Competition, insurance mandates, and clinical practices and outcomes at in vitro fertilization clinics.

Purpose: The high cost of in vitro fertilization (IVF) procedures coupled with public availability of success rates may influence IVF practice patterns and success rates but may be mitigated by mandated insurance coverage for IVF procedures. This study examined associations of competition with IVF practice patterns and success rates by insurance mandate status.

Methods: We used publicly available 2018 National Assisted Reproductive Technology Surveillance System data from the CDC.