New Competitive, Comprehensive Fertility Solution

Designed to Provide Better Outcomes, Cost Efficiencies
COMMENTARY
March 9, 2021

The need for competitive fertility solutions is increasing, and employers are looking for comprehensive, easy-to-manage benefits for their plan members. Infertility affects one in eight couples.CDC, National Survey of Family Growth, 2006-2010 Many of the options available to couples seeking fertility solutions are complicated, expensive treatments that often require paying out of pocket, which adds financial stress to an already emotionally challenging experience.https://www.fertilityiq.com/topics/fertilityiq-data-and-notes/fertilityiq-best-companies-to-work-for-family-builder-workplace-index-2017-2018https://www.health.harvard.edu/newsletter_article/The-psychological-impact-of-infertility-and-its-treatment

We have added Progyny, a leader in the fertility space, to our Point Solutions Management portfolio enabling employers to offer a competitive fertility benefit with simplified management and administration. Progyny’s fertility solution provides a positive member experience, cost efficiencies, and greater success rates for members.https://progyny.com/for-employees/progyny-difference/ Point Solutions Management from CVS Health is a full-service offering that can help plan sponsors simplify contracting, secure lowest price, and monitor ongoing performance of third-party well-being point solutions.

The Need for a Comprehensive Fertility Solution

Over the past few decades, the trend has been toward many couples choosing to start families later in life, which can impact fertility.Schmidt L, Sobotka T, Bentzen JG, Nyboe Andersen A; ESHRE Reproduction and Society Task Force. Demographic and medical consequences of the postponement of parenthood. Hum Reprod Update. 2012 Jan-Feb;18(1):29-43. doi: 10.1093/humupd/dmr040. Epub 2011 Oct 11. PMID: 21989171. Employers have historically offered supplemental fertility benefits, but more members are looking to have it included as a core benefit.https://www.benefitnews.com/list/6-most-common-fertility-benefits Increasingly employers are adding fertility benefits. Of companies with more than 20,000 employees, 44 percent offered some kind of in vitro fertilization (IVF) benefit in 2018, up from 37 percent in 2017.https://www.nytimes.com/2019/01/30/style/ivf-coverage.html

68 percent of the workforce is willing to change jobs for fertility coverage. Of those already facing challenges, 90 percent are willing to change jobs for fertility coverage.RMANJ: Infertility In America Report, http://www.rmanj.com/wp-content/uploads/2015/04/RMANJ_Infertility-In-America-SurveyReport-_04152015.pdf

Percent of Employees Willing to Change Jobs to Ensure Fertility Coveragehttp://www.rmanj.com/wp-content/uploads/2015/04/RMANJ_Infertility-In-America-SurveyReport-_04152015.pdf

68%
of employees overall
68%
of male respondents
70%
of millennial respondents
90%
of those facing fertility issues
68%
of employees overall
68%
of male respondents
70%
of millennial respondents
90%
of those facing fertility issues

In addition to the personal stress for couples, fertility issues can pose challenges for businesses due to increases in employee absenteeism and decreases in retention, which can result in a loss in productivity.https://progyny.com/for-employers/fertility-challenges-and-your-employees/ There is a 4.4 times greater risk of absenteeism when longer hospitalizations or additional medical appointments are needed for the mother, her child, or both.

Comprehensive Member Support

Infertility is emotional and stressful, and Progyny provides members end-to-end concierge support for every step of what can be a difficult journey toward parenthood.https://www.health.harvard.edu/newsletter_article/The-psychological-impact-of-infertility-and-its-treatment Dedicated patient care advocates assist members with ongoing clinical guidance and emotional care. Members also have access to a network of fertility specialists with 800 providers at 600 clinic locations nationwide. Medications are mailed directly to a member’s home and Progyny Rx pharmacists offer proactive support, including medication use, and members receive coordinated, high-touch care every step of the way.https://progyny.com/for-employees/progyny-difference/

Understanding coverage is simple with the Smart Cycle bundle of services including the most prevalent fertility treatments, appointments, tests, diagnostics, labs, and procedures. Smart Cycle is designed to help members better understand their coverage, so they don’t run out.

Better Success Rates, Positive Outcomes

Progyny’s solution also has high success rates and positive outcomes* making it a leader in fertility services. Treatment plans are based on clinical criteria, not costs, and Progyny’s focus is on strong results.

Delivering on strong results for members helps Progyny provide clients with an attractive, value-centered fertility option.

Greater Pregnancy
Success

Healthier
Pregnancies

Healthier
Babies

14% higher
pregnancy rate per IVF transferCalculated based on the Society for Assisted Reproductive Technology, or SART, 2017 National Summary Report, finalized in 2020
30% lower
miscarraige rateCalculated based on the Society for Assisted Reproductive Technology, or SART, 2017 National Summary Report, finalized in 2020
23% higher
live birth rateCalculated based on CDC, 2018 National Summary and Clinic Data Sets, published in 2020
52% higher
single enbryo transfer rateCalculated based on the Society for Assisted Reproductive Technology, or SART, 2017 National Summary Report, finalized in 2020
80% lower
IVF multiples rateCalculated based on CDC, 2018 National Summary and Clinic Data Sets, published in 2020

Progyny represents Progyny in-network provider clinic averages for Progyny members only based on the 12-month period ended December 31, 2019. For each Progyny outcome presented, the p-value when compared to the national average is <0.0001.

Greater Pregnancy
Success

30% lower
miscarraige rateCalculated based on the Society for Assisted Reproductive Technology, or SART, 2017 National Summary Report, finalized in 2020
52% higher
single enbryo transfer rateCalculated based on the Society for Assisted Reproductive Technology, or SART, 2017 National Summary Report, finalized in 2020
14% higher
pregnancy rate per IVF transferCalculated based on the Society for Assisted Reproductive Technology, or SART, 2017 National Summary Report, finalized in 2020

Healthier
Pregnancies

Healthier
Babies

52% higher
single enbryo transfer rateCalculated based on the Society for Assisted Reproductive Technology, or SART, 2017 National Summary Report, finalized in 2020
80% lower
IVF multiples rateCalculated based on CDC, 2018 National Summary and Clinic Data Sets, published in 2020

Progyny represents Progyny in-network provider clinic averages for Progyny members only based on the 12-month period ended December 31, 2019. For each Progyny outcome presented, the p-value when compared to the national average is <0.0001.

A Cost-Efficient Fertility Solution

Progyny helps to reduce upfront treatment expenditures and offers savings in two key areas of fertility benefits. Coordinated care and fewer treatments needed to reach a successful pregnancy help lower overall costs, while fewer IVF-related multiple births reduce plan costs for high-risk maternity and neonatal intensive care.

The average cost per in IVF cycle exceeds $20,000.https://www.fertilityiq.com/topics/fertilityiq-data-and-notes/fertilityiq-best-companies-to-work-for-family-builder-workplace-index-2017-2018

Our clients are offered the lowest pricing from vendors who are selected for the Point Solutions Management solution, as well as rigorous vendor evaluation, streamlined contracting, implementation, and administration. CVS Health also provides oversight of member eligibility and real-time billing verification, so clients only pay for the services used.

Do you want to learn more about Progyny fertility benefit available for your members through Point Solutions Management? Ask Us
COMMENTARY
March 9, 2021