The effects of insurance mandates on choices and outcomes in infertility treatment markets.

Abstract:

:For the 10% to 15% of American married couples who experience reproductive problems, in vitro fertilization (IVF) is the leading technologically advanced treatment procedure. However, IVF's expense may prevent many couples from receiving treatment, and those who are treated may take an overly aggressive approach to reduce the probability of failure. Aggressive treatment, which occurs through an increase in the number of embryos transferred during IVF, can lead to medically dangerous multiple births. We evaluated the principle policy proposal-insurance mandates-for improving IVF access and outcomes. We used data from US markets during 1995-2003 to show that broad insurance mandates for IVF result in not only large increases in treatment access but also significantly less aggressive treatment. More limited insurance mandates, which may apply to a subset of insurers or provide weaker guidelines for insurer behavior, generally have little effect on IVF markets.

journal_name

Health Econ

journal_title

Health economics

authors

Hamilton BH,McManus B

doi

10.1002/hec.1776

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

994-1016

issue

8

eissn

1057-9230

issn

1099-1050

journal_volume

21

pub_type

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