Utilization of Infertility Treatments: The Effects of Insurance Mandates
Over 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.
|Date of creation:||Dec 2011|
|Date of revision:|
|Publication status:||published as Marianne Bitler & Lucie Schmidt, 2012. "Utilization of Infertility Treatments: The Effects of Insurance Mandates," Demography, Springer, vol. 49(1), pages 125-149, February.|
|Contact details of provider:|| Postal: National Bureau of Economic Research, 1050 Massachusetts Avenue Cambridge, MA 02138, U.S.A.|
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- 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.
- Amalia Miller, 2011. "The effects of motherhood timing on career path," Journal of Population Economics, Springer;European Society for Population Economics, vol. 24(3), pages 1071-1100, July.
- 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.
- 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.
- 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.
- Jane Menken, 1985. "Age and fertility: How late can you wait?," Demography, Springer;Population Association of America (PAA), vol. 22(4), pages 469-483, November.
- 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.
- 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..
- Marianne Bitler & Madeline Zavodny, 2000. "The effect of Medicaid eligibility expansions on births," FRB Atlanta Working Paper 2000-4, Federal Reserve Bank of Atlanta.
- 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 P. Bitler, 2005. "Effects of Increased Access to Infertility Treatment on Infant and Child Health Outcomes: Evidence from Health Insurance Mandate," Working Papers 330, RAND Corporation.
- 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.
- Oyer, Paul, 2004.
"Salary or Benefits?,"
Santa Cruz Department of Economics, Working Paper Series
qt8xs3k3j8, Department of Economics, UC Santa Cruz.
- Gruber, Jonathan, 1994. "State-mandated benefits and employer-provided health insurance," Journal of Public Economics, Elsevier, vol. 55(3), pages 433-464, November.
- repec:pri:cheawb:adriana_booms is not listed on IDEAS
- 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.
- 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.
- Marianne P. Bitler & Christopher S. Carpenter, 2011. "Health Insurance Mandates, Mammography, and Breast Cancer Diagnoses," NBER Working Papers 16669, National Bureau of Economic Research, Inc.
- Blackburn, McKinley L & Bloom, David E & Neumark, David, 1993.
"Fertility Timing, Wages, and Human Capital,"
Journal of Population Economics,
Springer;European Society for Population Economics, vol. 6(1), pages 1-30.
- Robert Kaestner & Kosali Ilayperuma Simon, 2002. "Labor Market Consequences of State Health Insurance Regulation," ILR Review, Cornell University, ILR School, vol. 56(1), pages 136-159, October.
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