Guide House

Emergency managers already lead preparedness, response, and recovery for their communities. They make critical decisions every day, coordinate across agencies, and guide residents through complex events. But as expectations expand and shift under a national strategy that places more responsibility at the local level, the scale and complexity of their work is increasing. The question isn’t whether emergency managers can lead; they already do.

About 300,000 Veterans are believed to have Alzheimer’s disease and related dementias, and it’s estimated that as many as 70% of those individuals are undiagnosed—a rate much higher than the general population. With the U.S. Department of Veterans Affairs expecting the number of patients with dementia to increase 22% by 2033, action is needed to expand access to dementia care for Veterans.

Once an emerging concept in Medicaid managed care, value-based purchasing (VBP) is becoming a core competency for managed care organizations (MCOs). In 2022, a Guidehouse analysis showed that many state Medicaid agencies encouraged MCOs to begin a shift toward value-based arrangements but largely left implementation details to plans. Today, that flexibility is narrowing.

Advancing public service As the nation marks a significant milestone, Guidehouse continues to advance public service through collaboration, innovation, and measurable outcomes. Our work helps communities, agencies, and organizations adapt and thrive.

Over the past decade, financial institutions have made significant investments in digital transformation. Customer interactions are now largely digital, documents are submitted electronically, and workflows have been modernized. These advances have made data more accessible than ever. But critical business decisions remain slow, fragmented, and heavily dependent on manual intervention. Loan approvals can take days. Customer onboarding often requires multiple reviews and handoffs.

In a recent episode of the Edison Electric Institute’s Electric Perspectives podcast, Guidehouse partners Michelle Fay and Ted Walker talked with host Brian Reil about the tension between affordability and the massive investments needed to meet rising demand and reliability challenges. A central message Fay and Walker want energy leaders to hear is this: Today’s utilities must do more than merely demonstrate that their investments are prudent.

The report outlines practical actions, including rebalancing investments upstream, adopting hybrid operating models, embedding payer strategy into PSP design, and tying program performance to measurable outcomes.

MCLEAN, VA — JUNE 25, 2026 — Guidehouse, a global professional services firm serving the commercial and government sectors, has released the latest edition of its annual Patient Support Programs Trends. This year’s report suggests that programs are being transformed by continued affordability challenges, evolving regulations, and rapid advances in digital technology. Our 2026 Patient Support Programs (PSP) Trends report tracks how patient support programs are being implemented and used.

Federal agencies can pilot AI quickly—but proving that systems will behave reliably remains the biggest barrier to production use. Many agencies have launched pilots, created AI councils, and adopted cloud-based AI services. Yet these efforts often stall before operational use due to delays in architecture, authorization, and oversight decisions.

Obesity impacts roughly 40% of U.S. adults and 16% globally, and it’s associated with an estimated $173 billion in annual U.S. medical costs and $2 trillion across the world. As obesity-related mortality and downstream comorbidities place sustained pressure on the health system, forecasts project that more than 250 million Americans—including more than 43 million children and adolescents—may be overweight or obese by 2050.