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Alignment Healthcare expects 3.5-star HMO rating for 2027

The rating change is not expected to affect 2026 or 2027 revenue, but it will affect 2028 quality bonus payments.

(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.

Form Type
8-K

Rhea-AI Filing Summary

Alignment Healthcare, Inc. (ALHC) expects its California HMO contract H3815 to receive a 3.5-Star Rating for 2027, down from 4.0 stars for 2026. H3815 serves approximately 75% of the company’s health plan membership. Alignment expects each of its six other eligible plans to retain a 4.0-Star rating or higher; three achieved 4.5-Star ratings.

Alignment says the 2027 ratings are not expected to affect revenue for fiscal 2026 or 2027, but the change in performance will affect quality bonus payments for fiscal 2028. It expects provider risk-sharing arrangements to offset a portion of the impact. The company attributes the H3815 decline primarily to higher industry cut points and a decline in certain triple-weighted measures across Health Outcomes Survey (HOS) and Part D. About 50% of its membership joined within the past two years, and the company expects earnings growth from existing members to support its margin trajectory.

0 points · 0 major

How this balance works

Rhea-AI gives every point it takes from this document a weight. Minor counts 1, Moderate 3 and Major 9, so one Major point outweighs several Minor ones. The bar adds up the weights on each side, and when neither side holds more than 65% of the total the balance reads Mixed.

It reads the document as published, with the same rules for every company, and it does not look at what the market expected or at how the stock traded, so a point can be objectively good on a day the stock falls.

Rhea-AI Sentiment measures something else, the tone of the wording.

0 major · 1 point

Hollow bars mark forward-looking points. How the balance works

Positive

  • None.

Negative

  • Moderate point. Forward-looking: it has not happened yet and may not happen.H3815’s 3.5-Star 2027 rating affects 2028 quality bonus payments.

Filing Explained

Alignment says it intends to pursue available administrative appeals and expects to commence litigation challenging certain CMS calculations and Star Ratings measures and methodologies; these are planned challenges, not completed actions.

Item 7.01 Regulation FD Disclosure Disclosure
Material non-public information disclosed under Regulation Fair Disclosure, often investor presentations or guidance.
H3815 Star Rating 3.5-Star Rating Rating year 2027
H3815 prior Star Rating 4.0-Star Rating Rating year 2026
Membership served by H3815 Approximately 75% Company health plan membership
Other eligible plans Six plans Each expected to retain a 4.0-Star Rating or higher for rating year 2027
Plans with 4.5-Star Ratings Three plans Among the company’s other eligible plans
Membership joined within the last two years Approximately 50% Alignment membership
triple-weighted measures technical
"decline in certain triple-weighted measures across Health Outcomes Survey"
Health Outcomes Survey (HOS) technical
"across Health Outcomes Survey (HOS) and Part D"
quality bonus payments financial
"impact the Company’s quality bonus payments for fiscal year 2028"
risk sharing arrangements financial
"risk sharing arrangements with providers will offset a portion"
Excellent Health Outcomes for All Index regulatory
"bonus calculations related to the Excellent Health Outcomes for All Index"

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

What 2027 Star Rating does ALHC expect for H3815?

Alignment expects H3815 to receive a 3.5-Star Rating for rating year 2027. H3815 had a 4.0-Star Rating for rating year 2026 and serves approximately 75% of the company’s health plan membership.

How will ALHC’s 2027 Star Ratings affect revenue and bonus payments?

The ratings are not expected to affect revenue for fiscal years 2026 or 2027, but the change in performance will affect quality bonus payments for fiscal year 2028. Alignment expects provider risk-sharing arrangements to offset a portion of the impact.

What CMS policy change did ALHC cite in its 2027 Star Ratings update?

CMS retroactively eliminated bonus calculations related to the Excellent Health Outcomes for All Index after the performance period concluded. Alignment said this reduced the impact of investments it made to align with CMS’s prior implementation.

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

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Learn about SEC filing dates
0001832466FALSE00018324662026-10-082026-10-08

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
_________________
FORM 8-K
_________________
CURRENT REPORT
Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): October 8, 2026
_______________________________
ALIGNMENT HEALTHCARE, INC.
(Exact name of registrant as specified in its charter)
_______________________________
Delaware001-4029546-5596242
(State or Other Jurisdiction of Incorporation)(Commission File Number)(I.R.S. Employer Identification No.)
1100 W. Town and Country Road, Suite 1600
Orange, California 92868
(Address of Principal Executive Offices) (Zip Code)
(844) 310-2247
(Registrant's telephone number, including area code)
N/A
(Former name or former address, if changed since last report)
_______________________________
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
oWritten communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
oSoliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
oPre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
oPre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, par value $0.001 per shareALHCThe NASDAQ Stock Market LLC
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company o
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o



Item 7.01 Regulation FD Disclosure.
2027 Health Plan Stars Ratings
On October 8, 2026, the Centers for Medicare & Medicaid Services (“CMS”) released its 2027 Star Ratings for Medicare Advantage (“Medicare Part C”) and Medicare Part D prescription drug plans. Based on the newly released Star Ratings, Alignment Healthcare, Inc. (the “Company”) expects that its California HMO health plan contract (H3815) will have a 3.5-Star Rating for rating year 2027. H3815, which had a 4.0-Star Rating for rating year 2026, serves approximately 75% of the Company’s health plan membership. Alignment expects to retain a 4.0-Star or higher rating in each of its six other eligible plans, including three plans that achieved a 4.5-Star Rating.
Based on the Company's review of the data provided by CMS, the decline in Stars performance was driven primarily by higher industry cut points and a decline in certain triple-weighted measures across Health Outcomes Survey (HOS) and Part D.
Separately, CMS’s decision to retroactively eliminate bonus calculations related to the Excellent Health Outcomes for All Index (also formerly known as the Health Equity Index) after the performance period concluded reduced the impact of investments that the Company made to align with CMS’s objectives under its prior implementation.
The Company has and will continue to implement enterprise-wide initiatives, including to enhance member and provider engagement, expand care gap closure programs and provide additional quality oversight. The Company believes these actions will strengthen our business and position H3815 to return to at least a 4.0-Star rating in future rating years.
The Company intends to pursue available administrative appeals challenging certain CMS calculations and expects to commence litigation challenging certain Star Ratings measures and methodologies that it believes are inconsistent with applicable law and CMS’s statutory authority.
The rating year 2027 Stars results are not expected to impact the Company’s revenue for fiscal years 2026 or 2027. The change in Star Ratings performance for rating year 2027 will impact the Company’s quality bonus payments for fiscal year 2028. The Company expects that its risk sharing arrangements with providers will offset a portion of this impact. Furthermore, the Company is aggressively pursuing all options to mitigate the potential 2028 financial impacts. Lastly, with approximately 50% of Alignment’s membership having joined the Company within the last two years, the Company expects the embedded earnings growth within its existing membership to support its margin trajectory over the coming years.
Cautionary Statement
This Current Report on Form 8-K 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 the Company’s actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: the Company's ability to attract new members and enter new markets, including the need for certain governmental approvals; its ability to achieve or maintain a high rating for its plans on the Five Star Quality Rating System; the ability to return H3815 to a 4.0-Star rating in future rating years, the success of related administrative appeals and litigation and the success of related mitigation measures; the ability to achieve earnings growth to support the Company’s margin trajectory; its ability to develop and maintain satisfactory relationships with care providers that service its members; risks associated with being a government contractor; changes in laws and regulations applicable to its business model; risks related to its indebtedness; changes in market or industry conditions and receptivity to its technology and services; results of litigation or a security incident; and the impact of shortages of qualified personnel and related increases in its labor costs. For a detailed discussion of the risk factors that could affect the Company's actual results, please refer to the risk factors identified in its Annual Report on Form 10-K for the year ended December 31, 2025, and the other periodic reports it files with the SEC. All information provided in this Current Report on Form 8-K is as of the date hereof, and the Company undertakes no duty to update or revise this information unless required by law.

The information in this Item 7.01 of this Current Report on Form 8-K shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor



shall such information and exhibits be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Exchange Act, except as expressly set forth by specific reference in such a filing.



SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
Alignment Healthcare, Inc.
Date: October 8, 2026By:/s/ Christopher Joyce
Christopher Joyce
Chief Legal & Administrative Officer

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