About Us

About the Research

Confidential & Covered is funded by the Office of Population Affairs (OPA) to understand the impact of the Affordable Care Act (ACA) on Title X providers. The research project seeks to understand the internal and external factors that may prevent or support the ability of Title X providers to be reimbursed for the full range of services they provide. Over three years, the project will study how Title X providers currently seek reimbursement for patients in need of private payment, the legal framework that shapes consumer communications (such as explanation of benefits) policies, and identify promising approaches to help providers mitigate revenue loss due to the provision of confidential services.

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 includes 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. Additionally, the research project has access to in-house expertise on Medicaid and health care delivery. These advisors create 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, will study the impact of health system changes resulting from the ACA on Title X centers. The Collaborative will analyze whether or not service sites continue to see a disproportionate number of uninsured patients, and if so, why. In addition, the Collaborative will assess the long-term factors affecting the sustainability of Title X centers, including costs, billing, and reimbursements. The Collaborative partners will also conduct 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 funded organizations will work to inform each other’s analyses and best present the picture of how the ACA is impacting service delivery in the Title X program. Additionally, the Collaborative will offer steps that providers can take to most effectively reach and serve patients in need of quality-- and sometimes confidential-- family planning services under the ACA.

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

Confidential & Covered is here to help by gathering tools, documents, and ideas from the field about how Title X health centers can mitigate revenue loss due to the provision of health care that does not breach patient privacy. If you have an idea or document to share or need assistance, contact Amanda Mulligan at amulligan@nfprha.org  or 202-552-0146.