For years, many smaller to mid-sized employers assumed fertility and family building benefits were out of reach. The need was there, but the cost uncertainty often was, too. That’s starting to change.

Smaller to mid-sized employers are under growing pressure to offer benefits that help them compete for talent, support employees through major life moments, and close gaps in care. But traditional utilization-based models have often made those benefits difficult to adopt, especially for employers that need more predictable costs.

For brokers, that shift creates a real opportunity.

The challenge isn’t demand, it’s the model

Employees increasingly expect support across life stages, from fertility and family building to pregnancy, parenting, and menopause. Smaller to mid-sized employers are feeling the same pressure as larger organizations. TriNet’s 2025 State of the Workplace report, focused on emerging trends in small and medium-size businesses, shows that employers are placing more focus on benefits as a way to compete for talent and support retention.

The report also found growing employer recognition of fertility coverage, with “extremely important” responses increasing to 29% from 25%, and “moderately important” responses increasing to 31% from 28%.

Larger employers have already responded. More than 40% now offer fertility benefits. At the same time, 1 in 6 people experience infertility, reinforcing the scale of need.

But smaller to mid-sized employers often face a different reality. Even when they want to offer expanded benefits, unpredictable utilization, high-cost claims, and administrative complexity can make adoption feel risky. As a result, many employers either delay offering fertility and family building benefits or settle for limited solutions that may not fully meet employee needs.

A more predictable path forward

The biggest shift in the market isn’t demand – it’s benefit design.

Fully insured, premium-funded models are making fertility and family building benefits more accessible by giving employers a way to offer meaningful support at a more predictable cost.

Instead of variable utilization-based spend or limited coverage in carrier-based models, employers can access a model designed to support:

• Fixed monthly costs
• More predictable budgeting
• Reduced financial exposure
• Streamlined implementation
• A guided member experience

That changes the conversation from, “Can we afford the risk?” to, “How can we offer a competitive benefit while controlling cost?”

Why this matters for brokers

For brokers, this creates a new way to bring value to smaller to mid-sized employer clients who may have been priced out of fertility and family building benefits in the past.

It can help you:

• Identify clients with unmet needs in your existing book
• Differentiate your offering in a competitive market
• Start new conversations around talent, retention, and benefits strategy
• Introduce a high-demand benefit category with a predictable funding model

Modern solutions, such as Progyny Select, are helping change what’s possible for smaller to mid-sized employers. Progyny Select is a first-of-its-kind, fully insured supplemental plan designed to bring Progyny’s proven fertility and family building model to smaller to mid-sized employers. It supports employees through pivotal life events, including fertility treatment, adoption, surrogacy, pregnancy, parenting, and menopause support.

Learn how to spot the opportunity

Curious which clients in your book may be a fit?

Download our guide, How to add a new revenue stream without adding risk, to learn how brokers are identifying opportunities, positioning the conversation, and helping smaller to mid-sized employers offer fertility and family building benefits with more predictable costs.

Progyny Select must be presented alongside major medical based on its licensure and additional participation criteria established by Progyny Select. Individuals selling Progyny Select need to be licensed in the State of Washington. The benefit is implemented with an effective date that aligns with employers’ major medical coverage. However, there is no medical plan integration or variation by medical carrier. When groups add Progyny Select, all employees/members who are 12 years and older, and enrolled in medical will be automatically enrolled in Progyny Select.

Progyny Select Supplemental insurance plans are insured by Progyny Health Insurance Company of Washington. All limited insurance policies contain exclusions and
limitations. For full details on coverage please refer to your specific plan documents, application, and certificate of coverage. Progyny Health Insurance Company of
Washington is located at 1102 A Street, Suite 300, Tacoma, WA 98402.

The post Brokers have a new opportunity in fertility and family building benefits appeared first on Progyny.

When we started Apryl, we made a very specific bet: fertility benefits would not stay a US-only conversation.

At the time, the US market was already moving. Employers were starting to understand that fertility and family-forming support was not a niche perk, but a benefit that mattered deeply to employees and could become a real differentiator for companies competing for talent.

Outside the US, the conversation looked very different.

In Europe and Asia, many employers had a different starting point. They were not used to funding healthcare directly in the same way US employers are, because public healthcare systems already existed. Fertility support was therefore often seen as something the healthcare system should cover – or, at best, something nice for an employer to add.

But when we looked closer, the gaps were obvious. The WHO estimates that 1 in 6 people globally experience infertility in their lifetime, a rate that holds consistent across high-, middle-, and low-income countries alike. Yet public coverage was often partial, narrow, or tied to specific eligibility criteria. In some countries, access depends on age, diagnosis, marital status, sexual orientation, or the type of treatment. In others, the treatment might be legal but expensive, difficult to access, or culturally sensitive to talk about. The result was a patchwork of support that left many women and families with unmet needs and employers without a clear way to bridge the gap.

That is why we built Apryl in 2019. We believed that global employers would eventually need a better way to support fertility and family forming outside the US – not by copying the US model, but by building something that understands local healthcare systems, laws, costs, and cultural realities. We knew that meaningful support would require deep regional expertise, because what works in one country can be inaccessible, inappropriate, or ineffective in another.

At the time, that required a lot of market education. We were fundraising, building the product, speaking to customers, supporting members, fixing edge cases, writing decks, and doing whatever needed to be done that day. It was intense and scrappy, but the conviction was clear: global companies would eventually need global fertility benefits, and those benefits would have to work locally.

When the buyer conversation changed

When Apryl joined Progyny two years ago, in June of 2024, one of the biggest changes was the buyer conversation.

Suddenly, we were much closer to U.S. decision makers responsible for global workforces. These were benefits leaders who already understood the value of fertility benefits because they had seen the impact in the U.S. Their question was not, “Why should we pay for this?” It was, “How do we make this work for our employees outside the U.S. as well?”

That shift mattered because it moved the conversation from education to execution.

Apryl had built the global-first foundation: the technology, local market knowledge, speed, and willingness to work through complicated country-by-country realities. Progyny brought employer trust, clinical expertise, operational discipline, and experience supporting large, complex clients.

Together, we were able to take something we had believed in for years and build it at a meaningful level of scale.

Why local reality matters

The reason global fertility and women’s health benefits are hard is that the details change everywhere.

By 2024, 55 percent of countries had fertility rates below the replacement level, according to the UN’s World Fertility 2024 report. Demand for fertility support is not a niche or future concern. It is already widespread, and public systems were not built to meet it at scale.

What is covered through public healthcare? Which treatments are legal? Which family structures are recognized? What does access actually look like? How much does care cost locally? How do culture, stigma, language, and regulation influence whether someone even feels comfortable asking for help?

A global benefit cannot answer those questions with one policy and a translated landing page.

That has been one of the biggest lessons from building Progyny Global: care only works when it reflects local reality. What works in Germany may not work in India. What is accessible in the UK may not be available in Brazil. Public healthcare coverage can look strong from the outside and still leave employees with real gaps when they actually need care.

For employers, this means fairness is more complicated than offering the same amount or the same policy everywhere. A meaningful benefit must account for local costs, laws, access, and culture.

For employees, it means they should not have to become experts in healthcare systems, reimbursement rules, treatment pathways, or country-specific regulations just to understand their options.

What changed in two years

Joining Progyny changed the pace immediately. It gave the original Apryl platform access to a much larger client base, deeper operational expertise, and the ability to build for global employers at a level we could not have reached alone.

In a short amount of time, we expanded from a fertility-focused platform into a comprehensive global women’s health offering:

• Support in 120+ countries
  Not as a theoretical global footprint, but as a benefit that works across different healthcare systems, legal frameworks, currencies, cost levels, and cultural expectations.
• 14 languages – growing to 30 by the end of 2026
  We built language support into every layer of the experience, from the platform to live PCA consultations, because understanding your options clearly should never be a barrier to care.
• Three connected programs: fertility and family forming, pregnancy and postpartum, and menopause
  This has been an important evolution. Women’s health does not happen in isolated moments, so the support should not be built that way either.
• The Progyny Card
  One of the biggest barriers in fertility care is the upfront cost. The Progyny Card helps reduce that burden by making it easier for members to access care without paying large amounts out of pocket first.
• Country-specific customizations
  This is probably the least visible work, but some of the most important. Local compliance, cultural sensitivities, benefit design, reimbursement flows, and healthcare realities often determine whether a benefit actually works in practice.

This is where the Apryl-Progyny combination has been most powerful: we were able to move faster and build at greater scale, while staying close to the local details that made the original platform valuable in the first place.

What this means now

What should be clear by now is that global women’s health benefits are no longer an edge case. They are becoming part of how serious employers think about supporting their workforce.

But the answer cannot be a U.S. benefit exported into other markets. And it also cannot be a loose collection of local exceptions that becomes impossible to manage. It has to be something more practical: one global framework, with enough local intelligence to actually work country by country.

That is the space Progyny Global is building in.

What I love is that the original bet behind Apryl still sits at the center of the work. The difference is that it now has the scale, experience, and employer trust of Progyny behind it.

That is what Progyny Global represents today: a new standard for global women’s health benefits. And in many ways, we are still at the beginning.

The post From Startup Vision to Global Scale: Two Years of Progyny Global appeared first on Progyny.

One employee is heading into yet another fertility appointment after weeks of medications, side effects, and waiting for answers. Another is newly pregnant after a previous loss, balancing excitement with anxiety. A new parent is returning to work, navigating sleep deprivation and the pressure to perform at home and at the office.

These experiences are common, and they expose a critical gap in how most family building benefits are designed.

Benefits often focus on procedures, providers, and outcomes, but family building isn’t just a clinical experience. It’s one of the most emotionally demanding periods in an employee’s life, where true resiliency and compensatory strategies are required as they navigate a complex medical process, sometimes for the first time in a member’s life. When that reality is overlooked, the gap between what employees need and what benefits provide becomes hard to ignore.

Family building is more than a clinical journey

Fertility treatment, pregnancy, postpartum recovery, and early parenthood can come with intense emotional highs and lows. At the same time, employees are managing work responsibilities while navigating infertility, pregnancy complications, loss, complex decisions, changes to their relationship dynamics, and financial strain.

In a recent Progyny member survey, 75% reported they experienced increased stress during the family building journey without benefit support. The most common stressors included work-life balance, cost of care, the complexity of the healthcare system, personal health concerns, and finding the right provider.

Despite this, traditional benefits models often leave employees to manage the emotional side of the experience on their own.

Mental health affects outcomes, not just experience

Mental health support is often treated as an add-on. In reality, it plays a direct role in whether employees stay engaged in care and achieve successful outcomes.

Stress, anxiety, and emotional fatigue are often cited as the primary reason employees delay treatment, disengage from benefits, struggle with decisions, or drop out of care entirely.

At the same time, the mental load affects workplace performance. Employees are often managing complex treatment schedules, financial uncertainty, and shifting responsibilities – while coping with fear, disappointment, and constant uncertainty. The result is reduced focus, lower productivity, and decreased engagement at work.

Forward-thinking employers are starting to recognize that mental health isn’t separate from family building outcomes – it’s a key driver of them.

What whole-person care actually requires

This is where many benefits fall short. Support is often fragmented, reactive, or disconnected from care. The most effective family building benefits take a different approach – integrating emotional support into every stage of the journey, from preconception through early parenthood.

That means:

• Embedding emotional support alongside clinical care
• Providing continuous, proactive guidance, not only episodic interactions
• Identifying stress, anxiety, or depression early
• Helping employees navigate uncertainty and complex decisions in real time
• Connecting members to higher levels of care, e.g., EAPs and other Behavioral Health Solutions proactively

The impact of continuous, personalized support

Progyny’s model is built around this kind of whole-person care. Each member is paired with a dedicated Progyny Care Advocate (PCA) – a consistent guide who supports both the clinical and emotional aspects of the journey.

Unlike traditional models where support is fragmented, the PCA relationship is continuous and personal.

“Some members may not have a community, family, or friends to talk to,” says PCA Vanessa L. “When a member calls in to complete onboarding, their PCA helps them feel comfortable, confident, supported, and seen. That one-on-one connection can make a meaningful difference in their overall experience.”

PCAs go beyond logistics. They help members process decisions, understand what to expect, and stay engaged in care – even during the most uncertain moments.

“They’re managing medications, waiting for results, and trying to plan around an unpredictable timeline all at once,” explains PCA Corin T. “There’s a lot of uncertainty, and it can be mentally exhausting. We help ease that stress by talking through their worries, giving clear next steps, and being a steady source of support throughout the process.”

Just as important, support is proactive – not something members have to seek out on their own.

PCA Ashely D. explains, “Taking the responsibility of reaching out off of their shoulders helps members have a better experience. Even small moments of support can reduce stress and help them feel more confident.”

That support has measurable impact on Progyny members:

Closing the gap for employers

Employers have an opportunity to rethink how family building benefits are designed. When mental health is treated as separate, employees are left to carry a significant burden on their own, and that can lead to lower engagement, poorer outcomes, and higher drop-off from care. When it’s integrated into the experience, employees are more likely to:

• Stay engaged in treatment
• Make informed decisions
• Feel supported and confident throughout the journey
• Achieve better clinical and emotional outcomes

For employers, that translates into stronger retention, greater trust, and a more meaningful benefits experience. Progyny members report this kind of support changes how they experience care: 75% say they wish every healthcare experience came with a knowledgeable, trusted advocate like a PCA.

The benefits that matter most

The most effective family building benefits don’t treat mental health as an add-on, they build it into the foundation of care. When employees feel supported, seen, and confident during one of the most personal and uncertain times in their lives, they don’t just remember the outcome; they remember who supported them along the way.

If your current approach separates clinical care from emotional support, it may be leaving both outcomes and employee trust on the table. Learn how you can empower your employees with a seamless experience at scale, with empathy and measurable impact.

The post Why mental health is the missing piece in family building benefits appeared first on Progyny.

Each year, The Conference Board’s Employee Health Care Conferences bring together a wide range of perspectives from across the employer health landscape. What stood out this year wasn’t just what’s changing, but how quickly expectations are shifting. Across sessions and conversations in New York and San Diego, a few themes came through clearly.

Here are three takeaways that stood out to me.

1. Employers are shifting toward greater accountability

For years, the focus was on adding more. More programs. More vendors. More solutions intended to support an increasingly complex workforce. That approach is evolving.

Employers are still investing, but with a more disciplined lens. The conversation is shifting from adding solutions based on perceived gaps to selecting partners that can demonstrate clear value.

As a result, employers are asking a different set of questions. Not just what else can we offer, but what is actually working? Where are we seeing measurable outcomes? How are we managing total cost of care?

There is growing pressure to ensure that every dollar spent is tied to impact. That means moving beyond utilization as a proxy for success and focusing on clinical outcomes, employee experience, and long-term cost management.

This isn’t about doing less. It’s about doing what works and holding every part of the ecosystem accountable for results.

2. Fragmentation is becoming a liability

Benefits ecosystems have grown increasingly complex. What started as targeted solutions to address specific needs has, in many cases, turned into a fragmented experience for employees and an operational challenge for employers. That fragmentation is no longer sustainable.

Employers are reaching a point where disconnected programs create more friction than value. Employees are left to navigate multiple entry points, inconsistent experiences, and unclear care pathways. The shift now is toward integration.

Organizations are looking for ways to connect data, navigation, and care delivery into a more unified model. One that feels seamless to the employee and is measurable from a business perspective. Because when systems are connected, access improves. Decisions are made earlier. And outcomes follow.

3. AI is only as valuable as the care model it supports

There’s no question that AI is reshaping the conversation, but the most grounded discussions were not about replacing care. They were about improving it.

The real opportunity is in how AI is applied. When used responsibly, it can help identify risk earlier, guide employees to the right care at the right time, and support more personalized decision-making.

At the same time, there was clear recognition that healthcare is deeply human. Moments like navigating fertility, pregnancy, loss, the NICU, or managing chronic conditions require more than technology.

The organizations seeing the most impact are not choosing between technology and human support. They’re combining both. AI can strengthen the system, but it’s the care model around it that ultimately determines the outcome.

What this means moving forward

The throughline across these conversations is a clear shift in mindset. Benefits are no longer being evaluated as a collection of programs. They’re being evaluated as a strategy. One that must balance cost, outcomes, and experience. One that must work across the full employee lifecycle. And one that must stand up to increasing scrutiny from both leadership and the workforce.

What stood out at The Conference Board’s Employee Health Care Conferences this year is how aligned employers are on the need for change. The question now is how quickly organizations move from recognizing these shifts to operationalizing them.

Employers have an opportunity to move beyond fragmented, episodic approaches and build models that are integrated, outcomes-driven, and designed around how people actually experience care.

That shift is not just operational — it’s strategic. For organizations that get it right, the impact is measurable. Better outcomes. More predictable costs. And a workforce that feels supported in moments that matter. That’s where the conversation is going, and where the real opportunity is ahead.

The post 3 Takeaways from The Conference Board’s 2026 Employee Health Care Conferences appeared first on Progyny.

I’ve worked in digital health long enough to have witnessed how positively transformative technology can be — when it’s done right. I’ve also seen just as many times how sideways things can go when innovation is rushed, untethered from purpose, and disconnected from the people it should serve.

Nowhere is this tension more visible than in today’s race to bring AI solutions to market. No company sets out to build AI that makes healthcare less human. No executive stands up in a boardroom and says, “Let’s dilute empathy. Let’s make this journey feel more transactional.” And yet, that’s what I see happening far too often. Chat-only front doors replacing relationship-based care. IVRs optimized for speed and deflection rather than continuity. Patients reaching out in vulnerable moments, only to start over with someone new every time.

But the issue isn’t the AI itself. It’s the absence of a North Star.

When technology is deployed without a guiding purpose, efficiency quietly overtakes empathy. What’s pitched as a pursuit of convenience and efficiency ends up eroding quality of care and member trust.

Progyny’s North Star: Member First, Always

For the past decade, every technology decision at Progyny has been run through the same lens: does this enable a more human experience and a better outcome?

We’ve been unwavering in our belief that all healthcare experiences require empathy and deep-seated trust. That trust has two dimensions: the human connection members feel with their care team, and the confidence that their most sensitive data is always protected. We view security, privacy, and thoughtful compliance as core to our member-first commitment — not just legal obligations. And nowhere is that more important than in women’s health and family building, where member experiences are deeply personal journeys requiring a trusted, relationship-based approach to care.

Mark Weiser, longtime head of Xerox PARC, captured something essential about technology that I’ve returned to often throughout my career. He said, “The most profound technologies are those that disappear, weaving themselves into the fabric of everyday life until they are indistinguishable from it.” Technology, he insisted, “should create calm, not demand our focus.”

Today, AI that disappears — that doesn’t demand our focus — is almost hard to imagine. But that’s precisely what we’re building toward at Progyny: a platform where AI is woven into the fabric of care, bringing more empathy, clarity, and calm to every member interaction.

Too often in our industry, AI efforts fall for the allure of scale and speed, prioritizing what’s easy to measure over what actually matters. Automation rates become a core KPI. The result, ironically, is a model that moves us backward not forward: fragmented, low-touch, impersonal experiences that may appear to be modern but feel disappointingly familiar.

That’s not the experience women deserve. Or the kind of healthcare experience any of us want.

AI in Service to Relationship-Based Care

If we want healthcare to feel more human, can AI really help? Can we design it to bring people closer rather than push us apart? At Progyny, we believe we can – and must.

The beating heart of our care model is the Progyny Care Advocate, or PCA — a dedicated care partner who guides members through every step of their journey. Our investments in AI are squarely focused on enabling them to deliver the most human, most impactful care experience possible.

We’re currently pursuing that goal across three categories:

1. Alleviating administrative burden. Healthcare is mired in administrative work — authorizations, lab orders, leave policies. When AI supports those processes, the member experience improves and costs come down. We recently showed a large client that their utilization with Progyny increased while costs went down — not through revenue cycle machinations, but through a system that simply helps more people access the right care at the right time.
2. Making every conversation smarter. Our challenge in today’s data-rich environment isn’t access to information — it’s making it useful in the moment. AI can surface what’s relevant so our PCAs have a complete, timely picture of a member’s journey before a call even starts. The result: PCAs enter every conversation fully informed and prepared to help. We’ve talked forever in healthcare about enabling providers to work “at the top of their license.” This may be the moment when we move past talk and finally make it happen.
3. Reaching new levels of quality and accountability. Most so-called quality assurance is little more than a sampling exercise — a handful of calls reviewed weeks after the fact. AI enables clinical and service quality reviews across every interaction, in near real-time. That’s a radically different kind of feedback model for driving continuous improvement.

When you remove administrative noise, surface the right information, and create time and space for care partners to be fully present, something remarkable happens: real conversations, real moments of connection, real relationships built on trust.

Consider this story of a Progyny member who entered care with a history of pregnancy-related trauma. When her baby arrived early at 34 and a half weeks due to an infection and spent 2 weeks in the NICU, her PCA was there to guide and assure her. During a postpartum check-in, when her PCA took the time the moment called for — asking questions, empathizing, and offering thoughts, the member broke down — realizing for the first time that she’d been in denial about experiencing postpartum depression. Her PCA was again there for her, connecting her to resources and support. The member later wrote to the PCA to say she’s not sure how she would have made it through those dark days without her support.

That breakthrough moment would never have happened with a chatbot. And it didn’t happen because of AI. But it was made possible by everything AI was quietly doing in the background: clearing distractions, providing context, and “creating calm” and space for human connection.

Humanity: The True Competitive Edge

This is an exciting moment for women’s health and family building. We’re finally seeing the kind of investment, innovation, and healthy competition this critical space deserves. Across the industry, companies are moving fast to stake out their AI story with new copilots, chat interfaces, and automation layers.

This is great news — we’ll all be lifted by this rising tide of competition and investment. But without a North Star, I fear much of that innovation will yield more of what we don’t want and can’t afford: care that’s impersonal, transactional, and less effective. Impressive technology that, by removing the human connection we all crave, fails the people it is meant to serve .

The future of women’s health won’t be won by whoever automates the fastest or launches the most features. It will be won by whoever stays most relentlessly focused on the member — applying every technological innovation in service of moments like the one above: a member, at her most vulnerable, finally feeling seen and supported.

The post AI Can Make Healthcare More Human—If We Design It That Way appeared first on Progyny.

When I started working at Progyny in 2016 as a human resource director, employer fertility support across the U.S. was scarce, at best. Fortunately, I knew that I was hired by a truly special company that was at the forefront of fertility benefits, providing remarkable opportunities for women and families. Progyny’s comprehensive benefits approach would not only change the entire industry; it would change my life—and my dreams.

Fast forward to ten years later, and now as Progyny’s chief human resource officer for more than 800 employees, I marvel at both the clinical care advancements and widespread expansion of benefits coverage we’ve seen. With a dedication to outcomes that matter so much, Progyny has been a passionate champion and leader in the fertility industry and for its clients and members. It’s been a privilege to be a part of building something so meaningful. At the same time, it’s been personally rewarding as I marvel at my two sons, deeply grateful for them and the unwavering support I’ve received in growing our family.

A journey of support

For those on the path to family building, each journey is unique, and many come with a mix of celebrations and setbacks. While our fertility story began with enthusiasm for our egg retrievals, we also experienced unsuccessful treatment rounds and loss. In those years, I sought different providers and strategies, and various mediations and treatments including preimplantation genetic testing. I was “all in.” While in some respects, 10 years seems not that long ago; in the world of fertility, so much has changed in terms of availably of access, information, and treatment advances.

When the quest for optimal fertility care led me across the country to a clinic in California, I was fortunate to have a built-in support system – including an understanding employer and manager. Working for Progyny also gave me the unique access to Dr. Georgia Witkin, a clinical psychologist and infertility expert, who I’m now happy to call a treasured confidant and friend. For anyone on the fertility journey, having your team of people is so critical in both making confident, informed decisions and staying grounded through uncertainty.

With the advanced fertility support and services my company provides, I experienced the joy of having my son, Emmett, the first ever Progyny employee baby, in 2019. His brother, Hudson, joined our family in 2021.

A decade down, forever to go

Over the past decade, employer-provided fertility coverage has evolved significantly. When I joined Progyny, the benefit was just emerging—only about 25% of large employers offered IVF coverage, and just 5-6% covered egg freezing. Even then, Progyny stood apart, leading with comprehensive, evidence-based benefits for both members and employees well before the support became mainstream.

Ten years later, Progyny has grown to over 800 employees serving more than 600 clients, providing family building and women’s health benefits through a managed network of top fertility specialists, member coaching and support, digital tools, prescriptions, and more. Others have followed suit. According to the International Foundation of Employee Benefit Plans’ Employee Benefits Survey: 2024 Report, 42% of U.S. organizations now offer fertility benefits—up significantly from 30% in 2020.

While we have traditionally worked with large, self-insured employers, today we’re expanding into the fully insured market, allowing fertility benefits to reach a much broader group of employers through standard insurance plans. It’s an exciting time to be in benefits. As fertility coverage has expanded, clinical care options have also significantly advanced with better techniques, more clinics, and stronger outcomes.

Facilitating lasting support

As the expanding fertility industry reaches more women on their journeys, we must continue to support whole-person health. Fertility efforts are most successful when care begins before conception and considers physical, hormonal, and emotional health. Despite this, only about 20% of women have a dedicated preconception visit before pregnancy. Overall wellness requires appropriate screenings, chronic condition monitoring, and mental health management through child-baring years, menopause, and beyond. Comprehensive, personalized, continuous support is the key to healthier women and thriving families.

When women have access to the right care at the right time, outcomes improve. Along members’ fertility journeys, we celebrate their success stories with “Yeah Baby Day” on March 25^th. We hope you’ll share your baby story, and how trusted support has made a difference in your family’s life—this decade, and beyond.

The post A Decade in Fertility: The Progress, People, and Path Forward appeared first on Progyny.

Nine months of pregnancy build up to the delivery, the climax of a long period of anticipation, change, and growth. With so much focus on conceiving, then fetal development, weekly physical changes, and regular prenatal visits, 40 weeks starts to look a lot like the finish line. On the contrary, maternal care is only just beginning!

With the challenges and uncertainties the “fourth trimester” can bring, it’s essential that women receive physical, mental, and emotional support during this monumental transition. Postpartum care is a necessary extension of prenatal care, serving to support women’s bodily and mental health needs and grow their confidence through recovery.

In the U.S., one in every six dollars of employer spend on inpatient healthcare goes toward maternity services, and a single pregnancy episode (prenatal care, childbirth, and postpartum care) in the employer-sponsored insurance population costs on average about $25k per pregnancy, underscoring the importance of comprehensive postpartum care. Supporting birthing parents before, during, and after delivery improves maternal health and wellbeing and drives stronger outcomes like lower costs and reduced complications. And focusing on foundational, long-term health enables a more supported workforce.

Postpartum specialty support

In those first few months postpartum, women may experience both physical and mental health challenges. Physical recovery is compromised by complications such as infection, hypertension, or challenges with healing and breastfeeding, while about one in five experience a mental health disorder like postpartum depression or anxiety.

A trusted community is critical for empowering mothers with both clinical support and postpartum education.

Progyny anchors care in continuity and trust with a dedicated nurse Progyny Care Advocate (PCA), who has experience in labor and delivery and postpartum, for each member. The relationship provides personalized, one-on-one, ongoing monthly support for members through fertility, pregnancy, postpartum, and beyond, guiding navigation and education about treatment, providers, and benefits. Members don’t have to retell their story—their PCA knows it, knows them, bringing both comfort and empowerment.

OBs and midwives

Members have options for OBs and midwives, which they select based on pregnancy risks, personal preference, hospital affiliation, or other factors. Postpartum, these providers monitor for preeclampsia and other health risks, as well as provide emotional support and information about contraception. Most importantly, these long-term providers listen, take concerns seriously, and explain things in a clear way to facilitate educated decision-making, ensuring mom and baby are healthy and getting the clinical support they need.

Doulas

Doulas provide additional support to postpartum moms, offering non-clinical guidance through regular check-ins via telehealth or in-person care. They offer newborn or maternal education, benefits and system navigation, and next steps on the care journey including postpartum visits. Doula care is associated with decreased rates of preterm births, C-sections, and postpartum depression. In fact, outcomes improvement has been so significant, a major insurance company just added a nationwide doula benefit, with plans to make access widespread for all its employer-sponsored plans in 2027.

Lactation consultants

Lactation consultants (IBCLCs) are also vital members of the postpartum care team, supporting and educating mothers on what I often see to be an emotionally charged journey. From initial instruction on latch, pumping, or supply issues, to returning to work and introducing formula or solid foods, these feeding experts are trained to collaborate with team members and support what is best for each mother. IBCLCs support breastfeeding goals, and new parents are relieved to discover that they also support reality. Whether it’s exclusive breastfeeding, combination feeding, or formula, the priority is ensuring parents are informed and feel confident in their decision-making.

Mental health matters

With the postpartum period’s major hormonal, emotional, and social shifts, mental health support from the care village is just as important as the physical recovery. In the U.S., approximately 85% of those affected by maternal depression during the postpartum period don’t get treated. This huge gap underscores why screening—and integrated care pathways that proactively connect members to support—is critical to improving outcomes.

Instead of treating mental health like something that “goes wrong,” Progyny believes in routine screenings built into the program structure. By removing the stigma, we don’t force anyone to raise her hand or remain in the untreated majority. One of our members was recently struggling, and a PCA assessment right away identified postpartum depression. Thankfully, because of this proactive screening and warm transfer to the appropriate care, she got the help she needed quickly. We can influence outcomes by addressing challenges before they escalate. By ensuring members feel cared for and supported clinically, mentally, and emotionally, a positive postpartum experience and stronger foundation for long-term family health becomes possible.

The team approach

While each care team member addresses a different aspect of postpartum health and recovery, the collaborative, cohesive nature of the village helps moms feel thoroughly cared for. Each specialty is connected and communicating, while listening to the patient at the center. The goal is for mother and baby to be healthy, and for members to be empowered to advocate for their evolving needs in the months after birth.

The entire postpartum experience is smoother when the birthing parent’s physical, mental, and emotional needs are integrated in the greater context of health and well-being. Progyny’s approach aligns not only pre-conception, prenatal, postpartum, and menopause care, it takes into context each member’s unique experience in the broader healthcare benefits ecosystem. In a crowded landscape of disparate care services and apps, we remain committed to supporting members through evidence-based, compassionate care—and helping members, providers, and employers navigate the incredibly meaningful time following the baby’s arrival.

For more information, view our webinar on postpartum care.

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For most of us, the beginning of a new year is a time of both reflection and renewal. It’s a moment to take stock — as individuals, companies, and industries — of how far we’ve come, what we’ve learned and achieved, and to set new intentions for the year ahead.

In that spirit, I’d like to start this year with a call to action for all of us across the fertility and family-building ecosystem: to do better for those affected by infertility who want nothing more than the chance to build a healthy family.

Doing better means optimizing and personalizing the care journey for every individual and every family. Infertility is not a single pathway or a uniform experience. Each journey carries its own emotional, physical, and financial weight — and the care we deliver should reflect that reality. To truly personalize care, every clinical decision must be grounded in evidence, supported by data, and informed by outcomes we can trust.

But like all resolutions, following through requires more than good intentions. It requires rigorous data collection, transparent reporting, and shared benchmarks. It requires consistent clinical standards — and industry-wide accountability to those standards.

Last year, we published our annual, third-party-validated fertility outcomes report, continuing a decade-long commitment to openly sharing how our solutions perform for our members and employers. Once again, the data showed that Progyny significantly exceeds national benchmarks across key clinical measures of fertility success. But beyond the results themselves, there was a deeper message — one that feels especially salient as we consider where our industry needs to go next:

Because every outcome matters, how we measure and report those outcomes matters just as much.

For the 1 in 6 individuals affected by infertility, the path to parenthood can be emotionally draining, physically demanding, and financially burdensome. That journey requires an extraordinary level of trust — trust from members that their benefits partner is committed to the highest standards of care and outcomes, and trust from employers that their investment is delivering meaningful, cost-effective impact for their workforce.

Earning that trust depends on rigor and transparency. Yet today, standards for collecting and reporting IVF outcomes still vary widely. Some solutions rely on self-reported or selectively sampled data. Others use timelines or denominators that diverge from those established by CDC and SART, making apples-to-apples comparisons difficult and obscuring what results truly mean at scale.

Some variation in standards is expected in a field that has evolved as rapidly as fertility benefits in recent years. Nevertheless, we can — and must — do better.

If, as an industry, we truly want to personalize fertility care for all, we need shared expectations for outcomes reporting grounded in common standards:

• Count every member to eliminate selection bias. Outcomes reporting should be comprehensive and standardized — not based on self-reported samples. At Progyny, clinics are required to report outcomes for every treatment resulting in a pregnancy attempt. This approach enables complete, network-wide reporting across all members and clinics, representing more than 19,000 IVF transfers.
• Align with CDC and SART timelines. Outcomes can only be compared effectively when they follow consistent timelines for benchmarking. Progyny follows the standard 12-month reporting window used by both CDC and SART — a reasonable standard the industry should embrace.
• Be transparent about scale. When it comes to evaluating outcomes, scale matters. With any key metric, a 50% success rate for 19,000 IVF transfers is orders of magnitude more meaningful than a 50% success rate for 300 IVF transfers. Employers and members should be able to easily interpret and compare results in the context of scale and impact.
  

These standards are far from abstract; they directly affect people’s lives. When Progyny reports 41% fewer retrievals per live birth than the national average (as we reported in 2025), that means significantly less physical burden and emotional strain for members and families — and significantly lower costs for employers across their employee population.

At Progyny, our commitment to clinical excellence and transparency extends across the entire family-building and women’s health journey — from preconception through postpartum, return-to-work, parenting, midlife, and menopause. Personalization, accountability, and outcomes-driven care are not slogans; they are the foundation of how we design benefits, manage our network, and support our members. As a physician and clinical leader, I believe the trust of patients can never be assumed — it is earned through consistency, openness, and demonstrated results over time. Proud as I am of the progress we at Progyny have made to-date, I enter the new year with my Progyny colleagues both humbled and inspired to do better still — because individuals and families deserve nothing less.

The post Raising the bar for transparency and personalization in fertility care appeared first on Progyny.

Childbirth has been a joyful event for generations. A range of celebratory activities from cultural and religious traditions to baby showers have long supported maternal and child wellbeing. Babies often evoke deep and overwhelming emotions that surprise parents and observers alike.

At Progyny, we built our foundation on helping women and families achieve their dreams of having children through our industry-leading fertility offering. But while society has long romanticized mothers’ swelled bellies and swaddled newborns, the joy is sometimes truncated by the sad reality of poor maternal health outcomes.

Looking at the reality   

As a woman, doctor, and informaticist, I have a strong passion for women’s health, and maternal health is an area I have explored widely since medical school. This interest was fueled by the unfortunate reality that most maternal deaths and complications are preventable. Globally, maternal mortality is “unacceptably high” with 92% of maternal deaths occurring in low- and lower-middle-income countries.

Growing up in Nigeria, I witnessed many cases of maternal deaths, near misses, and complications firsthand. It was surprising to learn after moving here over a decade ago that the U.S. lags many of its counterparts in maternal health outcomes. For example, U.S. Maternal Mortality Ratio (MMR) is double that of most OECD (Organization for Economic Cooperation and Development) countries. It’s critical that we increase awareness of the data and the reality of the situation so that we can then identify solutions for change.

A need for change

At the start of 2026, we were hit with the heart-wrenching news about Dr. Janell Green Smith, CNM, a Black midwife and maternal health expert in South Carolina, who died from childbirth complications, one of the outcomes she had dedicated her career to preventing. Her heartbreaking story is all too common. The most recent data for pregnancy-related mortality rates shows 18.4 maternal deaths for every 100,000 live births in the U.S. and shows vast disparities including 45 for non-Hispanic Black women.

In 2025 I published an article that traces my origins in Nigeria through building a family, detailing stats on maternal mortality and morbidity and disparities. I’ve learned one thing for sure: we must do better! The research and becoming a mother myself have unearthed nuances of systemic successes and failures that I apply every day to do my part in elevating the standard of care, improving experiences, and shifting maternal health metrics in the right direction.

A hard look at morbidity 

Maternal mortality is a pressing issue, but morbidity has significant health consequences. For every pregnancy-related death, there are about 70 cases of severe maternal morbidity. Complex contributing factors, often interconnected, can be delineated as systemic (physician/midwife ratio, reimbursement, maternity deserts, hospital incentives, policies and procedures, bias and discrimination, and SDOH, to name a few), and individual health factors, e.g., poor health prior to conception including chronic diseases like obesity, hypertension, and diabetes, and advancing maternal age. These health factors contribute to common pregnancy-related complications including gestational diabetes, preeclampsia/eclampsia, sepsis, hemorrhage, and preterm birth. Further, cardiovascular disease and mental health diseases are some of the most common pregnancy complications. With a need to improve care of both moms and babies, a stronger preventive and postpartum focus will ensure better outcomes.

Cost considerations for employers

Poor maternal health remains stuck in a vicious cycle with high costs. Care access challenges are prevalent amid high medical expenses and poor outcomes. Even as many U.S. employers provide medical coverage and leave benefits, care continues to lag with costs soaring. For U.S. births, it’s estimated that total maternal morbidity costs were $32.3 billion from conception through the child’s fifth birthday. And while Medicaid on the average finances 41% of U.S. births, the remaining costs fall on patients, charitable organizations, and – primarily – private health insurers, through which employers bear the brunt. A recent survey projects a 9.1% increase in healthcare expenses for 2026, with some employers facing double-digit hikes. Maternity and neonatal costs are the second highest cost driver for employers. Still, the outcomes show insufficient support for mothers.

Advancing and supplementing medical care options

The key to both improving maternal health outcomes and lowering spend is enabling early, connected care through innovative solutions across fertility, maternity, and postpartum with clinical and non-clinical support. Alignment among care providers supports health goals, chronic disease management, care navigation, education, social needs, and continuous provision of evidence-based care. Consistent, integrated care must span from pre-conception through postpartum so providers can proactively identify and manage risks, track results, and optimize health outcomes.

With training and work in health informatics, I also recognize the power of data and technology-enabled innovation to reshape the women’s health journey. Despite promises, disparate one-click health apps or solutions can’t successfully support end-to-end medical needs; they create more fragmentation in care. To improve outcomes, we must harness value at the intersection of research, health, and technology, solving issues relating to data fragmentation, education, and communication via durable, comprehensive solutions that make a lasting impact.

Intentional change for a more joyful future 

Growing families require the collective effort of healthcare providers, policymakers, and employers to close gaps in maternal health globally. Advocacy, technology, and action for health and equity have evidence for impact. Maternal health must be grounded in trusted, expert guidance, personalized for each patient’s needs throughout their entire journey. Through delivery of compassionate, comprehensive, connected care, let’s intentionally restore joy in childbirth experiences.

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ASRM is one of my favorite annual gatherings because it’s a chance to reconnect with colleagues and friends, exchange ideas, and learn about the latest research shaping the evolution of reproductive endocrinology and infertility care. This year’s conference in San Antonio was especially meaningful, as I co-authored a featured abstract exploring how a specialized Medical Advisory Board (MAB), working in collaboration with a benefit provider, can help promote evidence-based, best-practice fertility care—specifically by advising on gonadotropin/IUI criteria to support safety and optimized patient selection.

Working alongside some of our Progyny network providers—including lead author Keri Bergin, MD—as well as Reproductive Medicine Associates of New York leaders including Alan Copperman, MD, and research lead and coordinator Joseph Lee, we examined how increased clinical review of IUI treatment requests might better optimize treatment selection and outcomes by reducing unnecessary risks.

Why does this matter?

Multiple-gestation pregnancies—more common when gonadotropins are used—carry disproportionate risks, including higher rates of pregnancy loss, preterm delivery, and extended NICU stays. These are outcomes every clinician and patient hopes to avoid. 

That’s why applying a thoughtful, medically grounded review process before approving gonadotropin/IUI cycles is so important. In our retrospective, two-year cohort study, our MAB of reproductive endocrinologists advised on shaping UM policy using ASRM and other peer-reviewed guidelines to ensure appropriate patient selection for requested treatment benefits. The actual reviews were conducted by a dedicated team of network REI providers and fertility nurses who apply these evidence-based criteria when evaluating requests. Gonadotropins can be an excellent option for many individuals on their fertility journey, but, as with any treatment, it’s essential to identify who is most likely to benefit and who may face unnecessary risk. 

Our findings were encouraging: refining the criteria for gonadotropin/IUI significantly reduced high-risk multiple-gestation pregnancies without compromising success rates. The multiple-gestation rate dropped from 10% of IUI pregnancies to 0%, while clinical pregnancy rates remained essentially unchanged. 

You can watch our presentation video, where Dr. Bergin and I walk through our approach and findings in detail: 

The takeaway is clear: careful, data-driven patient selection can meaningfully improve safety in fertility care. Organizations seeking to reduce multiple gestation pregnancies have a real opportunity to update policies and selection criteria in ways that support patients while maintaining optimal patient outcomes. 

At Progyny, we deeply value the clinical nuances that shape each patient’s family building path. Our role as a benefit provider is not to dictate care, but to ensure that requested covered treatments meet standards of clinical appropriateness—always with the goal of helping individuals receive the right care at the right time, in the safest and most supportive way possible. That commitment drives our investment in strong clinical partnerships and ongoing research that elevates the field and enhances the patient experience. 

I’m proud that Progyny is contributing meaningful, current data on this aspect of fertility treatment and that we were able to share these insights with the ASRM community. We had energizing conversations at the conference and received positive feedback from colleagues equally committed to improving reproductive health. Ultimately, our collective goal at ASRM remains the same: to help every intended parent have the healthiest possible path to a full-term baby. 

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