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Alignment Healthcare Maintains High-Quality Medicare Advantage Plans, Achieving 4 Stars or Greater for 98% of Members in 2025

Alignment Healthcare, Inc. has announced that 98% of its Alignment Health Plan members are enrolled in plans rated 4 stars or higher by the Centers for Medicare & Medicaid Services (CMS) for 2025. Each year, CMS assesses Medicare Advantage plans using a 5-star rating system, where 5 stars indicate “excellent” performance. This system assists Medicare beneficiaries in comparing health plans by quality and performance.

“Achieving these high star ratings under increasingly stringent CMS criteria showcases our leadership in the Medicare Advantage sector,” stated John Kao, founder and CEO of Alignment Healthcare. “Our outstanding performance reflects our strong commitment to the seniors we serve, ensuring they receive the quality, respect, and care they deserve. We’re not just adhering to best practices; we’re establishing a benchmark for what Medicare Advantage should be.”

“Our consistent success in earning strong star ratings year after year is a testament to our unwavering focus on our members’ health and wellness needs,” said Dawn Maroney, president of markets for Alignment Healthcare and CEO of Alignment Health Plan. “Our capability to deliver high-quality care consistently demonstrates that we are effectively supporting Medicare Advantage, allowing seniors to lead healthier and more fulfilling lives.”

Key Highlights of Alignment Health Plan’s 2025 Star Ratings:

  • 98% of its members are in plans rated 4 stars or higher.
  • The company’s California HMO contract, which accounts for approximately 86% of its Medicare Advantage membership, has achieved an overall 4-out-of-5-star rating for the eighth consecutive year.
  • Its HMO contract in Nevada and North Carolina has maintained an overall 5-star rating for the third consecutive year.
  • The California PPO has achieved an overall 4.5-star rating.

CMS’s 5-star ratings system is based on various factors, including member feedback, retention rates, complaints about a plan, and other clinical quality metrics.

Medicare’s annual enrollment period is set from October 15 to December 7 for plan benefits starting January 1, 2025.

Note: The information in this release is based on the 2025 Star Ratings data published by CMS on October 10, 2024, and plan enrollment data as of September 2024.

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