Current Awareness in Aging Research (CAAR) Report #59--November 16, 2000

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:


Note: The next CAAR report will be issued Wednesday, Nov. 22, 2000.


I. Reports and articles:

1. _FINANCIAL TIMES_ PENSION PROVISION SPECIAL SECTION: "Surveys: European Pension Provision" (_Financial Times_, Nov. 10, 2000). Note: _FT_ requires free registration before providing articles. "The number of pensioners is increasing, but gloomy prophecies of bankrupted states may have been over stated. The metaphor of the ticking time bomb for the looming pension crisis is a familiar one, as are the demographic figures which underpin the predictions. Figures calculated by the Organisation for Economic Co-operation and Development, based on the prospective retirement of the post-war baby boomers show the differing levels of exposure in OECD countries." Included are 12 articles divided topically into an overview, pension markets, issues, and four country reviews.


"Putting Medicare in Context: How Does the Balanced Budget Act Affect Hospitals?" by Stuart Guterman (_Urban Institute_, July 2000, HTML and .pdf format, 31 p.).

Click on "Portable Document Format (PDF)", for .pdf version.

3. DHHS OIG OEI REPORT: "Monitoring Part B Therapy for Skilled Nursing Facilities Patients" (US Department of Health and Human Services Office of the Inspector General, Office of Evaluations and Inspections OEI-09-99-00550, November 2000, .pdf format, 11p.).


OEI continues to monitor the effects of the Balanced Budget Act of 1997 (BBA) and the Balanced Budget Refinement Act of 1999 (BBRA) on therapy services provided to Medicare beneficiaries in skilled nursing facilities (SNFs). The BBRA suspended the Medicare reimbursement caps on Part B physical, occupational, and speech therapy that were imposed by the BBA. In addition, the BBRA mandates that the Department of Health and Human Services conduct focused medical reviews on Part B therapy services and provide reports to Congress in the years 2001 and 2002. We continue to gather and analyze information and data that will assist HCFA in responding to the congressional mandate. The implementation of monetary caps on therapy services in SNFs coincided with a dramatic decrease in Part B therapy charges during 1999. However, preliminary reports indicate that we should expect a rebound in SNF Part B therapy charges in 2000 and 2001, based in part on the moratorium on the caps and the persistent, inadequate contractor oversight of billing practices and medical necessity of Part B therapy. We recommended that HCFA ensure that adequate medical reviews of Part B therapy in SNFs are conducted. We also recommended that HCFA continue to work to improve therapy providers' understanding of billing procedures and the medical necessity guidelines for Part B therapy.

4. _JAMA_ SPECIAL ISSUE: The Nov. 15, 2000 issue of the _Journal of the American Medical Association_ (Vol. 284, No. 19) is a special issue pertaining to end of life issues. One of the articles is freely available to the public (HTML and .pdf format), and all articles may be available to your organization. Check your organization's library.

Free Article: "Attitudes and Desires Related to Euthanasia and Physician-Assisted Suicide Among Terminally Ill Patients and Their Caregivers," by Ezekiel J. Emanuel, Diane L. Fairclough, and Linda L. Emanuel.

Entire issue table of contents and abstracts:

5. _NEJM_ ARTICLE ABSTRACT: "Appropriateness of Coronary Angiography after Myocardial Infarction among Medicare Beneficiaries: Managed Care versus Fee for Service," by Edward Guadagnoli, Mary Beth Landrum, Eric A. Peterson, Martin T. Gahart, Thomas J. Ryan, and Barbara J. McNeil (_New England Journal of Medicine_, Vol. 343, No. 20, Nov. 16, 2000).

6. The _LANCET_ ARTICLE, ABSTRACT: Note: The _Lancet_ requires free registration before providing content.

A. "Statins and the risk of dementia," by H. Jick, G.L. Zornberg, S.S. Jick, S. Seshadri, and D.A. Drachman (The _Lancet_, Vol. 356, No. 9242, Nov. 11, 2000, p. 1627-1631, HTML and .pdf format).



B. "Planning for the end of life," by Douglas K. Martin, Linda L. Emanuel, and Peter A. Singer (The _Lancet_, Vol. 356, No. 9242, Nov. 11, 2000, p. 1672-76). Note: This is a _Lancet_ abstract.

7. MEDSCAPE ARTICLES: Note: Medscape requires free registration before providing articles.

A. "Overview of Osteoporosis in Men," by Joel S. Finkelstein (Medscape UpToDate, 2000, HTML format).


B. "Physical Impairment and Functional Outcome in Patients Having Lower Extremity Fractures After Age 65," by Brodie E. McKoy and Langdon A. Hartsock (_Journal of the Southern Orthopaedic Association_ via Medscape, Vol. 9, No. 3, Fall 2000, HTML format).



A. "The Last Goodbye," by Lise Funderburg (_Time_, Nov. 13, 2000).,3266,59796,00.html

B. "All Grown Up And Home Alone," by Jeffrey Ressner (_Time_, Nov. 13, 2000).,3266,59748,00.html

C. "Pal Power," by Megan Rutherford (_Time_, Nov. 13, 2000).,3266,59785,00.html

9. _FORTUNE_ ARTICLE: "A 401(k) Buffet Can Be a Feast for All," by Carolyn T. Geer (_Fortune_, Vol. 142, No. 13, Nov. 27, 2000).


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

10. American Journal of Epidemiology (Vol. 152, No. 9, Nov. 1, 2000). Note: This journal is available in electronic (HTML and .pdf format) full text via Highwire Press. Check your library for availability.

Click on "November 152 (9)".

11. Journal of Gerontology (B) Psychological Sciences (Vol. 55B, No. 6, November 2000). Note 1: This journal is available in electronic full-text in the ProQuest Research Library. Check your library for the availability of this database and this issue. Note 2: the issue is incorrectly labeled as "May 2000" at this time.

12. CARL Uncover Journal Tables of Contents. Follow the instructions below to access tables of contents. CARL Uncover provides fee based document delivery services for selected journals.

A. Point your browser to:

B. click on "Search Uncover"
C. click on "Search Uncover Now"
D. Type the Journal Name in the search box and click the radio button "Journal Title Browse"
E. click on the journal name
F. click on "journal issues"
G. click on the issues identified below

Omega: Journal of Death and Dying (Vol. 40, No. 4, 2000).


III. Books:

13. NBER:

A. _The Distributional Effects of Social Security Reform_, edited by Martin Feldstein and Jeffrey Liebman (National Bureau of Economic Research, from a conference held Oct. 21-23, 2000, forthcoming from University of Chicago Press). The chapter "The Distributional Effects of an Investment-Based Social Security System," by Martin Feldstein and Jeffrey Liebman (.pdf format, 84p.) has been made electronically available. Note: this is a revised version of a NBER working paper originally discussed in CAAR #16, Jan. 13, 2000

see item #10.

Scroll to "The Distributional Effects of an Investment-Based Social Security System".

B. _Social Security Pension Reform in Europe_, edited by Martin Feldstein and Horst Siebert (National Bureau of Economic Research, from a conference held Mar. 20-21, 2000, forthcoming from University of Chicago Press). The chapter "Pension Reform: Issues in the Netherlands," by Jeroen J.M. Kremers (.pdf format, 16p.) has been made electronically available.

Scroll to "Pension Reform: Issues in the Netherlands".


IV. Legislation Information Updates:

14. HOUSE WAYS AND MEANS COMMITTEE, SUBCOMMITTEE ON HEALTH HEARING PUBLICATION: "Medicare Self-Referral Laws" (Printed Hearing #106-54, May 1999, HTML and .pdf format 150p.).

Scroll to or "find in page" "106-54".

15. SENATE SPECIAL COMMITTEE ON AGING PUBLICATION: The Senate Special Committee on Aging has made electronically available its two volume publication _Developments in Aging 1997-1998_ (ASCII text and .pdf format) discussed in CAAR #21, Feb. 17, 2000

see item #22.

Since the item is out of print at present, this is the only non-depository library availability.


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