Current Awareness in Aging Research (CAAR) Report No. 532 -- April 15, 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. Reports and articles:

1. US ADMINISTRATION ON AGING PERIODICAL: AoA Enews (April 2010, .pdf format, 11p.).



A. "2009 National Healthcare Quality Report" (March 2010, .pdf format, 155p.).

B. "2009 National Healthcare Disparities Report" (March 2010, .pdf format, 295p.).

Both are available at:



A. "Medicare Short-Stay Hospitals," (2009 Edition, Apr. 2010, tables 5.1-5.12, compressed .pdf and Microsoft Excel [.xlsx] format).

B. "Medicare Cost Sharing," (2009 Edition, Apr. 2010, tables 4.1-4.4, compressed .pdf and Microsoft Excel [.xlsx] format).

C. "Medicare Managed Care," (2009 Edition, Apr. 2010, tables 12.1-12.11, compressed .pdf and Microsoft Excel [.xlsx] format).

D. "Medicare Enrollment," (2009 Edition, Apr. 2010, tables 2.1-2.8, compressed .pdf and Microsoft Excel [.xlsx] format).


4. US DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF THE INSPECTOR GENERAL REPORT: "Medicare Payments for Medical Equipment and Supply Claims With Identical Referring Physician and Supplier National Provider Identifiers" (OEI-04-10-00110, April 2010, .pdf format, 10p.)


We found that Medicare allowed $87 million for medical equipment and supply claims with identical referring physician and supplier national provider identifiers (NPI) between May 23, 2008, and September 30, 2009.

CMS began requiring suppliers to include NPIs for the supplier and the referring physician on Medicare claims on May 23, 2008. However, CMS instituted a temporary provision allowing suppliers to use their own NPIs in the referring provider field if they cannot obtain the referring physician's NPI. This review serves as a followup to a February 2009 OIG report that noted that the provision represents a claims-processing vulnerability. CMS's claims-processing systems did not verify that the equipment and/or supplies associated with these payments were ordered by an eligible physician as required. We recommended in that report that CMS determine the earliest date to end the provision while maintaining beneficiary access to services. On January 3, 2011, CMS intends to implement changes to its claims-processing system that will end the temporary provision. However, the implementation date of these edits has been postponed twice. As of April 2010, nearly 2 years after the temporary provision was effective, suppliers are able to submit claims without the referring physician's NPI.

We found that Medicare payments for medical equipment and supply claims with identical referring physician and supplier NPIs were concentrated in certain Healthcare Common Procedure Coding System (HCPCS) codes and geographic locations. Ten HCPCS codes accounted for half of the $87 million that we identified, although Medicare paid for this type of claim under approximately 1,200 HCPCS codes during the period of our review. We also found that 10 counties represented 19 percent of the Medicare payments that we identified nationwide. In contrast, these 10 counties represented only 9 percent of Medicare payments for all medical equipment and supplies provided during the period of our review. Three of the 10 counties are among the 7 areas that the Health Care Fraud Prevention and Enforcement Action Team has identified as areas of significant Medicare fraud.

Additionally, 26 percent of suppliers that received Medicare payments for claims with identical referring physician and supplier NPIs were paid by Medicare for this type of claim almost exclusively. These suppliers accounted for almost half (48 percent) of the Medicare payments we identified. Fourteen percent of suppliers that received Medicare payments for claims with identical referring physician and supplier NPIs submitted this type of claim in all six quarters we reviewed. These suppliers accounted for more than half (53 percent) of the Medicare payments we identified. Medicare payments for claims with identical referring physician and supplier NPIs declined over the first 7 months the temporary provision was effective, but generally increased thereafter.

Although the $87 million that Medicare allowed for medical equipment and supply claims with identical referring physician and supplier NPIs was permissible under the temporary CMS provision, the vulnerability remains. Therefore, we continue to believe that CMS should end the temporary provision at the earliest possible date. This report is being issued directly in final form because it contains no recommendations.



A. "Additional Genes Associated with Age-Related Macular Degeneration Identified" (Apr. 12, 2010).

B. "Targeting the Blood-Brain Barrier May Delay Progression of Alzheimer's Disease" (Apr. 12, 2010).


6. US SOCIAL SECURITY ADMINISTRATION REPORT: "International Update, April 2010" (HTML and .pdf format, 3p.).


7. UK OFFICE OF NATIONAL STATISTICS: ONS has updated it's "Pensions Trends" site with two new chapters: Chapter 2 "Population Change" and Chapter 8 "Pensions Contributions."


8. COMMONWEALTH FUND REPORT: "Lessons from a Health Information Technology Demonstration in New York Nursing Homes (April 2010, .pdf format, 15p.).

More information about CF:


9. DEMOGRAPHIC RESEARCH ARTICLE: "No consistent effects of prenatal or neonatal exposure to Spanish flu on late-life mortality in 24 developed countries," by Alan Cohen, John Tillinghast, and Vladimir Canudas-Romo (Vol. 22, Article 20, April 2010, .pdf format, p. 579-634). Links to an abstract and full text are available at:


10. INTERNATIONAL LONGEVITY CENTRE [UK] REPORT: "The Economic Value of Healthy Ageing and Working Longer," (April 2010, .pdf format, 15p.). Links to full text are at the bottom of the page.


11. INTERNATIONAL LONGEVITY CENTER USA PRESENTATION: "Transitions to Independent and Assisted Living Communities: Measures of Subjective Well-being," by "Robert N. Butler and Khristine Rogers (March 2010, Microsoft PowerPoint format, 70 slides. The presentation was given to the 2010 Aging in America Conference held in Chicago, Illinois, jointly sponsored by the American Society on Aging and the National Council on Aging.


12. MANHATTAN INSTITUTE FOR POLICY RESEARCH REPORT: "Underfunded Teacher Pension Plans: It's Worse Than You Think," by Josh Barro and Stuart Buck (No. 61, April 2010, HTML and .pdf format, 17p.).

More information about MH:


13. STANFORD INSTITUTE FOR ECONOMIC POLICY RESEARCH POLICY BRIEF: "Going For Broke: Reforming California's Public Employee Pension Systems," by Howard Bornstein, Stan Markuze, Cameron Percy, Lisha Wang, and Moritz Zander (April 2010, .pdf format, 8p.).



A. "Diabetes-accelerated memory dysfunction via cerebrovascular inflammation and A{beta} deposition in an Alzheimer mouse model with diabetes," by Shuko Takeda, Naoyuki Sato, Kozue Uchio-Yamada, Kyoko Sawada, Takanori Kunieda, Daisuke Takeuchi, Hitomi Kurinami, Mitsuru Shinohara, Hiromi Rakugi, and Ryuichi Morishita (Vol. 107, No. 15, Apr. 13, 2010, p. 7036-7041).

B. "PI3 kinase signaling is involved in A{beta}-induced memory loss in _Drosophila_ (Vol. 107, No. 15, Apr. 13, 2010, p. 7060-7065).



A. "Biological Markers of Auditory Gap Detection in Young, Middle-Aged, and Older Adults," by Bernhard Ross, Bruce Schneider, Joel S. Snyder, and Claude Alain (PLoS ONE 5(4): e10101. doi:10.1371/journal.pone.0010101, XML, HTML, and .pdf format, 15p.).

B. "Interaction between Age and Obesity on Cardiomyocyte Contractile Function: Role of Leptin and Stress Signaling," by Jun Ren, Feng Dong, Guo-Jun Cai, Peng Zhao, Jennifer M. Nunn, Loren E. Wold, and Jianming Pei (PLoS ONE 5(4): e10085. doi:10.1371/journal.pone.0010085, XML, HTML, and .pdf format, 15p.).

C. "Homeodomain Interacting Protein Kinase 2: A Target for Alzheimer's Beta Amyloid Leading to Misfolded p53 and Inappropriate Cell Survival," by Cristina Lanni, Lavinia Nardinocchi, Rosa Puca, Serena Stanga, Daniela Uberti, Maurizio Memo, Stefano Govoni, Gabriella D'Orazi, and Marco Racchi (PLoS ONE 5(4): e10171. doi:10.1371/journal.pone.0010171, XML, HTML, and .pdf format, 8p.).

D. "Uncovering Molecular Biomarkers That Correlate Cognitive Decline with the Changes of Hippocampus' Gene Expression Profiles in Alzheimer's Disease," by Martin Gomez Ravetti, Osvaldo A. Rosso, Regina Berretta, and Pablo Moscato (PLoS ONE 5(4): e10153. doi:10.1371/journal.pone.0010153, XML, HTML, and .pdf format, 42p.).


16. SCIENCE ARTICLE ABSTRACT: "Extending Healthy Life Span--From Yeast to Humans," by Luigi Fontana, Linda Partridge, and Valter D. Longo (Vol. 328, No. 5976, Apr. 16, 2010, p. 321-326).



A. "Safety incidents in over 65s cost US hospitals $9bn over two years," by Janice Hopkins Tanne (news extract, BMJ 2010;340:c1880, Vol. 340, Apr. 10, 2010, p. 782-783).

B. "Epidemiology of rib fractures in older men: Osteoporotic Fractures in Men (MrOS) prospective cohort study," by Elizabeth Barrett-Connor, Carrie M. Nielson, Eric Orwoll, Douglas C. Bauer, and Jane A. Cauley (article, BMJ 2010;340:c1069, HTML and .pdf format, 8p.). This article is available free of charge.


II. Working Papers:

18. UNIVERSITY OF WISCONSIN CENTER FOR DEMOGRAPHY AND ECOLOGY: "Why Intelligent People Live Longer," by Robert M. Hauser and Alberto Palloni (2010-04, 2010, .pdf format, 21p.).


Numerous studies find a positive relationship between cognitive ability, IQ as measured in childhood or youth, and subsequent survival. Explanations range from the idea that low ability is an indicator of adverse systemic events in early life to the idea that high cognitive functioning is required continuously to maintain health and reduce threats to survival. The Wisconsin Longitudinal Study (WLS) has followed a large cohort of Wisconsin high school seniors from ages 18 to 69. As expected, in the WLS survival varies positively with adolescent IQ. However, rank in high school class accounts completely for the relationship between IQ and survival, and it has a much larger effect on survival. These findings suggest that cognitive functioning improves survival by promoting behaviours that boost health status, minimize exposure to known risks and optimize returns to health producing inputs, and that such behaviours are firmly in place by late adolescence.


19. INSTITUTE FOR THE STUDY OF LABOR (IZA) [UNIVERSITY OF BONN, GERMANY]: "Family Location and Caregiving Patterns from an International Perspective," by Helmut Rainer and Thomas Siedler (Discussion Paper No. 4878, April, 2010, .pdf format, 27p.). Links to an abstract and full text are available at:


20. NEP-AGE: Working papers in the Economics of Aging are available through the bibliographic database provided by Research Papers in Economics (RePEc). The latest compilation is for Apr. 4, 2010.


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

21. Age and Ageing (Vol. 39, No. 3, May 2010).


22. American Journal of Public Health (Vol. 100, No. 5, May 2010).


23. International Journal of Aging and Human Development (Vol. 70, No. 3, 2010).


24. 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 Apr. 12, 2010:

B. Alzheimer's Disease: Literature for the week of Apr. 12, 2010:

C. Parkinson's Disease: Literature for the week of Apr. 12, 2010:

D. Prostate Cancer: Literature for the week of Apr. 12, 2010:

E. Stem Cell Research: Literature for the week of Apr. 12, 2010:

F. Ophthalmology: Literature for the week of Apr. 12. 2010:

AMEDEO Literature Guide:


IV. Books:

25. BROOKINGS INSTITUTION MONOGRAPH: Automatic: Changing the Way America Saves, by William G. Gale, J. Mark Iwry, David John and Lina Walker (2009, 978-0-8157-0278-8, 126p.). For more information see:


V. Funding Opportunities/Employment Opportunities:


A. "Identification and Characterization of Molecular Targets Within the mTOR Pathway With Potential to Impact Healthspan and Lifespan (R21)," (PA-10-164, April 9, 2010, National Institute on Aging, in conjunction with other agencies).

B. "International Neuroscience Fellowship (F05)," (PAR-10-167, a reissue of PAR-06-227, April 13, 2010, National Institute on Aging, in conjunction with other agencies).


27. US DEPARTMENT OF AGRICULTURE: "Increasing SNAP Participation among Medicare's Extra Help population," (CFDA No. 10.580, .pdf format, 26p.).


28. AGEWORK.COM: Agework has updated its employment page with listings through Apr. 14, 2010.


VI. Conferences:

29. CONFERENCEALERTS.COM GERONTOLOGY UPDATES: has recently updated its Gerontology page with new conference listings:

A. Third Annual Interdisciplinary Geriatrics Symposium: Closing the Gap in Elder Care -- Fort Lauderdale, Florida, Apr. 24-25, 2010

B. Silver Economy Summit: Ad aging population will change how you do work...are you ready? -- Halifax, Nova Scotia, Canada, May 13-14, 2010

C. Preventive Health 2010 -- London, UK, Jun. 30, 2010

D. South East Asian Conference on Ageing 2010: Improving Well Being in Later Life -- Kuala Lumpur, Malaysia, Jul. 17-18, 2010

E. Ethics for an ageing world (biomedical ethics) -- Greifswald (Heringsdorf), Germany, Sep. 23-26, 2010

F. Keystone Symposia: Genomic Instability and DNA Repair -- Keystone, Colorado, Jan. 30-Feb. 4, 2011 Gerontology Conferences:


VII. Websites of Interest:

30. MEDICARE.GOV WEBSITE UPDATES: The following sites were updated on Apr. 9, 15, 2010: "Supplier Directory"; "Home Health Compare"; "Medicare Options Compare"; "Medicare Prescription Drug Plan Finder"; and "Physician and Other Healthcare Professional Directory."


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