Study suggests chain fertility clinics improve IVF outcomes

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Study suggests chain fertility clinics improve IVF outcomes
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In the U.S., demand for in vitro fertilization (IVF) increased almost 140% between 2004 and 2018. Among other things, this trend suggests a business opportunity; in that same span of time the market share of for-profit chain clinics grew from 5% to 20%, with chains now performing over 40% of IVF treatment cycles nationwide.

University of California - Berkeley Haas School of BusinessOct 17 2024 In the U.S., demand for in vitro fertilization increased almost 140% between 2004 and 2018. Among other things, this trend suggests a business opportunity; in that same span of time the market share of for-profit chain clinics grew from 5% to 20%, with chains now performing over 40% of IVF treatment cycles nationwide.

Significant improvement with chain clinics IVF treatment cycles comprise five main stages that require over 100 distinct steps performed over four to six weeks. Along the way, many subjective decisions must be made. The researchers found that after a fertility chain acquires a clinic, IVF cycles increase dramatically and live birth rates increase by 13.6%. "This means that these chain clinics are doing more cycles of IVF and converting more of those cycles into live births," La Forgia says. "They are actually improving the quality of care in a meaningful way."

Related StoriesLa Forgia and Bodner investigated these possibilities and found no supporting evidence. There is no appreciable change in the patient population after a chain takes over an independent clinic. In fact, the largest improvement in live births is among patients who are 38 years old and older-;the population that typically has the lowest success rates.

"Basically, in affiliated clinics the number of live births is going up as an absolute value, but they're not getting better at achieving live births," La Forgia says. "Our hypothesis is that a chain is willing to share its resources widely, but it may not want to share specific knowledge with an organization it doesn't own, so we'll only see this knowledge transfer in acquired clinics.

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