The cost of unintended pregnancies for employer-sponsored health insurance plans

American Health and Drug Benefits

Volumn 8, Issue 2, 2015, Pages 83-90

  Dieguez, Gabriela ^a   Pyenson, Bruce S ^a   Law, Amy W ^b   Lynen, Richard ^b   Trussell, James ^c  

^a MILLIMAN INC   (United States)

^b BAYER CORPORATION   (United States)

^c PRINCETON UNIVERSITY   (United States)

Author keywords

Contraception; Costs; Delivery; Employee benefits; Employer sponsored health insurance; PRAMS questionnaire; Unintended pregnancy

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; ASSESSMENT OF HUMANS; COMORBIDITY; CONTRACEPTIVE BEHAVIOR; COST BENEFIT ANALYSIS; DELIVERY; FEMALE; HEALTH CARE COST; HEALTH INSURANCE; HUMAN; LIVE BIRTH; MIDDLE AGED; PREGNANCY RATE; PREGNANCY RISK ASSESSMENT MONITORING SYSTEM QUESTIONNAIRE; UNPLANNED PREGNANCY; YOUNG ADULT;

EID: 84929175722     PISSN: 19422962     EISSN: 19422970     Source Type: Journal    
DOI: None     Document Type: Article

References (25)

1. Wier LM, Andrews RM. The national hospital bill: the most expensive conditions by payer, 2008. Statistical brief #107. March 2011. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Rockville, MD: Agency for Healthcare Research and Quality (US). www.ncbi.nlm.nih.gov/books/NBK53976/. Accessed November 3, 2014.
2. Green DC, Gazmararian JA, Mahoney LD, Davis NA. Unintended pregnancy in a commercially insured population. Matern Child Health J. 2002;6: 181-187.
3. Sonfield A, Kost K, Gold RB, Finer LB. The public costs of births resulting from unintended pregnancies: national and state-level estimates. Perspect Sex Reprod Health. 2011;43:94-102.
4. Monea E, Thomas A. Unintended pregnancy and taxpayer spending. Perspect Sex Reprod Health. 2011;43:88-93.
5. Centers for Disease Control and Prevention. What is PRAMS? Updated May 14, 2014. www.cdc.gov/prams/index.htm. Accessed November 3, 2014.
6. Truven Health Analytics. MarketScan databases and tools: better understand health economics and treatment outcomes. http://truvenhealth.com/your-healthcare-focus/Life-Sciences/MarketScan-Databases-and-Online-Tools Accessed November 5, 2014.
7. Centers for Disease Control and Prevention (CDC). Prepregnancy contraceptive use among teens with unintended pregnancies resulting in live births— Pregnancy Risk Assessment Monitoring System (PRAMS), 2004-2008. MMWR Morb Mortal Wkly Rep. 2012;61:25-29.
8. Fitch K, Iwasaki K. Ambulatory-care-sensitive admission rates: a key metric in evaluating health plan medical-management effectiveness. January 2009. http://us.milliman.com/insight/research/health/pdfs/Ambulatory-care-sensitive-admission-rates-A-key-metric-in-evaluating-health-plan-medical-management/. Accessed December 19, 2014.
9. Foster DG, Biggs MA, Malvin J, et al. Cost-savings from the provision of specific contraceptive methods in 2009. Womens Health Issues. 2013;23: e265-e271.
10. Burlone S, Edelman AB, Caughey AB, et al. Extending contraceptive coverage under the Affordable Care Act saves public funds. Contraception. 2013;87:143-148.
11. Eisenberg D, McNicholas C, Peipert JF. Cost as a barrier to long-acting reversible contraceptive (LARC) use in adolescents. J Adolesc Health. 2013;52 (4 suppl):S59-S63.
12. Peipert JF, Madden T, Allsworth JE, Secura GM. Preventing unintended pregnancies by providing no-cost contraception. Obstet Gynecol. 2012;120:1291-1297.
13. American College of Obstetricians and Gynecologists’ Committee on Gynecologic Practice. Committee Opinion Number 544: over-the-counter access to oral contraceptives. Obstet Gynecol. 2012;120:1527-1531.
14. Health Resources and Services Administration. Women’s preventive services guidelines: Affordable Care Act expands prevention coverage for women’s health and well-being. www.hrsa.gov/womensguidelines/. Accessed November 3, 2014.
15. Chernew ME, Newhouse JP. What does the RAND Health Insurance Experiment tell us about the impact of patient cost sharing on health outcomes? Am J Manag Care. 2008;14:412-414.
16. Trussell J, Hassan F, Henry N, et al. Cost-effectiveness analysis of levonorgestrel-releasing intrauterine system (LNG-IUS) 13.5 mg in contraception. Contraception. 2014;89:451-459.
17. Health Resources and Services Administration. About HRSA: tens of millions of Americans get affordable health care and other help through HRSA’s 80-plus programs and more than 3,000 grantees. www.hrsa.gov/about/index.html. Accessed November 4, 2014.
18. US Department of Health & Human Services. Fact sheet: keeping the health plan you have: the Affordable Care Act and “grandfathered” health plans. www.healthreform.gov/newsroom/keeping_the_health_plan_you_have.html. Accessed November 3, 2014.
19. American Cancer Society. Cancer prevention & early detection facts & figures 2013. 2013. www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-037535.pdf. Accessed November 3, 2014.
20. Crosignani PG, Glasier A; for the ESHRE Capri Workshop Group. Family planning 2011: better use of existing methods, new strategies and more informed choices for female contraception. Hum Reprod Update. 2012;18:670-681.
21. Weisman CS, Chuang CH. Making the most of the Affordable Care Act’s contraceptive coverage mandate for privately-insured women. Womens Health Issues. 2014;24:465-468.
22. Health Enhancement Research Organization; Population Health Alliance. Program measurement and evaluation guide: core metrics for employee health management. Executive summary. www.populationhealthalliance.org/publications/program-measurement-evaluation-guide-core-metrics-for-employee-health-management-executive-summary.html. Accessed November 5, 2014.
23. Guttmacher Institute. Unintended pregnancy in the United States. Fact sheet. February 2015. www.guttmacher.org/pubs/FB-Unintended-Pregnancy-US.html. Accessed March 9, 2015.
24. Centers for Disease Control and Prevention. Unintended pregnancy prevention. Updated February 12, 2013. www.cdc.gov/reproductivehealth/unintendedpregnancy/. Accessed November 3, 2014.
25. Mosher WD, Jones J, Abma JC. Intended and unintended births in the United States: 1982-2010. Natl Health Stat Report. 2012:1-28.