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Infertility services and managed care.

M S Bron1, J W Salmon

  • 1College of Pharmacy, University of Illinois at Chicago 60612, USA.

The American Journal of Managed Care
|April 7, 1998
PubMed
Summary

Managed care may improve access and comprehensiveness for infertility services, benefiting millions. This approach can enhance quality and reduce costs for fertility treatments.

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Area of Science:

  • Reproductive Medicine
  • Health Services Research
  • Public Health Policy

Background:

  • The McCaughey septuplets' birth highlighted challenges in fertility assistance.
  • Infertility affects 5.3 million US citizens, necessitating improved care models.
  • Current fee-for-service systems present limitations in addressing infertility comprehensively.

Purpose of the Study:

  • To review the landscape of infertility services.
  • To propose managed care as a superior alternative to fee-for-service for infertility treatment.
  • To advocate for a more accessible, comprehensive, and humanistic approach to infertility care.

Main Methods:

  • Review of existing literature on infertility services and outcomes.
  • Analysis of the epidemiological, economic, legal, and social aspects of infertility.
  • Comparative assessment of fee-for-service versus managed care models for fertility assistance.

Main Results:

  • Managed care offers potential for greater accessibility and comprehensiveness in infertility services.
  • Managed care plans can improve quality of care and decrease unnecessary healthcare expenditures.
  • A US District Court ruling recognized infertility as a disability under the Americans with Disabilities Act.

Conclusions:

  • Managed care organizations should lead in providing organized, humanistic infertility care.
  • Managed care can ensure quality and reduce costs associated with infertility treatments.
  • Policy and legal frameworks, like the ADA, are evolving to support individuals with infertility.
Keywords:
Genetics and ReproductionHealth Care and Public Health

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