
@ShahidNShah
Even as telehealth adoption and utilization soared amid the in-person care restrictions of the COVID-19 pandemic, it quickly became apparent that expanding telehealth access equitably is easier said than done.The public health emergency (PHE) threw into sharp relief the disparities in the digital healthcare arena, from income and housing insecurity to race and age-related barriers. As researchers delved into the various social determinants of health (SDOH) hurdles hindering virtual care, a particularly trenchant one emerged: lack of broadband access.Broadband, or high-speed internet, allows people to access the internet at significantly higher speeds than dial-up services, according to the Federal Communications Commission (FCC). The high speed is facilitated through various digital transmission technologies that move text, images, and sound as “bits” of data. These include digital subscriber lines (DSL), cable modems, fiber, wireless, and satellite technologies.
Though the FCC has taken a glass-half-full approach to progress made in broadband availability over the last few years, independent research shows that the problem is more widespread than FCC reports show.For instance, the agency’s 2021 Broadband Deployment Report noted that 14.5 million Americans lacked access to 25/3 Mbps broadband service at the end of 2019, down from 18.1 million at the end of 2018. Additionally, the report states that the gap between urban and rural Americans with access to 25/3 Mbps fixed broadband service fell from 30 percentage points at the end of 2016 to 16 percentage points at the end of 2019.
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There are significant reasons to be optimistic about the impact that value-based care can have on equity, cost savings, and overall health outcomes. But the transition towards a value-based model of …
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