Alignment Health
Alignment Health is a publicly traded Medicare Advantage insurer (NASDAQ: ALHC) exclusively serving approximately 284,800 Medicare-eligible seniors across Arizona, California, Nevada, North Carolina, and Texas. It combines an AI-powered care management platform (AVA), 24/7 concierge services, and partnerships with major regional health systems.
- Company typePublic
- Founded2013
- HeadquartersOrange, United States
- Headcount1,001–5,000
- GTM typeB2C
- OfferingServices
What Alignment Health does
Alignment Health is a publicly traded Medicare Advantage insurer (NASDAQ: ALHC) founded in 2013 and headquartered in Orange, California, exclusively focused on serving Medicare-eligible seniors across five U.S. states: Arizona, California, Nevada, North Carolina, and Texas. As of Q1 2026, the company provides health plan coverage to approximately 284,800 members through 68 plan options across 45 counties, including 24 Special Needs Plans targeting chronically ill seniors and culturally tailored products such as the el ÚNICO plan for Hispanic seniors. The company generates revenue primarily through CMS capitation premiums for each enrolled member, supplemented by revenue from coordinated healthcare services delivered through its provider networks, and reported FY2025 revenue of $3.95 billion (46.1% year-over-year growth) and Q1 2026 revenue of $1.24 billion (33.3% YoY growth).
The company's core technology platform is AVA, a proprietary AI-powered command center that processes eligibility, claims, encounter, and remote patient monitoring data across the full membership every 30 minutes to drive risk stratification, anomaly detection, predictive clinical insights, and process automation. Layered on top of AVA is the ACCESS On-Demand Concierge service, which provides 24/7 board-certified physician access via phone or video, a dedicated concierge team, a branded concierge card, and supplemental benefits including transportation (via Uber Health and Lyft integrations), grocery allowances, and Part B rebates up to $185. Member-facing delivery is supported by the Care Anywhere physician-led program for in-home and virtual care.
Alignment Health distributes its plans through direct sales during the annual Medicare enrollment window (October 15 to December 7), licensed insurance broker channels, and referrals from a network of major health system partners including Sutter Health, Scripps Health, PIH Health, Intermountain Health, Brown & Toland Physicians, Triangle Senior Care Group, and Suvida Healthcare. The company is led by founder and CEO John Kao (who assumed the additional Chairman role in May 2026) with an executive team drawn from Optum, Cigna, Humana, TriZetto, and Intermountain. The company went public on NASDAQ in March 2021, raised $330 million in convertible senior notes in November 2024, and was added to the S&P SmallCap 600 index in May 2026.
Alignment Health firmographics
Firmographics- Name
- Alignment Health
- Legal name
- Alignment Healthcare USA, LLC
- Website
- https://alignmenthealth.com
- Company type
- Public
- Founded year
- 2013
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- Alignment Health is a publicly traded Medicare Advantage insurer (NASDAQ: ALHC) exclusively serving approximately 284,800 Medicare-eligible seniors across Arizona, California, Nevada, North Carolina, and Texas. It combines an AI-powered care management platform (AVA), 24/7 concierge services, and partnerships with major regional health systems.
- Ownership category
- akta.pro rank
Alignment Health industry classification
Industry- Product category
- Medicare Advantage Health Insurance
- NAICS
- Services for the Elderly and Persons with Disabilities (62412)
- SIC
- Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Medicare Advantage (MA) Plans (FSAIAGAA)
- akta.pro secondary industries
- Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH), Care Transitions Management (Hospital/SNF-to-Home) (HSABAIAC), Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC) (HSABAIAG)
Keywords
Where Alignment Health is headquartered
LocationHeadquarters
- HQ city
- Orange
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Alignment Health business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Medicare Advantage Premiums: Alignment Healthcare generates revenue primarily through Medicare Advantage premiums paid by CMS for each enrolled member. The company offers health plan options and receives capitated payments for providing coordinated care to seniors.
- Healthcare Services Revenue: Revenue from providing coordinated care, clinical services, and care management to Medicare Advantage members through its provider networks and clinical teams.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | $0 premium Medicare Advantage plans with comprehensive benefits |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels6 records
Alignment Health product offering
Product offeringCore offering
Alignment Health provides Medicare Advantage health insurance plans to Medicare-eligible seniors across five states (Arizona, California, Nevada, North Carolina, and Texas), offering HMO plans that include coordinated clinical care, the 24/7 ACCESS On-Demand Concierge service, the Care Anywhere physician-led in-home and virtual care program, and supplemental benefits such as dental, vision, transportation, and grocery allowances. The company also offers 24 Special Needs Plans (SNPs) for chronically ill seniors and the culturally tailored el ÚNICO plan for Hispanic seniors.
Differentiator
Problem solved
Functional benefit
Brands
- ACCESS On-Demand Concierge: 24/7 concierge service providing members access to doctors, appointment scheduling, transportation, and healthcare support
- AVA
- Care Anywhere
- el ÚNICO
Products and services
- Medicare Advantage HMO Plans Medicare Advantage HMO health insurance plans for Medicare-eligible seniors across Arizona, California, Nevada, North Carolina, and Texas, providing comprehensive benefits including hospital, medical, dental, vision, hearing, transportation, and supplemental benefits. Plans are rated 4 stars or higher by CMS, with Nevada and North Carolina plans achieving 5-star ratings.
- Special Needs Plans (SNPs) 24 Special Needs Plans targeting chronically ill seniors requiring specialized care management for conditions such as diabetes, hypertension, and high cholesterol, with demonstrated 18.5 percentage point improvement in medication adherence rates.
- ACCESS On-Demand Concierge 24/7 concierge service providing members with round-the-clock access to board-certified doctors by phone or video, a dedicated concierge team, appointment scheduling, transportation arrangement, and a black card for purchasing eligible items. Served 182,000 members in 2025.
- Care Anywhere Physician-led care program providing in-home and virtual care services to Alignment Health Plan members, enabling care delivery across in-person, in-home, and virtual care settings.
- el ÚNICO Plan Culturally tailored Medicare Advantage plan designed specifically for Hispanic seniors, providing bilingual provider access and culturally competent care, particularly in Arizona.
Quantifiable outcome
- 34% fewer emergency room visits per 1,000 members compared to pre-pandemic Medicare fee-for-service benchmarks
- +6 more outcomes
Companies that use Alignment Health
Customer profileNamed customers6 records
Segments3 records
Ideal customer profiles3 records
Alignment Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability5 records
Feature3 records
Alignment Health partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered core.
- Intermountain HealthcoreAlignment Health Plan and Intermountain Health launched a new $0-premium, 5-star Medicare Advantage plan in Clark County, Nevada. The co-branded plan offers comprehensive benefits including transportation, caregiver support, and allowances for health-related expenses.
- Suvida HealthcarecorePartnership to expand bilingual primary care access for Spanish-speaking seniors in Arizona's Pima and Maricopa counties, targeting approximately 2.3 million Hispanic residents and including Alignment's culturally tailored el ÚNICO plan.
- Sutter HealthcoreSutter Health and Alignment Healthcare renewed their long-term strategic collaboration, adding 76 new facilities to their Medicare partnership. The partnership provides Sutter's extensive network of providers to Alignment's Medicare Advantage members in Northern California.
- Scripps HealthcorePartnership adding 950+ primary care and specialist physicians from Scripps Clinic and Scripps Coastal Medical Center to Alignment's San Diego network, providing in-network care access to Medicare beneficiaries.
- PIH HealthcoreProvider network partnership opening access to PIH Health hospitals, doctors, outpatient offices, home health services and hospice care for Medicare-eligible individuals in Los Angeles and Orange counties.
- Triangle Senior Care GroupcoreClinically integrated network of 20 independent primary care practices in Wake County, North Carolina, providing care management services to Alignment's senior members.
- Brown & Toland PhysicianscorePartnership with network of 2,700+ Bay Area doctors providing in-network care for Alignment members in Marin County, California.
Scale indicators11 records
Recent moves9 records
Expansion highlights6 records
Alignment Health competitors and assessment
Company assessmentBroad incumbents
- Humana: Humana is the largest pure-play Medicare Advantage insurer in the U.S. and is Alignment Health's most direct large-scale competitor. It serves tens of millions of MA members across all 50 states and provides a benchmark for the technology-enabled, senior-focused MA model Alignment is pursuing at smaller scale.
- UnitedHealth Group (UnitedHealthcare): UnitedHealthcare operates the largest MA membership base in the industry as part of UnitedHealth Group's diversified health benefits and Optum services portfolio. Comparable in selling Medicare Advantage plans to seniors and in leveraging data/analytics to manage care costs.
- CVS Health (Aetna): Aetna's Medicare Advantage business sits within CVS Health alongside retail pharmacies, Caremark PBM, and Oak Street primary care. Directly comparable in offering MA plans nationally with integrated care delivery and pharmacy benefits.
- Elevance Health: Elevance Health (formerly Anthem) operates Blue Cross Blue Shield plans across multiple states with a significant Medicare Advantage offering. Directly comparable as a multi-state MA carrier with emphasis on care quality and provider collaboration.
- Centene Corporation: Centene is a large managed care company focused on government-sponsored health programs (Medicaid and Medicare). Comparable in operating MA plans and serving dual-eligible / SNP populations across multiple states, though its core franchise is Medicaid.
- Molina Healthcare: Molina is a government-focused managed care company with a growing Medicare Advantage presence alongside its core Medicaid business. Comparable in serving low-income and senior populations through state-level health plans.
- Cigna Group: Cigna divested much of its Medicare Advantage business but maintains MA offerings and serves seniors via Evernorth services. Comparable as a large national health insurer serving seniors with supplemental products.
- Aetna (standalone MA peer view): Aetna's standalone MA franchise competes head-to-head with Alignment Health in shared geographies (Arizona, California, Nevada, North Carolina). Most directly comparable on plan design, broker distribution, and provider network strategy at the state-market level.
Direct peers
- Clover Health: Clover Health is a technology-forward Medicare Advantage insurer using its Clover Assistant software platform to drive primary care and care management. Closest comparable to Alignment Health in scale, MA-only focus, and proprietary AI/data platform strategy.
Emerging players
- Oscar Health: Oscar Health is a technology-driven health insurer offering individual ACA and Medicare Advantage plans with a member-experience focus. Comparable in using tech-enabled, concierge-style service to differentiate in government health insurance markets.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Alignment Health social profiles
Digital presenceAlignment Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Alignment Health leadership team
Management profileNumber of profiles
Profiles14 records
Alignment Health subsidiaries and ownership
Company hierarchySubsidiaries1 record
Alignment Health funding detail
Funding detailFunding overview
Funding rounds5 records
Investors6 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Alignment Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Alignment Health
What does Alignment Health do?
Alignment Health provides Medicare Advantage health insurance plans to Medicare-eligible seniors across five states (Arizona, California, Nevada, North Carolina, and Texas), offering HMO plans that include coordinated clinical care, the 24/7 ACCESS On-Demand Concierge service, the Care Anywhere physician-led in-home and virtual care program, and supplemental benefits such as dental, vision, transportation, and grocery allowances. The company also offers 24 Special Needs Plans (SNPs) for chronically ill seniors and the culturally tailored el ÚNICO plan for Hispanic seniors.
Is Alignment Health a public or private company?
Alignment Health is a public company. It is classified as public and is currently operating.
When was Alignment Health founded?
Alignment Health was founded in 2013. It employs 1,001 to 5,000 people.
Where is Alignment Health based?
Alignment Health is headquartered in Orange, United States, in the North America region.
How does Alignment Health make money?
Two revenue lines are on record. Medicare Advantage Premiums are the primary driver. The others are healthcare Services Revenue.
Who are Alignment Health's main competitors?
Broad incumbents on record are Humana, UnitedHealth Group (UnitedHealthcare), CVS Health (Aetna), Elevance Health, Centene Corporation, Molina Healthcare, Cigna Group and Aetna (standalone MA peer view). Clover Health is listed as a direct peer. Oscar Health is listed as an emerging player.
Does Alignment Health have an API?
No public API is recorded for Alignment Health.
What industry is Alignment Health in?
Alignment Health's product category is Medicare Advantage Health Insurance. Its primary akta.pro industry code is FSAIAGAA, Medicare Advantage (MA) Plans, with a secondary code of HLAEAMAH, Medicare Advantage HMOs (HMO/HMO-POS). Its NAICS code is 62412 and its SIC code is 6324.