Held Over The Coals: Fertility Insurance Not Created Equal

This week on Inside Reproductive Health, Griffin gets to the root of the insurance debacle in the fertility industry with Holly Hutchison, managing partner of Reproductive Health Center in Tucson, Arizona. Are cash pay patients subsidizing insurance companies’ poor coverage? How can practice owners survive when insurance authorizations are exceedingly slow, reimbursements are laughable, time to pay is unpredictable, and patients don’t understand their own coverage- or lack thereof? Who is left holding the bag when insurance doesn’t cover what it claims to, and can anything be done about it?

Listen to hear:

The evolution of insurance in the fertility space: how it began, when it was successful for a hot second, and where it is today.
Griffin question which is more beneficial to the provider- employer benefit groups or insurance companies- and why.
Griffin question why fertility clinics haven’t cut out the insurance companies who are draining their bottom line.
Griffin discuss the cost-benefit analysis: (Reimbursement, time to authorization, time to payment, volume to practice, patient cost sharing) and how to bring more leverage back to the provider.