Health Information Technology

What is the economic benefit of the Affordable Connectivity Program to the health care system? In short, there are many ways that telehealth can reduce costs and improve outcomes.

Myrna Broncho realized just how necessary an internet connection can be after she broke her leg. Broncho needed nine surgeries and rehabilitation that took months.

Unlike in the past, internet connectivity isn’t a luxury—it’s as necessary as electricity. But currently, this critical lifeline for veterans hangs in the balance as the Affordable Connectivity Program (ACP) approaches the end of its funding at the end of May. The ACP is a key factor in ensuring all veterans have connectivity, especially in rural areas. For many, the ACP can be life-saving.

The rapid transition to a digital front door of healthcare prompted by the pandemic made evident disparities in who had access to digital tools. Like other healthcare organizations, at the beginning of the pandemic, we found disparities in access to patient portals and video visits. Digital disparities are driven by multiple factors including lack of internet access, devices, language-adapted platforms as well as limited digital literacy.

The House Commerce Committee's Subcommittee on Health voted to pass a two-year Medicare telehealth extension along with other legislation that expands reimbursement for health tech. The sponsor of the telehealth extension bill, Rep Buddy Carter (R-GA), said he sees no obstacles to the telehealth extension passing the full committee, nor any significant issues for the Commerce and Ways and Means Committees to come to an agreement on a two-year telehealth extension.

Though telehealth has the potential to significantly expand healthcare access, social determinants of health (SDOH) challenges like housing insecurity can hinder this access, depriving already vulnerable populations of much-needed healthcare services.

Reps. Mike Kelly (R-PA), Mike Thompson (D-CA), and Adrian Smith (R-NE)  introduced H.R. 8151, bipartisan legislation that would permanently expand the list of practitioners eligible who provide telehealth services to include qualified physical therapists, occupational therapists, speech language pathologists, and audiologists. Currently, these practitioners do not have permanent authorization to deliver electronic or virtual care to their patients. Families have come to rely on telehealth since the COVID-19 pandemic.

Reps Greg Murphy (R-NC-3), Michael Burgess (R-TX-26), Derrick Van Orden (R-WI-03), and Troy Nehls (R-TX-22) reintroduced legislation to permanently extend telehealth services for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Current Medicare telehealth flexibilities for FQHCs and RHCs, previously extended by Congress under the Consolidated Appropriations Act of 2023, expire on December 31, 2024. 

As states continue to enact new restrictions on reproductive care since the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, access to critical reproductive health care services have been severely threatened. Medications prescribed after a telehealth visit present a safe and effective option; expanding telehealth for prescriptions would increase access to and equity in the provision of reproductive health care. This study identifies practical and near-term opportunities to expand equitable access to women's telehealth care across the United States.

Telemedicine use remains substantially higher than it was before the COVID-19 pandemic, although it has fallen from pandemic highs. To inform the ongoing debate about whether to continue payment for telemedicine visits, this report estimated the association of greater telemedicine use across health systems with utilization, spending, and quality. In 2020, Medicare patients receiving care at health systems in the highest quartile of telemedicine use had 2.5 telemedicine visits per person, compared with 0.7 telemedicine visits per person in the lowest quartile of telemedicine use.