Current Awareness in Aging Research (CAAR) Report #544 -- July 8, 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. INTER-UNIVERSITY CONSORTIUM FOR POLITICAL AND SOCIAL RESEARCH/NATIONAL ARCHIVE OF COMPUTERIZED DATA ON AGING DATA RELEASE: ICPSR/NACDA announced the release of the following new dataset that may be of interest to researchers of aging on Jul. 5, 2009.

Note: Some ICPSR studies are available only to ICPSR member institutions. To find out whether your organization is a member, and whether or not it supports ICPSR Direct downloading, see:

National Ambulatory Medical Care Survey, 2006 (#28403))


2. US CENTERS FOR MEDICARE AND MEDICAID SERVICES STATISTICAL SUPPLEMENT UPDATE. The following tables have been updated (.zip compressed .pdf and Microsoft Excel format).

- "Medicare Hospital Outpatient Services (tables 10.1-10.5)."


II. Reports and articles:

3. CONGRESSIONAL BUDGET OFFICE REPORT: "Social Security Policy Options," (July 2010, .pdf format, 53p.).


4. US DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF INSPECTOR GENERAL REPORT: "Comparison of Fourth-Quarter 2009 Average Sales Prices and Average Manufacturer Prices: Impact on Medicare Reimbursement for Second Quarter 2010," (OEI-03-10-00350, June 2010, .pdf format, 18p.).


We identified a total of 35 Healthcare Common Procedure Coding System (HCPCS) codes with average sales prices (ASP) that exceeded average manufacturer prices (AMP) by at least 5 percent in the fourth quarter of 2009. If reimbursement amounts for these 35 codes had been based on 103 percent of the AMPs during the second quarter of 2010, Medicare expenditures would have been reduced by $4.3 million during that quarter alone.

Pursuant to section 1847A(d)(3) of the Social Security Act (the Act), OIG must notify the Secretary of Health & Human Services (the Secretary) if the ASP for a particular drug exceeds the drug's AMP by a threshold of 5 percent. If that threshold is met, the Act authorizes the Secretary 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 is OIG's 17th report comparing ASPs to AMPs; however, CMS has yet to make any changes to reimbursement as a result of OIG's findings.

Of the 35 HCPCS codes that met the threshold for price adjustment, 11 had AMP data for every drug product that CMS used to establish reimbursement amounts. Seven of these eleven drugs were also eligible for price adjustments in one or more of the previous four quarters. The remaining 24 of 35 HCPCS codes also met the 5-percent threshold in the fourth quarter of 2009 but did not have AMP data for every drug product that CMS used when calculating reimbursement. We could not compare ASPs and AMPs for an additional 62 HCPCS codes because AMP data were not submitted for any of the drug products that CMS used to calculate reimbursement. Manufacturers for 16 percent of those drug products had Medicaid drug rebate agreements and were therefore generally required to submit AMPs. OIG will continue to work with CMS to evaluate and pursue appropriate actions against manufacturers that fail to submit required data.



A. "Vital Signs: Colorectal Cancer Screening Among Adults Aged 50-75 Years - United States, 2008," (Vol. 59, Early Release, July 2010, .pdf and HTML format, p. 1-5).

B. "Vital Signs: Breast Cancer Screening Among Women Aged 50-74 Years - United States, 2008," (Vol. 59, Early Release, July 2010, .pdf and HTML format, p. 6-9).

Full text (.pdf format):


6. US NATIONAL INSTITUTE ON AGING PRESS RELEASE: "In Memoriam: Robert N. Butler. M.D.," (July 6, 2010).


7. REVIEW INTO THE GOVERNANCE, EFFICIENCY, STRUCTURE AND OPERATION OF AUSTRALIA'S SUPERANNUATION SYSTEM REPORT: "Super System Review Final Report," (July 2010, .pdf and Rich-text format, Part I 159p., Part II 330p.).



A. "Personal Social Services Survey of Adult Carers in England - 2009-10," (June 2010, .pdf and Excel format, 113p.).

B. "Survey of Carers in Households - 2009/10 England - Provisional Results," (June 2010, .pdf format, 2p.).


9. CENTER FOR RETIREMENT RESEARCH AT BOSTON COLLEGE ISSUE BRIEF: "Reducing Costs of 401(k) Plans with ETFs and Commingled Trusts," by Richard W. Kopcke, Francis M. Vitagliano, and Zhenya S. Karamcheva (IB No. 10-11, July 2010, .pdf format, 10p.).


10. URBAN INSTITUTE BRIEF: "How Will the Patient Protection and Affordable Care Act Affect Seniors?" by Robert A. Berenson and John Holahan (July 2010, .pdf format, 6p.).


11. PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES ARTICLE ABSTRACT: "Dissecting the involvement of tropomyosin-related kinase A and p75 neurotrophin receptor signaling in NGF deficit-induced neurodegeneration," by Simona Capsoni, Cecilia Tiveron, Domenico Vignone, Gianluca Amato, and Antonino Cattaneo (Vol. 107, No. 27, July 6, 2010, p. 12299-12304).



A. "Adverse Events Associated with Testosterone Administration," by Shehzad Basaria, Andrea D. Coviello, Thomas G. Travison, Thomas W. Storer, Wildon R. Farwell, Alan M. Jette, Richard Eder, Sharon Tennstedt, Jagadish Ulloor, Anqi Zhang, Karen Choong, Kishore M. Lakshman, Norman A. Mazer, Renee Miciek, Joanne Krasnoff, Ayan Elmi, Philip E. Knapp, Brad Brooks, Erica Appleman, Sheetal Aggarwal, Geeta Bhasin, Leif Hede-Brierley, Ashmeet Bhatia, Lauren Collins, Nathan LeBrasseur, Louis D. Fiore, and Shalender Bhasin (Vol. 363, No. 2, July 8, 2010, p. 109-122).

B. "Identification of Late-Onset Hypogonadism in Middle-Aged and Elderly Men," by Frederick C.W. Wu, Abdelouahid Tajar, Jennifer M. Beynon, Stephen R. Pye, Alan J. Silman, Joseph D. Finn, Terence W. O'Neill, Gyorgy Bartfai, Felipe F. Casanueva, Gianni Forti, Aleksander Giwercman, Thang S. Han, Krzysztof Kula, Michael E.J. Lean, Neil Pendleton, Margus Punab, Steven Boonen, Dirk Vanderschueren, Fernand Labrie, and Ilpo T. Huhtaniemi, for the EMAS Group (Vol. 363, No. 2, July 8, 2010, p. 123-135).


13. PUBLIC LIBRARY OF SCIENCE (PLoS) ONE ARTICLES: "A53T-Alpha-Synuclein Overexpression Impairs Dopamine Signaling and Striatal Synaptic Plasticity in Old Mice," by Alexander Kurz, Kay L. Double, Isabel Lastres-Becker, Alessandro Tozzi, Michela Tantucci, Vanessa Bockhart, Michael Bonin, Moisés García-Arencibia, Silke Nuber, Falk Schlaudraff, Birgit Liss, Javier Fernández-Ruiz, Manfred Gerlach, Ullrich Wüllner, Hartmut Lüddens, Paolo Calabresi, Georg Auburger, and Suzana Gispert (PLoS ONE 5(7): e11464. doi:10.1371/journal.pone.0011464, HTML, XML, and .pdf format, 15p.).


14. BRITISH MEDICAL JOURNAL ARTICLE: "Postoperative pneumonia in elderly patients receiving acid suppressants: a retrospective cohort analysis," by Donald A. Redelmeier, Finlay A. McAlister, Christopher E. Kandel, Hong Lu, and Nick Daneman (BMJ 2010;340:c2608, HTML and .pdf format).


III. Working Papers:

15. CENTER FOR RETIREMENT RESEARCH AT BOSTON COLLEGE: "Work and Retirement Patterns for the G.I. Generation, Silent Generation, and Early Boomers: Thirty Years of Change," by Richard W. Johnson, Barbara A. Butrica, and Corina Mommaerts (WP No. 2010-8, June 2010, .pdf format, 56p.). Note: Links to the abstract and full-text can be found at:


16. WHARTON PENSION RESEARCH COUNCIL (UNIVERSITY OF PENNSYLVANIA): Note: WPRC requires free registration before providing working papers. "Fees, Framing, and Financial Literacy in the Choice of Pension Manager," by Justine Hastings, Olivia S. Mitchell, and Eric Chyn (WP2010-09, July 2010, .pdf format, 26p.). Note: Links to the abstract and full-text can be found at:


17. NATIONAL BUREAU OF ECONOMIC RESEARCH: "Medicare Part D and the Financial Protection of the Elderly," by Gary V. Engelhardt and Jonathan Gruber (w16155, July 2010, .pdf format, 47p.).


We examine the impact of the expansion of public prescription drug insurance coverage from Medicare Part D on the elderly and find evidence of substantial crowd-out. Using detailed data from the 2002-7 waves of the Medical Expenditure Panel Survey (MEPS), we estimate that the extension of Part D benefits resulted in 80% crowd-out of both prescription drug insurance coverage and prescription drug expenditures of those 65 and older. Part D is associated with only modest reductions in out-of-pocket spending. This suggests that the welfare gain from protecting the elderly from out-of-pocket spending risk through Part D has been small.



A. "Employer Pension Plan Inequality in Canada," by Margaret Denton and Jennifer Plenderleith (Working Paper No. 270, June 2010, .pdf format, 53p.).


The purpose of this research paper is to contribute to knowledge regarding employer pension plan (EPP) inequality in Canada. Information on EPP coverage and value is analyzed using the 1999 and 2005 Surveys of Financial Security. The results indicate that women, persons who may live alone, landed immigrants, and language minorities are at a disadvantage in their EPP coverage and accrued value. In addition, age, educational attainment, occupation, industry of employment, union membership, total personal income, province, and size of urban residence figure importantly in EPP coverage. Furthermore, age, educational attainment, industry of employment, total personal income, province and size of urban residence are all important determinants of the termination value of EPPs. To identify inequalities in EPP coverage among the sub-populations, the researchers use multivariate analysis. This allows an identification of inequalities that are not a direct result of differences in age, gender, level of education, location, or position in the labour market. Findings indicate that differences in EPP coverage for women, persons who may live alone, landed immigrants and language minorities are primarily due to differences in these other characteristics. However, the lower EPP value witnessed by these sub-populations cannot be explained by individual or labour market characteristics.

B. "Retirement Decisions of People with Disabilities: Voluntary or Involuntary," by Margaret Denton, Jennifer Plenderleith, and James Chowhan (Working Paper No. 271, June 2010, .pdf format, 80p.).


While some retirement is welcomed and on-time, other retirements are involuntary or forced due to the loss of a job, an early retirement incentive, a health problem, mandatory retirement, lack of control with too many job strains, or to provide care to a family member. An analysis of the 2002 Canadian General Social Survey reveals that 27% of retirees retired involuntarily. This research focuses on the disabled population in Canada and considers factors that influence voluntary and involuntary retirement. Further, consideration is given to the economic consequences of retiring involuntarily. This research will examine issues surrounding retirement and disability through statistical analysis of the Canadian Participation and Activity Limitations Survey (PALS) 2006 data. Methods include the use of descriptive statistics and logistic regression analysis to determine the characteristics associated with involuntary retirement. This study found that those who retired involuntarily were more likely to have the following socio-demographic and socioeconomic characteristics: age 55 or less, less than high-school education, live in Quebec, rent their home, and have relatively low income. They were also more likely to be worse off financially after retirement and to be receiving social assistance or a disability benefit. In terms of disability, the likelihood of retiring involuntarily was greater for those with poor health at retirement, the age of onset was over 55, higher level of severity, and multiple types of disability. For the discussion, a social inequalities framework is used, where health selection into involuntary retirement depends on social location defined by age and education. Policy initiatives that reduce the effects of disability, and allow individuals to remain in or return to the labour force such as workplace accommodations are discussed.

C. "Where Would You Turn for Help? Older Adults' Awareness of Community Support Services," by Margaret Denton, Jenny Ploeg, Joseph Tindale, Brian Hutchison, Kevin Brazil, Noori Akhtar-Danesh, Monica Quinlan, Jean Lillie, Jennifer Millen Plenderleith, and Linda Boos (Working Paper No. 272, June 2010, .pdf format, 16p.).


Previous findings on older adults' awareness of community support services (CSSs) have been inconsistent and marred by acquiescence or over-claiming bias. To address this issue, this study used a series of 12 vignettes to describe common situations faced by older adults for which CSSs might be appropriate. In telephone interviews, 1,152 adults aged 50 years and over were read a series of vignettes and asked if they were able to identify a community organization or agency that they may turn to in that situation. They were also asked about their most important sources of information about CSSs. The findings show that, using a vignette methodology, awareness of CSSs is much lower than previously thought. The most important sources of information about CSSs included information and referral sources, the telephone book, doctors’ offices, and word of mouth.

D. "Older Adults' Awareness of Community Health and Support Services for Dementia Care," by Jenny Ploeg, Margaret Denton, Joseph Tindale, Brian Hutchison, Kevin Brazil, Noori Akhtar-Danesh, Jean Lillie, and Jennifer Millen Plenderleith (Working Paper No. 273, June 2010, .pdf format, 17p.).


The article examines where older adults seek help in caring for a parent with dementia and the factors associated with their identification of community health and support services as sources of assistance. The authors conducted telephone interviews, using random digit dialing, of 1,152 adults aged 50 and over in the city of Hamilton. Respondents received a vignette that raised issues related to parental dementia. In identifying support sources, over 37 per cent of respondents identified their physician, 33 percent identified informal support such as family and neighbors, and 31 per cent identified home health services. Only 18 percent identified community support services. Female participants having higher levels of education were more likely to identify their physician as a source of support. Knowing where to find information about community support services was associated with an increased likelihood of mentioning physicians and home health services as sources of assistance.


19. INSTITUTE FOR SOCIAL AND ECONOMIC RESEARCH (ISER) [UNIVERSITY OF ESSEX, COLCHESTER, UK]: "Older people's participation in disability benefits: targeting, timing and financial wellbeing," by Francesca Zantomio (Working Paper No. 2010-23, July 2010, .pdf format, 44p.). Note: Links to the abstract and full-text can be found 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 June 26, 2010.


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

21. Aging and Mental Health (Vol. 14, No. 5, 2010).

22. Canadian Journal on Aging/La Revue canadienne du vieillissement (Vol. 29, No. 2, June 2010).

23. Journal of the American Geriatrics Society (Vol. 58, No. 7, July 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 July 5, 2010:

B. Alzheimer's Disease: Literature for the week of July 5, 2010:

C. Parkinson's Disease: Literature for the week of July 5, 2010:

D. Prostate Cancer: Literature for the week of July 5, 2010:

E. Stem Cell Research: Literature for the week of July 5, 2010:

F. Ophthalmology: Literature for the week of July 5, 2010:

AMEDEO Literature Guide:


V. Books:

25. NATIONAL ACADEMIES PRESS: International Differences in Mortality at Older Ages: Dimensions and Sources, edited by Eileen M. Crimmins, Samuel H. Preston, and Barney Cohen (2010, ISBN-10: 0-309-15733-1, ISBN-13: 978-0-309-15733-9, OpenBook format, 480p.).


VI. Funding/Employment Opportunities:

26. US ADMINISTRATION ON AGING: "Health Care Fraud Prevention Program Expansion and SMP Capacity Building Grants," (HHS-2010-AoA-MP-1028, .pdf and Word format, 67p.). The deadline date for submission of applications is Aug. 2, 2010.




27. US NATIONAL INSTITUTES OF HEALTH: "Advancing Novel Science in Women's Health Research (ANSWHR) (R21)," (PAS-10-226, a reissue of PAS-07-381, July 1, 2010, National Institute on Aging, in conjunction with other agencies).


28. AGEWORK.COM: AgeWork has updated its employment page with listings through Jul. 8, 2010.


VII. Conferences:

29. UNIVERSITY OF WISCONSIN INSTITUTE ON AGING: "22nd Annual Colloquium on Aging," (September 21, 2010, Madison, Wisconsin). Note: Pre-registration is required by September 13, 2010.


VIII. Websites of Interest:

30. MEDICARE.GOV WEBSITE UPDATES: The following site was updated Jul. 2, 2010: "Supplier Directory". For all of's suite of interactive web databases see:



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