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Coverage of newborn and adult male circumcision varies among public and private US payers despite health benefits.
Health Aff (Millwood). 2011 Dec; 30(12):2355-61.HA

Abstract

Studies have shown that male circumcision greatly reduces the risk for heterosexual transmission of HIV, other sexually transmitted infections, infant urinary tract infections, penile cancer, and other adverse health outcomes. Given recent data regarding these health benefits and the cost-effectiveness of newborn male circumcision, national policy makers are developing new recommendations regarding circumcision for newborn, adolescent, and adult males. To investigate the implications, this study assessed insurance coverage and reimbursement for routine newborn and adult male circumcision in private and public health plans in 2009. We found that coverage varies across private and public payers. Private insurance provides far broader coverage than state Medicaid programs for routine newborn male circumcision. Specifically, Medicaid programs in seventeen states do not cover it, even though low-income populations have a higher risk of HIV and other sexually transmitted diseases compared to higher-income groups. For adult male circumcision, coverage is generally sparse across public and private plans. Presentation of evidence-based recommendations--for example, from the Centers for Disease Control and Prevention--may be necessary if coverage for newborn and adult male circumcision is to be expanded.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Clark SJ
Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Michigan, USA. saclark@med.umich.edu
Kilmarx PH
No affiliation info available
Kretsinger K
No affiliation info available

MeSH

AdolescentAdultCenters for Disease Control and Prevention, U.S.Circumcision, MaleCross-Sectional StudiesEvidence-Based MedicineHealth PolicyHealth Status DisparitiesHumansInfant, NewbornInsurance CoverageMaleMedicaidReimbursement MechanismsSexually Transmitted DiseasesUnited States

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

22147864

Citation

Clark, Sarah J., et al. "Coverage of Newborn and Adult Male Circumcision Varies Among Public and Private US Payers Despite Health Benefits." Health Affairs (Project Hope), vol. 30, no. 12, 2011, pp. 2355-61.
Clark SJ, Kilmarx PH, Kretsinger K. Coverage of newborn and adult male circumcision varies among public and private US payers despite health benefits. Health Aff (Millwood). 2011;30(12):2355-61.
Clark, S. J., Kilmarx, P. H., & Kretsinger, K. (2011). Coverage of newborn and adult male circumcision varies among public and private US payers despite health benefits. Health Affairs (Project Hope), 30(12), 2355-61. https://doi.org/10.1377/hlthaff.2011.0776
Clark SJ, Kilmarx PH, Kretsinger K. Coverage of Newborn and Adult Male Circumcision Varies Among Public and Private US Payers Despite Health Benefits. Health Aff (Millwood). 2011;30(12):2355-61. PubMed PMID: 22147864.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Coverage of newborn and adult male circumcision varies among public and private US payers despite health benefits. AU - Clark,Sarah J, AU - Kilmarx,Peter H, AU - Kretsinger,Katrina, PY - 2011/12/8/entrez PY - 2011/12/8/pubmed PY - 2012/5/11/medline SP - 2355 EP - 61 JF - Health affairs (Project Hope) JO - Health Aff (Millwood) VL - 30 IS - 12 N2 - Studies have shown that male circumcision greatly reduces the risk for heterosexual transmission of HIV, other sexually transmitted infections, infant urinary tract infections, penile cancer, and other adverse health outcomes. Given recent data regarding these health benefits and the cost-effectiveness of newborn male circumcision, national policy makers are developing new recommendations regarding circumcision for newborn, adolescent, and adult males. To investigate the implications, this study assessed insurance coverage and reimbursement for routine newborn and adult male circumcision in private and public health plans in 2009. We found that coverage varies across private and public payers. Private insurance provides far broader coverage than state Medicaid programs for routine newborn male circumcision. Specifically, Medicaid programs in seventeen states do not cover it, even though low-income populations have a higher risk of HIV and other sexually transmitted diseases compared to higher-income groups. For adult male circumcision, coverage is generally sparse across public and private plans. Presentation of evidence-based recommendations--for example, from the Centers for Disease Control and Prevention--may be necessary if coverage for newborn and adult male circumcision is to be expanded. SN - 1544-5208 UR - https://www.unboundmedicine.com/medline/citation/22147864/Coverage_of_newborn_and_adult_male_circumcision_varies_among_public_and_private_US_payers_despite_health_benefits_ DB - PRIME DP - Unbound Medicine ER -