Press Releases June 2, 2026 08:00 AM

Alignment Healthcare Shows How Earlier, Coordinated Care Leads to Better Health and Fewer Emergencies in 2025 Impact Report

Alignment Healthcare's 2025 Impact Report Highlights Significant Reductions in ER Visits and Hospital Admissions Through Coordinated Care Model

By Priya Menon ALHC

Alignment Healthcare released its 2025 Impact Report showcasing its effective care model that leads to healthier members by providing earlier, coordinated care. The company demonstrated substantial reductions in emergency room visits, inpatient admissions, skilled nursing facility admissions, and 30-day hospital readmission rates compared to Medicare fee-for-service benchmarks. Key programs include the AI-powered AVA platform and Care Anywhere physician-led initiative. Alignment also expanded member engagement services significantly in 2025, maintaining high CMS star ratings for its plans.

Alignment Healthcare Shows How Earlier, Coordinated Care Leads to Better Health and Fewer Emergencies in 2025 Impact Report
ALHC

Key Points

  • Achieved 34% reduction in ER visits and inpatient admissions, and 44% fewer skilled nursing facility admissions compared to 2019 Medicare benchmarks, indicative of lower high-cost care utilization.
  • Utilizes proprietary AI-driven AVA platform and Care Anywhere program to identify health risks earlier and deliver in-home and virtual care, enhancing proactive management.
  • Significant growth in member engagement through ACCESS On-Demand Concierge program and Jump Start Assessments, improving access and ongoing care for members with chronic and complex needs.
  • Impacted sectors include healthcare delivery, Medicare Advantage insurance products, health technology, and senior care services.

ORANGE, Calif., June 02, 2026 (GLOBE NEWSWIRE) -- Alignment Healthcare, Inc. (NASDAQ: ALHC), today issued its 2025 Impact Report, detailing how its care model helps members stay healthier with earlier care and reduces the likelihood of emergencies and more serious health events.

The report outlines Alignment’s approach to coordinated, proactive care, resulting in fewer emergency room visits, hospital stays and post-acute care compared to Medicare fee-for-service benchmarks. As Alignment marks its fifth year as a publicly held company, the report also reflects a refreshed impact strategy centered on improving member health, advancing collaboration and growing responsibly.

“From the start, we have been dedicated to leading with a serving heart,” said John Kao, chairman and CEO of Alignment Healthcare. “We believe the cost of not caring is too high. When you intervene earlier, coordinate care relentlessly and stay close to the member, you can improve outcomes and avoid the most expensive events in healthcare.”

Demonstrating Reduced High-Cost Utilization
In 2025, Alignment reported the following outcomes for its shared risk members compared to 2019 pre-pandemic Medicare fee-for-service benchmarks:

  • 34% fewer emergency room visits per 1,000 members
  • 34% fewer inpatient admissions per 1,000 members
  • 44% fewer skilled nursing facility admissions per 1,000 members
  • 27% lower 30-day hospital readmission rates

These reductions reflect lower utilization of services that account for the largest drivers of total cost of care.

The report also highlights continued high-quality performance, with 100% of Alignment members enrolled in plans rated 4 Stars or higher by the Centers for Medicare & Medicaid Services for the second consecutive year.

Care Model Designed to Intervene Earlier and Coordinate More Effectively
Alignment attributes these outcomes to a care model focused on identifying health needs earlier, staying engaged and supporting members consistently over time.

Key components include:

  • AVA®, Alignment’s proprietary, AI-powered technology platform that integrates clinical, pharmacy and utilization data to identify risks and care gaps earlier
  • Care Anywhere, a physician-led program delivering in-home and virtual care for high-risk members, with 16,000 participants in 2025, up from 11,500 in 2024

Together, these programs are designed to support earlier intervention and reduce the likelihood of acute episodes requiring emergency and inpatient care.

Scaling Access, Engagement and Member Support
The report also highlights expanded engagement across the member base:

  • Approximately 182,000 members served through Alignment’s ACCESS On-Demand Concierge program, up from 151,000 in 2024.
  • More than 84,000 Jump Start Assessments, free annual wellness visits designed to identify emerging health needs, up from approximately 56,000 in 2024.

These efforts expand access to care navigation, benefits and support services, helping reduce barriers to care and improve ongoing engagement for members with chronic and complex health needs.

Operating in a Changing Medicare Advantage Environment
The report is released at a time when the Medicare Advantage sector continues to evolve in response to shifting economic and regulatory conditions.

“At Alignment, we believe Medicare Advantage done the right way integrates both compassion and performance, both growth and discipline, both purpose and profit,” Kao said. “In 2025, we demonstrated that these are not trade-offs; instead, they are mutually reinforcing.”

Read the report at https://www.alignmenthealth.com/impact/

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
[email protected] 


Risks

  • Future regulatory changes in the evolving Medicare Advantage landscape could impact reimbursement rates and operational flexibility.
  • Economic conditions may affect enrollment growth and profitability in Medicare Advantage plans.
  • Dependence on technology platforms and care coordination effectiveness carries operational risk if implementation or scaling issues arise.

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