Health Information Technology

Almost half of US counties face a “double burden” of chronic disease and a need for greater broadband connectivity, according to a new report filed with the Federal Communications Commission. The report comes from an advisory committee that was set up to identify barriers to telehealth and recommend solutions. The majority of “double burden” areas fall into what the report calls “clusters” of five or more counties with total populations exceeding 100,000.

The Schools, Health & Libraries Broadband (SHLB) Coalition petitioned the Federal Communications Commission to reconsider certain portions of its “Promoting Telehealth in Rural America” Report and Order (R&O).

The Chicago Tribune recently published test results indicating that some cellphones can emit radiation causing exposure up to five times higher than current limits allow. This shocking data comes on the heels of the government of France’s revelations that phones emit radiation between four and 11 times their allowable limits. For more than a decade, the Federal Communications Commission has knowingly relied on unrealistic test methods to evaluate radiofrequency radiation from a single phone selected for testing by major manufacturers.

Access to health care is a critical problem in many rural areas of the United States. Few physicians choose to practice in rural counties, according to the National Rural Health Association, yet the rural population is, on average, older and more in need of medical care. Census Bureau data show that 18 percent of the rural population is age 65 or older, compared with 13 percent in urban areas. Rural clinics and hospitals are consolidating or closing, leaving people to drive long distances to see doctors. Policymakers are counting on telemedicine to fill in the gaps.

The International Economic Development Council (IEDC) and I teamed up to survey the association’s members.

The Federal Communications Commission reformed the Rural Health Care Program (RHC) aiming to ensure limited program funds are disbursed efficiently and equitably, promote transparency and predictability in the program’s administration, and strengthen safeguards against waste, fraud, and abuse. The action takes a number of steps to reform the distribution of RHC funding, in particular by revising the rules governing the Telecom Program to simplify calculation of the urban rate—the amount health care providers pay—and the rural rate—the amount that service providers receive.

Fewer than 10% of US physicians practice in rural communities, where 25% of Americans live. Yet, rural Americans may need more health care as they become increasingly older and sicker relative to their urban counterparts. Telemedicine has been proposed as a solution to improve access to care. Federal and state policymakers have enacted policies to expand telemedicine use among publicly and commercially insured beneficiaries. However, whether Americans with the poorest access to care have the necessary broadband Internet capability to fully benefit from telemedicine is unknown.

With this Order, the Federal Communications Commission takes necessary steps to provide full funding for all eligible services requested from the Rural Health Care universal service support mechanism (RHC Program) for the 2018 funding year (FY). In FY 2018, multi-year and upfront payment funding requests filed during the window sought support exceeding the $150 million funding cap for those payments. FCC rules would require the Universal Service Administrative Company (USAC) to prorate requested support received by eligible health care providers.