Cost considerations with infertility therapy: outcome and cost comparison between health maintenance organization and preferred provider organization care based on physician and facility cost

Human Reproduction
B VanderLaanN Gleicher

Abstract

Of 98 retrospectively selected patient couples insured under one scheme (group I) who, based on performance of a hysterosalpingogram (HSG), were assumed to be under active infertility care, 96 were confirmed as infertile. These were matched by date, patient age and time of HSG to 96 patients under infertility care (group II). Both patient populations were then prospectively evaluated for outcome and cost of treatment. Total physician charges for groups I and II were similar. However, charges per achieved clinical pregnancy were higher in group I than group II since group I patients demonstrated a lower pregnancy rate (28/96, 29%) than group II patients (41/96, 43%) (P=0.05). Within group I, pregnancy rates were identical, whether treatment was provided by generalists or subspecialists. In group II, all care was provided by specialists. The number of days of treatment did not vary between groups I and H, though generalists in group I provided significantly fewer treatment days than specialists in either group I (P=0.003) or in group II (P=0.021). This was primarily due to a significantly higher patient drop-out rate in group I patients, and especially amongst those who received care from generalists (P < 0.0019). Group I patient...Continue Reading

Citations

Apr 6, 2005·Journal of Assisted Reproduction and Genetics·Norbert Gleicher
Feb 18, 2004·Fertility and Sterility·Christine E Malcolm, David C Cumming
May 10, 2000·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·C SuchartwatnachaiA Rojanasakul
Feb 4, 1999·Journal of Women's Health
Jan 27, 2004·Sexually Transmitted Diseases·Diane R BlakeThomas C Quinn
Jul 28, 2009·Fertility and Sterility·Kaylen SilverbergGina Del Rosario
Nov 6, 2020·Journal of Gynecology Obstetrics and Human Reproduction·P ArvisP Lehert

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