STOCK TITAN

Alignment Healthcare Earns 4 Stars or Higher for Six of Seven Eligible Medicare Advantage Contracts in CMS 2027 Star Ratings

Alignment Healthcare (ALHC) earned 4 Stars or higher for six of seven eligible Medicare Advantage contracts in CMS’s 2027 ratings.

(Moderate)

Sentiment and the balance of points

Rhea-AI Sentiment reads the wording of the document, how positive or negative its language is on a 1 to 5 scale. The balance of points shown with the takes weighs what the document actually discloses, so the two can disagree, for example when a trial that missed its main goal is described in upbeat language.

Tags

Alignment Healthcare (ALHC) earned 4 Stars or higher for six of seven eligible Medicare Advantage contracts in CMS’s 2027 ratings. Three contracts achieved an overall 4.5-Star Rating. The contracts rated 4 Stars or higher span Arizona, California, Nevada, North Carolina and Texas. The company’s California H3815 HMO contract received 3.5 Stars.

CMS’s five-star system evaluates health plans using member feedback, healthcare quality indicators, customer service metrics and other clinical performance measures.

Loading...
Loading translation...

News Explained

Alignment says it intends to pursue administrative remedies and litigate measures and methodologies it disputes for California H3815.

Key Figures

Contracts rated 4 Stars or higher: 6 of 7 contracts Contracts rated 4.5 Stars: 3 contracts California H3815 HMO contract rating: 3.5 Stars
Contracts rated 4 Stars or higher
6 of 7 contracts
2027 Medicare Advantage Star Ratings
Contracts rated 4.5 Stars
3 contracts
2027 Medicare Advantage Star Ratings
California H3815 HMO contract rating
3.5 Stars
2027 Star Ratings

Key Terms

hmo, medicare part c
2 terms
hmo medical
"California H3815 HMO contract received a 3.5-Star Rating"
HMO stands for Health Maintenance Organization, a type of managed health insurance plan that gives members access to a network of doctors and hospitals for a fixed premium and generally requires using in-network providers or referrals for specialists. Investors watch HMO performance because membership levels, cost controls and care network agreements directly affect revenue, profit margins and regulatory exposure—think of it as a subscription service that must balance member satisfaction with cost containment.
medicare part c regulatory
"Every year, CMS publishes the Medicare Advantage (Medicare Part C)"
Medicare Part C, also called Medicare Advantage, is an alternative way to get Medicare benefits through private insurance plans that contract with the federal Medicare program. These plans must cover at least the same hospital (Part A) and medical (Part B) benefits as traditional Medicare and most include prescription drug coverage (Part D) and often extra services, but they can use provider networks, require prior authorizations, and apply different cost-sharing and prior-approval rules than original Medicare.

AI-generated analysis. How Rhea-AI works. Not financial advice.

See more from StockTitan in Google Search and AI answers. Adds StockTitan as a preferred source · opens Google
Add on Google

Three contracts achieve 4.5-Star ratings as Alignment remains focused on delivering high-quality, coordinated care for seniors

ORANGE, Calif., Oct. 08, 2026 (GLOBE NEWSWIRE) -- Alignment Healthcare, Inc. (NASDAQ: ALHC) today announced strong results in the Centers for Medicare & Medicaid Services’ (CMS) 2027 Medicare Advantage (MA) Star Ratings. Six of the company’s seven MA contracts eligible for rating earned 4 Stars or higher, including three plans that achieved an overall 4.5-Star Rating. These high-performing contracts span Arizona, California, Nevada, North Carolina and Texas, reflecting Alignment’s consistent ability to deliver high-quality, coordinated and culturally responsive care across diverse communities and markets.

The company also reported that its California H3815 HMO contract received a 3.5-Star Rating for 2027. Alignment believes the rating does not accurately reflect the contract’s longstanding performance on evidence-based measures of quality, clinical outcomes and member experience.

CMS’s 2027 Star Ratings were released among ongoing legal and policy concerns regarding the methodologies used to evaluate MA plan performance. Across the industry, many stakeholders continue to raise questions about whether the current Star Ratings framework consistently and accurately reflect care quality, member experience and clinical outcomes. Despite this environment, Alignment’s results demonstrate the strength of its differentiated model of care and its commitment to improving outcomes for seniors nationwide.

“We strongly support measuring quality and holding health plans accountable for results, because seniors deserve clear and meaningful information when choosing coverage,” said Dawn Maroney, president of Alignment Health and CEO of Alignment Health Plan. “But quality measurement only works when the methodology is accurate. We believe the current Star Ratings framework has drifted too far from that goal and no longer consistently reflects quality, outcomes and member experiences.”

Alignment continues to perform strongly across a number of measures related to healthcare quality, care coordination, member experience and customer service. The company maintained strong performance across numerous clinical and service measures evaluated under the CMS Star Ratings program.

"Alignment is a high-performing organization with a differentiated care model, strong clinical outcomes and a deep commitment to the seniors we serve," Maroney added. "We believe the 2027 rating for our H3815 contract is inconsistent with that performance and other key indicators of quality. We intend to pursue all available administrative remedies and to litigate the measures and methodologies we believe warrant review. At the same time, our strategy remains unchanged, and we remain confident in our ability to deliver exceptional care and return our California HMO contract to at least a 4-Star Rating."

Every year, CMS publishes the Medicare Advantage (Medicare Part C) and Medicare Part D Star Ratings on Medicare.gov. The 5-star ratings system evaluates health plan performance using a range of measures, including feedback from members, healthcare quality indicators, customer service metrics and other clinical performance measures.
  
NOTE: Information in this release is based on 2027 Star Ratings data published by CMS on Oct. 8, 2026, and plan enrollment as of September 2026.

About Alignment Healthcare
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.

Forward-Looking Statements
This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements are subject to risks and uncertainties and are based on assumptions that may prove to be inaccurate, which could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the results predicted, and reported results should not be considered as an indication of future performance. Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: our ability to attract new members and enter new markets, including the need for certain governmental approvals; our ability to achieve or maintain a high rating for our plans on the Five Star Quality Rating System, including our ability to return H3815 to a 4.0-Star rating in future rating years; our ability to develop and maintain satisfactory relationships with care providers that service our members; risks associated with being a government contractor, including potential federal reductions in MA funding; changes in laws and regulations applicable to our business model; risks related to our indebtedness; changes in market or industry conditions and receptivity to our technology and services; results of litigation or a security incident; and the impact of shortages of qualified personnel and related increases in our labor costs. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our Annual Report on Form 10-K for the year ended Dec. 31, 2025, and the other periodic reports we file with the SEC. All information provided in this release and in the attachments is as of the date hereof, and we undertake no duty to update or revise this information unless required by law.

Investor Contact
Harrison Zhuo
hzhuo@ahcusa.com

Media Contact
Jerry Slowey
publicrelations@ahcusa.com


Keep reading