Alignment Health’s Fifth Annual Survey Finds Seniors Falling Further Behind: Aging in Place Challenges Continue to Rise as Support Gaps Widen
Alignment Health’s 2026 national survey highlights rising social barriers that limit seniors’ ability to age safely, afford care and stay independent.
Rhea-AI Summary
Alignment Health (ALHC) released its 2026 “Social Threats to Aging Well in America” survey, showing seniors face worsening barriers to healthy aging and independence.
The survey, conducted with Ipsos, found that 90% of seniors report at least one social barrier affecting health, well-being or access to care. Aging-in-place challenges are the most common barrier, affecting 68% of seniors, up four percentage points from 2025. Barriers to accessing needed healthcare impact 62%, while 54% report economic instability; 16% carry medical debt and 22% are unsure they can cover future medical expenses. In addition, 38% lack sufficient support systems and 57% experienced stress or anxiety in the past year.
More than one-quarter of seniors (26%) skipped needed medical care, often due to access and aging-in-place issues, and many expressed interest in benefits addressing social as well as medical needs.
Positive
- None.
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Key Figures
- Seniors reporting a social barrier
- 90%
- 2026 survey
- Aging-in-place challenges
- 68%
- Most commonly reported barrier in 2026
- Year-over-year increase
- 4 percentage points
- Aging-in-place challenges versus 2025
- Healthcare access barriers
- 62%
- 2026 survey
- Economic instability
- 54%
- 2026 survey
- Medical care skipped
- 26%
- Seniors reporting skipped needed care during the past year
- Medical debt
- 16%
- Seniors carrying medical debt
- Stress or anxiety
- 57%
- Experienced during the past 12 months
Key Terms
food insecurity medical
AI-generated analysis. How Rhea-AI works. Not financial advice.
Key indicators worsened in 2026, including aging in place challenges, support gaps, and medical debt
ORANGE, Calif., Sept. 10, 2026 (GLOBE NEWSWIRE) -- Ninety percent of seniors report at least one factor affecting their health, independence or access to care, according to the newly released 2026 Social Threats to Aging Well in America survey from Alignment Health, conducted in partnership with Ipsos. The fifth annual study finds that the challenges threatening healthy aging are worsening, reinforcing concerns that the systems supporting older Americans are struggling to keep pace with growing needs. The study reports that aging-in-place challenges, including concerns about independence and physical limitations, increased 4 percentage points year over year, while support gaps and medical debt also rose, highlighting continued pressure on seniors' ability to remain healthy and independent.
“Our findings reinforce what older adults have been telling us for years: healthy aging is about much more than what happens during a doctor’s visit,” said Dr. Ken Kim, chief medical officer at Alignment Health. “This year's results show that many seniors continue to face challenges related to maintaining their independence, accessing care and managing financial pressures. These findings reinforce that maintaining health and independence depends on much more than their medical care alone.”
For the third consecutive year, seniors identified aging in place challenges (i.e., difficulty maintaining independence, remaining safely at home, or managing physical limitations), healthcare access (i.e., difficulty finding care, obtaining appointments, or accessing providers) and economic instability (i.e., concerns about affording healthcare and basic living expenses, medical debt, and rising costs) as the three greatest threats to healthy aging. More than one-quarter of seniors reported skipping needed medical care during the past year, and more than half reported experiencing stress or anxiety.
The study examined nine social barriers to aging well: aging in place challenges, economic instability, access to healthcare, transportation, lack of support, mental health, loneliness, cultural barriers and food insecurity. Respondents were also asked about the services and benefits they would be most likely to use if offered through their health plan.
Key Findings
The survey identified several significant trends affecting seniors nationwide:
90% of seniors report at least one social barrier affecting their health, well-being or access to care.68% face aging-in-place challenges that affect their ability to remain safely and independently in their homes, making it the most commonly reported barrier, up four percentage points from 2025.62% experience barriers to accessing needed healthcare services, including long waits for medical appointments.54% cite economic instability, while16% carry medical debt and22% are uncertain they can cover future medical expenses.38% lack sufficient support systems, a four-point increase from 2025.57% experienced stress or anxiety in the past 12 months.
Skipping Healthcare Due to Social Challenges
The findings suggest social and economic challenges are increasingly affecting healthcare engagement. More than one-quarter of seniors (
Seniors Seek Support Beyond Traditional Healthcare
The research also found strong interest in benefits and services that address social needs alongside medical care.
Seniors expressed the greatest interest in personalized wellness recommendations based on their medical history and information shared with their health plan (
Not All Communities Prioritize the Same Supports
The survey also identified differences in the types of services seniors find most valuable across states. Surveyed seniors in North Carolina and Nevada expressed significantly greater interest in financial support services than seniors nationally. More than one-half of surveyed seniors in North Carolina reported they would use help paying rent, mortgage or utilities (
The complete 2026 Social Threats to Aging Well in America survey can be accessed here: alignmenthealth.com/survey2026
About 2026 Social Threats to Aging Well in America
This is the fifth consecutive year that Alignment Health has studied the social and environmental factors affecting U.S. seniors’ health, and the third year in a row it has partnered with Ipsos, one of the world's largest market research and polling companies. The nationwide survey polled more than 2,200 Americans age 65 and older. The survey was offered in English and Spanish and is representative of the national senior population across key demographic characteristics.
About Alignment Health
Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. A consumer brand name of Alignment Healthcare (NASDAQ: ALHC), Alignment Health’s mission-focused team makes high-quality, low-cost care a reality for its Medicare Advantage members every day. Based in California, the company partners with nationally recognized and trusted local providers to deliver coordinated care, powered by its customized care model, 24/7 concierge care team and purpose-built technology, AVA®. As it expands its offerings and grows its national footprint, Alignment upholds its core values of leading with a serving heart and putting the senior first. For more information, visit www.alignmenthealth.com.
Media Contact
Jerry Slowey
publicrelations@ahcusa.com
FAQ
What social barriers to aging well did the 2026 Alignment Health survey examine?
The survey examined nine social barriers: aging-in-place challenges, economic instability, access to healthcare, transportation, lack of support, mental health, loneliness, cultural barriers and food insecurity.
How are social and economic challenges affecting seniors’ use of healthcare?
In the past year, 26% of seniors reported skipping needed medical care. Among those, 57% cited access-related barriers and 34% cited aging-in-place challenges, which the survey indicates are increasingly preventing seniors from obtaining care.
What types of nontraditional health plan benefits are seniors most interested in?
Seniors showed high interest in personalized wellness recommendations (59%) and 24/7 access to doctors by phone or video (57%). Nearly half would use help paying for groceries (49%) or fresh food delivery (47%), while 43% would use a personal medical safety alert system and 42% would use memory exercises or other memory-care support.
Did the survey identify differences in needs across states?
Yes. Surveyed seniors in North Carolina and Nevada expressed greater interest than seniors nationally in financial support services. In North Carolina, 52% would use help paying rent, mortgage or utilities (vs. 44% nationally) and 54% would use help paying for gas (vs. 42% nationally). North Carolina respondents also showed higher interest in home safety modifications (50% vs. 39% nationally) and memory-care support (54% vs. 42% nationally).
Where can readers access the full 2026 Social Threats to Aging Well in America survey results?
The complete 2026 survey findings are available at alignmenthealth.com/survey2026.