H1Healthcare
Audit before you add.Most traditional health and wellness benefits can help ease symptoms of menopause, but they are rarely connected on benefits portals or in communications to employees.
Workplace menopause strategy and research
See exactly where your benefits miss employees in menopause, and what that costs you.
Independent, evidence-based support strategies that drive retention, engagement, and performance.
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Menopause at Work: From Echo Chamber to Mainstream Practice
When it comes to menopause at work, the vast majority of employees are not asking employers to buy something new. Instead, they want a more open culture; flexibility in when, where, and how they work; and medical and pharmaceutical coverage. Most of these benefits are already paid for. What is missing is the connection to menopause and clear communication.
1,110U.S. employees and benefits decision-makers
2,711Written comments analyzed
4City roundtables
Findings are from a national mixed methods study of 1,110 U.S. employees and human resource/benefits decision-makers by the Society for Women’s Health Research (SWHR) and The Fuchsia Tent (TFT).
Why the problem persists
Menopause is invisible in the systems designed to support it.
The treatments exist. The science is clear. The access remains restricted.
$26.6B
is the estimated yearly cost of menopause symptoms in the United States, in lost work time and medical costs.1,2
Menopause is hidden in plain sight.
Only14.7%
of women ages 45 to 64 have any evidence of menopause recorded as a diagnosis, even though natural menopause most commonly occurs between ages 45 and 56.3,4
When a woman sees her doctor for poor sleep, anxiety, or joint pain, each symptom is usually coded on its own. The menopause behind those symptoms rarely gets recorded, so it never shows up in the claims data employers review.
What gets coded instead
- Hot flashesR23.2
- InsomniaG47.00
- AnxietyF41.1
- DepressionF32.9
- Brain fogR41.840
- Memory lossR41.3
- Joint painM25.50
- Frozen shoulderM75.0
- PalpitationsR00.2
- MigraineG43.9
- Bladder leakageN39.46
- Low libidoR68.82
MenopauseN95.1, N95.9, Z78.0
In 2022, menopause codes were recorded at only about 2 visits for every 100 women ages 45 to 64 each month.3
ICD-10 codes are the standard diagnostic codes clinicians use to bill insurance.
The benefits already exist. They are not connected to menopause.
The workplace menopause benefits employees request most often are already in their plans.
Those benefits are as fragmented as the symptoms. They are rarely tied to menopause on benefits portals or in employee communications, so neither employers nor employees recognize them as menopause care.
Employees who say their employer offers
SWHR and TFT national study, 2026.
Drug therapies for menopause symptoms exist. Cost and coverage rules block access.
At least one option for each therapeutic class, formulation, and dose should be covered, and barriers to access should be limited or removed.
30%more was spent out of pocket on prescriptions by women than by men in 2024.5
Barriers to limit or remove
- 01Cost-sharing. Plans that cover estradiol often place estradiol products in higher tiers, which have the highest copays.6
- 02Prior authorization and step therapy. Insurers often require one or both for some non-hormonal therapies.7
- 03Rising prices. List prices for menopause medications have gone up almost 60% over the last 10 years.7
- Faubion SS, Enders F, Hedges MS, et al. Impact of menopause symptoms on women in the workplace. Mayo Clin Proc. 2023;98(6):833-845. doi:10.1016/j.mayocp.2023.02.025
- Mayo Clinic study puts price tag on cost of menopause symptoms for women in the workplace. Mayo Clinic News Network. April 26, 2023.
- Health Care Cost Institute. Data Brief: Menopause Diagnosis Steadily Increased From 2018-2022. Health Care Cost Institute; October 18, 2024.
- Carlson K, Vadakekut ES. Menopause. In: StatPearls. StatPearls Publishing; updated March 23, 2026.
- GoodRx. GoodRx report reveals striking gender divide in prescription medication spending. Business Wire. March 10, 2025.
- George C. Hormone replacement therapy costs. GoodRx. Updated February 15, 2023.
- Marsh T. Menopause medication costs have surged 58% in the last decade. GoodRx. October 23, 2024.
How we deliver workplace menopause support
The work starts with an audit, not a purchase.
01The 3H Healthcare Access Audit
Our core service · 23 criteria · six to eight weeks
An independent review that scores your benefits against 23 defined criteria, counts the employees affected by menopause, and ranks every gap with what it costs your organization.
What you get- A score against 23 defined criteria
- The number of your employees affected by menopause
- A ranked list of gaps, with what each gap costs your organization
- A presentation for your leadership team in six to eight weeks
02The Cost of Inaction Model
More than 20 published and federal sources
Built to the standard pharmaceutical companies use to defend budgets. The model calculates what inadequate menopause support costs your organization this year, using the most cautious figures in the research.
What you get- A cost figure for your own headcount
- Inputs drawn from 20+ published sources
- The most cautious figure the research supports
- Every assumption visible, so your CFO can check the math
03The Readiness Assessment
Free · five minutes
Is your organization ready to support menopause? Find out in 5 minutes.
What you get- Which of the three workplace domains needs attention first
The 3H Framework™
The right way to support menopause at work.
Three pain points. One integrated answer.
- H1Healthcare
- H2Help
- H3HRT and FDA-Approved Non-Hormonal Therapy Access
H1
H2Help
Build universal leadership capabilities.Menopause is one of many hard conversations a leader must hold. Universal dialogue frameworks cover all complex conversations without increasing stigma.
H3HRT and FDA-Approved Non-Hormonal Therapy Access
Open access to therapy.Therapies for menopause symptoms already exist. They must be made accessible and affordable for employees to utilize.
How we work with you
Benefits strategy for your organization. Expert support for your people.
01 · For organizations
Workplace Menopause Solutions
Strategic consulting, leadership training, and speaking engagements for organizations building evidence-based menopause support programs.
See how the audit works
02 · Included with every workplace engagement
The Menopause Vault
48Experts
53Sessions
55Hours of content
On-demand replays organized by symptom and led by board-certified physicians, therapists, and specialists.
- Hormone health
- Mental health and mindset
- Movement and nutrition
- Sleep relief
- Hot flashes and night sweats
- Sexual health
Who leads the work
Meet Kacy
Kacy Fleming, MA
Founder and CEO · Organizational psychologist
What people asked for was to be cared about, understood, not punished, and treated the way they would be with any other health challenge. That is not a product. That is a boss who believes them.
Former Head of Global Well-Being at Takeda. Co-Principal Investigator, Survey Architect of Menopause at Work: From Echo Chamber to Mainstream Practice, the national study with the Society for Women’s Health Research.
22Years of biopharmaceutical experience, many in reimbursement and market access.
50,000+Employees in 80+ countries supported by the well-being strategy she built.
3Consecutive Business Group on Health Best Employer awards for programs she led.
As featured in
Featured in Forbes, Fast Company, Business Insider, Yahoo Finance, HLTH, Worth, Star Tribune, and The Flow Space by SHE Media.
The Newsletter
Get Evidence-Based Insights Delivered
New findings from our research, what the data means for your benefits, and where we are speaking next.
Common questions
Everything you need to know about getting started with workplace menopause support.
How is this different from other menopause programs?
Many programs focus on standalone manager training. One evaluation found that training raised managers’ knowledge and confidence, but four weeks later managers were no more likely overall to have held a menopause conversation (Hardy et al., 2019). We build universal compassionate leadership capability that supports all life transitions without singling out any one group of employees. The 3H Framework™ brings organizational psychology and 22 years of biopharmaceutical experience to your benefits.
How long does implementation take?
The audit takes six to eight weeks and ends with a presentation to your leadership team. We start with the benefits you already have before recommending anything new.
Do we need a large budget?
No. The 3H Healthcare Access Audit identifies gaps in what you already have. Often, organizations already have what employees need. They just do not know those benefits exist. We maximize the return on current investments before adding new programs.
Get started
Ready to build your menopause support strategy?
On a discovery call, we look at how your current benefits support employees in menopause and show you what the audit would cover.
Questions? Email kacy@thefuchsiatent.com