Alignment Healthcare Continues to Deliver High-Quality Medicare Advantage Plans, 4 Stars or Greater for 98% of Members in 2025
Alignment Healthcare (NASDAQ: ALHC) has announced that 98% of its Alignment Health Plan members are enrolled in plans rated 4 stars or greater by the Centers for Medicare & Medicaid Services (CMS) for 2025. The company's California HMO contract, representing about 86% of its Medicare Advantage membership, has earned a 4-star rating for the eighth consecutive year. Notably, its HMO contracts in Nevada and North Carolina retained their 5-star ratings for the third straight year, while its California PPO achieved a 4.5-star rating.
These ratings reflect Alignment's commitment to providing high-quality care and services to seniors. The CMS star ratings system, which helps Medicare beneficiaries compare health plans, is based on factors including member feedback, member retention, complaints, and clinical quality metrics. The annual Medicare enrollment period runs from Oct. 15 to Dec. 7 for plan benefits starting Jan. 1, 2025.
Alignment Healthcare (NASDAQ: ALHC) ha annunciato che il 98% dei membri del suo Alignment Health Plan è iscritto a piani valutati 4 stelle o più dai Centers for Medicare & Medicaid Services (CMS) per il 2025. Il contratto HMO della compagnia in California, che rappresenta circa l'86% dei suoi membri Medicare Advantage, ha ottenuto una valutazione di 4 stelle per l'ottavo anno consecutivo. Da notare che i contratti HMO in Nevada e Carolina del Nord hanno mantenuto le loro valutazioni di 5 stelle per il terzo anno consecutivo, mentre il suo PPO in California ha raggiunto una valutazione di 4.5 stelle.
Queste valutazioni riflettono l'impegno di Alignment nel fornire assistenza e servizi di alta qualità agli anziani. Il sistema delle valutazioni in stelle del CMS, che aiuta i beneficiari di Medicare a confrontare i piani sanitari, si basa su fattori come il feedback dei membri, la retention, i reclami e le metriche di qualità clinica. Il periodo annuale di iscrizione a Medicare va dal 15 ottobre al 7 dicembre per i vantaggi del piano che iniziano il 1° gennaio 2025.
Alignment Healthcare (NASDAQ: ALHC) ha anunciado que el 98% de los miembros de su Alignment Health Plan están inscritos en planes calificados con 4 estrellas o más por los Centros de Servicios de Medicare y Medicaid (CMS) para 2025. El contrato HMO de la compañía en California, que representa aproximadamente el 86% de su membresía de Medicare Advantage, ha obtenido una calificación de 4 estrellas por octavo año consecutivo. Cabe destacar que sus contratos HMO en Nevada y Carolina del Norte mantuvieron sus calificaciones de 5 estrellas por tercer año consecutivo, mientras que su PPO de California alcanzó una calificación de 4.5 estrellas.
Estas calificaciones reflejan el compromiso de Alignment de ofrecer atención y servicios de alta calidad a los ancianos. El sistema de calificación en estrellas del CMS, que ayuda a los beneficiarios de Medicare a comparar planes de salud, se basa en factores como la retroalimentación de los miembros, la retención de miembros, quejas y métricas de calidad clínica. El período anual de inscripción a Medicare va del 15 de octubre al 7 de diciembre para los beneficios del plan que comienzan el 1 de enero de 2025.
Alignment Healthcare (NASDAQ: ALHC)는 Alignment Health Plan 회원의 98%가 2025년을 위해 의료보험 및 Medicaid 서비스 센터(CMS)에 의해 4성 이상으로 평가된 계획에 가입되어 있다고 발표했습니다. 이 회사의 캘리포니아 HMO 계약은 약 86%의 Medicare Advantage 회원을 나타내며 8년 연속으로 4성 평가를 받았습니다. 특히 네바다와 노스캐롤라이나의 HMO 계약은 3년 연속 5성 등급을 유지하였으며, 캘리포니아 PPO는 4.5성 등급을 달성했습니다.
이 평가들은 Alignment가 노인들에게 고품질의 치료 및 서비스를 제공하겠다는 의지를 반영합니다. CMS의 별 등급 시스템은 Medicare 수혜자가 건강 계획을 비교하는 데 도움이 되며, 회원 피드백, 회원 유지, 불만 사항 및 임상 품질 지표와 같은 요소를 기반으로 합니다. 연간 Medicare 등록 기간은 10월 15일부터 12월 7일까지이며, 계획 혜택은 2025년 1월 1일부터 시작됩니다.
Alignment Healthcare (NASDAQ: ALHC) a annoncé que 98% de ses membres du plan de santé Alignment sont inscrits à des plans évalués à 4 étoiles ou plus par les Centers for Medicare & Medicaid Services (CMS) pour 2025. Le contrat HMO de la société en Californie, représentant environ 86% de ses membres Medicare Advantage, a obtenu une note de 4 étoiles pour la huitième année consécutive. Notamment, ses contrats HMO au Nevada et en Caroline du Nord ont conservé leur note de 5 étoiles pour la troisième année consécutive, tandis que son PPO de Californie a obtenu une note de 4,5 étoiles.
Ces notes reflètent l'engagement d'Alignment à fournir des soins et des services de haute qualité aux personnes âgées. Le système de notation par étoiles du CMS, qui aide les bénéficiaires de Medicare à comparer les plans de santé, est basé sur des facteurs tels que les retours des membres, la fidélisation des membres, les plaintes et les indicateurs de qualité clinique. La période annuelle d'inscription à Medicare se déroule du 15 octobre au 7 décembre pour les avantages du plan commençant le 1er janvier 2025.
Alignment Healthcare (NASDAQ: ALHC) hat angekündigt, dass 98% der Mitglieder seines Alignment Health Plans in Pläne eingeschrieben sind, die mit 4 Sternen oder mehr bewertet wurden von den Centers for Medicare & Medicaid Services (CMS) für 2025. Der HMO-Vertrag des Unternehmens in Kalifornien, der etwa 86% seiner Medicare Advantage-Mitglieder repräsentiert, hat zum achten Mal in Folge eine Bewertung von 4 Sternen erhalten. Bemerkenswert ist, dass die HMO-Verträge in Nevada und North Carolina ihre 5-Sterne-Bewertungen zum dritten Mal in Folge behalten haben, während das kalifornische PPO eine Bewertung von 4,5 Sternen erreicht hat.
Diese Bewertungen spiegeln das Engagement von Alignment wider, älteren Menschen qualitativ hochwertige Pflege und Dienstleistungen anzubieten. Das Sternbewertungssystem des CMS, das Medicare-Begünstigten hilft, Gesundheitspläne zu vergleichen, basiert auf Faktoren wie Mitgliederfeedback, Mitgliederbindung, Beschwerden und klinischen Qualitätsmetriken. Der jährliche Medicare-Anmeldezeitraum läuft vom 15. Oktober bis zum 7. Dezember für Leistungspläne, die am 1. Januar 2025 beginnen.
- 98% of Alignment Health Plan members are in plans rated 4 stars or greater for 2025
- California HMO contract earned 4-star rating for the eighth consecutive year
- HMO contracts in Nevada and North Carolina retained 5-star ratings for the third straight year
- California PPO achieved a 4.5-star rating
- None.
Insights
Alignment Healthcare's strong performance in the 2025 CMS Star Ratings is a significant achievement in the competitive Medicare Advantage market. With 98% of members in plans rated 4 stars or higher, the company demonstrates consistent quality across its offerings. The retention of 5-star ratings in North Carolina and Nevada, along with the California PPO's 4.5-star rating, indicates superior service quality and member satisfaction.
This performance is particularly noteworthy given the increasingly stringent CMS criteria. It suggests that Alignment is not only meeting but exceeding regulatory expectations, which could translate to increased member retention and potential market share growth. The company's focus on member health and wellness needs aligns well with the industry trend towards value-based care models.
For investors, these ratings could signal strong future performance. High-quality ratings often lead to better member acquisition and retention, potentially driving revenue growth. Additionally, superior ratings may result in higher reimbursement rates from CMS, positively impacting the company's financial outlook. However, maintaining such high ratings requires ongoing investment in quality improvement initiatives, which could impact short-term profitability.
Alignment Healthcare's stellar performance in the 2025 CMS Star Ratings positions the company favorably for the upcoming Medicare Annual Enrollment Period (AEP). With 98% of members in 4-star or higher plans, Alignment has a strong marketing advantage. This could lead to increased enrollment and market share gains during the critical Oct. 15 to Dec. 7 enrollment window.
The company's consistent high performance, including eight consecutive years of 4-star or greater ratings for its California HMO contract, demonstrates operational excellence and brand reliability. This track record may attract risk-averse seniors looking for stable, high-quality healthcare options.
Investors should note that Alignment's success across multiple states (California, Nevada, North Carolina) indicates scalability of their quality management practices. This could be important for future expansion plans and long-term growth prospects. However, the competitive landscape in Medicare Advantage is intensifying, with other players also striving for high ratings. Alignment will need to continue innovating to maintain its edge in this high-stakes, quality-driven market.
Medicare Advantage company retains 5- out of 5-star rating in North Carolina and Nevada, California PPO earns 4.5 stars
ORANGE, Calif., Oct. 11, 2024 (GLOBE NEWSWIRE) -- Alignment Healthcare, Inc. (NASDAQ: ALHC) announced today that
“Achieving these high star ratings under increasingly stringent CMS criteria demonstrates our leadership in the Medicare Advantage space,” said John Kao, founder and CEO, Alignment Healthcare. “Our excellent performance reflects our deep commitment to the seniors we serve, ensuring they get the quality, respect and care they deserve. We’re not just following best practices; we’re setting the benchmark for what Medicare Advantage should be.”
“Our success in attaining such strong star ratings year after year is a direct result of our unwavering focus on our members’ health and wellness needs,” said Dawn Maroney, president, markets of Alignment Healthcare, and CEO of Alignment Health Plan. “Our ability to consistently deliver high-quality care shows that we’re doing Medicare Advantage right, empowering seniors to live healthier and fuller lives.”
Key Highlights of Alignment Health Plan’s 2025 Star Ratings:
98% of its members are in plans rated 4 stars or greater. 1- The company’s California HMO contract – representing roughly
86% of its Medicare Advantage (MA) membership – has earned an overall 4- out of 5-star rating, marking its eighth consecutive year as a 4-star or greater plan. - Its HMO contract in Nevada and North Carolina retained its overall 5-star rating for the third straight year.
- Its California PPO achieved an overall 4.5-star rating.
CMS’s 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.
CMS Star Ratings are posted at Medicare.gov. Medicare’s annual enrollment period runs from Oct. 15 to Dec. 7 for plan benefits starting Jan. 1, 2025. For more information about Alignment’s plans and services, visit www.alignmenthealthplan.com or call 1-888-979-2247, 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 2025 Star Ratings data published by CMS on Oct. 10, 2024 and plan enrollment as of September 2024.
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
hzhuo@ahcusa.com
Media Contact
Priya Shah
mPR, Inc. for Alignment Health
alignment@mpublicrelations.com
Y0141_25417EN_M
___________________________________
1 Centers for Medicare & Medicaid Services Medicare Advantage/Part D Contract and Enrollment Data, September 2024 MA State/County Penetration, https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/MA-State-County-Penetration
FAQ
What percentage of Alignment Healthcare's members are in 4-star or higher rated plans for 2025?
How many consecutive years has Alignment's California HMO contract been rated 4 stars or higher?
What star rating did Alignment Healthcare's Nevada and North Carolina HMO contracts receive for 2025?
What is the star rating for Alignment Healthcare's California PPO plan in 2025?
