title: Financial "risk-sharing" or refund programs in assisted reproduction: an Ethics Committee opinion.
abstract: Financial "risk-sharing" fee structures in assisted reproduction programs charge patients a higher initial fee but provide reduced fees for subsequent cycles and often a partial or complete refund if treatment fails. This opinion of the ASRM Ethics Committee analyzes the ethical issues raised by these fee structures, including patient selection criteria, conflicts of interest, success rate transparency, and patient informed consent. This document replaces the document of the same name, last published in 2013 (Fertil Steril 2013;100:334-6).
authors.affiliation: American Society for Reproductive Medicine, Birmingham, Alabama.
mesh_terms: D035881:Compensation and Redress / Q000941:ethics*; D017041:Ethics Committees; D005260:Female; D005298:Fertility; D017048:Health Care Costs / Q000941:ethics*; D005102:Health Expenditures / Q000941:ethics*; D006801:Humans; D007246:Infertility / Q000175:diagnosis / Q000191:economics* / Q000503:physiopathology / Q000628:therapy*; D011247:Pregnancy; D027724:Reproductive Techniques, Assisted / Q000009:adverse effects / Q000191:economics* / Q000941:ethics*; D018570:Risk Assessment; D012307:Risk Factors; D020414:Risk Sharing, Financial / Q000941:ethics*; D017211:Treatment Failure
keywords: Assisted reproductive technology; Ethics; cost; in vitro fertilization