Effects of the Statutory Health Insurance Modernization Act on the supply and expenditure situation in cases of assisted reproductive technologies in Germany

Dietrich, Eva Susanne; Wevers, Wenke

doi:10.1016/j.fertnstert.2009.07.1665

Cited by 4 publications

(1 citation statement)

References 3 publications

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“…A study analyzed the effect of that health policy, finding a 157.8% relative increase in ART treatment frequency three years after the enactment and a 78.51% relative increase in the number of births by ART five years after the enactment [ 19 ]. In Germany, ART had been fully covered by the statutory health insurance until December 31, 2003, but only 50% of the cost was covered after that date; since then, the frequency of infertility treatment dropped by 55%, and childbirth by ART dropped by 51% in 2005 compared to 2002 [ 20 ]. In South Korea, a 2009 study analyzed the frequency of ART procedures [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Comparative analysis of infertility healthcare utilization before and after insurance coverage of assisted reproductive technology: A cross-sectional study using National Patient Sample data

Lee,

Lim,

Kim

et al. 2023

PLoS ONE

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This study aims to analyze the types and cost of infertility care provided in a clinical setting to examine the changes of healthcare utilization for infertility after the 2017 launch of assisted reproductive technology (ART) health insurance coverage in South Korea. Health Insurance Review Assessment—National Patient Sample data from 2016 and 2018 were analyzed comparatively. Data related to receiving medical service under the International Classification of Diseases 10th revision code N97 (female infertility) or N46 (male infertility) at least once were analyzed, including patients’ characteristics and healthcare utilization (type of healthcare facility and treatment approach). Between 2016 and 2018, the percentage of patients aged 30–34 receiving infertility care dropped; the percentages of patients in older age groups increased. The number of female patients remained comparable, whereas the number of male patients increased by 23%. Average visits per patient increased by about 1 day from 2016 to 2018. Total annual infertility care claim cost increased from $665,391.05 to $3,214,219.48; the per-patient annual cost increased from $114.76 to $522.38. The number of claims and cost of treatment and surgery increased markedly, as did the number of claims and cost of gonadotropins. With its focus on health insurance coverage of ART and results demonstrating increases in medical services, medications, cost, and patient utilization, this study reveals the significant effects of national health policies on the treatment, cost, and management of infertility.

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Section: Introductionmentioning

confidence: 99%