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Health Care Financing to Improve Availability of Affordable Contraception: Identifying Promising Practices

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Effective family planning that meets an individual’s needs, values, and preferences is a critical element of high-quality health care for women. Despite the well-documented role of family planning in improving maternal and infant health outcomes, persistent financial obstacles create barriers to care for many women. An ad hoc committee of the National Academies of Sciences, Engineering, and Medicine will review programs that aim to improve availability and affordability of contraception and identify effective strategies to inform future policy and practice.

Open until March 19, 2026, 11:59 PM EDT
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Description

The National Academies of Sciences, Engineering, and Medicine will convene an ad hoc committee to review programs that have used health care financing mechanisms to improve availability and affordability contraception through Medicaid, Medicare, state programs, private insurance, employer-sponsored health plans (private and public [Department of Defense, Office of Personnel Management]), and federal grants programs (Title V, Title X, Community Health Centers, Veterans Affairs, and Indian Health Service). In reviewing existing research, as well as case studies of selected pilot and implemented programs, the study will seek to distill lessons learned from various initiatives across the nation, identify effective strategies, and provide evidence-based recommendations to inform policy, practice, and future program development. In reviewing pilot and implemented programs, the committee will consider the following:

  • Program design, the legislative and regulatory authorities on which they are based, and their implementation and outcomes;
  • Key barriers and facilitators to the success and outcomes of these initiatives, including financial and structural factors, as well as how the statutory and regulatory flexibilities on which these programs are based may have either advanced or inhibited their efficacy;
  • The impact of health care financing mechanisms on affordability of contraception for communities at greatest risk for poor access;
  • The performance measures used to determine if program approaches are meeting their aims;
  • The cost-effectiveness, sustainability, and replicability of successful financing models that have improved access to these services; and
  • Integration of community involvement and engagement, technology, and alternative care providers (such as pharmacists and community health workers)

Based on this review, the committee will provide evidence-based recommendations for policymakers, governmental program decisionmakers, health care providers and payers, philanthropic, community-based and non-profit (or non-governmental) organizations, and other interested parties to inform future efforts in this area.

Contributors

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Give feedback on committee Open until March 19, 2026

Comment on Provisional Committee Appointments

Viewers may communicate with the National Academies at any time over the project's duration. In addition, formal comments on the provisional appointments to a committee of the National Academies are solicited during the 20-calendar day period following the posting of the membership and, as described below, these comments will be considered before committee membership is finalized. We welcome your comments (Use the Feedback link below). Please note that the appointments made to this committee are provisional, and changes may be made. No appointment shall be considered final until we have evaluated relevant information bearing on the committee's composition and balance. This information will include the confidential written disclosures to The National Academies by each member-designate concerning potential sources of bias and conflict of interest pertaining to his or her service on the committee; information from discussion of the committee's composition and balance that is conducted in closed session at its first event and again whenever its membership changes; and any public comments that we have received on the membership during the 20-calendar day formal public comment period. If additional members are appointed to this committee, an additional 20-calendar day formal public comment period will be allowed. It is through this process that we determine whether the committee contains the requisite expertise to address its task and whether the points of views of individual members are adequately balanced such that the committee as a whole can address its charge objectively.

Sponsors

Arnold Ventures

Private: Non Profit

Staff

Alex Helman

Lead

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