Half the population.
No governance model.
Fertility, maternity, postpartum, gynecologic conditions, menopause, breast health, mental health. Seven clinical domains. Zero coordination between them. Crescent is designed to change that.
Women's health spending is growing. Nobody governs the transitions.
A woman moves through fertility treatment, pregnancy, postpartum recovery, gynecologic care, and eventually menopause. Each phase is managed by a different provider, paid through a different benefit, and measured by a different metric.1
Nobody owns the transitions between them. The result is predictable. Duplicate labs. Conflicting prescriptions. Missed screenings. Mental health conditions that surface at 6 weeks postpartum and don't get caught until they become emergencies.2
The continuum exists in the patient's body. It does not exist in the health plan's governance structure.
The continuum exists in her body. It should exist in the governance structure.
Seven domains. One arc.
Not every woman touches every station. But when she does, nobody governs the transition between them. Crescent connects the domains that matter to each member — under one model.
Seven modules. One governance model.
Each module operates independently or as part of the full continuum. All share a single navigator, a single clinical record, and a single escalation protocol.
Three layers. One governance model.
Identify coordination gaps
Claims-based risk identification designed to flag rising-risk women before they become high-cost. No referral required. The data already exists in the health plan's claims feed.3
Navigator manages transitions
One navigator assigned per member. She coordinates across every module, manages every transition, and connects every specialist. She is the thread that holds the continuum together.
Measure outcomes and report
HEDIS-aligned measurement across every module. C-section rates. Postpartum follow-up. Depression screening. Quarterly governance reports designed to show what the model changed.4
Protocol-driven coordination ensures equitable access regardless of health literacy. Every member receives the same outreach, the same follow-up cadence, the same escalation triggers.
What changes.
Side-by-side: fragmented management vs. the Crescent model.
| Capability | Fragmented | Crescent |
|---|---|---|
| Navigator continuity across phases | ✕ | ✓ |
| Shared clinical record | ✕ | ✓ |
| Cross-module mental health thread | ✕ | ✓ |
| Automated postpartum screening | ✕ | ✓ |
| C-section rate governance | ✕ | ✓ |
| Unified quarterly reporting | ✕ | ✓ |
| Menopause-phase governance | ✕ | ✓ |
The numbers. All modeled.
Every figure below is a projection based on published literature and actuarial modeling. Nothing has been deployed in production.5
Disparity impact. Modeled.
Projected outcomes when protocol-driven governance replaces fragmented management.
The savings aren't theoretical. They're sitting in every health plan's claims data, hiding in the transitions nobody governs.
What month 12 is designed to look like.
At renewal, the employer sees a book of business where women's health is no longer a collection of disconnected point solutions.
One quarterly governance report covering all seven modules. HEDIS-aligned. Trend data included. No more assembling reports from four different vendors.
Members keep the same navigator across fertility, maternity, postpartum, and beyond. The relationship doesn't reset when the clinical phase changes.
Facility-level C-section rate monitoring with variance flagging. The single largest cost driver in maternity spend, governed at the protocol level.
Behavioral health integrated into every module, not carved out. Perinatal depression, fertility anxiety, menopause-related mood changes. One thread across the continuum.
Built from both sides of the claim.
I built a 13-location health system from the ground up. Behavioral health, SUD/MAT, primary care, urgent care, lab, imaging, surgical center, and a community hospital. 200,000+ patients across the entire system. I saw what fragmented care costs when nobody governs the transitions between clinical phases.
Then I went to the payer side. I hold a senior product role focused on specialty risk. I manage the clinical governance for MSK, oncology, CHF, and maternity books of business. I see what those same coordination failures look like from the other side of the claim.
Crescent comes from the same instinct that produced ClearBill ($9.2M returned to payers in its first six months), Caliber (pre-payment claims verification), and Curated (episode-based behavioral health). The women's health continuum has no governance model. I'm building one.
In development.
Coming 2027.
Crescent is not live. It is being designed. If you're a health plan, employer, or consultant interested in the governance model for women's health, the conversation starts here.
We're defining module priorities, navigator workflows, and measurement standards. General availability follows.