Date of Award

2024

Embargo Period

4-10-2024

Document Type

Dissertation

Degree Name

Doctor of Health Administration

College

College of Health Professions

First Advisor

Kit Simpson

Second Advisor

Daniel Brinton

Third Advisor

Janet Horn

Fourth Advisor

Jillian Harvey

Abstract

This study examines IVF and non-IVF costs associated with prenatal, delivery, and postpartum care using claims data from Merative MarketScan Commercial and Encounter data from 2018-2020 to understand the costs associated with respective IVF singleton, twin, and multiple gestations, as compared to non-IVF singleton gestations. These patients identified as females at birth, were continuously enrolled in private insurance, and have not experienced termination of pregnancy. The Student T-test was performed on continuous variables, and logistic regression was performed on binary variables with the overall outcome variables being cost, IVF, and non-IVF, controlling for age. The cost data was gamma log link transformed to account for the cost variable which is not distributed normally, and multivariable analysis of outpatient visits prenatal and postpartum, hospital stays prenatal and postpartum, length of stay, and total cost of delivery was performed.

Rights

Copyright is held by the author. All rights reserved.

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