Houstonians apparently aren't so good at the whole social distancing thing, according to data from a new report. Photo by Getty Images

According to a study that evaluated social distancing execution in counties, the Houston area didn't do so well and earned failing scores all around.

A widely used social distancing scoreboard from Unacast, a provider of location data and analytics, shows only one county in the Houston area — Austin County — received a grade above an F for social distancing as of May 20. But Austin County doesn't have much to brag about, since its social-distancing score is a D-. The Houston area's eight other counties, including Harris, flunked.

Relying on a huge storehouse of cellphone data, the Unacast scoreboard measures social distancing activity on a daily basis in every state and county compared with activity before the coronavirus outbreak. The scorecard assigns a letter grade of A through F based on current social-distancing behavior.

Each grade takes into account three factors:

  • Percentage change in average distance traveled compared with the pre-coronavirus period
  • Percentage change in visits to nonessential places compared with the pre-coronavirus period
  • Decrease in person-to-person encounters compared with the national pre-coronavirus average

So, how did Harris County, for instance, fare in those three categories? On May 20, its grade in each category was an F. Why? Because it had less than a 25 percent reduction in average mobility (based on distance traveled), less than a 55 percent reduction in nonessential visits, and less than a 40 percent decrease in "encounters density" compared with the national average.

The scoreboard indicates Harris County's grades have bounced around. On April 4, for example, Harris County received an A in the nonessential-visit category for reducing those visits by at least 70 percent.

Dr. Peter Hotez, dean of the National School of Tropical Medicine at Baylor College of Medicine in Houston, said in an interview published May 20 that he's worried the easing of social distancing in Houston will lead to a spike in coronavirus cases.

"I think here in Houston we're underachieving in a lot of aspects in public health, and it's no fault of the … public health leaders," Hotez said.

In Texas, the Houston area isn't alone in its apparent failure, at least recently, to adhere to social-distancing guidelines.

On May 20, not a single county in the Austin, Dallas-Fort Worth, and San Antonio metro areas earned higher than a D on the Unacast report card.

All five counties in the Austin area got F's, as did all 13 counties in Dallas-Fort Worth, according to the scoreboard.

But as with Harris County, other metro areas' scores in individual categories have fluctuated over time. Here are a few examples:

  • On April 4, Travis and Dallas counties earned an A for at least a 70 percent reduction in nonessential visits.
  • On April 11, Tarrant County received a B for a 55 percent to 70 percent drop in average mobility.

In the San Antonio area, Bandera County earned the highest grade (D) of any county in the state's four major metros. Atascosa and Medina counties eked out grades of D-, while the remainder of the area's counties wound up in the F column.

In line with trends for its major-county counterparts, Bexar County's social distancing scores in individual categories have gone up and down. On April 11, for example, Bexar County earned a B for a 55 percent to 70 percent decline in average mobility.

The scores for the state's major metros appear to reflect the recent loosening of stay-at-home restrictions across Texas. But health experts still recommend sticking with social-distancing measures to slow the spread of the coronavirus. In fact, Unacast points out that the World Health Organization and the U.S. Centers for Disease Control and Prevention (CDC) cite social distancing as the "most effective way" to combat coronavirus infections.

Unacast says it launched the social-distancing scoreboard in March to enable organizations to measure and grasp the efficiency of local social-distancing efforts.

"Data can be one of society's most powerful weapons in this public health war," Thomas Walle, co-founder and CEO of Unacast, says in an April 16 release.

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This article originally ran on CultureMap.

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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.