{"id":30369,"date":"2026-01-15T18:26:24","date_gmt":"2026-01-15T18:26:24","guid":{"rendered":"https:\/\/progyny.com\/?p=30369"},"modified":"2026-01-29T13:38:54","modified_gmt":"2026-01-29T13:38:54","slug":"how-fertility-outcomes-reduce-high-cost-maternity-claims-and-help-employers-bend-the-2026-trend","status":"publish","type":"post","link":"https:\/\/progyny.com\/blog\/how-fertility-outcomes-reduce-high-cost-maternity-claims-and-help-employers-bend-the-2026-trend\/","title":{"rendered":"How fertility outcomes reduce high-cost maternity claims \u2014and help employers bend the 2026 trend"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Employer health costs are <a href=\"https:\/\/www.mercer.com\/en-us\/insights\/us-health-news\/employers-prepare-for-the-highest-health-benefit-cost-increase-in-15-years\/\" target=\"_blank\" rel=\"noreferrer noopener\">rising at the steepest rate in 15 years<\/a>. 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\u2019s 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.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The differentiator that matters most is outcomes. And outcomes require a partner that can deliver proven, repeatable clinical results at scale.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why independent, verified outcomes matter&nbsp;&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Engagement rates or survey results do offer directional insight, but they\u2019re 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.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Progyny is the only solution to independently validate <a href=\"https:\/\/progyny.com\/for-employers\/benefits-at-work\/\" target=\"_blank\" rel=\"noreferrer noopener\">outcomes<\/a> for its entire Book of Business and all members, without common reporting pitfalls such as sample bias, self-reported data, and projections. <a href=\"https:\/\/go.progyny.com\/annual-fertility-outcomes-report-pdf\">Progyny outpaces national benchmarks on every key marker of fertility success<\/a>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>12% higher pregnancy rate per IVF transfer&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>21% lower miscarriage rate&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>23% higher live birth rate among embryo transfers&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>41% fewer retrievals per live birth&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>22% higher single embryo transfer (SET) rate&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>61% lower IVF multiples rate&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">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\u20139% in 2026.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Outcomes over add-ons&nbsp;&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A significant portion of the women\u2019s 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.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">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.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Progyny\u2019s model manages the total cost of care&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Progyny\u2019s 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:&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1. Outcomes-built benefit design reduces treatment intensity and medication costs&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/progyny.com\/smart-benefits\/smart-cycle\/\" target=\"_blank\" rel=\"noreferrer noopener\">Smart Cycle<\/a> bundling includes all necessary services, medications, and testing for a treatment episode, eliminating the incentive to cut corners or repeat ineffective care. Better outcomes mean:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fewer treatment cycles&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fewer medications&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lower&nbsp;utilization&nbsp;and reduced waste&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Faster path to healthy pregnancies<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2. Direct contracting,\u00a0a\u00a0tightly managed provider network, and UM\u00a0ensures\/manages quality\u00a0<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Progyny maintains the industry\u2019s largest actively managed women&#8217;s health network \u2014 over 1,100 providers at over 650 locations \u2014 with NCQA-accredited credentialing, best-practice standards, and transparent outcomes reporting.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Additionally, Progyny\u2019s UM approach enables adherence to clinical best practice which drives optimal outcomes and cost savings.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. Progyny\u00a0Rx reduces medication waste and drives increased savings<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Progyny applies unique waste\u2011management protocols that save employers an incremental 10% by dispensing medications based on real\u2011time dosing needs rather than bulk prescriptions. This ensures members receive only what\u2019s necessary while minimizing excess medication and reducing overall spend.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4. Connected Progyny&nbsp;Care Advocate (PCA) coaching mitigates risk early and reduces downstream medical spend&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/progyny.com\/what-we-do\/fertility-and-family-building\/\" target=\"_blank\" rel=\"noreferrer noopener\">Dedicated PCAs<\/a> 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.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">5. A single accountable partner improves visibility and vendor efficiency&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Progyny consolidates multiple women\u2019s health needs \u2014 from preconception through postpartum and menopause \u2014 into one integrated, outcomes-centered model. This strengthens reporting, simplifies administration, and ensures cost control across the entire journey.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Progyny\u2019s 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.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Progyny isn&#8217;t an add-on; it&#8217;s an outcomes engine that helps employers control spend where it matters most.&nbsp;&nbsp;<\/p>\n\n\n\n<div class=\"meeting-blog-block\"><h4>Interested in learning more about Progyny&#8217;s outcomes-driven women&#8217;s health benefits?<\/h4><button class=\"meeting-block-btn\"><a href=\"https:\/\/progyny.com\/getprogyny\/\" target=\"_blank\" aria-label=\"Book a meeting - opens in new tab\" rel=\"noopener\">Let\u2019s talk<\/a><\/button> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Employer health costs are rising at the steepest rate in 15 years. In this environment, benefits leaders are focused on [&hellip;]<\/p>\n","protected":false},"author":45,"featured_media":30371,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[582,440,576,575,580,250,583,577,586,588,581,593],"tags":[],"class_list":["post-30369","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benefit-trends","category-blog","category-consultants","category-employers","category-fertility-and-family-building","category-fertility-in-the-workplace","category-financial-impact","category-health-plans","category-individual","category-labor-organizations","category-maternity-care","category-womens-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How fertility outcomes reduce high-cost maternity claims \u2014and help employers bend the 2026 trend | Progyny<\/title>\n<meta name=\"description\" content=\"The differentiator that matters most is outcomes. 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Outcomes require a partner that can deliver proven, repeatable clinical results at scale.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/progyny.com\/blog\/how-fertility-outcomes-reduce-high-cost-maternity-claims-and-help-employers-bend-the-2026-trend\/\" \/>\n<meta property=\"og:site_name\" content=\"Progyny\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Progyny\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-01-15T18:26:24+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-29T13:38:54+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/progyny.com\/wp-content\/uploads\/2026\/01\/Results-that-bend-trend-blog-image.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1536\" \/>\n\t<meta property=\"og:image:height\" content=\"800\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Mae Fang\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@Progyny\" \/>\n<meta name=\"twitter:site\" content=\"@Progyny\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Mae Fang\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/progyny.com\\\/blog\\\/how-fertility-outcomes-reduce-high-cost-maternity-claims-and-help-employers-bend-the-2026-trend\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/progyny.com\\\/blog\\\/how-fertility-outcomes-reduce-high-cost-maternity-claims-and-help-employers-bend-the-2026-trend\\\/\"},\"author\":{\"name\":\"Mae Fang\",\"@id\":\"https:\\\/\\\/progyny.com\\\/#\\\/schema\\\/person\\\/0524236fcb8c1766b65ca3e2df5dce28\"},\"headline\":\"How fertility outcomes reduce high-cost maternity claims \u2014and help employers bend the 2026 trend\",\"datePublished\":\"2026-01-15T18:26:24+00:00\",\"dateModified\":\"2026-01-29T13:38:54+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/progyny.com\\\/blog\\\/how-fertility-outcomes-reduce-high-cost-maternity-claims-and-help-employers-bend-the-2026-trend\\\/\"},\"wordCount\":760,\"publisher\":{\"@id\":\"https:\\\/\\\/progyny.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/progyny.com\\\/blog\\\/how-fertility-outcomes-reduce-high-cost-maternity-claims-and-help-employers-bend-the-2026-trend\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/progyny.com\\\/wp-content\\\/uploads\\\/2026\\\/01\\\/Results-that-bend-trend-blog-image.jpg\",\"articleSection\":[\"Benefit trends\",\"Blog\",\"Consultants\",\"Employers\",\"Fertility and family building\",\"Fertility in the Workplace\",\"Financial impact\",\"Health Plans\",\"Individual\",\"Labor Organizations\",\"Maternity care\",\"Women's health\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/progyny.com\\\/blog\\\/how-fertility-outcomes-reduce-high-cost-maternity-claims-and-help-employers-bend-the-2026-trend\\\/\",\"url\":\"https:\\\/\\\/progyny.com\\\/blog\\\/how-fertility-outcomes-reduce-high-cost-maternity-claims-and-help-employers-bend-the-2026-trend\\\/\",\"name\":\"How fertility outcomes reduce high-cost maternity claims \u2014and help employers bend the 2026 trend | Progyny\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/progyny.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/progyny.com\\\/blog\\\/how-fertility-outcomes-reduce-high-cost-maternity-claims-and-help-employers-bend-the-2026-trend\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/progyny.com\\\/blog\\\/how-fertility-outcomes-reduce-high-cost-maternity-claims-and-help-employers-bend-the-2026-trend\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/progyny.com\\\/wp-content\\\/uploads\\\/2026\\\/01\\\/Results-that-bend-trend-blog-image.jpg\",\"datePublished\":\"2026-01-15T18:26:24+00:00\",\"dateModified\":\"2026-01-29T13:38:54+00:00\",\"description\":\"The differentiator that matters most is outcomes. 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