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Illustration: Annelise Capossela/Axios

Affluent urban areas saw the biggest uptick in telehealth usage over the past year, according to a new study from RAND.

Why it matters: Experts have hailed telemedicine, in part, for its potential to help rural patients who would have to travel long distances for an in-person appointment. But the study suggests that telehealth hasn't closed the rural-urban access gap even as its overall use has soared.

By the numbers: Metropolitan areas had about 50 telemedicine visits per 10,000 people, compared to about 31 visits per 10,000 people in rural areas, according to the study.

  • Patients in counties with low poverty levels had about 48 telehealth visits per 10,000 people versus 15 per 10,000 people in high-poverty areas.
  • The findings were published in the American Journal of Preventive Medicine, based on an analysis of more than 6 million insurance claims from employer-based plans.

Go deeper: Virtual doctor's visits and digital health tools take off in pandemic

Go deeper

Exclusive: Texas nonprofit got massive border contract after hiring Biden official

Migrants attempting to enter the United States from Ciudad Juarez, Mexico. Photo: David Peinado/Xinhua via Getty Images

A Texas nonprofit that recently hired a Biden transition official got a contract worth as much as $530 million to help manage the influx of migrant children at the southern border, Axios has learned.

Why it matters: The contract is by far the largest ever awarded to Family Endeavors. It's potentially worth more than 12 times the group's most recently reported annual budget — a sign of the demand the new work will place on its operations.

1 hour ago - Politics & Policy

Exclusive: $1 million ad buy defends Georgia law to business critics

Illustration: Aïda Amer/Axios

A leading conservative group is targeting the business community with a seven-figure ad buy on CNBC and local TV defending Georgia's new voting law from its corporate critics, Axios has learned.

Why it matters: By focusing on the C-suite through a network it watches, Heritage Action for America is offering a rejoinder to some companies — even Major League Baseball — after they waded so prominently into politics.