Current Awareness in Aging Research (CAAR) Report #106--October 18, 2001

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:


I. Data:

1. HRS: "HRS 2000 Exit Early Data Release (Version 1)" (University of Michigan, Institute for Social Research Health and Retirement Study, Oct. 11, 2001).


A. From the University of Michigan Institute for Social Research, Panel Study of Income Dynamics website: "The Public Release I of the 1999 Family file was reissued on 10/10/2001." For more details on the errata see:

Update availability:

The file is not available through the download/FTP page at this time.

B. "The 1968-1999 Public Release 1 Individual File has been replaced with a new version, Release 2, that includes longitudinal weights for 1999 individuals. The only difference between Release 1 and Release 2 is the addition of the weight variable at the very end of each data record, following the 1999 portion of the data. No other changes were made to the file." (Oct. 16, 2001). The data can be extracted via PSID's Data Center or directly downloaded via FTP.

3. ICPSR: On Oct. 9 and Oct. 16, 2001, the Inter-University Consortium for Social and Political Research at the University of Michigan released a total of 6 new studies. Of possible interest to researchers in aging is:


Note: This is a temporary address. ICPSR studies can always be found at:

Search on title or study number.

II. Reports and articles:

4. NCHS: "Deaths: Leading Causes for 1999," by Robert N. Anderson (US National Center for Health Statistics, National Vital Statistics Reports Vol. 49, No. 11, October 2001, .pdf format, 88p.).

5. DHHS OAS OIG AUDIT: "Review of Rural Health Clinic Medicare Claims for Calendar Years 1997, 1998, and 1999" (US Department of Health and Human Services, Office of Audit Services, Office of the Inspector General, A-07-00-00108, October, 2001, .pdf format, 23p.).

Executive Summary:

This report points out potential Medicare overpayments totaling approximately $2.8 million were paid to rural health clinics (RHC) in 13 States for Calendar Years 1997 through 1999. The potential improper payments were composed of $2.6 million in Part B billings for individual services that were covered and paid on the basis of an all-inclusive rate per visit, and $0.2 million in duplicate RHC claims for services provided to the same beneficiaries, for the same dates of service, and with the same diagnoses. In addition to financial adjustments, we are recommending that the Centers for Medicare and Medicaid Services (CMS) design and implement Common Working File edits to detect claims which contain Part B services that were paid under the all-inclusive rate. We are also recommending that CMS require the fiscal intermediaries to develop effective procedures and computer system edits to detect the submission of duplicate RHC claims. The CMS agreed with all of our recommendations except for designing and implementing CWF edits. The CMS believed that this recommendation would result in additional administrative burdens. However, we believe that CWF edits would be the most effective way to correct problems found during the audit, without placing additional administrative burdens on RHCs.

Click on "Complete Text of Report" for full text.

6. _BMJ_ NEWS: "Drug companies defrauded Medicare of millions," by Fred Charatan (_British Medical Journal_ News, Vol. 323, No. 7317, Oct. 13, 2001, HTML and .pdf format, p. 828).

7. _LANCET_ ARTICLE ABSTRACT: Note: _Lancet_ requires free registration before providing content. "Age, sex, and social trends in out-of-hospital cardiac deaths in Scotland 1986-95: a retrospective cohort study," by Simon Capewell, Kate MacIntyre, Simon Stewart, Jim W.T. Chalmers, James Boyd, Alan Finlayson, Adam Redpath, Jill P. Pell, and John J.V. McMurray (_Lancet_, Vol. 358, No. 9289, Oct. 13, 2001, p. 1213-1217).

8. MEDSCAPE ARTICLE: Note: Medscape requires free registration before providing articles. "Retrospective Analysis of Mortalities Associated with Medication Errors," by Jerry Phillips, Sammie Beam, Allen Brinker, Carol Holquist, Peter Honig, Laureen Y. Lee, and Carol Pamer (_American Journal of Health-System Pharmacy_ via Medscape, Vol. 58, No. 19, October 2001, p. 1824-1829).


9. AARP PRIME TIME RADIO: There is one new segment from AARP's Prime Time Radio. (AARP, RealPlayer format, Oct. 2, 2001). The title is:

"Older People and Crises." "Dr. Gary Kennedy, president of the American Association for Geriatric Psychiatry, lives in New York City and has been helping some of his patients cope with the aftermath of the terrorist attack. He talks with host Mike Cuthbert about strategies older people and those caring for them can use to deal with this and other crises." (Running time: 23 minutes, 53 seconds).

To listen to a segment scroll to and click on the title.


III. Working Papers:

10. NBER: Note: Click on "PDF" at the bottom of the abstract, or submit your email address for full text.

A. "Demographic Fluctuations, Generational Welfare and Intergenerational Transfers," by Alwyn Young (National Bureau of Economic Research W8530, October 2001, .pdf format, 34p.).


This paper extends the Ramsey model's normative analysis to issues of generational welfare and intergenerational transfers. A planner, who maximizes the discounted welfare of an endless stream of generations, is intrinsically biased against larger cohorts, which are more costly to provide utility. Imperfect production substitutability produces a market bias against baby booms as well, lowering their lifetime income. The market bias, however, tends to be greater than that of the planner, who provides the baby boom cohort with more favourable lifetime transfers. Intuitively, the baby boom benefits from temporarily reduced elderly dependency, allowing greater lifetime consumption relative to lifetime income. Declining population growth leads to rising elderly dependency, which the planner supports with increasing intergenerational transfers. Secularly rising social security taxes, and declining lifetime returns, with a baby boom cohort receiving more favourable treatment than their heavily burdened successors, are consistent with the wishes of a social planner in an environment with declining population growth.

B. "Medicare Policy in the 1990s," by Joseph P. Newhouse (National Bureau of Economic Research W8531, October 2001, .pdf format, 90p.).


I describe several changes to Medicare in the 1990s, their rationale, and their likely effects. I focus principally on issues in the administered price systems Medicare uses to pay medical providers, especially those used for post-acute care providers, Health Maintenance Organizations (HMOs), and physicians. The changes to these systems in the 1990s, although directed at important problems, have introduced new and serious problems of their own. For example, the post-acute care system now pays different amounts for the same service, depending on the site of care, and the HMO system is on a trajectory to pay substantially less than traditional Medicare in high rate areas and more in low rate areas, thereby unbalancing local medical markets. I consider future directions for the program, including its long-term financing and a prescription drug benefit.

C. "Mortality, Income, and Income Inequality Over Time in Britain and the United States," by Angus Deaton and Christina Paxson (National Bureau of Economic Research W8534, October 2001, .pdf format, 48p.).


We investigate age-specific mortality in Britain and the United States since 1950. Neither trends in income nor in income inequality provide plausible explanations. Britain and the US had different patterns of income growth but similar patterns of mortality decline. Patterns of income inequality were similar in both countries, but adult and elderly mortality rates declined most rapidly during the period when inequality increased. Changes in the rate of mortality decline in the US led changes in Britain by about four years, most notably for infant and older adult mortality where there have been significant technical improvements in treatment. British mortality is lower, but the schedules cross at around age 65. This pattern was established before Medicare, and most likely comes from rationing by age in Britain. Merged income, income inequality, and mortality data on an age/year (or cohort/year) basis show no evidence that income has any effect on mortality in Britain. Education is protective, but less so than in the US. Understanding the effect of income on mortality presents many puzzles, between countries, and between analyses at different levels of aggregation. Our results suggest an important role for medical technology in determining the rate of mortality decline since 1950.

11. WHARTON PENSION RESEARCH COUNCIL: "The Demographics of Tomorrow's Workplace," by Martha Farnsworth Riche (Pension Research Council, The Wharton School, University of Pennsylvania, Working Paper No. 2001-14, September 2001, 32p.).


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

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

A. Point your browser to:

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.

International Journal of Aging and Human Development (Vol. 53, No. 1, 2001).

Journal of Adult Development (Vol. 8, No. 4, 2001).

Omega: Journal of Death and Dying (Vol. 42, No. 4, 2001).

13. 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 Oct. 16, 2001:

B. Alzheimer's Disease: Literature for the week of Oct. 16, 2001:

C. Parkinson's Disease: Literature for the week of Oct. 16, 2001:

AMADEO Literature Guide:


V. Funding Opportunities:

14. NIH NIA (ET. AL.):

A. Bioengineering Research Partnerships (US National Institutes of Health, National Institute on Aging, in conjunction with several other agencies, Oct. 11, 2001). For more information see:

B. Bioengineering Research Grants (US National Institutes of Health, National Institute on Aging, in conjunction with several other agencies, Oct. 11, 2001). For more information see:


VI. Legislation Information Updates:

15. AOA CALL FOR INPUT: "Provide Input to the Development of the New Regulations for Title III of the Older Americans Act" (US Administration on Aging, Sep. 24, 2001).

16. AOA LAW GUIDANCE DOCUMENT: "Guidance on the Applicability of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 to Older Americans Act programs and services" (US Administration on Aging, Sep. 28, 2001, HTML and .pdf format, 5p.).


A. "Social Security and Pension Reform: Lessons from Other Countries," a hearing held Jul. 31, 2001).

Hearing transcript:

B. "Social Security Administration's Proposal to Implement Return to Work Legislation," a hearing held Feb. 28, 2001 (Hearing Publication Serial No. 107-3, ASCII text and .pdf format, 88p.).

Scroll to or "find in page" "107-3" (without the quotes).

18. US HOUSE COMMITTEE ON SMALL BUSINESS HEARING PUBLICATION: "The Regulatory Morass at the Centers for Medicare and Medicaid Services; a Prescription for Bad Medicine," a hearing held Jul. 11, 2001 (Hearing Publication Serial No. 107-17, ASCII text and .pdf format, 89p.).

Scroll to or "find in page" "107-17" (without the quotes).

19. US SENATE SPECIAL COMMITTEE ON AGING HEARING PUBLICATION: "Family Caregiving and the Older American Act: Caring for the Caregiver, a hearing held May 17, 2001 (Hearing Publication Serial No. 107-80, ASCII text and .pdf format, 110p.).

Scroll to or "find in page" "107-80" (without the quotes).

Jack Solock
Data Librarian--Center for Demography and Ecology and Center for
Demography of Health and Aging
4470 Social Science
University of Wisconsin-Madison
Madison, WI 53706