Collins J A, Bustillo M, Visscher R D, Lawrence L D
McMaster University, Hamilton, Ontario, Canada.
Fertil Steril. 1995 Sep;64(3):538-45. doi: 10.1016/s0015-0282(16)57789-9.
To estimate the cost of adding IVF treatment to a standard health care benefits package. In vitro fertilization cost is defined as the average charge for a single cycle of treatment in an existing IVF program.
Cost analysis.
Two hundred sixty IVF centers active in the United States in 1993.
In vitro fertilization utilization and outcomes for 1993 were estimated from data in an existing registry. In vitro fertilization charges were determined from a 1993 survey of IVF clinics. The resulting expenditures for benefits and premiums were projected to 1995 together with the additional cost if utilization were to increase by 300% or 500%.
In the United States in 1993 there were 31,718 IVF cycles for which the average charge was $6,233, leading to a total expenditure of approximately $197.70 million for IVF services in 1993. The projected cost of adding IVF services to a typical employer health plan in 1995 would be $2.79 per annum and the premium would be $3.14. Benefits and premium costs for a 300% utilization increase were $8.37 and $9.41, respectively, and for a 500% increase, $13.95 and $15.69, respectively.
The cost of IVF services would be a minute fraction of the annual cost of a typical family benefits program ($3,393). Savings from reduced utilization of alternative treatments would offset a portion of this increase. Increases in utilization rates should be controlled by clinical criteria.
估算在标准医疗福利套餐中增加体外受精（IVF）治疗的成本。体外受精成本定义为现有IVF项目中单个治疗周期的平均费用。
成本分析。
1993年在美国运营的260家IVF中心。
根据现有登记处的数据估算1993年IVF的使用情况和结果。通过1993年对IVF诊所的调查确定IVF费用。将由此产生的福利和保费支出推算至1995年，并假设使用率提高300%或500%，计算额外成本。
1993年在美国有31,718个IVF周期，平均费用为6,233美元，1993年IVF服务的总支出约为1.977亿美元。预计在1995年将IVF服务添加到典型雇主健康计划中的成本为每年2.79美元，保费为3.14美元。使用率提高300%时的福利和保费成本分别为8.37美元和9.41美元，提高500%时分别为13.95美元和15.69美元。
IVF服务的成本仅占典型家庭福利计划年度成本（3,393美元）的极小部分。替代治疗使用率降低带来的节省将抵消这一增长的一部分。使用率的提高应通过临床标准加以控制。
