lord (BMJ 2010;340:c2265, HTML and .pdf format).

http://www.bmj.com/cgi/content/full/340/may25_1/c2265

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20. FORBES ARTICLE: "More States Woo Retirees With Tax Breaks," by Ashlea Ebeling (June 28, 2010).

http://www.forbes.com/forbes/2010/0628/investment-guide-retirement-tax-havens-georgia-states-woo-retirees.html

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III. Working Papers:

21. NATIONAL BUREAU OF ECONOMIC RESEARCH:

A. "Trends in World Inequality in Life Span Since 1970," by Ryan D. Edwards (w16088, June 2010, .pdf format, 40p.).

Abstract:

Previous research has revealed much global convergence over the past several decades in life expectancy at birth and in infant mortality, which are closely linked. But trends in the variance of length of life, and in the variance of length of adult life in particular, are less well understood. I examine life-span inequality in a broad, balanced panel of 180 rich and poor countries observed in 1970 and 2000. Convergence in infant mortality has unambiguously reduced world inequality in total length of life starting from birth, but world inequality in length of adult life has remained stagnant. Underlying both of these trends is a growing share of total inequality that is attributable to between-country variation. Especially among developed countries, the absolute level of between-country inequality has risen over time. The sources of widening inequality in length of life between countries remain unclear, but signs point away from trends in income, leaving patterns of knowledge diffusion as a potential candidate.

http://www.nber.org/papers/w16088

B. "Incorporating Employee Heterogeneity into Default Rules for Retirement Plan Selection," by Gopi Shah Goda and Colleen Flaherty Manchester (w16099, June 2010, .pdf format, 49p.).

Abstract:

This paper examines the effect of incorporating individual-level heterogeneity into default rules for retirement plan selection. We use data from a large employer that transitioned from a defined benefit (DB) plan to a defined contribution (DC) plan, offering existing employees a one-time opportunity to make an irrevocable choice between plans. Employees who did not make a choice were defaulted to switch to the DC plan if under age 45 or remain in the DB plan if age 45 or older. Using a regression discontinuity framework, we estimate that the default increased the probability of enrolling in one plan over the other by 60 percentage points. We develop a framework to solve for the optimal age-based default rule analytically and use our results to empirically evaluate the optimal age-based default rule for the firm in our setting. Our simulations show that for a broad range of levels of risk aversion, allowing the default for the choice between pension plans to vary by age can substantially improve outcomes relative to a uniform default policy. Our results suggest that considerable welfare gains are possible in our model by varying defaults by observable characteristics.

http://www.nber.org/papers/w16099

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22. SOCIAL AND ECONOMIC DIMENSIONS OF AN AGING POPULATION (SEDAP) [MCMASTER UNIVERSITY, HAMILTON, ONTARIO, CANADA]: "Body size and wages in Europe: A semi-parametric analysis," by Vincent A. Hildebrand and Philippe Van Kerm (Working Paper No. 269, June 2010, .pdf format, 38p.).

Abstract:

Evidence of the association between wages and body size - typically measured by the body mass index - appears to be sensitive to estimation methods and samples, and varies across gender and ethnic groups. One factor that may contribute to this sensitivity is the non-linearity of the relationship. This paper analyzes data from the European Community Household Panel survey and uses semi-parametric techniques to avoid functional form assumptions and assess the relevance of standard models. If a linear model for women and a quadratic model for men fit the data relatively well, they are not entirely satisfactory and are statistically rejected in favour of semiparametric models which identify patterns that none of the parametric specifications capture. Furthermore, when we use height and weight in the models directly, rather than equating body size with the body mass index, the semi-parametric models reveal a more complex picture with height having additional effects on wages. We interpret our results as consistent with the existence of a wage premium for physical attractiveness rather than a penalty for unhealthy weight.

http://socserv.mcmaster.ca/sedap/p/sedap269.pdf

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23. CENTER FOR ECONOMIC STUDIES/Ifo INSTITUTE FOR ECONOMIC RESEARCH (CESifo) [UNIVERSITY OF BONN, GERMANY]: "The Contribution of Pharmaceutical Innovation to Longevity Growth in Germany and France," by Frank Lichtenberg (WP 3095, June 2010, .pdf format, 39p.). Note: Links to the abstract and full-text can be found at:

http://www.cesifo-group.de/portal/page/portal/ifoHome/b-publ/b3publwp/_wp_abstract?p_file_id=17729

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24. VIENNA INSTITUTE OF DEMOGRAPHY [VIENNA, AUSTRIA]: "Agglomeration Processes in Ageing Societies," by Theresa Grafeneder-Weissteiner and Klaus Prettner (VID Working Paper 05/2010, June 2010, .pdf format, 25p.).

Abstract:

This article investigates agglomeration processes in ageing societies by introducing an overlapping generation structure into a New Economic Geography model. Whether higher economic integration leads to spatial concentration of economic activity crucially hinges on the economies' demographic properties. While population aging as represented by declining birth rates strengthens agglomeration processes, declining mortality rates weaken them. This is due to the fact that we allow for nonconstant population size. In particular, we show that population growth acts as an important dispersion force that augments the distributional effects on agglomeration processes resulting from the turnover of generations.

http://www.oeaw.ac.at/vid/download/WP2010_05.pdf

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25. NEP-AGE: Working papers in the Economics of Aging are available through the bibliographic database provided by Research Papers in Economics (RePEc). The latest compilation is for June 11, 2010.

http://ideas.repec.org/n/nep-age/

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

26. European Review of Aging and Physical Activity (Vol. 7, No. 1, June 2010).

http://www.springerlink.com/content/g41266t76308/?p=28b6b4f149a0406d81201e056cab3749&pi=0

27. International Journal of Aging and Human Development (Vol. 71, No. 1, 2010).

http://baywood.metapress.com/openurl.asp?genre=issue&issn=0091-4150&volume=71&issue=1

28. Journals of Gerontology (A): Biological and Medical Sciences (Vol. 65A, No. 7, July 2010).

http://biomedgerontology.oxfordjournals.org/content/65A/7.toc

29. Journals of Gerontology (B): Psychological and Social Sciences (Vol. 65B, No. 4, July 2010).

http://psychsocgerontology.oxfordjournals.org/content/65B/4.toc

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30. 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 June 21, 2010:

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

B. Alzheimer's Disease: Literature for the week of June 21, 2010:

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

C. Parkinson's Disease: Literature for the week of June 21, 2010:

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

D. Prostate Cancer: Literature for the week of June 21, 2010:

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

E. Stem Cell Research: Literature for the week of June 21, 2010:

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

F. Ophthalmology: Literature for the week of June 21, 2010:

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

AMEDEO Literature Guide:

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

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V. Conferences:

31. CONFERENCEALERTS.COM PALLIATIVE CARE CONFERENCES: "Napa Pain Conference," To be held in Napa, California Aug. 13, 2010.

http://www.conferencealerts.com/seeconf.mv?q=ca16mshm

Conferencealerts.Com Palliative Care:

http://www.conferencealerts.com/hospice.htm

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32. SOCIETY FOR LONGITUDINAL AND LIFE COURSE STUDIES: "Developments and Challenges in Longitudinal Studies from Childhood," (Sept. 22-24, 2010, Cambridge, UK).

http://www.longstudies.longviewuk.com/pages/conference.shtml

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VI. Legislation Information Updates:

33. US HOUSE COMMITTEE ON ENERGY AND COMMERCE, SUBCOMMITTEE ON HEALTH HEARING TESTIMONY: "MedPACís June 2010 Report to Congress: Aligning Incentives in Medicare," a hearing held June 23, 2010 (witness statements are in .pdf format, view the hearing in Windows Media format).

http://energycommerce.house.gov/index.php?option=com_content&view=article&id=2049

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VII. Websites of Interest:

34. KAISER FAMILY FOUNDATION WEBSITE UPDATE: "Medicare Health and Prescription Drug Plan Tracker." "The Kaiser Family Foundation has updated its interactive online resource, the Medicare Health and Prescription Drug Plan Tracker, with 2010 data about plan availability, enrollment, and premium information for Medicare Advantage and stand-alone prescription drug plans, including information about low-income subsidy plans and special needs plans."

http://www.kff.org/medicare/healthplantracker

Thanks,

Charlie

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Charlie Fiss
Information Manager
Data and Information Services Center
Rm. 3329 Social Science Bldg
1180 Observatory Drive
Madison, WI 53706-1393
Phone: (608) 265-9240
Fax: (608) 262-8400
Email: fiss@ssc.wisc.edu

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