About Us

About the Research

Confidential & Covered  was a three-year research project funded by the US Department of Health & Human Services’ Office of Population Affairs as part of its Affordable Care Act Collaborative. The project was designed to identify policies and practices to mitigate revenue loss at Title X family planning providers due to the provision of confidential health services. The project’s purpose was to improve health centers’ sustainability and preserve one of Title X’s core principles, namely the provision of confidential care for patients served by this essential program. 

Research Project Staff

Clare Coleman
Principal Investigator
President & CEO
National Family Planning & Reproductive Health Association

Daryn Eikner
Vice President of Health Care Delivery
National Family Planning & Reproductive Health Association

Amanda Mulligan
Research Associate
National Family Planning & Reproductive Health Association

Robin Summers
Vice President, Health Care Strategy & Analysis
National Family Planning & Reproductive Health Association

Research Advisors

Confidential & Covered included researchers at The George Washington University’s Milken Institute School of Public Health, the University of California’s Bixby Center for Global Reproductive Health, and the Center for Adolescent Health and Law. The research project also had access to in-house expertise on Medicaid and health care delivery. These advisors created a team well-versed in research, policy, health care delivery, and the safety net. 

Claire Brindis
Bixby Center for Global Reproductive Health

Abigail English
Center for Adolescent Health & Law

Susan F. Wood
Associate Professor of Health Policy
Milken Institute School of Public Health
The George Washington University

The ACA Collaborative

In August 2014, the Office of Population Affairs (OPA) allocated Title X funds to create the Affordable Care Act Collaborative (Grant Number 1 FPRPA006059-01-00). The three primary grantees, namely the Guttmacher Institute, NFPRHA, and Altarum Institute, studied the impact of health system changes resulting from the ACA on Title X centers. The Collaborative analyzed whether or not service sites continued to see a disproportionate number of uninsured patients. In addition, the Collaborative assessed the long-term factors affecting the sustainability of Title X centers, including costs, billing, and reimbursements. The Collaborative partners will also conducted qualitative and quantitative analyses of how state Medicaid and commercial insurance reimbursement policies impact Title X centers, particularly around the issues of billing and confidentiality.

The views expressed by this project do not necessarily reflect the official policies of the US Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply official endorsement by the US Government.

Contact Us

If you have any questions or concerns about the Confidential & Covered  project or confidentiality, please contact Amanda Mulligan at amulligan@nfprha.org  or 202-552-0146.