Alignment Healthcare’s 2025 Impact Report Highlights Better Outcomes Through Early Intervention and Coordinated Care
Alignment Healthcare, Inc. has released its 2025 Impact Report, showcasing how its proactive and coordinated care model continues to improve health outcomes for Medicare Advantage members while reducing costly healthcare utilization. The report marks the company’s fifth annual impact publication as a publicly traded organization and introduces a refreshed impact strategy designed to support long-term, responsible growth while enhancing member health and well-being.
The report demonstrates how Alignment Healthcare’s focus on early intervention, comprehensive care coordination, and technology-enabled healthcare management has helped members stay healthier and avoid serious medical events. Through a combination of personalized support, advanced analytics, and physician-led care programs, the company continues to deliver measurable improvements in patient outcomes while helping lower overall healthcare costs.
A Commitment to Proactive Healthcare
Alignment Healthcare’s care philosophy is centered on the belief that preventing health issues before they become severe is one of the most effective ways to improve patient outcomes. By identifying potential health risks early and ensuring members receive timely care, the organization aims to reduce emergency room visits, hospitalizations, and other high-cost medical services.
According to John Kao, Chairman and Chief Executive Officer of Alignment Healthcare, the company has remained committed to putting members first since its founding. He emphasized that the organization’s mission is driven by the understanding that failing to address healthcare needs early can lead to worse outcomes and significantly higher costs.
The company’s approach focuses on maintaining close relationships with members, coordinating care across providers, and ensuring that individuals receive the right care at the right time. This model is designed to improve quality of life while minimizing preventable medical complications.
Significant Reductions in Emergency and Hospital Utilization
One of the most notable findings in the 2025 Impact Report is the substantial reduction in high-cost healthcare utilization among Alignment’s shared-risk members when compared to pre-pandemic 2019 Medicare fee-for-service benchmarks.
The company reported:
- 34% fewer emergency room visits per 1,000 members
- 34% fewer inpatient hospital admissions per 1,000 members
- 44% fewer skilled nursing facility admissions per 1,000 members
- 27% lower 30-day hospital readmission rates
These results highlight the effectiveness of Alignment’s care model in preventing avoidable healthcare events. Emergency room visits, inpatient admissions, and skilled nursing facility stays represent some of the largest contributors to healthcare spending. By reducing the frequency of these services, Alignment is helping members avoid disruptive and often stressful medical episodes while improving overall care efficiency.
Lower hospital readmission rates are particularly significant because they often indicate better post-discharge care coordination and ongoing patient support. When patients receive appropriate follow-up care and monitoring, they are less likely to experience complications that require a return to the hospital.
Maintaining High Standards of Quality
In addition to reducing healthcare utilization, Alignment Healthcare continues to achieve strong quality performance across its Medicare Advantage plans.
The report notes that for the second consecutive year, 100% of Alignment members were enrolled in health plans rated four Stars or higher by the Centers for Medicare & Medicaid Services (CMS).
CMS Star Ratings serve as one of the most important measures of quality within the Medicare Advantage industry. Ratings evaluate health plans across multiple categories, including preventive care, chronic disease management, customer service, member satisfaction, and health outcomes.
Achieving four Stars or higher across all enrolled members reflects Alignment’s continued focus on delivering high-quality healthcare experiences while maintaining strong clinical performance standards.
Leveraging Technology to Improve Care
A key component of Alignment Healthcare’s success is its investment in technology-driven care management.
At the center of this strategy is AVA®, the company’s proprietary artificial intelligence-powered healthcare platform. AVA integrates clinical, pharmacy, utilization, and member data to create a comprehensive view of each patient’s healthcare needs.
By analyzing large volumes of data in real time, the platform helps identify emerging risks, potential care gaps, and opportunities for intervention before health issues become more severe. This allows healthcare providers and care teams to act proactively rather than reactively.
The use of AI-powered insights supports more personalized care plans and enables providers to focus resources on members who may benefit most from additional support and monitoring.
As healthcare organizations increasingly adopt data-driven approaches, Alignment’s technology platform demonstrates how artificial intelligence can enhance patient care while supporting better clinical and financial outcomes.
Expansion of Care Anywhere Program
Another important contributor to Alignment’s performance is its Care Anywhere program, a physician-led initiative designed to provide healthcare services directly in members’ homes or through virtual visits.
The program focuses primarily on high-risk individuals who may face challenges accessing traditional healthcare settings or who require more frequent monitoring and support.
Participation in Care Anywhere continued to grow significantly during 2025. The program served approximately 16,000 members, compared with 11,500 participants in 2024, reflecting increased demand for convenient and personalized care delivery options.
Through home-based and virtual care services, healthcare professionals can monitor patient conditions more closely, address concerns earlier, and help prevent the escalation of health issues that might otherwise result in emergency department visits or hospital admissions.
The expansion of Care Anywhere reflects broader trends within healthcare toward more flexible and patient-centered models of care that improve accessibility and engagement.
Increasing Member Engagement and Access
The report also highlights substantial growth in member engagement initiatives designed to improve healthcare access and support ongoing wellness.
One of the company’s key engagement programs is ACCESS On-Demand Concierge, which helps members navigate healthcare services, understand benefits, and connect with available resources.
In 2025, approximately 182,000 members utilized the concierge program, up from 151,000 members in 2024. The growth demonstrates increasing member interest in personalized healthcare guidance and support.
Alignment also expanded participation in its Jump Start Assessment program, which offers free annual wellness visits aimed at identifying emerging health concerns before they develop into more serious conditions.
More than 84,000 assessments were completed during 2025, representing a significant increase from approximately 56,000 assessments in 2024.
These wellness visits play an important role in preventive healthcare by helping clinicians detect chronic conditions, evaluate risk factors, and develop personalized care plans. Early identification of health concerns can lead to earlier treatment, improved outcomes, and reduced healthcare costs over time.
Together, the ACCESS On-Demand Concierge and Jump Start Assessment programs strengthen member engagement while reducing barriers that may prevent individuals from seeking necessary care.
Responsible Growth in a Changing Medicare Advantage Landscape
The release of the 2025 Impact Report comes at a time of ongoing change within the Medicare Advantage industry. Health plans across the sector continue to adapt to evolving regulatory requirements, economic pressures, and shifting member expectations.
Against this backdrop, Alignment Healthcare has introduced a refreshed impact strategy focused on three primary goals:
- Improving member health outcomes
- Advancing collaboration across the healthcare ecosystem
- Growing responsibly and sustainably
The company believes that strong financial performance and positive social impact can work together rather than compete with one another.
Leadership emphasized that success in Medicare Advantage requires balancing compassion with operational excellence, ensuring that members receive high-quality care while maintaining financial discipline and long-term sustainability.
As Alignment Healthcare enters its next phase of growth, the organization remains focused on expanding access to care, leveraging advanced technology, and strengthening relationships with members and providers.
The 2025 Impact Report demonstrates how early intervention, coordinated care, and ongoing member engagement can produce meaningful improvements in health outcomes while reducing unnecessary healthcare utilization. By continuing to invest in innovative care models and responsible growth strategies, Alignment aims to further improve the healthcare experience for Medicare beneficiaries while contributing to a more efficient and effective healthcare system.
The company’s results reinforce a growing industry consensus that proactive, personalized care can play a critical role in improving patient health, lowering costs, and creating a more sustainable future for healthcare delivery.
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
