Health-at-Home Platform for Rural Health Transformation
Connecting Rural America to Health-at-Home
The $50 billion Rural Health Transformation mandate is flowing to all 50 states. LHP is the integrated deployment platform — connecting rural Americans, veterans, and aging loved ones to care where they live.
The federal government has committed $50 billion to transform rural health across all 50 states. Every state must obligate its share by October 2026 and deploy by September 2027 — or return the money.
Our Philosophy
The Federal Mandate Is Clear. The Infrastructure Doesn’t Exist.
The federal government has appropriated $50 billion for Rural Health Transformation. Every state has funding. Every state has deadlines. And every state faces the same problem: there is no integrated platform to connect health-at-home infrastructure to rural populations at scale.
This affects aging Americans, military veterans, and rural Medicaid populations alike. 25 million Americans are 75 or older; nearly 9 million live completely alone. Hundreds of thousands of veterans need home-based care. The healthcare system is physically out of capacity, and the math doesn’t work without a platform that delivers care where people live.
Point solutions can’t solve a systems problem. Long Haven Partners acquires proven companies across four critical layers of health-at-home infrastructure, integrates them into one platform, and deploys through established payer channels.
We are not a startup. We are a platform holding company that buys what works and makes it work together.
“They raised us. Now let’s help them.”
— Why this is personal
Market Validation
The Biggest Companies in the World Proved This Market Is Real
Amazon, Best Buy, and Teladoc collectively invested over $20 billion into health-at-home. They validated the demand with their checkbooks. They failed because they built products when the problem demands infrastructure.
Amazon Care
Launched 2019 · Shut down 2022
Amazon saw the opportunity and committed real capital. They failed because technology-first thinking doesn’t work when healthcare delivery requires physical infrastructure inside the home. The intent was right. The approach was wrong.
Best Buy Health
$1.2B invested · Sold at a loss, June 2025
$1.2 billion proves the conviction. They acquired Current Health and GreatCall but couldn’t integrate them. Point solutions without a unifying platform create cost, not value. The market demand didn’t disappear — Best Buy did.
Teladoc / Livongo
$18.5B acquisition · 2020
The largest health-at-home bet ever made. $18.5 billion validates the thesis. Integration failed because neither company owned the physical layer inside the home. The pattern is clear: the market is massive, and the gap is infrastructure.
Over $20 billion invested by trillion-dollar companies proves the market is real and the demand is urgent. They all validated the opportunity. They all failed on execution — because they built products, not infrastructure. The market is waiting for the platform that connects all four stakeholders. That’s what we build.
The Precedent
We’ve Seen This Before
The federal government solved healthcare’s last infrastructure problem with $27B. The companies that built the platform owned the category for 15+ years. Today’s mandate is nearly twice the size.
2009–2014: EHR Mandate
$27B HITECH Act
Healthcare was drowning in paper records. The federal government stepped in with the HITECH Act. Epic, Cerner, and athenahealth built the integrated platform that solved it. They still own the category 15 years later.
2026–2030: Health-at-Home
$50B Rural Health Transformation
Healthcare has moved outside hospital walls, into the home. But no integrated platform connects rural America to health-at-home infrastructure. Every state says so. The field is wide open. First mover wins.
Who We Are
37+
Years in IoT & Smart Home
6x
Founder, 3 Exits
180+
Ecosystem Interviews
50
States with Pipeline Activity
Direct relationships with the architects of the Rural Health Transformation Program at the federal level.
The Platform
Four Layers of Health-at-Home Infrastructure
Each layer solves a distinct problem. Together, they create an integrated system that no single-point solution can match — serving the federal government, states, healthcare providers, and families simultaneously from a single presence in the home.
01
Interface
The resident-facing touchpoint. Smart displays and simplified interfaces that connect aging adults to their care network without complexity. The communication backbone between healthcare and home.
Passive and active health monitoring. Fall detection, vitals tracking, AI-powered behavioral discovery, environmental sensors, and alerts that catch problems before they become emergencies.
In-home: Fall detection & chronic disease monitoring · Solves: Preventable ED visits, chronic disease burden, aging/falls risk
03
Access & Safety
Physical security and home safety infrastructure. Smart locks, stove safety, and emergency response systems that protect vulnerable residents from preventable harm.
In-home: Fire prevention & home safety retrofits · Solves: Home safety gaps, geographic barriers, aging-in-place readiness
04
Coordination
The connective tissue. Care coordination, family communication, payer reporting, and data aggregation that ties every layer into a unified operating picture.
In-home: CMS-compliant data & coordination · Solves: Data sharing / HIE gaps, care fragmentation, audit transparency
Our Approach
Infrastructure-First. Integration-Driven.
We are not a startup burning through R&D. We are not a fund with a forced exit timeline. We are a platform holding company that acquires what works, integrates it into a unified system, and deploys through established payer channels. 100% HIPAA, SOC 1, and SOC 2 compliant.
Acquire Proven Companies
Every company in our pipeline has operating history and existing customers. 18 months and 180+ conversations across the aging ecosystem created a proprietary pipeline that cannot be bought — it can only be accessed through us.
Integrate Into One Platform
Unified data, unified billing, unified support. Disparate technologies become one system, not four vendors. Integration unlocks capabilities that no point solution can deliver on its own.
Deploy Through Payer Channels
The platform enters the home through state Medicaid programs, then layers Medicare RPM/RTM/CCM/TCM billing and consumer revenue on top. Multiple payers, recurring revenue, single home presence.
Leadership
Operators Who’ve Built, Scaled, and Deployed at National Scale
C-Suite — Built to Execute
Ryan Herd
CEO & Platform Architect
6x founder, 3 exits. Founded Caregiver Smart Solutions (AI/ML monitoring, patented tech) — sold 2024. 37+ years IoT, smart home, security. Former Mayor of Pequannock Township, NJ — secured $50M+ in federal/state funds. 180+ ecosystem interviews.
John McGrail
Chief Operating Officer
7 turnarounds. $300M P&L. Takes broken operations and makes them work. The operator who keeps founders accountable.
Jim Kitchen
Chief Product Officer
Co-author of the Matter smart home protocol — adopted by Apple, Amazon, and Google. Deployed 6M+ IoT units. Earlier: iControl Networks (exit to Comcast, $1.5B ecosystem).
Nicholas Domnisch
Chief Technology Officer
CEO/Founder of EE Solutions. Forbes Technology Council. Built respirator systems during COVID under federal mandate. AI and digital health architecture.
R. Jason Weiss
Chief People Officer
PhD Industrial-Organizational Psychology. President of Evacor. 15+ years Fortune 500 talent systems.
Joseph Castonguay
Chief Strategy Officer
President of AutoSlide LLC North America (22 years). Manufacturing and logistics expert. Understands US-wide deployment at scale.
Advisory Board — Healthcare Bench Strength
Jeanne Zucker
Built and launched Amazon Care. Knows how to scale healthcare delivery and ship consumer tech that millions use.
Vern Martell
Built Lowe’s Livable Home (~1,750 locations). Deep expertise in home safety, modifications, and aging-in-place.
Dr. Natanya Wachtel
PhD Behavioral Psychology. Founder of New Solutions Network. Featured by Forbes, HBR, and Netflix.
Gina Adams
Founder & CEO of Wareologie. VHA Innovation Network. FDA Class 1 device (IP acquired).
“Until LHP, the integrated platform required to deliver it didn’t exist.”
Rural Health Transformation Program
Connecting Rural America to Health-at-Home
Your state has the funding. You have the deadlines. You need a deployment partner who can move fast, integrate across care layers, and deliver audit-ready outcomes. That’s what we built.
$50B
Federal appropriation
Oct 26
2026 obligation deadline
Sep 30
2027 deployment deadline
Year 3
CMS performance review
Your state committed to specific KPIs in its federal filing. Funds not obligated by October 2026 are clawed back. Funds not deployed by September 2027 are clawed back. And in Year 3, CMS reviews your KPI performance to determine whether you keep your continuation funding.
We Read Every State’s Federal Filing
We Know Exactly What You’re Up Against
Every governor’s letter. Every project narrative. Every budget document. All 50 states. The same seven pain points appear in every filing — and six of them fall directly in our lane.
LHP Discipline
Limited Tech Infrastructure & Digital Gaps
30+ states cited this. LHP deploys a unified four-layer platform — interface, monitoring, safety, and coordination — into each home. One install replaces dozens of fragmented point solutions.
LHP Discipline
Care Coordination & Data Sharing Gaps
21 states cited this. Our Coordination layer connects providers, families, payers, and state agencies into a single operating picture with real-time data sharing and EHR/HIE integration.
LHP Discipline
High ED/Hospital Utilization
19 states cited this. Our Monitoring layer uses passive sensors, fall detection, and AI-powered behavioral discovery to catch problems before they become ER visits. Preventive, not reactive.
LHP Discipline
Chronic Disease Burden
19 states cited this. LHP enables RPM, RTM, CCM, and TCM billing from a single home presence — extending clinical reach to diabetic, hypertensive, and COPD patients without adding staff.
LHP Discipline
Aging Population, Falls & Veterans
12+ states cited this. Fall detection, stove safety, behavioral monitoring, and family alerts — all from one platform. Serves aging adults, solo agers, and veterans from a single home install.
LHP Discipline
Geographic Barriers & Travel Distances
17 states cited this. TV-first telehealth with auto-answer — no apps, no passwords, no travel. Seniors use what they already know. Specialty care reaches frontier counties for the first time.
Outside LHP Scope
Workforce Shortages
24 states cited this. LHP does not do workforce development, recruitment, or training. But our platform directly reduces workforce burden — one provider can monitor dozens of patients remotely through RPM/RTM infrastructure that didn’t exist before.
Four Stakeholders, One Platform
We Solve for Everyone Simultaneously
We are not a point solution. We are not a consultant. We are not a workforce development program. We are the integrated deployment platform that connects the federal mandate to measurable outcomes inside the home.
Federal Government
Appropriated $50B. Must prove program ROI to Congress by Year 3. Wants platform solutions, not piecemeal. Wants KPIs trending up.
LHP delivers an integrated platform with clean CMS-compliant data on ED reduction, telehealth utilization, and chronic disease control.
State Government
Must commit $147M–$281M by October 2026 and deploy by September 2027. Made public commitments on KPIs. Needs clean audit trails.
Deployable in 90 days. Reduces cost per patient. Delivers audit-ready CMS reporting. Enables states to hit KPIs and preserve continuation funding.
Healthcare Providers
Not enough doctors or nurses. ED overflowing with preventable visits. Can’t manage chronic disease at scale without adding headcount.
Extends clinical reach via RPM/RTM/CCM/TCM without adding staff. Reduces ED volume. Reduces administrative burden with real-time coordination.
Families & Patients
Peace of mind. Aging loved one or veteran living alone. Terrified of the 2 a.m. call. No visibility into care. Want to age in place.
Fall detection, behavioral monitoring, real-time alerts, family portal. Care delivered at home. Early warning becomes early intervention.
90-Day Pilot Model
You Have Months, Not Years. Prove It Now.
Zero cost to your state. 50–100 rural households. Full platform deployment. CMS-ready data from Day 1. A low-risk way to validate capability before committing your RHTP dollars at scale.
Week 1–2
Site selection & household onboarding in coordination with state agencies
Week 3–4
Platform installation, provider training, zero learning curve for seniors
Week 5–12
Active monitoring, data collection, weekly performance dashboards
Week 13
Final report & CMS KPI submission. Baseline data for Year 1 scale.
Day 30: 100% of enrolled households deployed and transmitting active monitoring data. Day 60: 100% of enrolled patients capable of generating CPT 99454-billable RPM data with PCP-of-record.
CMS KPI Alignment
We Map Directly to the Metrics That Matter
States committed to specific KPIs in their federal filings. Year 3 performance review determines continuation funding. LHP’s platform generates the data states need to prove compliance.
ED/Hospital Utilization Reduction
Baseline + post-deployment data captured. Preventive monitoring and early warning keep people out of the ED. Measurable from Day 1.
Telehealth Utilization Increase
TV-first interface with zero learning curve. Auto-answer. No apps, no passwords. Seniors use what they already know. Adoption is solved.
