In times of crisis, communities are disproportionately affected and access to tech is limited. Here's what one organization is doing to bridge that gap. Photo courtesy of Medley Inc.

The pandemic has had a devastating impact on low-income communities. On top of job losses and a greater risk of exposure to COVID-19, people in disadvantaged neighborhoods face another significant hurdle: access to technology.

In communities like Houston's Fifth Ward, owning a device with internet access can be an almost insurmountable challenge, as residents are 53 percent more likely to lack access to basic technology than the greater Houston area.

Technology has the power to help level playing fields, providing information and resources and even programming and socialization to all who have access, but for communities where the median household income is roughly $18,308, or less than half of Houston's median income, organizations must bridge the gap and support residents' access to and adoption of technology.

Here are three steps the Julia C. Hester House, a community center serving the greater Fifth Ward in Houston, has taken in order to provide successful virtual programming and services to ensure that everyone from children to seniors can benefit.

Provide greater access

The first barrier disadvantaged communities face is access: both to devices and to the internet. A 2019 study from the Pew Research Center found that nearly half of low-income adults lack a computer, and a majority are not tablet owners. However, many residents have access to landlines and smartphones, offering a starting point for virtual engagement. Community centers can start with partnerships with tech companies to help bridge the gap by securing and distributing tablets and internet-ready devices to provide an initial step toward connectivity.

On top of low device adoption rates, the recurring cost of home broadband internet creates another hurdle. When the City of Houston used a portion of CARES act funds to provide one-year internet vouchers to 5,000 low-income households, Hester House worked to spread the news quickly to the Fifth Ward. Hester House also recently partnered with the Fifth Ward Redevelopment Corporation, which has taken on a leadership role in this regard, to get internet service into the homes of local seniors and families with young children. Public-private partnerships and policies that provide free or low-cost internet services across communities can enhance connectivity and improve outcomes for families and neighborhoods.

About 4 percent of Fifth Ward residents possess a college degree, and while that's not required to browse the web, it suggests a lack of exposure to technology, particularly among seniors who came of age before widespread adoption of the internet.Beyond securing greater access to broadband, new approaches to providing computer training and teaching tech fundamentals such as how to access and participate in Zoom meetings go a long way toward increasing new technology adoption rates. Zoom program participants may be reticent at first, but practice and support offer opportunities for greater community adoption.

Innovate program models

As internet, hardware and software access has increased in the community, the next step requires adjusting programming to meet new virtual parameters. Hester House moved many of their programs online and developed new programs to replace what was offered in person prior to the pandemic. Shifts to virtual programming can include virtual tutoring and youth classes, mental and social support programming, exercise and activity based video programming and purely social engagements such as group dinners and games.

The acclimation to virtual programming at Hester House has been a challenge, particularly for youth, however program managers continue to make adjustments to program models to strengthen engagement. Recurring programs that make use of music, guest speakers and pre-planned topics of conversation can help strengthen engagement and encourage participant retention, providing more shared experiences that uplift communities.

Measure and iterate results

As virtual programming continues to grow and find its cadence, program managers must continue to survey participants and make adjustments. Understanding the experiences and needs of participants will help guide planning and execution of changes that ensure participants will not only come back but will bring friends. Utilizing appreciative inquiry to improve programming benefits attendees and ensures that mission-oriented goals are met with regard to service to the community. For example, recent virtual gardening and food preservation classes, aimed at teaching healthy food growth and storage practices, has been so popular that the Hester House is assessing ways to expand the program and dive more deeply into specific topics.

Feedback from the community through surveys and qualitative data collection through individual interviews offer the space to understand the experience from members of the community, allowing organizations to focus on testing and iterating new approaches to foster successful engagement, continuing to meet the needs of the community.

It's no surprise that during difficult times, there's an even greater squeeze on nonprofits serving at-risk communities, which is why Hester House launched its Technology and Innovation Access Campaign in December. Campaign goals include funding long-term internet access, computer training, tech education classes and support, real-time tech support, helping residents navigate online applications for local, state, and national resources, and more. Community centers are focused on a successful continuation of service in these changing times, and the steps above offer a model for technology innovation for other organizations looking to provide continuity of service in difficult times.

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Lis Harper is a strategist and account executive at Houston-based Medley Inc.

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Houston startup raises $6M to scale home-based healthcare platform

fresh funding

As healthcare systems race to expand care beyond hospitals and into the home, investors are placing bigger bets on the infrastructure needed to make that shift possible.

This month, Rosarium Health announced it has raised $6 million in seed funding led by Kalos Ventures, with participation from ResilienceVC, Rock Health Capital, Symphonic Capital, Black Tech Nations Ventures and others.

The investment will help the Houston-based startup continue to build its platform, which features a national network of 800-plus clinicians and 3,000-plus contractors to coordinate home accessibility upgrades and modifications for seniors and people living with disabilities.

For founder and CEO Cameron Carter, the company’s mission grew out of firsthand caregiving experiences.

“From my own personal caregiving experiences, I realized that the benefits exist on paper, but not in reality,” Carter said in a news release. “Families are being left to figure out the paperwork and installations all on their own, which shouldn’t be how this works.”

While Medicare Advantage and Medicaid plans have expanded coverage for home-based services and accessibility modifications, the logistics behind delivering those services often remain fragmented.

Rosarium’s platform coordinates the entire process, from clinical assessments and referrals to contractor management, documentation, reimbursement and installation.

“A clinician can document that a home isn’t safe and a plan can approve a benefit, but there’s no one that’s responsible for making sure the work actually gets done,” Carter says. “We built the missing piece.”

The company was founded in 2021 as Rose Health and was a 2023 participant in the Texas Medical Center’s Accelerator for HealthTech program. It has scaled quickly, building a network of more than 800 clinicians and 3,000 contractors across 34 states.

Rosarium is currently in-network for 1.2 million Medicare and Medicaid lives, with projected coverage expected to reach nearly 4 million by the end of the year, according to the release.

“We’re excited to back Cameron because he and the team at Rosarium are building the infrastructure healthcare needs right now to make the home a safe and comfortable place of care,” Kate Ballinger, investor at Kalos Ventures, added in the release.

As part of the recent investment, Ballinger will join Rosarium’s board of directors.

With eyes on the future, Rosarium plans to grow its partnerships with Medicaid and Medicare Advantage plans, including CalViva and Community Health Plan of Imperial Valley, strengthening its presence in California while expanding access to underserved communities.

Additionally, Carter predicts that home-based healthcare will be part of a broader transformation happening across the industry.

“There’s a growing recognition that health outcomes are shaped by what happens in the home,” he said in the release. “The future of healthcare isn’t just treating people after something goes wrong. It’s creating environments that help prevent those problems in the first place.”

Houston business mogul Tilman Fertitta acquires Caesars in $17.6B deal

Money Moves

Houston billionaire Tilman Fertitta may currently be serving as America’s ambassador to Italy, but his company is as busy as ever. Fresh off its move to revive the Houston Comets WNBA franchise, his company, Fertitta Entertainment, has announced a $17.6 billion deal to acquire Caesars Entertainment, Inc.

Speculation about the deal has been circulating since at least March, according to various media reports. The deal combines Fertitta’s well-known Golden Nugget casino brand with all of the properties in the Caesars’ portfolio, including Las Vegas hotels Caesars Palace, Harrah's, Paris Las Vegas, Planet Hollywood, Horseshoe, The LINQ Hotel, Flamingo, and The Cromwell.

Overall, the combined company will include 60 domestic casino resorts and gaming facilities; online gaming including sports betting, iCasino, and Caesar’s online poker platform; retail sports betting at over 200 third-party locations through the William Hill brand; and over 550 Fertitta Entertainment outlets, including more than 450 Landry's full-service restaurants across America. The companies will combine their loyalty programs, Caesars Rewards, Golden Nugget's 24 Karat Select Club, and Landry's Select Club.

The terms will see Caesars’ shareholders receive $31 per share. Fertitta Entertainment will also acquire approximately $11.9 billion of Caesars' outstanding debt.

The transaction will be financed through a combination of equity contributed by Fertitta Entertainment, assumed Caesars' debt, and new committed debt financing arranged by a group consisting of 10 banks. It is subject to approval by Caesars’ shareholders and government regulators.

Fertitta Entertainment is the Houston-based company behind a diverse array of hospitality businesses, including The Golden Nugget, The Post Oak Hotel, River Oaks District, the Kemah Boardwalk, and Houston’s Downtown Aquarium.

It also operates a number of prominent restaurant brands, including Mastro's Restaurants, Del Frisco's Double Eagle Steakhouse, Morton's The Steakhouse, The Palm, McCormick & Schmick's, Landry's Seafood House, The Oceanaire Seafood Room, and Saltgrass Steak House.

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This article first appeared on CultureMap.com.

4 Houston-area institutions get $8M for cancer research facilities

fighting cancer

Cancer research capabilities in the Houston area just got an $8 million boost.

On Wednesday, May 20, the Cancer Prevention and Research Institute of Texas (CPRIT) awarded $8 million in grants to institutions in Houston and Bryan for the creation or expansion of so-called “core” cancer research facilities.

“Core facilities provide shared access to advanced technology, equipment, and scientific expertise that may not be available at every institution,” CPRIT says. “These core facilities are vital to not only cancer research but also to the study of diseases beyond cancer.”

Houston-area recipients of these $2 million grants are:

  • A facility at the University of Texas Health Science Center for preclinical support of cancer researchers in Texas to evaluate new safe, effective drugs and drug combinations.
  • The Accelerator for Cancer Therapeutics, operated by Houston’s Texas Medical Center Foundation. The accelerator helps researchers and startups move innovative cancer treatments from the lab to clinical trials.
  • Rice University’s Genetic Design & Engineering Center in Houston. The center enables researchers to collaborate on studies of custom DNA for cancer treatment.
  • A facility at the Texas A&M University System’s Health Science Center in Bryan that aims to speed up the development of cancer therapies.

In addition to those grants, the University of Texas M.D. Anderson Cancer Center, Methodist Hospital Research Institute, Baylor College of Medicine, and Rice University shared $21 million to recruit cancer researchers from other institutions.

The largest of those grants—totalling $4 million—went to M.D. Anderson for the recruitment of renowned cancer researcher Andre Nussenzweig from the National Institutes of Health. His research focuses on how DNA damage and faulty DNA repairs lead to cancer.

Here are the totals for the other CPRIT grants awarded in the Houston area:

  • $12.8 million to Houston-based Indapta Therapeutics for the development of an off-the-shelf therapy that naturally kills cancer cells, combined with an immunity-targeting agent for a type of leukemia.
  • $11.1 million to MD Anderson, including $5 million for a statewide platform to improve long-term health outcomes in adolescents and young adults who survived cancer.
  • $8.4 million to Baylor College of Medicine, including $4.8 million for two training programs for cancer researchers.
  • $6.25 million to UT Health Houston, including $4 million for a biomedical informatics and genomics training program for cancer researchers.
  • $4.4 million to the Texas A&M Health Science Center’s Houston campus, including $2.4 million for a cancer therapeutics training program.
  • $2.75 million to Rice, including $250,000 for a study of ovarian cancer.
  • $2 million to Houston-based March Biosciences for the development of a targeted therapy for treating T-cell lymphoma.
  • $1.15 million to the University of Houston, including $900,000 for a platform for detection of lung cancer.
  • $900,000 to Texas A&M in Bryan to conduct clinical drug trials in rural and underserved communities around the state.
  • $800,000 to Houston- and Israel-based Xerient Pharma for the development of an oral form of a cell-protecting drug called amifostine to protect the upper GI tract from radiation damage during pancreatic cancer treatment.
  • $659,000 to Missouri City-based OmniNano Pharmaceuticals for the development of a two-drug combination to treat the most common form of pancreatic cancer.
  • $250,000 to the University of Texas Medical Branch at Galveston for a novel therapeutic to prevent colitis-related colorectal cancer.