Utilization of infertility treatments: the effects of insurance mandates.
Utilization of infertility treatments: the effects of insurance mandates.
复制标题
DOI：
10.1007/s13524-011-0078-4
复制
发表时间：
2012-02
期刊：
影响因子：
3.5
通讯作者：
Schmidt L
中科院分区：
文献类型：
--
作者：
Bitler MP;Schmidt L
在过去几十年中，推迟生育和生育问题在发达国家的妇女中越来越普遍。与此同时，技术变革为遇到生育问题的个人提供了更多的选择。然而，这些技术价格昂贵，美国只有25%的健康保险计划涵盖不孕症治疗。由于这些高昂的费用，15个州通过了立法，规定在私人保险计划中为不孕症治疗提供保险。在这篇文章中，我们研究是否强制保险覆盖不孕症治疗影响利用。我们允许利用效应因年龄和教育程度而异，因为以前的研究表明，年龄较大，受教育程度较高的女性应该比年轻女性和受教育程度较低的女性更有可能直接受到授权的影响，这既是因为他们面临更高的生育问题风险，也是因为他们更有可能拥有私人医疗保险，这是受授权的约束。我们发现强有力的证据表明，任务确实对老年人的利用率有显着影响，受过教育的妇女比其他群体的影响更大。这些影响在使用促排卵药物和人工授精时最大。
Over the last several decades, both delay of childbearing and fertility problems have become increasingly common among women in developed countries. At the same time, technological changes have made many more options available to individuals experiencing fertility problems. However, these technologies are expensive, and only 25% of health insurance plans in the United States cover infertility treatment. As a result of these high costs, legislation has been passed in 15 states that mandates insurance coverage of infertility treatment in private insurance plans. In this article, we examine whether mandated insurance coverage for infertility treatment affects utilization. We allow utilization effects to differ by age and education, since previous research suggests that older, more-educated women should be more likely to be directly affected by the mandates than younger women and less-educated women, both because they are at higher risk of fertility problems and because they are more likely to have private health insurance, which is subject to the mandate. We find robust evidence that the mandates do have a significant effect on utilization for older, more-educated women that is larger than the effects found for other groups. These effects are largest for the use of ovulation-inducing drugs and artificial insemination.
登录
查看更多内容
影响因子：
6.7
作者：
Bitler, M;Schmidt, L
通讯作者：
Schmidt, L
影响因子：
6.1
作者：
BLACKBURN, ML;BLOOM, DE;NEUMARK, D
通讯作者：
NEUMARK, D
影响因子：
6.1
作者：
Connolly, M. P.;Griesinger, G.;Postma, M. J.
通讯作者：
Postma, M. J.
影响因子：
6.7
作者：
通讯作者：
--
影响因子：
3.4
作者：
Bao, YH;Sturm, R
通讯作者：
Sturm, R