Maven Clinic Pushes for Federal Fertility Benefits Rule, Releases Cost-Saving Research
Event summary
- Maven Clinic released research showing its fertility benefit design cuts cost to pregnancy nearly in half, with IUI starting patients averaging $14,626 vs. IVF starters at $28,891.
- The company submitted a public comment supporting the proposed federal excepted fertility benefits rule, urging regulators to finalize it promptly and provide implementation guidance.
- Maven launched an interactive guide for employers navigating state fertility mandates, with 25 states and D.C. now requiring some form of coverage.
- Employers using Maven's full managed benefit see $9,600 in savings per birth, a 2:1 clinical ROI, and a 4:1 business ROI.
The big picture
Maven Clinic is positioning itself as a key player in the evolving fertility benefits landscape, leveraging data from over 2,300 employer partners to shape both regulatory policy and benefit design strategies. The shift from whether to offer fertility coverage to how to optimize it represents a significant opportunity for cost management and improved outcomes. With state mandates expanding and federal rules potentially streamlining offerings, the market is poised for substantial structural changes in how employers approach this critical benefit.
What we're watching
- Regulatory Timing
- Whether the federal government will finalize the excepted fertility benefits rule and how quickly it can be implemented.
- State Mandate Impact
- The pace at which additional states adopt fertility coverage mandates and how employers respond to varying compliance requirements.
- Cost-Saving Adoption
- How widely employers will adopt Maven's benefit design approach given its demonstrated cost savings and clinical outcomes.