Financial “risk-sharing” or refund programs in assisted reproduction: an Ethics Committee opinion
This opinion of the ASRM Ethics Committee analyzes the ethical issues raised by assisted reproduction program fee structures in which patients pay more initially but receive a partial refund if treatment fails.
Volume 106, Issue 5, Pages e8-e11
Ethics Committee of the American Society for Reproductive Medicine
Financial “risk-sharing” fee structures in assisted reproduction programs charge patients a higher initial fee but provide reduced fees for subsequent cycles and often a partial or complete refund if treatment fails. This opinion of the ASRM Ethics Committee analyzes the ethical issues raised by these fee structures, including patient selection criteria, conflicts of interest, success rate transparency, and patient informed consent. This document replaces the document of the same name, last published in 2013 (Fertil Steril 2013;100:334–6).