Employer health costs are rising at the steepest rate in 15 years. In this environment, benefits leaders are focused on levers that bend cost trends, not additional line items that inflate it. Yet many solutions marketed in women’s health still emphasize engagement-only metrics, digital experiences, or surface-level add-ons without demonstrating that they reduce clinical risk, shorten time to pregnancy, or lower the severity and cost of maternity claims. As a result, employers often invest in multiple vendors while seeing little measurable impact on spend.
The differentiator that matters most is outcomes. And outcomes require a partner that can deliver proven, repeatable clinical results at scale.
Why independent, verified outcomes matter
Engagement rates or survey results do offer directional insight, but they’re not true outcomes metrics. Benefits and finance leaders need verifiable proof that a program leads to healthier pregnancies, fewer complications, and reduced high-cost claims.
Progyny is the only solution to independently validate outcomes for its entire Book of Business and all members, without common reporting outcomes such as sample bias, self-reported data, and projections. Milliman’s 2025 report found Progyny outpacing national benchmarks on every key marker of fertility success:
- 12% higher pregnancy rate per IVF transfer
- 21% lower miscarriage rate
- 23% higher live birth rate among embryo transfers
- 41% fewer retrievals per live birth
- 22% higher single embryo transfer (SET) rate
- 61% lower IVF multiples rate
These outcomes directly influence the cost curve and give consultants and employers transparent results they can apply to budget planning. Higher success rates, fewer multiples, and a shorter time to pregnancy reduce the medical severity and total cost per birth at a time when maternity costs are surging and plan expenses are projected to rise 6–9% in 2026.
Outcomes over add-ons
A significant portion of the women’s health market is made up of point solutions, functioning as add-ons, increasing administrative complexity without meaningfully reducing the number or severity of high-risk episodes.
Progyny takes the opposite approach. Its model is the only one to manage cost for the entire benefit, with an outcomes-driven benefit design, managed network of top providers, integrated Rx, specialized utilization management (UM), and clinically integrated member support, ensuring that clinical outcomes are what drive value.
How Progyny’s model manages the total cost of care
Progyny’s benefit is engineered to function as a cost trend lever, not an incremental benefit. Several components work together to reduce spend across the fertility-to-maternity continuum:
1. Outcomes-built benefit design reduces treatment intensity and medication costs
Smart Cycle bundling includes all necessary services and testing for a treatment episode, eliminating the incentive to cut corners or repeat ineffective care. Better outcomes mean:
- Fewer treatment cycles
- Fewer medications
- Lower utilization and reduced waste
- Earlier healthy pregnancies
2. Direct contracting, a tightly managed provider network, and UM control pricing and quality
Progyny maintains the industry’s largest actively managed women’s health network — over 1,100 providers at over 650 locations — with NCQA-accredited credentialing, best-practice standards, and contractual outcome reporting that lowers unit prices and aligns with performance.
Additionally, Progyny’s UM approach enables adherence to clinical best practice which drives optimal outcomes and cost savings.
3. Progyny Rx reduces medication waste and lowers unit cost
Progyny applies unique waste‑management protocols that save employers an incremental 10% by dispensing medications based on real‑time dosing needs rather than bulk prescriptions. This ensures members receive only what’s necessary while minimizing excess medication and reducing overall spend.
4. Connected Progyny Care Advocate (PCA) coaching mitigates risk early and reduces downstream medical spend
Dedicated PCAs who are licensed nurses, clinical social workers and other experts with clinical and/or occupational experience and proactively support members, facilitating seamless coordination with in-network providers while delivering concierge-level support and reducing avoidable complications that drive the highest-cost claims.
5. A single accountable partner improves visibility and vendor efficiency
Progyny consolidates multiple women’s health needs — from preconception through postpartum and menopause — into one integrated, outcomes-centered model. This strengthens reporting, simplifies administration, and ensures cost control across the entire journey.
Progyny’s model results in consistent, repeatable outcomes, not variation that inflates cost and complexity. Simplification without compromise is possible when a single accountable partner is responsible for outcomes, cost management, and member experience.
Progyny isn’t an add-on; it’s an outcomes engine that helps employers control spend where it matters most.