On the cost and prevention of iatrogenic multiple pregnancies

Brian D. Allen, Eli Y. Adashi, Howard W. Jones

Research output: Contribution to journalArticle

Abstract

Multiple pregnancies are an undesirable complication of IVF and of ovulation induction and/or ovulation enhancement without IVF. Studies based on published population data and data from the Centers for Disease Control and Prevention indicate that savings from the mitigation of iatrogenic multiples would save money in the billions (109) of US dollars on a national basis. The aim of this study was to determine whether, using real data from a major regional insurance carrier for the interval 2005-2009 covering obstetric costs requiring hospitalization and neonatal costs through the first year, it was possible to show that the cost saved by eliminating iatrogenic multiple births would be adequate to fund a protocol to minimize iatrogenic multiple births. The net savings on an annual basis for the study group of 13,478 was about US$4.4 million. Applying the regional findings to national data suggests savings of approximately US$6.3 billion if national iatrogenic multiples were eliminated. These findings indicate that the health insurance industry should be able to offer infertility coverage at a lower rate by requiring a treatment algorithm designed to essentially eliminate iatrogenic multiple pregnancies. It is concluded that efforts should be made to assure a singleton birth when treating infertility.

Original languageEnglish (US)
Pages (from-to)281-285
Number of pages5
JournalReproductive BioMedicine Online
Volume29
Issue number3
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Multiple Pregnancy
Multiple Birth Offspring
Costs and Cost Analysis
Infertility
Insurance Carriers
Pregnancy Complications
Ovulation Induction
Financial Management
Health Insurance
Centers for Disease Control and Prevention (U.S.)
Ovulation
Obstetrics
Industry
Hospitalization
Parturition
Population
Therapeutics

Keywords

  • Iatrogenic multiple births
  • Intrauterine insemination
  • IVF
  • Multiple births
  • Single-embryo transfer

ASJC Scopus subject areas

  • Reproductive Medicine
  • Developmental Biology
  • Medicine(all)

Cite this

On the cost and prevention of iatrogenic multiple pregnancies. / Allen, Brian D.; Adashi, Eli Y.; Jones, Howard W.

In: Reproductive BioMedicine Online, Vol. 29, No. 3, 2014, p. 281-285.

Research output: Contribution to journalArticle

Allen, Brian D. ; Adashi, Eli Y. ; Jones, Howard W. / On the cost and prevention of iatrogenic multiple pregnancies. In: Reproductive BioMedicine Online. 2014 ; Vol. 29, No. 3. pp. 281-285.
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