Home-Based Healthcare Advisory
Langham Healthcare Advisory has a clear mission with 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
Perspectives on home health policy, reimbursement, operations, and the future of care-in-place written and curated for practitioners, patients, and families.
Resources
Trusted resources for patients, families, and caregivers navigating home-based care.
For Patients
Reliable information to help patients make informed decisions about home health and hospice services.
Medicare
Medicare Care Compare
Find and compare home health agencies and hospice providers in your area using Medicare's official tool.
Medicare
Medicare & Home Health Care
Official Medicare guide explaining what home health services are covered, who qualifies, and how to access them.
Hospice
How Medicare Hospice Works
Clear explanation of Medicare hospice benefits, eligibility, and what to expect from the hospice experience.
Care Navigation
Eldercare Locator
A free service of the U.S. Administration for Community Living connecting older adults and caregivers to trusted local services including home care, meal delivery, transportation, and legal aid.
Older Adults
National Council on Aging
A trusted national voice for older adults, offering resources on benefits, health programs, economic security, and community services for seniors and caregivers.
Medicare
Medicare.gov
The official U.S. Medicare website. Find coverage information, compare plans, locate providers, and manage your Medicare benefits in one place.
Medicare Tool
Home Health Services Checklist
An official Medicare checklist to help patients and families evaluate and compare home health agencies, covering quality, services offered, and what questions to ask.
Veterans
VA Health Care Benefits
Information on VA health care eligibility, home-based care options, and benefits available to veterans and their families through the U.S. Department of Veterans Affairs.
For Families
Guidance and support for family members and caregivers navigating home-based care alongside a loved one.
Caregiver Support
AARP Caregiving Resource Center
Practical tools, guides, and expert advice for families coordinating care for aging or seriously ill loved ones.
Home-based Care
National Alliance for Care at Home: Patients & Caregivers
Guidance from the National Alliance for Care at Home on end-of-life planning and caregiver support.
CMS Regulatory Updates
The latest CMS rulemaking for home health and hospice. Direct links to the Federal Register..
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.
Hospice · Proposed Rule
FY 2027 Hospice Wage Index Proposed Rule
Proposes FY 2027 payment rate updates, hospice quality reporting requirements, and requests for information on community palliative care. Comment period closes June 1, 2026.
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.
MedPAC
The Medicare Payment Advisory Commission's most recent payment policy recommendations for home health and hospice.
Home Health
Chapter 8: Home Health Care Services
MedPAC's analysis of Medicare home health utilization, spending, quality, and payment adequacy, with recommendations for Congress.
Hospice
Chapter 10: Hospice Services
MedPAC's analysis of Medicare hospice utilization, spending, and quality, including a recommendation to eliminate the FY 2027 payment rate update.
Clinical Research
Peer-reviewed studies, clinical findings, and evidence-based resources advancing the science of care delivered at home.
Thought Leadership
Perspectives from clinicians, researchers, and policy leaders shaping the future of care delivered at home.
Industry Report
2025 PAC Industry Trend Report
Trella Health's annual analysis of post-acute care trends, market dynamics, and data-driven insights shaping home health and hospice.
Industry Chartbook
2025 RIHC Home Health Chartbook
Annual data chartbook from the Research Institute for Home Care, tracking utilization, outcomes, and trends across the home health industry.
Foundation Research
Age-Friendly Care, John A. Hartford
The John A. Hartford Foundation's framework and strategy for advancing age-friendly health systems that prioritize what matters most to older adults.
About
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".
About Bud
I'm a physical therapist by training. I 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.
Contact
I'd welcome the opportunity to learn about your organization and explore how I can support your home-based care mission. Reach out directly or fill out the form below.