I have spent some time configuring it and probably will spend more when I start including more languages but imo it's worth it. You can configure everything but you can also find very nice defaults by running Kickstarter (or some heavier neovim "distro").
Microsoft has done great work with LSPs - I can now get great navigation/autocompletion/formatting/inline errors/warning combined with neovim navigation, light weight and fantastic tools/extensions.
One thing I haven't integrated yet is a debugger (gdb from the terminal is good enough for me), maybe that's something people are missing in neovim?