HIGHLIGHTS FROM THE AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE’S 2021 SCIENTIFIC CONGRESS
In states with comprehensive insurance mandates, new studies find lower numbers of embryos transferred per procedure and higher rates of live births from IVF.
In a retrospective study of 110,843 embryo transfers from 2014-2916, researchers compared the number of single verses multiple embryos transferred in states with insurance coverage mandates and those without. They found that transfers of more than one embryo per procedure were more likely to occur in states without a mandate. The researchers conclude that legislation mandating in-vitro fertilization (IVF) coverage may improve the outcomes of fertility treatments.
Once the IVF process in the laboratory has successfully produced embryos, the question becomes how many embryos should be transferred into the woman to induce pregnancy. The American Society for Reproductive Medicine and the Society for Assisted Reproductive Technologies recommend the transfer of a single embryo for most patients.
Nineteen states now require insurers to cover infertility treatment; 13 of those state laws include IVF coverage.
0-44, B. Bedrick et al, IMPACT OF IVF INSURANCE MANDATES ON EMBRYO TRANSFER PRACTICE AND MULTIPLES RISK AFTER PGT-A IN THE UNITED STATES
Two other studies being presented at the ASRM Scientific Congress, which used data reported to the Centers for Disease Control by 456 clinics throughout the U.S., show further positive impacts of state-required IVF insurance coverage.
In one study, the researchers found that live births per cycle were significantly higher in states with comprehensive IVF mandates, most notably among women age 35 and older. They also found that utilization of IVF was higher among all age groups, and multiple births were lower in states with mandates.
In the other study, the researchers looked at the number of embryos transferred per procedure and found a significantly lower number of multiples in states with comprehensive IVF insurance mandates. The authors conclude that state IVF insurance mandates are an important mechanism for reducing costs for patients and improving utilization of single embryo transfer.
“The evidence is growing that state laws requiring insurance coverage for infertility treatments, including IVF, contribute to increased success and greater safety for patients who are trying to grow their family,” said Marcelle Cedars, M.D., President-elect of ASRM
P-1, B. Peipert et al, IMPACT OF STATE IVF INSURANCE MANDATES ON IVF UTILIZATION AND OUTCOMES IN THE UNITED STATES
P-188, B. Peipert et al, IMPACT OF STATE IVF INSURANCE MANDATES ON EMBRYO TRANSFER PRACTICES IN THE UNITED STATES