Current Awareness in Aging Research (CAAR) Report #337--May 11, 2006


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. Reports and articles:


A. "OASDI (Old-Age and Survivors Insurance and Disability Insurance) Monthly Statistics, April 2006" (May 2006, HTML and .pdf format).

B. "SSI (Supplementary Security Income) Monthly Statistics, April 2006 (May 2006, HTML and .pdf format).

2. US NATIONAL CENTER FOR HEALTH STATISTICS REPORT: "Summary Health Statistics for U.S. Adults: National Health Interview Survey, 2004," by Margaret Lethbridge-Cejku, Deborah Rose, and Jackline Vickerie (Vital and Health Statistics Series 10, No. 228, May 2006, .pdf format, 154p.).


A. "Average Number of Days of Hospital Stay, by Age Group --- United States, 1980--2004" (Vol. 55, No. 17, May 5, 2006, HTML and .pdf format, p. 491).



B. "Percentage of Hospital Inpatients Transferred to Long-Term--Care Facilities, by Age Group --- United States, 1990, 1995, 2000, and 2004"(Vol. 55, No. 18, May 12, 2006, HTML and .pdf format, p. 515).



4. US DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF THE ASSISTANT SECRETARY FOR PLANNING AND EVALUATION REPORT: "The Supply and Demand of Professional Social Workers Providing Long-Term Care Services: Report to Congress" (March 2006, HTML and .pdf format, 24p.).


A. "Performance Data for the Senior Medicare Patrol Projects: April 2006 Performance Report" (OEI-02-04-00363, May 2006, .pdf format, 92p.


The objective of this memorandum was to collect and report on performance data and verify documentation of overpayments recovered as a result of the efforts of the Senior Medicare Patrol Projects. The Senior Medicare Patrol Projects receive grants from AoA to recruit retired professionals to serve as educators and resources in assisting beneficiaries to detect and report fraud, waste, and abuse in the Medicare program. A total of 64 projects operated from July through December 2005. In the 6 months from July through December 2005, the 64 projects educated 290,532 beneficiaries in 96,257 group training sessions and one-on-one sessions. In total, the projects documented $102,868 recouped to the Medicare program. The projects also reported $59,324 in savings to beneficiaries. In all of these cases, the projects provided descriptions of out-of-pocket expenses being returned to beneficiaries and savings due to resolution of billing errors. Additionally, one project's referral led to the removal of 11 providers from the Medicare program.

B. "Physical Therapy Billed by Physicians" (OEI-09-02-00200, May 2006, .pdf format, 14p.).


OIG found that approximately 91 percent of physical therapy billed by physicians in the first 6 months of 2002 did not meet program requirements. These inappropriately paid services cost the program and its beneficiaries approximately $136 million. Because of inadequate documentation, reviewers had difficulty assessing the quality of the therapy services. In addition, we identified aberrances in physicians' billing patterns and unusually high volumes of claims that suggest physical therapy is vulnerable to abuse. Finally, physical therapy billed " incident to" physicians' professional services and rendered by unskilled and/or unlicensed personnel represent a vulnerability that could be placing beneficiaries at risk of receiving services that do not meet professionally recognized standards of care. To address these issues, we recommend CMS should consider revisions, clarifications, and further study of the "incident to" rule to ensure that Medicare beneficiaries are receiving skilled services from appropriately trained and licensed staff and that the services meet professionally recognized standards of care.

6. US SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION REPORT: "Older Adult Alcohol Admissions, 2003," (Drug and Alcohol Services Information System Report, Issue 17, May 2006, HTML and .pdf format, 4p.).

7. US GOVERNMENT ACCOUNTABILITY OFFICE REPORT: "Private Pensions: Opportunities Exist to Further Improve the Transparency of PBGC's Financial Disclosures" (GAO-06-429, March 2006, .pdf format, 18p.).

Note: This is a temporary address. GAO reports are always available at:


A. "More aged care in retirement villages" (SS39/06, May 3, 2006, HTML and .pdf format, 1p.).

B. "Dementia training providers to reach 17,000 aged care workers" (SS041/06, May 8, 2006, HTML and .pdf format, 2p.).

9. AUSTRALIA DEPARTMENT OF TREASURY BUDGET: "A Plan to Simplify and Streamline Superannuation" (May 2006, .pdf format, 26p).

Press release:

Website of interest:

10. UK DEPARTMENT FOR WORK AND PENSIONS REPORT: "Income-related benefits: Pension Credit estimates of take-up in 2004/2005" (May 2006, .pdf format, 53p.).


A. "What Japan Can Do To Push Its Longevity Envelope," by Kimiko Tanaka and Nan E. Johnson (May 2006).

B. "The Future of Human Life Expectancy: Have We Reached the Ceiling or Is the Sky the Limit?" by Amanda Sonnega (March 2006, .pdf format, 4p.).

12. FAMILY CAREGIVER ALLIANCE REPORT: " National Consensus Report on Caregiver Assessment", Vol. I, Caregiver Assessment: Principles, Guidelines and Strategies for Change," (May 2006, .pdf format, 43p.), and Volume II, Caregiver Assessment: Voices and Views from the Field, (May 2006, .pdf format, 109p.). Links to both volumes are available at:

More information on FCA:

13. MICHIGAN RETIREMENT RESEARCH CENTER NEWSLETTER: (Vol. 7, No. 2, May 2006, .pdf format, 7p.).

14. URBAN INSTITUTE REPORT: "U.S. Aging Time Bomb: When Will It Blow Up Treasurys?" by Rudolph G. Penner (April 2006, .pdf format, March 2006, .pdf format, 7p.).

15. KAISER FAMILY FOUNDATION REPORT: "The Stability of Medicaid Coverage for Low-Income Dually Eligible Medicare Beneficiaries," by Bruce Stuart and Puneet Singhal (May 2006, .pdf format, 16p.).


A. "The Status of the Medicare HI and SMI Trust Funds: The Trustees' 2006 Annual Report," by Dan Ermann and Leigh Gross (AARP Data Digest, May 2006, .pdf format, 6p.).

B. "Update on the Aged 55+ Worker: 2005," by Sara E. Rix (AARP Research Report, May 2006, .pdf format, 4p.).

Click on "2005".

C. "Old-Age and Survivors Insurance and Disability Insurance Trust Funds: 2006 Trustees' Projections," by Laurel Beedon and Lisa Southworth (AARP Data Digest, HTML and .pdf format, 2p.).

D. "Medicaid Estate Recovery," by Wendy Fox-Grage (AARP Article, May 2006).

17. ILCUSA REPORT: "ILC Policy Report," (International Longevity Center, USA, April 2006, .pdf format, 6p.). The ILC Policy Report is "a monthly compilation of longevity news and trends in the U.S. and abroad."

18. BOSTON COLLEGE CENTER FOR RETIREMENT RESEARCH ISSUE BRIEF: "How Secure Are Retirement Nest Eggs?" by Richard W. Johnson, Gordon Mermin and Cori E. Uccello (IB# 45, May 2006, .pdf format, 7p.).


A. "Parkinson Disease Guidelines Aid Diagnosis, Management," by Rebecca Voelker (News and Analysis extract, (Vol. 295, No. 18, May 10, 2006, p. 2126-2128).

B. "Effectiveness of Collaborative Care for Older Adults With Alzheimer Disease in Primary Care: A Randomized Controlled Trial," by Christopher M. Callahan, Malaz A. Boustani, Frederick W. Unverzagt, Mary G. Austrom, Teresa M. Damush, Anthony J. Perkins, Bridget A. Fultz, Siu L. Hui, Steven R. Counsell, and Hugh C. Hendrie (Vol. 295, No. 18, May 10, 2006, p. 2148-2157).

C. _Nobody's Home: Candid Reflections of a Nursing Home Aide_, by Thomas Edward Gass, reviewed by Sheryl Zimmerman (Book Review extract, Vol. 295, No. 18, May 10, 2006, p. 2188-2189).

20. _NEW ENGLAND JOURNAL OF MEDICINE_ BOOK REVIEW: "The Quest for Human Longevity: Science, Business, and Public Policy," a review of _The Quest for Human Longevity_, by Lewis D. Solomon, reviewed by Leonid Gavrilov and Natalia Gavrilova (Vol. 354, No. 19, May 11, 2006, p. 2083-2084).


A. "Middle aged white people are healthier in England than US," by Janice Hopkins Tanne (News extract, Vol. 332, No. 7549, p. 1047).

B. "France to pilot testing for prostate cancer," by Brad Spurgeon (News Extra extract, Vol. 332, No. 7549, p. 1052).

22. _SCIENTIFIC AMERICAN_ ARTICLE: "Shutting Down Alzheimer's: New research reveals strategies for blocking the molecular processes that lead to this memory-destroying disease," by Michael S. Wolfe (May 2006).

23. MEDSCAPE ARTICLE: Note: Medscape requires free registration before providing articles. "Alzheimer Disease and Other Major Dementing Illnesses," by David S. Knopman (ACP Medicine, May 2006, via Medscape).

24. _SLATE_ BOOK REVIEW: "Everyman's Complaint: Is Roth mourning mortality or the loss of sexual privilege?" a review of _Everyman_, by Philip Roth, reviewed by Stephen Metcalf (May 4, 2006).

25. _NATION_ BOOK REVIEW: "Dead Man," a review of _Everyman_, by Philip Roth, reviewed by William Deresiewicz (May 29, 2006).


II. Working Papers:

26. UNIVERSITY OF MICHIGAN POPULATION STUDIES CENTER: "Semiparametric Analysis of Wealth-Age Profiles," by Joon W. Nahm and Robert F. Schoeni (PSC Research Report 06-599, May 2006, .pdf format, 20p.). Links to an abstract and full text are available at:

Click on PDF icon for link to full text.


A. "Intergenerational Risk sharing and Equilibrium Asset Prices," by John Y. Campbell and Yves Nosbusch (w12204, May 2006, .pdf format, 29p.).


In the presence of overlapping generations, markets are incomplete because it is impossible to engage in risk sharing trades with the unborn. In such an environment the government can use a social security system, with contingent taxes and benefits, to improve risk sharing across generations. An interesting question is how the form of the social security system affects asset prices in equilibrium. In this paper we set up a simple model with two risky factors of production: human capital, owned by the young, and physical capital, owned by all older generations. We show that a social security system that optimally shares risks across generations exposes future generations to a share of the risk in physical capital returns. Such a system reduces precautionary saving and increases the risk-bearing capacity of the economy. Under plausible conditions it increases the riskless interest rate, lowers the price of physical capital, and reduces the risk premium on physical capital.

B. "Redistribution by Insurance Market Regulation: Analyzing a Ban on Gender-Based Retirement Annuities," by Amy Finkelstein, James Poterba, and Casey Rothschild (w12205, May 2006, .pdf format, 52p.).


This paper shows how models of insurance markets with asymmetric information can be calibrated and solved to yield quantitative estimates of the consequences of government regulation. We estimate the impact of restricting gender-based pricing in the United Kingdom retirement annuity market, a market in which individuals are required to annuitize tax-preferred retirement savings but are allowed considerable choice over the annuity contract they purchase. After calibrating a life cycle utility model and estimating a model of annuitant mortality that allows for unobserved heterogeneity, we solve for the range of equilibrium contract structures with and without gender-based pricing. Eliminating gender-based pricing is generally thought to redistribute resources from men to women, since women have longer life expectancies. We find that allowing insurers to offer a menu of contracts may reduce the amount of redistribution from men to women associated with gender-blind pricing requirements to half the level that would occur if insurers were required to sell a single pre-specified policy. The latter "one policy" scenario corresponds loosely to settings in which governments provide compulsory annuities as part of their Social Security program. Our findings suggest that recognizing the endogenous structure of insurance contracts is important for analyzing the economic effects of insurance market regulations. More generally, our results suggest that theoretical models of insurance market equilibrium can be used for quantitative policy analysis, not simply to derive qualitative findings.

C. "The Effects of State Medicaid Policies on the Dynamic Savings Patterns of the Elderly," by Lara Gardner and Donna Gilleskie (w12208, May 2006, .pdf format, 53p.).


States have considerable flexibility in determining Medicaid policies such as financial eligibility criteria, subsidies for home- and community-based services, and reimbursements rates to skilled nursing facilities, among other things. An understanding of how differences in Medicaid programs across states and time affect the elderlys' demand for Medicaid coverage of long-term care is necessary for evaluating future changes in the Medicaid program structure. We use data from the 1993, 1995, 1998, and 2000 waves of the Asset and Health Dynamics of the Elderly and variation in state Medicaid policies over time to estimate our dynamic framework capturing the sequential asset and gift decisions that determine eligibility for Medicaid. We also model the long-term care decisions of married and single individuals conditional on endogenous insurance coverage and health transitions. To control for the impact of unobserved heterogeneity in all outcomes, the structural equations of the empirical model are estimated jointly, allowing for correlation in the error structure across equations and over time. In this paper we focus on the asset and gifting decisions of the elderly over time. We find that many of the Medicaid policy variables that differ across states have a significant but small effect on the savings decisions of the elderly, with single elderly individuals exhibiting more response than married elderly individuals.


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

28. Journal of Pension Economics and Finance (Vol. 5, No. 2, July 2006).

29. INGENTACONNECT: INGENTACONNECT provides fee based document delivery services for selected journals.

A. Point your browser to:

B. click on "advanced search"
C. Type in your publication name and click "Exact title" radio button
D. Under "Show", click the "fax/ariel" radio button.
E. View the table of contents for the issue noted.

Journal of Aging and Physical Activity (Vol. 14, No. 2, 2006).

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 May 10, 2006:

B. Alzheimer's Disease: Literature for the week of May 10, 2006:

C. Parkinson's Disease: Literature for the week of May 10, 2006:

D. Prostate Cancer: Literature for the week of May 10, 2006:

E. Stem Cell Research: Literature for the week of May 10, 2006:

F. Ophthalmology: Literature for the week of May 10, 2006:

AMEDEO Literature Guide:


IV. Funding Opportunities:


A. "NIH Announces Plans to Eliminate Mailing of Paper Assignment and Change of Assignment Letters" (NOT-OD-06-066, May 3, 2006). For more information see:

B. "Basic and Translational Research in Emotion (R01)" (PA-06-380, reissue of PA-03-169,National Institute on Aging, in conjunction with several other agencies, May 1, 2006). For more information see:

C. "Global Research Initiative Program, Basic/Biomedical Sciences (R01)" (PAR-06-394, reissue of PAR-03-118, National Institute on Aging, in conjunction with several other agencies, May 5,2006). For more information see:


V. Conferences:

32. CONFERENCEALERTS.COM: has recently updated its gerontology conferences page.

33. INTERNATIONAL CENTRE FOR HEALTHY AGEING AND LONGEVITY: "3rd International Conference on Healthy Ageing & Longevity," to be held in Melbourne, Victoria, Australia, Oct. 13-15, 2006. For more information see:


VI. Legislation Information Updates:

34. US CONGRESS JOINT ECONOMIC COMMITTEE REPORT: "Costs and Consequences of the Federal Estate Tax" (May 2006, .pdf format, 38p.).

35. US SENATE SPECIAL COMMITTEE ON AGING HEARING TESTIMONY: "Innovation in the Aging Network: The Future of Social Services for Older Americans," a hearing held May 3, 2006 (.pdf format).

36. US HOUSE WAYS AND MEANS COMMITTEE, SUBCOMMITTEE ON HEALTH HEARING TESTIMONY: "Hearing on Implementation of the Medicare Drug Benefit," and " Continuation of the Hearing on Implementation of the Medicare Drug Benefit," a hearing held May 3-4, 2006).




VII. Websites of Interest:

38. AARP AGING EVERYWHERE: China. AARP has added China to the growing list of countries covered on it's "Aging Everywhere" website. The page contains links to relevant reports/speeches, and government and non-government organizations.

Aging Everywhere:



39. DETERMNINANTS OF HEALTHY LONGEVITY IN CHINA: A LONGITUDINAL STUDY. This study, at the Terry Sanford Institute of Public Policy at Duke University [Durham, North Carolina], has added the following items to its bibliography.

Zhang, Zhenmei. 2006. Gender differentials in cognitive impairment and decline of the oldest old in China . Journal of Gerontology: Social Sciences 61B(2): S107-S115 .

Xie, Jipan. 2005 Sharper than a serpent's tooth? Sons, daughters, and financial support for the oldest old in contemporary China. Presented at XXV International Population Conference of International Union for Scientific Studies of Population, July 18-23, Paris, France.

Gu, Danan; and Zeng, Yi. 2006. Changes of disability in activities of daily living among Chinese elderly from 1992 to 2002. Population and Economics, forthcoming.

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