Denis Hulett

Cost Savings From the Provision of Specific Methods of Contraception in a Publicly Funded Program

OBJECTIVES We examined the cost-effectiveness of contraceptive methods dispensed in 2003 to 955,000 women in Family PACT (Planning, Access, Care and Treatment), Californias publicly funded family planning program. METHODS We estimated the number of pregnancies averted by each contraceptive method and compared the cost of providing each method with the savings from averted pregnancies. RESULTS More than half of the 178,000 averted pregnancies were attributable to oral contraceptives, one fifth to injectable methods, and one tenth each to the patch and barrier methods. The implant and intrauterine contraceptives were the most cost-effective, with cost savings of more than

Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies

7.00 for every

Long-acting reversible contraception method use among Title X providers and non-Title X providers in California

1.00 spent in services and supplies. Per

Comparison of Adherence to Chlamydia Screening Guidelines Among Title X Providers and Non-Title X Providers in the California Family Planning, Access, Care, and Treatment Program

1.00 spent, injectable contraceptives yielded savings of

Health Care Expenditures After Initiating Long-term Services and Supports in the Community Versus in a Nursing Facility.

5.60; oral contraceptives,

In A California Program, Quality And Utilization Reports On Reproductive Health Services Spurred Providers To Change

4.07; the patch,

Health Care Use Before and After Entering Long-Term Services and Supports

2.99; the vaginal ring,

Documentation of Contraception and Pregnancy Intention In Medicaid Managed Care

2.55; barrier methods,

Predictors of Nursing Facility Entry by Medicaid-Only Older Adults and Persons With Disabilities in California:

1.34; and emergency contraceptives,

Enhancing Service Delivery Through Title X Funding: Findings from California

1.43. CONCLUSIONS All contraceptive methods were cost-effective-they saved more in public expenditures for unintended pregnancies than they cost to provide. Because no single method is clinically recommended to every woman, it is medically and fiscally advisable for public health programs to offer all contraceptive methods.