Home-Based Healthcare Advisory

Bringing expert guidance
to care delivered at home.

Langham Healthcare Advisory has a clear mission: to move healthcare home, and to move home-based care forward. I believe the home is the future of healthcare delivery. Realizing that future demands thoughtful policy, meaningful innovation, and principled leadership. LHA is here to help make it happen.

Perspectives

Articles & insights.

Perspectives on home health policy, reimbursement, operations, and the future of care-in-place written and curated for practitioners, patients, and families.

Cityblock Acquires Homeward Health and Raises $116M to Unify Urban and Rural Care Survey: 57% of Home- and Community-Based Providers Are Using or Evaluating AI CMS Finalizes FY 2027 Hospice Rule — 2.3% Update and a New Service and Spending Variation Index CY 2027 Physician Fee Schedule Would Restrict Remote Monitoring to In-House Clinical Staff Home-Based Care M&A Slows to 16 Deals in Q2 2026, Even as Billion-Dollar Transactions Close JAMA Network Open: Advanced Medical Care at Home Matches Inpatient Outcomes in Acute Heart Failure CY 2027 Proposed Rule Expands CMS Revocation Authority Medicare-Wide CMS Proposes CY 2027 Home Health Rule — 2.4% Net Increase, 3.0% Temporary Adjustment Continues HHS OIG: Medicare Could Have Saved $255M on Certain New Hospice Enrollees Enrollment Moratoria Tighten: Branch Additions Blocked and States Follow Suit NPHI: Modernize the Medicare Hospice Benefit MedPAC June 2026 Report to Congress: Medicare and the Health Care Delivery System Medicare Advantage, Medicaid Persist as Top Concern Among Home-Based Care Leaders GAO Uses Home Health as Benchmark to Question Medicare Hospice Payments CMS Announces Nationwide Enrollment Moratoria on Hospice and Home Health Agencies Providers Should Spend Their Time Providing Care, Not Doing Paperwork or Hunting Down Patient Information MedPAC Report to Congress: Medicare Payment Policy — March 2026 CMS Finalizes CY 2026 Home Health Payment Rule — 1.3% Aggregate Reduction Old Age Will Be Different in the Robotic Age Why Some Health Systems Are Betting Big on Home Health The Crushing Financial Burden of Aging at Home

Resources

Useful references.

Trusted resources for patients, families, and caregivers navigating home-based care.

For Patients

Understanding your care options.

Reliable information to help patients make informed decisions about home health and hospice services.


For Families

Supporting the people you love.

Guidance and support for family members and caregivers navigating home-based care alongside a loved one.


CMS Regulatory Updates

Most recent proposed & final rules.

The latest CMS rulemaking for home health and hospice. Direct links to the Federal Register..

Home Health · Proposed Rule

CY 2027 Home Health PPS Proposed Rule (CMS-1844-P)

Proposes a 2.4% net aggregate increase, no additional permanent behavioral adjustment, a continued 3.0% temporary adjustment, palliative care under the home health benefit, a home health–specific wage index RFI, and Medicare-wide provider enrollment changes. Published July 6, 2026; comments closed August 31, 2026.

Hospice · Final Rule

FY 2027 Hospice Wage Index Final Rule

Finalizes a 2.3% hospice payment update, sets the aggregate cap at $36,174.75, introduces the nine-measure Service and Spending Variation Index, and requires the election statement addendum for all beneficiaries. Published August 3, 2026; effective October 1, 2026.

Physician Fee Schedule · Proposed Rule

CY 2027 Medicare Physician Fee Schedule Proposed Rule

Proposes limiting RPM and RTM payment to clinical staff employed by the billing practice, requiring an initiating visit, revaluing device payment, and seeks comment on consolidating remote monitoring codes into four G-codes.

Home Health · Final Rule

CY 2026 Home Health PPS Final Rule

Finalizes a 2.4% payment update for CY 2026, quality reporting program changes, and updates to the HHVBP Expanded Model. Published December 2, 2025.

Hospice · Final Rule

FY 2026 Hospice Wage Index Final Rule

Finalizes a 2.6% hospice payment update and sets the aggregate cap at $35,361.44 for FY 2026. Published August 5, 2025.

Home Health · Policy Manual

Medicare Benefit Policy Manual: Chapter 7, Home Health Services

The authoritative CMS policy manual chapter governing Medicare home health coverage, eligibility, conditions of participation, and billing guidance.

Hospice · Policy Manual

Medicare Benefit Policy Manual: Chapter 9, Hospice Services

The authoritative CMS policy manual chapter covering Medicare hospice coverage, eligibility, election, benefit periods, and conditions of participation.


Program Integrity & Oversight

Enforcement, moratoria, and federal audits.

Where the oversight bodies are looking, and what agencies should expect. Primary sources from CMS, GAO, and the HHS Office of Inspector General.


MedPAC

Reports to Congress.

The Medicare Payment Advisory Commission's most recent analysis and payment policy recommendations touching home health, hospice, and Medicare Advantage.


Clinical Research

Research shaping home-based care.

Peer-reviewed studies, clinical findings, and evidence-based resources advancing the science of care delivered at home.


Thought Leadership

Notable voices in home-based care.

Perspectives from clinicians, researchers, and policy leaders shaping the future of care delivered at home.

About

Who we are.

Langham Healthcare Advisory, LLC is a solo advisory practice and my personal passion project focused on one thing: care in the home. I enjoy supporting entrepreneurs, consumers, investors, healthcare organizations, and technology companies who are navigating the opportunities and complexities of care delivered in the home.

My work sits at the intersection of strategy, technology, and innovation. But what drives it is simpler than that. It's about how we make people feel: clinicians who are stretched thin, patients navigating a confusing system, and families doing their best to support someone they love.

It has never been more important for organizations to really know their "why" and to consistently remember to "learn, unlearn, and relearn".

Home Health & Hospice CMS Reimbursement Policy HHVBP Strategy Home-Based Primary Care Operational Performance Value-Based Contracting Remote Patient Monitoring Regulatory Compliance

About Bud

The person behind the practice.

Bud Langham

I trained as a physical therapist and began my career in acute care before making my way to home health as a field clinician. My foundation in this industry is clinical, not administrative. I've seen care from the bedside, and that perspective has shaped everything I've done since.

Over the course of my career I served as Executive Vice President for a publicly traded home health and hospice organization, leading teams focused on clinical excellence, strategy, and innovation. I've had the privilege of working alongside some of the best people in this industry, and I don't take that lightly.

I've served on boards, contributed to multiple CMS Technical Expert Panels, and remain actively engaged in shaping the future of home-based care through my work as a Health Evolution Fellow and member of the Coalition for Health AI (CHAI). I also serve as a senior advisor to several companies working to change this industry for the better, including CareBestie and Enzo Health.

Outside of work, I'm an avid cyclist, beekeeper, farmer, and rancher. Those pursuits keep me grounded, and honestly, they're not so different from what I do professionally. Both require patience, an appreciation for systems, and a willingness to do hard things in unpredictable conditions.

Physical Therapy Background Health Evolution Fellow Coalition for Health AI CMS Technical Expert Panels Cyclist · Beekeeper · Farmer

Contact

Let's connect.

I'd welcome the opportunity to learn about your organization and explore how I can support your home-based care mission. The best way to reach me is on LinkedIn — send a connection request or message and I'll follow up directly.

Location Richardson, TX
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