Progyny
What does Progyny do?
Progyny is an app (powered by nurses, fertility specialists and patient care advocates) that is designed to help patients navigate their fertility and reproductive journey.
What does Hinge do?
Virtual PT
Who is eligible for Spring Health
Idexx members, and dependents
Where can you find information about Carrum
Carrum one pager in Guru
What is the new Idexx point solution for GLP1 prescribing, and weight management
Twin Health
Name three services that Progyny can help navigate to
1. IVF
2. Adoption
3. Reproductive Urology
4. Reproductive Endocrinology
What partner should we not refer to for Idexx members (and instead refer to Hinge)
Vori Health
What age can Spring Health serve?
IDEXX employees and their dependents (over the age of 6 years old)
In addition to navigating to surgery, what does Carrum help members with?
Where can I find out more about point solutions
Guru -> Network Page -> Virtual Partners -> Client Point Solutions
Can Progyny help patients who want to have a child through a surrogate?
Yes they can!
Virtual appropriate
Do we need to care key Spring Health, why or why not?
No because Vitori is programmed to pass $0 cost on to the member for all Spring Health claims (there should never be a patient responsibility for Spring Health).
Does Carrum Require a Care Key, why or why not?
No, creating a referral for tracking is helpful but Carrum does not require a Care Key because Carrum bills Idexx directly, and does not pass claims through Vitori.
Which point solution does both Idexx and Westinghouse offer
Hinge Health
Can OB/GYN visits be navigated through Progyny?
No this has to go through Firefly navigation services
1. Idexx
2. Westinghouse
What services does Spring Health provide (name at least two), and what can they not prescribe
1. Talk therapy
2. Psychiatry
3. Substance use disorder treatment
4. Eating disorder treatment
Can not Rx controlled substances
How can we help prompt members to Carrum
1. If they are going for an ortho appointment, and are an Idexx member, we can mention that they have Carrum as a resource if the ortho were to refer to surgery
Which Point Solution First Requires a Referral for Surgery from a Specialist
Carrum Health
You see a member talking to a clinician in the chat about having trouble trying to conceive, what are two ways you could prompt the member to Progyny?
1. Let member know that they can find more information about Progyny Benefit in the additional benefits section of the app
2. Send a task to the provider letting them know they have a fertility benefit through their employer if they would like to create navigation case we can provide info to member
What is the device that Hinge offers and has also been used to help veterans with chronic pain
Tens Device (Transcutaneous Electrical Nerve Stimulation)
What are the two new service lines that Spring Health now offers and what does this mean for navigators?
1. Eating disorder treatment (only refer to Equip if member as tried and not had success with Spring Health).
2. Substance use disorder treatment (including opioid use disorder, alcohol and more). Refer to Spring Health and Ria only if Spring does not work out
What are the surgeries that Carrum can help navigate members to:
Outpatient Orthopedic Musculoskeletal (e.g., hand, wrist, elbow, shoulder, ankle)
Total, partial, and revision hip and knee replacement surgery
Bariatric (weight loss) surgery
Spinal fusion surgery
Cardiac (heart) surgery
Oncology (cancer) care: Breast, Thyroid & CAR-T treatment;
Why do clients want us to utilize their point solutions (3 answers)
1. They have gone to the effort to source, and implement these vendors, it is a cost for them to do this
2. It is usually free for members to use all services through a point solution
3. They believe point solutions can save money long term (similar to our tier 1 providers)