title: Insurance mandates, embryo transfer, outcomes--the link is tenuous.
abstract: To examine the relationship between state insurance mandate status and the number of embryos transferred in assisted reproductive technology cycles, we conducted a retrospective analysis of clinics reporting to the publicly available national Society for Assisted Reproductive Technology registry. We found that clinics in states with comprehensive mandates transferred between 0.210 and 0.288 fewer embryos per cycle depending upon patient age, and were more likely to transfer fewer embryos than recommended for older women; however, the relationship between state mandate status and clinic birth and multiple birth rates varied by age group.
authors.affiliation: Georgetown University Hospital, Washington, DC, USA.
authors.forename: Nicole K
authors.initials: NK
authors.lastname: Banks
authors.forename: John M
authors.initials: JM
authors.lastname: Norian
authors.forename: M Kate
authors.initials: MK
authors.lastname: Bundorf
authors.forename: Melinda B
authors.initials: MB
authors.lastname: Henne
mesh_terms: D000328:Adult; D004624:Embryo Transfer / Q000191:economics* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007246:Infertility / Q000191:economics / Q000453:epidemiology / Q000628:therapy; D019458:Insurance Coverage / Q000191:economics / Q000706:statistics & numerical data; D015273:Insurance Selection Bias; D037141:Mandatory Programs / Q000191:economics / Q000706:statistics & numerical data; D015999:Multivariate Analysis; D011247:Pregnancy; D018873:Pregnancy Rate; D011379:Prognosis; D027724:Reproductive Techniques, Assisted / Q000191:economics / Q000706:statistics & numerical data; D016896:Treatment Outcome