National Health Law Program Calls for Expanded Menopause Coverage in Medicaid
The National Health Law Program identifies significant barriers to menopause care for Medicaid enrollees, including coverage gaps and access challenges. Approximately 6,000 people enter menopause daily in the U.S., experiencing symptoms like hot flashes, bone loss, sleep disturbances, and cognitive changes that can be disabling but treatable. The organization highlights that Medicaid beneficiaries, low-income individuals, and people of color face disproportionate obstacles in accessing menopause treatment. The article advocates for improved coverage policies to address these disparities.
Managed care organizations may face pressure to expand women's health benefits, revise formularies to cover hormone therapy and related treatments, and demonstrate adequate provider networks for menopause care as advocacy groups push for improved access in Medicaid.
Maternal · Managed Care
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