Research 

Confidential & Covered research wanted to understand the factors that may make it difficult for Title X-funded family planning providers to seek reimbursement due to patient privacy concerns. The project conducted legal and policy analysis, a nationwide environmental scan of Title X-funded provider practices, and revenue cycle analysis. Research findings and publications will be published here as they become available. 

All research findings and publications are available below.

Publications

Impacts of an Intervention to Improve Screening for Patients’ Health Insurance and Need for Payment Privacy in the Title X Network (PDF) - A research paper that examines the impact of an insurance screening intervention and staff training on health center staff knowledge and skills, and billing outcomes (2017). 

Workbook on Screening for Clients’ Health Insurance and Confidentiality Needs (PDF)A compilation of the materials developed for the implementation of the insurance screening intervention and staff training and lessons learned from pilot sites’ experiences (2017).

Insurance Screening Intervention Staff Training (pptx) - A sample training PowerPoint highlighting the importance of maintaining patient confidentiality and billing third-party payers for health center sustainability (2017).

Insurance Screening Intervention Staff Training Webinar -
 Password required: confidential&covered
A training webinar highlighting the importance of maintaining patient confidentiality and billing third party payers for health center sustainability.

Insurance Screening Data Collection Tool 
(Excel)Insurance Screening Data Collection Instructions (PDF) - A data collection tool and its instructions for use that was implemented at health centers during the screening protocol intervention that tracks encounter-level details for patients that choose to use and opt not to use insurance (2017).

Protecting Patients’ Privacy in Health Insurance Billing & Claims:A Perspective from Six States
(PDF) - A report that identifies salient themes and an overview of lessons learned across the six states profiled by the Confidential & Covered policy team (2017).

Protecting Patients’ Privacy in Health Insurance Billing & Claims: An Illinois Profile (PDF)
Protecting Patients’ Privacy in Health Insurance Billing & Claims: A Maryland Profile (PDF)

Protecting Patients’ Privacy in Health Insurance Billing & Claims: An Oregon Profile (PDF)
Protecting Patients’ Privacy in Health Insurance Billing & Claims: A Colorado Profile (PDF)
Protecting Patients’ Privacy in Health Insurance Billing & Claims: A Washington Profile (PDF)
Protecting Patients’ Privacy in Health Insurance Billing & Claims: A California Profile (PDF)

Revenue Loss Tool Summary Report (PDF), Revenue Loss Tool Wookbook (Excel) & Revenue Loss Tool Instructions (PDF) - A tool, its instructions for use, and a summary report for Title X grantees and subrecipients to estimate the magnitude of revenue loss occurring in service sites due to forgoing third-party reimbursement to maintain patient privacy and a summary report on its use (2017).

Title X Network Perspectives on Confidentiality and Billing  (PDF) - A research paper that examines the factors influencing providers' capacity to bill insurers for confidential services and offers recommendations for health centers (2016).

Confidentiality, Third-Party Billing, & The Health Insurance Claims Process: Implications for Title X  (PDF) - A white paper that explores existing and developing federal and state policies that impact Title X providers’ capability to bill for confidential services (2015).

Proactive Policies to Protect Patients in the Health Insurance Claims Process  (PDF) - A policy guide which includes a decision tree for understanding how policies may be implemented in your state and potential solutions (2015).

 

 

Word Cloud: A visual representation of key words from the research describing service site staff knowledge of confidentiality requirements. 



Presentations

The Impact of Health Systems Changes on the Title X Network Webinar

NFPRHA, Guttmacher Institute, and Altarum Institute recorded a webinar detailing the final research findings from the each project under the ACA Collaborative and present a summary of available resources.  Click here to access the OPA-moderated webinar, accompanying transcript, and webinar slides now available on the Family Planning National Training Center website. 

Webinar Transcript  (PDF)
Webinar Slides (PDF)


NFPRHA Membership Call (October 26, 2016)

Interested in doing a fall tune-up of your revenue cycle policies? NFPRHA has two tools for health centers to examine their current revenue cycles – including ways health centers can strengthen practices to increase financial sustainability. Join Daryn Eikner and Amanda Kimber to learn about how to use the Family Planning Revenue Cycle Assessment Tool and the Confidential & Covered Revenue Logic Tool.

Recording of the special membership call (MP3)
PowerPoint Presentation (PDF)


Confidentiality: Implications for Accesss to Sexual and Reproductive Health Care Webinar (March 7, 2016)

The National Health Law Program’s Reproductive Health Data and Accountability Project hosted a webinar addressing implications of confidentiality protections on access to sexual and reproductive health care. Featuring presenters from NFPRHA's Confidential & Covered project and NHeLP, the webinar addressed federal law requirements, areas of concern (including billing, claims processing, and communications from insurance companies), and state-based efforts to strengthen protections.

Recording of the webinar
PowerPoint Presentation (PDF)


NFPRHA Membership Call (January 27, 2016)

An update on NFPRHA’s research under Confidential & Covered that featured Abigail English of the Center for Adolescent Health & the Law to discuss policy highlights from California, Colorado, and Washington State and Leah Masselink from The George Washington University Milken Institute School of Public Health to discuss findings from the research report. 

Recording of the call (MP3)
PowerPoint Presentation (PDF)