Utilization of Infertility Treatments: The Effects of Insurance Mandates
AbstractOver the last several decades, both delay of childbearing and fertility problems have become increasingly common among women in developed countries. At the same time, technological changes have made many more options available to individuals experiencing fertility problems. However, these technologies are expensive, and only 25% of health insurance plans in the United States cover infertility treatment. As a result of these high costs, legislation has been passed in 15 states that mandates insurance coverage of infertility treatment in private insurance plans. In this paper, we examine whether mandated insurance coverage for infertility treatment affects utilization. We allow utilization effects to differ by age and education, since previous research suggests that older, more educated women should be more likely to be directly affected by the mandates than younger women and less educated women, both because they are at higher risk of fertility problems and because they are more likely to have private health insurance which is subject to the mandate. We find robust evidence that the mandates do have a significant effect on utilization for older, more educated women that is larger than the effects found for other groups. These effects are largest for the use of ovulation-inducing drugs and artificial insemination.
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Bibliographic InfoArticle provided by Springer in its journal Demography.
Volume (Year): 49 (2012)
Issue (Month): 1 (February)
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Web page: http://www.springer.com/economics/journal/13524
Other versions of this item:
- Marianne P. Bitler & Lucie Schmidt, 2011. "Utilization of Infertility Treatments: The Effects of Insurance Mandates," NBER Working Papers 17668, National Bureau of Economic Research, Inc.
- Marianne Bitler & Lucie Schmidt, 2008. "Utilization of Infertility Treatments: The Effects of Insurance Mandates," Department of Economics Working Papers 2008-05, Department of Economics, Williams College.
- I1 - Health, Education, and Welfare - - Health
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- Schmidt Lucie, 2005.
"Effects of Infertility Insurance Mandates on Fertility,"
Labor and Demography
- Schmidt, Lucie, 2007. "Effects of infertility insurance mandates on fertility," Journal of Health Economics, Elsevier, vol. 26(3), pages 431-446, May.
- Lucie Schmidt, 2005. "Effects of Infertility Insurance Mandates on Fertility," Department of Economics Working Papers 2005-07, Department of Economics, Williams College.
- McKinley L. Blackburn & David E. Bloom, 1990.
"Fertility Timing, Wages, and Human Capital,"
NBER Working Papers
3422, National Bureau of Economic Research, Inc.
- Zavodny, Madeline & Bitler, Marianne P., 2010. "The effect of Medicaid eligibility expansions on fertility," Social Science & Medicine, Elsevier, vol. 71(5), pages 918-924, September.
- Timothy Conley & Christopher Taber, 2005.
"Inference with "Difference in Differences" with a Small Number of Policy Changes,"
NBER Technical Working Papers
0312, National Bureau of Economic Research, Inc.
- Timothy G. Conley & Christopher R. Taber, 2011. "Inference with "Difference in Differences" with a Small Number of Policy Changes," The Review of Economics and Statistics, MIT Press, vol. 93(1), pages 113-125, February.
- Jane Menken, 1985. "Age and fertility: How late can you wait?," Demography, Springer, vol. 22(4), pages 469-483, November.
- Marianne P. Bitler & Christopher S. Carpenter, 2011. "Insurance Mandates and Mammography," NBER Working Papers 16669, National Bureau of Economic Research, Inc.
- Bundorf, M. Kate & Chun, Natalie & Goda, Gopi Shah & Kessler, Daniel P., 2009.
"Do markets respond to quality information? The case of fertility clinics,"
Journal of Health Economics,
Elsevier, vol. 28(3), pages 718-727, May.
- M. Kate Bundorf & Natalie Chun & Gopi Shah Goda & Daniel P. Kessler, 2008. "Do Markets Respond to Quality Information? The Case of Fertility Clinics," NBER Working Papers 13888, National Bureau of Economic Research, Inc.
- Marianne Bitler & Madeline Zavodny, 2000. "The effect of Medicaid eligibility expansions on births," Working Paper 2000-4, Federal Reserve Bank of Atlanta.
- Liu, Zhimei & Dow, William H. & Norton, Edward C., 2004. "Effect of drive-through delivery laws on postpartum length of stay and hospital charges," Journal of Health Economics, Elsevier, vol. 23(1), pages 129-155, January.
- Rajeev Dehejia & Adriana Lleras-Muney, 2004.
"Booms, Busts, and Babies’ Health,"
250, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- Amalia Miller, 2011. "The effects of motherhood timing on career path," Journal of Population Economics, Springer, vol. 24(3), pages 1071-1100, July.
- Marianne P. Bitler, 2005.
"Effects of Increased Access to Infertility Treatment on Infant and Child Health Outcomes: Evidence from Health Insurance Mandate,"
330, RAND Corporation Publications Department.
- Marianne Bitler, 2005. "Effects of Increased Access to Infertility Treatment on Infant and Child Health Outcomes: Evidence from Health Insurance Mandates," PPIC Working Papers 2005.06, Public Policy Institute of California.
- Marianne Bitler & Lucie Schmidt, 2006. "Health disparities and infertility: impacts of state-level insurance mandates," Department of Economics Working Papers 2006-04, Department of Economics, Williams College, revised Nov 2006.
- M. Kate Bundorf & Melinda Henne & Laurence Baker, 2007. "Mandated Health Insurance Benefits and the Utilization and Outcomes of Infertility Treatments," NBER Working Papers 12820, National Bureau of Economic Research, Inc.
- Paul Oyer, 2005. "Salary or Benefits?," NBER Working Papers 11817, National Bureau of Economic Research, Inc.
- Gruber, Jonathan, 1994. "State-mandated benefits and employer-provided health insurance," Journal of Public Economics, Elsevier, vol. 55(3), pages 433-464, November.
- Rothschild, Michael & Stiglitz, Joseph E, 1976. "Equilibrium in Competitive Insurance Markets: An Essay on the Economics of Imperfect Information," The Quarterly Journal of Economics, MIT Press, vol. 90(4), pages 630-49, November.
- Robert Kaestner & Kosali Ilayperuma Simon, 2002. "Labor market consequences of state health insurance regulation," Industrial and Labor Relations Review, ILR Review, Cornell University, ILR School, vol. 56(1), pages 136-159, October.
- Machado, Matilde Pinto & Sanz-de-Galdeano, Anna, 2011.
"Coverage of Infertility Treatment and Fertility Outcomes: Do Women Catch Up?,"
CEPR Discussion Papers
8445, C.E.P.R. Discussion Papers.
- Machado, Matilde P. & Sanz-de-Galdeano, Anna, 2011. "Coverage of Infertility Treatment and Fertility Outcomes: Do Women Catch Up?," IZA Discussion Papers 5783, Institute for the Study of Labor (IZA).
- Joelle Abramowitz, 2014. "Turning back the ticking clock: the effect of increased affordability of assisted reproductive technology on women’s marriage timing," Journal of Population Economics, Springer, vol. 27(2), pages 603-633, April.
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