REPORT:BRIDGING THE BROADBAND HEALTHGAP: How High Speed Internet Access is a ‘Super’ Social Determinant of Health

The Benton Institute for Broadband & Society and Center for Health Law  and Policy Innovation have released a report that looks at the impact (and potential) of broadband on health care. They report…

This brief explores the ways broadband and healthcare stakeholders can work together to close the broadband health gap.

The make the case for connection between broadband and health…

The outline numerous ways broadband facilitates healthcare and the benefits. Here’s one example:

Remote Patient Monitoring
Digital devices are increasingly used to monitor patient health,12 including blood pressure cuffs, glucometers (to test blood sugar), pulse oximeters (to check blood oxygen levels), ECGs (to capture heart function), wearable activity trackers, Bluetooth thermometers, and scales.13
Remote patient monitoring can improve diabetes care, hypertension, cancer treatment, and chronic obstructive pulmonary disease.14 The American College of Obstetricians and Gynecologists (ACOG) advocates for remote patient monitoring for pregnant and postpartum women due to similar outcomes but fewer higher risk in-person visits.15
In some instances, a remote patient monitoring device is equipped with its own independent network, allowing patients without general internet access to send data from their homes to their care team in real time.16 However, this practice is rare.

There’s a nice chart on how Broadband Impacts All Other Social Determinants of Health…

The offer some high level actions and include a more detailed plan. I’ve included just the high level points – but the detailed plan is worth checking out.

Key Action 1: Screening for Broadband Access and Digital Literacy

Key Action 2: Collaboration with Community Anchor Institutions

Key Action 3: Establish a Broadband-Healthcare Working Group

And a conclusion – but the power in this report is really in the visually presented details…

High-speed internet enables a wide range of healthcare services, from telehealth to hospital at-home programs. By influencing other key social determinants of health—including housing, transportation, education, employment, and access to food—broadband serves as a ‘super’ social determinant of health. Efforts that improve access while prioritizing patients, empowering communities, strengthening the role of anchor institutions, and enabling stakeholder collaboration are winning solutions that build a stronger foundation to close the broadband health gap.

EVENT April 7: Webinar on Telehealth Access Points and Digital Navigation

For a niche crowd, but sounds like a great resource…

Upper Midwest Telehealth Resource Center April 7, 2026 webinar session Digital Navigation and TAPs: Tools and Partnerships for Increasing Healthcare Access. Join us from 1PM-2PM (EST) as they host myself, Jaleen Johnson with the Northwest Regional TRC, and Abi Waldrupe of the National Digital Inclusion Alliance as they share about Digital Health Navigation.  Highlighting tools and relationships that will benefit your organization as you seek to increase access to healthcare within your communities. 1 (one) Category I CEU will be made eligible for this session for Ohio and Indiana partners who attend.

Register here, if you are interested in attending.

Study finds that telehealth has supports older adults, even post-pandemic

Grand Rapids Herald Review reports…

In just a few years, telehealth has become a central part of how health care is delivered in the United States – and it is likely to continue to play an important role in the health care system.

Before 2020, patients rarely got their health care virtually. About 1.7% of Medicare patients – 910,490 people – used telehealth for medical appointments in 2019. These were mostly patients in rural areas, and only certain clinics were authorized to offer it.

But during the COVID-19 pandemic, the federal government expanded telehealth coverage for people insured by Medicare to make it easier for patients to maintain access to health care. Many insurance companies did, too. The number of Medicare patients using telehealth services jumped to 53% in 2021, corresponding to nearly 28.3 million telehealth users at the peak of the pandemic.

While telehealth appointments overall – not just for people with Medicare coverage – have dropped since the height of the pandemic, they remain much higher than pre-pandemic levels, according to data from Epic, the largest electronic medical record company in the U.S.

Legislation passed in 2021 made Medicare’s coverage of telehealth permanent for mental health services. But coverage for accessing care via telehealth for other types of health conditions, such as respiratory infections or diabetes, is set to expire in 2027 – and policymakers are still deciding whether to continue it.

Our findings underscore the important role that telehealth has come to serve in enabling older adults to access health care for all types of acute and chronic medical conditions. Emerging research suggests it can help them see their providers more consistently without compromising the quality of care compared to in-person visits.

Limiting access to telehealth services could reverse recent gains in access for older adults – particularly for patients who have geographical or health limitations that can make getting to in-person appointments challenging.

EVENT March 11: Upcoming Webinar | Broadband and Healthcare: Collaboration, Funding, and Policy

From the Benton Institute for Broadband & Society

Join the Benton Institute for Broadband & Society on March 11 at 3:00 p.m. ET for a webinar about the intersections of health, broadband access, and digital inclusion. The relationships tying technology access and use to access to health care, quality of care, and health outcomes have become more visible than ever. As health care and digital inclusion organizations alike recognize that connectivity, devices, and digital skills shape our health, collaboration across sectors is essential.

This webinar will offer ideas for how organizations can collaborate, illustrated with real-world examples. The conversation will also address how health care funding sources can be marshaled to support patients’ and providers’ access and use of technology, as well as the policy considerations associated with expanding technology-enabled healthcare.

Available on the Benton Institute for Broadband & Society’s YouTube page, the webinar will feature Benton Opportunity Fund Fellow Sara Raza, discussing a series of issue briefs about broadband access and healthcare that she authored, published jointly by Benton and the Center for Health Law and Policy Innovation of Harvard Law School.

Sara Raza, currently Visiting Lecturer at the University of Washington School of Law, will moderate a discussion with:

  • Matt Christie works for the Washington State Health Care Authority in the office of the Medicaid Transformation Project. He oversees the development and implementation of the Health-Related Social Needs (HRSN) services under the state’s 1115 Medicaid waiver. Prior to this work, Matt led the state’s Foundational Community Supports program, which delivers crucial supportive housing and supported employment services to the state’s most vulnerable Medicaid recipients.
  • Jon Morrison Winters is the Digital Equity Program and Broadband Manager for the City of Seattle. Prior to coming to Seattle IT in 2022, Jon was a planner with Aging and Disability Services, the Area Agency on Aging for King County, Washington. He holds a Master of Urban Planning degree from the University of Washington.
  • Amy Sheon is a Digital Health Equity Consultant in Rockville, Maryland, helping ensure that all individuals are able to use technology for health and health care. Amy holds adjunct faculty positions at Case Western Reserve University School of Medicine and Arizona State University. She co-authored Digital Inclusion is a Social Determinant of Health (2021, NJP Digital Medicine) and two recent Policy Briefs for Health Affairs. Amy holds a PhD in Public Health from Johns Hopkins University.
  • Jamila McLean is the Director of Health Equity for the State Health and Values Strategies program at Princeton University. She supports states in their efforts to transform healthcare systems to be more affordable, equitable, and innovative. Throughout her career, she has championed policy and practice innovations that improve access to Medicaid and other healthcare-related benefits, providing technical assistance to state agencies and their partners. She also conducted research at the Rutgers Institute for Health focused on understanding the role of race, ethnicity, and nativity status on the physical and mental health outcomes of African Americans and Black Caribbeans. She holds a Master of Public Health from the Rutgers School of Public Health and a B.S. from the Rutgers Edward J. Bloustein School of Planning and Public Policy.
  • Dr. Pablo Buitron de la Vega is a general internist and preventive medicine physician with a longstanding interest in health professional education and the impact of patients’ attitudes, health beliefs, and social determinants of health (SDOH). He provides clinical care to a majority of Hispanic and Latino patients, an underserved population in healthcare. He is also Program Director of the Boston University Chobanian & Avedisian School of Medicine (BUSM) Preventative Medicine Residency and an Assistant Professor of Medicine. Dr. Buitron de la Vega is the Medical Director for Boston Medical Center (BMC) THRIVE, a program that systematically screens patients for SDOH and refers them to resources when requested.

Tune in to learn more about the ways in which digital inclusion and healthcare organizations can join forces and contribute to healthy, connected communities.

Register here

MN Broadband Task Force meeting Feb 2026: Rural Health Research and Technologist Computers

The Broadband Task Force met today. Their stated goal is to focus on education in the first few months of the year. Today they heard from folks at the Mayo on rural health research and from a Task Force member Ini Augustine who does digital equity work in Hennepin County through Technologist Computers. They also got an update from the Office of Broadband Development.

Meeting Agenda Continue reading

EVENT Feb 18: MN Broadband Task Force February meeting – Rural Health Research

From the Office of Broadband Development…

Agenda: Broadband Task Force, February Meeting

Date: 2/18/2026

Join the meeting now.

  • Meeting ID and Pass Code: 226 514 117 478 07 and mi9iF756
  • Dial in by phone: +1 651-395-7448,,802366705# Phone conference ID: 802 366 705#
  • Join on a video conferencing device: mn@m.webex.com Video ID: 114 382 750 2

Meeting Agenda

10:00 a.m. – 10:15 a.m.

Welcome from Teddy Bekele, Chair, Minnesota Governor’s Task Force on Broadband and approval of minutes from January Task Force meeting.

10:15 a.m. – 10:55 a.m.

Rural Health Research: Understanding Digital Access to Improve Community Health with Tabetha Brockman, Assistant Professor of Psychology, Program Manager, Mayo Clinic Center for Clinical and Translational Science (CCaTS) Rural Health Research Core and Ilaya Rome Hopkins, Community Engagement Coordinator, MCCCC & CCaTS Rural Health Research Core.

10:55 a.m. – 11:15 a.m.

Office of Broadband Development (OBD) overview and updates from Bree Maki (Executive Director, OBD).

11:15 a.m. – 11:30 a.m.

Open the floor to other business, no meeting in March, and meeting wrap-up.

Success of Mobile Health in State Rural Health Transformation Plans, including MN

Georgetown University reports on Mobile Health in State Rural Health Transformation Plans…

Hundreds of rural hospitals across the country are operating on thin margins, and recent federal policy proposals threaten to exacerbate that strain. Provisions in H.R. 1 are projected to reduce federal funding to hospitals and other providers by more than $1 trillion, putting many rural facilities at risk of service reductions or closure. In an attempt to mitigate some of these challenges, H.R. 1 established the Rural Health Transformation Program (RHTP), allocating $10 billion annually over five years to assist states in modernizing rural health care infrastructure, expanding access to care, and improving patient outcomes.

Minnesota is mentioned…

Our research indicates that mobile health models can expand access to care in rural communities by reaching populations facing geographic and broadband barriers. Mobile health care can increase preventive caresupport chronic disease management, and link patients to follow-up care. For instance, a program in rural Minnesota launched a mobile-telehealth hybrid model, allowing patients to avoid 30–60 mile trips for primary care.

Patients frequently report high satisfaction with the convenience and quality of mobile health services in rural areas. Some programs are also associated with reduced emergency department use and potential system-level cost efficiencies. For example, a rural South Carolina community paramedicine program helped patients lower their blood pressure and blood glucose levels while also reducing emergency department visits.

The sustainability of mobile health programs often depends on stable funding, strong community partnerships, and referral networks that allow mobile services to act as a gateway to additional care.

Minnesota’s Minnesota Rural Health Transformation is held up as a standout…

Minnesota stands out for its integration with Tribal health organizations and its focus on dental and primary care. Mobile medical and dental units provide preventive screenings, basic primary care, restorative dental services, and lab work, while telehealth links patients to specialty care. The state also positions mobile units as extensions of FQHCs and community clinics, embedding care within existing referral networks and using community sites such as schools for service delivery and workforce training.

Minnesota’s RHTP application and press release.

They are also hosting a virtual discussion on how state policymakers can better support mobile health clinics and improve access to care at 1pm ET on February 13. Register here.

Minnesota awarded almost all of requested $200M federal grant to boost rural health care

The Minnesota Star Tribune reports

Fearing political reprisals from President Donald Trump’s administration, Minnesota leaders were relieved late last month when they received almost all of the $200 million in federal grants they requested to boost rural health care in the state in 2026.

Now they have precious few months to invest the $193 million in areas such as telehealth and rural training and show progress before the 2027 funding application deadline hits this summer. The Minnesota Department of Health (MDH) is adjusting its health goals based on the actual award and soon will court hospitals, clinics, public health agencies and tribes to use the money and prove it makes a difference.

2025 Minnesota Rural Health Policy Summit Report: no mention of broadband

The 2025 Minnesota Rural Health Policy Summit Report looks at five policy priority area definitions

  • Access: Ensuring all Minnesotans—regardless of geography—can obtain timely, affordable, and individually appropriate care.
  • Funding: Advocate for sustainable and equitable funding models that reflect the unique needs of rural providers and communities.
  • Innovation: Promoting rural-centered innovation in care delivery, technology, and community partnerships to ensure sustainability.
  • Regulation: Supporting regulatory frameworks that protect patient safety and reduce administrative burdens that build flexible rural health systems.
  • Workforce: Strengthening the rural health workforce by expanding education pathways, incentivizing rural practice, and embracing community-rooted solutions

I was expecting “access” to discussion access to broadband with an eye toward using telehealth. It didn’t. I don’t have a lot more to say about that, except that broadband – and telehealth – weren’t hot topics.

The exception was a mention of remote access under the umbrella of innovation…

Policy solutions focused on payment or incentive solutions that focus on prevention, address specific needs, or provide specific services, have controls for security, and means to monitor outcomes. The group emphasized that innovations should integrate environmental impacts. Policy suggestions include making the virtual visits telehealth extender permanent and aligning payments for virtual visit models with in-person visit models.

The extension of funding will help those who can access online visits but still leaves out those without adequate broadband.

EVENT April 7-9: Telehealth Everywhere 2026

From the Midwest Telehealth Edition

TELEHEALTH EVERYWHERE! is a regional telehealth conference for executives, providers, managers, staff engaged in the delivery of telehealth services.

April 7, – 9, 2026

Hyatt Regency at the Mall of America 3200 East 81st Street
Bloomington, MN 55425 United States

Hubbard County Veterans Service Officer telehealth program was nominated for two awards

The Park Rapids Enterprise reports

“Bjerke is the embodiment of ‘service over self’ and brings that level of commitment to his job every day, serving veterans,” wrote Hubbard County Administrator Jeff Cadwell.

The VSO’s Accessing Telehealth through Local Area Stations program was nominated for the AMC Outstanding County Achievement Award.

“The VSO jumped at the chance to create this unique service for area veterans. Assistant VSO Aaron Majors was instrumental in navigating the project’s requirements to get this service up and running,” Cadwell reported. “While not chosen for the awards for which they were nominated, we thank them, their entire department, and their dedicated volunteers, for their sacrifice and commitment to our country and to Hubbard County.”

Fewer headaches thanks to telehealth resources for Deer River students

KAXE reports

For some Deer River students, seeing the doctor means a full day out of school.

“Most of it is transportation and getting up to Cass Lake for an appointment, if they have one,” explained district employee Susan Nelson. “And that can be an all-day affair. You’re 60 miles up and 60 miles down.”

The Deer River Public Schools district overlaps with the Leech Lake Band of Ojibwe Reservation, including the communities of Ball Club and Inger, and Nelson said almost of half of Deer River students are Native American. Many are covered by the Indian Health Service, meaning getting care can present a significant travel burden.

There’s an Essentia Health clinic and hospital just a mile from Deer River High School, which can make appointments easy for some families. But even then, parents and guardians still have to take time away from work to get their kids to appointments — another barrier to health care.

A new program is trying to address those challenges with just an iPad and a quiet room.

Deer River launched its telehealth program with help from Essentia in October. Nelson is the project manager.

The process itself is pretty straightforward. On the iPad, Nelson has set up video conferencing apps like Microsoft Teams and Zoom and health care programs like MyChart.

If a student has an appointment, they log in on the iPad, which they can connect to a TV if they’d like. Then Nelson steps out of the room — which is also her office — until they’re done.

Mental health care is scarce for BIPOC residents in rural MN. Telehealth can help

KAXE reports

Finding a mental health provider in rural areas is hard but Minnesota researchers said it is much harder for communities of color in small towns and a new report laid out specific obstacles to care and solutions showing hope.

The Center for Rural Policy and Development said rural communities across the state are becoming more diverse but the center’s latest report showed there is still little awareness about the mental health needs of people of color in these areas. Lack of insurance, stigma, and trust issues are factors complicating the issue.

Marnie Werner, vice president of research and operations at the center, said refugee and immigrant populations also tend to be isolated from their small-town neighbors.

The article offers some solutions…

Recommendations in the report include identifying mentors who can work with students of color, in hopes they will eventually take on mental health care roles in their communities or become school social workers. The report also cited a move by the state Legislature last year to adopt licensure reforms. Backers said it could open more career pathways in the mental health field.

The report talks more about telehealth

Telehealth can especially help rural people of color access appropriate, effective mental healthcare, says Terica Toliver, Senior Director of Clinical Therapy at Louisiana-based Iris Telehealth, which provides therapy via telehealth through her contract with ElevaCare in Southwest Minnesota. Telehealth gives people of color a broader range of providers to choose from, including providers who share the same racial and cultural backgrounds.

It’s not a perfect solution, however. Hundreds of thousands of Minnesotans don’t have access to the broadband internet service required for telehealth to work reliably,[26] and telehealth isn’t for everyone. Some patients simply don’t feel comfortable talking to a stranger about their mental health on a digital screen.

Report indicates issues with rural healthcare in rural MN – telehealth his not bridging the gap

The Timberjay reports

Rural Minnesota is aging more rapidly than the rest of the state, and northern St. Louis County is part of that trend. Older adults already make up a growing share of the population, outnumbering children in many rural communities. The 2025 Minnesota Rural Health Care Chartbook, released Monday by the Minnesota Department of Health, outlines how that demographic shift is colliding with signs of strain across the rural health care system.

One of the clearest indicators is in emergency medical services. Minnesota saw a net loss of 542 EMS certifications last year, MDH reported, a decline that is being felt most sharply in rural areas. Small departments often have a limited number of responders, so even one or two departures can reduce coverage and extend response times. The trend arrives as the region’s population grows older, increasing the number of medical calls that depend on a prompt EMS response.
That context matters when looking at the report’s findings on stroke care. MDH notes that access to stroke-capable hospitals has improved substantially, with roughly 84 percent of rural residents now living within a 30-minute drive of a designated facility. The expanded hospital readiness is a clear gain, but its effectiveness hinges on the first link in the chain. Without adequate EMS staffing to reach patients quickly, the benefit of having more stroke-ready hospitals within driving distance becomes harder to realize.

Telehealth is mentioned as a possible solution that isn’t living up to potential…

Telehealth, which expanded rapidly during the early years of the pandemic, has not filled the gap as broadly in rural Minnesota as hoped. MDH notes that rural residents used telehealth at lower rates than urban residents over the past year. While the report estimates that around one in ten rural Minnesotans lacks adequate broadband for video visits, the experience within northern St. Louis County suggests the number may be higher in some areas. Broadband access remains inconsistent, and in locations where fiber has not reached, video-based care can be unreliable. The variation limits the effectiveness of telehealth as a substitute for in-person services.

Minnesota applies for $1B in rural health care funds to offset Medicaid cuts especially in rural MN

I wrote about the $1 billion application earlier; MPR News takes a deeper look

Minnesota has applied for a share of $50 billion in federal funding for rural health care that was approved by Congress as part of President Donald Trump’s One Big Beautiful Bill Act.

The Minnesota Department of Health applied for $1 billion over five years. Its 62-page application lays out detailed plans for the funds, including fellowships aimed at getting more medical students training and working in rural areas, adding more telehealth opportunities and providing more preventative care screenings in local venues, such as schools, pharmacies and tribal clinics.

It is in reaction to losing funds in other places…

The Minnesota Hospital Association estimates that the state could lose $2.4 billion in federal health care funding in the first year alone, fiscal year 2028. The MHA also finds that 140,000 Minnesotans on Medicaid could lose their healthcare coverage while another 60,000 Minnesotans will likely drop their ACA health insurance because of the rising costs.

It sounds like the impact could be harder felt in rural Minnesota…

About 30 percent of Minnesotans live in rural areas of the state, where the health care system has been severely strained in recent years.

There’s a shortage of physicians, nurses and other medical professionals, and the number of rural medical clinics and hospitals closing is on the rise. The MDH wrote in its application for the Rural Health Transformation Program funding that 34 out of Minnesota’s 95 rural hospitals are financially distressed, which means they’ve had four or more years of negative operating margins in the past eight years. Just this year, Mayo Clinic Health System announced it was closing six rural clinics in southeast Minnesota.

According to the application, Minnesota’s rural residents on average must travel 64 minutes for medical-surgical care, whereas people in the state’s urban areas travel just 19 minutes on average for care.