Current Awareness in Aging Research (CAAR) Report #436--May 8, 2008

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. US NATIONAL CENTER FOR HEALTH STATISTICS: "National Health Interview Survey" Update. NCHS has released the 1966 NHIS (data in .zip compressed and self decompressing [.exe] ASCII text format, with documentation in .pdf format, and SAS input statements in ASCII text format).


II. Reports and articles:

2. US NATIONAL CENTER FOR HEALTH STATISTICS REPORT: "Deaths: Final Data for 2005," by Hsiang-Ching Kung, Donna L. Hoyert, Jiaquan Xu, and Sherry L. Murphy (National Vital Statistics Reports, Vol. 56, No. 10, April 2008, .pdf format, 124p.).


3. US SOCIAL SECURITY ADMINISTRATION OFFICE OF POLICY REPORT: "SSI (Supplemental Security Income) Recipients by State and County, 2007" (May 2008, HTML, .pdf, and Microsoft Excel format, 108p.).



A. "Comparison of Third-Quarter 2007 Average Sales Prices to Average Manufacturer Prices: Impact on Medicare Reimbursement for First-Quarter (OEI-03-08-00130, May 2008, .pdf format, 15p.).


Pursuant to section 1847A(d)(3) of the Social Security Act (the Act), OIG must notify the Secretary of the Department of Health and Human Services (the Secretary) if the average sales price (ASP) for a particular drug exceeds the drug's average manufacturer price (AMP) by a threshold of 5 percent. If that threshold is met, section 1847A(d)(3) of the Act grants the Secretary authority to disregard the ASP for that drug and substitute the payment amount for the drug code with the lesser of the widely available market price for the drug (if any) or 103 percent of the AMP. This review is the sixth such comparison conducted by OIG and considers both the current ASP payment methodology and a revised ASP payment methodology recently mandated by section 112(a) of the Medicare, Medicaid, and SCHIP Extension Act of 2007, P.L. 110-173.

Using CMS's current ASP payment methodology, we identified 41 of 369 drug codes with ASPs that exceeded AMPs by at least 5 percent in the third quarter of 2007. Of the 41 codes, 31 also met the threshold for price adjustments in at least one of the prior OIG studies comparing ASPs to AMPs. If reimbursement amounts for all 41 codes were based on 103 percent of AMP, we estimate that Medicare expenditures would be reduced by $16 million during the first quarter of 2008 alone. Under the revised payment methodology, ASPs for 35 of 369 drug codes would have exceeded AMPs by at least 5 percent. Of these 35 codes, 32 also met the 5-percent threshold under CMS's current method for volume-weighting data. An additional three codes would have met the 5-percent threshold using the revised ASP payment methodology but not the current methodology.

B. "Nursing Home Enforcement: Processing Denials of Medicare Payment (OEI-06-03-00390, May 2008, .pdf format, 20p.).


The OIG found that during FY 2004, 74 percent of denial of payment for new admissions (DPNA) remedies were processed incorrectly. In 40 percent of cases, errors resulted in one or more inappropriate payments to nursing facilities. These overpayments exceeded $5 million. In the other 34 percent of cases, processing errors occurred but did not result in claims paid in error, either because the facilities did not have new admissions during the remedy periods or the facilities were aware of the remedies and did not submit claims for new admissions during the remedy periods. Errors were attributable primarily to late processing and problems with CMS's provision of denial of payment instructions to the appropriate fiscal intermediaries. Additionally, we found that approximately half of claims involving readmissions lacked codes indicating the readmission status, which made these claims appear to be new admissions that should be denied.

Recent changes involving Medicare contracting reform and enhancements to CMS's electronic tracking system for nursing home enforcement cases have the potential to improve processing of DPNAs. These changes, however, are unlikely to fully address all of the types of errors identified in this report. Therefore, we recommend that CMS: manage DPNA cases to ensure that all DPNA instructions are sent timely and ensure that fiscal intermediaries and Medicare Administrative Contractors retrospectively review cases that are processed late to correct any payment errors, address communication breakdowns by implementing a standard format to notify fiscal intermediaries or Medicare Administrative Contractors that a DPNA remedy will be in effect and require confirmation that instructions are received and understood, and update guidance on coding readmissions and verifying readmission status for DPNA claims. CMS agreed with our recommendations and outlined specific actions that it will take to address the problems.


5. US DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF THE ASSISTANT SECRETARY FOR PLANNING AND EVALUATION COMPENDIUM: Residential Care and Assisted Living Compendium: 2007, by Robert Mollica, Kristin Sims-Kastelein, and Janet O'Keeffe (November 2007, HTML and .pdf format).


6. US DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR MEDICARE AND MEDICAID SERVICES FINAL DECISION MEMO: "Artificial Hearts" (National Coverage Analysis CAG-00322N, May 2008, HTML and .pdf format, 25p.). Note: at the time of the release of this CAAR report, the CMS site was undergoing a large update. If the below listed URL doesn't work, please try again later today or tomorrow.



A. "CMS Proposes New Protections for Medicare Beneficiaries in Medicare Advantage And Prescription Drug Programs" (May 8, 2008).

B. "CMS Launches Pilot to Test Personal Health Records for Medicare Beneficiaries in South Carolina" (May 7, 2008).

C. "CMS Announces Rate Year 2009 Payment and Policy Changes for Long-Term Care Hospitals" (May 2, 2008).

D. "CMS Proposes More Accurate Payment Rates for Medicare Skilled Nursing Facilities in Fiscal Year 2009" (May 1, 2008).

E. "Medicare Expands Coverage for Artificial Heart Devices" (May 1, 2008).


8. US AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, HEALTHCARE COST AND UTILIZATION PROJECT REPORT: "Hospital Stays for Stroke and Other Cerebrovascular Diseases, 2005," by C. Allison Russo and Roxanne M. Andrews (Statistical Brief No. 51, May 2008, .pdf format, 11p.).


9. IOWA STATE DATA CENTER UPDATES: The SDC released the following updates (all .pdf and Microsoft Excel format) on May 1, 2008): State of Iowa: "Age (single-year) and sex: 2000-2007," "Age (single-year), sex, race and Hispanic Origin: 2000-2007," "Age (five-year age groups and selected years) and sex: 2000-2007," "Age (five-year age groups and selected years) and sex (percentages): 2000-2007," "Sex, race and Hispanic origin in Iowa: 2000-2007."

U.S. and all States: "Selected age groups: 2007," "Selected age groups (percentages): 2007," "Median age by race and Hispanic origin: 2007," "Race and Hispanic Origin: 2007."

See under May 1, 2008 listing.


10. RHODE ISLAND DEPARTMENT OF HEALTH REPORT: "Second Family and Resident Satisfaction with Nursing Home Care in Rhode Island Autumn 2007" (April 2008, .pdf format, 6p.).

Supplemental Information (How to Use the Report) (April 2008, .pdf format, 5p.).

"First Family and Resident Satisfaction with Nursing Home Care in Rhode Island: Autumn 2006 (2006, .pdf format, 25p.).


11. EUROPEAN COMMISSION REPORT: "Working conditions of an ageing workforce," by Claudia Villosio (European Foundation for the Improvement of Living and Working Conditions, 2008, .pdf format, 70p.).


12. AUSTRALIAN DEPARTMENT OF HEALTH AND AGEING NEWS RELEASE: "Record Number of Australians Living to be more than 100 Years of Age and New Phenomenon of 'Super-Centenarians' - 110" (HTML and .pdf format 2p.).


13. CANADIAN POLICY RESEARCH NETWORKS REPORT: Frameworks of Integrated Care for the Elderly: A Systematic Review," by Margaret MacAdam (April 2008, .pdf format, 29p.).

Click on "Download".

More information about CPRN:



A. "Reform Options for Social Security," by Alison Shelton (Insight on the Issues, April 2008, .pdf format, 9p.).

B. "The following Prime Time Radio show (RealPlayer format, running time, between 23 and 30 minutes) has been added to the PTR site:

Changing Lanes- New Life at Midlife: May 6, 2008.

Note: this is a temporary address. When new PTR shows are released, these will be available at:


15. MICHIGAN RETIREMENT RESEARCH CENTER POLICY BRIEF: "Beyond the Golden Age of Retirement," by Sylvester J. Schieber (No. 6, May 2008, .pdf format, 7p.). Links to an abstract and full text are available at:



A. "The Miracle of Funding by State and Local Pension Plans," by Alicia H. Munnell, Kelly Haverstick, Steven A. Sass, and Jean-Pierre Aubry (State and Local Pensions #5, April 2008, .pdf format, 10p.).

Link to full text is at the bottom of the page.

B. "Why Does Funding Status Vary Among State and Local Plans?" by Alicia H. Munnell, Kelly Haverstick, and Jean-Pierre Aubry (State and Local Pensions #6, May 2008, .pdf format, 12p.).

Link to full text is at the bottom of the page.


17. JOSEPH ROWNTREE FOUNDATION [UK] REPORT: "Supporting older people in care homes at night," by Diana Kerr, Heather Wilkinson and Colm Cunningham (April 2008, .pdf format, 83p.).


18. GENWORTH FINANCIAL REPORT: "2008 Cost Of Care Survey: Home Care Providers, Adult Day Health Care Facilities, Assisted Living Facilities and Nursing Homes," (April 2008,.pdf format, 46p.).

An interactive map for the 2008 Cost of Care Survey is also available via the following link:

More information about GF:


19. EMPLOYEE BENEFIT RESEARCH INSTITUTE FAST FACTS: "Saving for Retirement: Men and Women Compared" (FFE 81, May 2008, .pdf format, 1p.).


20. FAMILY CAREGIVING ALLIANCE PERIODICAL: Caregiving Policy Digest (Vol. 8, No. 9, Apr. 30, 2008).


21. "NATIONAL ACADEMY ON AN AGING SOCIETY PERIODICAL: "Public Policy& Aging E-Newsletter" (Vol. 2, No. 3, May 2008).


22. AUSTRALIAN HOUSING AND URBAN RESEARCH INSTITUTE REPORT: "The costs and benefits of using private housing as the 'home base' for care for older people: secondary data analysis," by Catherine Bridge, Peter Phibbs, Hal Kendig, Mark Mathews and Brian Cooper (AHURI Final Report No. 115, April 2008, .pdf format, 57p.).



A. "The Age of Inheritance," by Andy Ross, James Lloyd, and Michael Weinhardt (May 2008, .pdf format, 36p.).

Link to the report is at the bottom of the page.

B. "Navigating the Age of Inheritance," by James Lloyd (May 2008, .pdf format, 36p.).

Link to the report is at the bottom of the page.

More information about ILC-UK:



A. "A GRK5 polymorphism that inhibits [beta]-adrenergic receptor signaling is protective in heart failure," by Stephen B. Liggett, Sharon Crescs, Reagan J. Kelly, Faisal M. Syed, Scot J. Matkovich, Harvey S. Hahn, Abhinav Diwan, Jeffrey S. Martini, Li Sparks, Rohan R. Parekh, John A. Spertus, Walter J. Koch, Sharon L. R. Kardia & Gerald W. Dorn II (Article abstract, Vol. 14, No. 5, May 2008, p. 510-517).

B. "Lewy bodies in grafted neurons in subjects with Parkinson's disease suggest host-to-graft disease propagation," by Jia-Yi Li, Elisabet Englund, Janice L. Holton, Denis Soulet, Peter Hagell, Andrew J Lees, Tammaryn Lashley, Niall P. Quinn, Stig Rehncrona, Anders Björklund, Håkan Widner, Tamas Revesz, Olle Lindvall & Patrik Brundin (Vol. 14, No. 5, May 2008, p. 501-503).

C. "Lewy body-like pathology in long-term embryonic nigral transplants in Parkinson's disease," by Jia-Yi Li, Elisabet Englund, Janice L. Holton, Denis Soulet, Peter Hagell, Andrew J. Lees, Tammaryn Lashley, Niall P. Quinn, Stig Rehncrona, Anders Bjorklund, Hakan Widner, Tamas Revesz, Olle Lindvall, and Patrik Brundin (Vol. 14, No. 5, May 2008, p. 504-506).

D. "Dopamine neurons implanted into people with Parkinson's disease survive without pathology for 14 years," by Ivar Mendez, Angel Vinuela, Arnar Astradsson, Karim Mukhida, Penelope Hallett, Harold Robertson, Travis Tierney, Renn Holness, Alain Dagher, John Q. Trojanowski, and Ole Isacson (Vol. 14, No. 5, May 2008, p. 507-509).


25. NEW ENGLAND JOURNAL OF MEDICINE PERSPECTIVE: "Planning for the Future -- Long-Term Care and the 2008 Election," by David G. Stevenson (Vol. 358, No. 19, HTML and .pdf format, p. 1985-1987). This article is available free of charge.


26. LANCET ARTICLE: Note: LANCET requires free registration before providing content. "Bone mineral density, osteoporosis, and osteoporotic fractures: a genome-wide association study," by J.B. Richards, F. Rivadeneira, M. Inouye, T.M. Pastinen, N. Soranzo, S.G. Wilson, T. Andrew, M. Falchi, R. Gwilliam, K.R. Ahmadi, A.M. Valdes, P. Arp, P. Whittaker, D.J. Verlaan, M. Jhamai, V. Kumanduri, M. Moorhouse, J.B. van Meurs, A. Hofman, H.A.P. Pols, D. Hart, G. Zhai, B.S. Kato, B.H. Mullin, F. Zhang, P. Deloukas, A.G. Uitterlinden, and T.D. Spector (Vol. 371, No. 9623, May 3, 2008, HTML and .pdf format, p. 1505-1512). This article is available free of charge.


III. Working Papers:

27. RAND CORPORATION LABOR AND POPULATION PROGRAM: "The Retirement-Consumption Puzzle: Actual Spending Change in Panel Data," by Michael Hurd and Susann Rohwedder (WR 563, 2008, .pdf format, 51p.). Links to an abstract and full text are available at:


28. VIENNA INSTITUTE OF DEMOGRAPHY: "The relation between depressive symptoms and age among older Europeans Findings from SHARE," by Isabella Buber and Henriette Engelhardt (VID Working Paper 2008/01, May 2008, .pdf format, 19p.).


Empirical evidence on the effects of age on mental health is diverse. Therefore, the paper aims to analyze the association between age and the prevalence of symptoms of depression. Based on SHARE, depressive symptoms of 28,069 persons from eleven European countries and Israel aged 50 to 84 years were analyzed using EURO-D. Multivariate regression models were applied to analyze the effect of age on depressive symptoms under control of socio-economic characteristics and health. The results indicate that EURO-D scores increased with age and were higher among women compared to men. When controlled by socio-demographic characteristics and health conditions the association between depressive symptoms and age almost vanished. The association between depression and age is driven by socio-demographic characteristics and the physical as well as cognitive health of older persons. Once controlled for these sociodemographic characteristics, age no longer had an important explanatory power on the mental health of older persons.


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

29. Age and Ageing (Vol. 37, No. 3, May 2008). Note: Full text of this journal is available in the ProQuest Research Library. Check your library for availability of this database and issue.

30. American Journal of Geriatric Psychiatry (Vol. 16, No. 5, May 1, 2008).

31. European Journal of Palliative Care (Vol. 15, No. 3, 2008).

32, Journal of Applied Gerontology (Vol. 27, No. 3, June 2008). Note: Full text of this journal is available in the ProQuest Research Library and the EBSCO Host Academic Search Elite Database. Check your library for availability of these databases and this issue.


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 7, 2008:

B. Alzheimer's Disease: Literature for the week of May 7, 2008:

C. Parkinson's Disease: Literature for the week of May 7, 2008:

D. Prostate Cancer: Literature for the week of May 7, 2008:

E. Stem Cell Research: Literature for the week of May 7, 2008:

F. Ophthalmology Research: Literature for the week of May 7, 2008:

AMEDEO Literature Guide:


V. Funding Opportunities/Employment Opportunities:

34. US NATIONAL INSTITUTES OF HEALTH: "Stem Cells and Cancer (R21)" (PA-08-165, reissue of PA-06-282, May 2, 2008, National Institute on Aging/National Cancer Institute). For more information see:


35. INTERNATIONAL LONGEVITY CENTER USA/THE CAREGIVING PROJECT FOR OLDER AMERICANS/METLIFE FOUNDATION: "2008 Community College Caregiver Training Initiative: Request for Proposals." Proposal deadline is May 15, 2008. For more information see:


36. AGEWORK.COM: AgeWork has updated its employment page with listings through May 7, 2008.


VI. Conferences:

37. US ADMINISTRATION ON AGING: AoA has added the following to its conferences page. Scroll to date and place for more information:

May 1-30, 2008: Multiple cities in New Jersey

May 9, 2008: Reno, Nevada

May 13, 2008: Chambersburg, Pennsylvania

May 13, 2008: Truckee, California

May 13, 2008: Nevada, California

May 14, 2008: Woodland, California

May 14, 2008: Sacramento, California

May 14, 2008: Allentown, Pennsylvania

May 21, 2008: Truckee, California

May 21, 2008: Washington, DC

May 21-Jun. 25, 2008: Waldo, Maine

May 30, 2008: San Mateo, California

Jun. 16-20, 2008: Detroit, Michigan


VII. Legislation Information Updates:

38. US HOUSE WAYS AND MEANS COMMITTEE, SUBCOMMITTEE ON HEALTH HEARING TESTIMONY: "Hearing on Medicare's Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program," a hearing held May 6, 2008 (.pdf format).


39. US SENATE FINANCE COMMITTEE HEARING TESTIMONY: "More Work, Less Resources: Social Security Field Offices Struggle to Deliver Service to the Public," a hearing held May 8, 2008 (.pdf format).


VIII. Websites of Interest:

40. AARP INTERNET RESOURCES ON AGING: "Browse or search AARP's database on Internet resources below, and link to more than 900 of the best sites for people age 50+."


41. US NATIONAL INSTITUTES OF HEALTH NIH SENIORHEALTH UPDATE:: A section on "Eating Well As You Get Older" has been added to NIHSeniorHealth.



42. FAMILY CAREGIVER ALLIANCE "Family Care Navigator: State-by-State Help for Family Caregivers." "This state-by-state resource is intended to help you locate government, nonprofit, and private programs in your area. It includes services for family caregivers, as well as resources for older or disabled adults living at home or in a residential facility. It also includes information on government health and disability programs, legal resources, disease-specific organizations and much more."


IX. Bibliography Updates:

43. PANEL STUDY OF INCOME DYNAMICS BIBLIOGRAPHY UPDATE: The University of Michigan Institute for Social Research PSID has recently added the following item to its bibliography. The entire bibliography can be searched or browsed in various ways at:

Ulker, Aydogan. Household Structure and Consumption Insurance of the Elderly. Journal of Population Economics. 2008; 21(2):373-295.

Jack Solock
Director--Data and Information Services Center
Social Sciences Research Services
3313 Social Science
University of Wisconsin-Madison
Madison, WI 53706
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