Rapid Progression to IVF with Single Embryo Transfer as the Standard of Care for Infertility: Results from A Multi-Center Cost-Effectiveness Study

Karvir, H.; Elashoff, Michael; Miller, Bradley T.; Gutmann, Jacqueline N.; Arredondo, Francisco; Copperman, A.B.; Beim, P. Yurttas

doi:10.1016/j.fertnstert.2014.12.046

Cited by 2 publications

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“…Arguably, the reason for such variation in funding arrangements is the lack of an adequate metric in economic evaluation that reflects the value that society places on fertility treatment (21). Although some research has been done on the comparative cost-effectiveness of various fertility treatments (22)(23)(24)(25)(26)(27)(28), there is no evidence on whether the provision of subsidized treatment provides good value for money.…”

Section: Inadequacy Of Traditional Health Technology Assessment Methodsmentioning

confidence: 99%

Does in vitro fertilization (IVF) treatment provide good value for money? A cost-benefit analysis

Keller

Botha

Chambers

2023

Front. Glob. Womens Health

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BackgroundUsing traditional health technology assessment (HTA) outcome metrics, such as quality-adjusted life-years, to assess fertility treatments raises considerable methodological challenges because the objective of fertility treatments is to create new life rather than extend, save, or improve health-related quality of life.ObjectiveThe aim of this study was to develop a novel cost-benefit framework to assess value for money of publicly funded IVF treatment; to determine the number of cost-beneficial treatment cycles for women of different ages; and to perform an incremental cost-benefit analysis from a taxpayer perspective.MethodsWe developed a Markov model to determine the net monetary benefit (NMB) of IVF treatment by female age and number of cycles performed. IVF treatment outcomes were monetized using taxpayers' willingness-to-pay values derived from a discrete choice experiment (DCE). Using the current funding environment as the comparator, we performed an incremental analysis of only funding cost-beneficial cycles. Similar outputs to cost-effectiveness analyses were generated, including net-benefit acceptability curves and cost-benefit planes. We created an interactive online app to provide a detailed and transparent presentation of the results.ResultsThe results suggest that at least five publicly funded IVF cycles are cost-beneficial in women aged <42 years. Cost-benefit planes suggest a strong taxpayer preference for restricting funding to cost-beneficial cycles over current funding arrangements in Australia from an economic perspective.ConclusionsThe provision of fertility treatment is valued highly by taxpayers. This novel cost-benefit method overcomes several challenges of conventional cost-effectiveness methods and provides an exemplar for incorporating DCE results into HTA. The results offer new evidence to inform discussions about treatment funding arrangements.

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Section: Inadequacy Of Traditional Health Technology Assessment Methodsmentioning

confidence: 99%

Does in vitro fertilization (IVF) treatment provide good value for money? A cost-benefit analysis

Keller

Botha

Chambers

2023

Front. Glob. Womens Health

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“…Given the significant risks and costs of recurrent ectopic, and the significant costs and reduced efficacy of medicated IUI cycles and then paying for the IVF anyway, the insurance company could reduce patient stress, patient risk, and potentially their own costs by going straight to IVF with single embryo transfer. [18][19][20] I filed an appeal which was denied, so I filed a second appeal. Sometimes this does not work, but this extra effort often results in a successful appeal.…”

Section: Examples Of Patient Advocacymentioning

confidence: 99%

Is Patient Advocacy the Solution to Physician Burnout?

Jeelani¹,

Lieberman

Chen

2019

Semin Reprod Med

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AbstractPhysician burnout has been on the rise over the last several decades in a variety of specialties, leading to high rates of physician suicide and poor health outcomes for patients. As leaders in healthcare attempt to combat this issue through mental health initiatives and changes in medical training policies, we propose patient advocacy as a powerful technique to combat physician burnout and restore autonomy, purpose, and meaning into physicians' lives.

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Rapid Progression to IVF with Single Embryo Transfer as the Standard of Care for Infertility: Results from A Multi-Center Cost-Effectiveness Study

Cited by 2 publications

References 0 publications

Does in vitro fertilization (IVF) treatment provide good value for money? A cost-benefit analysis

Does in vitro fertilization (IVF) treatment provide good value for money? A cost-benefit analysis

Is Patient Advocacy the Solution to Physician Burnout?

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