Current Awareness in Aging Research (CAAR) Report #520 -- January 21, 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:


I. Data:

1. US NATIONAL CENTER FOR HEALTH STATISTICS: "2007 National Home and Hospice Care Survey (NHHCS) Medication Public-Use File and Documentation," (January 2010, .pdf (documentation), compressed ASCII and SAS (data) format, SAS, SPSS, and Stata programming statements are available for use with the ASCII file). Note: A link to the documentation and data are available from (.pdf format, 1p.):


II. Reports and articles:

2. US DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF THE INSPECTOR GENERAL REPORT: "A Comparison of Medicaid Federal Upper Limit Amounts to Acquisition Costs, Medicare Payment Amounts, and Retail Prices" (OEI-03-08-00490, August 2009, .pdf format, 35p.).

We found that Federal upper limit (FUL) amounts calculated under the current method continue to be substantially higher than other pricing points, potentially costing the program hundreds of millions of dollars per year. In the aggregate, fourth-quarter 2007 FUL amounts were (1) more than four times higher than average pharmacy acquisition costs for 50 high-expenditure FUL drugs, (2) almost three times higher than average Part D payment amounts for 572 FUL drugs, and (3) two times higher than retail prices for 291 drugs available through discount generic programs.

The Deficit Reduction Act of 2005 (DRA) required that, beginning January 1, 2007, FULs be based on 250 percent of the lowest AMP rather than 150 percent of the lowest price published in national compendia. However, in connection with a lawsuit filed by two trade associations representing retail pharmacies, a Federal judge issued a preliminary injunction preventing CMS from moving forward with AMP-based reimbursement under Medicaid. As a result, CMS is still basing FULs on the pre-DRA method as of January 2010.

We found that in the fourth quarter of 2007, FUL amounts calculated under the DRA-mandated method were, in the aggregate, 66 percent below the FUL amounts based on published prices. In the aggregate, these AMP-based FUL amounts were much closer to pharmacy acquisition costs, Part D payment amounts, and retail generic program prices. However, for many individual drugs, the DRA-based changes to the calculation methodology often led to FUL amounts that were substantially below these other pricing points.

We recommend that CMS continue to work with Congress to identify strategies that would lower inflated FUL amounts for multiple-source drugs. CMS concurred with our recommendation. However, the agency expressed concerns with certain aspects of our methodology. Based on our data, none of these concerns fundamentally change the underlying findings of the report.


3. US GOVERNMENT ACCOUNTABILITY OFFICE REPORT: "Medicare Advantage: CMS Assists Beneficiaries Affected by Inappropriate Marketing but Has Limited Data on Scope of Issue" (GAO-10-36, December 2009, HTML and .pdf format, 42p.).


4. US CENTERS FOR MEDICARE AND MEDICAID SERVICES MEDICARE AND MEDICAID SERVICES STATISTICAL SUPPLEMENT UPDATE: "Details for Medicare Program Payments" (2009 Edition, January 2010, tables 3.1-3.6, .zip compressed .pdf and Microsoft Excel [.xlsx] format).


5. US SOCIAL SECURITY ADMINISTRATION, OFFICE OF POLICY REPORT: "SSI Monthly Statistics, December 2009" (January 2010, HTML and .pdf format).



A. "Connecting and Giving: A Report on How Mid-life and Older Americans Spend Their Time, Make Connections and Build Communities," by Alicia Williams, John Fries, Jean Koppen and Robert Prisuta (January 2010, .pdf format, 68p.).

B. "The Employment Situation, December 2009: Overall Unemployment Rate Holds Steady But Ticks Up Slightly for Older Workers," by Sara E. Rix (January 2010).


7. AARP/MICROSOFT REPORT: "Boomers and Technology: An Extended Conversation" (October 2009, .pdf format, 28p.).


8. EUROPEAN COMMUNITY EUROSTAT REPORT: "Regional population projections EUROPOP2008: Most EU regions face older population profile in 2030," by Konstantinos Giannakouris (in _Statistics in Focus_ 1/2010, .pdf format, 19p.).


9. BOSTON COLLEGE CENTER FOR RETIREMENT RESEARCH BRIEF: "Pension Obligation Bonds: Financial Crisis Exposes Risks," by Alicia H. Munnell, Thad Calabrese, Ashby Monk, and Jean-Pierre Aubry (SLP#9, January 2010, .pdf format, 11p.). Links to an abstract and full text are available at:


10. BOSTON COLLEGE SLOAN CENTER FOR AGING AND WORK NEWS RELEASE: "What is the Age-Identity of your Organization? Assessing and Engaging Changing Age Demographics in 2010" (Jan. 14, 2010).


11. FAMILY CAREGIVER ALLIANCE PERIODICAL: Caregiving PolicyDigest (Vol. 10, No. 2, Jan. 20, 2010).

More information about FCA:


12. INTERNATIONAL LONGIVITY CENTRE UK REPORT: "ILC-UK and Actuarial Profession Joint 'Green Paper' Debate: The Future of Funding Long-term Care for Older People" (November 2009, .pdf format, 14p.).


13. PENSION PROTECTION FUND [UK] REPORT: "The Purple Book: DB Pensions Universe Risk Profile 2009" (January 2009, .pdf format, 155p.).

More information about PPF:



A. "Work Ability and the Social Insurance Safety Net in the Years Prior to Retirement," by Richard W. Johnson, Melissa Favreault, and Corina Mommaerts (Discussion Paper 10-01, January 2010, .pdf format, 53p.).

B. "Disability Just Before Retirement Often Leads to Poverty," by Richard W. Johnson, Melissa Favreault, and Corina Mommaerts (No. 22, January 2010, .pdf format, 2p.).

C. "SSA/SIPP/IRS Synthetic Beta File: Analytic Evaluation," by Karen E. Smith, Douglas A. Wissoker, and Additional Authors (January 2010, .pdf format, 58p.).

D. "Delaying Retirement an Additional Year Could Offset Stock Market Losses," by Barbara Butrica, Karen E. Smith, and Eric Toder (No. 23, January 2010, .pdf format, 2p.).


15. PUBLIC LIBRARY OF SCIENCE (PLoS) ARTICLE: "Relative Contributions of Geographic, Socioeconomic, and Lifestyle Factors to Quality of Life, Frailty, and Mortality in Elderly," by Jean Woo, Ruth Chan, Jason Leung, and Moses Wong (PLoS ONE 5(1): e8775. doi:10.1371/journal.pone.0008775, Vol. 5, No. 1, January 2010, HTML, XML, and .pdf format, 11p.).



A. "Patient level pooled analysis of 68 500 patients from seven major vitamin D fracture trials in US and Europe," by The DIPART (vitamin D Individual Patient Analysis of Randomized Trials) Group (BMJ 2010;340:b5463, HTML and .pdf format, 8p.). This article is available free of charge.

B. "Use of angiotensin receptor blockers and risk of dementia in a predominantly male population: prospective cohort analysis," by Nien-Chen Li, Austin Lee, Rachel A. Whitmer, Miia Kivipelto,, Elizabeth Lawler, Lewis E. Kazis, and Benjamin Wolozin, (BMJ 2010;340:b5465, HTML and .pdf format, 10p.).


17. LANCET NEUROLOGY ARTICLE ABSTRACTS: Note: Lancet requires free registration before providing content.

A. "Differential diagnosis of parkinsonism: a metabolic imaging study using pattern analysis," by Chris C Tang, Kathleen L. Poston, Thomas Eckert, Andrew Feigin, Steven Frucht, Mark Gudesblatt, Vijay Dhawan, Martin Lesser, Jean-Paul Vonsattel, Stanley Fahn, and David Eidelberg (Vol. 9, No. 2, February 2010, p. 149-158).

B. "Incidence, case fatality, and functional outcome of intracerebral haemorrhage over time, according to age, sex, and ethnic origin: a systematic review and meta-analysis," by Charlotte J.J. van Asch, Merel J.A. Luitse, Gabriel J.E. Rinkel, Ingeborg van der Tweel, Ale Algra, and Catharina J.M. Klijn (Vol. 9, No. 2, February 2010, p. 167-176).


III. Working Papers:


A. "Later-life Employment Preferences and Outcomes: The Role of Mid-life Work Experiences," by James Raymo, John Robert Warren, Megan M. Sweeney, Robert M. Hauser, and Jeong-Hwa Ho (CCPR-2009-045, December 2009, .pdf format, 39p.).


It is increasingly clear that older Americans will need to work longer in order to ensure their own economic well-being and to reduce projected strains on public transfer programs. It is thus important to understand who does and does not want to continue working at older ages and the factors that facilitate or hinder the realization of those preferences. In this paper, we use data from the Wisconsin Longitudinal Study to evaluate relationships between mid-life work experiences and the realization of preferences for full-time employment, part-time employment, and complete retirement at age 63-64. We find that the likelihood of achieving one's preferred employment status is related to work experiences at earlier stages of the life course including employment stability, occupational status, self-employment across the life course, labor union membership, and the absence of earlier occupational aspirations. We also demonstrate that these relationships are only partially mediated by economic and employment circumstances in late mid-life. Based on these results, we anticipate that experiences across the life course will play a growing role in shaping patterns of later-life employment among the large baby boom cohorts now approaching an increasingly individualized retirement process with heterogeneous life histories.

B. "Mid-life Work Experiences and First Retirement," by James Raymo, John Robert Warren, Megan M. Sweeney, Robert M. Hauser, and Jeong-Hwa Ho (PWP-CCPR-2009-047, January 2010, .pdf format, 41p.).


In the rapidly changing context of retirement, it is important to reevaluate theoretical and empirical linkages between individual life histories and patterns of work in later-life. In this study, we use data from the Wisconsin Longitudinal Study to examine relationships between multiple measures of mid-life work experiences and the timing and nature of first retirement. We show that employment stability, occupational mobility, self-employment, and union membership across the life course are all associated with the timing of first retirement. We also demonstrate that characteristics of mid-career employment are associated with the relative likelihood of retiring for health reasons and reemployment following retirement. Consistent with earlier research, we find that these relationships between work histories and retirement outcomes are mediated to some extent by pre-retirement differences in economic circumstances and private pension eligibility. Importantly, however, several aspects of work histories remain significantly related to retirement timing and pathways even after controlling for a wide array of established correlates.


19. ROBERT M. LAFOLLETTE SCHOOL OF PUBLIC AFFAIRS (UNIVERSITY OF WISCONSIN-MADISON): "Do Rising Property Taxes Lead the Elderly to Move from their Homes?" by Rebecca Boldt, Bradley Caruth, and Andrew Reschovsky (WP 2009-026, October 2009, .pdf format, 39p.).


This preliminary study finds that few of Wisconsin's elderly homeowners are forced to move from their homes because of property tax increases. Given that Wisconsin's property taxes are high compared to those in other states, these findings suggest that property taxes throughout the country have little effect on people's decisions to move, especially among older adults.


20. SOCIAL AND ECONOMIC DIMENSIONS OF AN AGING POPULATION (SEDAP) [MCMASTER UNIVERSITY, HAMILTON, ONTARIO, CANADA]: "Strengthening Fairness and Funding in the Canada Pension Plan: Is Raising the Retirement Age an Option?" by Martin Hering and Thomas R. Klassen (SEDAP Working Paper No. 263, January 2010, .pdf format, 71p.).


This paper seeks to contribute to a forward-looking debate on possible reform options for the Canada Pension Plan (CPP) and the Quebec Pension Plan (QPP). Even though it focuses on the CPP, most of its analysis applies to the QPP as well since the two programs are largely identical. This paper does not provide a broad survey of all possible reform options, but rather analyzes one vital option that has received insufficient attention in previous debates: raising the normal retirement age from 65 to 67 years. A discussion of this option is warranted not only because it could prevent future financing problems in Canada's public pension insurance programs, but also because it could improve fairness across generations. The significant increase in life expectancy raises the question of whether the current retirement ages of 60 years, for earliest CPP and QPP benefits, and 65 years, for full benefits, are too low. Should future generations pay for the longevity increases of the current generation of workers, or should current workers share the costs by retiring at a later age? We conclude that raising the normal age from 65 to 67 years-and the earliest age from 60 to 62 years-is a financially effective, intergenerationally fair, and politically acceptable option for improving the CPP and for addressing the QPP's problems. We suggest that the option of raising the retirement age needs to be discussed well before longevity increases or funding problems occur and that a broad consultation with stakeholders and citizens would be an essential part of a debate on raising the retirement age in Canada.


21. INSTITUTE FOR THE STUDY OF LABOR (IZA) [UNIVERSITY OF BONN, GERMANY]: "Labour Supply Effects of a Subsidised Old-Age Part-Time Scheme in Austria," by Nikolaus Graf, Helmut Hofer, Rudolf Winter-Ebmer (Discussion Paper No. 4239, June 2009, .pdf format, 19p.). Links to the abstract and full-text can be found at:


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

22. American Journal of Epidemiology (Vol. 171, No. 3, Feb. 1, 2010).

23. American Journal of Geriatric Psychiatry (Vol. 18, No. 2, February 2010).

24. Journal of Applied Gerontology (Vol. 29, No. 1, February 2010).


25. 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 Jan. 18, 2010:

B. Alzheimer's Disease: Literature for the week of Jan. 18, 2010:

C. Parkinson's Disease: Literature for the week of Jan. 18, 2010:

D. Prostate Cancer: Literature for the week of Jan. 18, 2010:

E. Stem Cell Research: Literature for the week of Jan. 18, 2010:

F. Ophthalmology: Literature for the week of Jan. 18, 2010:

AMEDEO Literature Guide:


V. Books:

26. EUROPEAN CENTRE FOR SOCIAL WELFARE POLICY AND RESEARCH [VIENNA, AUSTRIA]: Women's Work and Pensions: What is Good, What is Best? Designing Gender-Sensitive Arrangements, by Bernd Marin and Eszter Zolyomi (2009, 324p., ISBN: 978-1-4094-0698-3). For more information see:


VI. Funding Opportunities:


A. "Recovery Act Limited Competition: Institutional Comparative Effectiveness Research Mentored Career Development Award (KM1)(RFA-OD-10-011, Jan. 13, 2010, National Institute on Aging, in conjunction with several other agencies). For more information see:

B. "PHS 2010-02 Omnibus Solicitation of the NIH, CDC, FDA and ACF for Small Business Innovation Research Grant Applications (Parent SBIR [R43/R44]) (PA-10-050, Jan. 15, 2010, reissue of PA-09-080, National Institute on Aging, in conjunction with several other agencies). For more information see:

C. "PHS 2010-02 Omnibus Solicitation of the NIH for Small Business Technology Transfer Grant Applications (Parent STTR [R41/R42]) (PA-10-051, Jan. 15, 2010, reissue of PA-09-081, National Institute on Aging, in conjunction with several other agencies). For more information see:


28. US ADMINISTRATION ON AGING: "Disaster Assistance for State Units on Aging (SUAs) and Title VI Tribal Organizations in National Disasters Declared by the President" (HHS-2010-AOA-DA-1002, application due date is Sep. 17, 2010). For more information (.pdf and Microsoft Word format, 21p.).




29. WIDER OPPORTUNITIES FOR WOMEN ELDER ECONOMIC SECURITY INITIATIVE: "Wider Opportunities for Women (WOW) is pleased to announce the release of our Request for Proposals for the Elder Economic Security Initiative (Initiative). The Initiative's core components include: coalition building, research, advocacy, education, and outreach. Underpinning these national, state and community efforts is the Elder Economic Security Standard Index (Elder Index), a comprehensive geographically-based measure of income adequacy, developed by the Gerontology Institute at the University of Massachusetts-Boston (GI UMASS) and WOW. WOW seeks lead state organizations (LSOs) with whom to launch and implement the Initiative. In collaboration with WOW, these LSOs will:

Build a diverse statewide coalition;

Provide input into the tabulation of the state Elder Index;

Develop a statewide policy agenda to promote elder economic security; and

Coordinate the launch and implementation of their states Initiative.

To date, WOW has partnerships with non-profit organizations and state agencies in twelve states, including California, Connecticut, Illinois, Massachusetts, Michigan, Minnesota, New Jersey, New Mexico, New York, Pennsylvania, Wisconsin and West Virginia. Applications will not be accepted from these states. If you are interested in becoming involved with the Initiative in these states, please contact WOW. Please forward this announcement widely! Applications will be due Friday, March 5, 2010. For additional information, contact Stacy Sanders, Associate Director, at"

For more information see (.pdf format, 7p.).

More information on WOW:


VII. Conferences:

30. Palliative Care Conferences: "Dying and Death in 18th-21st Century Europe: Refiguring Death Rites in Europe," to be held in Alba Iulia Romania, Sep. 3-5, 2010. Palliative Care:


VIII. Websites of Interest:

31. MEDICARE.GOV WEBSITE UPDATES: The following sites were updated on Jan. 15, 2010: "Medicare Supplier Directory." For all of's suite of interactive web databases see:


It is not by muscle, speed, or physical dexterity that great things are achieved, but by reflection, force of character, and judgement; and in these qualities old age is usually not only not poorer, but is even richer

Cicero--106-43 B.C.


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