Alignment Healthcare Maintains High 2026 Star Ratings from Medicare, 100% of Members Enrolled in Plans Rated 4 Stars or Higher for Second Consecutive Year

Rhea-AI Summary

Alignment Healthcare (NASDAQ: ALHC) announced that 100% of its Medicare Advantage members are enrolled in plans rated 4 stars or higher for the second consecutive year, based on 2026 Star Ratings published by CMS on Oct. 9, 2025.

Key highlights: California HMO (representing 81% of membership) has kept a 4-star-or-higher rating for nine straight years; Alignment added a second 5-star HMO in Nevada; a Nevada/North Carolina HMO kept a 5-star rating for a fourth year; and a first-year eligible Texas HMO earned 4.5 stars. Enrollment data are as of September 2025.

Positive

• 100% of members in plans rated 4+ stars for second consecutive year
• California HMO (81% membership) maintained 4+ stars for nine years
• Added second 5-star HMO contract in Nevada
• Nevada/North Carolina HMO retained 5-star rating for four years
• Texas HMO earned 4.5 stars in first year eligible
• Offers 2026 MA options in 56 counties across five states

Negative

• California HMO represents 81% of membership, creating geographic concentration risk

Insights

Health-plan quality analyst

Alignment sustained top Medicare Star Ratings, with 100% of members in 4+ star plans for a second year.

Alignment Healthcare maintained high-quality performance under CMS 2026 Star Ratings, with its California HMO (covering 81% of membership) holding ≥4 stars for nine years and two Nevada HMOs achieving 5-star status. The Texas HMO reached 4.5% in its first eligible year, and the Nevada/North Carolina HMO preserved a 5-star rating for a fourth consecutive year, showing consistent plan-level delivery on CMS measures.

The ratings depend on member experience, retention, complaints, and clinical metrics; changes in any of these components could alter future scores, and CMS methodology updates can shift relative rankings. Watch CMS published measures and plan-level enrollment shifts during the Oct. 15 to Dec. 7 enrollment period for near-term enrollment impact; track next annual ratings release for sustainability over 2026.

Strategic investor analyst

Star results materially support market positioning and membership competitiveness during open enrollment.

High star coverage (100% of members in ≥4-star plans) strengthens plan attractiveness during the Medicare annual enrollment window and supports retention and new-member acquisition across the company’s five-state footprint. The concentration in California (81%) creates a stable base while new 5-star contracts in Nevada and the strong Texas debut indicate scalable plan operations.

Risks include reliance on a dominant market for membership concentration and sensitivity to CMS metrics changes; monitor enrollment trends through the Oct. 15 to Dec. 7 period, any CMS methodology updates, and next-year star outcomes to assess whether high ratings convert into sustained membership and revenue effects over 2026.

Medicare Advantage company adds second 5-star HMO contract in Nevada, Texas HMO earns 4.5 stars in first year

ORANGE, Calif., Oct. 10, 2025 (GLOBE NEWSWIRE) -- Alignment Healthcare, Inc. (NASDAQ: ALHC) announced today that 100% of its Medicare Advantage (MA) members are enrolled in plans rated 4 stars or higher for the second consecutive year, according to the Centers for Medicare & Medicaid Services (CMS). This achievement underscores Alignment’s consistent delivery of high-quality, member-centered care and affirms its position as a standout performer in a rapidly evolving MA landscape.

“For the second year in a row, every Alignment member is enrolled in a plan rated 4 stars of higher – a powerful reflection of our commitment to delivering care that is both high-quality and deeply responsive to seniors’ needs,” said John Kao, founder and CEO of Alignment Healthcare. “These ratings exemplify Medicare Advantage done right, closing care gaps while meeting the evolving needs of a growing aging population.”

Key Highlights of Alignment Health Plan’s 2026 Star Ratings:

• 100% of members are in plans rated 4 stars or higher for the second consecutive year.
• Its California HMO contract – representing 81% of total membership – has maintained a 4-star rating or higher for nine straight years, reflecting consistent excellence in the company’s largest market.
• Alignment now offers two 5-star HMO contracts in Nevada, underscoring its ability to scale high-quality care.
• Its HMO contract in Nevada and North Carolina retained its overall 5-star rating for the fourth year running.
• In its first year eligible, Alignment’s Texas HMO contract earned 4.5 stars, demonstrating the replicability of the company's high-quality outcomes across markets.
  

“Alignment’s continued outperformance under increasingly rigorous CMS criteria speaks to the strength of our model and the dedication of our teams,” said Dawn Maroney, president of Alignment Healthcare and CEO of Alignment Health Plan. “These ratings are more than metrics; they represent our investment in services that matter most to seniors, from closing care gaps to preserving benefits like transportation that others are scaling back.”

Every year, CMS publishes the MA (Medicare Part C) and Medicare Part D Star Ratings on Medicare.gov to help beneficiaries, their families and caregivers compare the quality and performance of health and drug plans. The 5-star ratings system is based on factors that include feedback from members, the number of members who left or stayed with a plan, the number of complaints about a plan and other clinical quality metrics.

Medicare’s annual enrollment period runs from Oct. 15 to Dec. 7 for plan benefits starting Jan.1, 2026. The company has announced a diverse range of 2026 MA options in 56 counties across five states: Arizona, California, Nevada, North Carolina and Texas. For more information about Alignment’s plans and services, visit www.alignmenthealthplan.com or call 1-888-293-8272, TTY: 711, seven days a week, 8 a.m. to 8 p.m. A licensed agent may answer the call.

NOTE: Information in this release is based on 2026 Star Ratings data published by CMS on Oct. 9, 2025, and plan enrollment as of September 2025.

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.

Investor Contact
Harrison Zhuo
VP, Investor Relations
hzhuo@ahcusa.com

Media Contact
Priya Shah
mPR, Inc. for Alignment Health
alignment@mpublicrelations.com

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FAQ

What does Alignment Healthcare's 100% 4+ star coverage mean for ALHC shareholders in 2026?

It indicates all MA members are in plans rated 4 stars or higher for the second straight year, a quality signal that can support enrollment and competitiveness.

Which Alignment HMO covers most members and how long has it held 4+ stars?

The California HMO represents 81% of total membership and has maintained a 4-star-or-higher rating for nine straight years.

What new high ratings did Alignment announce on Oct. 10, 2025 for ALHC?

Alignment added a second 5-star HMO in Nevada, a Nevada/North Carolina HMO retained 5 stars for four years, and a Texas HMO earned 4.5 stars in its first eligible year.

How current is the star rating and enrollment data for ALHC's announcement?

Ratings are from CMS published on Oct. 9, 2025 and plan enrollment reflects data as of September 2025.

In which states will Alignment offer 2026 Medicare Advantage plans?

Alignment offers 2026 MA options in Arizona, California, Nevada, North Carolina, and Texas across 56 counties.

When is the 2026 Medicare annual enrollment period relevant to ALHC plans?

Medicare's annual enrollment runs Oct. 15 to Dec. 7, 2025 for coverage starting Jan. 1, 2026.