“Modifying Medicare’s Benefit Design: What’s the Impact on Beneficiaries and Spending?” by Juliette Cubanski, Tricia Neuman, Zachary Levinson, Gretchen Jacobson, Monica Brenner, and James Mays (June 2016, .pdf and HTML format, 26p.).
June 29, 2016
A. “Dynamic PET Measures of Tau Accumulation in Cognitively Normal Older Adults and Alzheimer’s Disease Patients Measured Using [18F] THK-5351,” by Samuel N. Lockhart, Suzanne L. Baker, Nobuyuki Okamura, Katsutoshi Furukawa, Aiko Ishiki, Shozo Furumoto, Manabu Tashiro, Kazuhiko Yanai, Hiroyuki Arai, Yukitsuka Kudo, Ryuichi Harada, Naoki Tomita, Kotaro Hiraoka, Shoichi Watanuki, and William J. Jagust (PLoS ONE 11(6): e0158460. doi:10.1371/journal.pone.0158460, XML, HTML, and .pdf format, 16p.).
B. “Barriers to Effective Postmenopausal Osteoporosis Treatment: A Qualitative Study of Patients’ and Practitioners’ Views,” by Sophie Alami, Lucile Hervouet, Serge Poiraudeau, Karine Briot, and Christian Roux (PLoS ONE 11(6): e0158365. doi:10.1371/journal.pone.0158365, XML, HTML, and .pdf format, 16p.).
June 28, 2016
“Examining the Proposed Medicare Part B Drug Demonstration,” a hearing held June 28, 2016 (witness statements available in .pdf format, video of the full hearing available at the site, running time 1 hour 40 minutes). Note: Hearing begins at the 20:08 mark.
A. “Labor Force Transitions at Older Ages: Burnout, Recovery, and Reverse Retirement,” by Lindsay Jacobs and Suphanit Piyapromdee (2016-053, 2016, .pdf format, 43p.).
Abstract: Partial and reverse retirement are two key behaviors characterizing labor force dynamics for individuals at older ages, with half working part-time and over a third leaving and later re-entering the labor force. The high rate of exit and re-entry is especially surprising given the declining wage profile at older ages and opportunities for re-entry in the future being uncertain. In this paper we study the effects of wage and health transition processes as well as the role of accrues work-related strain on the labor force participation on older males. We find that a model incorporating a work burnout-recovery process can account for such reverse retirement behavior that cannot be generated by health and wealth shocks alone, suggesting re-entry patterns result in large part from planned behavior. We first present descriptive statistics of the frequency and timing of re-entry and characteristics of those who re-enter using Health and Retirement Study (HRS) panel data. We then develop and estimate a dynamic model of retirement that captures the occurrence and timing of re-entry decisions observed in the data–as well as the transition to part-time work–while incorporating uncertainty in earnings, health, and stress accumulation. The burnout-recovery process allows us to account of for about 40 percent of re-entry, and one-quarter of the shifts to part-time work with age. We also consider the lower exit and re-entry rates after 2008, and attribute this to high option values of work in an environment where future re-entry is less certain. Consistent with out burnout-recovery model, we see that respondents are more likely to report high levels of job stress as they continue to work when they would have otherwise stopped working, recovered, and re-entered. This offers us some information about the relative option value of work versus the burnout-recovery process.
B. “Occupational Choice, Retirement, and the Effects of Disability Insurance,” by Lindsay Jacobs (2016-051, 2016, .pdf format, 53p.).
There is much variation in the physical requirements across occupations, giving rise to great differences in later-life productivity, disability risk, and the value of Social Security Disability Insurance (SSDI). In this paper, I look at how such differences across occupations affect initial career choice as well as the extent to which SSDI, which insures shocks to productivity due to disability, prompts more people to choose physically intense occupations. Using data from the Health and Retirement Study (HRS) and the Current Population Survey (CPS), I estimate a dynamic model of occupational choice and retirement with heterogeneous agents and equilibrium effects on earnings across occupations. I document the differences between blue-collar and white-collar occupations in the effects of declining health and disability on productivity, which affects labor supply in later life and, in the context of a life-cycle model, influences the occupation decision. Thro ugh counterfactual exercises, I show that the additional disability risk in blue-collar jobs relative to white-collar jobs is equivalent to an additional six percentage point reduction in lifetime consumption and that the absence of SSDI, which insures some of this risk, would be equivalent to, respectively, a twelve and seven percent reduction in consumption for those in blue- and white-collar jobs. Furthermore, I find that the presence of SSDI results in three percent more individuals choosing blue-collar occupations, which is comparable to the effect on occupation selection resulting from an eight-percent increase in blue-collar earnings. This overall effect, however, masks the importance of the selection of less risk-averse individuals into blue-collar jobs and the equilibrium effects on wages; earnings for the most risk-averse type would have to be nearly fifteen percent greater to choose blue-collar occupations in the absence of SSDI.
“The Political Economy of Underfunded Municipal Pension Plans,” by Jeffrey C. Brinkman, Daniele Coen-Pirani, and Holger Sieg (Working Paper No. 16-16, June 2016, .pdf format, 62p.).
The authors analyze the determinants of underfunding of local government’s pension funds using a politico-economic overlapping generations model. They show that a binding downpayment constraint in the housing market dampens capitalization of future taxes into current land prices. Thus, a local government’s pension funding policy matters for land prices and the utility of young households. Underfunding arises in equilibrium if the pension funding policy is set by the old generation. Young households instead favor a policy of full funding. Empirical results based on cross-city comparisons in the magnitude of unfunded liabilities are consistent with the predictions of the model.
Note: The link below is to the table of contents for the current issue of JAMA (Vol. 315, No. 24, June 28, 2016). Check with your organization’s information center for availability.
“Intensive vs Standard Blood Pressure Control and Cardiovascular Disease Outcomes in Adults Aged GE [greater or equal to] 75 Years: A Randomized Clinical Trial,” by Jeff D. Williamson, Mark A. Supiano, William B. Applegate, Dan R. Berlowitz, Ruth C. Campbell, Glenn M. Chertow, Larry J. Fine, William E. Haley, Amret T. Hawfield, MD; Joachim H. Ix, Dalane W. Kitzman, John B. Kostis, Marie A. Krousel-Wood, Lenore J. Launer, Suzanne Oparil, Carlos J. Rodriguez, Christianne L. Roumie, Ronald I. Shorr, Kaycee M. Sink, Virginia G. Wadley, Paul K. Whelton, Jeffrey Whittle, Nancy F. Woolard; Jackson T. Wright Jr, and Nicholas M. Pajewski, for the SPRINT Research Group (p. 2673-2682).
A. “Tau protein is essential for stress-induced brain pathology,” by Sofia Lopes, Joao Vaz-Silva, Vitor Pinto, Christina Dalla, Nikolaos Kokras, Benedikt Bedenk, Natalie Mack, Michael Czisch, Osborne F. X. Almeida, Nuno Sousa, and Ioannis Sotiropoulos (Vol. 113, No. 26, June 28, 2016, p. E3755-E3763).
B. “Tau accumulation induces synaptic impairment and memory deficit by calcineurin-mediated inactivation of nuclear CaMKIV/CREB signaling,” by Yaling Yin, Di Gao, Yali Wang, Zhi-Hao Wang, Xin Wang, Jinwang Ye, Dongqin Wu, Lin Fang, Guilin Pi, Ying Yang, Xiao-Chuan Wang, Chengbiao Lu, Keqiang Ye, and Jian-Zhi Wang (Vol. 113, No. 26, June 28, 2016, p. E3773-E3781).
June 27, 2016
Links to an abstract are available. For full text availability check your organization’s library.
“Moneyball in Medicare,” by Edward C. Norton, Jun Li, Anup Das, and Lena M. Chen (w22371, June 2016, .pdf format, 46p.).
CAAR – Institute for the Study of Labor (IZA) [University of Bonn, Germany] Working Papers – June 27, 2016
A. “Pension Incentives and the Retirement Decisions of Couples,” by Kadir Atalay and Garry Barrett (Discussion Paper No. 10013, June 2016, .pdf format, 32p.). Note: Links to the abstract and the full text of the paper available at:
B. “Old-Age Pension and Extended Families: How is Adult Children’s Internal Migration Affected?” by Xi Chen (Discussion Paper No. 10016, June 2016, .pdf format, 23p.). Note: Links to the abstract and the full text of the paper available at:
C. “Ageing and Literacy Skills: Evidence from IALS, ALL and PIAAC,” by Garry Barrett and W. Craig Riddell (Discussion Paper No. 10017, June 2016, .pdf format, 53p.). Note: Links to the abstract and the full text of the paper available at:
D. “Is Childcare Bad for the Mental Health of Grandparents? Evidence from SHARE,” by Giorgio Brunello and Lorenzo Rocco (Discussion Paper No. 10022, June 2016, .pdf format, 29p.). Note: Links to the abstract and the full text of the paper available at:
“A future of the welfare state thinkpiece,” by Sir Michael Lyons, Caroline Green, and Neal Hudson (June 2016, .pdf format, 14p.).
Journal of Alzheimer’s Disease (Vol. 53, No. 1, 2016).
June 24, 2016
“ACAP Medicare-Medicaid Plans and the Financial Alignment Demonstrations: Innovations and Lessons,” by Ann Mary Philip, Alexandra Kruse, and Michelle Herman Soper (June 2016, .pdf format, 39p.).
June 23, 2016
“The latest estimates of population for the United States, states, and counties by age, sex, race and Hispanic origin, and for Puerto Rico Commonwealth and municipios by age and sex – for July 1, 2015,” (June 2016, comma-delimited and Excel format).
“The Right Care at the Right Time: Ensuring Person-Centered Care for Individuals with Serious Illness,” a hearing held June 23, 2016 (witness statements available in .pdf format, video of the full hearing available at the site, running time 1 hour 26 minutes). Note: Hearing begins at the 15:56 mark.
CAAR – US Department of Health and Human Services, Office of Inspector General Brief – June 23, 2016
“High Part D Spending on Opioids and Substantial Growth in Compounded Drugs Raise Concerns,” (OEI-02-16-00290, June 2016, .pdf format, 13p.).
CAAR – University of Pennsylvania, Wharton School, Pension Research Council Working Paper – June 23, 2016
Note: Free registration is required to access any content.
A. “Workplace-Linked Pensions for an Aging Demographic,” by Olivia S. Mitchell and John Piggott (WP2016-3, January 2016, .pdf format, 62p.).
Pensions and population aging intersect in two ways. First, demographic change threatens the sustainability of traditional pay-as-you-go social security pensions, leaving workplace-linked pensions with a greater role in retirement provision. Second, as the Baby Boom generation enters retirement, new challenges arise around its retirement support. This chapter reviews some of the implications of population aging for workplace pensions in this new environment, outlines market considerations important for workplace-related pension design for the future, and discusses how governments can create an environment supportive of workplace-related pensions, should they wish to do so. We conclude that workplace-linked retirement saving systems will be asked to do even more than in the past, given the financial stress that pay-as-you-go government-run Social Security plans are confronting in the face of an aging demographic. This will require further product innovation and additional research.
B. “Employee Financial Literacy and Retirement Plan Behavior: A Case Study,” by Robert Clark, Annamaria Lusardi, and Olivia S. Mitchell (WP2016-2, June 2016, .pdf format, 31p.).
This paper uses administrative data on all active employees of the Federal Reserve System to examine participation in and contributions to the Thrift Saving Plan, the System’s defined contribution (DC) plan. We link to administrative records a unique employee survey of economic/demographic factors including a set of financial literacy questions. Not surprisingly, Federal Reserve employees are substantially more financially literate than the population at large. Most importantly, financially savvy employees are also most likely to participate in their DC plan. Sophisticated workers contribute three percentage points more of their earnings to the DC plan than do the less knowledgeable, and they hold more equity in their pension accounts. We examine changes in employee plan behavior one year after employees completed a Learning Module about retirement planning, and we compare it to baseline patterns. We find that those employees who completed the Learning Module were more likely to start contributing and less likely to have stopped contributing to the DC plan post-survey. In sum, employer-provided learning programs are shown to significantly impact employee retirement saving decisions and consistent with a lot of other research, higher levels of financial literacy is found to have a beneficial impact on retirement saving patterns.
CAAR – United Nations Economic and Social Commission for Asia and the Pacific Report – June 23, 2016
“Income Security for Older Persons in Fiji,” (June 2016, .pdf format, 30p.).
A. “Use of Seasonal Influenza Vaccination and Its Associated Factors among Elderly People with Disabilities in Taiwan: A Population-Based Study,” by Yu-Chia Chang, Ho-Jui Tung, Shang-Wei Hsu, Lei-Shin Chen, Pei-Tseng Kung, Kuang-Hua Huang, Shang-Jyh Chiou, and Wen-Chen Tsai (PLoS ONE 11(6): e0158075. doi:10.1371/journal.pone.0158075, XML, HTML, and .pdf format, 12p.).
B. “Periprosthetic Infection following Total Knee Arthroplasty: A Nationwide Population-Based Nested Case-Control Study,” by Ta-Wei Tai, Tzu-Chieh Lin, Chia-Jung Ho, Yea-Huei Kao Yang, and Chyun-Yu Yang (PLoS ONE 11(6): e0158096. doi:10.1371/journal.pone.0158096, XML, HTML, and .pdf format, 8p.).
“Employment of older workers,” by E. Ozdemir, T. Ward, M. Fuchs, S. Ilinca, O. Lelkes, R. Rodrigues, and E. Zolyomi (Research Note No. 5/2015, February 2016, .pdf format, 68p.).
“Innovate to Alleviate: Exploring How the Role of an Enhanced Care Worker Could Address Skills Shortages in the Social Care Sector,” by George Holley-Moore and Dr. Brian Beach (June 2016, .pdf format, 39p.).
Age and Ageing (Vol. 45, No. 4, July 2016).
June 22, 2016
CAAR – US Centers for Medicare and Medicaid Services, Boards of Trustees of The Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds Report – June 22, 2016
“The 2016 Annual Report Of The Boards Of Trustees Of The Federal Hospital Insurance And Federal Supplementary Medical Insurance Trust Funds,” (June 2016, .pdf format, 261p.).
“Convergence in male and female life expectancy: Direction, age pattern, and causes,” by Benjamin Seligman, Gabi Greenberg, and Shripad Tuljapurkar (Vol. 34, Article 38, June 2016, .pdf format, p. 1063-1074).
“Statistical Bulletin Registered in Pension Funds 2015,” (May 2016, .pdf format, 36p.). Note: In Arabic and English. To read the summary in English, click the “EN” icon on the top of the page.
June 21, 2016
CAAR – US Senate Committee on Health, Education, Labor and Pensions, Subcommittee on Primary Health and Retirement Security Hearing Testimony – June 21, 2016
“Small Business Retirement Pooling: Examining Open Multiple Employer Plans,” a hearing held June 21, 2016 (witness statements available in .pdf format, video of the full hearing available at the site, running time 1 hour 31 minutes).
“Photodegradation of retinal bisretinoids in mouse models and implications for macular degeneration,” by Keiko Ueda, Jin Zhao, Hye Jin Kim, and Janet R. Sparrow (Vol. 113, No. 25, June 21, 2016, .pdf and HTML format, p. 6904–6909). Note: PNAS is providing open access to the full text of this article.
“Changes in the Chemical Barrier Composition of Tears in Alzheimer’s Disease Reveal Potential Tear Diagnostic Biomarkers,” by Gergo Kallo, Miklos Emri, Zsofia Varga, Bernadett Ujhelyi, Jozsef Tozser, Adrienne Csutak, and Eva Csosz (PLoS ONE 11(6): e0158000. doi:10.1371/journal.pone.0158000, .pdf, XML, and HTML format, 14p.).
“Immigration: Encourage or deter?” by Dean Hochlaf and Ben Franklin (June 2016, .pdf format, 21p.).
– Version 2.36: 2014 State Profiles (June 16, 2016).
Aging and Mental Health (Vol. 20, No. 9, 2016).
Journal of the American Geriatrics Society (Vol. 64, No. 6, June 2016).
Research on Aging (Vol. 38, No. 6, August 2016).
June 20, 2016
A. “FY 2015 PBGC Projections Report,” (June 2016, .pdf format, 54p.).
B. “PBGC MPRA [Multiemployer Pension Reform Act of 2014] Report,” (June 2016, .pdf format, 23p.).
Links to an abstract are available. For full text availability check your organization’s library.
“The Impact of Late-Career Job Loss and Genotype on Body Mass Index,” by Lauren L. Schmitz and Dalton Conley (w22348, June 2016, .pdf format, p.).
“Medicare Advantage Hospital Networks: How Much Do They Vary?” by Gretchen Jacobson, Ariel Trilling, Tricia Neuman, Anthony Damico, and Marsha Gold (June 2016, .pdf and HTML format, 38p.).
June 17, 2016
A. “Association between Thigh Muscle Volume and Leg Muscle Power in Older Women,” by Ulrich Lindemann, Christian Mohr, Juergen Machann, Konstantinos Blatzonis, Kilian Rapp, and Clemens Becker (PLoS ONE 11(6): e0157885. doi:10.1371/journal.pone.0157885, .pdf, HTML, and XML format, 10p.).
B. “Structural Brain Alterations in Motor Subtypes of Parkinson’s Disease: Evidence from Probabilistic Tractography and Shape,” by Griet Vervoort, Inge Leunissen, Michael Firbank, Elke Heremans, Evelien Nackaerts, Wim Vandenberghe, and Alice Nieuwboer (PLoS ONE 11(6): e0157743. doi:10.1371/journal.pone.0157743, .pdf, HTML, and XML format, 17p.).
“How Spending Declines with Age, and the Implications for Workplace Pension Plans,” by Frederick Vettese (June 2016, .pdf format, 11p.).
“Report of the Speaker’s Task Force on Alzheimer’s and Dementia,” (June 2016, .pdf format, 15p.).
“The Long-Term Care Workforce Crisis: A 2016 Report,” (May 2016, .pdf format, 4p.).
June 16, 2016
“2015 Survey of Public Pensions: State & Local Data,” (June 2016, Excel, ASCII text, and .pdf format).
“Aging of the State Prison Population, 1993–2013,” by E. Ann Carson and William J. Sabol (NCJ 248766, May 2016, .pdf, ASCII text, and zipped comma-delimited format, 37p.).
CAAR – US Department of Health and Human Services, Office of Inspector General Report- June 16, 2016
“CMS Is Taking Steps To Improve Oversight of Provider-Based Facilities, But Vulnerabilities Remain,” (OEI-04-12-00380, June 2016, .pdf format, 36p.).
“Closing the Gap: Innovations to Promote Americans’ Financial Security,” a hearing held June 15, 2016 (witness statements available in .pdf format, video of the full hearing available at the site, running time 1 hour 6 minutes). Note: Hearing begins at the 16:02 mark.
CAAR – Bipartisan Policy Center’s (BPC’s) Commission on Retirement Security and Personal Savings Report – June 16, 2016
“Securing Our Financial Future: Report of the Commission on Retirement Security and Personal Savings,” (June 2016, .pdf format, 149p.).
“NAD+ repletion improves mitochondrial and stem cell function and enhances life span in mice,” by Hongbo Zhang, Dongryeol Ryu, Yibo Wu, Karim Gariani, Xu Wang, Peiling Luan, Davide D’Amico, Eduardo R. Ropelle, Matthias P. Lutolf, Ruedi Aebersold, Kristina Schoonjans, Keir J. Menzies, and Johan Auwerx (Vol. 352, No. 6292, June 17, 2016, p. 1436-1443).
CAAR – United Nations Economic and Social Commission for Asia and the Pacific Working Paper – June 16, 2016
“Long-term Care of Older Persons in Singapore,” (June 2016, .pdf format, 40p.). Note: Links to the abstract and the full text of the paper available at:
“Pension Funds in Figures,” (June 2016, .pdf format, 4p.).
Related tables (Excel format):
Care Management Journals (Vol. 17, No. 2, 2016).
Dementia (Vol. 15, No. 4, July 2016).
Journal of Alzheimer’s Disease (Vol. 52, No. 4, 2016).
Medical Care (Vol. 54, No. 7, July 2016).